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Home My WebLink About180115 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 131130 Page 1 of 1 ONE CIVIC SQUARE HINCKLEY SPRINGS CHECK AMOUNT: $622.27 CARMEL, INDIANA 46032 PO BOX 660579 DALLAS TX 75266 -0579 CHECK NUMBER: 180115 CHECK DATE: 12/8/2009 DEPARTME ACCOUNT PO N INVOICE NUMBE AMOUNT DESCRIPTION 651 5023990 11091720946 622.27 OTHER EXPENSES 1_8Q.0_4_WATERS_(_492= 8377_) www.HinckteySprings.com Upcoming Delivery Dates Hinckley® W `I December January February Spnncgs, Bottled Water Filtration Coffee Thursday, 3 Thursday, 14 Thursday, 11 Help us make a difference in the fight against breast Thursday, 17 Thursday, 28 Thursday, 25 cancer. Now through December 31, 2009 „when you refer your Thursday, 31 friends or family to start new service with any one of our Komen Budget Plans, we'll donate $30 to .Susan G. Komen for the Cur_e.--Lisit Water.eom/Ko_me.nR-eferfal today Customer Account 17209463083945 JOE ACCOUNTS PAYABLE Invoice Date: 11 -21 -09 CITY OF CARMEL UTILITIES 9609 HAZEL DELL PKWY Invoice 1109 1720946 3083945 INDIANAPOLIS, IN 46280 Purchase Order Date Transaction Details Qty. Each Amount Previous Balance 1,337.45 10 -26 -09 P178193 Payment Check 178193 Thank You 645.26 11 -20 -09 P179242 Payment Check 179242 Thank You 692.19 Remaining Balance 0.00 R093091797710 WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 9.50 9.50 WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 10.50 10.50 WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 10.50 10.50 WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 10.50 10.50 11 -05 -09 T093093042004 HINCKLEY SPRINGS 5G DRINK NON -SPILL 7.0 9.49 66.43 HINCKLEY 5.OG DISTILLED NON SPILL 23.0 9.99 229.77 5.0 GAL BOTTLE RETURN -30.0 6.00 180.00 5.0 GAL BOTTLE DEPOSIT 7.0 6.00 42.00 5.0 GAL BOTTLE DEPOSIT 23.0 6,00 138.00 Recd By: Not Available or Refused 11 -19 -09 T093233042004 HINCKLEY SPRINGS 5G DRINK NON -SPILL 6.0 9.49 56.94 HINCKLEY 5.OG DISTILLED NON SPILL 21.0 9.99 209.79 CUP COLD FLAT 9 OZ HINCKLEY SPRINGS 100 CT -3.0 4.49 -13.47 CUP PLASTIC FLAT 9 OZ HINCKLEY SPRINGS 50 CT 10.0 2.99 29.90 5.0 GAL BOTTLE DEPOSIT 6.0 6.00 36.00 5.0 GAL BOTTLE RETURN -27.0 6.00 162.00 5.0 GAL BOTTLE DEPOSIT 21.0 6.00 126.00 Recd By: Not Available or Refused 11 -19 -09 47100428 ENERGY SURCHARGE 1 0 1:.91 1.91 Managing your account is now at your fingertips. Take advantage of many time- saving options available on water.com. Save paper when you sign up for elnvoice, order additional p roducts,.c h ec kyouur- next -del ivery,- payyouur_bill.an d_m uch- more._Log_on_today! aoase- P -oo3s Previous Ealance Payment Total New Charges Pay This Amount $1,337.45 $1,337.45 $622.27 $622.27 r Write the complete account number -on your- check: Detach remittance and mail with-oavmentinahe enclosed envelooeJo oav online oo to- wwwAnckle4orinas rnm V How to Read Your Statement w.w.,EAS Important Monthly Promotions: �aom we Deaver! Register online for access to your Delivery Calendar: account. You can view and pay your bill, 1. p M�� 3 Your scheduled deliveries for m, check delivery scheduVe and order the next three months. products all online. Customer Account Number: Bottle Deposits: For prompt service, please use this number when referring to your account. 6 Highlights bottle deposits and returns. Easy to Pay: Pay your invoice through the mail, online at Summary: sG www.wateccom or call us to expedite your Previous balance and posted remittance with automatic credit card payments payments since last bill.°:: ^s +m u,� n ESS Total New Charges: This information provides totals for „wm Mail Remittance With Payment To: various products and transactions. Please detach remittance and mail El ch s using business envelope provided. Il...I.LI „�I,I.II ..I IJI l 1 II11.1 1.11 Imon newmE ^c°w „n v.r.,mm r Important Monthly Message 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 g g program, please write to us on a separate sheet at: o Your name and complete account number. P.O. Box 660579, Dallas, TX 75266 -0579. The dollar amount of the suspected error. o 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. b,'r' t �3?f 4 1� �srm r i �kx v.a�e�� 8 Gustorner Account 1720946308394 m� "Involve 1109 172094GW3083945� w.k.. w w a �,f}` ,Ur �'d ��3 �Iz�' F ,�a 3, �a ,wig P .E n, a �at@ ,i, �etalls 3 k!£( i z'S ri i �Et -w 3 4W, (,j� „.a each I�Yrr10 �lti e m .r n. RD K EW i te a e. .w k,� Total New Charges 622.27 M1091121_BM10- 11125 000000613 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 12/1/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/1/2009 1109172094E $622.27 I hereby certify that the attached invoice(s), or biil(s) is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 Date Officer `JOUCHER 096849 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 11091720946 01- 7202 -05 $622.27 Voucher Total $622.27 Cost distribution ledger classification if claim paid under vehicle highway fund