HomeMy WebLinkAbout178193 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 131130 Page 1 of 1
ONE CIVIC SQUARE HINCKLEY SPRINGS
ii CHECK AMOUNT: $645.26
CARMEL, INDIANA 46032 ao sox 660579
DALLAS TX 75266.0579
CHECK NUMBER: 178193
CHECK DATE: 10114/2009
DEPARTMENT ACCOUNT PO N INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 09091720946 645.26 MATERIALS SUPPLIES
1- 800 4_WATE RS_ (492,8377) www.Hinckle S resin s.com
Upcoming Delivery Dates `1 "r!
Hinckley
October November December Springsf Bottled Water Filtration Coffee
Thursday, 8 Thursday, 5 Thursday, 3 We are proud to announce our new partnership with
Thursday, 22 Thursday, 19 Thursday, 17 Susan G. Komen for the Cure! To celebrate this endeavor,
Thursday, 31 during the months of September and October you may notice
we've changed our 5- gallon bottles to a new pink cap to
show our commitment. Visit water.com for more information?
Customer Account 17209463083945
JOE ACCOUNTS PAYABLE Invoice Date: 09 -26 -09
CITY OF CARMEL UTILITIES Invoice 0909 1720946 3083945
9609 HAZEL DELL PKWY
INDIANAPOLIS, IN 46280 Purchase Order
Date Transaction Details Qty. Each Amount
Previous Balance 1,260.31
08 -31 -09 P176267 Payment Check 176267 Thank You 654.03
09 -25 -09 P177239 Payment Check 177239 Thank You 606.28
Remaining Balance 0.00
R092531797710 WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 9.50 9.50
WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 10.50 10.50
WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 10.50 10.50
WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 10.50 10.50
09 -10 -09 T092533042003 HINCKLEY SPRINGS 5G DRINK NON -SPILL 6.0 9.49 56.94
HINCKLEY 5.OG DISTILLED NON SPILL 28.0 9.99 279.72
5.0 GAL BOTTLE RETURN -34.0 6.00 204.00
5.0 GAL BOTTLE DEPOSIT 6.0 6.00 36.00
5.0 GAL BOTTLE DEPOSIT 28.0 6.00 168.00
Rec'd By:
09 -24 -09 T092673042005 HINCKLEY SPRINGS 5G DRINK NON -SPILL 8.0 9.49 75.92
HINCKLEY 5.OG DISTILLED NON SPILL 19.0 9.99 189.81
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
Recd By:
09 -24 -09 45345327 ENERGY SURCHARGE 1.0 1.87 1.87
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30356 -P -0035
:Previous Balance Payment Total New Charges r= Pay Zs Amount
$1,260.31 $645.26 45.26
0 Write.the.eomplete,account numberon_ your check. Detach remittance and.mail with.paymentin the.enclosed envelope To. pay- online.go to www HmckleySpnngs.com v
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We De river! Register online for access to your
—1,r account. You can view and pay your bill,
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the next three months. products all online.
Customer Account Number:
For prompt service, please use this Bottle Deposits:
number when ghlights bottle deposits and returns.
n referring to your account. 4M 1.1i�F -Ira
7777�1
M—TR I— -1,
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Pay your invoice through the mail, online at
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Previous balance and posted remittance with automatic credit card payments
payments since last bill-
Total New Charges:
P=
This information provides totals for m.. o Mail Remittance With Payment To:
various products and transactions. Please detach remittance and mail
0 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 560579, 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.
nvoice 0909 1720946 3083945
Cus Account "17209463083945 w
T
Date Details Eac Amount
Total New Charges 645.26
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 l
HINCKLEY SPRINGS Purchase Order No.
PO BOX 660579 Terms
DALLAS, TX 75266 -0579 Due Date 10/5/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/5/2009 0909172094E $645.26
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 096520 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
09091720946 01- 7202 -05 $64526
'a
s
Voucher Total $645.26
Cost distribution ledger classification if
claim paid under vehicle highway fund