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HomeMy WebLinkAbout232820 05/21/14 oi� CITY OF CARMEL, INDIANA VENDOR: 051125 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CHECK AMOUNT: S"'''"''3 99' CARMEL, INDIANA 46032 PROCESSING CENTER CHECK NUMBER: 232820 PO BOX 856680 CHECK DATE: 05121114 LOUISVILLE KY 40285-6680 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4239099 04DO12177619 3.99 04FO121776199 service.icemountainwater.com 8 Bim_ 9 �' 0 #215 6661 DIXIE HWY,SUITE 4 04/01/14- 04/30/14 04DO121776199 0 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED '1 ``Y WED- MAY 07 0121776199 �ID��� OI NI Hol IfII H11 IMOIC FRI- JUN 06 TUE- JUL 08 WED- AUG 06 CITY OF CARMEL HUMAN RESOURCES Customer Service: 1-800-472-9888 JIM SPELLBRING Pay your bill online at:service.icemountainwater.com or 1 CIVIC SO by phone at: 1-800472-9888.It's free! CARMEL IN 46032-2584 F7AND $3 at_ NtW taste=of NESTEA NOW! Save $3 off a 12 pack of 12 oz cans for a promoted price of'$3 99 a 12,pack of-Nestea1/2 liter bottles, for a promoted price of $5.99! Call 1-800-472-9888 or�,visit,mountainwater.com to add'to-yourbrder! ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. �VILVA MGM Delivery address: CITY OF CARMEL,1 CIVIC SO, HUMAN RESOURCE DEPT,CARMEL IN 46032 PREVIOUS BALANCE 14.59 4/04 545343 PAYMENT-THANK YOU -10.60 4/30 D6357851 RENT 3.99 TOTAL 7.98 Submitted T® MAY 19 2014 Clerk Treasurer ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CUR NT ACTT TY PAY THIS AMOUNT ,,,,_ Subject to terms on reverse side. 14.59 — 10.60 + 3.99 = 7.98 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 DtOUNTAIN SPRING WATER CO. 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. 4216 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 INVOICE sent you the first bill on which the error or problem appeared.You can telephone us,but doing so will not preserve your 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. 123+567890 Your Account Number You do not have to pay the disputed amount while it is being ooawl00-DDrooID° investigated.During the investigation,we cannot report your account t as delinquent or take any action to collect the amount in question. TMP ocr e, 123as6]89 MDN.00]9 Watch here for a WED NW 2' GENERAL INFORMATION TUE-DEC's personalized account L Payments received after the billing(INVOICE)date will appear on ImportantAWI,IUL dIIU.UnIWdU _ message your next invoice.Past due invoices(not paid within 30 days of news and ILt1.dU:ULdUUdn » 81/19x.8 MounuM P��" billing date)may be assessed a late fee as allowed by law not to offers 123 win St .ne„nn..:. exceed$20 per month.Additionally,third party collection/attorney c"rstBte 000OO L u.Ln.L«Nwd»U expenses may be assessed at a rate not to exceed 100%of the aw. .-.cc—c--'4g;.:.x"""?:..._.& nitta9pna�w.e+r 2.Eachlreturned check ior the slsub subjecttoIla service by Ichar e subject to the flu a„w +m�" a � -'` ' l Pay electronically 1 g 1 maximum check return charge allowable in your State. ..r,�,«":t; .a� .,._��'-,':�""-t-" Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity ACTIVITY. �ouNTAcrlwTr °"°"""""`• ���o amount has been 4. Equipment replacement costs willsince your Acc l be charged for bottles lost, cel gAddeS loM1nDce,123Main5treet,Gty.State00000 paid in full t0 last invoiceo. stolen,damaged or not returned. P,e,.b4aealaMa avoid late fees P,ymeM-tnanlra� 5.In accordance with NWNA's Terms and Conditions("T&C"),your �,3, a6,e96 5 6GaIbn N>tu,al spnn9W11tt - ._ Xxsx 3neesu NSGalDepoa Monthly Oil Equipment Lease and/or Service Agreement account may be ,,, roeesa4u s ik�MwnumsGalBemm �� j xx" y subject to minimum monthly purchases and/or early cancellation °'^' m6e6IAUA E�„w"I"`9a - '" Y ^= Bg„2 3102630011 Aen, �._•,._,,',�1����''��-.�1 Surcharge,Fuel fees.(A complete version of the current T&C may be viewed on the 991,2 ,F_y a{,: .0Surcharge or Delivery website listed below)Upon service discontinuation,rent for the TOTAL -==.- P _- - Fee(see#6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. 40 = •..TN�Tx""`M Information") 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or rn,Mou auANT -wu.Nr - Delivery Fee as described in your T&C. Only one of these fees Payment stub ACCOUM SUMMA0.V a o F uxx y PAY THIS AMOUNT will apply to each account. The fee that applies to your account _ •�'��- w�P'+^""'•' A[COuNrNUMeE6 ppYeY %xxX ••a•�'�"N'��' 123 567890 W/0000 T ENCLOSED is stated on the front of the invoice.For further information please II, C1 ENUMeEa BauNC DACE visit the website listed below or contact our customer serviceW100,90 1Z3"56]890 center. 7. As a food product, bottled water is subject to the rules and p42OU96307 04282712619 000393049 2884 1° Amount due regulations promulgated by the Federal Food and Drug JpN Doe Administration(FDA). ICEMourrrulNwATEBCOMPANr 123M 51 Submit your nuevnun Nam w^^t'u". Gry,State 8.Your first invoice indicates the products delivered on your first •w�aN 00000 wA�usrDMEe SEnvrcE CAlu-eo9-•]'96°6 delivery,along with any applicable bottle and account deposits, payment by this L.dUd»d.di•�n,li,"dL.,U»LUo-L»LLLLd»U 5wa „a„An,�cl�+n9aaD.Pa,,.,asea redemption fees,and any dispenser charges.All future invoices „eo.Aar<»• __. date will reflect charges for water delivered and dispenser rental,bottle vGn ur wPrAEE unD."n swn unA•aw . 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 jos 08/12 service.icemountainwater.com 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 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)) 05/02/14 04FO121776199 $3.99 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 Ice Mountain IN SUM OF $ PO Box 856680 Louisville, KY 40258 $3.99 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1205 104FO121776199 I 42-390.99 I $3.99 1 hereby certify that the attached invoice(s), or 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 Monday, May 19, 2014 Director, Administration Title Cost distribution ledger classification if claim paid motor vehicle highway fund