The URL can be used to link to this page

Home My WebLink About213496 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 131130 Page 1 of 1 ONE CIVIC SQUARE HINCKLEY SPRINGS CHECK AMOUNT: $314.86 CARMEL, INDIANA 46032 Po Box 660579 DALLAS TX 75266-0579 CHECK NUMBER: 213496 CHECK DATE: 10/9/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 30839450922 314 . 86 OTHER EXPENSES 1-800-4-WATERS 1-800-492-8377 www.HinckleySprings.com Upcoming Delivery Dates Hinckiey 8M11DA%c�� We Deliver! October November December SI�rn1 Bottled Water • Filtration • Coffee Thursday, 4 Thursday, 1 Thursday, 13 Join the Athena Warrior Team in the fight Thursday, 18 Thursday, 15 Thursday, 27 Thursday, 29 against breast cancer-order an additional case of Athena water today. Customer Account#: 17209463083945 JOE ACCOUNTS PAYABLE Invoice Date: 09-22-12 CITY OF CARMEL UTILITIES Invoice#: 3083945 092212 9609 HAZEL DELL PKWY INDIANAPOLIS, IN 46280 Purchase Order#: Date Transaction# Details Qty. Each Amount Previous Balance 793.90 09-10-12 P212239 Payment-Check-212239-Thank You -409.66 09-20-12 P212619 Payment-Check-212619-Thank You -384.24 Remaining Balance 0.00 R1 22 501 79771 0 WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 9.50 9.50 WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 9.50 9.50 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 WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 11.00 11.00 09-06-12 T122503042004 HINCKLEY SPRINGS 5G DRINKING WATER 9.0 9.99 89.91 CUP PLASTIC FLAT 9 OZ HINCKLEY SPRINGS 50 CT 3.0 3.69 11.07 5.0 GALLON BOTTLE DEPOSIT 9.0 6.00 54.00 5.0 GALLON BOTTLE RETURN -9.0 6.00 -54.00 ENERGY SURCHARGE 1.0 2.98 2.98 Recd By:Not Available or Refused 09-20-12 T1 2 264304 2007 HINCKLEY SPRINGS 5G DRINKING WATER 12.0 9.99 119.88 CUP PLASTIC FLAT 9 OZ HINCKLEY SPRINGS 50 CT 8.0 3.69 29.52 5.0 GALLON BOTTLE RETURN -12.0 6.00 -72.00 5.0 GALLON BOTTLE DEPOSIT 12.0 6.00 72.00 Recd By: Not Available or Refused ------------------------------------------------------------------------------------------------------ Total New Charges 314.86 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-0031 Previous Balance Payment Total New Charges o =WVAV $793.90 $793.90 $314.86 V Write the complete account number on your check.Detach remittance and mail with payment in the enclosed envelope.To pay online_go to How to Read Your Statement Important Monthly Promotions: Upcoming O0-,N- We Ni—! s°' Register online for access to your " Delivery Calendar: „ ; account.You can view and pay your bill, �p ��a;��w�- Your scheduled deliveries for M�„ ,, m check delivery schedule and order the next three months. "" products all online. Customer Account Number: For prompt service,please use this r Bottle Deposits: number when referring to your account. "" ° Highlights bottle deposits and returns. ,..��. m .1. 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. YSP o,stovEP s,_m=P. Total New Charges: m. eT.,,,,. This information provides totals for Mail Remittance With Payment To: various products and transactions. Please detach remittance and mail using business envelope provided. II„III1.1,11 11.111-1.11111.11111.I 11.1M II iMeP Pemnunce wPn 1--TO., 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 You do not have to pay any amount in question while we are investigating,but on your check gives us permission to debit your checking account electronically you are still obligated to a the amount of our bill that is not in question.While for the uncollected amount. Payment by check constitutes your acceptance of y g pay y q 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 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 10/2/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/2/2012 3083945 092 $314.86 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 # 125804 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 3083945092', 01-7202-05 $314.86 Voucher Total $314.86 Cost distribution ledger classification if claim paid under vehicle highway fund