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Home My WebLink About156197 02/06/2008 CITY OF CARMEL, INDIANA VENDOR: 131130 Page 1 of 1 6 ONE CIVIC SQUARE HINCKLEY SPRINGS 1, CARMEL, INDIANA 46032 PO Box 660576 CHECK AMOUNT: $587.99 DALLAS Tx 75266 -0579 CHECK NUMBER: 156197 CHECK DATE: 21612008 DEPARTMENT ACCOUNT PO NUMB INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 01081720946 587.99 OTHER EXPENSES I r Hinckley Springs I�[ a brand of For Customer Service and Account Inquiries, IHi L kc y DS Waters of America, Inc. Call 1-800-444-PURE 7873 or visit (�n' PO Box 660579 Dallas, TX 75266 -0579 www,hinckleysprings.com Customer Account 17209463083945 A CCOUNTS PAYABLE Your Next Deliveries: Invoice Date: 01 -19 -08 CITY OF CARMEL UTILITIES 01 -31 -08 Invoice 0108 1720946 3083945 9609 HAZEL DELL PKWY 02 -14 -08 Purchase Order INDIANAPOLIS, IN 46280 Date Details Qty. Each Amount Previous Balance 985.95 12 -26 -07 Payment Check 154619 Thank You 459.02 Remaining Balance 526.93 01 -03 -08 TRANSACTION T080033042006 HINCKLEY 5.OG PURIFIED DRINK 3 8.49 25.47 HINCKLEY 5.0G DISTILLED 24 9.49 227.76 5.0 GAL BOTTLE RETURN -27 6.00 162.00 5.0 GAL BOTTLE DEPOSIT 3 6.00 18.00 5.0 GAL BOTTLE DEPOSIT 24 6.00 144.00 Sales Tax 0.00 Total 253.23 Recd By: fl' 01 -17 -08 TRANSACTION 080171797710 ROOM TEMP AND COLD COOLER RENTAL 1 9.50 9.50 ROOM TEMP AND COLD COOLER RENTAL 1 9.50 9.50 ROOM TEMP AND COLD COOLER RENTAL 1 9.50 9.50 Sales Tax 0.00 Total 28.50 01 -17 -08 TRANSACTION T080173042031 HINCKLEY 5.OG PURIFIED DRINK 9 8 -49 76.41 HINCKLEY 5.OG DISTILLED 24 9.49 227.76 5.0 GAL BOTTLE RETURN -33 6 -00 198.00 5.0 GAL BOTTLE DEPOSIT 9 6.00 54.00 5.0 GAL BOTTLE DEPOSIT 24 6.00 144.00 Sales Tax 0.00 Tota 1 304.17 Recd By: 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. 30356 -P -0004 Previous Balance Paymerlf Total New Charges Pay This Amount $985.95 $459.1)2 �J $587.99 o $1,114.92 v Wri to the com plete ac count number on your check Detach remittance and mail with payment in the enclosed envelope. To pay online go to www.hinckleysprings.com v A" MI080i19 BM70- 19551 000000741 Flow to Read Your Statement visit Our Website• I Register online for access to your C°II f.Y °1°1,1°, S,MCa°°• ry °u°."•1,. account. You can view and pay your bill, check delivery schedule and order Customer Account Number: a° H products all online. For prompt service, please use this number when referring to your account. Bottle Deposits: Summary: ��R 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 I card payments. to understand. Total New Charges:° �W This information provides totals for Mail Remittance With Payment To: various products and transactions. Please detach remittance and mail using business envelope provided. I.. II. IIII... IhIIIJ. .L,lllll.11ll..11.l IIIII ....IIII,I.I.II ..III.ILIIIJ.1 Important Monthly Message =Z—A`^ IIIL.IlIJIL. 1111. I1d. IILI .IIJIL.II.11llll.dl.11lll All ILLI,. IIIJILIf. I, IIIJ.. IIIJ .ILIIILJILIJIIIIL.JIILJII —6[0 Zoo L33 154221"3661191 0 02600 000200D 6 o 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. w '`c'ustomer Account 17209463083945 Invoice;# (1148 1720946 3083945 Date Details Qty Each Amount 01 -17 -08 :m TRANSACTION 25959210 ENERGY SURCHARGE 1 2.09 2.09 Sales Tax 0.00 Total 2.09 Total New Charges 587.99 M1080119 BM10- 19553- 000000741 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 2/4/2008 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/4/2008 0108172094E $587.99 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 Date Officer VOL)CHER 077234 WARRANT ALLOWED 1 x,1130 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 01081720946 01- 7202 -05 $587.99 Voucher Total $587.99 Cost distribution ledger classification if y claim paid under vehicle highway fund