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HomeMy WebLinkAbout217670 02/26/2013 o•.�,,f CITY OF CARMEL, INDIANA VENDOR: 131130 Page 1 of 1 ONE CIVIC SQUARE HINCKLEY SPRINGS CARMEL, INDIANA 46032 PO BOX 660576 CHECK AMOUNT: $358.69 L;s� DALLAS TX 75266-0579 CHECK NUMBER: 217670 CHECK DATE: 2/26/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 12553186020 316 . 90 OTHER EXPENSES 1301 4239099 26778590202 41 . 79 OTHER MISCELLANOUS 1-800-4-WATERS 1-800-492-8377 www.HinckleySprings.com Upcoming Delivery Dates Hinckley 8TANDAFP,Springs We Deliver! February March April Bottled Water• Filtration • Coffee Wednesday, 13 Wednesday, 13 Wednesday, 10 We are doubling our commitment to the cause! Athena announces a minimum contribution of$2 million to support breast cancer care, awareness, research and education by 2014. Support the cause by adding a case of Athena to your order today! Customer Account#: 17220042677859 KIM ROTT Invoice Date: 02-02-13 CARMEL CITY COURT 1 CIVIC SQ Invoice#: 2677859 020213 CARMEL, IN 46032 Purchase Order#: Date Transaction# Details Qty. Each Amount Previous Balance 34.44 Payment 0.00 Remaining Balance 34.44 R1 3008 2494 748 EVEREST BLACK HOT AND COLD COOLER WITH CUP 1.0 11.25 11.25 01-16-13 T130163042024 HINCKLEY SPRINGS 5G DRINKING WATER 2.0 9.99 19.98 CUP PLASTIC FLAT 9 OZ HINCKLEY SPRINGS 50 CT 2.0 3.69 7.38 5.0 GALLON BOTTLE DEPOSIT 2.0 6.00 12.00 5.0 GALLON BOTTLE RETURN -2.0 6.00 -12.00 ENERGY SURCHARGE 1.0 3.18 3.18 Recd By:Not Available or Refused Total New Charges 41.79 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 elnv er additional products, check your next delivery, a our bill and mucli more. LoqNon today! 30356-P-0037 Previous Balance Payment otal New Charges Pay This Amount $34.44 $0.00 L $41.79 $76.23 0 Write the complete.account.number_on your check.Detach remittance_and mail with paymenfin. e.enclosed envelope._T,o^pa online.go to _ wvnv.HinckleySprings.com 17 How to Read Your Statement 1° Important Monthly Promotions: °�pmingDe11vefy°O e1 We Deliver' ^� Register online for access to your Delivery Calendar: account.You can view and pay your bill, Fm F. 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 Highlights bottle deposits and returns. number when referring to your account ° Easy to Pay: Pay your invoice through the mail,online at Summary. m www.water.com or call us to expedite your Previous balance and posted remittance with automatic credit card payments payments since last bill. MIT O +0 .n - ro = M n.wn, C Z./.:,il v C�111©d x.e,.,w•�••••-w•S�.P s .n.�'°"g Total New Charges: This information provides totals for Mail Remittance With Payment To: various products and transactions. Please detach remittance and mail ❑_„ - ❑=~•.tea 40= , Z using business envelope provided. IIIIIIIIIIIII.IIIIILIIIII.II I Mell Femleence wlin veYment T.I m„ry—T, wrw STREET s IIIIIIIII„IIIIIIIIIIIIIIIII 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. Paye E ti ��-� �� y 21 u r s Purchase Order No. 0 S7 9 Terms D �/� S ��( 7 5a Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 3 b-7-7�S9 ©a L4!. -7 _ 14-o7- A-ul_) Total �• 7 1 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. P ALLOWED 20 IN SUM OF $ ON ACCOUNT OF APPROPRIATION FOR �,nk,�Q-t Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 3q� materials or services itemized thereon for which charge is made were ordered and received except Z20 Cost distribution ledger classification if Title claim paid motor vehicle highway fund 1-800-4-WATERS 1-800-492-8377 www.HinckleySprings.com Upcoming Delivery Dates Hinckley �TANDARD, Springs We Deliver! �J February March April Bottled Water• Filtration • Coffee Thursday,21 Thursday, 7 Thursday,4 We are doubling our commitment to the cause! Athena Thursday, 21 Thursday, 18 announces a minimum contribution of$2 million to support breast cancer care, awareness, research and education by 2014. Support the cause by adding a case of Athena to your order today! Customer Account#: 172094612553186 JOE ACCOUNTS PAYABLE Invoice Date: 02-09-13 CITY OF CARMEL UTILITIES Invoice#: 12553186 020913 9609 HAZEL DELL PKWY INDIANAPOLIS, IN 46280 Purchase Order#: Date Transaction# Details Qty. Each Amount Previous Balance 0.00 01-12-13 A1800669 Balance transfer due to Address Change,old bill 418.41 01-29-13 P216069 Payment-Check-216069-Thank You -234.42 02-07-13 P216739 Payment-Check-216739-Thank You -183.99 Remaining Balance 0.00 01-24-13 R1302417977101 PWD 300LXP SERIES HOT AND COLD COOLER W ITH CUP 1.0 11.25 11.25 R130241797710 WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 9.99 9.99 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 11.49 11.49 WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 11.49 11.49 WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 11.49 11.49 01-24-13 T130243042003 HINCKLEY SPRINGS 5G DRINKING WATER 11.0 9.99 109.89 CUP PLASTIC FLAT 9 OZ HINCKLEY SPRINGS 50 CT 2.0 3.69 7.38 5.0 GALLON BOTTLE DEPOSIT 11.0 6.00 66.00 5.0 GALLON BOTTLE RETURN -11.0 6.00 -66.00 300LXP HOT AND COLD COOLER WITH CUP DISPENSER 1.0 0.00 0.00 ENERGY SURCHARGE 1.0 3.18 3.18 Rec'd By: Not Available or Refused 02-01-13 T130323042003 WHITE ROOM TEMP AND COLD COOLER Installed Serial 1.0 0.00 0.00 WHITE ROOM TEMP AND COLD COOLER Removed Serial#-1 -1.0 0.00 0.00 02-07-13 T130383042008 HINCKLEY SPRINGS 5G DRINKING WATER 9.0 9.99 89.91 CUP PLASTIC FLAT 9 OZ HINCKLEY SPRINGS 50 CT 7.0 3.69 25.83 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 our bill and much more. Log on today! 30356-P-0037 Previous Balance Payment Total New Charges o Pay This Amount $0.00 0 $0.00 $316.90 ° $316.90 ,-�_Write the.complete.account.numberon"your check..Detach.remittance.and.mail with.payment in the enclosed envelope.To pay online go to www.HinckleySprings.com� How to Read Your Statement y.,E., Important Monthly Promotions: J,..-9°" °Y W.Dd-11 45M� l° Register online for access to your °^°'°°' 1.1 — "g°",°°' account.You can view and pay your bill, Delivery Calendar: M�•y" ." •;� FF•w�^ Your scheduled deliveries for "°°'y" "°"" �, a,a� check delivery schedule and order A. 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. ° ,°° °lm 91. Easy to Pay: Pay your invoice through the mail,online at Summary. " „w., ,_ 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: WM. �•:a ro This information provides totals for . ;yam"""°' Wm Mail Remittance With Payment To: various products and transactions. Please detach remittance and mail ❑ ❑= using business envelope provided. II,,III,,,ILII.,.II..II„LLLILI,IIIIIAI ..I..—II....w."..ymem T.. Im portarit Monthly Message r ,5,T°s'°vsa'ev IL..LI I,LII�pI IL IL1IIJ,Illll.11 -- - - --- - TI - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 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 # 126713 WARRANT # ALLOWED 131130 IN SUM OF $ HINCKLEY SPRINGS PO BOX 660579 DALLAS, TX 75266-0579 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR i' Board members PO# INV# ACCT# AMOUNT Audit Trail Code 12553186020 01-7202-05 $316.90 i Voucher Total $316.90 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 2/21/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/21/2013 1255318602( $316.90 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