The URL can be used to link to this page

Home My WebLink About212239 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 131130 Page 1 of 1 ONE CIVIC SQUARE HINCKLEY SPRINGS � CARMEL, INDIANA 46032 PO BOX 660579 CHECK AMOUNT: $452.15 DALLAS TX 75266-0579 CHECK NUMBER: 212239 CHECK DATE: 8128/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1301 4239099 267785908181 42 .49 OTHER MISCELLANOUS 651 5023990 30839450728 409 . 66 OTHER EXPENSES 1-800-4-WATERS (1-800-492-8377) www.HinckleySprings.com Upcoming Delivery Dates HlnCkiey 8TANDAF6 Au ust September October SPI Inds We Deliver! Bottled Water• Filtration • Coffee Thursday, 30 Thursday, 13 Thursday, 11 Cool off with great-tasting AriZona Tea. For a limited time Thursday, 27 Thursday, 25 only, buy two cases(12 cans/case)for only$12. Ask your RSR or call 800.4.WATERS to order today! Customer Account#: 17220042677859 KIM ROTT Invoice Date: 08-18-12 CARMEL CITY COURT 1 CIVIC SQ Invoice#: 2677859 081812 CARMEL, IN 46032 Purchase Order#: Date Transaction# Details Qty. Each Amount Previous Balance 89.87 07-20-12 P210398 Payment-Check-210398-Thank You -43.93 08-10-12 P211316 Payment-Check-211316-Thank You -45.94 Remaining Balance 0.00 R122062494748 WHITE HOT AND COLD COOLER RENTAL 1.0 13.50 13.50 08-02-12 T122153042008 HINCKLEY SPRINGS 5G DRINKING WATER 2.0 9.99 19.98 5.0 GALLON BOTTLE DEPOSIT 2.0 6.00 12.00' 5.0 GALLON BOTTLE RETURN -1.0 6.00 -6.00 Recd By:Not Available or Refused 08-16-12 77432405 ENERGY SURCHARGE 1.0 3.01 3.01 . ------------------------------------------------------------------------------------------------------ Total New Charges 42.49 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! 30356-P-0036 Previous Balance Payment Total New Charges o Pay This Amount $89.87 $89.87 $42.49 How to Read Your Statement <w.,ERS Important Monthly Promotions: Vpcoming Delivery Dates We Deliver! Register online for access to your )une2M luy2— August 3009 ® Bon eU Weter'Filtrawn'C°Hee Delivery Calendar: o � •N.,°n.F M.� account.You can view and pay your bill, ,e s :m check delivery schedule and order Your scheduled deliveries for "°"°"" M°„ °.,"„"„�,��°;�• the next three months. products all online. Customer Account Number: For prompt service, please use this - Bottle Deposits: number when referring to your account. "° ”'°'° ° Highlights bottle deposits and returns. ,E U,= ...o b 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 .� a O-O CO O Total New Charges: This information provides totals for Mail Remittance With Payment To: various products and transactions. awn.� Please detach remittance and mail o�w ❑ � „e�- : using business envelope provided. Important Monthly Message ,a„d.d„.,,,n - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 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 You do not have to pay any amount in question while we are investigating, but on your check gives us permission to debit your checking account electronically you are still obligated to a the amount of our bill that is not in question.While for the uncollected amount. Payment by check constitutes your acceptance of y g pay y q 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 -Dl+ S �X / ��°� CO Date Due Invoice Invoice Description Amount Dat Number (or note attached invoice(s) or bill(s)) a6 -7?' 16S F P- or f- cc)L ook Zvi /3. 56 r ,0 A6, 9f 9 11 L Total '�o? 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 P6 b6"1- IN SUM OF $ T-x -7 5a�� ON ACCOUNT OF APPROPRIATION FOR Board Members PD#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), or J O C) 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 Si r Itle Cost distribution ledger classification if claim paid motor vehicle highway fund -800-4-WATERS,(1-800-499-8377) wuwuw HimckleySprings m Upcoming Delivery Dates HlnCkiey 6TIMA% August September October Springs We Deliver! Bottled Water• Filtration • Coffee Thursday, 9 Thursday, 6 Thursday, 4 Cool off and replenish this summer with our Thursday,23 Thursday, 20 Thursday, 18 super-size Sqwincher Squeeze Electrolyte Freeze Pops. Now 50%off for a limited time only. Ask your RSR or call 800.4.WATERS to order today. Customer Account#: 17209463083945 JOE ACCOUNTS PAYABLE Invoice Date: 07-28-12 CITY OF CARMEL UTILITIES Invoice#: 3083945 072812 9609 HAZEL DELL PKWY INDIANAPOLIS, IN 46280 Purchase Order#: Date Transaction# Details Qty. Each Amount Previous Balance 377.23 Payment 0.00 Remaining Balance 377.23 8121941797710 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 9.50 9.50 WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 11.00 11.00 07-12-12 T121943042004 HINCKLEY SPRINGS 5G DRINKING WATER 13.0 9.99 129.87 CUP PLASTIC FLAT 9 OZ HINCKLEY SPRINGS 50 CT 3.0 3.69 11.07 HINCKLEY SPRINGS 5G DRINKING WATER 1.0 0.00 0.00 5.0 GALLON BOTTLE DEPOSIT 13.0 6.00 78.00 5.0 GALLON BOTTLE RETURN -13.0 6.00 -78.00 5.0 GALLON BOTTLE DEPOSIT 1.0 6.00 6.00 Rec'd By: Not Available or Refused 07-26-12 T122083042008 HINCKLEY SPRINGS 5G DRINKING WATER 15.0 9.99 149.85 CUP PLASTIC FLAT 9 OZ HINCKLEY SPRINGS 50 CT 10.0 3.69 36.90 5.0 GALLON BOTTLE DEPOSIT 15.0 6.00 90.00 5.0 GALLON BOTTLE RETURN -13.0 6.00 -78.00 Rec'd By: Not Available or Refused 1-Sao -Os 07-26-12 76810573 ENERGY SURCHARGE 1.0 2.47 2.47 '6L50-9919L Xl`Selleo`6L5099 x08'O'd le'oul`e3laawd to saaleM So alien aseeld`uollewjolul aaglanl ao6 •(da6)uollealslulwpy Grua pue pooh lejap8=1 aql Aq pole6lnwoad suollelnbei pue salnj of loalgns sl aalem poliloq`lonpoid pool a sd How to Read Your Statement °°°," °,e Important Monthly Promotions: Up11-9 De1lvery D-1 e We Deliver! Register online for access to your june 2O jvN2 o 1oo9 3 o ea "c°nee Delivery Calendar: Mo�rb �. account.You can view and pay your bill, check delivery schedule and order Your scheduled deliveries for "° -" y„ �, the next three months. products all online. Customer Account Number: For prompt service,please use this Bottle Deposits: Highlights bottle deposits and returns. number when referring to your account. Easy to Pay: ey Pay your invoice through the mail,online at Summary: o°„°,5,,., www.water.com or call us to expedite your Previous balance and posted remittance with automatic credit card payments payments since last bill. n:.;a:er. fao„°ova. Total New Charges: «°°^ This information provides totals for >`', .;'o'"""°” Mail Remittance With Payment To: various products and transactions. °�Faw"'new Please detach remittance and mail ❑,m,,; b ❑�q,W :a 5 using business envelope provided. ILJLLdddLllll„IJLIIJdIILJ �� IM°Il R—Itt.—Wlm Pry—T.I Important Monthly Message ,C,,” - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 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. Customer Account#: 17209463083945 Invoice#: 3083945 072812 Date Details Qty. Each Amount Total New Charges 409.66 z M1120728 BM10-71-000000387 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 8/20/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/20/2012 3083945072f $409.66 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance with IC 5-11-10-1.6 Date Officer VOUCHER # 125501 WARRANT # ALLOWED. 131130 IN SUM OF'$ 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 30839450728 01-7202-05 $409.66 Voucher Total $409.66 Cost distribution ledger classification if claim paid under vehicle highway fund