HomeMy WebLinkAbout200468 08/17/2011 CITY OF CARMEL, INDIANA VENDOR: 131130 Page 1 of 1
ONE CIVIC SQUARE HINCKLEY SPRINGS
CARMEL, INDIANA 46032 PO BOX 660579 CHECK AMOUNT: $406.97
DALLAS TX 75266 -0579 CHECK NUMBER: 200468
CHECK DATE: 8/17/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1301 4239099 2677859 35.91 OTHER MISCELLANOUS
651 5023990 30839450703 371.06 OTHER EXPENSES
1 -800 -4- WATERS 492 -8377 www.HinckleySprings.com
Upcoming Delivery Dates' erer
August September October 5pnngS- Bottled Water Filtration •Coffee
Thursday, 4 Thursday, 1 Thursday, 13 Put smiles on your employees' faces by starting your office
Thursday, 18 Thursday, 15 Thursday, 27 coffee service. From single -serve FLAVIA coffee machines
Thursday, 29 brewing premium ALTERRA coffee to energy saving commercia
brewers, we will provide you with the perfect selection of
products to brew the perfect cup. Call us today!
Customer Account 17220042677859
KIM ROTT Invoice Date: 07 -23 -11
CARMEL CITY COURT
1 CIVIC so Invoice 2677859 072311
CARMEL, IN 46032 Purchase Order
Date Transaction Details Qty. Each Amount
Previous Balance 81.79
07 -05 -11 P198557 Payment Check 198557 Thank You -45.86
Remaining Balance 35.93
R111792494748 WHITE HOT AND COLD COOLER RENTAL 1.0 13.50 13.50'
07 -06 -11 T111873042036 HINCKLEY SPRINGS 5G DRINK NON -SPILL 2 -0 9.99 19.98
5.0 GAL BOTTLE DEPOSIT 2.0 6.00 12.00
5.0 GAL BOTTLE RETURN -2.0 6.00 -12.00
Rec'd By Not Available or Refused
07 -21 -11 65498119 ENERGY SURCHARGE 1.0 2.43 2.43
Total New Charges 35.91
Effective August 8th, 2011, there will be a price increase on our cups
from Crystal Hinckley Springs due to rising costs. We appreciate the
opportunity to serve you and thank you for your continued business.
30356 -P -0034
Previous Balance Payment To ew Charges Pay This Amount
$81.79 $45.86 $35.91 $71.84
Write the complete account number on your check. Detach remittance and mail with payment in the enclosed envelope. To pay online go to www.HinckleySpring V
How to Read Your Statement Important Monthly Promotions:
°p`piningpe very
Deliver! Register online for access to your
Delivery Calendar
1° M09 A ^n y SW9 d Wa iram' Coffee
��.n account. You can view and pay your bill,
Your scheduled deliveries for „31 x check delivery schedule and order
the next three months. products all online.
Customer Account Number:.
For prompt service, please use this „m „o, Bottle Deposits:
number when referring to your account. W Highlights bottle deposits and returns.
,d
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.
Zan
Total New Charges:
This information provides totals for Mail Remittance With Payment To:
various products and transactions. =MT71.,r Please detach remittance and mail
a
using business envelope provided.
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.
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 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
q Purchase Order No.
V �(adJ� Terms
_05? 1 Date Due
T�
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
i SZ�
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
La L, \1, os -79
2s ,q
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
9 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
itle
Cost distribution ledger classification if
claim paid motor vehicle highway fund
1- 800-4- WATERS (492 -8377) www.HinckleySprings.com
Upcoming Delivery Dates id
Hondo®
A_uu ust September October Springs Bottled Water Filtration Coffee
Thursday, 11 Thursday, 8 Thursday, 6 Put smiles on your employees' faces by starting your office
Thursday, 25 Thursday, 22 Thursday, 20 coffee service. From single -serve FLAVIA coffee machines
brewing premium ALTERRA coffee to energy saving commercia
brewers, we will provide you with the perfect selection of
products to brew the perfect cup. Call us today!
Customer Account 17209463083945
JOE ACCOUNTS PAYABLE Invoice Date: 07 -30 -11
CITY OF CARMEL UTILITIES Invoice 3083945 073011
9609 HAZEL DELL PKWY
INDIANAPOLIS, IN 46280 Purchase Order M
Date Transaction Details Qty. Each Amount
Previous Balance 484.15
07 -05 -11 P198557 Payment Check 198557 Thank You 217.07
07 -28 -11 PCASH2675711 Payment Cash Thank You -4.00
Remaining Balance 263.08
R111951797710 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
R1119517977100 WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 9.50 9.50
07 -14 -11 T111953042003 HINCKLEY SPRINGS 5G DRINK NON -SPILL 11.0 9.99 109.89
CUP PLASTIC FLAT 9 OZ HINCKLEY SPRINGS 50 CT 14.0 3.29 46.06
5.0 GAL BOTTLE DEPOSIT 11.0 6.00 66.00
5.0 GAL BOTTLE RETURN -11.0 6.00 -66.00
WHITE ROOM TEMP AND COLD COOLER Installed Serial 1.0 0.00 0.00
Recd By: Not Available or Refused
07 -28 -11 T112093042002 HINCKLEY SPRINGS 5G DRINK NON -SPILL 13.0 9.99 129.87
CUP PLASTIC FLAT 9 OZ HINCKLEY SPRINGS 50 CT 8.0 3.29 26.32
SQWINCHER LEMONADE QWIK STIK LITE 10 CT 1.0 4.49 4.49
5.0 GAL BOTTLE RETURN -13.0 6.00 -78.00
5.0 GAL BOTTLE DEPOSIT 13.0 6.00 78.00
Rec'd By: Not Available or Refused
07 -28 -11 65745319 ENERGY SURCHARGE 1.0 2.43 2.43
Effective August 8th, 2011, there will be a price increase on our cups
from Crystal Hinckley Springs due to rising costs. We appreciate the
opportunity to serve you and thank you for your continued business.
30356 -P -0034
C Previous Balance Payment Total New Charges Pay This Amount
$484.15 $221.07 $371.06 $634.14
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 V
How to Read Your Statement Important Monthly Promotions:
oeuverl Register online for access to your
Ju1�3009 Minus, }009 BoNM elm'toRea
Delivery Calendar: tee' �r „„.us w.A;> account. You can view and pay your bill,
Your scheduled deliveries for M; �,•e�
check delivery schedule and order
the next three months. 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.
,a. om Easy to Pay:
ei 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.
Total New Charges: m.
This information provides totals for Mail Remittance With Payment To:
various products and transactions. a,..o. M,., Please detach remittance and mail
U7, s using business envelope provided.
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 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.
�A,
r x a 3Q83945 073011.
e
<'Nk m r.w
Date 3 q C� E a�� 1 ��a a
m Eac rrlOUflt
i`_ �I
Total New Charges 371.06
M1110730_BM10- 8333 -000000866 Page 2 of 2
VOUCHER 115623 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
30839450703 01- 7202 -05 $371.06
Voucher Total $371.06
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 8/5/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/5/2011 3083945070: $371.06
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 Officer