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Home My WebLink About158925 04/30/2008 CITY OF CARMEL, INDIANA VENDOR: 131130 Page 1 of 1 t ONE CIVIC SQUARE HINCKLEY SPRINGS s i CARMEL, INDIANA 46032 Po sox 660579 CHECK AMOUNT: $557.25 DALLAS TX 75266 -0579 CHECK NUMBER: 158925 CHECK DATE: 4/30/2008 DEPARTMENT ACCOU PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 04081720946 509.10 OTHER EXPENSES 1301 4239099 081083042004 48.15 OTHER MISCELLANOUS I HINCKLEY SPRINGS WATER 800- 444ARE WATER.COM ORIGINAL CUSTOMER 1722004 TICKET 081(163U42004 Location 2677868 PO CARMEL CITY COURT Date: 04/17/08 Time: 8:26:03 am '1 CIUIC SQ ROUIE# 3042 LEE CARMEL, IN 46032 Last Payment Date: 3/2712008 Last Payment AOU17t: 76.49 Product Delivered QTY PRICE AMOUNT% HS 5G DR NS ->H 4 $8,49 $33.95 HS 5G Deposits 4 $6.00 $24.00 BOT S.OG PLS >R -4 $6.00 $-24.00 (4 Bottles Delivered 4 51131ty Outlles Relw ned 0 Dottle Depi)sitsJ Subtotal Sales 33.96 Sales Tart 0.00 I DELIVERY TICKET TOTAL 33,96 Previous Account Dalanr_e 79.52 Total Balance Due 113'48 Payments: kNUING BALANCE 113.46 Next Delivery Dale: 511512008 We kill ir"1101I i1:0. Re {nin IM y001 records.. Hinckley Springs i�Il a brand of For Customer Service and Account Inquiries, 1 OLlIIC'` l e DS Waters of America, Inc. Call 1- 800 444 -PURE (7873) or visit SpnngS(j PO Box 660579 Dallas, TX 75266 -0579 www.hinckleysprings.com Customer Account 17220042677859 IM ROTT Your Next Deliveries: Invoice Date: 04 -19 -08 ARMI L CITY COURT 05 -15 -08 Invoice 0408 1722004 2677859 CIVIC SO 06 -12 -08 Purchase Order M ARMEL, IN 46032 Date Details Qty. Each Amount Previous Balance 156.01 03 -27 -08 Payment Check 157093 Thank You -76.49 04 -18 -08 Payment Check 157963 Thank You -79.52 Remaining Balance 0.00 04 -17 -08 TRANSACTION T081083042004 HINCKLEY 5.OG DRINK NON -SPILL 4.0 8.49 3.96 5.0 GAL BOTTLE RETURN -4.0 6.00 -2 .00 5 0 GAL BOTTLE DEPOSIT 4.0 6.00 24.00 Rec'd By: TRANSACTION 081082494748 HOT AND COLD COOLER RENTAL 1.0 12.00 2.00 04 -17 -08 TRANSACTION 28913987 ENERGY SURCHARGE 1.0 2.19 2.19 Total New Charges 48.15 30356 P 0004 Previous Balance Payment �h Total New Charges Pay This Amount 1 156.01 0 $156.09 0 $48.15 $48.15 v Write the complete account number on your check. Detach remittance and mail with pa yment in the enclosed envelope. To pay online go to www.hinckleysprings.com v How to Read Your Statement visit Our Website- Register online for access tctaiour account. You can view and pay your bill, Customer Account Number: Check delivery schedule and order For prompt service, please use this products all online. number when referring to your account. all Summa 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 card payments. to understand. .....a. I °0¢0 =O �F9 Total New Charges: This information provides totals for Mail Remittance With Payment To: various products and transactions. Please detach remittance and mail e a� using business envelope provided. Important Monthly Message I :12116:0 ?DO L13 :sY21&31LL 173 flrl =.0 11 a C70C ]C7 L 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 P0. 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 your letter, give us the following information: OPT OUT NOTICE: If you do not wish to participate in this check conversion program, please write to us on a separate sheet at: Your name and complete account number- P.O. Box 660579, Dallas, TX 75266 -0579. o 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. G l%S Terms S "2b S 7 y Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Total 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 2 5 121,6- Cis` J ON-ACCOUNT OF APPROPRIATION FOR Board Members PO# or DEPT INVOICE NO. ACCT /TITLE AMOUNT I hereby certify that the attached invoice(s), or 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 SI ture Title Cost distribution ledger classification if claim paid motor vehicle highway fund Hinckley Springs L e a brand of For Customer Service and Account Inquiries, DS, Waters of America, Inc. Call 1- 800 444 -PURE (7873) or visit Springs PO Box 660579 Dallas, TX 75266 -0579 www.hinckleysprings.com Customer Account 17209463083945 ACCOUNTS PAYABLE Your Next Deliveries: Invoice Date: 04 -12 -08 CITY OF CARMEL UTILITIES 04 -24 -08 Invoice 0408 1720946 3083945 INDIANAPOLIS, IN 46280 HAZEL DELL PKWY 05 -08 -08 Purchase Order NDI Date Details Qty. Each Amount Previous Balance 1,057.99 03 -27 -08 Payment Check 157093 Thank You 498.05 Remaining Balance 559.94 03 -27 -08 TRANSACTION T080873192002 HINCKLEY 5.OG DRINK NON -SPILL 6.0 8.49 50.94 HINCKLEY 5.0G DISTILLED NON SPILL 22.0 8.49 186.78 5.0 GAL BOTTLE DEPOSIT 6.0 6.00 36.00 5.0 GAL BOTTLE RETURN -28.0 6.00 168.00 5.0 GAL BOTTLE DEPOSIT 22.0 6.00 132.00 Sales Tax 0.00 Total 237.72 Recd By: 04 -10 -08 TRANSACTION 081011797710 ROOM TEMP AND COLD COOLER RENTAL 1.0 9.50 9.50 ROOM TEMP AND COLD COOLER RENTAL 1.0 9.50 9.50 ROOM TEMP AND COLD COOLER RENTAL 1.0 9.50 9.50 Sales Tax 0.00 Total 28.50 04 -10 -08 TRANSACTION 28712264 ENERGY SURCHARGE 1.0 2.19 2.19 Sales Tax 0.00 Total 2.19 04 -10 -08 TRANSACTION T081013042012 HINCKLEY 5.OG DRINK NON -SPILL 6.0 8.49 50.94 HINCKLEY 5.OG DISTILLED NON SPILL 20.0 8.49 169.80 CUP COLD FLAT 9 OZ HINCKLEY SPRINGS 100 CT 5.0 3.99 1995 30356 -P -0004 Previous Balance Payment Total New Charges Pay This Amount $1,057.99 $498.05 $509.10 $1,069.04 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.com v How to Read Your Statement Visit Our Website- Register online for access to your x rty w•^•^• account. You can view and pay your bill, check delivery schedule and order Customer Account Number: 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 W (previous balance minus payments). Easy to Pay: You can pay through the mail, online, or call us Easy to Read: r to expedite your remittance with automatic credit All charges and credits are easy: y° card payments. to understand. 0¢= 0 j awEa; Total New Charges: Po This information provides totals for Mail Remittance With Payment To: various products and transactions. Please detach remittance and mail El using business envelope provided. Important Monthly Message e ue:a zoou3 :sveeez 3tii 3 nn =.cn a coo: acs 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 your letter, give us the following information: OPT OUT NOTICE: If you do not wish to participate in this check conversion 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 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 y ou 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 Y g 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. Customer Account X1320946308394'5 nvoice 0408 w172094 f 6 3083945 ,r ,?..5� ��t Each Amount Date 3 5µ 5Details., 5.0 GAL BOTTLE RETURN -26.0 6.00 156.00 5.0 GAL BOTTLE DEPOSIT 6.0 6.00 36.00 5.0 GAL BOTTLE DEPOSIT 20.0 6.00 120.00 Sales Tax 0.00 Total 240.69 Recd By: Total New Charges 509.10 Mf080412 BM70- 17107- 000000836 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 n 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 4/21/2008 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/21/2008 0408172094E $509.10 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 //3 l C mot' v►�: -.z Date Officer VOUCHER 085352 WARRANT ALLOWED 131130 IN SUM OF `HINCKLEY SPRINGS RO BOX 660579 kQA_,.LrAS, TX 75266 -0579 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 04081720946 01- 7202 -05 $509.10 .0 Voucher Total $509.10 Cost distribution ledger classification if claim paid under vehicle highway fund