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HomeMy WebLinkAbout219349 04/24/2013 CITY OF CARMEL, INDIANA VENDOR 131130 Page 1 of 1
ONE CIVIC SQUARE HINCKLEY SPRINGS
CARMEL, INDIANA 46032 PO BOX 660579 CHECK AMOUNT: $298.38
DALLAS Tx 75266-0576 CHECK NUMBER: 219349
CHECK DATE: 4/24/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 12553186040 298 . 38 OTHER EXPENSES
1-: ":4TERS 1-800-492-8377 www.Hinckle S rin s.com
Upcoming Delivery Dates Hinckley .Ct11MA%
Springs We Deliver! (J `/
April May June Bottled Water• Filtration • Coffee
Thursday, 18 Thursday, 2 Thursday, 13
Thursday, 16 Thursday, 27 Fight breast cancer with every bottle.
Thursday, 30 Buy two cases of Athena bottled water,get one free!
$7.99 per case(24/case). Offer ends 5/31/13.
Customer subject to CA CRV or applicable state
bottle deposit on all cases.
Customer Account#: 172094612553186
JOE ACCOUNTS PAYABLE Invoice Date: 04-06-13
CITY OF CARMEL UTILITIES Invoice#: 12553186 040613
9609 HAZEL DELL PKWY
INDIANAPOLIS, IN 46280 Purchase Order#:
Date Transaction# Details Qty. Each Amount
Previous Balance 587.80
03-08-13 P217670 Payment-Check-217670-Thank You -316.90
04-02-13 P218486 Payment-Check-218486-Thank You -270.90
Remaining Balance 000
R130801797710 WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 9.50 9.50
WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 9.50 950
WHITE ROOM TEMP AND COLD COOLER RENTAL 1 0 11.25 11.25
WHITE ROOM TEMP AND COLD COOLER RENTAL 1 0 11 49 11.49
WHITE ROOM TEMP AND COLD COOLER RENTAL 1 0 1149 1149
WHITE ROOM TEMP AND COLD COOLER RENTAL 1 0 1149 1149
WHITE ROOM TEMP AND COLD COOLER RENTAL 1 0 9.99 999
03-21-13 7130803042005 HINCKLEY SPRINGS 5G DRINKING WATER 70 9.99 6993
CUP PLASTIC FLAT 9 OZ HINCKLEY SPRINGS 50 CT 2.0 369 738
5 0 GALLON BOTTLE DEPOSIT 70 600 42.00
5 0 GALLON BOTTLE RETURN -70 600 -4200
ENERGY SURCHARGE 10 311 311
Rec'd By: Not Available or Refused
04-04-13 T130943042007 HINCKLEY SPRINGS 5G DRINKING WATER 100 999 9990
CUP PLASTIC FLAT 9 OZ HINCKLEY SPRINGS 50 CT 150 369 55.35
5 0 GALLON BOTTLE RETURN -120 600 -72.00
5 0 GALLON BOTTLE DEPOSIT 100 600 6000
Recd By Not Available or Refused
It's now easier than ever to manage your account online.A new&improved website has been created
with enhanced features. Please visit water.com/mywater to take advantage of the many time-saving
o tions available.Your username&password will remain the same or you can create a new one.
. 3035FP-00.11
Previous Balance Payment Total New Charges a Pay This Amount
0
$587.80 $587.80 $298.38 $298.38
'� writethecomplate account number on your check.Detach remittance and mad with payment in the enclosed envelope_Topayonhm go to_wmv HmckleySpnngs win
How to Read Your Statement Important Monthly Promotions:
'"`°^^•�"° law Register online for access to your
Delivery Calendar: °— 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 Highlights bottle deposits and returns.
number when referring to your account
Easy to Pay:
° ° ° Pay your invoice through the mad,online at
Summa ^.:'.oaw»•:..., www.water com or call us to expedite your
Previous balance and posted remittance with automatic credit card payments
payments since last bill..,;:.:• ,".~."~.^^�•`:�..r'^° aw:^`� �7�I_. 1 .1
Total New Charges: ^•
This information provides totals for Mail Remittance With Payment To:
various products and transactions. Please detach remittance and mad
ac r using business envelope provided
_—
un.ia...iann.nai.a.ni..aia.anena.ai •°•• '^••,°••1 1••
Important Monthly Message ° �°^:,......
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Billing Rights Summary Electronic Funds Transfer Notice
In case of Errors or Questions About Your Bill: It 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
PO 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. PO.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.It 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 9 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 4/17/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/17/2013 1255318604( $298.38
I hereby certify that the attached invoice(s), or bill(s) is (;ere) true and
correct and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
VOUCHER # 135339 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
12553186040 01-7202-05 $298.38
1
Voucher Total $298.38
Cost distribution ledger classification if
claim paid under vehicle highway fund