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HomeMy WebLinkAbout249871 09/23/15 9�,q"F� CITY OF CARMEL, INDIANA VENDOR: 369794 ® ONE CIVIC SQUARE READY REFRESH BY NESTLE CHECK AMOUNT: $**.....200.79* i' CARMEL, INDIANA 46032 PO BOX 856680 CHECK NUMBER: 249871 9*IjON, ` LOUISVILLE KY 40285-6680 CHECK DATE: 09/23/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4238900 02I011925282 3.99 15I0119252823 2200 4239099 05HO12004852 48.96 05HO120048525 1125 4350900 05HO12009535 11.98 05HO120095351 1091 4350900 05HO12120276 5.99 05HO121202766 1801 4350900 05HO12197559 50.46 05HO121975593 2201 4238900 15HO11782108 57.71 15HO117821082 1701 4239099 15H722032704 21.70 15H7220327048 BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR Date range of this invoice SAMPLE INVOICE BILL, OR FOR A REPORT ON WATER QUALITY AND INFORMATION, PLEASE VISIT OUR WEBSITE AT: ; ESERVICE.READYREFRESH.COM OR WRITE US AT: ^ LtC 'l Ree*Y� 00100100-00100100 1214567B90 ,Your Account Number READYREFRESH BY NESTLE123456789 THR-ocr oa M0N-oa:9 Watch here for a #216 6661 DIXIE HWY.,SUITE 4 Important aaph"hihlgdp"hddu dglpgph,i„iliiii, DEC personalized account news and 1-900.274-5282 message LOUISVILLE,KY 40258 ^RnDne c°Sinmef serves g 123 Mem Sveet ReatlyR•freeb Pt�4 offers CRy,sate ZIP Trunk You i".u•mR .1 end•ervlces 'L. an,,p.dalll ud'hdrmp'Inb ill l id U I aillrr — ..,- ._m _ ;"� = If you think your bill is wrong, or if you need more _ <= "T= Pay electronically information about a transaction onour bill,write us on a }' Make sure this separate sheet of paper.We must hear from you in writing no amount has been ` "= . e•neomotovPeeatl later than thirty(30)days after we sent you the first bill on Activit' 6IIPn1meal ""e R•dyR.rc "fi-, paid in full to since your ACCOUNT ACTIVI Pay pOf which the error or problem appeared.You can telephone us, Fn avoid late fees last invoice Address John Doe,123 Main 5T CI .Slate 00000 but doing so will not preserve your rights.In your letter,give °e'rye" Peevious Balance us the following information: 0 ;A51 pnn Watet %x xX 111 31,88514x+4 5 SGalloonn Natural s 9 5 SGallDeposR nX X% �;. 09111 31,8801x44x SGallon Return :,, 09117 119]638011 09113 • Your name,address,telephone and account numbers. 16&0491 Tntai ff" • The dollar amount of the suspected error. • Describe the error and explain if you can,why you M• believe there is an error. Payment stub ACCOUNT SUMMARY . _–-- PAYBB� PAV THI AMOUNT - - - —_ ___ _ 6��”°_p" ��•'ue„a,mm.narvW P•Y^'^_. ACCOUNT NUMBER 1 IP 4, qMT ENCLOSE -�- You are obligated to pay the parts of your bill that are not w ]NIP 4,7890, 91LLI ATL I'll 7890 001001°0 2 in question. You do not have to pay the disputed amount 00407016 while it is being investigated. During the investigation, we 0420016337 04282712619 000391049 Amount due cannot report your account as delinquent or take any action st to collect the amount in question. 21 M CrtY,Statte e 00000 OR CUSTOMER SERVICE CAl117743797 .y dn,ip d1'1114i0 hPidl,pquP.illggdpq'4prr ❑PnelMYwn9==°^R. ❑ RtREEnmoM.n sN.uP mow',°Ru9a ' 4' sa'w srr�`'a`n'p';=:,..y: ,,:,-.�-•h, Submit our wuvwGENERAL INFORMATION �. payment by 1. Past due invoices(not paid within 30 days of billing ' '=.a r= =6 ''"'" this date date)may be assessed a late fee as allowed by law not to exceed$20 per month.Additionally,third party collection/attorney expenses may be assessed at a YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER rate not to exceed 100%of the unpaid balance or the 1. Please remember payment is due by the "pay by" date noted to ensure the maximum allowed by law. smoothest service. 2. Each returned check is subject to a service charge 2. Remember,if you are renting equipment,your equipment rental is charged one subject to the maximum check return charge allowable month in advance.That means your first invoice will include a pro-rated fee for in your State. the current month,plus the next month's rental. 3. Equipment replacement costs will be charged for 3. Kindly fill in the amount enclosed,include your account number on your check bottles lost,stolen,damaged or not returned. and do not send cash.If you prefer,you can pay your bill online at: 4. Register or log-in to eservice.readyrefresh.com to eservice.readyrefresh.com manage your account,see the variety of beverages and 4. Never hesitate to call us with comments,questions,or concerns. exciting promotions. o , b &6 Follow us on Facebook to learn more! Let's talk,follow us on Twitter! Facebook.com/ReadyRefresh @ReadyRefresh BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR Date range of this invoice SAMPLE INVOICE BILL, OR FOR A REPORT ON WATER QUALITY AND INFORMATION, PLEASE VISIT OUR WEBSITE AT: ESERVICE.READYREFRESH.COM OR WRITE US AT: '� � � 123456789° oolooro°-oaooloo %"� Your Account Number READYREFRESH BY NESTLE Ready TMB`_a o4 123456789" Ma+-°R 29 Watch here for a #216 DEC1B personalized account 6661 DIXIE HWY.,SUITE 4 Important aalprhdlgd'IP'hddmhl4"Illhllhrdlnr uE- q„ news and ben Ooa customer Service 1-0°6274-5202 message LOUISVILLE,KY 40258 ,23 Mein Slreet ReaOyRalreaB Dr'bD offers OM1y,Sate ZED TNanµVou ler ualnp .na a•rvan ul 1p a llllhld„Ingallp,pll„dl,l'lll 1110 gllrr :” If you think your bill is wrong, or if you need more w = =- Pay electronically _ _ e,a R"a�, w, , information about a transaction on your bill,write us on a so ;ar�xa « .;__ -;_IN Make sure this separate sheet of paper.We must hear from you in writing no. ” '° e° _ ==" `' Y P P P Y gx== a- = we`: =:= Boo-=T.- cel 3; amount has been later than thirty(30)days after we sent you the first bill on Activity a :- = re,caao.ayRe.a"'`omoreyD��a` y Ray wer paid in full to since your ACGOUNT ALTIVITM '{;'F which the error or problem appeared.You can telephone us, a but doing so will not preserve your rights.In your letter,give last invoice °.....�aa,e,a,nnn°ce.,23Mains"`y s`a1e°°°°° avoid late fees previous Balance %%X% �'sj us the following information: Be13, 461890 p,y em-mankmn ?.., Wa,er xxx W1,1 317.11M4a S SGallon NawralBpnng �. 11 311M5jppg0 5 SGallon Oeposlt %%%X p9lt, 3t 1085,4444 SGallon Return 09112 3181630811 09112 ,564u491 We ,,Fee .^ • Your name,address,telephone and account numbers. TD1a1 • The dollar amount of the suspected error. • Describe the error and explain if you can,why you N^ _ ^" ' z°""` + believe there is an error. . a+M xxxx E"T .,. T SUMMARY ACCOUNE�%% Payment stub ____---- ppYTHISAMOUNT C� PCCOUNT NUMBER PAY eY x%% �' � _ _ d - o�n'��"d'rww ���` 1234567890 �I001� AMT%ENCEOSE You are obligated to pay the parts of your bill that are not BRAN°°ATE 1IJVOICE NUMBE0. 00100100 8 4567 0 239 in question. You do not have to pay the disputed amount 1 while it is being investigated. During the investigation, we °VB00963G7 282712619 °°°391°9 °°07018 Amount due cannot report your account as delinquent or take any action = D" Main R to collect the amount in question. _ C,",S`a`e 00000 ` OR<UBTOMER BEBVICE CALL I'eOP2711182 , an11p„LglPnd"hlhd1'p'llgj1lll411d41g1ddll'P as ❑ m re 9a,onB ;% Submit your GENERAL INFORMATION ❑9�N"PIeBr9,EAamP^""'"°°"`°"I'"°""�`� �, r,._,>,„ 6,� payment by 1. Past due invoices(not paid within 30 days of billing y this date date)may be assessed a late fee as allowed by law not to exceed$20 per month.Additionally,third party collection/attorney expenses may be assessed at a YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER rate not to exceed 100%of the unpaid balance or the 1. Please remember payment is due by the "pay by" date noted to ensure the maximum allowed by law, smoothest service. 2. Each returned check is subject to a service charge 2. Remember,if you are renting equipment,your equipment rental is charged one subject to the maximum check return charge allowable month in advance.That means your first invoice will include a pro-rated fee for in your State. the current month,plus the next month's rental. 3. Equipment replacement costs will be charged for 3. Kindly fill in the amount enclosed,include your account number on your check bottles lost,stolen,damaged or not returned. and do not send cash.If you prefer,you can pay your bill online at: 4. Register or log-in to eservice.readyrefresh.com to eservice.readyrefresh.com manage your account,see the variety of beverages and 4. Never hesitate to call us with comments,questions,or concerns. exciting promotions. Follow us on Facebook to learn more! Let's talk,follow us on Twitter! Facebook.com/ReadyRefresh @ReadyRefresh 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. Ready Refresh by Nestle Terms P.O. Box 856680 Louisville, I:Y 40285-6680 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 9/3/15 5HO120095351 Drinking water MO AO $ 11.98 9/3/15 5HO121202766 Drinking water MCC $ 5.99 Total $ 17.97 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. Ready Refresh by Nestle Allowed 20 P.O. Box 856680 Louisville, KY 40285-6680 In Sum of$ $ 17.97 ON ACCOUNT OF APPROPRIATION FOR 101 General fund/109 Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1125 5HO120095351 4350900 $ 11.98 1 hereby certify that the attached invoice(s), or 1091 5HO12120276 4350900 $ 5.99 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 I I September 17, 2015 IPA"AWA" Signature $ 17.97 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR Date range of this invoice SAMPLE INVOICE BILL, OR FOR A REPORT ON WATER QUALITY AND INFORMATION, PLEASE VISIT OUR WEBSITE AT: - ESERVICE.READYREFRESH.COM OR WRITE US AT: 2345670.90 ` Ready OolOOJOO 00100/00 ;,.Your Account Number READYREFRESH BY NESTLE „� Q -oa123456789 M`. R ^ MDN W 73 Watch here for a #216 WEfY NOV 21 „9, Important qpl”lul'Illd'IP"Inl'Ipn'41II^Illldllrrvdl,lll, NF DEE lE personalized account 6661 DIXIE HWY.,SUITE 4 5 1-600-274-5262 message LOUISVILLE,KY 40258 cNspTef em news and w nooa e 23 Mam B offers Gay.S=ate Z,P T^ank V°u foF 9aln9 Reatly0.ekea^DFodu a"a"•rvl=.a rt�" nl,Ip..LglPud"h141n p,lnp lll'Pllhlnp'llllrl' _ = :F If you think your bill is wrong, or if you need more ,:- -= .;: —' "ffi a Pay electronically .;.. �.',ianPtla?a.daX, aunt bp'AmP;. -- q;� information about a transaction on your bill,write us on a w u y�=u ;_ "' Make sure this separate sheet of paper.We must hear from you in writing no = amount has been later than thirty(30) days after we sent you the first bill on Activityl a„a„,=.R.aayR•Ma=°m°'^"°' Payy°°, paid in full to AGIUIT'' , • which the error or problem appeared.You can telephone us, since your ACCOUNT T ; last invoice Ace,e55,°^n oce.sMa1n St,coir.state 00000 avoid late fees Delnery %X XX but doing so will not preserve your rights.In your letter,give a61e9e BrevlOus Balance %%X% ✓., us the following information: Paymeni-mankY°N 03111 3178851M44 s SGallon Natuta15Pnn9 Wate1 { =tl 3''/8851°4°° 5 SGallon Deposit 09111 31IBBB514a44 N1 pglli 3t 630811 SGallon Petum' , X112 1,,049) Delivery fee fy. • Your name,address,telephone and account numbers. XXX%otal ; • The dollar amount of the suspected error. • Describe the error and explain if you can,why you believe there is an error. REX% ACCOUNT SUMMARY X X , Payment stub AMOUNT ccoUM - 234 1 -- 56)890 -OOIOOIW- AMT.ENCLOSE - - — You are obligated to pay the parts of your bill that are not NVOICE NUMBEBILLIN°DATE IR pp1p0100 in question. You do not have to pay the disputed amount 1234567890 00907016 while it is beinginvestigated. During the investigation, we 0920096307 09262112619 000391099 g g g , Amount due cannot report your account as delinquent or take any action = h?3M 5i to collect the amount in question. = e °°°°° mpl0p'tll'PIIPPII"Idh,l, FOR CU OMER SER ICEULLP00027 5102 ,IIL LI III)IIIII ❑ ,mrw^9°'ooR)III R�Sae •^ >3 .F Submit your GENERAL INFORMATION :wN NF F°R FREE AIRPFAr.59=�P"�°,,.a ❑ <� "�-�,.,ur,:�:z r�*' .,._ ;. payment by, this date 1. Past due invoices(not paid within 30 days of billing rr.:Fs , date)may be assessed a late fee as allowed by law not to exceed$20 per month.Additionally,third party collection/attorney expenses may be assessed at a YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER rate not to exceed 100%of the unpaid balance or the 1. Please remember payment is due by the "pay by" date noted to ensure the maximum allowed by law. smoothest service. 2. Each returned check is subject to a service charge 2. Remember,if you are renting equipment,your equipment rental is charged one subject to the maximum check return charge allowable month in advance.That means your first invoice will include a pro-rated fee for in your State. the current month,plus the next month's rental. 3. Equipment replacement costs will be charged for 3. Kindly fill in the amount enclosed,include your account number on your check bottles lost,stolen,damaged or not returned. and do not send cash.If you prefer,you can pay your bill online at: 4. Register or log-in to eservice.readyrefresh.com to eservice.readyrefresh.com manage your account,see the variety of beverages and 4. Never hesitate to call us with comments,questions,or concerns. exciting promotions. V twWw'k-079-1 Follow us on Facebook to learn more! Let's talk,follow us on Twitter! 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 ReadyRefresh by Nestle Purchase Order No. P.O:Box;856680 Terms Louisville, KY 40285-6680 Date Due Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s) Amount 9/3/2015 05H0l20048525 Water cooler $ 48.96 _ I Total $ 48.96 I hereby certify that-the attached invoice(s), or bill(s)js (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. ReadyRefresh by Nestle ALLOWED 20 P.O. Box 856680 IN SUM'OF $ Louisville, KY 40285-6680 $ 48.96 ON ACCOUNT OF APPROPRIATION FOR Board Members Po#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT# I hereby certify that the attached invoice(s), or 0 051-101200485 2200-4239099 $ 48.96 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 9/21/2015 Sig ure City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR Date range of this invoice SAMPLE INVOICE BILL, OR FOR A REPORT ON WATER QUALITY AND INFORMATION, PLEASE VISIT OUR WEBSITE AT: .. ESERVICE.READYREFRESH.COM OR WRITE US AT: Laos pp',234567890 Re�dY 00100100-00100/ Your Account Number READYREFRESH BY NESTLE ��\� '�3"56]R9� B-Dao MON 00 29 Watch here for a #216 WED No 21 6661 DIXIE HWY.,SUITE 4 Important 6gPrlohphl'IU'hd',hmhq"Phlllrr'd ur DD, personalized personalized account LOUISVILLE,KY 40258 news and o nDce Cuslomer5ervw0 1-800-274-5282 message ,2�Ma,n Street ReadyReiresN Drodu TNsnA You for using offers Giry.Slate Z'D and servlus n6ip lllhnl^Iu r P'p h ip'plippq,hllrr jYV XV m Y e' If you think your bill is wrong, or if you need more -=:- - Par electronically information about a transaction on your bill,write us on a Make sure this separate sheet of paper.We must hear from you in writing no e_ �- amount has been = _–"" rvlce ResdyRekes„con or ByG rezl later than thirty(30) days after we sent you the first bill on Activity ='' "6�a1 ne paid in full to since your ACCOUNTACTiV�TV which the error or problem appeared.You can telephone us, ` last invoice „nD but doing so will not preserve your rights.In your letter,give pe11VeryA,dress,DOe.,23Main51.O ,5ta=e 00000 avoid late fees Previous Balance %x%% us the following information: 0919, 61099 mankYOn 5 Paymen ,Hater 09],1 311�51°4� 0 SGallon Natural5prm9 xx Xx g1,1 3t]005144M 5GaIIOn Dep05i xX X% 0911, 01]08514Hs SGallon Return 09112 3,036190,1 Delrveryfee 1664M9] Xx X% • Your name,address,telephone and account numbers. 09112 TO[al • The dollar amount of the suspected error. • Describe the error and explain if you can,why you `"X Payment stub ACCOUNT SUMMARY - A TMaxxx" believe there is an error. xwt Nm - r 4 _ ___--- PAY THIS AMOUNT °0"••-••01w 'ca–,ewmwu Y^^e°yninl ay ACCWMNUMBfR'— 00100100 o.u� wu 123/56]090 AMT ENCLOSE You are obligated to pay the parts of your bill that are not MO,CE NUM9ER BILLING DATE 123456]090 00100100 in question. You do not have to pay the disputed amount while it is being investigated. During the investigation, we 0420096307 04292712619 DOD391019 0040701E— Amount due cannot report your account as delinquent or take any action = lo3M„n5t to collect the amount in question. C,,State DW00 fORCUSTaMER SER`/RE­1­27­­ 5 LL1­2]­202S *Submit your GENERAL INFORMATION -.-,;',• payment by 1. Past due invoices(not paid within 30 days of billing " this date date)may be assessed a late fee as allowed by law not to exceed$20 per month.Additionally,third party collection/attorney expenses may be assessed at a YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER rate not to exceed 100%of the unpaid balance or the 1. Please reme,giber payment is due by the "pay by” date noted to ensure the maximum allowed by law. smoothest service. 2. Each returned check is subject to a service charge 2. Remember,if you are renting equipment,your equipment rental is charged one subject to the maximum check return charge allowable month in advance.That means your first invoice will include a pro-rated fee for in your State. the current month,plus the next month's rental. 3. Equipment replacement costs will be charged for 3. Kindly fill in the amount enclosed,include your account number on your check bottles lost,stolen,damaged or not returned. and do not send cash.If you prefer,you can pay your bill online at: 4. Register or log-in to eservice.readyrefresh.com to eservice.readyrefresh.com manage your account,see the variety of beverages and 4. Never hesitate to call us with comments,questions,or concerns. exciting promotions. 66-£ + lZ 86 — LZ SC apls asJanaJ uo swiai o1 aaafgns 1Nf1OWV SIHl�lVd Js11Al13V 1143HHflo 1N3W1snraV I iN3WAVd 33NV_1V9 sfloIA3Hd Auvwwns 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)) 09/14/15 1510119252823 $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. ALLOWED 20 Ready Refresh By Nestle' IN SUM OF $ P. O. Box 856680 Louisville, KY 40285-6680 $3.99 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members 2201 11510119252823 I 42-389.001 $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 Friday� Sep/�t/ iber 18, 2015 9 . i St �:c�r°r�r ITS,70s Title Cost distribution ledger classification if claim paid motor vehicle highway fund BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR Date range of this invoice SAMPLE INVOICE BILL, OR FOR A REPORT ON WATER QUALITY AND INFORMATION, PLEASE VISIT OUR WEBSITE AT: y. ESERVICE.READYREFRESH.COM OR WRITE US AT: , 123456789 oorooloo.oorooro° :. Your Account Number Rec* READYREFRESH BY NESTLE TMP_OR 0 123456789 n% #216 WED- 19 Watch here for a NOV 71 0 6661 DIXIE HWY.,SUITE 4 Important ql4"hdPld'Ip^Inldmhll"I°hlllrr'IU'ur NE- DEc personalized account Cp news and loon One pU,'O, Service 1-800-274-5282 - message LOUISVILLE,KY 40258 ,]3 Main 5Veel Reatl Refreah pr9�e § offers an,sula nP hanx roe mr.-9 me.emua nilp iIIIIwPhiha'I lul"ill'IlihUl'yllrr _; az '• Pay electronically If you think your bill is wrong, or if you need more ~= =__''=- information about a transaction onbill,write us on a our „ Y - gydyRm,- re�eY!4+�ee0°°B"B ,�, �__.� -,�-:a-��=�w � Make sure this separate sheet of paper.We must hear from you in writing no amount has been P P P later than thirty(30) days after we sent you the first bill on Activity ==^"Pi ani�a,,,arvm.R.adyR.+..nomm�rc na aa' since our ACCOUNT ACTIVITY Pay vnnr < pard m full to which the error or problem appeared.You can telephone us, y v XX f'. but doing so will not preserve your rights.In your letter,give last invoice Delivery Address.lohn Dce,123 Mam SCG .S 62e 00000 LXX avoid late Tees nus Balance %X%Y yF. us the followinginformation: 3P • 00... 80 S PaYmenl-Thank You Waler 091,1 0 SGallon Natural5pnng� XX%X I11 31,00514646 5 SGallon Deposit X%XX 09111 31,00516644 p9112 31016309,1 DellvleryFeeurn XX%% �i.,, • Your name,address,telephone and account numbers. 09"' 'x-97 s TOtal • The dollar amount of the suspected error. • Describe the error and'explain if you can,why you believe there is an error. Q ACCOUNT SUMMARY Payment stub XX QC -.oz4•--'------------------ MY BY PAYHIS TAMOUNT C___zP'•- � ��,.wmfa"P°Y".�' ..ACCOUM - 1234567P90 AMT.ENCLOSE You are obligated to pay the parts of your bill that are not N O,CENUN,BEP PPHN 10ATE 123456)890 00100100 in question. You do not have to pay the disputed amount while it is being investigated. During the investigation, we — 0420096307 04262712619 000391049 00407018 Amount due cannot report your account as delinquent or take any action = hnMce SI to collect the amount in question. _ aay,5,a,e fOPNS,OMEP SEm/ICE CALL IBOP27631P7 ' amlp 6111Pmp'Inlr°'P'pq"IIPPhIPq'diIIPP ❑Na�Y ti 9e3onx a. z EEAo,oP.rsw�NPx�9e,reaonP�ne�,a y„ �. ���= 'Submit your ' ❑sX.ri uv Eoara 6,.r4,�<M-',,�v N7 . .^s±3.",%s.%:r'`•�,r'.n`,r GENERAL INFORMATION <, '` ".' tpayment his date by 1. Past due invoices(not paid within 30 days of billing date)may be assessed a late fee as allowed by law not to exceed$20 per month.Additionally,third party collection/attorney expenses may be assessed at a YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER rate not to exceed 100%of the unpaid balance or the 1. Please remember payment is due by the "pay by" date noted to ensure the maximum allowed by law. smoothest service. 2. Each returned check is subject to a service charge 2. Remember,if you are renting equipment,your equipment rental is charged one subject to the maximum check return charge allowable month in advance.That means your first invoice will include a pro-rated fee for in your State. the current month,plus the next month's rental. 3. Equipment replacement costs will be charged for 3. Kindly fill in the amount enclosed,include your account number on your check bottles lost,stolen,damaged or not returned. and do not send cash.If you prefer,you can pay your bill online at: 4. Register or log-in to eservice.readyrefresh.com to eservice.readyrefresh.com manage your account,see the variety of beverages and 4. Never hesitate to call us with comments,questions,or concerns. exciting promotions. IN V� 6�Mor Follow us on Facebook to learn more! Let's talk,follow us on Twitter! Facebook.com/ReadyRefresh @ReadyRefresh 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)) 09/03/15 15HO117821082 $57.71 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. Ready Refresh By Nestle' ALLOWED 20 IN SUM OF $ P. O. Box 856680 Louisville, KY 40285-6680 $57.71 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 115HO117821082 I 42-389.001 $57.71 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 i ursda/y'/�l�ept ' r 17, 2015 P'-f St4�axat CQmmission� a l.f©6Y;�.!L'� nn,Q-CHn car Title Cost distribution ledger classification if claim paid motor vehicle highway fund BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR Date range of this invoice SAMPLE INVOICE BILL, OR FOR A REPORT ON WATER QUALITY AND INFORMATION, PLEASE VISIT OUR WEBSITE AT: ESERVICE.READYREFRESH.COM OR WRITE US AT: !RRea 1Y Bo1Do1�-�I�IOD RAz34,67e9D Your Account Number READYREFRESH BY NESTLE ^4— � NR.w. 23456789 MONaT 19 Watch here for a #216 i116 WE6 NOV 11 , personalized account 6661 DIXIE HWY.,SUITE 4 Important 69Pr'hil'Phlll"hil'il'n'linl'pnilllrr'd m NE-DEC IB LOUISVILLE,KY 40258 newsand �«,nDea c snmef58„nce:,-Boo-274-B2B2 message 20 Me1n B0ee1 0.a1raRN prod0 ✓.: P Nane Yau for ua,nB Ready offers OM•B�°te Zi aM w«,wa m11p1a'glpinl'Inlr°'P P9^dhPhl P h'hllrr =— _: , Pay electronically If you think your bill is wrong, or if you need more v -- - a_ .. information about a transaction on your bill,write us on adMake sure this separate sheet of paper.We must hear from you in writing no �="`"=�°= =_ _�'-= _ - 2, RaF�I amount has been later than thirty(30) days after we sent you the first bill on Activity NnnnllwM.w^=•R..dyR paid in full to since your ACCOUNT AOTIV TY PeY our which the error or problem appeared.You can telephone us, 4C'tY'S�`e00�0 avoid late fees x% but doing so will not preserve your rights.In your letter,give last invoice DeOverrAddress,lnnnDce,123Ma1"5t• % Previous BaWnce % us the following information: 6'990 5 manlydR � Ofl01 PaYmen- Water %%X% eg,,, I'M,144x4 5 5G1111 Natural Spring ax ox, J17eB514aa4 5 SGallon Deposit p%% 09111 )1280514444 Will 318881.1 Del1v1 eryfee rn i 09111 Your name,address,telephone and account numbers. ,0ta1 The dollar amount of the suspected error. Describe the error and explain if you can,why you believe there is an error. x... Payment stub ACCOUNT SUMMARY PAY BY PAY TNIS AMOUNT ACCOUNF NUMBER,2N567990 00100100 You are obligated to pay the parts of your bill that are not INVOICE NUMBER BIWNGWE AMT,ENCLOSE 123456109¢ WI OM00 in question. You do not have to pay the disputed amount while it is beinginvestigated. During the investigation, we 0420096307 04282112619 000391049 Do4o7o1B $ $ $ Amount due cannot report your account as delinquent or take any action IP„—5t to collect the amount in question. _ CnY•5ta,e 00000 GOR CUSTOMER SERVICE[ALL 1-0pp.P451B1 amlpl,IallPwl"Iny'nlplpq IIPPhI'Plp britt p «a n.cess Submit your GENERAL INFORMATION CN4P dBG - payment by 1. Past due invoices(not paid within 30 days of billing this date date)may be assessed a late fee as allowed by law not to exceed$20 per month.Additionally,third party collection/attorney expenses may be assessed at a YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER rate not to exceed 100%of the unpaid balance or the 1. Please remember payment is due by the "pay by" date noted to ensure the maximum allowed by law. smoothest service. 2. Each returned check is subject to a service charge 2. Remember,if you are renting equipment,your equipment rental is charged one subject to the maximum check return charge allowable month in advance. That means your first invoice will include a pro-rated fee for in your State. the current month,plus the next month's rental. 3. Equipment replacement costs will be charged for 3. Kindly fill in the amount enclosed,include your account number on your check bottles lost,stolen,damaged or not returned. and do not send cash.If you prefer,you can pay your bill online at: 4. Register or log-in to eservice.readyrefresh.com to eservice.readyrefresh.com manage your account,see the variety of beverages and 4. Never hesitate to call us with comments,questions,or concerns. exciting promotions. --------------------------------------- b0 Z6 - 91709 + 00,0 — 89'lb epis as)enW UO sWJal OI IOafgng X lNnowv SIHl AVd AIIA113V 1N3NNno 1N3W1sfVav/1N3WAVd 3ONV"1V8 snOIA3Nd ANvwwns INn000v Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City 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. R p Payee p fIP, jlq J rd Purchase Order No. PATerms L�u'(Sy'llle , KY 4195-490 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) q 3-15 OsNot2�g7s59? � er 50,`46 Total 1 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 RP�dv ReFr�Sh IN SUM OF $ Po �ox mdo $ S0. 4 ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or DEPT.# INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s), 0511012 593 �35b� 5�,�� 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 Si yt� d �n-QLAt Cost distribution ledger classification if Title claim paid motor vehicle highway fund BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR Date range of this invoice SAMPLE INVOICE BILL, OR FOR A REPORT ON WATER QUALITY AND INFORMATION, PLEASE VISIT OUR WEBSITE AT: ESERVICE.READYREFRESH.COM OR WRITE US AT: Ready 00100100-00100100 1234567090 Your Account Number READYREFRESH BY NESTLE 1_0�Q 123456709 " MBoN OCi,04J;S -OCT=9 Watch here for a #216 "'E "°a" 6661 DIXIE HWY.,SUITE 4 Important personalized account P � Ili hlhlldll InPlpmh°hI��hlllriniU�ur "" °E"K Ramessage news and JWm Ooe Cu5lomer Semce 202 1-000-z74-5 LOUISVILLE,KY 40258 mn Str�e offers m MMale dP hank Vou for uainK a yR a nah p oBa " end servlcea ml,pl.llglPnil^Ingn,p,pq,,IPllihlgddlrr m 771, = Pay electronically If you think your bill is wrong, or if you need more == information about a transaction on your bill,write us on a Make sure this — :�"synfP?; aimm.,�__.._ .==fir:;a.,:''"`n ~< separate sheet of paper.We must hear from you in writing no w p P P Y g `mom;='",= „r,=-� amount has been later than thirty(30) days after we sent you the first bill on Activity = cna, ,yerv,caR•adYR•h°•^°°m°rb P"" a y, paid in full to since our ACCOUNT ACTIVITY Pay 1- which the error or problem appeared.You can telephone us, Y but doing so will not preserve your rights.In your letter,give last invoice pehvery Address lohnDce.123 Mam SL OLY,State 00000 xx avoid late fees Previous Balance �� pY-' us the following information: 61K5K Payment;nankvo° xxxx 09111 311ae"= 5 xxxx r 311Msty,,,q 5 5 Gallon Natural SPIIn9 Warer�. ,,ss 312"""1 1 5Gallon Depozlt 0Ilt 09112 3182618611 CEIN ryFee rn 00 • Your name,address,telephone and account numbers. • The dollar amount of the suspected error. • Describe the error and explain if you can,why you % believe there is an error. IF Payment stub ACCOUNT SUMMARY x%x% ' ,--. DAY PAY 8� THIS AMOU ACCWMNUMKER 00000000 xx xX „ h ya we'�a,:a,m 1234567090 AMT ENCLOSE ¢4, You are obligated to pay the parts of your bill that are not AO,CEN7890EP KI 01.1-0 t4 1234567890 00100100 in question. You do not have to pay the disputed amount 0420096307 04262712619 000391049 00407016 while it is being investigated. During the investigation, we — Amount due cannot report your account as delinquent or take any action to collect the amount in question. O,y,S1111 00000 O0.CUSTOME0.5E0.V1 CECPLL 1.Kpp.27a5282 au,,p adllPmllllugdhp Inp dpllhPlnpadh r ❑ n,N9 a9<,"°K A .Submit your �vcRuclo.mEEnurop4n59°°° ads,..:. .:r>{:y. ) ':, GENERAL INFORMATION �: :;�:.:,,r,: '. '_,=: = " . payment by t , 1. Past due invoices(not paid within 30 days of billing this date date)may be assessed a late fee as allowed by law not to exceed$20 per month.Additionally,third party collection/attorney expenses may be assessed at a YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER rate not to exceed 100%of the unpaid balance or the 1. Please remember payment is due by the "pay by" date noted to ensure the maximum allowed by law. smoothest service. 2. Each returned check is subject to a service charge 2. Remember,if you are renting equipment,your equipment rental is charged one subject to the maximum check return charge allowable month in advance.That means your first invoice will include a pro-rated fee for in your State. the current month,plus the next month's rental. 3. Equipment replacement costs will be charged for 3. Kindly fill in the amount enclosed,include your account number on your check bottles lost,stolen,damaged or not returned. and do not send cash.If you prefer;you can pay your bill online at: 4. Register or log-in to eservice.readyrefresh.com to eservice.readyrefresh.com manage your account,see the variety of beverages and 4. Never hesitate to call us with comments,questions,or concerns, exciting promotions. Follow us on Facebook to learn more! Let's talk,follow us on Twitter! Facebook.com/ReadyRefresh @ReadyRefresh Prescribed by State Board of Accounts City Fonn 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)) 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 $ To(?Z4 ut�) 6'�6 Ltu ON ACCOUNT OF APPROPRIATION FOR ( �r; 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 4 09 20 —A�-&�e. (P Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund