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Home My WebLink About230461 03/26/14 CITY OF CARMEL, INDIANA VENDOR: 131130 ® ONE CIVIC SQUARE HINCKLEY SPRINGS CHECK AMOUNT: $*******653.23* a CARMEL, INDIANA 46032 PO BOX 660579 CHECK NUMBER: 230461 ,�, oN�„ DALLAS TX 75266-0579 CHECK DATE: 03/26/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 125531860308 653.23 OTHER EXPENSES 1-800-4-WATERS(1-800-492-8377) www.Hinckle S rin s.com Upcoming Delivery Dates Hinckley 8TAMA% Springs We Deliver! N tJ March April May Bottled Water• Filtration • Coffee Thursday,20 Thursday, 3 Thursday, 1 Put a little sparkle in your day! Now offering Ferrarelle- Thursday, 17 Thursday, 15 Italy's#1 Sparkling Water delivered to your door.Add a Thursday, 29 12-pack of 750mL bottles or 24-pack of the 330mL bottles to your next delivery. Ask.your RSR for details or order now and enjoy crisp refreshing Ferrarelle Sparkling Water today! Customer Account#: 172094612553186 JOE ACCOUNTS PAYABLE Invoice Date: 03-08-14 CITY OF CARMEL UTILITIES 9609 HAZEL DELL PKWY Invoice#: 12553186 030814 INDIANAPOLIS, IN 46280 Purchase Order#: Date Transaction# Details Qty. Each Amount Previous Balance 600.09 02-10-14 P228558 Payment-Check-228558-Thank You -260.59 Remaining Balance (��- 01 0)L-0-j 339.50 R1405110140866 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 9.99 9.99 WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 11.25 11.25 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 Total 74.71 02-20-14 T140513043051 HINCKLEY SPRINGS 5G DRINKING WATER 9.0 9.99 89.91 CUP COLD FLAT 9 OZ HINCKLEY SPRINGS 100 CT 6.0 5.39 32.34 5.0 GALLON BOTTLE DEPOSIT 9.0 6.00 54.00 5.0 GALLON BOTTLE RETURN -7.0 6.00 -42.00 ENERGY SURCHARGE 1.0 3.08 3.08 Total 137.33 Recd By: Not Available or Refused 03-06-14 T140653043047 HINCKLEY SPRINGS 5G DISTILLED WATER 22.0 8.99 197.78 HINCKLEY SPRINGS 5G DRINKING WATER 15.0 9.99 149.85 CUP COLD FLAT 9 OZ HINCKLEY SPRINGS 100 CT 4.0 5.39 21.56 5.0 GALLON BOTTLE DEPOSIT 15.0 6.00 90.00 5.0 GALLON BOTTLE RETURN -25.0 6.00 -150.00 5.0 GALLON BOTTLE DEPOSIT 22.0 6.00 132.00 Tota 1 441.19 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.com/myaccount. 30356-P-0037 Previous Balance Payment Total New Charges ® Pay-This $600.09 0 $260.59 $653.23 $992.73 V Write the complete account number on your check.Detach remittance and mail with payment in the enclosed envelope.To pay online go to www.HinckleySprings.comV How to Read Your Statement 14004 WATERS °'°i°^—,— Important Monthly Promotions: Upcoming Delivery Dares '�� We Deliver! Register online for access to your M"x ya. M""'°6 ",,„'°°' �°dw""" "° "" account.You can view and pay your bill, Delivery Calendar: M�dY " "•wn yn.• , taondaYE3 o"daY Eo ewe�.P.anku rtr"rugF van "a°PeerrY Your scheduled deliveries for ,� �."-�Y"a°•n•adPaa.,,aa." check delivery schedule and order the next three months. "�" "°'�"' products all online. Customer Account Number: - ~ For prompt service,please use this - Bottle Deposits: Highlights bottle deposits and returns. number when referring to your account. "° ° " re ,m,"m,a 11111 -11 w„ m 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. ° Total New Charges: This information provides totals for Mail Remittance With Payment To: various products and transactions. w :. ngr Please detach remittance and mail ❑ „„ ❑ e,a� $ using business envelope provided. IIIIIIIIIIIIIIII„II,II111„III ,,,•u namn,."ce wnn P.ym°m T°:E Important Monthly Message ^"`v'"F"E.O91"SB1°' IIIIIJJIIILJLIry ILIILILIILdll - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 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. i VOUCHER # 137631 WARRANT # ALLOWED 131130 ! IN SUM OF $ l HINCKLEY SPRINGS PO BOX 660579 DALLAS, TX 75266-0579 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR i Board members r PO# INV# ACCT# AMOUNT Audit Trail Code 12553186 03( 01-7202-05 $653.23 F i I A Voucher Total $653.23 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 3/18/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/18/2014 12553186 03 $653.23 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