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Home My WebLink About224920 10/08/2013 „yf CITY OF CARMEL, INDIANA VENDOR: 131130 Page 1 of 1 ONE CIVIC SQUARE HINCKLEY SPRINGS CARMEL, INDIANA 46032 PO BOX 660579 CHECK AMOUNT: $413.49 DALLAS TX 75266-0579 CHECK NUMBER: 224920 CHECK DATE: 10/8/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1301 4239099 52 . 04 17220042677859 651 5023990 12553186092 361 . 45 OTHER EXPENSES 1-800-4-WATERS 1-800-492-8377 www.HinckleySprings.com Upcoming Delivery Dates Hinckiey. 6,AMAlb Springs We Deliver! September October November Bottled Water• Filtration • Coffee Thursday, 19 Thursday, 17 Thursday, 14 Drink Pink 365 days a year! Join the fight against breast cancer with this special offer. Buy two cases of Athena bottled water, get one free! $7.99 per case (24 .51-bottles/case). Offer ends 12/31/13. Customer subject to CA CRV or applicable state bottle deposit on all cases. Customer Account#: 17220042677859 PAM BAKER Invoice Date: 09-14-13 CARMEL CITY COURT Invoice#: 2677859 091413 1 CIVIC SQ CARMEL, IN 46032 Purchase Order#: Date Transaction# Details Qty. Each Amount Previous Balance 66.54 08-22-13 P222987 Payment-Check-222987-Thank You -38.23 Remaining Balance I 'v 28.31 R1323210140050 EVEREST BLACK HOT AND COLD COOLER WITH CUP 1.0 11.25 11.25 08-22-13 T132343042035 HINCKLEY SPRINGS 5G DRINKING WATER 3.0 9.99 29.97 CUP PLASTIC FLAT 9 OZ HINCKLEY SPRINGS 50 CT 2.0 3.89 7.78 5.0 GALLON BOTTLE RETURN -3.0 6.00 -18.00 5.0 GALLON BOTTLE DEPOSIT 3.0 6.00 18.00 ENERGY SURCHARGE 1.0 3.04 3.04 Recd By:Not Available or Refused Total New Charges 52.04 Ready to streamline your life? View your delivery schedule and acc unt history,manage your payment options,pay your bill and much more with your own online aci6ount at water.comlmyaccount. 30356-P-0031 Previous Balance Payment Total New Charges Pay This Amount $66.54 0 $38.23 $52.04 — $80.35 0 Write thcLcorn plete account number on.your check_Detach_remittance and-mail with.payment.in the enclosed envelppe.To,pay-online.go to www.HinckleySprings.com 0 How to Read Your Statement 0-w•*ERs a Important Monthly Promotions: J--hgDe1—yD,h,, W.D.1-0 8VMA% Register online for access to your hill— "•9••';°°° ~1peN°"'°"''`"°•°°"�"" account.You can view and pay your bill, Delivery Calendar: M°°"' M«b �d ••��•°•^•�•�^ ^ww ro wry» „" sm~, 5 `��,;,- check delivery schedule and order Your scheduled deliveries for �.,, the next three months. products all online. Customer Account Number: - Bottle Deposits For prompt service,please use this „� �r�ro„ w Highlights bottle deposits and returns. number when referring to your account. 01. .,, w . 0. 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. ®®DISCOVER E � � -(Z R--n- 0 .,m.m,•nnwy,mnam Cy;,h/,o�,9S w•T;v NmIF®a R-fk„.,R....rl.,r,-.,,,.ww+��°.•a Total New Charges: This information provides totals for —, Mail Remittance With Payment To: various products and transactions. s° °. m°: Please detach remittance and mail using business envelope provided. II.J. J.Al 11.111 hi. I 1.1 11 1 R.n R.mm.—with fty.—r•1 Important Monthly Message „_�•• „,,,,.„,,.AA,,,, - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 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 ou are unsure about. y 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 i City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL r An invoice or bill to be properly itemized must show: kind of service, where pe�ormed, dates service rendered, by whom; rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee N C K C _S Purchase Order No. U 6 0 5- Terms (e Date Due Invoice Invoice Description Amount Dat Number (or note attached invoice(s) or bill(s)) q 4��gQSi'�I3 l� c� e�- Co6LP ►�er, ) tAj Cj ti2� Sa.o Total 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. ALLOWED 20 // IN SUM OF $ F0 DA TX $ ` q ON ACCOUNT OF APPROPRIATION FOR co C t- o2 Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), or &-7 09 So?-OJ 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 Sig ature Cost distribution ledger classification if e claim paid motor vehicle highway fund 1_ _ (1-800-492-8377) www.HinckleVSprings.com Upcoming Delivery Dates Hinckley. �TANDAF V October November December Springs We Deliver! Bottled Water • Filtration • Coffee Thursday, 3 Thursday, 14 Thursday, 12 Drink Pink 365 days a year! Join the fight against breast Thursday, 17 Thursday,26 cancer with this special offer. Buy two cases of Athena Thursday, 31 bottled water,get one free! $7.99 per case (24 .5L bottles/case). Offer ends 12/31/13. Customer subject to CA CRV or applicable state bottle deposit on all cases. Customer Account#: 172094612553186 JOE ACCOUNTS PAYABLE Invoice Date: 09-21-13 CITY OF CARMEL UTILITIES Invoice M 12553186 092113 9609 HAZEL DELL PKWY INDIANAPOLIS, IN 46280 Purchase Order#: Date Transaction# Details Qty. Each Amount Previous Balance 213.79 Payment 0.00 Remaining Balance 213.79 09-05-13 T132483043003 HINCKLEY SPRINGS 5G DRINKING WATER 13.0 9.99 129.87 HINCKLEY SPRINGS 5G DISTILLED WATER 1.0 10.49 10.49 CUP COLD FLAT 9 OZ HINCKLEY SPRINGS 100 CT 2.0 5.39 10.78 CUP PLASTIC FLAT 9 OZ HINCKLEY SPRINGS 50 CT 2.0 3.89 7.78 5.0 GALLON BOTTLE RETURN -14.0 6.00 -84.00 5.0 GALLON BOTTLE DEPOSIT 1.0 6.00 6.00 5.0 GALLON BOTTLE DEPOSIT 13.0 6.00 78.00 ENERGY SURCHARGE 1.0 3.08 3.08 Recd By: Not Available or Refused R1324810140866 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 9.99 9.99 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 11.25 11.25 09-19-13 T132623043050 HINCKLEY SPRINGS 5G DRINKING WATER 10.0 9.99 99.90 CUP COLD FLAT 9 OZ HINCKLEY SPRINGS 100 CT 1.0 5.39 5.39 CUP PLASTIC FLAT 9 OZ HINCKLEY SPRINGS 50 CT 5.0 3.89 19.45 5.0 GALLON BOTTLE DEPOSIT 10.0 6.00 60.00 5.0 GALLON BOTTLE RETURN -10.0 6.00 -60.00 Rec'd By: Not Available or Refused Ready to streamline your life? View your delivery schedule and account history,manage your payment options,pay your bill and much more with your own online account at water.com/myaccount. 30356-P-0037 Previous Balance Payment Total New Charges o Pay This Amount $213.79 $0.00 $361.45 ° $575.24 -- Write the complete account number on your-check.Detach_remittance and.mail-with.payment in the enclosed enveloPeTo.pay.online.go.to-www.HinckleySprings.com 0 How to Read Your Statement Important Monthly Promotions: Upc°mmq Delivery D,- l we oellve l Register online for access to your J-2009 '"19a' Ate 11 reo"°" `.— °"" account.You can view and pay your bill, Delivery Calendar: M Your scheduled deliveries for 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. 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. :P^ „:��. "„ .wm° wrs.00> �u<.,nn¢w v.•xrrt Cryr2/„mv�w,,.ev KPIIIN�tI w4/,x.....i,Se.,ae x„u.u,�+m..g Total New Charges: This information provides totals for Mail Remittance With Payment To: various products and transactions. Please detach remittance and mail :7 $ using business envelope provided. IIIII,,,IIIIIIIIIII„IIIIIII„IJI ,1 Pemlt,ance1 1.1*0 1 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 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 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 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 10/2/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/2/2013 1255318609 $361.45 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 # 136497 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 12553186092 01-7202-05 $361.45 Voucher Total $361.45 Cost distribution ledger classification if claim paid under vehicle highway fund I