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Home My WebLink About155757 01/23/2008 CITY OF CARMEL, INDIANA VENDOR: 131130 Page 1 of 1 ONE CIVIC SQUARE HINCKLEY SPRINGS CARMEL, INDIANA 46032 PO BOX 660579 CHECK AMOUNT: $30.98 DALLAS TX 75266 -0579 CHECK NUMBER: 155757 CHECK DATE: 112312008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION I 1301 4239099 073613042000 30.98 OTHER MISCELLANOUS I HINCKLEY SPRINGS WAI'ER 800-444-PURE WATER.Com URiGINAL CUS OH[Fk 9 1 1 I(-KFJ n: wii(i1304'Loo6 Location 2,(,77668 Pop: 1,�IMFL CW? COURI Oate: 1212, lioip: t1:20:14 aw I CIVIC Sli ROIJIF# 3042 LEE CARMEL, IN 46032 Luit pi.yiirerlt Date: Liss[ Rywent Aimki0! 0.00 Product Dei ivelud oly PRI CE_ AMOUNT II` 1;G POR 1� 1 2 $6 49 Oeh4s 2 $6.011 $12.00 BO (jG PILS >H -2 36.(10 $-12.00 4 1 Subtotal Sales 16.96 Sales Tax 0.00 DFLIVIEHY IICKFI IFAI. 16.98 PIUVk;US ACCOWIt Balance U 10LAI 111jilICU Due 16.98 Payments'. ENIIING BAI,wNCE 16.96 Next Delivery D;,te: 412412000 W" Ij;II ifivo;,.L rivtoill "if it4,f a I b and of nckley For Customer Service and Account Inquiries, I ��y'h`. -1 i� 1 LCL h IPy DS Waters of America, Inc. springs( PO Box 660579 Call 1- 800 444 -PURE (7873) or visit Dallas, TX 75266 0579 www.hinckleysprings.com Customer Account 17220042677859 KIM ROTT Your Next Deliveries: Invoice Date: 12 -29 -07 CARMEL CITY COURT 01 -24 -08 Invoice 1207 1722004 2677859 1 CIVIC So 02 -21 -08 Purchase Order CARMEL, IN 46032 Date Details Qty. Each Amount Previous Balance 55.96 12 -10 -07 Payment Check 154007 Thank You -24.98 12 -26 -07 Payment Check 154619 Thank You -30.98 Remaining Balance 0.00 12 -27 -07 TRANSACTION 073612494748 HOT AND COLD COOLER RENTAL 1 12.00 12.00 Sales Tax 0.00 Total 12.00 12 -27 -07 TRANSACTION T073613042006 HINCKLEY 5.OG PURIFIED DRINK 2 8.49 16.98 5.0 GAL BOTTLE DEPOSIT 2 6.00 12.00 5.0 GAL BOTTLE RETURN -2 6.00 -12.00 Sales Tax 0.00 Total 16.98 Rec'd By: 11 TRANSACTION 25349078 ENERGY SURCHARGE 1 2.00 2.00 Sales Tax 0.00 Total ,r 2.00 Total New Charges C 30.98 Finding your next scheduled delivery day just got easier! View and print your 2008 Delivery Calendar online at www.water.com. Log onto your account or register today. Click on Printable Calendar. aosss P 000a Previous Balance Payment Total New Charges Pay This Amount $55.96 $55.96 1 $30.98 0 $30.98 v Write the com plete account number on y our check Detach remittance and mad with p in the enclosed envelope. To pay online g o to www.hinckle ysprings.com v How to Read Your Statement Visit Our Website: Register online for access to your account. You can view and F sy your bill, check delivery schedule and order Customer Account Number: „a °y ^'Y' products all online. For prompt service, please use this number when referring to your account. r� Bottle Deposits: Summary: dei 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 payments. to understand. w, Vhf aiuovil e>Pt¢a T 1•iGLYi•981•AO Total New Charges: 4.p This information provides totals for ko»�. ,w wm Mail Remittance With Payment To: various products and transactions. ��,e.� Please detach remittance and mail n Pte„ EpM s using business envelope provided. IL. JIIL.... IIIJIL .JJAIILJLJ.L.III IILIL..IIJd.l..11l ..IId..IIIJJ.I.I Important Monthly Message 020610 200111 L51227623661193 0003600 E 0002000 6 0 Billing Rights Summary Electronic Funds Transfer Notice In case of Errors or Questions About Your Bill: It 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 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. C) I ��(o 0 S Terms 75W(o6 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) G b 1�7 w-3wa n 264 /I 0 Total 3 0 .q 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. 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF 0 n 6 -7 JO I 9� ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or DEPT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or 4.3o.9Y 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 p b ignatur� itle Cost distribution ledger classification if claim paid motor vehicle highway fund