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Home My WebLink About242005 02/10/15 ''\'• CITY OF CARMEL, INDIANA VENDOR: 051125 ;; ® �i• ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CHECK AMOUNT: $********18.21* s is CARMEL, INDIANA 46032 PROCESSING CENTER CHECK NUMBER: 242005 PO BOX 856680 CHECK DATE: 02/10/15 LOUISVILLE KY 40285-6680 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1701 4239099 15A722032704 18.21 15A7220327048 service.icemountainwater.com O D C #215 6661 DIXIE HWY,SUITE 401/01/15-01/31/15 15A7220327048 ' LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED II I I I II I II IIII I IIII II I I I I I I I I I III FRE FEB 06 7220327048 TUE- MAR 10 WED- APR 08 Access your delivery calendar at THU- MAY 07 service.icemountainwater.com 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 I�I�II�n�lnlllulnll��rlrl�rl��llll�llll'I�I�I�IIII��II�II� 77 Stan the year off rtght ands ire! Saye$2 00 when yah buy 12oz tce Igl17 ount In Natural Sprung,', ater perfect or'b"' the gol Utslt eselvlce licemountalnilitater com ray y y f OM jig s— k 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 SQ, CLERK TREASURER OFFICE,CARMEL IN 46032 PREVIOUS BALANCE 20.99 1/23 176878 PAYMENT-THANK YOU -20.99 1/07 0918411844 2 5 GAL ICE MOUNTAIN DRK W/HANDLE 6.98 2 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00 1 9 OZ PLASTIC CUP 50C/SLV 3.29 3 5 GALLON ICE MOUNTAIN DEPOSIT RETURN .00 1/31 0923383681 1 DELIVERY FEE 3.95 A7869412 RENT 3.99 TOTAL 18.21 I ACCOUNT SUMMARY PREVIOUS BALANCE_ PAYMENT/ADJUSTMENT CURRENT ACTIVITY —PAY THIS AMOUNT Subject to terms on reverse side. 20.99 20.99 + 18.21 18.21 FBILLINGRIGHTS SUMMARY IN CASE OF ERRORS OR QUESTIONS ABOUTYOUR BILL,OR FOR YOUR INVOICE-4 A REPORT ON WATER QUALITY AN iNFo WAYS TO HELP US SERVE YOU BETTER CALL 1-800 47z_gggg p,WRITE US AT: RMATION,PLEASE I• please remember payment is due by the" a ICE MO z. Remember;if You are renting¢ "Pay by"date noted to ensure the smoothest service. UNHWY SPRING WATER CO. your first invoice will include pro ent'fee for the current month,plus#216 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's rental, LOUISVILLE,KY 40258 If you prefer,, Your account number on You can pay your bill online at service.icemounumberton You ifyou thinkYour 4. Never hesitate to Your check and do not send cash. Y ur bill is wrong,or ifyou need more information call us with comments, a transaction on your bill,write us on a on about questions,or concerns. must hear from you in writing no later than thirty to sheet of Paper.We sent you the first bill on which the error or problem appeared,Youdays arcawe n telephone us,but doing so will not preserve your rights. give us the following information: Ph1s•InYour letter, SAMPLE • Youname,address,telephone and account numbers. INVOICE r • The dollar amount of the suspected error. • Describe the error and explain ifyou can,why Date range of this invoice an error. YYou 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 amount while it is being investigated.During the investigation,we cannot report as delinquent or take any action to collect the amountP yOUr account 0 , .. GENERAL INFORMATION in question. ootoo/oo-oofootoo 1239567890 Your Account Number 1.Payments received after the billing AV nlF-DCT w 123456789 your next invoice, i es(VOICE)date will appear on Important Past due invoices(not paid within 30 da MON-OCT z9 billing.date)may be assessed a late fee as allowed b WFn-Nov], r Watch here for a exceed$20 er days ReWS and TUE-OEC,9 P month.Additionally,third by tuiiMdl;lfidtttt„nt41.it1ld.Uin.i!llddu CusamerSeWce:180Da]2-9888 erso offers John Doe P nalized account expenses may be assessed Party offers un at a rate not to 123Main5t Thd-1o,prmfnyiceMountampmducU message paid balance or the maximum allowed by law. o ystate 0000D ane emR•f. g exceed 100%of the I•dn!J llG.,dL.,n If,ldi„1,"LGtd,d"a 2.Each returned check is subject to a service charge subject to the maximum check return charge allowable in your State. 3.All bottle and - Y2iwu 2ai�ROP ++ ACTIVITY. equtPment deposits are shown as CURRENT 14 Pay electronically 4. Equipment replacement costs be charged for bottles lost Activity stolen,damaged or not returned,will since your ACCOUNT ACTIVnY P maw •,»M.=u<�a°� ��aa Kr�PP,aRa�m^ Make sure this i S-In accordance with NWNA's Terms and Conditions(„T&C” last invoice amount has been Equipment Lease )Your D*5,ny Addre john D°e.f]7 Mem sveee ocy.Sone 000ao and/or Service Agreement account may be P aR'Rn a paid in full to subject t°minimum monthly °e' 9Me9s Paym n,-Tan4Y°" avoid late fees fees.(A complete version of the clurentT&C mayases and/or early cancellation 31] 16194 9 �Ga onNa<nalsp m9 ,er --t n on m s,769s,a9aa s Mwnwm s6aloep"s¢ website listed below}Upon service discontinu tionbe vrent for tthehe Oil;°"' "'mss"•aa s Man msealaeNM f- - o o9n] 3182639011 , fvnsunfia,9e --.r, _,,,,1 monthly Leased Equipment is charged through the end of the billing cycle _ ,esao 9> Ren " Oil in which service is discontinued. Surcharge,Fuel TOTAL # _ ,ax>< 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge of Surcharge or Delivery Delivery Fee as described in your T&C. Only one of these fees F- Fee(see#6 under will apply to each account. The fee that a "General is stated on the from of the invoice. applies to your account Payment stub .ReMoueeuwcF_Pn.MeM�DDMeNf <uRRfN]Arnvm = PAY,R+, uNr For ACCOUNT SUMMARY t y6- ,o%vz visit the website listed further information "°' ......41`"°""'"" `'” ”""" "` Information") below or contact our Please ---- ----- "--' nn center. customer service CVlee ACCOUNT NUMBER PAY BY PAY TNISAMOUNT 7.As a food product, bottled water is subject to the rules and 133956]890 Do 0o BU INVOICE NUMBER BIWNO DATE .ENCLOSED regulations promulgated b 23as6]696 e00o/oo Administration(FDA). y thQ Federal Food and Drug 8.Your first invoice indicates the products delivered on your first 0420096307 04282712619 000391049 2004 16 delivery,along with any applicable bottle and account de tehnD°e Amount due redemption fees,and any dispenser charges-All future invoices .CE MOUMAN WA ER COMPANY deposits, sud"ond Ndie W.un Nw°+.wMa-+ar 123 Main 5c will reflect charges for water delivered and dispenser rental,bottle ary,sta,e o9doe Y deposits and credits plus charges for any additional products ro,1„i"tu..,n .t6„nan.,r,,.6ttea,a fORCUSDMFR$FMCEULLi-000.1]]-9998 Submit our ordered b SIGNUPfOR P FAU OPA gnUpRM E0n8 n Ode ❑P”°,Arne 9tiDn9 s� payment by this YYou. Deliveries are made every three or four weeks,for --= date a total of 16-17 deliveries per - - -'--'"' 12 times per year so a P Year.You will only receive invoices ___.__ two deliveries, approximately 5 of those invoices will reflect ©2008 Ice Mountain Spring Water Company,a Division of Nestle Waters North — ---- — _ th America Inc. �- Form No.NW 70902114 Prescribed by State Board of Accounts City Forth 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)) 1 .a 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 VOUCHER NO. WARRANT NO. ALLOWED 20 fop;7(MY7,/M Ll(-t4 :frt,&a IN SUM OF $ ON ACCOUNT OF APPROPRIATION FOR i Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# _ I hereby certify that the attached invoice(s), 6,q7 /9 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 Signature Cost distribution ledger classification if ' Title claim paid motor vehicle highway fund