HomeMy WebLinkAbout224523 09/25/2013 CITY OF CARMEL, INDIANA VENDOR: 131130 Page 1 of 1
ONE CIVIC SQUARE HINCKLEY SPRINGS
CARMEL, INDIANA 46032 PO Box 660579 CHECK AMOUNT: $213.79
`2c DALLAS TX 75266-0579
CHECK NUMBER: 224523
CHECK DATE: 9/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 125531860824 213 . 79 OTHER EXPENSES
1-800-4-WATERS(1-860-492-03:77) www.HinekIey6pfinq;s.--
Upcoming Delivery Dates Hinckiey Springs We Deliver! v
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September October November Bottled Water• Filtration • Coffee
Thursday, 5 Thursday, 3 Thursday, 14 Back to School. Back to the Office. Back to H2O Basics!
Thursday, 19 Thursday, 17 Summer's ending&that means vacations give way to packing
Thursday, 31 school and work lunches. Stock up on plenty of individual
.5 liter bottles for a convenient way to keep everyone
11 day- it's!be 0-calarle way in sipy refrpohpril
Customer Account#: 172094612553186
JOE ACCOUNTS PAYABLE Invoice Date: 08-24-13
CITY OF CARMEL UTILITIES Invoice#: 12553186 082413
9609 HAZEL DELL PKWY
INDIANAPOLIS, IN 46280 Purchase Order#:
Date Transaction# Details Qty. Each Amount
Previous Balance 564.89
07-29-13 P222025 Payment-Check-222025-Thank You -304.12
08-22-13 P222987 Payment-Check-222987-Thank You -260.77
Remaining Balance 0.00
R1322010140866 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 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 9.99 9.99
WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 11.25 11.25
08-08-13 T132203043022 HINCKLEY SPRINGS 5G DRINKING WATER 7.0 9.99 69.93
HINCKLEY SPRINGS 5G DISTILLED WATER 1.0 10.49 10.49
5.0 GALLON BOTTLE RETURN -9.0 6.00 -54.00
5.0 GALLON BOTTLE DEPOSIT 7.0 6.00 42.00
5.0 GALLON BOTTLE DEPOSIT 1.0 6.00 6.00
ENERGY SURCHARGE 1.0 3.04 3.04
Rec'd By: Not Available or Refused
08-22-13 T132343043045 HINCKLEY SPRINGS 5G DRINKING WATER 5.0 9.99 49.95
CUP PLASTIC FLAT 9 OZ HINCKLEY SPRINGS 50 CT 3.0 3.89 11.67
5.0 GALLON BOTTLE DEPOSIT 5.0 6.00 30.00
5.0 GALLON BOTTLE RETURN -5.0 6.00 -30.00
Rec'd By: Not Available or Refused
Ready to streamline your life? View your delivery schedule and account history,manage your
payment options,pay your bill and much more with your own online account at water.comlmyaccount.
30356-P-0037
Previous Balance Payment Total New Charges o Pay Amount
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Write the rmm�lataarrnuntnumher on-vour rhecI?nMach--remittance and-maiFwittroavment in the enclosed envelope.-To oav online ao to--vmw:Hinckle6Smrinat mm=
How to Read Your Statement l° Important Monthly Promotions:
we Deliver! 6 � Register online for access to your
o� ,°yzWe A gust'009 w�a, F°a°° °°- account.You can view and pay your bill,
Delivery Calendar:
Your scheduled deliveries for ° M�, s°a check delivery schedule and order
the next three months. ""^' products all online.
Customer Account Number: Bottle Deposits
For prompt service,please use this ,ors„a„ Highlights bottle deposits and returns.
number when referring to your account. Po
,�z,.,,,, °.,, °. 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.
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Total New Charges:
This information provides totals for Mail Remittance With Payment To:
various products and transactions. ^- `w.°« n°: Please detach remittance and mail
$ using business envelope provided.
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Important Monthly MessageEaE°=,��,�
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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 # 136382 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
I
12553186082. 01-7202-05 $213.79
Voucher Total $213.79 j
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 9/11/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/11/2013 1255318608 $213.79
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