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320335 01/04/18
CITY OF CARMEL, INDIANA VENDOR: 131130 d i'• ONE CIVIC SQUARE HINCKLEY SPRINGS CHECK AMOUNT: $**....*793.65* a ?? CARMEL, INDIANA 46032 PO BOX 660579 CHECK NUMBER: 320335 DALLAS TX 75266-0579 CHECK DATE: 01/04/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION _ 651 5023990 793:65 12553186120917 VOUCHER NO. 177025 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995) Vendor # 131130 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER HINCKLEY SPRINGS CITY OF CARMEL PO BOX 660579 An invoice or bill to be properly itemized must show: kind of service,where performed, DALLAS,TX 75266-0579 dates service rendered, by whom, rates per day, number of hours, rate per hour, numbers of units,price per unit, etc. Payee 793.65 131130 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR HINCKLEY SPRINGS Terms Carmel Wasterwater Utility PO BOX 660579 Due Date BOARD MEMBERS I hereby certify that that attached invoice DALLAS,TX 75266-0579 (s), or bill(s)is(are)true and correct and that PO# ACCT# the materials or services itemized thereon DATE INVOICE# Description DEPT# INVOICE# Fund# AMOUNT for which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 1255318612 01-7202-05 $793.65 and received except 12/19/2017 12553186120917 $793.65 0917 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_ Clerk-Treasurer 1- Upcoming Delivery Dates Hinckley 611MA%Springs We Deliver! December January February Bottled Water• Filtration • Coffee Thursday,21 Thursday,4 Thursday, 1 Delight holiday guests,by serving a variety of refreshing Thursday, 18 Thursday, 15 beverages. Choose from Sparkletts sparkling water,Clear Choice Ice flavored sparkling water,FIJI and VOSS. To order,go to water.com/myaccount or call 1-800-4-WATERS Customer Account#: 172094612553186 TARA WASHINGTON Invoice Date: 12-09-17 CITY OF CARMEL UTILITIES 9609 HAZEL DELL PKWY Invoice#: 12553186 120917 INDIANAPOLIS IN 46280 Purchase Order#: Date Transaction# Details Qty. Each Amount Previous Balance 1,730.30 11-29-17 P318429 Payment-Check-318429-Thank You -923.72 Remaining Balance 806.58 11-21-17 T173253043072 HINCKLEY SPRINGS.5LT SPRING WATER 24 PK 2.0 6.99 13.98 HINCKLEY SPRINGS 5G DRINKING WATER 5.0 9.99 49.95 HINCKLEY SPRINGS 5G DISTILLED WATER 9.0 9.99 89.91 CUP PLASTIC FLAT 9 OZ MULTI BRAND 50 CT 29.0' 3.89 112.81 5.0 GALLON BOTTLE DEPOSIT 14.0 6.00 84.00 5.0 GALLON BOTTLE RETURN -9.0 6.00 -54.00 ENERGY SURCHARGE 1.0 3.84 3.84 Total 300.49 R1732710140866 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 11.25 11.25 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 Total 64.72 12-07-17 28847344 PAPER INVOICE FEE 1.0 3.00 3.00 Total 3.00 12-07-17 T173413043049 HINCKLEY SPRINGS.51-T SPRING WATER 24 PK 2.0 6.99 13.98 HINCKLEY SPRINGS 5G DRINKING WATER 9.0 9.99 89.91 HINCKLEY SPRINGS 5G DISTILLED WATER 25.0 9.99 249.75 CUP PLASTIC FLAT 9 OZ MULTI BRAND 50 CT 20.0 3.89 77.80 5.0 GALLON BOTTLE DEPOSIT 34.0 6.00 204.00 5.0 GALLON BOTTLE RETURN - -2 0 Be the one in control!Did you know that you can view your delivery schedule,pay your•bill and much more online? Sign up at water.comlmyaccount and get started today! 30356-P-0038 Previous Balance Payment Total New Charges o Pay This Amount 0C $1,730.30 $923.72 $793.65 1600.23 VWrifn.fhnnnrinond ©,