The URL can be used to link to this page

Home My WebLink About189367 08/31/2010 CITY OF CARMEL, INDIANA VENDOR: 131130 Page 1 of 1 ONE CIVIC SQUARE HINCKLEY SPRINGS CARMEL, INDIANA 46032 PO BOX 660579 CHECK AMOUNT: $69.85 DAMAS TX 75266 -0579 CHECK NUMBER: 189367 CHECK DATE: 8/31/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1301 4239099 2677859 69.85 OTHER MISCELLANOUS 1 m Upcoming Delivery Dates We Ol�� Hinck1 September October November Springsf Bottled Water Filtration Coffee Thursday, 2 Thursday, 14 Thursday, 11 Finding your next scheduled delivery day just got easier! Thursday, 16 Thursday, 28 Go to My Account at water.com and log in or register for Thursday, 30 Self Service. Click on Printable Calendar to view and print your 2010 Delivery Calendar online. Customer Account 17220042677859 KIM ROTT Invoice Date: 08 -21 -10 CARMEL CITY COURT Invoice 2677859 082110 1 CIVIC SO CARMEL, IN 46032 Purchase Order Date Transaction Details Qty. Each Amount Previous Balance 111.08 08 -06 -10 P187854 Payment Check 187854 Thank You -65.53 Remaining Balance 45.55 R102082494748 WHITE HOT AND COLD COOLER RENTAL 1.0 13.50 13.50 08 -05 -10 T102173042005 HINCKLEY SPRINGS 5G DRINK NON -SPILL 2.0 9.99 19.98% 5.0 GAL BOTTLE RETURN -2.0 6.00 -12.00 5.0 GAL BOTTLE DEPOSIT 2.0 6.00 12.00 08 -19 -10 55302008 ENERGY SURCHARGE 1.0 2.02 2.02 08 -19 -10 T102313042004 HINCKLEY SPRINGS 5G DRINK NON -SPILL 2.0 9.99 19.98 f CUP COLD FLAT 9 OZ HINCKLEY SPRINGS 100 CT 3.0 4.79 14.37 5.0 GAL BOTTLE RETURN -2.0 6.00 -12.00 5.0 GAL BOTTLE DEPOSIT 2.0 6.00 12.00 Recd By: Not Available or Refused Total New Charges 69.85 *A reminder that your invoice shows a previous unpaid balance. Please remit payment by mail, online at water.com, or call Customer Service at 1- 800492 -8377. If payment has been sent, we Thank You! 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 einvoice, order additional roducts check your next delivery, a our bill and much more. Loci on today] 30356 -P -0034 Previous Balance Payment Total New Charges Pay This Amount $111.08 $65.53 $69.85 $115.40 Write the complete account number on your check. Detach remittance and mail with payment in the enclosed envelope. To pay online go to www.HinckleySprings.com i How to Read Your Statement Ews w.° Important Monthly Promotions: deliver! Register online for access to your Ivne x009 1°y2009 Puget, M9 °'C°xee Delivery Calendar: M a account. You can view and pay your bill, Your scheduled deliveries for Mme,,, m V mRb 12 check delivery schedule and order the next three months. products all online. Customer Account Number: For prompt service, please use this Bottle Deposits: number when referring to your account. s Highlights bottle deposits and returns. 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 remittance with automatic credit card payments payments since last bill. �R Total New Charges This information provides totals for 'ot.` „m« Mail Remittance With Payment To: various products and transactions. Please detach remittance and mail -p, p� s using business envelope provided. .11, P—.^ r °,1 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" It 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 ive our letter, 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 g 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. 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 service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. L/fi U 05 79 Terms Y a� 7S �2W I 77 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) If /jc,& Total I 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 ON ACCOUNT OF APPROPRIATION FOR l Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT I hereby certify that the attached invoice(s), or 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 nat Cost distribution ledger classification if -title claim paid motor vehicle highway fund