HomeMy WebLinkAbout166708 12/10/2008 a CITY OF CARMEL, INDIANA VENDOR: 131130 Page 1 of 1
ONE CIVIC SQUARE HINCKLEY SPRINGS
CHECK AMOUNT: $661.69
CARMEL, INDIANA 46032 Po BOX ssos7s
DALLAS TX 75266 -0579 CHECK NUMBER: 166708
CHECK DATE: 12/10/2008
DEPARTMENT ACCOUNT PO NUMBER INV OICE NUMBER AMOUNT D
:;551 5023990 11081720946 627.28 OTHER EXPENSES
1301 4239099 110817220426 34.41 OTHER MISCELLANOUS
5
I
Hinckley Hinckley Springs For Customer Service and Account Inquiries,
a brand of Call 1- 800 -444 -PURE (7873) or visit
S rings i DS Waters of America, Inc.
PO Box 660579 www.hinckleysprings.com
Dallas, TX 75266 -0579
Customer Account 17220042677859
KIM ROTT Your Next Deliveries: Invoice Date: 11 -29 -08
CARMEL CITY COURT 01 -22 -09 Invoice 1108 1722004 2677859
1 CIVIC SO 02 -19 -09
CARMEL, IN 46032 Purchase Order
Date Details Oty. Each Amount
Previous Balance 44.01
11 -24 -08 Payment Check 165800 Thank You -44.01
Remaining Balance 0.00
TRANSACTION 083182494748
HOT AND COLD COOLER RENTAL 1.0 13.00 13.00
11 -21 -08 TRANSACTION T083263042055
HINCKLEY 5.OG DRINK NON -SPILL 2.0 9.49 8
5.0 GAL BOTTLE DEPOSIT 2.0 6.00 12.
5.0 GAL BOTTLE RETURN -2.0 6.00 -12.00
Rec'd By:
11 -27 -08 TRANSACTION 36197314
ENERGY SURCHARGE 1.0 2.43 2.43
Total New Charges 34.41
Finding your next scheduled delivery day just got easier!
Go to My Account at www.water.com. Login or register for Self Service today.
Click on Printable Calendar to view print your 2009 Delivery Calendar online. sosss -P -oozy
Previous Balance Payment Total New Charges Pay This Amount
$44.01 u $44.01 $34.41 $34.41
-Write the complete account number on yourcheck .Detach remittance and mail with payment in.the enclosed envelope. To pay online go to www.hicnkleysprings.com
How to Read Your Statement visit Our Website:
F. wewme, T�I...e<A. —I le
Register online for access to Y2dr
Cell Cu.tamm 9•MC•a w
V.� n e w• account. You can view and pay your bill,
check delivery schedule and order
Customer Account Number: u o v, products all online.
For prompt service, please use this
number when referring to your account.
Summar a Bottle Deposits:
Y: Highlights bottle deposits and returns.
Balance from previous bill
(previous balance minus payments).
Easy to Pay:
You can pay through the mail, online, or call us
Easy to Read: to expedite your remittance with automatic credit
All charges and credits are easy card payments.
to understand. a
oITCOVE
Total New Charges: -M• w
This information provides totals for
W b Mail Remittance With Payment To:
various products and transactions. Please detach remittance and mail
❑„d
0.1=1711= C-1 using business envelope provided.
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Important Monthly Message
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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.
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.
1° 0 (d4 I M 5 Terms
�76_d --0 5`7y Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s)) l
v
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
V1D
ON ACCOUNT OF APPROPRIATION FOR
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
20 0
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Y a Hinckley brand of Springs For Customer Service and Account Inquiries,
ring DS waters of America, Inc. Call 1- 800 444 -PURE (7873) or visit
PO Box 660579 www.hinckleysprings.com
Dallas, TX 75266 -0579
Customer Account 17209463083945
ACCOUNTS PAYABLE Your Next Deliveries: Invoice Date: 11
CITY EL UTILITIES 12 04 08 Invoice 1108 1720946 3083945
INDIANAPOLIS, HA ZEL ANAPOLIS, IN 46280 ZEEL L DELL PKWY 12 -18 -08 Purchase Order
NDI
Date Details Qty. Each Amount
Previous Balance 1,284.86
10 -27 -08 Payment Check 164748 Thank You 595.02
Remaining Balance 689.84
TRANSACTION 083111797710
ROOM TEMP AND COLD COOLER RENTAL 1.0 10.50 10.50
ROOM TEMP AND COLD COOLER RENTAL 1.0 10.50 10.50
ROOM TEMP AND COLD COOLER RENTAL 1.0 10.50 10.50
11 -06 -08 TRANSACTION T083113043050
HINCKLEY 5.OG DRINK NON -SPILL 6.0 9.49 56.94
HINCKLEY 5.OG DISTILLED NON SPILL 22.0 9.99 219.78
5.0 GAL BOTTLE DEPOSIT 6.0 6.00 36.00
5.0 GAL BOTTLE RETURN -27.0 6.00 162.00
5.0 GAL BOTTLE DEPOSIT 22.0 6.00 132.00
Rec'd By:
11-20-08 TRANSACTION 36046138
ENERGY SURCHARGE 1.0 2.43 2.43
11 -20 -08 TRANSACTION T083253042015
HINCKLEY 5.OG DRINK NON -SPILL 8.0 9.49 75.92
HINCKLEY 5.OG DISTILLED NON SPILL 19.0 9.99 189.81
CUP COLD FLAT 9 OZ HINCKLEY SPRINGS 100 CT 10.0 4.49 44.90
5.0 GAL BOTTLE RETURN -27.0 6.00 162.00
5.0 GAL BOTTLE DEPOSIT 8.0 6.00 48.00
5.0 GAL BOTTLE DEPOSIT 19.0 6.00 114.00
Rec'd By:
Finding your next scheduled delivery day just got easier!
Go to My Account at www.water.com. Login or register for Self Service today. 30356 -P -0023
Click on Printable Calendar to view print your 2009 Delivery Calendar online.
Previous Balance Payment Total New Charges Pay This Amount
$1,284.86 $595.02 $627.28 $1,317.12
Write the comlete account- number -om ourchecIL Detach remittance and mail with a ment inthe enclosed a a envelo To online o s s com to www.hienkle nn
r Y PY P• AY 9 Yp 9
How to Read Your Statement Visit Our Website:
ui.rc., u. Por Customer 5•rvlce anO Maounl lnduhlee.
Register online for access to your
y'° ,rY k w account. You can view and pay your bill,
<anr F. t5.11:[.9Fii1
wbvlvrM
f o�q. .,.,m.o..,M,,. check delivery schedule and order
Customer Account Number: products all online.
For prompt service, please use this
number when referring to your account.
Summar �–J Bottle Deposits:
Y Highlights bottle deposits and returns.
Balance from previous bill
(previous balance minus payments).
Easy to Pay:
You can pay through the mail, online, or call us
Easy to Read: j to expedite your remittance with automatic credit
All charges and credits are easy card payments.
to understand. 1
Total New Charges:
This information provides totals for M.arvp, x Mail Remittance With Payment To:
various roducts an transactions.
d
t
Please h remittance m
detach and a il
p 0 using business envelope provided.
1..1I..II.II..II.I.I E.II 1..7. I.I I I l III III II..I..,.II.I.I,II.I
Important Monthly Message
aoe:a zaocr3 ,svzz>ae3y63 nrz =,cn a coo:ao I,
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 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 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.
Customer Account 17209463083945 Invoice 1108 1720946 3083945
Date Details Qty. Each Amount
Total New Charges 627.28
612749
M1081122_BM1 0- 1 0341 -000001 705 Page 2 of 2
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 12/4/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/4/2008 1108172094E $627.28
.a
1
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 086843 WARRANT ALLOWED
131130 IN SUM OF
HINCKLEY SPRINGS
PO BOX 660579
DALLAS, TX 75266 -0579
i
Carmel Wastewater Utility
v.
`�''N ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
11081720946 01- 7202 -05 $627.28
y
;i
Voucher Total $627.28
Cost distribution ledger classification if
claim paid under vehicle highway fund