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Home My WebLink About222987 08/13/2013 \,f CITY OF CARMEL, INDIANA VENDOR: 131130 Page 1 of 1 ONE CIVIC SQUARE HINCKLEY SPRINGS CARMEL, INDIANA 46032 PO BOX 660579 CHECK AMOUNT: $299.00 DALLAS TX 75266-0579 CHECK NUMBER: 222987 CHECK DATE: 8/13/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 12553186072 260 . 77 OTHER EXPENSES 1301 4239099 267785907201 38 . 23 OTHER MISCELLANOUS 1-800-4-WATERS 1-800-492-8377 www.HinckleySprings.com Upcoming Delivery Dates Hinckley gTAND V Springs We Deliver! July. Au ust September Bottled Water• Filtration • Coffee -- .......- Thursday, 25 Thursday, 22 Thursday, 19 With temperatures rising, July's the perfect time for brewing a pitcher of delicious iced tea for all your picnics, parties and meals outside. Make it amazing with our crisp and refreshing water, the perfect starting point for mixing up a glass of this summertime classic! Customer Account#: 17220042677859 PAM BAKER Invoice Date: 07-20-13 CARMEL CITY COURT Invoice#: 2677859 072013 1 CIVIC Purchase Order#: CARMEL, I N 46032 Date Transaction# Details Qty. Each Amount Previous Balance 98.75 06-21-13 P220643 Payment-Check-220643-Tank You -62.43 Remaining Balance T/� 3 36.32 R1 31 761 01 40050 EVEREST BLACK HOT AND COLD COOLER W ITH CUP 1.0 06-27-13 T131783042034 HINCKLEY SPRINGS 5G DRINKING WATER 2.0 9.99 19.98 CUP PLASTIC FLAT 9 OZ HINCKLEY SPRINGS 50 CT 1.0 3.89 3.89 5.0 GALLON BOTTLE RETURN -2.0 6.00 -12.00 5.0 GALLON BOTTLE DEPOSIT 2.0 6.00 12-00 ENERGY SURCHARGE 1.0 3.11 3.11 Rec'd By: Not Available or Refused Total New Charges 38.23 /�Pf It's now easier than ever to manage your account online.A new&i proved website has been created with enhanced features.Please visit water.comlmywater to take ptivantage of the many time-saving options available.Your username&password will remain a or you can create a new one. 30356-P-0037 CP7rev�iou�sBalance C__P�;,yment Total New Char es Pay This Amount 75 52.43 $38.23 $74.55 0 Write the complete account number on your check.Detach remittance and mail with-payment in he enclosed env -pe.To pay online go to _ ._www.HinckleySprings.cam- How to Read Your Statement Important Monthly Promotions: Upmmi„g Delivery Dates We Deliver! g � Register online for access to your Delivery Calendar: M°�'°°' -0 yI wre account.You can view and pay your bill, y �, N:�F- Your scheduled deliveries for M.-," °°""° flBe" check delivery schedule and order the next three months. °°� Po products all online. Customer Account Number: T°• For prompt service,please use this Bottle Deposits: number when referring to your account. '°� '°'° w tee, Highlights bottle deposits and returns. NT- TU ° Easy to Pay: Pay your invoice through the mail,online at Summary: ., w www.water.com or call us to expedite your Previous balance and posted remittance with automatic credit card payments payments since last bill. ,..,.0 „tr.NIN.N m,wn.ro� a%•`•.aa'^�- ml pd.-4 ..e...,s qp Total New Charges: wye,..e... This information provides totals for -M Mail Remittance With Payment To: various products and transactions. ^—s^ .«^ w Please detach remittance and mail f Z using business envelope provided. II,.,I,1,I.,,I,I,II,,,II„II„..I,II,IIIIIIIIII ,Men nemmmce wnn aeyme I t°:e ,n weirvsneE, Important Monthly Message °Ny""Ene,°514" 1°' II,IdLLlllllvll»IIIII!I,I!IIII - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 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. 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 f� Sj�►'Z r Al C, S __ 1 I1 tic-14- � Purchase Order No. Terms ,DftLL- / �o Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 3 .10779rS_9-7 3 Gjx q Crry le� (-tn 0_1A4 ��'• C:P3 Total �• o?3 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. 141 6 ALLOWED 20 s IN SUM OF $ dy C7 ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), or 130 r a 3q&99 3 g,a3 bill(s) is (are) true and correct and that the 7a0 materials or services itemized thereon for which charge is made were ordered and received except 20 S' n 3g, a3 Cost distribution ledger classification if Title claim paid motor vehicle highway fund 1-800-4-WATERS (1-800-492-8377) www.HinckleySprings.com Upcoming Delivery Dates Hinckiey 61kMA% Sprinc�s We Deliver! August September October Bottled Water• Filtration • Coffee Thursday, 8 Thursday, 5 Thursday, 3 With temperatures rising, Julys the perfect time for Thursday, 22 Thursday, 19 Thursday, 17 brewing a pitcher of delicious iced tea for all your Thursday, 31 picnics, parties and meals outside. Make it amazing with our crisp and refreshing water, the perfect starting point for mixing up a glass of this summertime classic! Customer Account#: 172094612553186 JOE ACCOUNTS PAYABLE OS Invoice Date: 07-27-13 CITY OF CARMEL UTILITIES 9609 HAZEL DELL PKWY �'�� Invoice#: 12553186 072713 INDIANAPOLIS, IN 46280 Purchase Order#: Date Transaction# Details Qty. Each Amount Previous Balance 610.03 07-08-13 P221079 Payment-Check-221079-Thank You -305.91 Remaining Balance 304.12 07-11-13 T131923043025 HINCKLEY SPRINGS 5G DRINKING WATER 6.0 9.99 69.94- CUP COLD FLAT 9 OZ HINCKLEY SPRINGS 100 CT 5.0 5.39 26.95 5.0 GALLON BOTTLE RETURN -6.0 6.00 -36.00 5.0 GALLON BOTTLE DEPOSIT 6.0 6.00 36.00 ENERGY SURCHARGE 1.0 3.08 3.08 Rec'd By: Not Available or Refused R1319210140866 WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 11.49 11.49 WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 11.49 11.49 WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 11.49 11.49 WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 9.50 9.50 WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 9.50 9.50 WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 9.99 9.99 WHITE ROOM TEMP AND COLD COOLER RENTAL 1.0 11.25 11.25 07-25-13 T132063043047 HINCKLEY SPRINGS 5G DRINKING WATER 8,0 9.99 79.92 CUP COLD FLAT 9 OZ HINCKLEY SPRINGS 100 CT 3.0 5.39 16.17 5.0 GALLON BOTTLE RETURN -8.0 6.00 -48.00 5.0 GALLON BOTTLE DEPOSIT 8.0 6.00 48.00 Rec'd By:Not Available or Refused Total New Charges 260.77 It's now easier than ever to manage your account online.A new&improved website has been created with enhanced features.Please visit water.comlmywater to take advantage of the many time-saving options available.Your username&password will remain the same or you,can create a new.one.- 30356-P-0037 Previous Balance Payment Total New Charges ° Pay�$564.89 $610.03 $305.91 $260.77 Q Write the complete account number on your check.Detach remittance and mail with payment in the enclosed envelope.To pay, go to www.HinckleySprings.com 0 How to Read Your Statement a°°..w.,Eas °—, Important Monthly Promotions: 0pcorn1ng De° ,y D.,e° W,,Deliver! ^ Register online for access to your Delivery Calendar: "°9,u'"°°° account.You can view and pay your bill, Your scheduled deliveries for ,�,.�jz w check delivery schedule and order the next three months. 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. .-°,° .E„„° 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. �_ O O ,.., .,�.,�..ruiuw an,,om r�.!��i„•.'ry Nepl�md� ...,,..,sy,.,,,x�..�°°e. Total New Charges: Wvp wv..••- This information provides totals for =,,.I,�,,.M 1,°.m Mail Remittance With Payment To: various products and transactions. ^- 1_1««„1'K Please detach remittance and mail using business envelope provided. IIIIIIIIIIIIIIII,IIIIIIIIII I Mau—Itt....wun P.ym..,1°:I 'wvwre �sEi:xsmes IIIIIIAIIllllllllllllltlll 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 our letter,give 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. VOUCHER # 136176 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 i 12553186072 01-7202-05 $260.77 I `i 1 1 i I 'I I' Voucher Total $260.77 j d Cost distribution ledger classification if Q claim paid under vehicle highway fund 5) 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 8/8/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/8/2013 1255318607 $260.77 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 2 1 glf3 Date Officer