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HomeMy WebLinkAbout164748 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: 131130 Page 1 of 1 ig 0 ONE CIVIC SQUARE HINCKLEY SPRINGS CHECK AMOUNT: $639.03 CARMEL, INDIANA 46032 PO BOX 660579 DALLAS TX 75266 -0579 CHECK NUMBER: 164748 CHECK DATE: 10/16/2008 DEPAR ACCO PO NUMBER. INVOI NUMBER J_ AM OUNT DESCRIPTION 651 5023990 090817209462 59S.02:. OTHER EXPENSES 1301 4239099 10081722.0042 44.01.OTHER MISCELL,ANOUS x 4 WATER.COM I 4 ]RIGINAL :US10MER 1722004 TICKET a: 082763042023 Location 2677868 POn: ;ARMEL CITY COURT Date: 10102/08 Time: 10:32:37 am 1 CIVIC SQ ROUTE# 3042 DAVID :ARMEL, IN 46032 Last Payment Dale: 101112008 Last Payment Amount: 63.61 'roduct Delivered QTY PRICE AMOUNT IS 5G OR NS-->H 3 $9.49 $28.47 IS 5G Deposits 3 $6.00 $18.00 30T 5.OG PLS >B -3 $6.00 $-18.00 (3 Bottles Delivered 3 Empty Buttles Retuined 0 Dottie Deposits) Subtotal Sales 28.47 Tales Tax 0.00 ]SLIVERY TICKET TOTAL 28.47 'revious Account Balance 13.00 Total Balance Due 41.47 'ayments: =NDING BALANCE 41.47 Next Delivery Date: 10/30/2008 We Lill monthly by summary invoice. Retain fur your records. w Hinckley Springs For Customer Service and Account Inquiries, ll�nc �kle� a brand of DS Waters of America, Inc. Call 1- 800 444 -PURE (7873) or visit Spnngsu PO Box 660579 Dallas, TX 75266 -0579 www.hinckleysprings.com Customer Account 17209463083945 ACCOUNTS PAYABLE Your Next Deliveries: Invoice Date: 09 -27 -08 CITY OF CARMEL UTILITIES 10 -09 -08 Invoice 0908 1720946 3083945 9609 HAZEL DELL PKWY 10 -23 -08 Purchase Order INDIANAPOLIS, IN 46280 Date Details Qty. Each Amount Previous Balance 1,252.66 09 -09 -08 Payment Check 162771 Thank You 616.23 Remaining Balance 636.43 TRANSACTION 082551797710 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 09 -11 -08 TRANSACTION T082553042014 HINCKLEY 5.OG DRINK NON -SPILL 8.0 8.49 67.92 HINCKLEY 5.OG DISTILLED NON SPILL 20.0 8.49 169.80 5.0 GAL BOTTLE DEPOSIT 20.0 6.00 120.00 5.0 GAL BOTTLE RETURN -28.0 6.00 168.00 5.0 GAL BOTTLE DEPOSIT 8.0 6.00 48.00 Recd By: LI 09 -25 -08 TRANSACTION T082693042015 HINCKLEY 5.OG DRINK NON -SPILL 11.0 8.49 93.39 HINCKLEY 5.OG DISTILLED NON SPILL 26.0 8.49 220.74 CUP COLD FLAT 9 OZ HINCKLEY SPRINGS 100 CT 2.0 4.49 8.98 5.0 GAL BOTTLE DEPOSIT 11.0 6.00 66.00 5.0 GAL BOTTLE DEPOSIT 26.0 6.00 156.00 5.0 GAL BOTTLE RETURN -37.0 6.00 222.00 Recd By: 09 -25 -08 TRANSACTION 34240229 ENERGY SURCHARGE 1.0 2.69 2.69 Effective September 29th, 2008, there will be a slight price increase on all water products from Hinckley Springs and Mountain Valley Spring Water due to rising costs. We appreciate the opportunity to serve you and thank you for your continued business. 30356 -P -0015 Previous Balance Payment Total New Charges Pay This Amount $1,252.66 $616.23 $595.02 0 $1,231.45 v Write the co mplete account number on your check. Detach remittance and m ail with payment in the enclosed envelope. To pay online go to www.hinckleysprings.com v How to Read Your Statement visit Our Website• Register online for access to your account. You can view and pay your bill, Customer Account Number: g„ a" check delivery schedule and order products all online. For prompt service, please use this number when referring to your account. u I �l Bottle Deposits: Summary. I 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 es and credits are easy g y card payments. to understand. All char Total New Charges: Z This information provides totals for ao Mail Remittance With Payment To: various products and transactions. Please detach remittance and mail using business envelope provided. Important Monthly Message ioe:0 =_oo,t3 .5w 22623LL U93 nr T..[^ t coa. ]C7 L J 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 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##: 17209463083945 Invoice Q9 ©8 1720946 3083945 �dFf? k-.;. �'L:7��15 s RS •.`�'u a s� ,��..a'a r; ,R Total New Charges 595.42 M1080927 610- 10455 000001729 Page 21604 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 10/7/2008 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/7/2008 0908172094E $595.02 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 086433 WARRANT ALLOWED 131130 IN SUM OF HINCKLEY SPRINGS PO BOX 660579 C4LLAS, TX 75266 -0579 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 09081720946 01- 7362 -05 $595.02 Voucher Total $595.02 C,�st distribution ledger classification if c dim paid under vehicle highway fund LH«nckle� j a Hib A For Customer Service and Account Inquiries, pO t 4�,gr�ga, Inc. Call 1- 800 444 -PURE {7873} or visit Dal�9�ln 26 =579 www.hinckleysprings.com Customer Account 17220042677859 KIM ROTT Your Next Deliveries: Invoice Date: 10 -04 -08 CARMEL CITY COURT 10 -30 -08 Invoice 1008 1722004 2677859 1 CIVIC SO CARMEL, IN 46032 Purchase Order Date Details Qty. Each Amount Previous Balance 113.24 09 -09 -08 Payment Check 162771 Thank You -49.63 10 -01 -08 Payment Check 163773 Thank You -63.61 Remaining Balance 0.00 TRANSACTION 082622494748 HOT AND COLD COOLER RENTAL 1.0 13.0 13.00 10 -02 -08 TRANSACTION T082763042023 HINCKLEY 5.OG DRINK NON -SPILL 3.0 9.4 28.4 5.0 GAL BOTTLE DEPOSIT 3.0 6.0 .00 5.0 GAL BOTTLE RETURN -3.0 6.0 -18.00 Rec'd By: 10 -02 -08 TRANSACTION 34427642 ENERGY SURCHARGE 1.0 2.5 2.54 Total New Charges 44.01 Keeping your dispenser in top performance throughout the year is important, especially during winter months- For detailed information on proper maintenance bbzAJ of your water dispenser, visit us online at www.water.com /cooler- cleaning Previous Balance Payment Total New Charges Pay This Amount $113.24 $113.24 L $44.01 0 $44.01 V Please detach and return 1he bottom portion with your payment in the e nclosed envelope. Do not send cash. Please write in black or blue ink. p Be sure to A M1081004_t;M10 -0321- 000001375 How to Read Your Statement www.hinckleysprings.com Visit our website and register online for access =7 s uAe Pbnl nr to your account. You can view and pay your bill, check delivery schedule and order products all Customer Account Number: online. For prompt service, please use this number when referring to your account. ,m �1— Bottle Deposits: Summary. Highlights bottle deposits and returns, Balance from previous bill (previous balance minus payments). n� Easy to Pay: You can pay through the mail, online, or call us Easy to Read: to expedite your remittance with automatic credit Your new bill is streamlined. All charges card payments. and credits are easy to understand. 0¢0 Total New Charges: This information provides totals for Y. Remit To: various products and transactions. Please detach and mail to this address with ❑m .,gym-.. a91 2� �l�L!� your payment. important Monthly Message from L.11... Ili. IIm.. IL. LILId ..L..IIIIdL....IJll.l IL.IIL..LLAJL.IL..LI .I ..ILLIIL.I Hinckley Springs. 1611. III.. III.. IIIIdl ..I.11I,1.6.III11..11..16.II II..1III.I.11I..I II.I.I.! III ll.11.11.1.111,1..111.4, II, Il.11..l I I.1.111..11I ..1111.111 020610 200663 154221!23661193 0003600 E 0002000 6 0 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 on a separate sheet, at P.O. Box 660579, Dallas, transfer funds from your account to ours in lieu of processing the check. By TX 75266 -0579 as soon as possible. We must hear from you no later than 60 sending your completed check to us, you authorize us to use the account days after we sent you the first bill on which the error or problem appeared. Your information therein to create an EFT for the amount indicated on the check. If bill shall be deemed correct unless disputed within 60 days from receipt. the EFT cannot be processed for technical or other reasons, you authorize us You can telephone us, but doing so will not preserve your rights. to process an image replacement document, draft, or copy of your check. OPT OUT NOTICE: If you do not wish to participate in this check conversion program, In your letter, give us the following information: please write to us on a separate sheet at: P.O. Box 660579, Dallas, TX 75266- Your name and customer account number, or invoice number. 0579. The dollar amount of the suspected error. Insufficient Funds Notice Describe the error and explain why believe there is an error. If you need 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 thank you for DS Waters of America, LP P.O. Box 660579, Dallas, TX 75266 -0579 As a food product, bottled water is subject to rules and regulations promulgated by the federal Food and Drug Administrations (FDA). For further information, please contact DS Waters of America, LP at 1- 800 -444 -PURE (1 -800- 444 -7873) Please print only new address or credit card information below and check the appropriate box on reverse side. Thank you. Credit Card Payment Address Changes Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Farm No. 201 (Rev. 1995) CITY OF CARMEL T 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. a Terms d� J ij 75 a� 6 US Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) q7 d l� 3 vU Total q. U I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with 1C 5- 11- 10 -1.6. 20 Clerk Treasurer VOUCHER NO. WARRANT NO. ALLOWED 2D L_ I (1 r �p� "L�t� J IN SUM OF 7S 77 yy y► ON ACCOUNT OF APPROPRIATION FOR Board Members Po# or INVOICE NO. ACCT /TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or bills) 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 S a Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund