HomeMy WebLinkAbout186855 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 131130 Page 1 of 1
�y 0 ONE CIVIC SQUARE HINCKLEY SPRINGS CHECK AMOUNT: $733.80
o CARMEL, INDIANA 46032 PO BOX 660579
DALLAS TX 75266 0579 CHECK NUMBER: 186855
CHECK DATE: 6/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 17209463083 693.92 OTHER EXPENSES
1301 4239099 2677859 39.88 OTHER MISCELLANOUS
1- 800-4- WATERS (492 -8377) www.HinckleySprings.com
Ile Upcoming Delivery Dates
is a `�j1
June July August Springs.,,, Bottled Water Filtration Coffee
Thursday, 10 Thursday, 8 Thursday, 5 Help us make a difference in the fight against breast
Thursday, 24. Thursday, 22 Thursday, 19 cancer. From now through December 31st, 2010, for every
referred customer who starts new service with any Komen
Budget Plan, we will donate $30 to Susan G. Kamen Cure.
Visit Water.com /KomenReferral today!
Customer Account 17220042677859
KIM ROTT Invoice Date: 05 -29 -10
CARMEL CITY COURT Invoice 0510 1722004 2677859
1 CIVIC SQ
CARMEL, IN 46032 Purchase Order
Date Transaction Details Qty. Each Amount
Previous Balance 45.43
05 -21 -10 P185286 Payment Check 185286 Thank You -45.43
Remaining Balance 0.00
R101242494748 WHITE HOT AND COLD COOLER RENTAL 1.0 13.50 13.50
05 -13 -10 T101333042008 HINCKLEY SPRINGS 5G DRINK NON -SPILL 1.0 9.99 9.99
CUP COLD FLAT 9 OZ HINCKLEY SPRINGS 100 CT 3.0 4.79 14.37V
5.0 GAL BOTTLE DEPOSIT 1.0 6.00 6.00d
5.0 GAL BOTTLE RETURN -1.0 6.00 -6.00 v
05 -27 -10 52654197 ENERGY SURCHARGE 1.0 2.02 2.02
Total New Charges 39.88
SPECIAL OFFER: Hinckley Springs now delivers softener salt directly to your home or office. Call 1- 800-4- WATERS and ask
about our introductory offer)
Managing your account is now at your fingertips. Take advantage of many time saving
options available on water.com. Save paper when you sign up for elnvoice, order additional
products, check your next delivery, pay your bill and much more. Log on today!
30356 -P -0034
Previous Balance Payment Total New Charges Pay This Amount
$45.43 $45.43 $39.88 $39.88
V Write the complete account number on your check. Detach remittance and mail wi payment in the e nclosed env To pay online go to www.Hin ings.com O
How to Read Your Statement Important Monthly Promotions:
Register online for access to your
Delivery Calendar:
account. You can view and pay your bill,
M M d •�•�F,��, °q;."�
Your scheduled deliveries for rea check delivery schedule and order
the next three months. �...R 0fe0 x �Po products all online.
Customer Account Number: Bottle Deposits:
For prompt service, please use this Highlights bottle deposits and returns.
number when referring to your account.
Easy to Pay:
Pay your invoice through the mail, online at
Summary www.water.com or call us to expedite your
Previous balance and posted remitt with automatic credit card payments
payments since last bill.
u o��o
Total New Charges:
This information provides totals for Mail Remittance With Payment To:
various products and transactions.., �n,.. Please detach remittance and mail
using business envelope provided.
I I... id 1. LII,,, II „IL ",I.l,Imllilnlu.11.1"In.11 IP.II a. -I... wun c.r —roy
Important Monthly Message
Billing Rights Summary Electronic Funds Transfer Notice
In case of Errors or Questions About Your Bill: If you pay by check, it will be converted into an "Electronic Funds Transfer”
If you think your bill is incorrect, or if you need more information about a (EFT), a process in which your financial institution is electronically instructed to
transaction on your bill, write us as soon as possible on a separate sheet, at transfer funds from your account to ours in lieu of processing the check. By
P.O. Box 660579, Dallas,TX 75266 -0579. We must hear from you no later sending your completed check to us, you authorize us to use the account
than 60 days after we sent you the first bill on which the error or problem information therein to create an EFT for the amount indicated on the check. If
appeared. Your bill shall be deemed correct unless disputed within 60 days the EFT cannot be processed for technical or other reasons, you authorize us
from receipt. You can telephone us, but doing so will not preserve your rights. to process an image replacement document, draft, or copy of your check.
In our letter, give us the following information: OPT OUT NOTICE: If you do not wish to participate in this check conversion
y g g program, please write to us on a separate sheet at:
Your name and complete account number. P.O. Box 660579, Dallas, TX 75266 -0579.
The dollar amount of the suspected error.
Describe the error and explain why you believe there is an error. If you need Insufficient Funds Notice
more information, describe the item you are unsure about.
If your check is returned for insufficient or uncollected funds (NSF), your signature
You do not have to pay any amount in question while we are investigating, but on your check gives us permission to debit your checking account electronically
you are still obligated to a the amount of our bill that is not in question. While for the uncollected amount. Payment by check constitutes your acceptance of
Y J pay Y q these terms.
we investigate your questions, we cannot report you as delinquent or take any
action to collect the amount you question.
We appreciate your business.
As a food product, bottled water is subject to rules and regulations promulgated by the Federal Food and Drug Administration (FDA).
For further information, please write DS Waters of America, Inc. at P.O. Box 660579, Dallas, TX 75266 -0579.
We bill monthly by summary Invoice.
i
Retain for your records.
HINCKLEY SPRINGS WATER
800- 444 -PURE
WATER.COM
ORIGINAL
CUSTOMER 1722004 TICKET 101333042008
LOCATION a 2677868 POa:
CARMEL CITY COURT Date: 0511312010 Time: 08:14:04 AM
1 CIVIC Sd ROUTE #3042 DAVID
CARMEL, IN 45032
Last Payment Date: 04/2212010 Last Payment AmOUnt: 43.43
Product Delivered OTY PRICE AMOUNT($)
HS 5G OR NS 1 9.99 9.99
BOT 5.OG PLS 1 6,00 6.00
BOT 5.OG PLS -1 6.00 -6.00
5CuFlat9zHSP 3 4.79 14.37
(1 Outtles Delivered 1 Empty Bultles Returned 0 Dultles Deposited)
Subtotal Sales 24.36
Sales Tax 0.00
DELIVERY TICKET TOTAL 24.36
Previous Account Balance 58.93
Total Balance Due 83.29
Payments 0.00
ENDING BALANCE 83.29
We bill monthly by summary Invoice
Retain for your records,
Next Delivery Date 05127/2010
We bill monthly by summary Invoice.
Retain for your records.
Prescribes by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form Na. 201 (Rev, 1995)
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
�0 to ®579 Terms
Date Due
Invoice Invoi Description Amount
Date Number (or note attached invoice(s) or bill(s))
13. 5Z
.d:2
Total tj 94f
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
.ate�7
ON ACCOUNT OF APPROPRIATION FOR
CU
Board Members
Po# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1 3 0) bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
20 J
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
1- 800 -4- WATERS 492 -8377 www.HinckleySprings.com
Upcoming Delivery Dates
l P
June July August Springs, Bottled Water Filtration Coffee
Thursday, 17 Thursday, 1 Thursday, 12 Finding your next scheduled delivery day just got easier!
Thursday; 15 Thursday, 26 Go to My Account at water.com and log in or register for
Thursday; 29 Self Service. Click on Printable Calendar to view and
print your 2010 Delivery Calendar online.
Customer Account 17209463083945
JOE ACCOUNTS PAYABLE Invoice Date: 06 -05 -10
CITY OF CARMEL UTILITIES Invoice 0610 1720946 3083945
9609 HAZEL DELL PKWY Purchase Order
INDIANAPOLIS, IN 46280
Date Transaction Details Qty. Each Amount
Previous Balance 1,264.88
05 -10 -10 P184781 Payment Check 184781 Thank You 644.31
Remaining Balance 620.57
05 -20 -10 T101403042002 HINCKLEY SPRINGS 5G DRINK NON -SPILL 6.0 9.99 59.94
HINCKLEY 5.OG DISTILLED NON SPILL 22.0 10.49 230.78
5.0 GAL BOTTLE RETURN -28.0 6.00 168.00
5.0 GAL BOTTLE DEPOSIT 6.0 6.00 36.00
5.0 GAL BOTTLE DEPOSIT 22.0 6.00 132.00
R101401797710 WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 9.50 9.50
WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 11.00 11.00
WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 11.00 11.00
WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 11.00 11.00
06 -03 -10 T101543042004 HINCKLEY SPRINGS 5G DRINK NON -SPILL 8.0 9 -99 79.92
HINCKLEY 5.OG DISTILLED NON SPILL 25.0 10.49 262.25
CUP PLASTIC FLAT 9 OZ HINCKLEY SPRINGS 50 CT 5.0 3.29 16.45
5.0 GAL BOTTLE DEPOSIT 8.0 6.00 48.00
5.0 GAL BOTTLE RETURN -33.0 6.00 198.00
5.0 GAL BOTTLE DEPOSIT 25.0 6.00 150.00
Recd By: Not Available or Refused
06 -03 -10 52919973 ENERGY SURCHARGE 1.0 2.08 2.08
Total New Charges 693.92
Managing your account is now at your fingertips. Take advantage of many time saving
options available on water.com. Save paper when you sign up for elnvoice, order additional
products, check your next delivery, pay your bill and much more. Log on today! i
30356 -P -0034
Previous Balance Payment Total New Charges Pay This Amount
$1,264.88 $644.31 c 7 $693.92 $1,314.49
V Write the complete account number_ o n y ouur-check. Detach-remittan and -mail with.payment in enclosed envelope. T o- pay_online.go to_www.HinckleySprings.com d
How to Read Your Statement Important Monthly Promotions:
°m' ^9 we Deliver' Register online for access to your
June ]009 July 1009 august 3009 BortlW Wasw'FilVatlan'°ollaa
Delivery Calendar: account. You can view and pay your bill,
Your scheduled deliveries for check delivery schedule and order
a ^�;:fa products all online. the next three months.
Customer Account Number: =2 Bottle Deposits
For prompt service, please use this ^Me %LL Highlights bottle deposits and returns.
number when referring to your account.
Easy to Pay:
e` Pay your invoice through the mail, online at
Summary: www.water.com or call us to expedite your
Previous balance and posted remittance with automatic credit card payments
payments since last bill. °art J ®nom
ol,•o rt
Total New Charges:
This information provides totals for Mail Remittance With Payment To:
various products and transactions. a ,o. Please detach remittance and mail
42 using business envelope provided.
II... IAI. LIIIIIJILIIIIIAILII,III ,Mall nemllle•ee wan Peym.nl Te:t
Important Monthly Message
Billing Rights Summary Electronic Funds Transfer Notice
In case of Errors or Questions About Your Bill: If you pay by check, it will be converted into an "Electronic Funds Transfer"
If you think your bill is incorrect, or if you need more information about a (EFT), a process in which your financial institution is electronically instructed to
transaction on your bill, write us as soon as possible on a separate sheet, at transfer funds from your account to ours in lieu of processing the check. By
P.O. Box 660579, Dallas,TX 75266 -0579. We must hear from you no later sending your completed check to us, you authorize us to use the account
than 60 days after we sent you the first bill on which the error or problem information therein to create an EFT for the amount indicated on the check. If
appeared. Your bill shall be deemed correct unless disputed within 60 days the EFT cannot be processed for technical or other reasons, you authorize us
from receipt. You can telephone us, but doing so will not preserve your rights. to process an image replacement document, draft, or copy of your check.
In our letter, give us the following information: OPT OUT NOTICE: If you do not wish to participate in this check conversion
y g g program, please write to us on a separate sheet at:
Your name and complete account number. P.O. Box 660579, Dallas, TX 75266 -0579.
The dollar amount of the suspected error.
Describe the error and explain why you believe there is an error. If you need Insufficient Funds Notice
more information, describe the item you are unsure about.
If your check is returned for insufficient or uncollected funds (NSF), your signature
on your check gives us permission to debit your checking account electronically
You do not have to pay any amount in question while we are investigating, but for the uncollected amount. Payment by check constitutes your acceptance of
you are still obligated to pay the amount of your bill that is not in question. While these terms.
we investigate your questions, we cannot report you as delinquent or take any
action to collect the amount you question.
We appreciate your business.
As a food product, bottled water is subject to rules and regulations promulgated by the Federal Food and Drug Administration (FDA).
For further information, please write DS Waters of America, Inc. at P.O. Box 660579, Dallas, TX 75266 -0579.
E
Customer Account 17209 fi30839 5, #s Invorceo# ��06 0 1720946 3083945
id
Date n s s r Each A►170Unt
a:u, v.: ,�x .x`,'., ^Qty
SPECIAL OFFER: Hinckley Springs now delivers softener salt directly to your home or office. Call 1 -800 -4- NATERS an ask
about our introductory offer)
*A reminder that your invoice shows a previous unpaid balance. Please remit payment by mail, online at water.com, r
call Customer Service at 1- 800 -492 -8377. If payment has been sent, we Thank You!
c
M I100505_BM10- 10857 000001145 Page 2 of 2
f
VOUCHER 106646 WARRANT ALLOWED
131130 IN SUM OF
HINCKLEY SPRINGS
PO BOX 660579
DALLAS, TX 75266 -0579
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
17209463083 01- 7202 -05 $693.92
Voucher Total $693.92
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
131130
HINCKLEY SPRINGS Purchase Order No.
PO BOX 660579 Terms
DALLAS, TX 75266 -0579 Due Date 6/14/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/14/2010 1720946308; $693.92
hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audited same in accordance with IC 5 1 11- 10 -1.6
Date Officer