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Home My WebLink About225842 11/05/2013 ±Mp CITY OF CARMEL, INDIANA VENDOR: 131130 Page 1 of 1 ONE CIVIC SQUARE HINCKLEY SPRINGS CARMEL, INDIANA 46032 PO BOX 660579 CHECK AMOUNT: $370.11 ' �• DALLAS TX 75266-0579 CHECK NUMBER: 225842 CHECK DATE: 11/5/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 12553186 315 . 82 OTHER EXPENSES 1301 4239099 2677859 54 . 29 OTHER MISCELLANOUS 1-800-4-WATERS 1-800-492-8377 www.HinckloySprings.com Upcoming Delivery Dates Hinckiey. r' pARD� Springs We Deliver! (, v October November December Bottled Water• Filtration • Coffee Thursday, 17 Thursday, 14 Thursday, 12 Athena bottled water supports the fight against breast cancer all year 'round. October is especially important because it's Breast Cancer Awareness month. Special - buy two cases of Athena bottled water, get one free! $7.99 per case(24.51-bottles/case). Offer ends 12/31/13. Customer Account#: 17220042677859 PAM BAKER Invoice Date: 10-12-13 CARMEL CITY COURT 1 CIVIC SQ Invoice#: 2677859 101213 CARMEL, IN 46032 Purchase Order#: Date Transaction# Details Qty. Each Amount Previous Balance 80.35 09-20-13 P223964 Payment-Check-223964-Thank You -28.31 Remaining Balance 52.04 R1326010140050 EVEREST BLACK HOT AND COLD COOLER WITH CUP 1.0 11.25 11.25 09-19-13 T132623042029 HINCKLEY SPRINGS 5G DRINKING WATER 4.0 9.99 39.96 5.0 GALLON BOTTLE DEPOSIT 4.0 6.00 24.00 5.0 GALLON BOTTLE RETURN -4.0 6.00 -24.00 ENERGY SURCHARGE 1.0 3.08 3.08 Rec'd By:Not Available or Refused Total New Charges 54.29 Ready to streamline your life? View your delivery schedule history,manage your payment options,pay your bill and much more with you715nline accf!!w,ater.corn/myaccount. 30356-P-0037 Previous Balance Payment Total New Charges o Pay This Amount $80.35 $28.31 $54.29 $106.33 0 Write the complete account number on your check.Detach remittance and mail wkh pay nt in the enclosed envelope_To ay online gc to www HinckleySprings com How to Read Your Statement „,--1.,— Important Monthly Promotions: °a°°-9°e"°efyD—, WeDdh e,l ^� Register online for access to your Delivery Calendar: M d,° "°�d:"°° a.aa�Ty account.You can view and pay your bill, Your scheduled deliveries for „-saw °°^ _•° check delivery schedule and order 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: www.water.com or call us to expedite your Previous balance and posted remittance with automatic credit card payments payments since last bill. - -- ------ ---- nwm.,nnaw mlxwr Cip2/ Y�, ;v HP�f FQn],ap�aW wa.."xr S.n,v yw,ae gw...y, Total New Charges: __°°^• This information provides totals for Mail Remittance With Payment To various products and transactions. AO° w„� Please detach remittance and mail using business envelope provided. WIN°.Y.—T.I Important Monthly Message •K,,"= 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 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 'J *AI C kLE l SiPk/tJ6s Purchase Order No. PO 6Y (O Go,5-7 / Terms 311+LL A-E — '7 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) A) 1013 159- r3 u1A fff c00%r ��i1 t o_P bOA- t_�J 5 �11 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 lql NcK��J SP�2��1 es IN SUM OF $ O 's ON ACCOUNT OF APPROPRIATION FOR c0 t.12--r Board Members PO#or INVOICE NO. ACCT#!TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), or 130 / 77S,5 9 /o 1J125 '{a�qo�� 5�[ � 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 I a r e Cost distribution ledger classification if it claim paid motor vehicle highway fund 1_ _ _ -R111171-497-8377) www.HinckleySprings.com Upcoming Delivery Dates Hinckley. �TANDARD, Springs We Deliverl V October November December Bottled Water• Filtration • Coffee Thursday, 31 Thursday, 14 Monday, 2 Athena bottled water supports the fight against breast Thursday, 12 cancer all year round. October is especially important Thursday, 26 because it's Breast Cancer Awareness month. Special- buy two cases of Athena bottled water,get one free! $7.99 per case 24 .51- bottles/case). Offer ends 12/31/13. Customer Account#: 172094612553186 JOE ACCOUNTS PAYABLE Invoice Date: 10-19-13 CITY OF CARMEL UTILITIES Invoice#: 12553186 101913 9609 HAZEL DELL PKWY INDIANAPOLIS, IN 46280 Purchase Order#: Date Transaction# Details Qty. Each Amount Previous Balance 575.24 10-11-13 P224523 Payment-Check-224523-Thank You -213.79 Remaining Balance 361.45 10-03-13 T132763043051 HINCKLEY SPRINGS 5G DRINKING WATER 7.0 9.99 69.93 HINCKLEY SPRINGS 5G DISTILLED WATER 3.0 10.49 31.47 CUP COLD FLAT 9 OZ HINCKLEY SPRINGS 100 CT 6.0 5.39 32.34 5.0 GALLON BOTTLE RETURN -9.0 6.00 -54.00 5.0 GALLON BOTTLE DEPOSIT 7.0 6.00 42.00 5.0 GALLON BOTTLE DEPOSIT 3.0 6.00 18.00 ENERGY SURCHARGE 1.0 3.11 3.11 Rec'd By: Not Available or Refused R1327610140866 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 11.25 11.25 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 10-17-13 T132903043040 HINCKLEY SPRINGS 5G DRINKING WATER 6.0 9.99 59.94 HINCKLEY SPRINGS 5G DISTILLED WATER 2.0 10.49 20.98 CUP COLD FLAT 9 OZ HINCKLEY SPRINGS 100 CT 4.0 5.39 21.56 CUP PLASTIC FLAT 9 OZ HINCKLEY SPRINGS 50 CT 2.0 3.89 7.78 5.0 GALLON BOTTLE RETURN -10.0 6.00 -60.00 5.0 GALLON BOTTLE DEPOSIT 2.0 6.00 12.00 5.0 GALLON BOTTLE DEPOSIT 6.0 6.00 36.00 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 Pay This Amount 575.24 $213.79 $315.82 ' $677.27 V Write the complete account number on your check.Detach remittance and mail with payment-in the enclosed envelope.To pay online go to--www.HinckleySprings.com- .___ ® I How to Read Your Statement ;-WATERS Important Monthly Promotions: Upcoming DeLvery Dates ;;a we Deliver! 8 ^�, Register online for access to your Delivery Calendar: '°°e'° "°9°R account.You can view and pay your bill, Your scheduled deliveries for M° r M° n;a °;a:;? 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: www.water.com or call us to expedite your Previous balance and posted remittance with automatic credit card payments payments since last bill. ILL- Total New Charges: This information provides totals for Mail Remittance With Payment To: various products and transactions. ^sum °'.b;;: Please detach remittance and mail using business envelope provided. IIJIJJIJIJLJLId6IIJIIIL�J� ,Mall Femluence WIN Payment i°, Important Monthly Message „N ,,, „,,,,,,,„ ° rld,,11,.,1 ,1,„,, 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 9 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 10/31/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/31/201', 12553186 10 $315.82 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 # 136753 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 12553186 101 01-7202-05 $315.82 Voucher Total $315.82 Cost distribution ledger classification if claim paid under vehicle highway fund ' i