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Home My WebLink About171870 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 131130 Page 1 of 1 ONE CIVIC SQUARE HINCKLEY SPRINGS CHECK AMOUNT: $684.79 f CARMEL, INDIANA 46032 PO BOX 660579 DALLAS TX 75266 -0579 CHECK NUMBER: 171870 CHECK HATE: 4129/2009 DEPARTMENT ACCOUNT PO NUM BER INVOIC NUMBE AMOUNT DESCRIPTION 651 5023990 04091720946 651.07 OTHER EXPENSES 1301 4239099 040917722004 33.72 O'T'HER MLSCELLANOUS x inckley springs For Customer Service and Account Inquiries, a brand of Call 1- 800 444 -PURE (7873) or visit nngs, DS Waters of America, Inc. H PO Box 660579 www.hinckleysprings.com Dallas, TX 75266 -0579 Customer Account 17209463083945 ACCOUNTS PAYABLE Your Next Deliveries: Invoice Date: 04 -11 -09 CITY OF CARMEL UTILITIES 04 -23 -09 Invoice 0409 1720946 3083945 9609 HAZEL DELL PKWY 05 -07 -09 INDIANAPOLIS, IN 46280 Purchase Order Date Details Qty. Each Amount Previous Balance 1,181.16 03 -20 -09 Payment Check 169463 -Thank You 505.02 Remaining Balance 676.14 03 -26 -09 TRANSACTION T090853042003 HINCKLEY 5.OG DRINK NON -SPILL 10.0 9.49 94.90 HINCKLEY 5.OG DISTILLED NON SPILL 22.0 9.99 219.78 CUP COLD FLAT 9 OZ HINCKLEY SPRINGS 100 CT 5.0 4.49 22.45 5.0 GAL BOTTLE DEPOSIT 22.0 6.00 132.00 5.0 GAL BOTTLE DEPOSIT 10.0 6.00 60.00 5.0 GAL BOTTLE RETURN -32.0 6.00 192.00 Recd By: TRANSACTION R090851797710 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 04 -09 -09 TRANSACTION 40142434 ENERGY SURCHARGE 1.0 1.74 1.74 04 -09 -09 TRANSACTION T090993043064 HINCKLEY 5.OG DRINK NON -SPILL 5.0 9.49 47.45 HINCKLEY 5.OG DISTILLED NON SPILL 22.0 9.99 219.78 CUP COLD FLAT 9 OZ HINCKLEY SPRINGS 100 CT 3.0 4.49 13.47 5.0 GAL BOTTLE DEPOSIT 5,0 6.00 30.00 5.0 GAL BOTTLE RETURN -27.0 6.00 162.00 5.0 GAL BOTTLE DEPOSIT 22.0 6.00 132.00 Recd By: 30356 -P -0023 Previous Balance Payment r Total New Charges Pay This Amount How to Read Your Statement Visit Our Website• Register online for access to your account. You can view and pay your bill, Customer Account Number: ,M 22 9 od check delivery schedule and order For prompt service, please use this products all online. r number when referring to your account. Summary: 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: d to expedite your remittance with automatic credit All charges and credits are easy Tw,- /card p to understand. °0¢0 =D Total New Charges:. This information provides totals for ewn,M Mail Remittance With Payment To: various products and transactions. Please detach remittance and mail using business envelope provided. .�.....,.3... Important Monthly Message &.us:o :oo�.i3 ..vanezasse wa nns..cn t cede io c a 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. It 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. It your check is returned for insufficient or uncollected funds (NSF), your signature You do not have to a amount in q uestion while we are investigating, but on your check gives us permission to debit your checking account electronically pay any q 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.'. B ?,Custamer Account o 17z20946308394§�I, v Ice R a r Y e 5 b l Date Details s�� Qty Each Amount. MI Total New Charges 651.07 1 M109041 1_BM1 0-9103-000001535 Page 2 of 2 Prescribed b State Board of Accounts Y City Form tJo. 201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER m 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 4/20/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/20/2009 0409172094( $651.07 hereby certify that the attached invoice(s), or bill(s) is (are) true and orrect and 1 have audited same in accordance with IC 5- 11- 10 -1.6 �113A Date Officer VOUCHER 095467 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 04091720946 01- 7202 -05 $651.07 4 Voucher Total $651.07 Cost distribution ledger classification if claim paid under vehicle highway fund H Hinckley ad Springs For Customer Service and Account Inquiries, DS Waters of America Inc. Call 1- 800 -444 -PURE (7873) or visit PO Box 660579 www.hinckleysprings.com Dallas, TX 75266 -0579 f Customer Account 17220042677859 KIM ROTT Your Next Deliveries: Invoice Date: 04 -18 -09 CARMEL CITY COURT 05 -14 -09 Invoice 0409 1722004 2677859 1 CIVIC SQ 06 -11 -09 Purchase Order CARMEL, IN 46032 =d— Date Details oty. Each Amount Previous Balance 65.70 04 -14 -09 Payment Check 170427 Thank You -65.70 Remaining Balance 0.00 TRANSACTION R090922494748 WHITE HOT AND COLD COOLER RENTAL 1.0 13.00 13.00 04 -16 -09 TRANSACTION 40310603 ENERGY SURCHARGE 1.0 1.74 1.74 04 -16 -09 TRANSACTION T091063042007 HINCKLEY 5.OG DRINK NON -SPILL 2.0 9.49 8.98 5.0 GAL BOTTLE RETURN -2.0 6.00 5.0 GAL BOTTLE DEPOSIT 2.0 6.00 12.00 Rec'd By: Total New Charges 33.72 30356 -P -0023 Previous Balance Payment Total New Charges Pay This Amount $65.70 0 $65.70 $33.72 $33.72 V Write the complete account number on your check. Detach remittance and mail with payment in the enclosed envelo To pay online g o to www.hicnkle ysprings.com How to Read Your Statement Visit Our Website: Register online for access to your n W° account. You can view and pay your bill, z,1 A o check delivery schedule and order Customer Account Number: products all online. For prompt service, please use this number when referring to your account. r� Bottle Deposits: Summary:- ummar 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: w to expedite your remittance with automatic credit All charges and credits are easy card payments. to understand. Total New Charges: �•,M. .W This information provides totals for g a a Mail Remittance With Payment To: various products and transactions. v Please detach remittance and mail o oy Z� using business envelope provided. i °IIAI.II.ILIII.I. .I..I..II.II..IL....I.I-0I.I IIllli„III!.LE.II. II.I .III.IJI..I Important Monthly Message ]cub:a '.00tt .sv zzaz36u=3 nCC =.CA t C70: ]L7 L '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 -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. Terms --7S aGG -a 79 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 9 0� oq o9lu I-J'a L' 1.74 3.00 Total 4 33 ZZ 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. A ALLOWED 20 IN SUM OF L 33. 7a ON ACCOUNT OF APPROPRIATION FOR Board Members Pd# or INVOICE NO. ACCT /TITLE AMOUNT DEPT. l hereby certify that the attached invoice(s), or qa.� �3.�� bill(s) is (are) true and correct and that the 136 materials or services itemized thereon for which charge is made were ordered and received except C 2 Cost distribution ledger classification if Title claim paid motor vehicle highway fund