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HomeMy WebLinkAbout238629 10/28/14 CITY OF CARMEL, INDIANA VENDOR: 051125 �. CHECK AMOUNT: $********13.09* .,; ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CARMEL, INDIANA 46032 PROCESSING CENTER CHECK NUMBER: 238629 M4 ioN'c° PO BOX 856680 CHECK DATE: 10/28/14 LOUISVILLE KY 40285-6680 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4238900 04JO11925282 13.09 04JO119252823 service.1cemountainwater.com --- #215 6661 DIXIE HWY,SUITE 4 i LOUISVILLE KY 40258 09%13/14-10/12/14 04J0119252823 ADDRESS SERVICE REQUESTED a adt® B e „` ►d= ; II'I II I I'I I�I II'III I I I I I I I II 'I 'll MON- NOV03 0119252823 DEC THU- DEC 04 WED- JAN 07 FRI- FEB 06 CITY OF CARMEL STREET DEPARTMENT Customer Service: 1-800-472-9888 BONNIE CALLAHAN Pay your bill online at:service.icemountainwater.com or 3400 W 131ST ST CARMEL IN 46074-8267 by phone at:1-800-472-9888.It's free! I'�"'III'I�"'�II�I"I�III�I'�II�I�I'lll'lll'��IIII�IIIIIII'llll h Hol ��`'�/,Season �fh S arkGr' Celefra#tori"sl Enjloy pr�tartt�tm brands�xnciud��g Saiz ilegrm�5r t�Pe�`Irer and Acga�P�anna l,o�rk;for,spec�al,ha��day s��t�ngs gong oto from now t�>�ttl the encs o�fthe yeatafC ll�,:`. �,.'> r4``'" b ,.�,.' ahf S -,. nt ,!s,� �zf .? ,..., ,'%jp4 ✓ r .r y y F '� '`" ,"47 ?�, `"`'"'.� .."x;:.t '�' x = vis; • a ° , Vie` 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 9.60 10/10 601395 PAYMENT-THANK YOU -9.60 10/06 0904697315 2 5 GAL ICE MOUNTAIN DIRK W/HANDLE 6.98 2 5 GALLON ICE MOUNTAIN BOTTLE`DEPOSIT 12.00 2 5 GALLON ICE MOUNTAIN DEPOSIT�RETURN -12.00 10/12 0907477525 1 OIUFUEL SURCHARGE 3.12 J7371333 RENT 2.99 TOTAL =w _ 13.09 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 9.60 — 9.60 + 13.09 = 13.09 - BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL,OR FOR YOUR VOICE-4 WAYS TO HELP US SERVE YOU BETTER A REPORT ON WATER QUALITY AND WORMATION,PLEASE 1 Please remember a CALL 1-800 472-9888 OR payment is due by the"pay by"date noted to ensure the smoothest service. WRITE 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 a pro-rated fee for the current month,plus the next month's rental, 6211 3. Kindly fill in the amount enclose 6661 DDtIE I3Wy. SiflTp 4 d, 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.com Ifyou think your bill is wrong,or ifyou need more information about 4•Never hesitate to call us with comments,questions,or c a transaction on your bill,write us on a separate sheet of paper.We OnCerns. must hear from you in writing no later than thirty(30)days after we sent you the first bill on which the error or problem appeared. telephone us,but doing so will not preserve our ri s.Inyo You can SAMPLE give us the followin Y Fbta• Your letter, INVOICE g information: • Your name,address,telephone and account numbers. • The dollar amount of the suspected error. Date range Of this invoice error. • Describe the error and explain if you can,why you believe there is You are obligated to pay the parts ofyour bill that are not in question. You do not have to pay the disputed ated.D p amount while it is being invests g During the investigation,we cannot report your account as delinquent or take any action to collect the amount in 00100100-ooroo aD 1z3as67690 question, Your Account Number GENERAL INFORMATION TMH-OCT w 123456789 I.Payments received after the billin MOWOCT 39 g(INVOICE)date will appear on ImportantD NAV 31 Watch here for a Your next invoice.Past due invoices(not paid within 30 days E-DEc 1e billing date)may be assessed a late fee as Y of news and ;Iti6 tett ql 8#R7.�IIt46lUL 1IUll:Stsa(I; a,onme,semce:l-soo-a7z-9666 personalized account exceed-$20.permeMh.-,4dditionall; allowed by law not to OffersroD n,a„tywlaru9nglceMounwnproa=w mp,Ssag@ y third party collection/attorney-. o'rs i S� auma>. ,i expenses may be assessed at a rate not to exceed 100%of the unpaid balance or the m 1.aa f r ae ane n tn•6-brut raa _ aximum allowed by law. 2.Each returned check is subject to a service charge subject to the maximum check-Mm charge allowable in your State. 41 ' 3. Ali bottle and e fl _ Pay electronically equipment deposits are shown as CURRENT Activity 4.E9Uip I nt replacement costs will be ch Since your AccouNr Arnvm ��e• " "" """ '°'°""m i Make sure this stolen,damaged or not re charged for bottles lost amount has been turned. last InVOiCe 5.In accordance with NWNA's Terms and Conditions("T&C"),your 'Delhrery Ada�ess:Jonn Oae,123 Main S°eet CM1Y.S1ale 80000 Equipment Lease and/or Service Agreement account may be P= �I�� aw i Paid in full to """kms °° avoid late fees subject to Ofl,31 46169e �="1- >a0ac J minimum monthly purchases and/or early cancellation n 3,3666,4444 s SGannnNamralsvan9Wa1=r xt � fees.(A complete version ofthe c 3nees,4464 5 tce Ma m a 5GalDepotm g o w uce bis&Cm aflbe o, rent lon the W1 31885,4404 s IceM=unki sea Remm Monthly Oil website listed below)Upon service discontinuation,rent for the W/13 3183638611 wets•nna6= [• 09/1 1664069] Rue { ���Y,�Y�'. Leased Equipment is charged through the end of the billin TOTAL f� -,9 Surcharge,Fuel is which service is discontinued. g cycle 0 0 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• Only "General will apply to each account one of these fees Payment stub PR NON364 W 6_PAM M/A°IUS MD +NeR cO nr _ PAT NsraOU" The fee that applies to b accourrr suMMAav D« • ae. Information') is stated on the front of the invoice.For further yOaz account _ visit the information ••.,»...4,....Ro6a•�--.,e.==•�eeN6=...•— ------------w"-"e�,� ,# mahon"� --------------ACCOUNTNUMBER PAY BY PAYTNISAMOUNT website listed below or contact our customer service 1334567890 oD 6o/ao INVOICENUMBER BRUNO DATE .ENCLOSED 7.As a food product, bottled water is subject to the rules and 1334567890 00111 regulations promulgated by the Federal Food and Drug Administration(FDA). ' ) 0420096307 042B27126E9 000391049 2004 be 8.Your first invoice indicates the products delivered on your first E Amount due delive Inn"Doe rYi al°ne with_anY-apphcable_b° CE MOUNTAN WA FR COMPANY 23 Main S[ redemption fees,and any dispenser' _ s0" a""� """ ate ary,ssee o°000 ' es.All will reflect charges for water delivered and dispenser rental,bottle Submit your 7 da,7,:Jgdh Ib FL:GVyIiture invoices R'dq,q �--rox cusrnmw sr.e��ewu.l-ao°�naeae deposits and credits plus charges for an ❑SGNUP OB EMRUPA A9 vvR m reaona z, a ❑Pri Am Dw9 O Fm 4Aa Payment-by°this— I ordered by you.Deliveries are made every three or four weeks for productsv date a total of I6-17 deliveries 12 times per year,so approximately 5will only of those invoices t ve invoices two deliveries, will reflect ©2008 Ice Mountain Spring Water Company,a Division of Nestle Waters North America Inc. qlr—service.icemountainwater.com Form No.NW 70908/12 VOUCHER NO. WARRANT NO. Ice Mountain ALLOWED 20 IN SUM OF$ P. O. Box 856680 Louisville, KY 40285-6680 $13.09 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 104JO119252823 I 42-389.001 $13.09 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 a �ridyctober 24, 2014 Street Commissioner Street Commissioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund I 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)) 10/15/14 04JO119252823 $13.09 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