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Home My WebLink About238837 11/05/14 o CITY OF CARMEL, INDIANA VENDOR: 131130 ONE CIVIC SQUARE HINCKLEY SPRINGS CHECKAMOUNT: $`**"**594.70` CARMEL, INDIANA 46032 PO BOX 660579 CHECK NUMBER: 238837 DALLAS TX 75266-0579 CHECK DATE: 11/05/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 12553186 594.70 172094612553186 1-800-4-WATERS 1-800-492-8377 ww Upcoming Delivery Dates Hinckley 611MA%October November December Springs We Deliver! Bottled Water- Filtration - Coffee Thursday, 30 Thursday,, Thursday, 11 October Special:Athena Buy 2 Get 1 Free! Now you can drink Friday,21 Friday, 19 pink every day&save money with this refreshing special. Buy 2 cases of Athena bottled water and get one FREE!* Fight breast cancer with every bottle.*$7.99 per case. Offer ends October 31,2014. Customer Account#: 172094612553186 DAVE DYE Invoice Date: 10-18-14 CITY OF CARMEL UTILITIES 9609 HAZEL DELL PKWY Invoice#: 12553186 101874 INDIANAPOLIS IN 46280 Purchase Order#: Date Transaction# Details Qty. Each Amount Previous Balance 1,008.20 09-22-14 P236866 Payment-Check-236866-Thank You -545.15 Remaining Balance 463.05 10-02-14 T142753043051 HINCKLEY SPRINGS-5G DRINKING WATER 10.0 9.99 99.90 HINCKLEY SPRINGS 5G DISTILLED WATER 20.0 8.99 179.80 CUP PLASTIC FLAT 9 OZ MULTI BRAND 50 CT 5.0 3.89 19.45 5.0 GALLON BOTTLE RETURN -25.0 6.00 -150.00 5.0 GALLON BOTTLE DEPOSIT 20.0 6.00 120.00 5.0 GALLON BOTTLE DEPOSIT 10.0 6.00 60.00 ENERGY SURCHARGE 1.0 3.04 3.04 Total 332.19 Rec'd By:Not Available or Refused R1427510140866 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 Total 74.71 10-16-14 T142893043022 HINCKLEY SPRINGS 5G DRINKING WATER 8.0 9.99 79.92 HINCKLEY SPRINGS 5G DISTILLED WATER 12,0 8.99 107.88 5.0 GALLON BOTTLE RETURN -20.0 6.00 -120.00 5.0 GALLON BOTTLE DEPOSIT 8.0 6.00 48.00 5.0 GALLON BOTTLE DEPOSIT 12.0 6.00 72.00 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. 30358-P-0038 Previous Balance Payment Total New Charges o Pay This Amount $1,008.20 $545.15 $594.70 $1,057.75 ®write the complete account numberodourcheck.petach.remittanceandmallwith,paymant in,the.enciosed.envelope.To,pay.online-go-to -HinckleySpdngs.ccm V How to Read Your Statement Important Monthly Promotions: Upcoming Delivery Dates �'' We Deliverl S° i Register online for access to your M rye°°' M"°� " ""'°°' S°°"""'`"°e a`°"„ account.You can view and pay your bill, Delivery Calendar. � rya �� ,�F� cru ° I, �E s,,P°m,,,,,,,, check deliveryschedule and order Your scheduled deliveries for M°°ry" roa„ 'Rv�I products all oline. the next three months. Customer Account Number: maws'^ __ Bottle Deposits: For prompt service,please use this Highlights bottle deposits and returns. number when referring to your account. ,�,aa 1°, °� 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. ��i'sR...!DISCOVER WPF55 'f' ury"ue<emi..a.. -w _�mmmu .maa,a -u w --.smamtre AIIPLS®MgPr C/f-Pub�..;i!�Kl'gpXmQ Alv�jy,�v P6fruR'S4.!ra SpvlhW6wmn°8 Total New Charges: This information provides totals for "^ Mail Remittance With Payment To: various products and transactions. :"saw w P Please detach remittance and mail ❑:„M ❑ ,„-„B ; using business envelope provided. II.,,I,IIIIIIIIIIIIIIIIL„IIII,II rMml—'U."°°vnm NY—,Toil ---Important Monthly Py SSBge - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Billing Rights Summary Electronic Funds Transfer Notice In case of Errors or Questions About Your Bill: 1 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 days1 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 pay the amount of your bill that is not in question.While for the uncollected amount.Payment by check constitutes your acceptance of 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 Services of America,Inc.at P.O.Box 660579,Dallas,TX 75266-0579 VOUCHER # 145866 WARRANT # ALLOWED 131130 +, IN SUM OF $ HINCKLEY SPRINGS ' PO BOX 660579 DALLAS, TX 75266-0579 ti( ,j Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members i, +I PO# INV# ACCT# AMOUNT Audit Trail Code J I� 12553186101 01-7202-05 $594.70 I Ilk ij 1� I �fr 'f Voucher Total $594.70 Cost distribution ledger classification if claim paid under vehicle highway fund it i1' i 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 10/30/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/30/201, 1255318610' i $594.70 i 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