326440 06/15/18 ��'''� CITY OF CARMEL, INDIANA VENDOR: 131130
ONE CIVIC SQUARE HINCKLEY SPRINGS CHECK AMOUNT: $*******274.68*
:9 jia; CARMEL, INDIANA 46032 PO BOX 660579 CHECK NUMBER: 326440
yiTON�. DALLAS TX 75266-0579 CHECK DATE: 06/15/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 274.68 12553186052618
VOUCHER NO. 185707 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor# 131130 IN SUM OF$ 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
274.68 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
1255318605 01-7202-05 $274,68 and received except 6/6/2018 12553186052618 $274.68
2618
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
1-800-4-WATERS 1-800-492-8377 www.HinckleySprings.com
Upcoming Delivery Dates
Hinckley we Deliver! STANDAR
June
TA DARJune July Au ust Bottled Water• Filtration •Coffee
Thursday, 7 Thursday, 5 Thursday, 2 FIJI is Earth's Finest Water.
Thursday, 21 Thursday, 19 Thursday, 16 It's also the#1 imported bottled water in the USA.
Thursday, 30 Now you can get it conveniently delivered every month.
To order, go to water.com/myaccount or call 1-800-4WATERS
Customer Account#: 172094612553186
TARA WASHINGTON Invoice Date: 05-26-18
CITY OF CARMEL UTILITIES Invoice#: 12553186 052618
9609 HAZEL DELL PKWY
INDIANAPOLIS IN 46280 Purchase Order#:
Date Transaction# Details Qty. Each Amount
Previous Balance 684.78
05-14-18 P324243 Payment-Check-324243-Thank You -259.53
Remaining Balance 425.25
R1813010140866 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
WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 11.49 11.49
Total 45.72
05-10-18 T181303043035 HINCKLEY SPRINGS.51-T SPRING WATER 24 PK 4.0 6.99 27.96
HINCKLEY SPRINGS 5G DRINKING WATER 9.0 9.99 89.91
CUP PLASTIC FLAT 7 OZ CLEAR 50 CT 13.0 3.89 50.57
5.0 GALLON BOTTLE DEPOSIT 9.0 6.00 54.00
5.0 GALLON BOTTLE RETURN -3.0 6.00 -18.00
ENERGY SURCHARGE 1.0 4.54 4.54
Total 208.98
05-24-18 30875203 PAPER INVOICE FEE 1.0 3.00 3.00
Total 3.00
05-24-18 T181443043035 HINCKLEY SPRINGS .51-T SPRING WATER 24 PK 1.0 6.99 6.99
HINCKLEY SPRINGS 5G DRINKING WATER 1.0 9.99 9.99
5.0 GALLON BOTTLE DEPOSIT 1.0 6.00 6.00
5.0 GALLON BOTTLE RETURN -1.0 6.00 -6.00
Total 16.98
Total New Charges 274.68
Did you know that in addition to the top left comer of this bill,you can also find your delivery schedule at
water.comlmyaccount? Online you can also easily skip or add a delivery as needed.
30356-P-0038
CPrevious Balance Payment t� C!��
Pay This Amount
$684.78 $259.53 0 $699.93
YWrite the complete account number on your check.Detach remittance and mail with p mem in the enclosed envelope.To pay online go to www.HinckleySp ngs.com