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HomeMy WebLinkAbout222025 07/17/2013 CITY OF CARMEL, INDIANA VENDOR: 131130 Page 1 of 1 ONE CIVIC SQUARE HINCKLEY SPRINGS CARMEL, INDIANA 46032 PO BOX 660579 CHECK AMOUNT: $304.12 ' y? DALLAS TX 75266-0579 „o �o CHECK NUMBER: 222025 CHECK DATE: 7/1712013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 12553186062 304 . 12 OTHER EXPENSES www.HinckleySl2rincis.com Upcoming Delivery Dates Hinckley �TAI�DAF�D� V July August September Springs We Deliver! Bottled Water• Filtration • Coffee Thursday, 11 Thursday, 8 Thursday, 5 The heat is here to stay, stay hydrated! It's easy with our Thursday, 25 Thursday, 22 Thursday, 19 24-pack.5L bottles that offer convenient refreshment for all your indoor&outdoor plans. Individual bottles are perfect for the gym, a walk to the park, or just around the home or office when you're feeling thirsty. Customer Account#: 172094612553186 JOE ACCOUNTS PAYABLE Invoice Date: 06-29-13 CITY OF CARMEL UTILITIES Invoice#: 12553186 062913 9609 HAZEL DELL PKWY INDIANAPOLIS, IN 46280 Purchase Order#: Date Transaction# Details Qty. Each Amount Previous Balance 596.14 06-21-13 P220643 Payment-Check-220643-Thank You J 1 -290.23 Remaining Balance O� , �- 305.91 06-13-13 T131643043006 HINCKLEY SPRINGS 5G DRINKING WATER 9.0 9.99 89.91 HINCKLEY SPRINGS 5G DISTILLED WATER 2.0 10.49 20.98 CUP PLASTIC FLAT 9 OZ HINCKLEY SPRINGS 50 CT 6.0 3.69 22.14 5.0 GALLON BOTTLE RETURN -11.0 6.00 -66.00 5.0 GALLON BOTTLE DEPOSIT 2.0 6.00 12.00 5.0 GALLON BOTTLE DEPOSIT 9.0 6.00 54.00 ENERGY SURCHARGE 1.0 3.11 3.11 Rec'd By: Not Available or Refused R1316410140866 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 WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 11.25 11.25 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 06-27-13 T131783043052 HINCKLEY SPRINGS 5G DRINKING WATER 7.0 9.99 69.93 CUP PLASTIC FLAT 9 OZ HINCKLEY SPRINGS 50 CT 6.0 3.89 23.34 5.0 GALLON BOTTLE DEPOSIT 7.0 6.00 42.00 5.0 GALLON BOTTLE RETURN -7.0 6.00 -42.00 Rec'd 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 avaUnhip Y amp&password will remain the same or you can create a new one. 30356-P-0037 C=596.14 lance Payment Total New Charges © Pay This Amount $290.23 $304.12 ° $610.03 - __V Write the complete.accountnumberon.your_check;Detach remittance and mail-with payment in the.enclosed envelope.To.pay.online.go.to-wwwAinckleySprings.com'7 How to Read Your Statement Important Monthly Promotions: Ua1^ 9°°11 ly°"°' we oel e, 6 � Register online for access to your Delivery Calendar: J e 009 M°°°6' "°9� �°' account.You can view and pay your bill, Your scheduled deliveries for „ien15�Oa 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: ==,°.. www.water.com or call us to expedite your Previous balance and posted remittance with automatic credit card payments payments since last bill. 01 / .wm�a <a„ER . ..W"nwcourt CryjrdO.Y•i"g!'401w©d w.tJ..v *5,•,p+r �,�"°`R, Total New Charges: This information provides totals for Mail Remittance With Payment To: various products and transactions. ----sir c;°;waa: Please detach remittance and mail using business envelope provided. w­1 R—itt... WRn CaYm T.1 Important Monthly Message "'"""'i""' N..,�hexF u:rz�.u�ay IL��LI�L��o�IJl���ll�II�����I�l���ll�l.J llllll - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 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 g g 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 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 # 135943 WARRANT # ALLOWED 131130 j IN SUM OF $ HINCKLEY SPRINGS 1 PO BOX 660579 DALLAS, TX 75266-0579 c Carmel Wastewater Utility ` ON ACCOUNT OF APPROPRIATION FOR + i i Board members PO# INV# ACCT# AMOUNT Audit Trail Code 12553186062 01-7202-05 $304.12 t Voucher Total $304.12 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 7/9/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/9/2013 1255318606 $304.12 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 Date Officer