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HomeMy WebLinkAbout242305 02/17/15 CAA CITY OF CARMEL, INDIANA VENDOR: 051125 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CHECK AMOUNT: $....***247.73* CARMEL, INDIANA 46032 PROCESSING CENTER CHECK NUMBER: 242305 M; N PO BOX 856680 CHECK DATE: 02/17/15 LOUISVILLE KY 40285-6680 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4238900 117821082 71.67 15A0117821082 2200 4239099 120048525 38.09 05A0120048525 1125 4350900 120095351 50.25 OSA0120095351 1091 4350900 121202766 40.84 OSA0121202766 1205 4239099 121776199 3.99 OSA0121776199 1801 4350900 121975593 42.89 OSA012197SS93 service.icemountainwater.com 0 D 0 #215 6661 DIXIE HWY,SUITE 4 - 0 LOUISVILLE KY 40258 01/01/15 01/31/15 05A0121202766 ADDRESS SERVICE REQUESTED = — 91��00��1�1���111 �BaBll 0101 I�00 DIB TUE- FEB 24 0121202766 WED- MAR 25 THU- APR 23 Access your delivery calendar at FRI- MAY 22 service.icemountainwater.com J CITY OF CARMEL PARKS DEPARTMENT FEB - 9 2015 Customer Service: 1-800-472-9888 MANDY SPADY Did you forget about us? Kindly pay upon receipt. 1411 E 116TH —__ Remember,past due accounts are subject to a late fee. CARMELLIN 460303 BY —2-3455 ____`_ Your ,prompt payment is appreciated. For your IIIIII'll��'llllll�'�I�'�II" '�IIIII�IIIIIIIIII�I'll�lll��'I'lll convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. FT ear off right and save! Save $2.00 when you buy 12oz. Ice Mountain Natural Spring Water, perfect go! Visit eservice.icemountainwater.com. , 1 ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. A♦ — __ -- - _ '__• e_,_ .-.A _ __ —Delivery address: CITY OF CARMEL PARKS DEPT/MONON CENTER,1235 CENTRAL PARK DR EAST,CARMEL IN 46032 PREVIOUS BALANCE 51.93 1/23 0921156014 10 5 GAL ICE MOUNTAIN DIRK W/HANDLE 42.90 BOTTLE DEPOSIT: 10 CHARGED, 12 CREDITED -12.00 1/31 0923286173 1 DELIVERY FEE 3.95 A7938478 RENT 5.99 TOTAL 92.77 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 51.93 — 0.00 + 40.84 = 92.77 service.icemountainwater.com •J B 1M #215 6661 DIXIE HWY,SUITE 4 01/01115-01/31/15 05A0120095351 0 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED 11111111 0111101111111 HIM I� I 1.1TUE- FEB 24 0120095351 WED- MAR 25 THU- APR 23 Access your delivery calendar at FEB �9 20t5 �� 7 ,"� FRI- MAY 22 service.icemountainwater.com - CARMEL CLAY PARKS AND REC DEPT. Customer Service: 1-800-472-9888 AUDREY KOSTRZEWA BY: I Did you forget about us? Kindly pay upon receipt. 1411 E 116TH ST Remember,past due accounts are subject to a late fee. CARMEL IN 46032-3455 Your prompt payment is appreciated. For your III!�II�II��I�II�IIIII��III�"III""III�I��III�I�III�II�IIIIIII� convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. ASFtact the:year off right and save! Save $2.00 when:you buy 12oz.''Ice Motinfain.Nattiral Spring Wafer;gperfectT for_ n tfie o!."Visit eservlce:icemountainwater.com: _ .. - *�'."...W.'.'-".�.`=`�p,"'y '�'=`"`.�---. "��..:,.r.._. .�.,-.�a:;w> _-•._. r r- -..4.1 ..;;n;,�<�-...--•'�- �lzrr,._ f��:z4wdw.;.: .;�.i. ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. Delivery address: CARMEL CLAY PARKS AND REC DEPT.,1411 E 116TH ST,CARMEL IN 46032 PREVIOUS BALANCE 49.34 1/23 0921155990 8 5 GAL ICE MOUNTAIN DIRK W/HANDLE 34.32 BOTTLE DEPOSIT: 8 CHARGED, 8 CREDITED .00 1/31 0923275549 1 DELIVERY FEE 3.95 A7856222 RENT 11.98 TOTAL 9959 A-14-15 Wrl ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subic t to terms on reverse side. 49-34 — 0.00 -}- 50.25 = 99.59 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 2/3/15 5AO121202766 Drinking water& cooler- MCC $ 40.84 2/3/15 5AO120095351 Drinking water MO AO $ 50.25 Total Is 91.09 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. 051125 Ice Mountain Allowed 20 P.O. Box 856680 Louisville, KY 40285-6680 In Sum of$ $ 91.09 ON ACCOUNT OF APPROPRIATION FOR 101 General fund / 109 Monon Center PO#orBoard Members Dept# INVOICE NO. ACCT#/TITLE AMOUNT 1091 5AO12120276 4350900 $ 40.84 1 hereby certify that the attached invoice(s), or 1125 5AO120095351 4350900 $ 50.25 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 February 12, 2015 Signature $ 91.09 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund 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 Ifyou 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 later than thirty(30)days atter HeSAMPLE INVOICE sent you the firs[bill on which thehe error or problem appeared.You cann 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. "' ffim •1' You do not have to pay the disputed amount while it is being oolooi0000iooioo 1234567890 Your Account Number investigated.During the investigation,we cannot report your account i ` 23456789 as delinquent or take any action to collect the amount in question. THR-oa a , MON-o 29 Watch here for a GENERAL INFORMATION o-NDV=' ,OE-DEc IR personalized account 1.Payments received after the billing(INVOICE)date will appear on Important pl„nti�lnn,t"anla,lab.,, Curtomer Sem<e 1800>72-9888 message your next invoice.Past due invoices(not paid within 30 days of news and ILn.,, nla,nl,dlaan ThanM you for usln9lce Mountain p.oduRa lin Doe billing date)may be assessed a late fee as allowed by law not to offers 1123 Minn 5l ,"a 1— exceed S20 per month.Additionally,third party collection/attorney Lda 11 expenses expenses may be assessed at a rate not to exceed 100%of the �,,.,,-«,,-;;m�°=""�ry•, ysys,tem�:•�,rr;»��,: unpaid balance or the maximum allowed by law. Pay electronically 3 J I 2.Each returned check is subject to a service charge subject to the maximum check return charge allowable in your State. 8,..""':.i.•-z:°; ;i;:,;n;,t. .�.- .a.:% ��" Make sure this i 3. All bottle and equipment deposits are shown as CURRENT Activity ACTIVITY. R,v,r w^°•a^" "" amount has been since your ACCOUNTA Oh"Oce, 13M^s eeauro.nale00000 paid in full to 4. Equipment replacement costs will be charged for bottles lost, last invoice ,Dce�en Aama+ xxxx stolen,damaged or not returned. P,ee,00.Ba'a"<° xxxx avoid late fees Payment-3HankVou xxxx $.In accordance with NWNA'sTerms and Conditions("T&C'),your 0W3; 461898 3vRes,4444 s scaRooNaN�alsp""9wa"` - xxx+ nl 3nbes4444 ire Moo"wmseai Devosn Equipment Lease and/or Service Agreement account may be 6 i<eMoom„nsGalRei^m xxxx Monthly Oil subject to minimum monthly purchases and/or early cancellation w” 3178g51 , Eue15u.ha.9e xxxx Surcharge,Fuel 09111 3183638811 Rent _ fees.(A complete version of the currentT&C may be viewed on the 09712 '�pp69' xxx` Surcharge or Delivery website listed below)Upon service discontinuation,rent for the TorAi Fee(See#6 under Leased Equipment is charged through the end of the billing cycle "General rn�m' = nnoxm m which service is discontinued. .En.a Information") 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or xxx M _ Delivery Fee as described in your T&C. Only one of these fees Payment stub ACCOUNT SUN <., --___ y eY PAY THIS AMOUNT will apply to each account. The fee that applies to your account ------ --- PAY N,ayP+> gCCOUNTNu BR xxxx 00 00100 is stated on the front of the invoice.For further information 123456 please 7890 DATE MT.ENCLOSED wOICE NUMBER BILLING visit the website listed below or contact our customer service INV1234567890 ooiooloo center. 7. As a food product, bottled water is subject to the rules and 0820096307 0'12°2912619 000393049 x009 1B Amount due regulations promulgated by the Federal Food and Drug ioI,"o« Administration(FDA). ILEO NMOUMAiN WATEN COM gNVe 23 M-St � SubmitOnr 8.Your first invoice indicates the products delivered on your first aN.uer �• c,w,s LTO�0Doo SERVICE u+E'.Boo<rz-9Bea y delivery,along with any applicable bottle and account deposits, 1„dn1,.d,.Ub•it"1t"'11"4n"U.,6bi,Ld"n payment by this redemption fees,and any dispenser charges.All future invoices ode x,"`4mx6a^9".o"Rs•Sae date will reflect charges for water delivered and dispenser rental,bottle slcnwcoRCREE 4ulowmz,s^uv Rew��•aa�Pee".z deposits and credits plus charges for any additional products _ ordered by you. Deliveries are made every three or four weeks,for aar�o.e..hei,..fsi.<sl�✓i-t:....__-yc=...'�a»•.ac-a.aaga:�.—.may til££l 19 lL + 000 — L17,19 apiS as.lanaa UO SWJal Ol lOafgnS 1Nf10WV SIHl kVd )dIA113V 1Naumna 1N3W1Sf1raV/1N3V4AVd 33NV1V8 Sf101A3Nd JINVWWns 1Nn000v 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)) 02/03/15 15AO117821082 - $71.67 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Ice Mountain IN SUM OF $ P. O. Box 856680 Louisville, KY 40285-6680 $71.67 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 2201 15A0117821082 f 42-389.00 $71.67 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 Thurst9 GFi V'0i 615 StrAat Street Commissioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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.If you #216 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 sent you the first bill on which the error or problem appeared.You can telephone us,but doing Date range of this invoice so will not preserve your rights.In your letter,give us the following information: Your name,address,telephone and account numbers. • The dollar amount of the suspected error. ooloo/oo oofooloo 1234s67890 1 • Describe the error and explain if you can,why you believe there is ' 1234567890 an error. VN-OCT°° -oa 39 You are obligated to pay the parts of your bill that are not in question MoN Your Account NumberWEo-NOV 31 You do not have to pay the disputed amount while it is being TUE-°Ec 18 investigated.During the investigation,we cannot report your account iNMdlt^Bb,01➢,t.diA�l'a16�' "lt"W[Atl ;=^'^P e�°P__ Th..x you l«uil as delinquent or take any action to collect the amount in question. Watch here for a 123 o« a,•rv+ z3 5,' 00080 alzo personalized account Gry,State GENERAL INFORMATION Important I m,a.l.m--s-^'� "`-' -- ; message --------';"nom`= g 1.Payments received after the billing(INVOICE)date will appear on news and your next invoice.Past due invoices(not paid within 30 days of offers fEv4a' 'wklevui¢IYofpMuUkuNt.'xis... billing date)may be assessed a late fee as allowed by law not to exceed 520 permonth.Additionally,third parry collection/attorneyPay electronically y expenses may be assessed at a rate not to exceed 100%of the -"""`"""'mW UNT P'.P^'i°il' Xx xx unpaid balance or the maximum allowed by law. ACCOARNITY • fen^poe.Iz3M„nsc,e.oC Ss ppp0° Make sure this celP�r Aaa.e+a x>%xx 2.Each returned check is subject to a service charge subject to the „e„^P,aaN^.• X� amount has been Activity Pym •w^xvo wa1., xzx maximum check return charge allowable in your State. - �x",40 s 86,IIonNnuralSP^^� paid in full to 3. All bottle and equipment deposits are shown as CURRENT since your 09m 317,e1+.4 s k.MauGa' v^m xxxx ACTIVITY. last invoice U9n 31,88sIMM ” ° ^s avoid late fees we w"n•,9e 4. Equipment replacement costs will be charged for bottles lost, stolen,damaged or not returned. °Tu Monthly Oil 5.In accordance with NWNA's Terms and Conditions("T&C"),your Surcharge,Fuel Equipment Lease and/or Service Agreement account may be +e,,,w..x subject to minimum monthly purchases and/or early cancellation Your new ,,,„PU:.NaN _ ;;xx „p,,,,•„��_ •v* Surcharge or Delivery ACCOUNT SUMMARY Xxxx ,�N. .,-Po�.,,3.9E� Fee see#6 under fees.(A complete version of the current T&C may be viewed on the delivery _ -.•._••^�_________® -- website listed below)Upon service discontinuation,rent for the •��-�- =a,56a.P "General calendar. y Deliveries A—UN v� m Leased Equipment is charged through the end of the billing cycle `D'indicates M N.a'3. Information") in which service is discontinued. 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or a scheduled Delivery Fee as described in your T&C. Only one of these fees delivery s;,q;;`,o;a'r r; °"° 'vmm""" SNA ..-•^'°" will apply to each account. The fee that applies to your account 1 ` is stated on the front of the invoice.For further information please �� N visit the website listed below or contact our customer service o• ': center. Payment stub Ibn'mUn °"_____----- PAV BY PAV TNIS AMOUNT 7.As a food product, bottled water is subject to the rules and ______y p �,,,,, ,„„P�„ ' ACCOUNTNUMBER oolomoo 00Amount due regulations promulgated by the Federal Food and Drug " 133456'890 RRu"coaEA NaosEo Administration(FDA). D334561890ICE 6799G oofooroo 8.Your first invoice indicates the products delivered on your firs[ delivery,along with any applicable bottle and account deposits, 042009630? 0`1282 z 9 000391849 zo°roTo a Submit your redemption fees,and any dispenser charges.All future invoices will I^0000• payment by reflect charges for water delivered and dispenser rental, bottle icEMOUNT�P"w"TE"„�„om,PA"Y 1z3M=�^s� .M.M ory,aale 00000 this date deposits and credits plus charges for any additional products .�,�,o�" E c -172 9� 1...last•,d.19....R.•dL..n..1.i6AmNJA,t„R ❑wP 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 708 02/14 service.ice mou ntainwater.co m 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 Ice Mountain Purchase Order No. POB 856680 Terms Louisville, KY 40285-6680 Date Due Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s) Amount 21312015 05AO12 Water cooler $ 38.09 Total $ 38.09 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. Ice Mountain ALLOWED 20 POB 856680 IN SUM OF $ Louisville, KY 40285-6680 $ 38.09 ON ACCOUNT OF APPROPRIATION FOR Board Members Po#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT# I hereby certify that the attached invoice(s), or 0 05AO12 2200-4239099 $ 3809 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 2/16/2015 Signature City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund 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 neat 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 later than thirty(30)days after weSAMPLE INVOICE sent you the first bill on which thehe error or problem appeared.You canan ' 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. YourAecountNumber You do not have to pay the disputed amount while it is being 00/11/°°-oo/00/01 u34s,r,90 t investigated.During the investigation,we cannot report your account Iz34sb789 as delinquent or take any action to collect the amount in question. TnR.oa a MONoa:9 Watch here for a wEo-Nov z1 GENERAL INFORMATION roE-DEr IR personalized account 1.Payments received after the billing(INVOICE)date will appear on Important3.,00.z:-9,,, n,n..nL.nL,nm,L.,nnl.mt;.,.mu^n,ataan a.[«nef$e1^MW^[at^P•«��, message your next invoice.Past due invoices(not paid within 30 days of news and T,,,^E5m„l«uJ^9 4e belling date)may be assessed a late fee as allowed by law not to offers viii Wi�51 d seMeer o[rs[a[e °0000 exceed S20 per month.Additionally,thud party collection/attorney 1.awn,, It It expenses may be assessed at a rate not to exceed 100%of the unpaid balance or the maximum allowed by law. 6n°< ' Q,rene,+rP«'•P�"`",'} y Pa}'electronically 2 [ j. .•. r„>:«n r«,unclxdMr? amecM1mycn morel .Each returned check is subject to a service charge subject to the „R.,cexa trt�romMnr�dea[iacl°iPr9�s'" maximum check return charge allowable in your State. ' Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity e _ - «arP •"'°"""°"°' ACTIVITY. gcT,vTv "0 ° `"" amount has been since your ACCOUNT paid in full to 4. Equipment re replacement costs will be charged for bottles lost, Aaa,ela 3^n^Dce.u3Mamsree[.°`x5te1ppp00° P g ce4.en xxxx last invoice stolen,damaged or not returned. avoid late fees Payment-llunkYw 5.In accordance with N WNA's Terms and Conditions("T&C"),your BRx3, 461090 S SGall^nNa[ura15P^^9 Water �� 111 117005144M IceMwnum SGal pePout Equipment Lease and/or Service Agreement account may beGalRewr^ zx Monthly Oil p3111 31)00514444 S (Fuel SurcNr9e subject to minimum monthly purchases and/or early cancellation Surcharge,Fuel fees.(A complete version of the current T&C may be viewed on the Surcharge or Delivery website listed below)Upon service discontinuation,rent for the roiAL Fee(see#6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. "'""„`r = PArTN�:""'«+r+* Information`) 6.You will be charged a monthly Oil Surcharge.Fuel Surcharge or M4AN rxxx _ _ Deliver Fee as described in our T&C. Only one of these fees Payment stub ACCO UNTSUMMA NY xxK YW Y Y y } -•^• PAYTNISAMOUNF will apply to each account. The fee that applies to your account • ------ -.1-1._.nm,aW Pm^«", 00100 ACCOUNT NUMBER PAY BY xxxx is stated on the front ofthe invoice.For further information please ••„• I,,,, 56700ro CE NUMBER BUUNG DATE00 MT.ENCLOSED visit the website listed below or contact our customer servicew/w/W FZ3456)B90 center. 7. As a food product, bottled water Is subject to the rules and 042/096307 042,2712619 000391099 2014 1, Amount due regulations promulgated by the Federal Food and Drug eoh,, Administration(FDA). ICE MOUNTAIN w R�oMM 12ryscaies`000M 8.Your first invoice indicates the products delivered on your first •�eengryetlf"°""'” Submit your ''06""'"" a delivery,along with any applicable bottle and account deposits, n n.6a„L.66l,ba..n °R CUSTOMERBEMICE 5,de payment by this I„an�L.a.11l.•• . 4^r<wn9n a,Re.vx redemption fees,and any dispenser charges.All future invoices aao^,�«+e5me � date will reflect charges for water delivered and dispenser rental,bottle 51GNwF°RVRre nuTow.nsq^w"•4"" 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. a Ice Mountain Spring Water Company,a Division of Nestl6 Wafers North America Inc. Form No.NW 709 02/14 V e.icemou ntai nwater.com 0 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 T (@ /lOt{q-F��n Pl reL+ o Purchase Order No. PII 30X :856680 Terms LouIS 1(I Ile" , KY 402851 (U0 ' Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 2-13-15 OSAOIZI9 e F y2,�9 i f b s •.. ` Total 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. �I 1 V1� ALLOWED 20 T 1 Ce / quhhih l, c4 IN SUM OF $ PO 80X Lou vi l le C6-000 ON ACCOUNT OF APPROPRIATION FOR 1901 ' 350900 Board Members PO#or DEPT.# INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s), gVADIZI-IMC13 143509064Z.81 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 2- 1b-2015 • ignat Mitle Cost distribution ledger classification if claim paid motor vehicle highway fund 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 DIOUNTAIN 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 atter 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. ' You do not have to pay the disputed amount while it is being 00100/oo-00100100 iz3as6ra90 Your Account Number investigated.During the investigation,we cannot report your account i • ° s67R9 as delinquent or take any action to collect the amount in question. mR OCT a 123n MON-DCT 29 Watch here for a GENERAL INFORMATION T,E Nov 21 wED NDEC,B personalized account L Payments received after the billing(INVOICE)date will appear on Important ILn^VIII»111,d111ld.dltl,l,lfll,»atlfl»nAlddn cusm'^e`se� BBB�, message your next Invoice.Past due invoices(not paid within 30 days of news and Tna^kyp^m.4a1^s lee billing date)may be assessed a late fee as allowed by law not to offers 1123 M_5t exceed$20 per month.Additionally,third party collection/attorney "'SI.W, 00000 d..a,.til...uit..,4-11.Ln,.{u.LLLi,d»n I.dn expenses may be assessed at a rate not to exceed 100%of the —•'fiT,a":2'."; ""' "fin - unpaid balance or the maximum allowed b law. t: "?'"." "'�',-,„-'�' ^'.s:s""ay °`' z TM, r`as' Pa electronically P y �Tnmm+'agel�,at^-'ta,^Y ChRkY?s?xzoOMbatA+se4.j�?"`m9ref �/,...:i...r .• Y Y 2.Each returned check is subject to a service charge subject tothe ; ";,�r,.k ^-^� „a ;e�p�tw "`d-"'-"`"'` 2._ `: ' maximum check return charge allowable in your State. Make sure this 3. All bottle and equipment de deposits are shown as CURRENT Activity 'z"' "'�°°°•"-°aaa�,,,,. P 1��`d`-�� °u��•`^_�^°'"°"°" amount has been ACTIVITY. sinceour ACCOUNT ACTIVITY ^1w y ddleu.t^h^ooe.123MaSt-t.oly.sla`e00°°° paid in full to 4. Equipment replacement costs will be charged for bottles los[, last invoice •DeBYervA zz zx stolen,damaged or not returned. p,ev,ousBaM^Ce Wizx avoid late fees Payment-mankYou 5.In accordance with NWNA's Terms and Conditions("T&C"),your OB/31 46,898 5 sGano^Na1pNlsp^^9witef .. XXxx Equipment Lease and/or Service Agreement account may be /n 31]BeB6S611a4Mw IeeMwmain 5sCzaIR etp m : Monthly Oil 09/11 31IBa Wel6u=char9e sublet[to minimum monthly purchases and/or early cancellation x/12 318 61-1 6388„ R- - .. Surcharge,Fuel fees.(A complete version ofthe currentT&C may be viewed on the o9n2 1_6 97 XX xx Surcharge or Delivery website listed below)Upon service discontinuation,rent for the ToTAE Fee(see#6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. — ".TM'3Xxxz"T m Information") 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or wAN --"xx�1MEM 1 NT I w„ Delivery Fee as described in your T&C. Only one of these fees Payment stub ACCOUNT e°•y..xX•° Y PAY TNIS AMOUNT BY will apply to each account. The fee that applies to your account PAY__---nyw,-,�2,�.„UyW.wr•^` gCCOUMNUMBER � By XxxX 100 is stated on the front of the invoice.For further information lease 123 67990 MT,ENCLOSED P zwnu` INVOICE NUMBE 123 456]890 R BIWNG DATE visit the website listed below or contact our customer service DEI00I00 enter. 000391049 2004 10 0420096307 04282712619 7. As a food product, bottled water is subject to the rules and Amount due regulations promulgated by the Federal Food and Drug h^Dm Administration(FDA). ICE MOUNTAIN WATINC- ANY Gly stmeSl"oo Submit VOUr 8.Your first invoice indicates the products delivered on vour first ^°`""°"""`"`w'°^ A CLLSTOME0.SEMICF CALL 1-800-<12-9880 deliverv,along with any applicable bottle and account deposits, E b. payment by this L.dna»a,.al•,.al,.,.n;,,n.un,a,»Lhl,l.a»n s<5be ❑°^°, "an9es0"B..K,eS redemption fees,and any dispenser charges.All future invoices ❑�"LLpFOBIREEAuropAr5.9^�pBe9°„eao^Bare will reflect charges for water delivered and dispenser rental,bottle date 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 709 02/14 _k__service.icemountainwater.com Q]� I..r�i,wnm+c _ 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)) 02/03/15 05AO121776199 $3.99 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 VOUCHER NO. WARRANT NO. O 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. ACCT#/TITLE AMOUNT Board Members 1205 105AO121776199 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, February 16, 2015 Director, Administration Title Cost distribution ledger classification if claim paid motor vehicle highway fund