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Home My WebLink About157963 04/01/2008 CITY OF CARMEL, INDIANA VENDOR: 131130 Page 1 of 1 ONE CIVIC SQUARE HINCKLEY SPRINGS ro CARMEL, INDIANA 46032 PO Box 660579 CHECK AMOUNT: $639.46 DALLAS TX 75266 -0579 CHECK NUMBER: 157963 CHECK DATE: 4/112008 DEPARTMENT ACCO PO NUMB INVOIC NU MBER AMOU DESCRI 130.1 4239099 080803042005 79.52 OTHER MISCELLANOUS 651 5023990.: 30817209463 559.94 OTHER EXPENSES Hinckley S prings II y and of For Customer Service and Account Inquiries, LI�I�LI �IC I DS s of America, Inc. Call 1- 800 -444 -PURE (7873) or visit 7� PO Box 660579 Dallas, TX 75266 -0579 www.hinckleysprings.com Customer Account 17209463083945 ACCOUNTS PAYABLE Your Next Deliveries: Invoice Date: 03 -15 -08 CITY OF CARMEL UTILITIES 03 -27 -08 Invoice 0308 1720946 3083945 9609 HAZEL DELL PKWY 04 -10 -08 INDIANAPOLIS, IN 46280 Purchase Order Date Details Qty. Each Amount Previous Balance 1,086.04 02 -25 -08 Payment Check 156197 Thank You 587.99 Remaining Balance 498.05 02 -28 -08 TRANSACTION T080593042006 HINCKLEY 5.OG DRINK NON -SPILL 7.0 8.49 59.43 HINCKLEY 5.OG DISTILLED NON SPILL 24.0 8.49 203.76 CUP COLD FLAT 9 OZ HINCKLEY SPRINGS 100 CT 5.0 3.99 19.95 5.0 GAL BOTTLE DEPOSIT 24.0 6.00 144.00 5.0 GAL BOTTLE RETURN -31.0 6.00 186.00 5.0 GAL BOTTLE DEPOSIT 7.0 6.00 42.00 Sales Tax 0.00 Total 283.14 Rec'd By: R 03 -13 -08 TRANSACTION 27783764 ENERGY SURCHARGE 1.0 2.09 2.09 Sales Tax 0.00 Tota l 2.09 03 -13 -08 TRANSACTION 080731797710 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 03 -13 -08 TRANSACTION T080733042032 HINCKLEY 5.OG DRINK NON -SPILL 6.0 8.49 50.94 HINCKLEY 5.OG DISTILLED NON SPILL 23.0 8:49 195.27 Time to get your water dispenser ready for the hot summer months. For detailed information on proper maintenance of your water dispenser, visit 30356 -P -0004 us online at www.water.com /cooler cleaning Previous Balance Payment Total New Charges Pay This Amount O $1,086.04 $587.99 $559.94 0 $1,057.99 �n your check. Detach remittance and mail with p ayment i the e nclose d envelope. To pay onli go to www.hinckleysprings.com v How to Read Your Statement Visit Our Website: Register online for access to your Z �.a"• account. You can view and pay your check delivery schedule and order Customer Account Number:,,,, ,.rc6_ 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 cal _I us Easy to Read: to expedite your remittance with automatic credit All charges and credits are easy b card payments. to understand. °0¢0 =O 7 Total New Charges: This information provides totals for a° Mail Remittance With Payment To: various products and transactions. Please Please detach remittance and mail using business envelope provided. Important Monthly Message IIII. IIIIILJIILII. .�.IIL.ILIILIII,JI „IILIIJII IILLIIILIL .IILLIII,.IIL...IIIL.III 020610 200113 15422"!623661193 0003600 0002000 6 0 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 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 ou are unsure about. y If your check is returned for insufficient or uncollected funds (NSF), yore You do not have to an amount in q uestion while we are investigating, but on your check gives us permission to debit your checking account e p ay Y q 9, 9. for the uncollected amount. Payment by check constitutes your a� 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 A} i i f ti For further information, please write DS Waters of America, Inc. at P.O. Box 660579, D t,.. ,-aid a k. ,`?a,�� a��,?;'. y r� �j, ��y 3 g3��N n.i� ��W^eF,i ,�dv €.k a i�# A _.„�sa. ,_.oa._i}�.�s»: f_y,:•.x ,�.3ss�. ms,.« s�_..�3:`�'r.�r"'ty�.3,��.w.�„, w 8 x T Dae 2`'" t�, Ea /41ilOUrlt' t Details nQ �„s.g C 5.0 GAL BOTTLE RETURN -29.0 6.00 174.00 5.0 GAL BOTTLE DEPOSIT 6.0 6.00 36.00 5.0 GAL BOTTLE DEPOSIT 23.0 6.00 138.00 Sales Tax 0.00 Total 246.21 Recd By: Total New Charges 559.94 M1080315 BM10- 18581- 000000711 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. i Payee 131130 HINCKLEY SPRINGS Purchase Order No. PO BOX 660579 Terms DALLAS, TX 75266 -0579 Due Date 3/24/2008 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/24/2008 3081720946, $559.94 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 VOUCHER 085134 WARRANT ALLOWED 131130 IN SUM OF HINCKLEY SPRINGS Pd' BOX 660579 DALLAS, TX 75266 -0579 a, Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 30817209463 01- 7202 -05 $559.94 Voucher Total $559.94 tost distributio ledger classification if 'claim paid under vehicle highway fund Hinckley Springs PO Box 660579 a brand of For Customer Service and Account Inquiries, L DS Waters of America Inc. Call 1- 800 -444 -PURE (7873) or visit Dallas, TX 75266 -0579 www.hinckleysprings.com Cutfomer Account 17220042677859 IM ROTT Your Next Deliveries: Invoice Date: 03 -22 -08 ARMEL CITY COURT 04 -17 -08 Invoice 0308 1722004 2677859 CIVIC SO 05 -15 -08 ARMEL, IN 46032 Purchase Order Date Details Qty. Each Amount Previous Balance 116.05 03 -11 -08 Payment Check 156617 Thank You -39.56 Remaining Balance 76.49 03 -20 -08 TRANSACTION 27982884 ENERGY SURCHARGE 1.0 2.09 2.09 Sales Tax Total 2.09 03 -20 -08 TRANSACTION T080803042006 HINCKLEY 5.OG DRINK NON -SPILL 7.0 8.49 59.43 5.0 GAL BOTTLE RETURN -6.0 6.00 -36.00 5.0 GAL BOTTLE DEPOSIT 7.0 6.00 42.00 Sales Tax 0.00 Total .43 Rec'd By: 03-20-08 TRANSACTION 080802494748 HOT AND COLD COOLER RENTAL 1.0 12.00 12.00 Sales Tax 0.00 Total 12. Total New Charges 79.52 Time to get your water dispenser ready for the hot summer months. For detailed information on proper maintenance of your water dispenser, visit us online at www.water.com /cooler cleaning 30356 -P -0004 Previous Balance Payment Total New Charges F Pay This Amount $116.05 0 $39.56 $79.52 0 $156.01 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 r °rw•°•^• account. You can view and pay your bill, check delivery schedule and order Customer Account Number: .,r.•,,,.. ti products all online. For prompt service, please use this number when referring to your account. Summary: -rW Bottle Deposits: Y: 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:-- ead: to expedite your remittance with automatic credit All charges and credits are easy card payments. to understand." p y Total New Charges: w., This information provides totals for ".•�.w,>e.. Mail Remittance With Payment To: various products and transactions. Please detach remittance and mail m; using business envelope provided. Important Monthly Message wm F ]e06:0 ?OO 113 SVtzlea 3lLL 113 OCIi.[II G nun, 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 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 you are still obligated to a the amount of our bill that is not in question. 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. 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, rat §s per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. G v 5 Terms 7S�GG 'OS� Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) o (,5•y3 Total 7Z" 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. r ALLOWED 20 IN SUM OF �.0 Gros ?-i ?64 -v 5 717 ON ACCOUNT OF APPROPRIATION FOR Board Members Po# or INVOICE NO. ACCT /TITLE AMOUNT DEPT. 1 hereby certify that the attached' invoice(s), or 3 0 0 9 9 79.5 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 Signat re Cost distribution ledger classification if Title claim paid motor vehicle highway fund