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Home My WebLink About163773 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: 131130 Page 1 of 1 ONE CIVIC SQUARE HINCKLEY SPRINGS CARMEL, INDIANA 46032 Po BOX ssos7s CHECK AMOUNT: $700.04 DALLAS TX 75266 -0579 CHECK NUMBER: 163773 CHECK DATE: 9/17/2008 DEPARTMENT A CCOUNT PO N IN VOICE NUMBER AMOUNT DESCRIPTION 651 5023990 08081720946 636.43 MATERIALS SUPPLIES 1301 4239099 09081722004 63.61 OTHER MISCELLANOUS WATER.COM ]RIGINAL :USTOMER 1722004 TICKET 082483042009 Location 2677868 PO 'ARMEL CITY COURT Date: 09/04/08 Time: 9:03:52 am 1 CIVIC SO ROUTE# 3042 DAVID :ARMEL, IN 46032 Last Payment Dale: 8/11/2008 Last Payment AmOUnt: 40.94 product Delivered CITY PRICE AMOUNT iS 5G OR NS-->H 3 $8.49 $25.47 IS 5G Deposits 3 $6.00 $18.00 30T 5.OG PLS >B -3 $6.00 $-18.00 5CuFlat9zHSP >C 5 $4.49 $22.45 (3 Bottles Delivered 3 6nply Bottles Returned 0 Bottle Deposits) Subtotal Sales 47.92 Tales Tax 0.00 3ELIVERY TICKET TOTAL 47.92 previous Account Balance 62.63 Total Balance Due a 110.55 3 ayments: _NDING BALANCE 110.55 Next Delivery Date: 10/212008 We bill munthly by suirm -m y invoice. Retain fur your records. L Hinckley Springs For Customer Service and Account Inquiries, a brand of S �'I� S DS Waters of America, Inc. Call 1- 800 -444 -PURE (7873) or visit PO Box 660579 Dallas, TX 75266 -0579 www.hinckleysprings.com Customer Account 17220042677859 KIM ROTT Your Next Deliveries: Invoice Date: 09 -06 -08 CARMEL CITY COURT 10 -02 -08 Invoice 0908 1722004 2677859 1 CIVIC SO 10 -30 -08 CARMEL, IN 46032 Purchase Order Date Details Qty. Each Amount Previous Balance 90.57 08 -11 -08 Payment Check 161862 Thank You -40.94 Remaining Balance 49.63 TRANSACTION 082342494748 HOT AND COLD COOLER RENTAL 1.0 13.00 13.00 09 -04 -08 TRANSACTION 33495142 ENERGY SURCHARGE 1.0 2.69 2.69 09 -04 -08 TRANSACTION T082483042009 HINCKLEY 5.0G DRINK NON -SPILL 3 -0 8.49 -25-47 CUP COLD FLAT 9 OZ HINCKLEY SPRINGS 100 CT 5.0 4.49 ✓22.45 5.0 GAL BOTTLE DEPOSIT 3.0 6.00 18.00 5 -0 GAL BOTTLE RETURN -3.0 6.00 -18.00 Rec'd By: �_u C� 4,t Total New Charges 63.61 Effective September 29th, 2008, there will be a slight price increase on all water products from Hinckley Springs and Mountain Valley Spring Water due to rising costs. We appreciate the opportunity to serve you and thank you for your continued business. sosss- a -oo�s Previous Balance Payment Total New Charges Pay This Amount $90.57 0 $40.94 $63.61 0 $113.24 V Write the complete account number on your check. Detach remittance and mail with payment in the enclosed envelope. To pay online go to www.hinckleysprings.corn v How to Read Your Statement Visit Our Website: Register online for access to your 7 n n• w• account. You can view and pay your bill, check delivery schedule and order Customer Account Number: K.,• U products all online. For prompt service, please use this number when referring to your account. a,. Bottle Deposits: Summary: Highlights bottle deposits and returns. Balance from previous bill (previous balance minus payments). Easy to Pay: You can pay through the mail, online, or calf us Easy to Read: w to expedite your remittance with automatic credit All charges and credits are easy —r w g Y 1 card payments. to understand. Total New Charges: This information provides totals for Mail Remittance With Payment To: various products and transactions. ro,ASE,� Please detach remittance and mail ova 4 using business envelope provided. Important Monthly Message rus:a :ooii3 ;s4 xera2 ss�i •3 nr.r..rn t ceozc v 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 ive our letter, 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. o 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 u are still obligated to a the amount of our bill that is not in q uestion. While for the uncollected amount. Payment by check constitutes your acceptance of Yo' 9 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 Form 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 Purchase Order No. (9�0��'79 Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) V 7 9� 0 3.00 2. a69 Total 3 1 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. 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF �P o Os 7 9 ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or ��o� 0 9D �/7� 90 g9 •la bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 20 Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund f' Hinckley Springs For Customer Service and Account Inquiries, LI i ckd-1 a brand of DS Waters of America, Inc. Call 1- 800 444 -PURE (7873) or visit g �L PO Box 660579 Dallas, TX 75266 -0579 www.hinckleysprings.com Customer Account 17209463083945 A CCOUNTS PAYABLE Your Next Deliveries: Invoice Date: 08 -30 -08 CITY OF CARMEL UTILITIES 09 -11 -08 Invoice 0808 1720946 3083945 9609 HAZEL DELL PKWY 09 -25 -08 Purchase Order INDIANAPOLIS, IN 46280 Date Details Qty. Each Amount Previous Balance 1,280.91 08 -11 -08 Payment Check 161862 Thank You 664,68 Remaining Balance 616.23 TRANSACTION 082271797710 ROOM TEMP AND COLD COOLER RENTAL 1.0 10.50 10.50 ROOM TEMP AND COLD COOLER RENTAL 1.0 10.50 10.50 ROOM TEMP AND COLD COOLER RENTAL 1.0 10.50 10.50 08 -14 -08 TRANSACTION T082273042039 HINCKLEY 5.OG DRINK NON -SPILL 16.0 8.49 135.84 HINCKLEY 5.OG DISTILLED NON SPILL 22,0 8.49 186.78 CUP COLD FLAT 9 OZ HINCKLEY SPRINGS 100 CT 5.0 4.49 22.45 5.0 GAL BOTTLE DEPOSIT 16.0 6.00 96.00 5.0 GAL BOTTLE DEPOSIT 22.0 6.00 132.00 5.0 GAL BOTTLE RETURN -37.0 6.00 222.00 Rec'd By: 0 08 -28 -08 TRANSACTION 33332958 ENERGY SURCHARGE 1.0 2.67 2.67 08 -28 -08 TRANSACTION T082413042013 HINCKLEY 5.OG DRINK NON -SPILL 10.0 8.49 84.90 HINCKLEY 5.0G DISTILLED NON SPILL 18.0 8.49 152.82 CUP COLD FLAT 9 OZ HINCKLEY SPRINGS 100 CT 3.0 4.49 13.47 5.0 GAL BOTTLE RETURN -28.0 6.00 168.00 5.0 GAL BOTTLE DEPOSIT 10.0 6.00 60.00 5.0 GAL BOTTLE DEPOSIT 18.0 6.00 108.00 Rec'd By: Refer your family and friends and receive a $25 credit on your account! Now at the click of a mouse, it's never been easier to earn account credits. Go to www.water.com /referrals and start earning your referral credits today. 30356•P 0015 Q +.assn ct� m� �$pp,4 y g R__ l New Charges Pay This Amount Previous @a,ance w Payment Total TL Flow to Read Your Statement Visit Our Website: Register online for access to your AZT �v ourWebwm account. You can view and pay your bill, check delivery schedule and order Customer Account Number: s•., products all online. For prompt service, please use this number when referring to your account. Bottle Deposits: Summary: Highlights bottle deposits and returns. Balance from previous bill (previous balance minus payments). Easy to Pay: You can pay through the mail, online, or call us Easy to Read: to expedite your remittance with automatic credit All charges and credits are easy %—T a card payments. to understand. AR M Total New Charges: ,y w This information provides totals for „�a.aa� Mail Remittance With Payment To: various products and transactions. vu ws°F Please detach remittance and mail a ca” using business envelope provided. Important Monthly Message Wwo Je II6:0 a00 L13 .5Y 22 ia23LLL113 8 C00�7C7 L J 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 9 9 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). ;CustomerE/kccount 1 720946308945 Invoice# 0808 3 1720946 308 3945 3;a, x 4... a«°.° y� bLe��11S7;�`.' R10Wt1 a a Y w<;33 m a a 3 $6 P A'u3{ -.�x .A, r.sat -.e-., a v.tl .E•Y'+»,v^ cs v'a� Total New Charges 636.43 M1080830 1 A10-10351-00000170 612749 Page 2 of 2 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 9/8/2008 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/8/2008 0808172094( $636.43 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 Officer VOUCHER 086250 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 08081720946 01- 7202 -05 $636.43 Voucher Total $636.43 Cost distribution ledger classification if claim paid under vehicle highway fund