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Home My WebLink About157093 03/05/2008 CITY OF CARMEL, INDIANA VENDOR: 131130 Page 1 of ONE CIVIC SQUARE HINCKLEY SPRINGS CHECK AMOUNT: $574.54 1 CARMEL, INDIANA 46032 PO BOX 660579 DALLAS TX 75266 -0579 CHECK NUMBER: 157093 CHECK DATE: 3/5/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 02081720946 498.05 7202.056 1301 4239099 080523042005 76.49 OTHER MISCELLANOUS 6 HINI:KLLY SPRINGS WAIER 800-444-PURE WATER.COM ORIGINAL CUSTOMER U I_W004 IICKFL s 11130$2304ZI105 Location 2677868 POp: CARMFL "ITV I:nURl Daly. 021211 l iu'e n: 16:015 +m 1 CIVIC SQ ROUIF# 3042 LEE CARMEL, IN 46032 I.asl Paprenl D „t, 2;11/20111 Ins! P. Product Delivered Qty PRICE AMOUNI HS 5G DR NS-- 5 $8.49 $42.45 Its 5G Deposits 5 $6.00 $311.00 BOT S.OG PLS >B -5 4 6.OU -3U.00 5CuFlal9zHSP X 5 $3.99 $19.95 f� il D.i i,:ral i,n�.; i�.l1,i• ii lr.n,ai i Ilnlllr Drlr.,�il•,; Subtotal Sales 62.40 Sales Tax 0.00 UE_I_IVERY IICKEI TOIAL 62,40 Plevio Accuunl Balance 39.56 Total Balance Due 101.96 Payments: ENDING BALANCE 101.96 Nr:x l 0,; i v: l y U,, tr:: '2120120f i1 InUn ly illVU1�_�f. iirr,'n i'u yuni I�•, Hinckley Springs For Customer Service and Account Inquiries, I a brand of �I��1C�S'_j DS Waters of America Inc. Call 1- 800 -444 -PURE (7873) or visit PO Box 660579 Dallas, TX 752.66 -0579 www.hinckleysprings.com Customer Account 17220042677859 KIM ROTT Your Next Deliveries: Invoice Date: 02 -23 -08 CARMEL CITY COURT 03 -20 -08 Invoice 0208 1722004 2677859 1 CIVIC SO 04 -17 -08 CARMEL, IN 46032 Purchase Order Date Details Qty. Each Amount Previous Balance 70.54 02 -11 -08 Payment Check 155757 Thank You -30.98 Remaining Balance 39.56 02 -21 -08 TRANSACTION T080523042005 HINCKLEY 5.OG DRINK NON -SPILL 5.0 8.49 42.45 CUP COLD FLAT 9 OZ HINCKLEY SPRINGS 100 CT 5.0 3.99 19.95 5.0 GAL BOTTLE DEPOSIT 5.0 6.00 30.00 5.0 GAL BOTTLE RETURN -5.0 6.00 -30.00 Sales Tax Total 62.40 i d 3y: 11 A61V 02 -21 -08 TRANSACTION 27049234 ENERGY SURCHARGE 1.0 2.09 2.09 Sales Tax Tota I 09 02 -21 -08 TRANSACTION 080522494748 HOT AND COLD COOLER RENTAL 1.0 12.00 1200 Sales Tax Total 12.00 Total New Charges 76.49 Managing your account is now at your fingertips. Take advantage of many new self- service features available on water.com. Order additional products, view 30356 -P -0004 your next delivery, register for elnvoice and much more. Log in today! Previous Balance Payment Total New Charges Pay This Amount L J $70.54 0 $30.98 $76.49 $116.05 o Write the complete account number on your check. Detach remittance a nd mail with payment in the enclosed en velope. To pay online go to www.hin v i How to Read Your Statement Visit Our Website: Register online for access to your account. You can view and pay your bill, check delivery schedule and Customer Account Number: a products all online. For prompt service, please use this number when referring to your account. Summar 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: r to expedite your remittance with automatic credit All charges and credits are easy 1: card payments. to understand. 6 =uo FO Total New Charges: This information provides totals for Mail Remittance With Payment To: various products and transactions. Please detach remittance and mail aw_-M using business envelope provided. U.,11..I1 ILLIM LJ L11J1 .J.I.,ILI 7 Important Monthly Message °os:o _00=.3 sveaea as�u�e nr.....[n t rooaa[a 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 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 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 -0578. 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. 7I' Q 6052 Terms 05 7 r'J Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) �0 OS k d c�L Total 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 �LLIZI, IN SUM OF D 79 ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 3U/ 9 0 6, v,),, 3 90, 7 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 Tit e Cost distribution ledger classification if claim paid motor vehicle highway fund �l ��(iI a brand y Springs For Customer Service and Account Inquiries, L��'' ac� ley DS Waters of America, Inc. S(�nngSQ PO Box 660579 Call 1- 800 444 -PURE {7873} or visit Dallas, TX 75266 -0579 www.hinckleysprings.com Customer Account 17209463083945 ACCOUNTS PAYABLE Your Next Deliveries: Invoice Date: 02 16 08 CITY OF CARMEL UTILITIES 02 28 08 Invoice 0208 1720946 3083945 9609 HAZEL DELL PKWY 03 -13 -08 INDIANAPOLIS, IN 46280 Purchase Order Date Details Qty. Each Amount Previous Balance 1,114.92 01 -29 -08 Payment Check 155333 Thank You 526.93 Remaining Balance 587.99 01 -31 -08 TRANSACTION 7080313042006 HINCKLEY 5.0G PURIFIED DRINK 7.0 8.49 59.43 HINCKLEY 5.OG DISTILLED 18.0 9.49 170.82 5.0 GAL BOTTLE DEPOSIT 7.0 6.00 42.00 5.0 GAL BOTTLE RETURN -25.0 6.00 150.00 5 -0 GAL BOTTLE DEPOSIT 18.0 6.00 108.00 Sales Tax 0.00 Total 230.25 Recd By: D 6 wzv 02 -14 -08 TRANSACTION 080451797710 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 02 -14 -08 TRANSACTION 26862106 ENERGY SURCHARGE 1.0 2.09 2.09 Sales Tax 0.00 Total 2.09 02 -14 -08 TRANSACTION T080453042033 HINCKLEY 5.OG DRINK NON -SPILL 7.0 8.49 59.43 HINCKLEY 5.OG DISTILLED NON SPILL 20.0 8.49 169.80 CUP COLD FLAT 9 OZ HINCKLEY SPRINGS 100 CT 2.0 3 -99 7.98 Managing your account is now at your fingertips. Take advantage of many new self service features available on water.com. Order additional products, view your next delivery, register for elnvoice and much more. Log in today! 3osss Q 000a Previous Balance Payment Total New Charges Pay This Amount $1,114.92 0 $526.93 $498.05 0 $1,086.04 v Write the com plete account number on y our check. Detach remittance and mail with pay ment in the enclosed envelope. To pa 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 pay your bill, M"M check delivery schedule and order Customer Account Number: products all online. For prompt service, please use this number when referring to your account. N� Battle Deposits: Summary: rt 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 w /card payments. to understand. °0¢= �Om Total New Charges: This information provides totals for Mail Remittance With Payment To: various products and transactions. Please detach remittance and mail o=—=r, s using business envelope provided. Important Monthly Message ��...111..,. 111111. IAII. .LL,IL.IIJILIIL.IL.III.L1.111 0. 66111. ALIIA.Ill. LAI.I IIJLIL.IILIJ9..IiL.AILAI 020630 200111 154227822661193 0003600 8 0002000 b 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 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. m Custoer Account ,'17209463083945 Invoice!# 0208 1720946`3083945 "Date r ,Details ;Qty Each Amount 5.0 GAL BOTTLE RETURN -27.0 6.00 162.00 5.0 GAL BOTTLE DEPOSIT 7.0 6.00 42.00 5.0 GAL BOTTLE DEPOSIT 20.0 6.00 120.00 Sakes Tax 0.00 Total 237.21 Recd By: Total New Charges 498.05 M 1080216 BM10- 21105- 000000677 Page 2of2 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 2/28/2008 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/28/2008 0208172094E $498.05 5 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 077445 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 02081720946 01- 7202 -05 $498.05 r Voucher Total $498.05 •Cost distribution ledger classification if claim paid under vehicle highway fund