HomeMy WebLinkAbout190789 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 131130 Page 1 of 1
ONE CIVIC SQUARE HINCKLEY SPRINGS
CARMEL, INDIANA 46032 PO BOX 660579 CHECK AMOUNT: $516.58
DALLAS TX 75266 -0579 CHECK NUMBER: 190789
CHECK DATE: 10/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT D ESCRIPTION
651 5023990 30839450925 516.58 MATERIALS SUPPLIES
1- 800-4- WATERS (492 -8377) www.HinckleySprings.com
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Customer Account 17209463083945
JOE ACCOUNTS PAYABLE Invoice Date: 09 -25 -10
CITY OF CARMEL UTILITIES Invoice M 3083945 092510
9609 HAZEL DELL PKWY
INDIANAPOLIS, IN 46280 Purchase Order
Date Transaction Details Qty. Each Amount
Previous Balance 561.95
09 -24 -10 P189824 Payment Check 189824 Thank You 561.95
Remaining Balance 0.00
R102521797710 WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 11.00 11.00
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
09 -09 -10 T102523042002 HINCKLEY SPRINGS 5G DRINK NON -SPILL 7.0 9.99 69.93
HINCKLEY 5.OG DISTILLED NON SPILL 14.0 10.49 146.86
5.0 GAL BOTTLE RETURN -21.0 6.00 126.00
5.0 GAL BOTTLE DEPOSIT 7.0 6 -00 42.00
5 -0 GAL BOTTLE DEPOSIT 14.0 6 -00 84.00
Rec'd By: Not Available or Refused
09 -23 -10 T102663042004 HINCKLEY SPRINGS 5G DRINK NON -SPILL 9.0 9.99 89.91
HINCKLEY 5.OG DISTILLED NON SPILL 12.0 10.49 125.88
CUP PLASTIC FLAT 9 OZ HINCKLEY SPRINGS 50 CT 12.0 3.29 39.48
5.0 GAL BOTTLE DEPOSIT 9.0 6.00 54.00
5.0 GAL BOTTLE RETURN -21.0 6.00 126.00
5.0 GAL BOTTLE DEPOSIT 12.0 6.00 72.00
09 -23 -10 56449315 ENERGY SURCHARGE 1.0 2.02 2.02
Total New Charges 516.58
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30356 -P -0035
Previous Balance Payment Total New Charges Pay This Amount J $561.95 $561.95 $516.58 $516.58
p Write the comp lete account numberon your check. Detach remittance and mail with pay ment in the enclosed envelo To pa online go to ww w.HinckleySprings.co m C7
How to Read Your Statement waTEas w Important Monthly Promotions:
J,I— I D-1 we oerv FinrTwn er! Register online for access to your
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ly Nb9 Iu1y 3009 s,N09 Bnn,ea Wirr''co,ln
Delivery Calendar: M a F15 a .',°w' account. You can view and pay your bill,
Your scheduled deliveries for 1x Ma m �•..:M" check delivery schedule and order
the next three months. products all online.
Customer Account Number: w
For prompt service, please use this v Bottle Deposits:
number when referring to your account. Highlights bottle deposits and returns.
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Easy to Pay:
Pay your invoice through the mail, online at
Summar ce" www.water.com or call us to expedite your
Previous balance and posted r ..a,,. remittance with automatic credit card payments
payments since last bill. Wi Total New Charges:
Thi s information provides totals for u,.m „o°.. „nom Mail Remittance With Payment To:
various products and transactions. �<awn, Please detach remittance and mail
p- using business envelope provided.
II��II�� ..I�I�I.,,II�I��I���.10 aerr 0T Important Monthly Message >sersa I1.1 J.1I-IdhAb I.IdL—II.I1 11111.1 II
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 your letter, give us the following information: OPT OUT NOTICE: If you do not wish to participate in this check conversion
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.
:,VOUCHER 106290 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
30839450925 01- 7202 -05 $516.58
1
Voucher Total $516.58
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form fro. 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 10/5/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or biII(s)) Amount
101512010 3083945092.` $516.58
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
Date Off'