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Home My WebLink About259041 05/31/16 r 4�q %" '' CITY OF CARMEL, INDIANA VENDOR: 131130 s® ?� ONE CIVIC SQUARE HINCKLEY SPRINGS CHECK AMOUNT: $*"•*1,210.62` f. ?4; CARMEL, INDIANA 46032 PO BOX 660579 CHECK NUMBER: 259041 9*'rroN'�� DALLAS TX 75266-0579 CHECK DATE: 05/31116 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 125531860430 1,210.62 12553186 043016 VOUCHER # 165295 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 12553186043 01-7202-05 $1,210.62 V" Voucher Total $1,210.62 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 5/9/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/9/2016 1255318604: $1,210.62 hereby certify that the attached invoice(s), or bill(s) is (are) true and -orrect and I have audited same in accordance with IC 5-11-10-1.6 Date Officer 1-800-4-WATERS 1-800-492-8377 www.HinckleySprings.com Upcoming Delivery Dates Hinckley.. �TAj�pARD, Springs We Deliver! V May June July Bottled Water• Filtration • Coffee Thursday, 12 Thursday,9 Thursday,7 Tapped in Norway. Delivered to your door. Thursday,26 Thursday,23 Thursday,21 Introducing delivery of VOSS artesian water. Try the incomparable taste of still or sparkling VOSS. Call or go online to add VOSS to your next delivery. Customer Account#: 172094612553186 TARA WASHINGTON Invoice Date: 04-30-16 CITY OF CARMEL UTILITIES Invoice#: 12553186 043016 9609 HAZEL DELL PKWY INDIANAPOLIS IN 46280 Purchase Order#: Date Transaction# Details. Qty- Each Amount Previous Balance 1,082.17 04-18-16 P256927 Payment-Check-256927-Thank You -350.46 Remaining Balance 731.71 04-06-16 T160973043046 HINCKLEY SPRINGS 5G DRINKING WATER 25.0 9.99 249.75 HINCKLEY SPRINGS 5G DISTILLED WATER 15.0 9.99 149.85 CUP PLASTIC FLAT 9 OZ MULTI BRAND 50 CT 20.0 3.89 77.80 5.0 GALLON BOTTLE DEPOSIT 15.0 6.00 90.00 5.0 GALLON BOTTLE RETURN -37.0 6.00 -222.00 5.0 GALLON BOTTLE DEPOSIT 25.0 6.00 150.00 ENERGY SURCHARGE 1.0 1.80 1.80 Total 497.20 Rec'd By:Not Available or Refused 04-14-16 T161053043058 HINCKLEY SPRINGS 5G DRINKING WATER 9.0 9.99 89.91 HINCKLEY SPRINGS 5G DISTILLED WATER 13.0 9.99 129.87 CUP PLASTIC FLAT 9 OZ MULTI BRAND 50 CT 20.0 3.89 77.80 5.0 GALLON BOTTLE DEPOSIT 9.0 6.00 54.00 5.0 GALLON BOTTLE RETURN -21.0 6.00 -126.00 5.0 GALLON BOTTLE DEPOSIT 13.0 6.00 78.00 Total 303.58 Rec'd By:Not Available or Refused R1610510140866 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 11.49 11.49 WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 9.50 9.50 Ready to streamline your life? View your delivery schedule and account history,manage your L-C- payment options,pay your bill and much more with your own online account at water.com/myaccount. 30356-P-0038 Previous Balance C__Payment -Total New Charges ® (:yyThis Amount e $1,082.17 $350.46 $1,210.62 942.33 - How to Read Your Statement Important Monthly Promotions: Upcoming DeliveryDates , wa D.Werl i Register online for access to your '°^°'009 'I�y2°°9 °"'°°' "°"°W�''`°"�'`° account.You can view and pay your bill, Delivery Calendar: MaW°yii MOMay]U WM°y t] w Your scheduled deliveries for �„ ,, � check delivery schedule and order the next three months. �• .00.n products all online. Customer Account Number:"" Bottle Deposits: For prompt service,please use this tea, 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. "L111►�I `�AE59 Total New Charges: my. This information provides totals for 1= Mail Remittance With Payment To: various products and transactions. Please detach remittance and mail m�; o=,r=ING s using business envelope provided. II..,I.I,I...I.I,II„.II..II...ALI,III,I„ILI,I,II !Nall n.min.a°.wnn P.ymam T°:y -Important Monthly-Message - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 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 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 Services of America,Inc.at P.O.Box 660579,Dallas,TX 75266-0579 Customer Account#: 172094612553186 Invoice#: 12553186 043016 Date Details Qty. Each Amount 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 11.49 11.49 Total 74.71 04-28-16 T161193043059 HINCKLEY SPRINGS 5G DRINKING WATER 10.0 9.99 99.90 HINCKLEY SPRINGS 5G DISTILLED WATER 13.0 9.99 129.87 CUP PLASTIC FLAT 9 OZ MULTI BRAND 50 CT 24.0 3.89 93.36 5.0 GALLON BOTTLE DEPOSIT 10.0 6.00 60.00 5.0 GALLON BOTTLE DEPOSIT 13.0. 6.00 78.00 5.0 GALLON BOTTLE RETURN -21.0 6.00 -126.00 Total 335.13 Rec'd By:Not Available or Refused Total New Charges 1,210.62 **SAVE TIME,MONEY,AND HELP THE ENVIRONMENT BY TAKING ADVANTAGE OF PAPERLESS BILLING.BEGINNING MAY 29,2016,THERE WILL BE A CHARGE OF$2.00 FOR PAPER STATEMENTS.PLEASE VISIT WATER.0 M/EINVOIC FOR MORE INFORMATION ABOUT SIGNING UP FOR ELECTRONIC INVOICES AND AVOIDING THIS FEE.** Jr'*1 fr t 2345 M11 60430BM10-183-000000938 Page 2 of 2