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Home My WebLink About207480 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 131130 Page 1 of 1 ONE CIVIC SQUARE HINCKLEY SPRINGS CARMEL, INDIANA 46032 PO BOX 660579 CHECK AMOUNT: $297.35 DALLAS TX 75266 -0579 'a CHECK NUMBER: 207480 CHECK DATE: 3/26/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1301 4239099 2677859 72.78 OTHER MISCELLANOUS 651 5023990 30839450310 224.57 MATERIALS SUPPLIES 1- 800 -4- WATERS 492 -8377 www.HinckloySprings.com Upcoming Delivery Dates Hinckley W e March A0 May Bottled Water Filtration Coffee .I Thursday, 15 Thursday, 12 Thursday, 10 Together, we raised almost $800 to fight breast cancer Thursday, 29 Thursday, 26 Thursday, 24 in 2011. Thanks for making a difference! Customer Account 17220042677859 KIM ROTT Invoice Date: 03 -03 -12 CARMEL CITY COURT 1 CIVIC SQ Invoice 2677859 030312 CARMEL, IN 46032 Purchase Order Date Transaction Details Qty. Each Amount Previous Balance 113.16 02 -10 -12 P205871 Payment Check 205871 Thank You -29 89 Remaining Balance 83.27 R120382494748 WHITE HOT AND COLD COOLER RENTAL 1.0 13.50 13.50 02 -16 -12 T120473042009 HINCKLEY SPRINGS 5G DRINKING WATER 2.0 9.99 19.98 CUP PLASTIC FLAT 9 OZ HINCKLEY SPRINGS 50 CT 2.0 3.49 6.98 5.0 GALLON BOTTLE RETURN -2.0 6.00 -12.00 5.0 GALLON BOTTLE DEPOSIT 2.0 6 -00 12.00 Rec'd By: Not Available or Refused 03 -01 -12 72248408 ENERGY SURCHARGE 1.0 2.35 2.35 03 -01 -12 T1 2061 304 200 7 HINCKLEY SPRINGS 5G DRINKING WATER 3.0 9.99 29.97 5.0 GALLON BOTTLE RETURN R EC E IVED -3 6,00 -18 -00 5.0 GALLON BOTTLE DEPOSIT 3.0 6.00 0 Total New Charges MAR 16 2012 72.78 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 einvoice, order additional products, check your next delivery, a our bill and much more. Lou on today! 3035fi -P -0033 Previous Balance Payment Total New Charges Pay This Amount $113.16 $29.89 �Ir: $72.78 $156.05 V W rite the complete account number onyour check_ Detach remittance and mail wit h.payment i the enclosed e nvelo pe. To_ p ay _online, o to www.Hinckle 5 r m s eo How to Read Your Statement a. °wee`' °m Important Monthly Promotions: ❑FC °min. mw-fines We Deliver! Register online for access to your line 1009 1u�1009 Mugest 3009 OaNeC Wme. "FlaNeoon'C011w Delivery Calendar M "a, 1N N� account. You can view and pay your bill, Your scheduled deliveries for •d «:o• check delivery schedule and order the next three months. m SL products all online. Customer Account Number: Bottle Deposits: For prompt service, please use this Highlights bottle deposits and returns. number when referring to your account. s o� Easy to Pay: Pay your invoice through the mail, online at Summary: www.water.com or call us to expedite your Previous balance and posted remittance with automatic credit card payments payments since last bill.°° A Total New Charges: ow..� This information provides totals for Mail Remittance With Payment To: various products and transactions. �„fl�am,ro Please detach remittance and mail using business envelope provided. 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 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. 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 r K L6 'i SPQ /1'f S Purchase Order No. Po 8Gy 6 o S7q Terms D/}LL -14 5 �x O�a�d 5 7 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 3 t -1 S S CoLt> CooLE2 flC c, 1 7-�- -7 k Total 7a 7 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. ,ff ALLOWED 20 I�T /�1G1 {LE7� Sf�/2��lGs Po IN SUM OF 0 80 (0057 q D41 L A-5 TX 7 -7 7 1? ON ACCOUNT OF APPROPRIATION FOR C a a R Board Members PO a INVOICE NO. ACCT /TITLE AMOUNT I hereby certify that the attached invoice(s) or l o a 779 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 j �CV r 20 l Si Ie Cost distribution ledger classification if claim paid motor vehicle highway fund 1- 800 -4- WATERS (492 -8377) www.HinckleySprings.com Upcoming Delivery Dates Hinckl March r L May F Bottled Water Filtration Coffee Thursday, 22 Thursday, 5 Thursday, 3 Thursday, 19 Thursday, 17 Together, we raised almost $800,000 to fight breast cancer Thursday, 31 in 2011. Thanks for making a difference! Customer Account 17209463083945 JOE ACCOUNTS PAYABLE Invoice Date: 03 -10 -12 CITY OF CARMEL UTILITIES 9609 HAZEL DELL PKWY Invoice 3083945 031012 INDIANAPOLIS, IN 46280 Purchase Order Date Transaction Details Qty. Each Amount Previous Balance 342.49 02 -10 -12 P205871 Payment Check 205871 Thank You _158.28 Remaining Balance 184.21 02 -23 -12 T120543042003 HINCKLEY SPRINGS 5G DRINKING WATER 7.0 9.99 69.93 CUP PLASTIC FLAT 9 OZ HINCKLEY SPRINGS 50 CT 10.0 3.49 34.90 5.0 GALLON BOTTLE RETURN -7.0 6.00 -42.00 5.0 GALLON BOTTLE DEPOSIT 7.0 5.00 42.00 Recd By: Not Available or Refused 81 20541 79771 0 WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 9.50 9.50 WHITE ROOM TEMP AND COLD COOLER RENTAL 1 -0 11.00 11.00 WHITE ROOM TEMP AND COLD COOLER RENTAL 1 -0 9.50 9.50 WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 11.00 11.00 WHITE ROOM TEMP AND COLD COOLER RENTAL 1 -0 11.00 11,00 03 -08 -12 T120683042006 HINCKLEY SPRINGS 5G DRINKING WATER 6.0 9.99 59.94 CUP PLASTIC FLAT 9 OZ HINCKLEY SPRINGS 50 CT 5.0 3.49 17.45 5.0 GALLON BOTTLE RETURN -8.0 6.00 -48.00 5.0 GALLON BOTTLE DEPOSIT 6,0 6.00 36.00 Recd By: Not Available or Refused 03 -08 -12 72489581 ENERGY SURCHARGE 1.0 2.35 2.35 Total New Charges 224.57 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 einvoice, order additional products, check your next delivery, pay your bill and much more. Log on today! �j 30356 -P -0036 �$342 Payment Total New Charges Pay This Amount $158.28 $224.57 :6408.78 V W rite the c omplete accoun number on your check. Detach remittance and mail with pay ment in the enclosed envelo To pay online go to www,HinckleySprings.com V i How to Read Your Statement Important Monthly Promotions: uvwminy oer ".r o.s, We Deliver! Register online for access to your Delivery Calendar: account. You can view and pay your bill, M a s w,. Your scheduled deliveries for M3 check delivery schedule and order the next three months. products all online. ate. Customer Account Number: Bottle Deposits For prompt service, please use this my o Highlights bottle deposits and returns. number when referring to your account. "I U RINT U 11 Easy to Pay: Pay your invoice through the mail, online at Summary: b www.water.com or call us to expedite your Previous balance and posted remittance with automatic credit card payments payments since last bill. Total New Charges: This information provides totals for Mail Remittance With Payment To: various products and transactions. Please detach remittance and mail aw e� c using business envelope provided. Important Monthly Message µx "E "E °s „us 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 our letter, give 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: 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. VOUCHER 116976 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 30839450310 01- 7202 -05 $224.57 Voucher Total $224.57 Cost distribution ledger classification if claim paid under vehicle highway fund 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 3/19/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/19/2012 3083945031( $224.57 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 f r Date Officer