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HomeMy WebLinkAbout236415 8 /27/2014 CITY OF CARMEL, INDIANA VENDOR: 051125 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CHECK AMOUNT: $*******142.98* CARMEL, INDIANA 46032 PROCESSING CENTER CHECK NUMBER: 236415 PO BOX 856680 CHECK DATE: 08/27/14 croN`° LOUISVILLE KY 40285-6680 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4350900 40.05 04GO12120276G 1125 4350900 71.20 04GO120095351 1205 4239099 4.64 04GO121776199 2201 423890.0 27.09 04HO119252823 service.1cemountainwater.com #215 6661 DIXIE HWY,SUITE 4 07/13/14-08/12/14 04H0119252823 ' LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTEDFRI II'I II I I"II"I II'I I I I I I I I II II 'll SEP 05 0119252823 MO ' MON- OCT 06 MON- NOV 03 THU- DEC 04 CITY OF CARMEL STREET DEPARTMENT Customer Service: 1-800-472-9888 BONNIE CALLAHAN Pay your bill online at:service.icemountainwater.com or 3400 W 131 ST ST CARMEL IN 46074-8267 by phone at:1-800-472-9888.It's free! Save on fantastic Back to School Essentials) Geta$1.00 off:when you purchase(1) Boz 48 pack or(2) 12oz X24,Pack bottlesl�8 oz is lunch'boX friendly'and 12 oz is perfect for teens &busymoms.Ca1111-800-472,-4t88 or s ,... v}s�t�service Icernountalnwater comto orders u h r� 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 STREET DEPARTMENT,1 CIVIC SQUARE,CARMEL IN 46032 PREVIOUS BALANCE 2.99 8/10 253904 PAYMENT-THANK YOU -2.99 8/06 0895465607 6 5 GAL ICE MOUNTAIN DIRK W/HANDLE 20.94 6 5 GALLON ICE MOUNTAIN-BOTTLE DEPOSIT 36.00 6 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -36.00 8/12 0898027222 1 OIL/FUEL SURCHARGE 3.16 H7044341 RENT 2.99 TOTAL 27.09 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject"to terms on reverse side. 2.99 — 2.99 + 27.09 = 27.09 BILLING RIGHTS SUMMARY YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER IN CASE OF ERRORS OR QUES IONS ABOUT YOUR BILL,OR FOR A REPORT ON WATER QUALITY AND INFORMATION,PLEASE I• Please remember payment is due by the"pay by"date noted to ensure the smoothest service. i CALL t-soo a7z-9sss OR WRITE Ug AT, 2. Remember,if you are renting equipment,your equipment rental is charged ohe month in advance.That means ICE MOUNTAIN SPRING 1VATER CO. Your fust invoice will include aro-rated fee for the current month,plus the next month's rental. #216 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. 6661 DIXIE HWl:,SUITE 4 If you prefer,you can a LOUISVILLE,KY 40258 pay your bill Online at service.icemountainwater.com 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 i sent you the fust bill on which the error or problem appeared.You can C INVOICE V telephone us,but doing so will not preserve your rights.In your letter, give us the following information: SAMPLE ®ICE ' Your name,address,telephone and account numbers. • The dollar amount of the suspected error. Date range of this invoice an error. • Describe the error and explain if you can,why you believe there is You are obligated to pay the parts ofyow bill that are not in question. j You do not have to pay the disputed amount while it is being } investigated. Or tae the investigation,actitool 1234567890 } as delinquent or take any action to collect thot report your account oo11313roo-oD/ooroD Your Account Number amount in question. I GENERAL FORMATION yXq-DE7 W 12345678 1•Payments received after the billingMDr�ar 21 Watch here for a (INVOICE)date will appear on Important T,E"Dv" Your next invoice.Past due invoices(not paid within 30 days 1vE-DEC s l billing date)may be Y of news and irtl an uti a 6naaaw niq p nlgu c,,,�mvs<,,,1«;1X00472-9818 personalized account Y assessed a late fee as allowed by law not to r r,, "6 ,mMcun«B P«eun message' exceed$20 per m6zzWAddiuona y o p offers roan o~ce expenses may be assessed at a rate not to exceed 100n°/%ttoI the - u3M=inn a,•�°", unpaid balance or the maximum allowed by law, 2.Each returned check is subject to a service charge subject to the .1n ! maximum check return charge Pay electronically 3. All bottle and equipment deposits ares shown Your State. eC ; S ACTIVITY. CURRENT Activity 1 4.Equipment replacement costs will be charged for bottles lost, since our Make sure this Y ACCDUM ACnV1TY Bm°w"`¢'."'xw"`n°x.`mm'> stolen,damaged or not returned. last invoice amount has been 5.In accordance with •DjpW yAddmc J-"Da 113 Main street.oly,s w 0M %%JIX paid in full to NWNA's Terms and Conditions("T&C"),your Pre ova Balan« Equipment Lease and/or Service Agreement account may be XM avoid late fees aBn1 461838 , . subject to minimum monthlyearlyor m n78Bs1au4 s sc.m^N'malsc""e'""" xA>a fees.(A complete version of the currentT&C may beviewed on the "' " " s uM° mNSDilD•roa � 09/11 31r88516{N 5 ke Movnrolns Gal Re[mn „F'-+= t website listed below)Upon service discontinuation,rent for the 09" 3'e9weB" we serve y A , •; j Monthly Oil 9vn7 1661M97 Rmt j l{` (r 1 t�i.� ,{1e S Surcharge,Fuel Leased Equipment is charged through the end of the billing cycle Y F ` '� 0 0 1 in which service is discontinued. O A �` Surcharge or Delivery 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or Fee(see#6 under Delivery Fee as described in _ "General Your T&C. Only one of these fees pay M YpEY10USN.UM(S YA3'MFIRfADAI3i61EHf is 1 apply to each account. The fee meat stub AccouNr SUMMA" o« ax + ryp1UM A[1MfY a X1UD1 %XXIt that applies to Your account __ _sem_ "*. ( Information willatedon „...•,,...e,oe—=,e..a.<e.o W— ---��- I the front of the invoice.For further information please --- visit the website listed below or contact ow customer service Otltl""'�•' ACC XM PAY BY PAY 1N1s AMOUM center. us,s67B90 wnosED INVOI.NUMBER BILLING DArf + 7.As a food product, bottled water is subject to the rules and ZMS6700 oorooroo }j1j regulations promulgated by the Federal Food and Drug 113 Administration(FDA). 0420096307 134211712619 000391049 20134 8.Your fust invoice indicates the products delivered on Amount due delivery,along with ana your first .CEMOU 111 ATERCOMPAN7' phnOOC redemption fees,and any dispenser charges.All cfutwedinvoices aD•Bew� A«B� 123MdRn q3 Maine 00000 Submit your will reflectcharges_forwaterdelivered and dispenser rental,bottle ua�t :m^^16'+tt'lt'ti13dtrlt;q' waasroMERSERvxEuul-0uo+7lsBe" 1 payment by this deposits and credits plus charges for any additional products p swxuv a mEAvm•Ansp•� � ❑ _ date Ordered by you. Deliveries are made every three or four a total of 16.17 deliveries per year. weeks,for You will only receive invoices 12 times per year,so approximately 5 two deliveries. of those invoices will reflect service.icemountainwater.com ©2008 Ice Mountain Spring Water Company,a Division of Nestle Waters North America Inc. Form No.NW 709 08112 VOUCHER NO. WARRANT NO. ALLOWED 20 Ice Mountain IN SUM OF$ P. O. Box 856680 Louisville, KY 40285-6680 $27.09 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 2201 104HO119252823 I 42-389.001 $27.09 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 r ay, g t 014 VVVW3 ! Title Cost distribution ledger classification if claim paid motor vehicle highway fund } i 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)) 08/14/14 04HO119252823 $27.09 I 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 i service.icemountainwater.com #215 6661 DIXIE HWY,SUITE 4 07/01/14-07/31/14 04GO121202766 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII THU- AUG 21 0121202766 MON- SEP 22 MON- OCT 20 TUE- NOV 18 AUG 1 1 2014 Customer Service: 1-800-472-9888 CITY OF CARMEL PARKS DEPARTMENT MANDY SPADY FBY: Pay your bill online at:service.icemountainwater.com or 1411 E 116TH ST CARMEL IN 46032-3455 by phone at:1-800-472-9888.It's free! --�� IIII'I�I�"IIII�I"I'll�lllll�ll��ll�lllll�l��ll'IIII�IIIIII���I� � x s„x✓a�rE, �^-^”� _.T-»,��.,, &�t� a��m � �y I yTake advantage,�afitheSe HOT Summer SavingsJor a Ilmlted tlme�only Enese savings are on a u�ariety of " foiiucts#tai{ g refresh gteas aniilernatle, Sjia'rklirig Natural SprngWater andgreat o�nthe=go sizes Visit seance Icemauntalnwater�com or, caC�1800-�t7�2 9888toor�der�l t.E ., �5'.,3 N., a. >�n, i. •x:.. :?.,spa "-.="" :"'mc� 3' n. ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. B Delivery address: CITY OF CARMEL PARKS DEPTIMONON CENTER,1235 CENTRAL PARK DR EAST,CARMEL IN 46032 PREVIOUS BALANCE 346.45 7/11 094767 PAYMENT-THANK YOU -40.05 7/25 176834 PAYMENT-THANK YOU -306.40 7/23 0893882399 10 5 GAL ICE MOUNTAIN DIRK W/HANDLE 42.90 BOTTLE DEPOSIT:10 CHARGED, 12 CREDITED -12.00 7/31 0896025640 1 OIL/FUEL SURCHARGE 3.16 G6953722 RENT 5.99 TOTAL 40.05 Louh-pi- MCC I Ucj 1--435c Fc)(D ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 346.45 — 346.45 + 40.05 __ 40.05 �� BILLING RIGHTS SUMMARY IIN CASE OF ERRORS OR QUESTIONS ABOUTyoM BILL,OR FOR POUR INVOICE-4 WAYS To HELP US SERVE YOU BETTER A REPORT ON WATER QUALITY AND INFORMATION,PLEASE 1• Please remember payment is due by the"Pay P y by"date noted to ensure the smoothest service. CALL 1-800-472-9888 OR WRY rE US AT: 2.Remember,if you are renting equipment,your equipment rental is charged one month in advance.That means ICE MOUNTAIN SPRING WATER CO, your first invoice will include apro-rated fee for the current month,plus the next month's rental. #216 6661 DIXIE HWY.,SUITE 4 3• Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. LOUISVILLE,KY 40258 If you prefer,you can pay your bill online at service.icemountainwater.eom 4. Never hesitate to call us with comments,questions,or concerns. a tranYousaction think your bill is wrong,or if you need more information about a transaction . your bill;write us on a separate sheet of paper.We must hear from you in writing no later than thirlj%(30)days after ive 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, SAMPLE C give us the following information: INVOICE �j • Your name,address,telephone and account numbers. • The dollar amount of the suspected error. Date range of this invoice • 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. You do not have to pay the disputed amount while it is being investigated.During the investigation,we cannot report your account l as delinquent or take any action to collect the z3as6ra90 1 oor0oro0-o0ro0roo � , YourAccount Number amount in question, im , GENERAL INFORMATION W.001" 1.23456769 1. g(INVOICE) Payments received after the billin MOW OCT 39 date will appear on Important 'Ea Nov T1 Watch here for a Your next invoice.Past due invoices not paid TUE-DEc,e billing date may be e p i `wm1°30 days of Ir;H III n!Oml;ytll(J IN4 Fl71•t JII CYS,, a s M ,,.8pp4,z-9888 personalized account y assessed a late fee as allowed by law not to news and exceed,$20per:monthtAdditiona[I,_ offers nfi"ace ma"x BI I"9keManntalnp9du. message Y third-party-collection/attorney— — —_- tzsM i sf �o ,bstMw } sage expenses may be assessed at a rate not to exceed 100%of the 121Mae,o ' `t unpaid balance or the maximum allowed by law. 2.Each returned check is subject to a service charge subject to the 3. All bottle and equipment maximum check return charge allowable in your State. �._tZPIY °O" v •" F mina pe»,rxce�t�m, �x deposits are shown as CU x — r`" 3Y R u9 Pay electronically aacn:oao,na4d,uza ACTIVITY. RRENT Activity E 1 4. Equipment replacement costs since your e�9�w �, •n.• a "� "°°"'°°° " " Make sure this will be charged for bottles lost, AccouNrAcnvm P stolen,damaged or not returned. Iast invoice amount has been 5.In accordance with NWNA's Terms and Conditions("T&C" Deu�ryAaa rnnnD«u3 Mains e.e erys ate 00000 wxK Paid in full to Equipment Lease and/or Service Agreement account may be �naasawn� _ OB/31 4b,898 Payment-Tlwnxlpf avoid late fees subject to minimum monthly n, Bveas14u4 5 SGalbnN mISpB gWa fees.(Acompleteversion ofthecurrent T&C maybe viewed/or early lontthe 1ion "'�'a0" s "°°"•'"scatcewv — --- uxK mm OnBas,4a4a s IaeMo�"rnmscalRetu ,l � � Monthly Oil website listed below)Upon service discontinuation,rent for the 09nz 16' 97" welwUsa9 ) It61i =ft(' Leased Equipment is charged through the end of the billing cycle �' ,660197 int L Surcharge,Fuel in which service is discontinued. TMAL � r d , } Surcharge or Delivery 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or , Fee(see#6 under Delivery Fee as described in your T&C. onlyP"ymuAD9Ue "General will apply to each account. one of these fees Payment stub v9m0useb wca_ cuanmrtAcnvrtr _ k f The fee AccounrsuMnuaY ,� >axe xxxx is stated that applies to your account ma n o m _Yd`. 1 Information') on the front of the invoice,F -------------- visit the or furdteC lnfOElltatlnn please ---•� yyy.•y W.�umwMyow pmM^,N'A---------- PAY BY PAYTNISAMoUNT 1 website listed below or contact our c ACCOUNrNDMBrR xxx center. customer service 23456]890 00 00 00 7. ENCLOSED As a food product, bottled water is subject to the rules and N013 NUMBER BIWNG GATE 123AS67890 00(00/00 regulations promulgated by the Federal Food and Drug Administration(FDA). 0420096307 04262712619 000393049 2004 16 ' 8.Your first invoice indicates the Amount due delivery,along with any applicable end accounton your deposits[ rohnDce ` redemption fees,and an p e ICE MOUMAIN WATFA COMPANY .pMyena Nano vnun NemAmeaxc 123 Main St y dispenser charges.All fume invoices crysla,e 00000 will reflect charges for water delivered and dispenser rental,bottle 4.m,L•t•m Ji,a6:u:oNt nt 4i;a°I wBNsmMtaSDrna wL,Boo+n'9Bae # Submit your deposits and credits plus charges for any additional products ❑ �mF ""0P"nv9"u,n,"aaona se" 0"^" ° 9n°"" u4e 1, Payment by this ordered by you. Deliveries are made for eve date a total-Of 16=17 deliveries per year.You will receiveour envoices 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, q service.icemountainwater.com o'r' Fo�No_ �O;J14 service.icemountainwater.com 1 #215 6661 DIXIE HWY,SUITE 4 07/01/14-07/31/14 0460120095351 ' LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED THU-IIIIIIII'I I I"I'I I IIII IIIIIII I 'II - AUG 21 0120095351 MON- SEP 22 MON OCT 20 TUE- NOV 18 CARMEL CLAY PARKS AND REC DEPT. Customer Service: 1-800-472-9888 AUDREY KOSTRZEWA Pay your bill online at:service.icemountainwater.com or 1411 E 116TH ST by phone at:1-800-472-9888.It's freel CARMEL IN 46032-3455 - - FW — --- Ta e4advantage of these HCfT Summer Slitngs for ajmtted time o'nlyl These savings'are on a variety ofr " s i ces Inclu tl rn refresFi teas and le ionade,S,a`rklen Natu%a S r:. n Waf er and reat'an`ftie-ga 5tzes. ry n g g ,isax p e �n a' �e,��as g.�.�r� p i g `gr+.' -- � �aervlce a ount�tn tercom o c I�a X1472 8888 to3otd� ria' 'tet x a -z # m x+a u a "^ .1 - , ` a p � s "' "s � M'�` .w r s r ACCOUNT ACTIVITY For questions or.a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. MW Delivery address: P CARMEL CLAY PARKS AND REC DEPT.,1427 E 116TH ST,CARMEL IN 46032 PREVIOUS BALANCE 144.69 7/11 094766 PAYMENT-THANK YOU -66.91. 7/25 176835 PAYMENT-THANK YOU -77.78 . 7/23 0893882365 10 5 GAL ICE MOUNTAIN DIRK W/HANDLE 42.90 4 9 OZ PLASTIC CUP 50C/SLV 13.16 BOTTLE DEPOSIT: 10 CHARGED,10 CREDITED .00 7/31 0896021516 1 OIUFUEL SURCHARGE '? T 113.16 .98 G6869547 RENT TOTAL � 71.20 AUG 1 2014 17121 N K-1 U, W A ��' - -------J 4-3SCRI ACCOUNT-SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT ' I Subject to terms on reverse side. 144.69 — 144.69 + 71.20 = 71.20 BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL,OR FOR YOUR ETVOICE-4 A REPORT ON WATER QUALITY AND WAYS TO HELP US SERVE CALL 1-800-472-9988 OR WRITE FORMATION,PLEASE l Please remember payment is due b YOU SETTER US AT.. 2. Remember,if you are renting e Y the"pay by"date noted to ensure the smoothest seryice. ICE MOUNTAIN SPRING tVATER CO. g guipment, our e #216 Yotn first invoice will include apro-rated fee for the current month, lus Y quipment rental is charged one month in advance,That means 6661 DIXIE HWY,SUITE 4 3. Kindly fill in the amount enclosed, include P the next month' rental. LOUISVILLE,KY 40258 If you prefer,you can a Your account number Pay your bill online at service,ieemountainater.com check, and do not send cash. Ifyou,think your bill is wrong, 4• Never hesitate to call us a transaction Tui or ifyou need more information With comments,questions,or your bill;-write us on a se about Concerns. must hear from you in writing no later than karate sheet of papei.We sent you the first bill on which the error or Problem irty a 0)days after we eared*You Carl telephone us,butdoing so will not preserve your righ�s n your letter, give us the following information: SAMPLE 11 A 111 Your name,address,telephone and account n ^1Y PL NVOICE • The dollar amount of the suspected error, umbers. V G • Describe the error and explain ifyou can,Why Date range Of this invoice an error. y you believe there is You are obligated to pay the parts of your bill that are not in question. You do not have to pay the disputed amount while it is being investigated.During the investigation,we ca as delinquent or tape an nnreport your account y action to collect the amount in question. usas67890 Your Account NumberL Payments afier the THp-00 0q 123456789. Your next invoice.Past due invoigcesOICE)date will appear on Important MON-OC/M billing date)may-be_assessetLa_ {not paid within 30 days ME-OTC 11 exceed$20 per month.Additionally,-fee-late -feeY of news and ME-�C 11 1 Watch here for a by-law-nofto- Itt 1fV f11 tllltatlt111i1Fadila„I�ICldti c",�mef lsowrz-9118 Personalized account expenses may be assessed at a rate not[o exceed 100% offers-- - - third Partycollectionfattomey 123M1 ", --- - _ ThankyouforusinglmMo9nNlnpwub l unpaid balance or ory su a 01000 - e a. .._ _ message the maximum allowed by ”of the 2.Each returned check is subject to a service charge maximum check return charge allowable in your Stateubject to the 3. All bottle and equipment deposits are " y w«+msdyY 1 p ACTIVITY, shown as CURRENT ay electronically 4. Equipment Activity s q pment replacement costs stolen,damn ed mewill be charged for bottles tos4 since your Make g 07 not returned, ACCOUNT ACVnY w m a m�3 mwwmm.m m v h1 BOp�1'086 Sure this 5.In accordance with last invoice amount h NWNA's Terms and Conditions("T&C" De1Nery Address:John Doe,123WnS—t0ty S%t OW00 as been Equipment Lease and/or Service A ),your tnMa:eatan� - subject to minimum month! greement account may be uu paid in full to OB/31 461898 ➢ryment-TankYou fees.(A complete version of thecurrentTses��orearl m 3n01114444 5 6WIIonNm+al5pan9Wah ry avoid late fees early n+ 3ne1,aw4 s keMawwmsG Dp°n _ _ _ wDa website listed below)Upon service discontinuation aybe vient for he """ 3+1189+41a s 0911 31026388+1 + wets9m,aree f- - J0D0' FiJ Monthly QjI Leased Equipment is char edin which service is diseonnued.ough the end of thebilling cycle Surcharge,Fuel 6.You will be chared TOTAL g a monthlyOilSurcharge,Fuel Surchargeor 9 Surchargeor Delivery DeliveryFee as described in your T&C. Only one of these fees Fee(see#6undertall apply to each account.is stated on h The fee that applies to Paymentstub -e front of Youraccount the Invoice.For ACCOUMSUMMARY a + ao "D« ormalvisit the website listed fur ourinfstoationplease "°""°""`"°""'"—' """°"°° " nformation') below .°.°, "°,➢ ------- or contact ----a----------------------------------------- centec mer service � AccouNrr4uMlut payer pay3/n AMOUNT 7. As a food 12US67690 000000 Product, bottled water is subject to the rules and INVOICE NUMBER WU3NG DALE ENCLOSED regulations promulgated b tz34s67890 000orao i Administration Y the Federal Food and Drug S.Your first invoice indicates the 0420096307 04282712619 OOD39E049 2004 1B delivery,along with an Products delivered on your first "I Amount due Y applicable bottle and account deposits, 'CE MOUN NN WA FR COM9ANY I°nO Doe redemption fees,and an om4a aNwaYnm N,ma nr." 123 Main St will reflect charges for walertdelivered and dispenser rental,bottle ❑,%Sm MOM deposits and credits plus ch es for charges.All future invoices w.mw�"atw.ar,.,du;a<r,n,.r,,:EGLGJnP (pR NSiOMFASDMCECNL 1dW-1)2.9086 -i Submit your ordered b an additional ❑rcNwwxruuanoamsynWRme<aa,aanaeva6 O vaMA°yowyasa.r""r.e sloe. .I Payment by this yyou,Deliveries are made eveour Products date a total of 1wceks,for 6-17 deliveries per year,you will receive invoices - + 12 times per year,so approximately 5 of those invoices will reflect - .. .._...F.,._ __ two deliveries. 02008 Ice Mountain Spring Water Company,a Division of Nestle Waters service,icemountainwater.com North America Inc. - - - -- _-_ Form No.NW 709 02114 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 051125 Ice Mountain Terms P.O. Box 856680 Louisville, KY 40285-6680 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 8/5/14 04GO121202766 Drinking water&cooler- MCC $ 40.05 8/5/14 04GO120095351 Drinking water Maintenance Dept. $ 71.20 Total $ 111.25 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 i Voucher No. Warrant No. j 051125 Ice Mountain Allowed 20 P.O. Box 856680 Louisville, KY 40285-6680 In Sum of$ f $ 111.25 I ON ACCOUNT OF APPROPRIATION FOR 101 General fund/109 Monon Center I PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# i 1091 04001212o2766 4350900 $ 40.05 1 hereby certify that the attached invoice(s), or 1125. 04GO120095351 4350900 $ 71.20 bill(s)is(are)true and correct and that the 1 materials or services itemized thereon for which charge is made were ordered and received except I 21-Aug 2014 i Signature $ 111.25 Accounts Payable Coordinator Cost distribution ledger classification if j Title claim paid motor vehicle highway fund i I service.icemountainwater.com #215 6661 DIXIE HWY,SUITE 4 07/01/14-07/31/14 0460121776199 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED IIIIIIIII1111111111111111111111111 FRI_ SEP 05 0121776199 MON- OCT 06 MON- NOV 03 THU- DEC 04 CITY OF CARMEL HUMAN RESOURCES Customer Service: 1-800-472-9888 JIM SPELLBRING 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 f s �a a advanf.'ge tz t ese�MC1T umrner .►ngs°for #t�nited time r yl sois , "gs are or uarlety of �a','.,�,,�,`z"warm"'d��rr���S �,rvX„",!`�„',�'r��^�,�a��',, ✓� ... ', �R,�a,�3k�"„w � '�,`�„a�sa:°, ;,.�� .�,s (�;,�,e'.�r,,,��;,��.�,Y s �o �`'� ✓:�.3a"'�::,;,,,�s� �r s,�k'�,,i�1 ��ti.. pr�dtacts�Includ�ng�refreshl ��teas arida em�ona�e�Spr�kling�Nafur�al�Spr`ing Water��and greatr><they-ga�s�zes 1/r�service I�emtxunr`aln�raer cam or�cai['1-800-4721�888to�arde���< �� ��� � ,�� � �< ��,ar `�'� ” �€'.., P't ;�i�,t �: �ff �'�"'*��� Y.5:i� � 5�4�xi a'» .°E£�vva ,� :'r 2 4,S' ,SsTy f" �' c.✓'7'. ,�"��°„ 1,�',"�,� ,� � �aur,� z',wt;-7��"�3z�.P"�' �`i"� � .,;a, ��.°a";�✓ i��,�� �'�✓ ;t�,a r�gi'»,;��/1,':� ,� � l'4��� er �.�. i��'k��" -�'r„�.�, '';.. ;�'�;�� �� a '" `'s°'`�'.&r,`ro`zy laz' AxSr �';:������:u�7�,rw.¢fl„�y�)"l � �? ��"`;"� �'ya,P*"�s::.tr°���r�£ �'.,�T;✓`;. ers �f�.�J*���r*�.� ,�%`,`�'�. - ACCOU IVT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. IMM-200=0_1 MUM e rvery address: (;IVIU W, HUMAN KEbUURCE DOT,CARMEL IN 46032 PREVIOUS BALANCE 7.98 7/11 094765 PAYMENT-THANK YOU -3.99 7/25 176836 PAYMENT-THANK YOU -3.99 7/09 0890891039 1 5 GAL ICE MOUNTAIN DRK W/HANDLE 3.49 BOTTLE DEPOSIT: 1 CHARGED :,2 CREDITED- -6.00 7/31 0896032273 1 OIL/FUEL SURCHARGE 3.16 66843774 RENTS To 3.99 TOTAL 4.64 AUG 2 5 2014 Clerk Treasurer ACCOUNT SUMMARY [_PREVIOUS BALANCE PAYMENT/ADJUSTMENT CU NT ACTIVI PAY THIS AIV�OUNT �r Subject to terms on reverse side. 7.98 — 7.98 + 4.64 = 4. BILLING RIGHTS SUMMARY _ IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL,OR FOR YOUR.INVOICE-4 WAYS TO HELP US SERVE YOU BET A REPORT ON WATER QUALITY AND 1NFORMq.I,fON P 1, Please remember Payment TER CALL 1-800 472-9ggg OR WRITE US AT: LEASE p yin nt is due by the"pay by"date noted to ensure the smoothest service. ICE MOUNTAIN SPRING WATER CO. Z• Remember,if you are renting equipment,your equipment rental is charged one month in advance.That means #216 your first invoice will include a pro-rated fee for the current month,plus the next month's rental. 6661 DIXIE HWY.,SUITE 4 3,Kindly fill in the amount enclosed, include your account number on LOUISVILLE,KY 40258 If you prefer,you can pay your bill online at service.icemountainwater.com check and do not send cash. If you think your bill is wrong,or if you need more information about 4' Never hesitate to call us With Cotnillents, questions,or concerns. a transaction on your bill;;write us'oti a'separatesheet of paper..We' must hear from you in writing no later than thirty(30)days after we sent you the first bilI on which the error or problem appeared.You can telephone us,but doing so will not preserve your rights.In your letter, SAMPLE give us the following information: LE INVOICE • Your name,address,telephone and account numbers. �/G • The dollar amount of the suspected error. Date range of this invoice Describe the error and explain if you can,why you be there is an error. You are obligated to pay the parts ofyour bill that are not in question. You do not have to pay the disputed amount while it is being Y-1 investigated.During the investigation, as delinquent or take any action to call Your account 00100100-ooroowo 7234567890 ect the amount Your Account Number we cannot reportnt in question. GENERAL INFORMATION ,i,OCT p, 123456789 1.Payments received after the billing(INVOICE)date will appear on Important Mo"oe s Your next invoice.Past due invoices(not paid within 30 y wEo-Nov= i Watch here for a billing date)may be assessed a late fee as allowed by law not to TUE-occ,6 days of news and yn�m utitlttt:,imt au«riiu°tiu}a[i forney C4,fnmer SeMm:1�000.1]2-9060 personalized account exceed$20 permotith.Additionall, offers t°hOo Hanky°°+nrnsm9ReM°°°mmPma°m message expenses may be assessed at a r to nodt m teed coflec100°/9 tof the 123 M i St ary st t 00000 unpaid balance or the maximum allowed l:.tttt t nW«u.,it n 4n u"ett,¢d;,p , 2.Each returned check is subject to a service charge to the maxitnam check return eha ee allowaSI&hi our State, '° „m ar 3. All bottle and equipment deposits are shown as CURRENT aivw r 11 Pay electronically . ACTIVITY. Activity Equipment replacement costs will be charged since your ACCOUNT stolen,damaged or not returned, d for battles lost amount has been 5.In accordance with NWNgs Terms and Conditions("T&C")your last invoice DMnAddme °"�in+,,,ms,,,�,,oy,u to 000ao ;; Equipment Lease and/or Service Agreement account may be "` "ee"n« n u j paid in foil to subject to minimum m 4831 /6+096 payment-IhankYu '°”" .i avoid late fees monthly purchases and/or 7n 3+76651KM s swnwlrramatsPnrgwato �t auaa, t fees.(Acomplete version ofthecurrent T&C may belviewed olntthe n1 317M51a.a s ,eMwmams6ai�w� w 1 00 W/+1 31796514444 5 ke MawnuM 3Ga1A _ website listed below)Upon service discontinuation,rent for the /1? %+ 97820M++ "`"`0 � 1'Cj s113ttx Vis= }i ° Monthly Oil Leased Equipment is charged through the end of ffie billing cycle + +M4oav7 Surcharge,Fuel kzn ,1 in which service is discontinued. TOA �� Surcharge or Delivery 6,You will be charged a monthly Oil Surcharge,Fuel Surcharge or Delivery Fee as described in our T&C. Fee(see#6 under Y Only one of these pAY HS"00N k "Genera[ will apply to each a fees Payment stub account The fee that applies to o is stated on the front PP Your account ACCOUNT SUMMARY io of the invoice.For furtherinformation "•"°>°'°°°"_°'°' "'`°"""°""`""` d"""°" °__. Informat _"°` n visit the website listed below or contact our customer service center. ---- " '"'°"°°""'"y°"P""""` ACCOUNT NUMBER PAY By PAY THISAMOUNT 00 00 00 'M'a ' 1134567096 LOSEDf 7. As a food product, bottled water is subject to the rules and ry1223456734S67MBER BIWNG GATE 890 oorooyoo .ENC ,r regulations promulgated by the Federal Food and Drug ? Administration(FDA). 0420096307 04202712619 000341044 2004 l" 8.Your first invoice indicates the products delivered on your first' Amount due delivery,along with any applicable bottle and account deposits, Conn Doe redemption fees,and any dispenser charges.All contra invoices CEM°UNEAN WAIFR C°MPANY 323 Main St twiJmdNnW w•unxam/me*aaw- (7tw5late x0600 t will reflect charges for water delivered and dispenser rental,bottle t:mt"(,�u.WJL,"tL..n.Luuuwi,6u1 t«a foetus oMER3Dmc[wuaee4r=-ve66 fi Submit your deposits and credits plus charges for any additional products ❑swRurw9yrtcA4 oPAns9°uP6m"�� *" Cl°"`""O On"" '" ; Payment by this ordered by you. Deliveries are made eveweeks,for 1 date a total of]6-17 deliveries per year.You will receive invoices '` "" '"`__ — -- —— ___ 12 times per year,so approximately 5 of those invoices will reflect hvo deliveries. ©2008 Ice Mountain Spring Water Company,a Division of Nestle Waters North America Inc _ service.icemo untainwater.tom . Form No.NW 709 02114 Ik- - — VOUCHER NO. WARRANT NO. ALLOWED 20 Ice Mountain IN SUM OF$ PO Box 856680 Louisville, KY 40258 $4.64 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1205 104GO121776199I 42-390.99 I $4.64 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,August 25, 2014 1 i Director, Administration Title Cost distribution ledger classification if C claim paid motor vehicle highway fund 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)) 08/05/14 04GO121776199 $4.64 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