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HomeMy WebLinkAbout229049 2/11/2014 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CHECK AMOUNT: $20.87 CARMEL, INDIANA 46032 PROCESSING CENTER PO BOX 856680 CHECK NUMBER: 229049 LOUISVILLE KY 40285-6680 CHECK DATE: 2/11/2014 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1701 4239099 14A722032704 20 . 87 14A7220327048 i service.icemountainwater.com ' ®® #215 6661 DIXIE HWY,SUITE 4 01/01!14-01/31/14 14A7220327048 0 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED o MON- MAR 10 7220327048 TUE- APR 08 WED- MAY 07 FRI- JUN 06 CITY OF CARMEL OFFICE OF THE CLERK TREASURER Customer Service: 1-800-472-9888 ANN DAVIS Pay your bill online at:service.icemountainwater.com or 1 CIVIC SQ by phone at: 1-800-472-9888.It's freel CARMEL IN 46032-2584 ���III!III�II!III��IIIII�Innllr�l!!��n�!!I!I!Inllllu��ll!I! ,z`.-x= :rr�' �'.. �,,,� .-:�- _,» . :� ," : - :< ,._ .�_-.. -:.. .:;,✓ �;- .. : .-�,„ �;�.�.:,,"._-_ter, Enjoy a`Healthyxstal`fto'the>New:Year;with zero calo iefrefreshment!.,Save:up to$2 wFienttyQworde�:any.Pase4bf __�r�- >�'r.J.n ,�1., ,. i;• ✓�.."✓..�,�,`'�'z',= %Perrier,Acgtia:Panna orIceMountain100% Naturah$parkling Spring Vltater Call 1 800;,-472=9888 to drder-now!' ,: „r ;: - '_'= '"" .. +�q �. :•a --`. ;�,6X', —'�;; - - -'sem-:s= - _ -_ ,%° �e :: ✓'., `.�7�°;' . �',°:% �'r�_'�-�_^,s s:�3"�-� - .s:�' "r^�;�� .. - <a�c, -yi j ''.�lV-, e."l:;jr, - - °°�� a.Gr-.:.. •.<;O -,"'' '". ;.d' "+r'�� s'✓'. .">r".' - .%�'.a,",--. k ',� _ .L-.•a; £.�,;a'"' - ': "'P"sxspa %°:�,rrmu ;,-,e' $$��".� y: _ .�9-.�_ - ..�;�Psa'" _ ..�'(.<.r�. - ��t:�``z.,_. - >,/f'3+za`•,�..'.,w' �..:� .�.�':a,�. _ Ja'i�J"m�✓.�';s:L�"',"1;, '' .arz..�. �j .-: ,x,��•+ ..yb'� i�,^o - .,.,>v''w:• - i•.#'Ma"j"�f J a �'.o_,a�� �r �«r....�?�>w.S^a--W- ..".............-.i:„� _..r.."__^'�,�ov�v_'�4;S�..w....✓ - „f;.,r -.w..�L"-^�Li" `�`.`�++&°.�iU�°� 1 ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. Delivery address: CITY OF CARMEL,1 CIVIC SO, CLERK TREASURER OFFICE,CARMEL IN 46032 PREVIOUS BALANCE 17.10 1126 161979 PAYMENT-THANK YOU -17.10 1/15 0864054457 3 5 GAL ICE MOUNTAIN DIRK W/HANDLE 10.47 3 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00 1 9 OZ PLASTIC CUP 50C/SLV _ 3.29 2 5 GALLON ICE MOUNTAIN DEPOSIT RETURN .00 1/31 0868944109 1 OIL/FUEL SURCHARGE 3.12 A5871728 RENT 3.99 TOTAL 20.87 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 17.10 — 17.10 ¢ 20.87 = 20.87 I BILLING RIGHTS SUMMARY YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL,OR FOR I. Please remember payment is due by the"pay by"date noted to ensure the smoothest service. A REPORT ON WATER QUALITY AND INFORMATION, PLEASE 2. Remember,if you are renting equipment,your equipment rental is charged one month in advance.That means CALL 1-800-472-9888 OR WRITE US AT: your first invoice will include a pro-rated fee for the current month,plus the next month's rental. ICE MOUNTAIN SPRING WATER CO. 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. #216 If you prefer,you can pay your bill online at service.icemountainwater.com 6661 DIXIE HWY.,SUITE 4 LOUISVILLE,KY 40258 4. Never hesitate to call us with comments,questions,or concerns. If you think your bill is wrong,or if you need more information about a transaction on your bill,write us on a separate sheet of paper.We must hear from you in writing no later than thirty(30)days after we SAMPLE �e M_SP INVOICE VS®' sent you the first bill on which the error or problem appeared.You can telephone us,but doing so will not preserve you rights.In your letter, give us the following information: • Your name,address,telephone and account numbers. Date range of this invoice • The dollar amount of the suspected error. Describe the error and explain if you can,why you believe there is an error. You are obligated to pay the parts of your bill that are not in question. " Your Account Number You do not have to pay the disputed amount while it is being DDIDD10o-001001°° investigated.During the investigation,we cannot report your accounti 23456799 as delinquent or take any action to collect the amount in question. T.,-ocr a I wEL,N ov IP Watch here for a woo-Nov z, GENERAL INFORMATION TLE-OEc Ie personalized account 1.Payments received after the billing INVOICE date will appear on Important �gpdgNqt Illgi IIII LIg6�gla.q"gasp carom«s<rv'<e:1-aoD4n uses Y g( ) PP , „�,a Maanuln p oa message your next invoice.Past due invoices(not paid within 30 days of news and md °'°' 1-1— billingdate)may be assessed a late fee as allowed b law not to X113 Doe ,0e . Y Y offers 123 Main Sc pry,Scare 00000 exceed$20 per month.Additionally,third party collection/attorney Ldga"�„aL„„tLwn..al�CgnE»��LL'[.q expenses may be assessed at a rate not to exceed 100%of the ,,, " Pa electronically unpaid balance or the maximum allowed by law. ¢ Y Y 2.Each retuned check is subject to a service charge subject to the : .o _ � . maximum check return charge allowable in your State. V�'°'°_.,; :'`rp ��yy" � Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity ;¢;,. ':'`� ,„.,anPm^^"'°°"`"4�"�� ACTIVITY. .NII�+I^••""""WmWe,a amount has been since your ACCOUNT ACTIVITY 4. Equipment re replacement costs will be charged for bottles lost, tee,<,.,mnnop<,u3Ma,ns,re<cocrs,a,<oa000 paid in full to P g last invoice pe1ry ry stolen,damaged or not returned. p,<„00aeawn« xx avoid late Fees Payment TM1ank Yo” , 5.In accordance with NWNA's Terms and Conditions("T&C"),your m/Il 461090 5 SGallon Natwal5p n9wate, IN /1, 317e051a4M �<pMounW�nSGaIDeOosn Monthly Oil Equipment Lease and/or Service Agreement account may be 3veBs4wA 6 I<e Mounvain S Gal Rewrn xx xx y 005,4844 5 xx.xx subject to minimum monthly purchases and/or early cancellation �i,� s,ez63ee„ 'oe15u"na`ve � .��`)'.r Surcharge,Fuel fees.(A complete version of the current T&C may be viewed on the xxxx Surcharge or Delivery website listed below)Upon service discontinuation,rent for the TOTAL Fee(see#6 under Leased Equipment is charged through the end of the billing cycle "General . MYr"ISAMnN* m which service is discontinued. 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or a/+A -- x...,eNT Information") s,e ACCOUNT SUMMARY x%Xx I„___._ —____ Delivery Fee as described m your T&C. Only one of these fees Payment stub ______— PAY BY Y oo�aa.n•�or•.o.x o s o s----a,c.as+�cE.oun•n PAY THIS AMOUNT will apply to each account. The fee that applies to your account _ -p -,�„�em,�„�wP• •^` ACCOUNrNUMBER oo/oo xxxx is stated on the front of the invoice.For further information please 123 5 789 TBER el11 GDA'E MT.ENCLOSED NUM visit the website listed below or contact our INVOICE customer service 1234567890 00/00/00 center. 7. As a food product, bottled water is subject to the rules and 0420096307 04292712619 000391049 2004 1° Amount due regulations promulgated by the Federal Food and Drug Iona Do< Administration(FDA). ICE MOONPaN WATER CComp-Y 'T'S.'"'. 00000 8.Your first invoice indicates the products delivered on your first '°^°'Netlf°"""" oo<IZPess Submit your rOR CUSTOMER SFRViCECMLI-e payment b this delivery,along with any applicable bottle and account deposits, u51ee �e,n,AnYCEa•n•,O„R`""iSiOe 1.dq,i,,, 4tl..L.LLEEa"q date Y redemption fees,and any dispenser charges.All future invoicesLpRaneln^QAPeY" ... . will reflect charges for water delivered and dispenser rental,bottle TwNLPFOPfREE - deposits and credits plus charges for any additional products ordered by you. Deliveries are made every three or four weeks,for a total of 16-17 deliveries per year.You will only receive invoices 12 times per year,so approximately 5 of those invoices will reflect two deliveries. ©2008 Ice Mountain Spring Water Company,a Division of Nestle Waters North America Inc. Form No.NW los 08112 service.icemountainwater.com 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 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Total I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor- dance with IC 5-11-10-1.6. , 20- Clerk-Treasurer 20Clerk-Treasurer VOUCHER NO. WARRANT NO. 16 �' { w ��J,7� A� ALLOWED 20 /( tJ�'� IN SUM OF $ T 6 P, ON ACCOUNT OF APPROPRIATION FOR 16#/L� Board Members PO#or INVOICE NO. ACCT#!TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), I`6L7 M L).?7 or bill(s) is (are) true and correct and that 7 the materials or services itemized thereon for which charge is made were ordered and received except 20 Signatur Cost distribution ledger classification if Title I claim paid motor vehicle highway fund