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HomeMy WebLinkAbout245164 05/13/15 %'�''''f. CITY OF CARMEL, INDIANA VENDOR: 051125 \ ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CHECK AMOUNT: $****"*106.85* s �'� CARMEL, INDIANA 46032 PROCESSING CENTER CHECK NUMBER: 245164 ,!? PO BOX 856680 CHECK DATE: 05/13/15 ��oN�O' LOUISVILLE KY 40285-6680 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1801 4350900 OBDO12197559 30.92 05DO121975593 1205 4239099 05FO12177619 2.72 05DO121776199 2201 4238900 15DO11782108 48.02 15DO117821082 1701 4239099 15D722032704 25.19 15D7220327048 service.icemountainwater.com MMX 1 ON CUP 0 #215 6661'DIXIE HWY,SUITE 4 04/01/15-04/30/15 15D0117821082 ' LOUISVILLE KY 40258 Gp ��§J[Q H D I a 9 �0®6�O ADDRESS SERVICE REQUESTED II'I II I'II I'I I HIM I'I lIllIllI'III 'll FRE- JUN 05 0117821082 TUE- JUL 07 WED- AUG 05 Access your delivery calendar at THU- SEP 03 service.icemountainwater.com Customer Service: 1-800-472-9888 CITY OF CARMEL STREET DEPATMENT Pay your bill online at:service.icemountainwater.com or 3400 W 131ST ST by phone at: 1-800-472-9888.It's free! CARMEL IN 46074-8267 ��nIIInI�I�unIIII�I�IJ��l�nl��l'�I�'I'Il�l��llli��ll��llilr S g Forw d d saver Sane�2 00 when you buy�your choice44. ady to drink Iced tea Nestea, Sweet �r r Leaf,or Tradewinds!Vlslt service Icemountatnwater com i nnz 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,3400 W 131TH ST,CARMEL IN 46074 PREVIOUS BALANCE 62.38 4/24 695912 PAYMENT-THANK YOU -62.38 4/07 0932178130 8 5 GAL ICE MOUNTAIN DIRK W/HANDLE 27.92 8 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 48.00 4 9 OZ PLASTIC CUP 50C/SLV 13.16 8 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -48.00 4/30 0937223899 1 DELIVERY F.EE f 3.95 D8314975 RENT 2.99 TOTAL 48.02 I ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY _PAY THIS AMOUNT 62.38 + 48.02 48.02 Subject to terms on reverse side. 62.38 — BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR YOUR INVOICE-4 WAYS To I�Lp US SERVE YpII BETTER QUESTIONS ABOUTYOURBILL,OR FOR 1. Please remember payment is due by the" a I REPORT ON WATER QUALITY AND FORMATION,PLEASE CALL] OR WRITE US AT: "Pay by"date noted to ensure the smoothest service. 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, #216 3. Kindly fill in the amount enclose plus the next month's rental. 6661 DIXIE Hwy„SUITE 4 If you prefer,you can a d, include your account number on your check LOUISVILLE,ICY 40258 Pay your bill online at service.icemountainwater.com and do not send cash. If you think4. Never hesitate to call us with comments,questions,or concerns, your bill is wrong,or ifyou 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 so will not preserve your rights.In your letter, �� P give us the following information: `E INVOICE • 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 an error. can,why 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 l investigated.quer D Y During the investigation,we cannot report your account oarcoroo-oorooloo 1234s67996 your Account Number as delinquent or take any action to collect the amount in question, � , GENERAL question. vs-«TDs IMS678 1.Payments received after the billing Moµoci Watch hate for a Your noxi invoice.Past due invoices((I VOlCE)date will appear on Important Yh3f NM 11 d within 30 billing date)may be assessed a late fee as allowed by law not to °C1v3 and WE.DEc t9 exceed$20 ermonth,Additionall,third Itdi'nilt)untignlRll 1Auntl;,iLUfp; an.m.lsO +aooa]1-9999 personalized account offers i0h ox Th.kyo ft VAM10M—InPrudu t message Min ma a arta collect_iZattorney arysae5to90 ..aKmsA Y assessed a a rate no to exceed—]00v�1 Vie` unpaid balance or the maximum allowed by law. -- 2.Each re --—-- ,- turned check is subject to a service charge subject to the - maximum check return charge allowable in your State. 3, All bottle and equipment deposits are shown as CUgggNT Pay electronically �M n ACTIVITY. Activity t 4. Equipment replacement costs will be charged since your " Make sure this g for bottles lost acrnuNracrrvm a4�D M�mv�.�,• > stolen,damaged with not returned. fast lnvoiee amount has been S.In accordance with NWNA's Terns and Conditions("T&C,,, v:c enAda�:: onaD.e tz3�•sa.nar,st..000ao paid in full to Equipment Lease and/or Service A )yOar vreAo�,em:.0 pnynKnt-TunkYou N%.%% subject to minimum month! Agreement account may be °�i1 '61a's avoid late fees Y Purchases and/or earl n1 :Hassles s seam.wm�isPdnwaml �� w o fees,(A complete version of the current T&C may be vi wed lontthe n+ 3162m,1u s R., n s wlD n a mn1 3neastata 5 1xMowtaN5WlReNm via MOnthly0il website listed below U oar] 31sm:ean 1 wdwdvly� r upon service discontinuation,rent for the 0911 16b0a" 9�t " 'at�ili>tp Surcharge,Fuel Leased Equipment is charged through the end of the billin in which service is discontinued. g cyele tvy � 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 one of these Will apply to each account. fees Payment stub P9moa:waNa_Pa Mu nwrvHMDn}Na^:"tea" = '� Q General The fee that applies to your account AccouNr SUMMARY a nw is stated on the __________ __ "'°"" "` rmati0n� .. further i ..,,..._...".,-..,.._................�._ _ sva..m �---. � Info ----------------ACCOUNTNU11 11----PAY 9Y----PAY111AMOUM visit the website listed below or contact our customer service center. 1234S 78N Do N 00 7•As a food product, bottled water is subject to the rules and rvoicENUMeEn aiwNc oa]E ENCLOSED 1230567990 00100/00 regulations'promulgated by the Federal Food and Drug 2712619 000391049 2004 16 Administration(FDA). 0420096307 0426 8-Your first invoice indicates the products delivered on your first Amount due delivery,along with any applicable bottle and account deposits, t23,m Do. redemption fees,and any dispenser charges.All future invoices 'CEO OUMAM WATFR COMPANY at%SW St dtm�t4aalermAA�M..�. ary,SMte ooWO will reflect charges for water delivered and dispenser rental,bottle l deposits and credits I uaat„anr. n.,n it 6a:;1�L,I t��att' fOR NSTOMEASTIIYICECALL 120Pa]5.9808 1 Submit your ordered b P charges for any additional products �:IGNUPTO9E9FEAdf o gn P ^d°^aMneLtle O g 0n” °stl` - Payment 8°tent by this y 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 Nestlts Waters North America Inc. service.icemountainwater,com - -- Form No.NW 709 08112 VOUCHER NO. WARRANT NO. ALLOWED 20 Ice Mountain IN SUM OF$ P. O. Box 856680 Louisville, KY 40285-6680 $48.02 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 2201 115DO117821082 I 42-389.001 $48.02 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 0 2015 54 e rete ommissioner Title Cost distribution ledger classification if 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)) 05/04/15 15DO117821082 $48.02 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 service.icemountainwater.com #215 6661 DIXIE HWY,SUITE 4 04/01/15-04/30/15 05D0121975593 ' LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED IIIIIIIII'IIII 'll 'IIIIIIIIIIIII III THU- MAY 07 0121975593 MON- JUN 08 WED- JUL 08 Access your delivery calendar at THU- AUG 06 service.icemountainwater.com CARMEL REDEVELOPMENT COMMISION DON CLEVELAND Customer Service: 1-800-472-9888 30 W MAIN STREET Pay your bill online at:service.icemountainwater.com or SUITE 220 by phone at:1-800-472-9888.It's free! CARMEL IN 46032-1938 I��IIIIIIIII'III�I"111111 'I'��'lll�ll'��'lll��'��II�II�"111111 Spring Forward and save)`Save$2`00�nrhen.�rou buy your choice of ready to drink Iced tea NeStea, SwFM eet Leaf, or.Tradewinjtisl,l/tslt serulce IcemolUhtalnwater cam � � 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 REDEVELOPMENT COMMISSION,30 W MAIN ST STE 220,CARMEL IN 46032 PREVIOUS BALANCE 40.90 4/24 695914 PAYMENT-THANK YOU -40.90 4/08 0932321151 2 5 GAL ICE MOUNTAIN DIRK W/HANDLE 15.98 2 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 12.00 2 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -12.00 4/30 0937260818 1 DELIVERY FEE-°` 3.95 D8394466 RENT 10.99 TOTAL _ 30.92 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 40.90 — 40.90 + 30.92 = 30.92 L----------- ------------------------------ __ - - - -- - ...- - 1 i BILLING RIGHTS SUIVIIVL4,Ry IN CASE OF ERRORS OR QUESTIONS ABOUT youR BILL,OR FOR YOUR VOICE-4 WAYS TO A REPORT ON WATER UAL 1. Please remember a ment is due b HELP US SERVEYOU CALL 1-800.472_ Q 11 Y AND INFORMATION,PLEASE payment OU BETTER sass OR WRITE us AT: Y p y by"date noted to ensure the smoothest service. ICE MO 2• Remember,if you are'f to #216ICE MOUNTAIN SPRING WATER CO. Your first invoice will include equipment,your equipment rental is charged one Month in 6661 DIXIE HIVY, SUITE 4 pro-rated fee for the current month,plus the next month's advance.That means 3 �d1Y fill in the amount enclosed, include your account number on your check, LOUISVILLE,KY 40258 you prefer,you can pay your bill online at service.ieemountainwater.com Ifyou think o 4. Never hesitate to calland do not send cash, Your bill is wrong,or ifyou need more information about us with comments, a transaction on your bill, QUCSt10riS,or Concerns, must hear from you• write °n a separate sheet of paper.We g no later than sent you the first bili n which the error or problem a30eared days after we i telephone us,but doing so will not preserve your ri appeared,You can give us the following information: In your letter, SAMPLE INVOICE Your name,address,telephone and account numbers. • The dollar amount of the suspected error, Date ran • Describe the error and explain ifyou can,why 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 bei" investigated.During the investigation,we g �t as delinquent or take cannot report your account any action t0 coltcet the amount in question. ' 00/0ol00.00/00/00 1234567890 a your GENERAL Account Number INFORMATION " ].Payments received after the billingT Ul Oa 29 123456789 Your next invoice.Past due invoices (not )date will a Mol+-«r 29 appear on Important we,OEC 11 .Watch here for a billing date)may be (nOL Aaid within 30 days of news and UE•Dcc 1p exceed$20 Per Y assessed a late fee as allowed by law not to :dli ¢1¢ugly t¢Gt¢6:,¢i¢�¢`d611t cu oma,S M-1-800.472-9888 personalized account P month.Additionally,third party collection/attorn _ _ expenses may be offers 1 s^°W 1 Message ey'-'- 123 M in St manF you 1°rusNg Im Mounmin pmdvm Y assessed ata rate not to exceed 100%of the aty5+am 00000 _ g unpaid balance or the maximum allowed b taw m 1 d,At mit ttait.Gault t a d —-- 2.Each re Y 1 tamed check is subject to a se maximum check return ch n Your charge subject to the _ l 3. All bottle and equipment depositsbaze shown tote. Pa ACTMTY y electronically 4. E ui Activity j Equ' replacement costs will be ch since your stolen,damaged or not returned. charged for bottles lost ACCOUNTACTIYITI O9anona. 4 m.m"> � ! Make sure this 5,In accordance with last invoice mount has been NWNA's Terms and Conditions("T&C" De1MryAdtl,ni lohnDOC 123Ma1n5[ree4Ciry,State 00000 - e Equipment Lease and/or Service A )'yOaz °^m yua paid in full to subject to minimum Monthlyn Agreement account Oehl 461898 Payment-Thank Yau fees. A complete purchases and/or earl may be n1 3npasua44 s scamON maisw 9waa avoid late fees ( pleteversionofthecurrenkT&C may ycancellation m 317W1w s xM°wnmmswloepovt 3 as # website Listed below)Upon service discontinuation rent foviewed rttlhie 09n' 318261 1 s Nes«u�nscaip.am f 0911 3181638811 , wNs�taat9a J' i Monthly oil Leased Equipment is charmn 166"97 "`"' � ltk;< ' '°f 0` 1 charged through the end of the billht cycle Surcharge,Fuel m which service is discontinued. g >x o 6.you will be charged a Toru Surcharge g monthly Oil Surcharge, Surchargeor rg or Delivery Delivery Fee as described in your T&C, nl Fuel ofthes '.f Fee(see#6 under win apply to,eaeh account The fee that a 1Y one of these fees payment stub _•• + " = "ab "General is stated on the front of the applies to our ACCOUNT SUMMARY visit the invoice.For Y account Information') website fisted further information please ^° � 6ma�m m m• ----------------------- -------'----' n clow or contact our customer service center. UeWpl mAadnoan MAAapMamt ACCOUM NUMBER PAY BY PAY 7N1�5�OUNT 7.As a food product, bottled 1234567990 ao water 18 subject t0 Uie MYO�CENUM9ER BfWNO DATE .ENCLOSED regulations promulgated b the rules and 1134567890 00i00y0o Administration Y Federal Food and Drug 8.Your first invoice indicates the products delivered on 0420096307 04282732639 000391049 an04 18 delivery,along with an Your fust .nnux Amount due y applicable bottle and account deposits, IcEMOUNTMNWATERCOMPANY redemption fees,and an 0M°NNm 1Yhn"M nArtN• 123 Men 5t will reflect charges for wafer delivered and dispenser charges.All er r re invoices nv ice a ys at.00000 deposits and credits plus charges for an rdaeLa. •ylwntn,k„dt(ttnQ iOpCUZTOME0.3FAYQGLLlAOS/7b9888 Submit your ordered b Y additional products [7"° "�'�`” a"sg yP g 4 60nPs R s°e 0"""y°" O PN e9" 1 Payment by this Y you. Deliveries are made every three or four weeks,fordate - 1 a total of 16-17 deliveries per year.You will only receive invoices 12 times per year,so approximately 5 ofthose invoices will ren _^ two deliveries. ect Se. ©20081ce Mountain Spring Wafer Company,a Division of Nestle Waters Nort service.1cem o untainwater.coal h America Inc. Form No.NW 70908/12 Prescribed by State Board of Accounts City Form No.201(Rev.199Q 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- Dire(+ ayee•Dire(+ Purchase Order No. PO '�oX 8 S 6680 Terms Lmosy►Ile, ICY 402gS —WO Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) SAA5 050612-N 03cr 9z Total 3Lj,9Z hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accor 1-11 dance with IC 5-11-10-1.6. , 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. _ - ALLOWED 20 IN SUM OF $ PO gd x 8 s c68o y Low5irille , KY 40ZU-5 4,690- 10 `,69430 9Z ON ACCOUNT OF APPROPRIATION FOR 186\1 �h350�Ob Board Members Po#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I 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 2015 PM AA-L Snat S. Cost distribution ledger classification if TI e claim paid motor vehicle highway fund 1 service.icemountainwater.com ®D ® ► : ° #215 6661?DIXIE HWY,SUITE 4 04/01/15-04/30/15 05D0121776199 ' LOUISVILLE KY 40268 ADDRESS SERVICE REQUESTED e e �L lo3t II I I II I'I"III II"I I I I I I I I I II I I 'I' THU- MAY 07 0121776199 MON- JUN 08 WED, JUL 08 Access your delivery calendar at THU- AUG 06 service.icemountainwater.com 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 free! CARMEL IN 46032-2584 ►�II��I�I���II�III�II�������I'����II'�IIII�I�I'I�II�'I��III�I�"I Spring Forward�and save► Save$200 when�you buyyaur choice of ready to drink iced aea Nestea, SW eet r Leaf, or rade'n ihdS Vis►t,se►�rlce'icernoiiritamwaterrcom s ' r; e 771 H" 1 � , r �s ..0 ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800472-9888 or visit service.icemountainwater.com. Delivery address: CITY OF CARMEL,1 CIVIC SQ, HUMAN RESOURCE DEPT,CARMEL IN 46032 PREVIOUS BALANCE 3.99 4/24 695911 PAYMENT-THANK YOU -3.99 4/08 0932321136 1 5 GAL ICE MOUNTAIN DIRK W/HANDLE 3.49 1 9 OZ PLASTIC CUP 50C/SLV, - - 3.29 BOTTLE DEPOSIT: 1 CHARGED,,4 CREDITED -12.00 4/30 0937245983 1 DELIVERY FEE-, 3.95 D8320216 RENT .� g���� �g,® 3.99 TOTAL Y 2.72 MAY 1 1 2015 -Clerk Treasurer ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CUR ACTT ITY PAY THIS AMOUNT Subject to terms on reverse side. 3.99 — 3.99 + 2.72 = 2.72 BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR QUESTIONS ABOUTYOUR BILL,OR FOR YOUR MOICE-4 WAYS TO H L'P US SERVE YOU BETTER A REPORT ON WATER QUALITY AND INFOnIATION,PLEASE 1• Please remember payment is due by the`pay by"date noted to ensure the smoothest service. CALL 1-800 472-988S OR WRITE Us AT: 2. Remember,if you are renting equipment,your equipment rental is charged one month in advance.That means #216ICE MOUNTAIN SPRING WATER CO. Your first invoice will include a pro-rated fee for the current month,plus the next month's rental. 6661 3. Kindly fill in the amount enclosed,.include your account number on your check, and do not send cash. 6661 DIXIE HWY.,SUITE 4 If you prefer,you can a LOUISVILLE,KY 40258 pay your bill online at service.icemountainwater.com If on 4. Never hesitate to call us with comments,questions,or concerns. Y think your bill is wrong,or ifyou need more information about a transaction bn 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 so will not preserve your rights.In your letter, SAMPLE INVOICE give us the followiug information: ®SCE • 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 as delinquent or take $ cannot report your account oaroBr� Bo/oo/o0 3134567890 Your Account Number 4 any action to collect the amount in question. � GENERAL FORMATION T"a-�B, 113456789 } m $(INVOICE)d [.Payents received after the billing 1A OC�19 ate will appear on Important Eo N0 2' Watch here for a Your next invoice.Past due invoices(not paid within 30 days of news andIlia UE-oK,B billing date)may be assessed a late fee as allowed by law not to exceed 20Additionally, :tTtt al ticittut,;,iintmu ntu�ti,ti�,tn, ei�„uk,,�;,-�eo_oz-9888 , , personalized account S per month.Additionall,third offers inn o nam n•r 9 ttMOe^w^P'"'°tt '•'message expenses may be assessed at a rate not Party 100%of the aftorney 113 Mai sr. ana><m« arswt 000ao J unpaid balance or the maximum allowed by law. Iran t at N•,n n ane! r.4?4d n Each returned check is subject to a service charge subject to the 2. a o •wM9 •t d maximum check return charge allowable in your State. 7_ "' Pay electronically 3. All bottle and equipment deposits n as C ACTIVITY are showURRENT Activity 4. Equipment replacement costs will be ch since your s Make sure this charged for bottles lost ACCOUNT ACTwnr wa•�> stolen,damaged or not returned. last invoiceamount has been 5.In accordance with °a6 a yabee x wn"oa,13Ma,a5ree av,sata oabao XW paid in full to NWNAS Terms and Conditions("T&C", wee e,ta a Equipment Lease and/or Service Agreement account may be 5r IIm anaoEvaa X" avoid late foes subject to minimum monthlyoar11 96,090 ,awl Purchases and/or earl n, 3nees,w 6 b0a8o Natu 15Pen9Wate1 r� xr�a fees'(AComplete version ofthecurrentT&C may bev3 wedlontthe nt a+7eBs,uu s to �a,amsea,oeao,t ' tg/„ 3,7885,9... b5uiam�r'atf9 Monthly Oil website listed below Upon o9n 31836388,1Tw as i p❑service discontinuation,rent for the °0" 166.0" �t �t k b 0,1; �s+r i Surcharge,Fuel Leased Equipment is charged through the end of the billing cycle in which service is discontinued. O P , ; ' Surcharge or Delivery 6.You will be charged a monthly Delivery pee as described is yoOil Surcharge,Fuel Surcharge or Fee(see#6 under or T&C. Only wwuntAt7Nrta' — v6rmu�"t • General will apply to each account one of these fees ent s Pa vwu3_t av a_P67M M aO u0f o B The that applies to Payor tub ACCOUNT SUMMABI Ot O weknromm.m aa.. Infarmation') is stated on the front of PP• Youraccouat m,,,�.•,,,,,..a,•,_.,a..a•a_._aa_•._=.,._--_—_-------------------- dte low ce.For further information please ---- j visit the website listed below or contact our a to PAT By PArra,saMouNr } 0"'d'�a`�•'d"O•"��� ACCOUNTHUMBER center u$ mer service 113/567890 000000 I-W 7•As a food product, bottled water is subject to the rules and INVOICE 6789D BI 01000 ATE .ENCLOSE `- 111/567890 00/00100 regulations promulgated by the Federal Food and Drug Administration(FDA). 0420096307 04262712619 aaoa9>Bv9 eaa0 3a S.Your first invoice indicates the products delivered on yoiir first Amount due delivery,along with any applicable bottle and account deposits, cEMouNrNNwA7EamMPAN 123M.e redemption fees,and any dispenser charges.A[1 future invoices OMil ndNW6NOhn bNMvha ea 113 Man sr. t3CA Stare 00000 W, reflect charges for water delivered and dispenser rental,bottle mt;J^tit-tt gcbat_u1't"q wBN37oMu SFav aw t e0o.n'9BBB Submit your deposits and credits plus charges for any additional products. 0�G uv a E¢Ewmnnsa"wB w 6u P n a da 0 � payment by this or date 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 YOU 5 of those invoices will reflect rive deliveries. ©2008 Ice Mountain Spring Water Company,a Division of Nestle Waters North America Inc. service.icemountainwater.com Form No,NW 709 08112 VOUCHER NO. WARRANT NO. ALLOWED 20 Ice Mountain IN SUM OF$ PO Box 856680 Louisville, KY 40258 $2.72 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1205 105FO121776199 I 42-390.99 I $2.72 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 11, 2015 Director, Administration Title Cost distribution ledger classification if 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)) 05/04/15 05FO121776199 $2.72 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 service.icemountainwater.com itaC e b ® a ° #215 6661 DIXIE HWY,SUITE 4 04/01/15-04!30/15 15D7220327048 ' LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED Ke►� ®� ®A ' IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII THU- MAY 07 7220327048 MON- JUN 08 WED- JUL 08 Access your delivery calendar at THU- AUG 06 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 free! CARMEL IN 46032-2584 Spring Forward and save! Save$2.00 when you buy your choice of ready„to drink Iced tea Nestea,4Sweet y, f Leaf,:dr Tradewindsl Visit s�r'vice.icemou'ntainwater.com ZR ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. Rill31 i 1111115 11 8 Delivery address: CITY OF CARMEL,1 CIVIC SQ, CLERK TREASURER OFFICE,CARMEL IN 46032 PREVIOUS BALANCE 18.41 4/19 668641 PAYMENT-THANK YOU -18.41 4/08 0932321441 4 5 GAL ICE MOUNTAIN DIRK W/HANDLE 13.96 4 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00 1 9 OZ PLASTIC CUP 50C/SLV 3.29 5 5 GALLON ICE MOUNTAIN DEPOSIT RETURN .00 4/30 0937331783 1 DELIVERY FEE 3.95 D8360439 RENT 3.99 TOTAL 25.19 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Cost— Subject to terms on reverse side. 18.41 18.41 + 25.19 = 25.19 BILLING RIGHTS SUMMARY __ -- IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL,OR FOR YOUR INVOICE-4 WAYS TO A REPORT ON WATER QUALITY AND INFORMATION,PLEASE Payment KELP US SERVE YOU BETTER CALL 1-800-472-9888 OR 1, Please remember a ment is due by the"Payb " WRITE us AT: 2, Remember,if you are renti#216ng equipmen y date noted to ensure the smoothest service. ICE MOUNTAIN Spgp`G WATER CO. Your first invoice Will include a t,Yom equipment rental is char one month in advance,That means 6661 pro-rated fee for the c 6661 DIXIE gWy SUITE 4 3, Kindly fill in the amo current month,plus the next month's rental. LOUISVILLE,gy 40258 If you prefer, unt enclosed, include your account number you can pay your bill online at service.icemountaiuvater.com check, and do not send cash, Ifyou think your bill is wrong, 4• Never hesitate to call us a transaction on o °r ifyou need more information about with comments,glle5t10ri5,or C your bill,write us on a separate sheet ofpaper. OrieerriS. must hear from you in writing no later than thirtyP Per.We ays after we sent you the first bill on which the error or problem appeared.You can telephone us,but doing so will not preserve your rights. give us the following information: In Your letter, SAMPLE INVOICE Your name,address,telephone and account numbers. • The dollar amount of the suspected error. Date range ° Describe the error and explain if you can,Why 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 . being investigated-Duren ?«I g the investigation,we cannot re ort as delinquent or take any action to collect the P Your account 1234567890 amount IIIquestion. ' 00!00/00-00100100 GENE I Your Account Number I.Pa INFORMATION Payments received ager the billingTNR-OCT 03 72395678 Your next invoice.Past due invoices ((IINVOICE)date will a MON oa z9 billing not aid appear on Important yeallov21 g date)may be assessed a late fee as allo ed b 30 days of news and TOE-DEc,B f Watch here for a exceed$20 Per y law not to 11tt 1fl of UI FtaULItU4 INp�IG,i1JJ11 am°m:rs_,a�1-600.4]2-1116 y personalized account P Month.Additionally, Offers ihnOe Tna"Ey°"r„"an91aM«°,mPw°m ( message' expensermay-be-assessed ata 123 Win St rate-not-to-exceed-100%- otystat 00000 - _d-A., unpaid balance or the maximum allowed b a of-the---_ j;m,twt„p6,Hatw;ii.;;a un„t t i....�1t 2•Each re Y law. turned check is subject to a service charge maximum check return charge allowable in your Sr rate b"ect to fire 3. All bottle and equipment deposits are shown as CU •p? m u r v swmx.m9nw�m ACTIVITY. RRENf i $" «aR day” - ^ Pay electronically Activity 4• Equipment replacement osis will be charged for bottles lost, stolen, since your : Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHERCity Form No.201(Rev.1995) 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 101 61 ► ► �� Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 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 IN SUM OF $ ON ACCOUNT OF APPROPRIATION FOR Board Members i o PT.# INVOICE NO. ACCT#/TITLE AMOUNT 11 hereby certify that the attached invoice(s), , 1 � or bill(s) is (are) true and correct and that -704q the materials or services itemized thereon for which charge is made were ordered and received except I i i i 20 1 f Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund