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Home My WebLink About233252 06/04/14 1�W,.Ci�gyf �;, ;; CITY OF CARMEL, INDIANA VENDOR: 131130 ONE CIVIC SQUARE HINCKLEY SPRINGS CHECK AMOUNT: $*******548.24* s _� CARMEL, INDIANA 46032 PO BOX 660579 CHECK NUMBER: 233252 'M,�TON.�o. DALLAS TX 75266-0579 CHECK DATE: 06/04/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 125531860503 483.86 12553186050314 1301 4239099 267785905241 64.38 2677859052414 1-800-4-WATERS (1-800-492-8377) www.HinckleySprings.com Upcoming Delivery Dates HInCkley. &MA% Springs We Deliver! May June 'July Bottled Water• Filtration •Coffee Thursday, 29 Thursday, 26 Thursday, 24 Get grab n'go convenience with .51-individual bottles of water. No matter the activity, it's perfect size for your busy s.:,hed u I e--wh ether slipping in a quick workout, taking a walk around the block, eating lunch outside or just looking for quick refreshment. Stock up on individual bottles today) Customer Account#: 17220042677859. PAM BAKER Invoice Date: 05-24-14 CARMEL CITY COURT 1 CIVIC SQ Invoice#: 2677859 052414 CARMEL, IN 46032 Purchase Order#: Date Transaction# Details Qty. Each Amount Previous Balance 88.66 05-09-14 P231708 Payment-Check-231708-Thank You -44.30 Remaining Balance 44.36 - -- R1 41 1 91 01 40050 EVEREST E.11-ACK-HOT-AND COLD COOLER WITH CUP 1_.0 -- Total 11.25 05-01-14 T141213042042 HINCKLEY SPRINGS 5G DRINKING WATER 5.0 9.99 49.95 5.0 GALLON BOTTLE DEPOSIT 5.0 6.00 30.00 5.0 GALLON BOTTLE RETURN -5.0 6.00 -30.00 ENERGY SURCHARGE 1.0 3.18 3.18 Total 53.13 Recd By:Not Available or Refused Total New Charges 64.38 Ready to streamline your life? View your delivery 56edul and acco tit history,manage your payment options,pay your bill and much more with y r own online acco tit at water.com/myaccount. 30356-P-0037 Previous Balance Payment r Total New Char es Pay This Amount $88.66 $44.30 `7' $64.38 $108.74 V Write the complete account number on your check Detach remittance and mail with p merit in the enclosed env pe.To pay online go to www.Hinckl2ySprings.com V i How to Read Your Statement 1413—ERS Important Monthly Promotions: 0pcorn1ng De1vefy°ztn *7'� We Deliver[ S Register online for access to your ,M.zM „°y2M M—;- D '` " ,°"w account.You can view and pay your bill, Delivery Calendar: Mia �a ",a., —1�.^�°°Y a °- M ft. .10.-yz° M d"V �, s sem,";P, check delivery schedule and order Your scheduled deliveries for M zl �.u.....lz1— products all online. the next three months. D209 1023-1 G— Customer Account Number: Bottle Deposits: For prompt service,please use this „A =1:2% a. � Highlights bottle deposits and returns. number when referring to your account. A. N. Easy to Pay: ""'thy 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. WRESe --,Iowwa AtRDLt BELMQ1Cy 21(o�.li] ykY�IIX�•—vryyg _ Total New Charges: ° This information provides totals for :'D° ""` aua Mail Remittance With Payment To: various products and transactions. ^° Please detach remittance and mail ❑�„„��- ❑� ;a= g ;-using business envelope provided. IIII,I,,.,IIImIIIId,Id,ILIIIILLp I M.11 RamlRence With Ply-1I Important Monthly Message s,v.u,e. II III IIILII.IImlhlAILJ.ILLLdI ---_ -- -- 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. Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Forth 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. Payee b�j�l L r i SPR/�j(s S Purchase Order No. 19® ' —' 6 Y U'o a'7 9 Terms IDA L-L-AS rx Say Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) coo Y Total ICY. 3 e, I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor- dance with IC 5-11-10-1.6. , 20 Clerk-Treasurer r VOUCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF$ Po 136 s-7 1' I�pr LL-A s Tx 7s9(( $ 4 ON ACCOUNT OF APPROPRIATION FOR co (�c2 Board Members PO#orj DEPT.# INVOICE NO. ACCT#!TITLE AMOUNT`, I hereby certify that the attached invoice(s), rv7? - �a. cp, 0. or bill(s) is (are) true and correct and that 4 S� the materials or services itemized thereon for which charge is made were ordered and received except CJ 20 S4itle a C� �' 3 1 Cost distribution ledger classification if claim paid motor vehicle highway fund 1-800-4-WATERS(1-800-492-8377) www.HinckleySprings.com Upcoming Delivery Dates Hinckley �TAI�pAF� Springs We Deliver! May June July Bottled Water• Filtration • Coffee Thursday, 15 Thursday,,12 Thursday, 10 Get grab n'go convenience with .5L individual bottles of Thursday,29 Thursday,26 Thursday,24 water. No matter the activity,it's perfect size for your busy schedule--whether slipping in a quick workout,taking a walk around the block,eating lunch outside or just looking for quick refreshment. Stock up on individual bottles today! Customer Account#: 172094612553186 DAVE DYE Invoice Date: 05-03-14 CITY OF CARMEL UTILITIES Invoice#: 12553186 050314 9609 HAZEL DELL PKWY INDIANAPOLIS,IN 46280 Purchase Order M Date Transaction# Details Qty. Each Amount Previous Balance 1,302.10 04-04-14 P230461 Payment-Check-230461 -Thank You -653.23 Remaining Balance 648.87 04-17-14 T141073043053 HINCKLEY SPRINGS 5G DRINKING WATER 7.0 9.99 69.93 CUP COLD FLAT 9 OZ HINCKLEY SPRINGS 100 CT 20.0 5.39 107.80 CUP PLASTIC FLAT 9 OZ HINCKLEY SPRINGS 50 CT 14.0 3.89 54.46 5.0 GALLON BOTTLE DEPOSIT 7.0 6.00 42.00 5.0 GALLON BOTTLE RETURN -7.0 6.00 -42.00 ENERGY SURCHARGE 1.0 3.14 3.14 Total 235.33 Recd By:Not Available or Refused R1410710140866 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 9.50 9.50 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 11.49 11.49 Total 74.71 05-01-14 T141213043057 HINCKLEY SPRINGS 5G DRINKING WATER 12.0 9.99 119.88 HINCKLEY SPRINGS 5G DISTILLED WATER 6.0 8.99 53.94 5.0 GALLON BOTTLE DEPOSIT 6.0 6.00 36.00 5.0 GALLON BOTTLE DEPOSIT 12.0 6.00 72.00 5.0 GALLON BOTTLE RETURN -18.0 6.00 -108.00 Total 173.82 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 Amount $1,302.10 $653.23 $483.86 m $1,132.73 C®Write the complete account number on your check.Detach remittance and mail with payment in the enclosed envelope Jp-pay online go_to��www.klinckleySpnngs.com v� How to Read Your Statement 14001WATEHS al .��.� Important Monthly Promotions: Upcoming Delivery Dares Mnz�y waoeuyed . Register online for access to your Delivery Calendar. � �":;3°°° ��,�,• �D....`°"°w.m account.You can view and pay your bill, Your scheduled deliveries for """"° "" " "� check delivery schedule and order the next three months. y" P'°'°'°°""'�"°'"°"°" `°°'"°'""tl'°' products all online. Customer Account Number: Bottlee Deposits: For prompt service,please-use this Bottle bottle deposits and returns. number when referring to your account. "'° "° frn,EI °° E� a "= , Easy to Pay: eE Pay your invoice through the mail,online at Summary: a www.water.com or call us to expedite your Previous balance and posted remittance with automatic credit card payments payments since last bill. ° ^^ -•- -ate^��"• • �� V61' DISr:f1VEt1°�" nm.m NIIIH4 mnonr Cry;,I;(�w�Ci,Kyl(plirymd+��ne=rwlvr Sgm swu^t•�•�"B Total New Charges: This information provides totals for «"" °""" ° Mail Remittance With Payment To: various products and transactions. �� Please detach remittance and mail ❑°� - 11==_=um $ using business envelope provided. IIr.,I,II„I.rII,,,IIrdLr„IrIL,lll„I,r,ll,lrrlrll I-1 R—Itt.nc°with Pnymem Toil Important Monthly Message — "m a"E.v°iex Ihr I Irr Irl I�r hI II r I I Ir IIJrrI rill I rL 11 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 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 • Your name and complete account number. program,please write to us on a separate sheet at: � 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 pay the amount of your bill that is not in question.While for the uncollected amount. Payment by check constitutes your acceptance of we investigate your questions,we cannot report you as delinquent or take any these terms. action to collect the amount you question. ”_We appreci_aVe yo—-urTusiness. --- - ---` -` -- ---- 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 # 138091 WARRANT # ALLOWED 131130 ,I IN SUM OF $ HINCKLEY SPRINGS PO BOX 660579 ; DALLAS, TX 75266-0579 Carmel Wastewater Utility:- ON ACCOUNT OF APPROPRIATION FOR 'd ' Board members PO# INV# ACCT# AMOUNT Audit Trail Code 12553186050 01-7202-05 $483.86 ;( II r i Voucher Total $483.86 4 Cost distribution ledger classification if i 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 5/28/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/28/2014 1255318605( $483.86 i 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