HomeMy WebLinkAbout205195 01/05/2012 CITY OF CARMEL, INDIANA VENDOR: 131130 Page 1 of 1
ONE CIVIC SQUARE HINCKLEY SPRINGS CHECK AMOUNT: $257.94
CARMEL, INDIANA 46032 PO BOX 660579
DALLAS TX 75266 -0579 CHECK NUMBER: 205195
CHECK DATE: 1/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1301 4239099 267785912101 35.82 OTHER MISCELLANOUS
651 5023990 30839451217 222.12 OTHER EXPENSES
1- 800 -4- WATERS (492 -8377) www.flincklaySprings.com
Upcoming Delivery Dates HinCkle w I)ed vear!
December Janua February
l Bottled Water Filtration Coffee
Thursday, 29 Thursday, 12 Thursday, 9
Thursday, 26 Thursday, 23 Thank you for your business and best
wishes for a refreshing holiday season.
Customer Account 17209463083945
JOE ACCOUNTS PAYABLE Invoice Date: 12 -17 -11
CITY OF CARMEL UTILITIES
9609 HAZEL DELL PKWY Invoice 3083945 121711
INDIANAPOLIS, IN 46280 Purchase Order
Date Transaction Details Qty. Each Amount
Previous Balance 413.80
11, -28 -11 P203476 Payment Check 203476 Thank You 175.23
Remaining Balance 238.57
R1 1 3351 79771 0 WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 950 9.50
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
12 -01 -11 T113353042005 HINCKLEY SPRINGS 5G DRINK NON -SPILL 9.0 9.99 89
CUP PLASTIC FLAT 9 OZ HINCKLEY SPRINGS 50 CT 8.0 3.49 27.92
5.0 GALLON BOTTLE RETURN -9,0 6.00 -54.00
5.0 GALLON BOTTLE DEPOSIT 9.0 6.00 54.00
Recd By: Not Available or Refused
12 -15 -11 T113493042006 HINCKLEY SPRINGS 5G DRINK NON -SPILL 5.0 099 49.95
5.0 GALLON BOTTLE RETURN -5.0 6.00 -30.00
5.0 GALLON BOTTLE DEPOSIT 5.0 6.00 30.00
Rec'd By: Not Available or Refused
12 -15 -11 70001149 ENERGY SURCHARGE 1.0 2.34 2.34
Total New Charges 222,12
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 elnvoice, order additional products,
check your next delivery, pay your bill and much more. Log on today!
30356 -P -0036
Previous Balance Payment Total New Charges (::$460.69 y This Amount
$413.80 $175.23 $222.12
7 Write the complete account nu mber on your check. Detach remittance and mail with payment in the e nclosed envelope. To pay online go to www.HinckleySprings.com V
How to Read Your Statement —1— 1 Important Monthly Promotions:
Deliver! Register online for access to your
F account. You can view and pay your bill,
Delivery Calendar: �e M wq.
Your scheduled deliveries for 'F N,• check delivery schedule and order
the next three months. products all online.
Customer Account Number: Bottle Deposits:
For prompt service, please use this mYed p1e Highlights bottle deposits and returns.
number when referring to your account. m
Easy to Pay"
Pay your invoice through the mail, online at
Summary: a www.water.com or call us to expedite your
Previous balance and posted remittance with automatic credit card payments
payments since last bill. o,.�o�a
Total New Charges:
This information provides totals for Mail Remittance With Payment To-
various products and transactions. Please detach remittance and mail
01- c 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 9 9 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 116497 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
30839451217 01- 7202 -05 $222.12
Voucher Total $222.12
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 12/28/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/28/201' 3083945121 $222.12
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
i 13- li C m,-
Date Officer
1- 800 -4- WATERS (492 -8377) www.FlinckieySprings.com
Upcoming Delivery Dates vet''
Hinckley We
December January February Bottled Water •Filtration •Coffee
Thursday, 22 Thursday, 5 Thursday, 2
Thursday, 19 Thursday, 16 Thank you for your business and best
wishes for a refreshing holiday season.
Customer Account 17220042677859
KIM ROTT Invoice Date: 12 -10 -11
CARMEL CITY COURT
1 CIVIC SO Invoice 2677859 121011
CARMEL, IN 46032 Purchase Order
Date Transaction Details Qty. Each Amount
Previous Balance 118.62
11 -14 -11 P203020 Payment Check 203020 Thank You -62.81
Remaining Balance 55.81
R113192494748 WHITE HOT AND COLD COOLER RENTAL 1.0 13.50 13.50
11 -21 -11 T113253042086 HINCKLEY SPRINGS 5G DRINK NON -SPILL 1A 9.99 9.99
5.0 GALLON BOTTLE DEPOSIT 1.0 600 6.00
Recd By: Not Available or Refused
12 -08 -11 T113423042006 HINCKLEY SPRINGS 5G DRINK NON -SPILL 1.0 999 9.99
5.0 GALLON BOTTLE DEPOSIT 1.0 6.00 6.00
5.0 GALLON BOTTLE RETURN -2.0 600 -12.00
Recd By: Not Available or Refused
12 -08 -11 69764634 ENERGY SURCHARGE 1.0 234 2.34
Total New Charges 33,82
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 products,
check your next delivery, pay your bill and much more. Log on today!
30356 -P -0036
Previous Balance Payment Total New Charges o Pay This Amount
$118.62 $62.81 tt $35.82 $91.63
0 Write the complete accoun number on your check. Detach remittan and mail with payment in the enclosed envelo To pay online g o to www.Hinckle 0
How to Read Your Statement Important Monthly Promotions:
we Derive! Register online for access to your
Delivery Calendar: s �.M "w, to account. You can view and pay your bill,
Your scheduled deliveries for check delivery schedule and order
the next three months." products all online.
Customer Account Number: Bottle Deposits:
For prompt service, please use this y Highlights bottle deposits and returns,
number when referring to your account. m
8 �H,.. Easy to Pay:
Pay your invoice through the mail, online at
Summary: mow, www.water.com or call us to expedite your
Previous balance and posted remittance with automatic credit card payments
payments since last bill.
{tW OO {10000
Total New Charges:
This information provides totals for ow° amm Mail Remittance With Payment To:
various products and transactions. Please detach remittance and mail
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 9 9 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
V"' j Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
A11 ,F5
Total 1 35
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
J IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
-jy LU-�
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
79 S 5 3 o q 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
Tj X
20
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund