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Home My WebLink About250824 10/21/15 y'4`p"' CITY OF CARMEL, INDIANA VENDOR: 369794 ® 1 ONE CIVIC SQUARE READY REFRESH BY NESTLE CHECK AMOUNT: $*******309.60* CARMEL, INDIANA 46032 PO Box 856680 CHECK NUMBER: 250824 9�'�iow�°? LOUISVILLE KY 40285-6680 CHECK DATE: 10/21/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4239099 052012004852 38.69 0520120048525 1125 4350900 052012009535 88.15 OSIO120095351 1091 4350900 052012120276 61.42 05I0121202766 1205 4239099 OSIO12177619 11.43 0520121776199 1801 4350900 052012197559 50.46 OSIO121975593 2201 4238900 152011782108 41.24 1520117821082 1701 4239099 15I722032704 18.21 15I7220327048 pay eservice.readyrefresh.com BILLING PERI`CD INVOICE Refresh #215 6661 DIXIE HWY,SUITE 4 09/01/15-09/30/15 0510121776199 LOUISVILLE KY 40258 SAND OUENCN \\ , UPCOMING DELIVERIES ACCOUNTNUMBER ADDRESS SERVICE REQUESTED 'I'I II I'I"III III'I I I I I I I I I II' I 'II TUE- OCT 06 0121 776199 WED- NOV 04 MON- DEC 07 Access your delivery calendar at FRI- JAN 08 eservice.readyrefresh.com CITY OF CARMEL HUMAN RESOURCES Customer Service: 1-800-274-5282 JIM SPELLBRING For your convenience,you can pay your bill online.It's 1 CIVIC SQ fast and easy! CARMEL IN 46032-2584 IMPORTANT �I?lease be advised that the Invoke for your next deUvery'w�ll reflect a pr ice Increase�O,n select� products and e`qulpment ase-call us if you Have any questions - - - W� MW ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-274-5282 or visit eservice.readyrefresh.com. DATE REFERENCE# QTY DESCRIPTION AMOUNT Delivery address: CITY OF CARMEL,1 CIVIC SQ, HUMAN RESOURCE DEPT,CARMEL IN 46032 PREVIOUS BALANCE 7.98 9/03 423351 PAYMENT-THANK YOU -3.99 9/11 0956095145 1 5 GAL ICE MOUNTAIN DIRK W/HANDLE 3.49 BOTTLE DEPOSIT 1 CHARGED, 1 CREDITED .00 f.r 9/30 0961392875 1 DELIVERY FEE ./ -_ ~} 3.95 19147687 RENT (Jp j 3.99 s TOTAL � ``°�-^-=-�-'' 15.42 Submitted To O.CT 19 2015 BY f JUST LICK ` �� rk Y reasuGer ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 7.98 - 3.99 + 11 43 = 15.42 BILLING RIGHTS SUMMARY -- N CASE OF ERRORS OR — BILL, SE FOR QUESTIONS ABOUT YOUR Date range of this invoice INFORMATION, PLEASE ON SIT OUR WEBSITE EAAT SAiU�pLE INVOICE ESERVICE•READYREFRESH.COM OR WRITE US AT: i READYREFRESH BYy ' NESTLE oe/ooleo aeraoroo 123A - #216 AS I, �- Your �•�o u..� Account Number 666I D LXIE HWY. SUITE 4 HR-O w 133456789 LOUISVILLE,KY 402$8 Important "Op NOY]9 F news and �IPr'hd'PhPfP'dnl'il'irMh'1411hm'd,'in' UE-OK,e Watch here for a If YOU think offers ;SAW BVeel ". personalized account your bill IS cuxsumzP cu—S-A-1198VROPz7"W6 information or message wrong, Th.,k f t BR adVR t hP nd � b bouta, transaction on if you need more d IIPnd Inh P V I ill Pid P i 4111 d separate sheet ofpaper.We Your bill,write us on a ' later than t must hear from you in writing ~ �„ a an �v dr Pay electronically whicht thirty(30) days ager we se no A�`nr',m'QY �,`6 "`�„9 ='.' y he error or problem a sent you the first bill on Activity but doing so will not appeared.You can tele Make sure preserve Your rights.In phone us, since your / re this to us the follow' ur ri ACCOUNTAcnvm PaY rd6 oN se«Ic R PdYR treah.com«Gyphonaa+86o-lTassdf IcsF I :"f amount has mg information: g Your letter,give lastinvoiee ��' �' s been Delivery Addren:John DM.113Mat'St CIEy.State00000 ,' paid in � avoid lateto ffull feeses • Your name,a 66,3, 441896 PreviPU1Balance lIX.%K address,telephone a 661„ 3P6,— 1 Payment-Thank You xsb • The dollar P and account 31'x$_ 6 5�0.0 P-�ts"n9wd1Pf Dunt numbers, 3 —11 amount of the sus 3+6=466't sGaune Remm petted error. • Describe the error and explain if you can,why you Total. _ >.XJIX believe there is an error. You are obligated to a FP ePeaeUNCE_PA N,P, =My RBAMe Payment stub ACCOUNT SUMMARY in question. You dopy the parts of your bill �<.•.• •••a.=•�•_•— A °r 'gym ------------- ----------- -------- not have to a that are not a,« ,� while it is beingin - -P ye_disputed am AC�1234567M NTNUMBER PAY eY PAV THIS AMMOUM cannot re vestigated. Durin the i aunt_-- 4367696 WNG 00 g invest ation, NAIBR BIWNG OAS AhTf.ENCLOSE port your account as delin g we _ - --- _ CINU66NG 01 to collect the amount in uent o an — - - - ____- question. q r take y action — 0420096307 04282712619 000391049 00407018 - GENE W. Amount due RAL INFO — ,33 Male 3t RMATION °'S'a`e 66666 I• Past due invoicesnot nmiP^,91Pnd'In41„'P'P9 dl illtl'Plin4prr FORa=MMSEW4RUL t Z7L M ( paid within 30 days of billing �� date)may be assessed a late fee as allowed bylaw not Submit your to exceed$20 per month. �..... ., � - Additionally,third party payment by collection/attorney expenses may this date essed at a rate not to exceed 100%of the unpaid balan e or the maximum allowed bylaw. FOUR INVOICE_4 WAYS TO 2• Each returned check is subject to a service charge 1 please remember HELP US SERVE YOU BETTER smoothest service,Payment is due by the dtoe subject to the maximum check return charge allowable pay bY” date noted to ensure the in your State. 2• Remember,if you are renting e 3• Equipment replacement costs will be charged for month in advance. g qutpment,your equipment rental is charged one That means your first invoice will include apro-rated fee for bottles lost,stolen,d the current month,plus the next month's rental. 4• Register or Iog-in to damaged e.readyrefresh or not tom to 3' Kindly fill in the amount enclosed,include manage your account,see the variety fr beverages and and do not send cash.If you prefer,you can pay account number on eservice.readyrefresh.com P Y your bill online at: your check exciting promotions. 4. Never hesitate to call us with comments,questions,or concerns. ®Itrooo � Follow us on Facebook to learn more! 1�� Facebook.com/ReadyRefresh Let's talk,follow us on Twitter! @ReadyRefresh VOUCHERNO. WARRANT NO. ALLOWED 20 READY REFRESH BY NESTLE PO BOX 856680 IN SUM OF$ I LOUISVILLE, KY 40285-6680 $11.43 ON ACCOUNT OF APPROPRIATION FOR PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members 0510121776199 42-390.99 $11.43 1 hereby certify that the attached invoice(s), or 1205 I I 101 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 Monday, October 19, 2015 Director Cost distribution ledger classification if i 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 Date Invoice# Description Amount Dept. Fund# (or note attached invoice(s)or bill(s)) 10/02/15 0510121776199 $11.43 1205 101 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 Vo R wpidY eservice.readyrefresh.com BILLING INVOICE Refresh #215 6661 DIXIE HWY,SUITE 4 09/01/15-09/30/15 0510121975593 LOUISVILLE KY 40258 ANO OUENCH ADDRESS SERVICE REQUESTED UPCOMING DELIVERIES ACCOUNTNUMBER II I I II II I III II III �� I I I I I I I II I 'll TUE- OCT 06 0121975593 WED- NOV 04 MON- DEC 07 Access your delivery calendar at FRI- JAN 08 eservice.readyrefresh.com CARMEL REDEVELOPMENT COMMISION DON CLEVELAND Customer Service: 1-800-274-5282 30 W MAIN STREET Did you forget about us? Kindly pay upon receipt. SUITE 220 Remember,past due accounts are subject to a late fee. CARMEL IN 46032-1938 Your prompt payment is appreciated.For your I�'�ll��l'I'��Illllll' "ll�l�llll�l'�"�lll'lll'll'll'll"'1111 convenience,you can pay your bill online. If payment has been made,we thank you. Looking for your W9� Please go twesery ce readyrefresh com antl click on the W9 link at�the bottotwof the ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-274-5282 or visit eservice.readyrefresh.com. DATE REFERENCE# QTY DESCRIPT[ONAMOUNT Delivery address: CARMEL REDEVELOPMENT COMMISSION,30 W MAIN ST STE 220,CARMEL IN 46032 PREVIOUS BALANCE 92.04 9/03 423354 PAYMENT-THANK YOU -41.58 9/09 0956095178 4 5 GAL ICE MOUNTAIN DIRK W/HANDLE 35.52 4 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 24.00 4 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -24.00 9/30 0961405073 1 DELIVERY FEE/ f f/r' .f 1" } ,�� 3.95' 19217600 RENT it/ 3 _' f j �t 1 ! �` 10.99 TOTAL n 100.92 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT I Subject to terms on reverse side. 92.04 — 41.58 + 50.46 =1 100.92 BILLING RIGHTS SUMMARY _ IN CASE OF ERRORS O � - --- QUESTIONS ABOUT YOUR Date range of this invoice BILL, OR FORA REPORT ALITY INFORMATION, PLEASE O SITAOUR TER WEBSI EAAT.. SAMPLE IN ESERVICE.READYREFRESH.COM OR WRITE US AT: READ y #ZI6 �FRESH BY NESTLE Ready i OD/OD1D0 00100(00 7234567890 Your Account Number 6661 DIXIE HWX,SUITE 4 n9-OCT 123456789 LOUISVILLE,KY 40258 Important . 21 news and X114 6d49d4P"luhihir4 4°I hl((rr iP ur nit oEWc"c 1Watch here for a offers Personalized If You think your bill ig Cky.sw zip CusmmarSeP.+�:faoo•2T4-szR2 account ��•B�� message information about a transaction on or if you m lad „ iru.i,n„ , n,a „ a° RR°°°v"°''°°"P°"" g Y need more d III nd hi 1 111 tll i Id i l d6 i R4 Separate sheet of your bill,write us on a - later than thirtypaper.We must he from you in writing Fay electronically r pr days after we sent you the first bill on Activity _ y whichemus ,mia«aaauiw,v1erY°Fmwmk4. . - :rt - • the error or problem appeared.You can tele �-- but doing -= - - �- - — Make sure this g so will not preserve Your rights.In Phone us, since your [ amount has been urri ACCOUNTACTIYETY PY ur�A Oris - IUR dyRef hwT 0ypbnORC3d6D276 K9F i us the following g your letter, ive last invoice " ' paid in full to g information: g oeR yAaa 16n o u3 •• 0090990/"1211 6"n3611r96�fi29969s3't9'°u9°1`41°3 t Ps6wGWa ig oRBealtw"m=F8'i 5 9- -Ryw`f�f,rmseoysat<o6Dopl>xIXo{ ,. avoid late fees 30 [ M 5 P y t Tka MYo w' 5 5G R N- . sYour name,address,telephone and account numbers. 6 The dollar amountof the suspected error. • Describe the error and explain if you can,why you TUI XXAJ( :. believe-there is an y y error. You are obligated to a Payment stub — ACCOUNT SUMMARY ICM U_>AY l�%2 u Fawn _PAnxK M pay the parts of your bill that m question. You don �<,.,,.......,...°,°._ ----------------==--------------------- of have to --` �A.��m at are not ACCOUNT NUMBER PAY BY PAYTNiSAMOUM while it is beinginvestigated.. pay the disputed amount 1234S67096 00/06/60 IX O Durin INVOKE NUMBER B LNC DATE AMT ENC OS cannot report your account as delinquenta investigation, we 234567990 001W/W to collect the amount in or take any action = question. -- 042D096307 04262712619 000391049 D0407018 Amount due GENE RAL INFORMATION G y,5t6le 6D6D6 1• Past due tnvQtteS( aid ,Rh�ILi��lll'��I I��IpI111hIRl�III'I�IIIIIO��IIYP FORNS70MER SFANCECALLI906bL5203 date not P within 30 days of billing ❑scRwroRF 9wme n y Bp9 4 MO MnuYd ❑R�"ro�n°'°^P 5° )may be assessed a late fee as allowed by law not = ISubmit your to exceed 20 �� `� �- $ per �. Additionally,third party payment by collection/attorney expenses may this date rate not to exceed 100%of the un be assessed at a maximum allowed bylaw. Paid balance or the YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER 2• Each returned check is subject to a service charge 1' Please remember smoothest service,Payment is due by the "pay by" date noted to ensure the subject to the maximum check return char 2• Remember,if you are renting in your State, charge allowable month in adv g egmpment)your equipment rental is charged one 3• Equipment replacement costs will be charged for advance.That means your first invoice will include a pro-rated fee for bottles lost,stolen,d the current month,pias the next month's rental, 4• damaged or not returned. 3 Kindly fill in the amount enclosed,include Register or log-in to eservice.readyrefresh.com to your account number on manage your account,see the variety of beverages and and do not send cash.If you prefer,you can eservice.readyrefiesh.com y Pay Your bill o Your check exciting promotions. 4, mine at: Never hesitate to call us with comments,questions,or concerns. Follow us on Facebook to learn more! �t�IQE�� Facebook-com/ReadyRefresh Let's talk,follow us on Twitter! @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. p Payee RQ��Y ReT-04 Purchase Order No. Terms L glAty�I��c , KV X028 6�� Date Due Invoice 1nvoice Description Amount Date Number (or note attached invoice(s) or bill(s)) ORO 12.1935517W r S yb Total 50,46 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 $ Po ��x Rs��Bo �VAO ; L KY 402,95-6410 $ 5b,L�c ON ACCOUNT OF APPROPRIATION FOR Board Members Po#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), ��d� pS2p 21 755 3 �5d 50,1' 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 20�. Sighature Executive Director Cost distribution ledger classification if Title Carmel Redevelopment Commission claim paid motor vehicle highway fund FoZa y eservice.readyrefresh.com BILLING PERIOD INVOICE Refresh #215 6661 DIXIE HWY,SUITE 4 09/01/15-09/30/15 1510117821082 �D�«<N LOUISVILLE KY 40258 AND-D.ENCN UPCOMING DELIVERIES ACCOUNTNUMBER \\� ADDRESS SERVICE REQUESTED 1111111111 I'II'I'II I"I HIP I'I I I I I I I I II I'I 'II MON- OCT 05 0117821082 TUE- NOV 03 FRI DEC 04 Access your delivery calendar at THU- JAN 07 eservice.readyrefresh.com Customer Service: 1-800-274-5282 CITY OF CARMEL STREET DEPATMENT Did you forget about us? Kindly pay upon receipt. 3400 W 131ST ST Remember,past due accounts are subject to a late fee. CARMEL IN 46074-8267 Your prompt payment is appreciated.For your convenience,you can pay your bill online. If payment has been made,we thank you. ,.X - TrzFT.Z'*"f5^'.�' '4, `fi.,. 'A. ^^"`^TTP^` :...='Z«.. v.i.1�. § "?&.NT«SiZ4'".L-R..+f$F➢3iS.'^35tP wE-"� IMP�ORTANT�=Please be a�{Tlsed�that t�he�Involce for;�your next del4uerywill�reflect a price mcrease�on�selec_t products and egwpment Please call us:if yoti Have any questions ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-274-5282 or visit eservice.readyrefresh.com. DATE -REFERENCE# QTY DESCRIPTIONAMOUNT Delivery address: CITY OF CARMEL STREET DEPARTMENT,3400 W 131TH ST,CARMEL IN 46074 PREVIOUS BALANCE 57.71 9/08 0955918479 7 5 GAL ICE MOUNTAIN DRK W/HANDLE 24.43 7 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 42.00 3 9 OZ PLASTIC CUP 50C/SLV 9.87 7 5 GALLON ICEJfUNTAIN DEPOSIT RETURN 42.00 3.95/ 9/30 0961369717 1 DELIVERY FEE _ fd a { 2.99 19141923 RENT a TOTAL 98.95 z ,s � "m4r. % Y JUST LIC AND QUENCH ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT I Subject to terms on reverse side. 57.71 — 0.00 41.24 = 98.95 BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR BILL, OR FORA QUESTIONS ABOUT YOUR Date range of this invoice PLEASE O INFORMATION VISIT OUR N WATER QWEBSITE UALITY AAT.. SAMPLE INVOICE ESERVICE.READYREFRESH.COM OR WRITE US AT: READY �y REFRESH BY NESTLE Ready oo,00,Ro z34ss7690 90 #216e{►moo 0aYour Account Number 6661 DIXIE HWY. SUITE 4RR o 0 123458189e— LOUISVILLE,KY Important MON-O M 40258 n w vNIN z, news and Ili Inl'Ildll 6dihut I I dllrrvl m IDE_pEC,e s Watch here for a Personalized account offers nM00a 1 If you think 123 M.58eaCuswm SeMd 1-80427 28 452 jq your bill is c�n.sw,anP message wrong m kY r smPR arRl RPotlu or if you need 911ho1 information about a g lu4 P i l dl l9d P I'dh i a ! transaction o, more n your bill,write us on a g m separate sheet of paper.We must hear from T • �f ' �,,Pay electronically later than thirty(30)days a You in writing no RaS1yR'msFcmcY ��„u �� +� which the error o Y after we sent you the first bill on Activity - r Problem but doing P appeared.You can telephone - Make sure this g so will not preserve your rights.In us, since your ' us the following AccouNracTrvrtt Pavraurm. ! �°.°rvkoR dyR,reenwmaeyPMwacEaoo-a7 ¢ss rem amount has been llow wil information: g Your letter, last invoice paid in full to give Oe(lvery Add—J"hn Doe.123 Main St,CRY,S[at¢80008 avoid late fees OBI3I 361893 Pryme,Balance %XX% • Your 09/11 1178a51MN 5 Payment-Thank Y°4 name,address,telephone a „1 1„88:14.. 5 SGalbn Nalu al9pdn9 Water P and account numbers. OeP", • The dollar amount o 81 1 318M3881, 5U1.Rew xo ofthe sus ected °"" 16fi 0eh.wr' e • Describe the error and explain if you can,why you Tatal believe there is an error. You Payment stub ACCOUNT SUMMARY SCE—n NUX%x%MN} uaa nm vAV xs rt are obligated to pay the parts of our bill- P in question. You •,,... ,,. .°.°,_-- - - --------- - ----- - - -- do not Y that are not es -�� ACCOUNPNUMBER PAY BY PAY7N'SA DUW while it is have t the disputed bele °Pay d1SP amount -_ _- - --1n4967e90__ _ wlw,ao g investigated. During the inve$ti 'Woke NUMBER wwN`°ATE AMT.FNGCOS cannot report your account as gation, we U345[7898 00188/00 to collect the amount in delinquent or take any action = i ti question. ' 0420096307 04262712619 000391049 0040703E _ ).h mD.s, Amount due 123 GENERAL INFORMATION �ry S�1e I. date)may be assessed a late fee as allowed Past due invoices( aid i"'d''411hnh 6th�'i�'V�i dll�hhl'�Ihihm fOR CUSTOMER SERYiCECALL I$9P1A 91a2 Pnm Am,Owq<.On Renu SMe not p within 30 days of billing ❑:Yap FORF�1W1p0 n19°uP8.4�ac°R�s� ❑ �� `' Submit to exceed by not `_d � your 20 •. $ per month.Additionally,third party payment by collection/attorney expenses ma this date at a rate not to exceed 100%of the u paid balan e or the XOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER maximum allowed bylaw. I. Please remember 2. Each returned check is subject to a service charge 2 Payment is due by the "pay subject to them smoothest service. bY" date noted to ensure the maximum check return charge allowable Remember,if you are rentinge in your State. month in advance, equipment your equipment rental is charged one That means your first' will include a pro-rated fee for • Equipment replacement costs will be charged for the current month,plus the next month's rental. bottles lost,stolen,damaged or not returned. 3 Kindly fill in the amount enclosed,include your account number on 4• Register or log-in to eservice.readyrefresh.com to manage your account,see the variety of beverages and 4 and is not send cash.IfYou refer, ou can a eservice.readyrefresh.com P Y Pay Your bill online at: your check exciting promotions. Never hesitate to call us with comments, questions,or concerns. Follow as on Facebook to learn more! Facebookcom/ReadyRefresh Let's talk,follow us on Twitter! @ReadyRefresh VOUCHER NO. WARRANT NO. ALLOWED 20 Ready Refresh By Nestle' IN SUM OF $ P. O. Box 856680 Louisville, KY 40285-6680 i $41.24 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 11510117821082 I 42-389.001 $41.24 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 Wedn ay, 0 015 %/VV k1V M %ff6tQ310'tfM9 r Title Cost distribution ledger classification if claim paid motor vehicle highway fund i Prescribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER i CITY OF CARMEL i An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number - (or note attached invoice(s) or bill(s)) 10/02/15 1510117821082 $41.24 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 Re«d yeservice.readyrefresh.com Refresh #215 6661 DIXIE HWY,SUITE 4 09/01/15-09/30/15 0510120048525 'UST LOUISVILLE KY 40258 ANO�UENCN ��^'� • ADDRESS SERVICE REQUESTED UPCO II'I II I I'I I I I I�I I�I I I I I I I I I II� I 'II UNT MING DELIVERIES ACCNUMBER TUE- OCT 06 0120048525' WED- NOV 04 MON- DEC 07 Access your delivery calendar at FRI- JAN 08 eservice.readyrefresh.com CITY OF CARMEL DEPT OF ENGINEERING Customer Service: 1-800-274-5282 LISA SCOTT Did you forget about us? Kindly pay upon receipt. 1 CIVIC SQ Remember,past due accounts are subject to a late fee. CARMEL IN 46032-2584 Your prompt payment is appreciated.For your III'II'II�III'I'�I'I"'IIID'I.�I�II'�I'I'��I'll'I'�'lll��llll'� convenience,you can pay your bill online. If payment has been made,we thank you. =IMPORTANT Please be ativlsetlthat the Invoice for your next delivery wlll, reflect a price Increase ons elect yprodue s and equipment Please call us Ifyouu-have any questions _ _ y ACCOU NT ACTIVITY For questions ora report on water quality and information,call 1.800-274-5282 or visit eservice.readyrefresh.com. ---------- DATEREFERENCE# QTY DESCRIPTIONAMOUNT Delivery address: CITY OF CARMEL,1 CIVIC SQ, CITY ENGINEERING DEPT,CARMEL IN 46032 PREVIOUS BALANCE 80.67 9/03 423350 PAYMENT-THANK YOU -31.71 9/11 0956095111 9 5 GAL ICE MOUNTAIN DRK W/HANDLE $ 31.41 9 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 3 .00 1 9 OZ PLASTIC CIDP-.50C/SLV 1! 3.29 9 5 GALLON ICE MOUNTAIN-DEPOSITIRETURN r r r $ 00 ' l i t 1 3.99 9/30 19156579 RENT TOTAL $ "'� 87.65 RECEIVED ;. OCT 2015 `4, CARMEL S`t CI Cf� ' �tt4 �w �Jj CITY ENGINEER �,co�' � lu A D 0 U 2 W f"r ''"' ", ✓� z�L ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 80.67 — 31.71 + 38.69 87.65 BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR BILL, OR FOR QUESTIONS ABOUT INFO A REPORT ON WATER YOUR Date range of this invoice RMATION, PLEASE VISIT OUR QUALITY TE SITE SAMPLE INVOICE ESERVICE.READyREFRESH.COM OR WRI EEUS A # 6DYREFRESH13YNESTLE REndyh fl fl oolooroa 23456789n 666I DIXIE II !2 f �t �y j �;.«7f "Your Account Number LOUISVILLE,WY,SUITE 4 TMfl-OCT 1234567890 ICY 40258 Important w°o-ro news and 9Pi^loi'Pid'll'Olnhdvr49"Phllh'rvd�'ur WE.DEC,0 Watch here fora If YOU think offers d DOB Personalized account Your bill is in ft.vO c�net�m�:,��02]4-�2 information "ry'6�N�P message wrong, or if you need more Th kY t0. R arw g oration about a transaction on d Ill nil In i I I I ill l id l i illi i N� separate sheet ofpaper.We Your bill,write us on Iater than thirty( da s must hear from you in writing a r'"°� Q70 NM Pay electronically 30) y after we Se n0 �x araesea m rm a7 roa awnmo ec e a which the error or nt You the first bill on Activity " - problem a - Make sure this but Join so PPearri You can telephone us, since your C _" g will not preserve Your fits. At:CODN7ACTIVITY' PvyoOrbiH Ihq a ems, n 6r1t,sh.= bra'�ee5abo-n °5F ' �'amounthasbeen us the followingg In your letter,give last invoice paid in full to information: DeliveryAtldne John Doe.123 Main 5LGly,5bte00000 avoid late fees 0013, 461899 5-Thane p(pt • Your nam - 0913, 3,]BBS,a4a1 5 payment-Thnnkro4 e,address,tele m 31]885,d4N s sDaimnn=valspro-gwate,.j'. _ a • The dollar a Phone and account numbers. tuber$, own 3, ,aau s S0e11 Depot- �' mount of the sus U 69„2 3,8]63001, • Describe the suspect error. 0913 '� 57 D u ryFee "° errorand believe explain if you can,why you there is an error. You are obligated t _.""" NPA[MACNItt Payment stub AccouNr suMMAar a a «xz + n w xzxz in g to the parts of our b' ..„# ,,, ..4,9,� ----- ----•. question. You -------------------------------- ---------------------- do not have to pay the Wm6.MreWm a PO Y bill that are not while it i a drs disputed �� ACCOUNT NUMBER PAY BY PAY 1NlDUNr s being investigated. During P amount 234567890 W/08/00 cannot re ort g the investigation, we N OICF NUMBER B,WNG DA E AMT ENCEOB P your account as deIin 123156]890 00/0"Co to collect the amount in delinquent or take any action = question. -- 0420096307 04282732619 000391049 00407016 Amount due GENERAL INFORMATION Q'gswte I. Past due invoices nh,p'�glUmhluy'��'ppq dl i9d'pq'atllr� EORCV3TOMERSNMCECAl1,8o0=]sab: °; date)due (not paid within 30 days of billing ❑wR FBOR EF FFO OM Sq OP8 W rc40 N 0 ❑M tAM�9eso Rr bde assessed a late fee as allowed bylaw not Submit your y be as to exceed$20 per month.Additionally,third party Payment by collection/attorney expenses may be assessed at a this date rate not to exceed 100%of the maximum allowed b unpaid balance or the YOUR INVOICE-4 WgYS TO check is subject to a service charge 1, Please remember HELP US SERVE YOU BETTER 2. Each returned smoothest service,payment is due by the "pay by” date noted to ensure the subject to the maximum check return char e 2. Remember,if in your State, g allowable You are renting equipment, our equipment 3• Equipment replacement costs will be charged for month in advance.That means Y ui ment rental is charged one the current month Your first invoice will include a pro-rated fee for bottles lost,stolen,d 3- ,plus the next month's rental, 4 damaged.r not returned. Kindly fill in the amount enclosed,include Register orlog-in to eset'vice.readyrefresh.com to and do not send cash.If your account number on manage your account,see the varietyeservice,readyrefresh.comouprefert you can a your check exciting promotions. of beverages and pay your bili online at; 4• Never hesitate to call us with comments,questions,or concerns. Follow us on Facebook to learn more! Facebook.com/ReadyRefresh _ Let's talk,follow us on Twitter! — Witter. @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 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 10/2/2015 0510120048525 Water cooler $ 38.69 Total $ 38.69 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 i I VOUCHER NO WARRANT NO. ReadyRefresh by Nestle ALLOWED 20 P.O. Box 856680 IN SUM OF$ Louisville, KY 40285-6680 I� f $ 38.69 I I' 5 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 051012004852 2200-4239099 $' 38.69 bill(s) is (are)true and correct and that the materials or services itemized thereon for iwhich charge is made were ordered and ` received except I I _ 10/19/2015 Signature City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund Readyeservice.readyrefresh.com •■ INVOICE Refresh- #215 6661 DIXIE HWY,SUITE 4 09/01/15-09/30/15 1517220327048 LOUISVILLE KY 40258 JUST CLICK\ AND OUENCN ADDRESS SERVICE REQUESTED UPCOMING • UNT NUMBER II I I II I II IIII I IIII I I I I I I I I�� II III TUE- OCT 06 7220327048 WED- NOV 04 MON- DEC 07 Access your delivery calendar at FRI- JAN 08 eservice.readyrefresh.com CITY OF CARMEL OFFICE OF THE CLERK TREASURER Customer Service: 1-800-274-5282 ANN DAVIS Did you forget about us? Kindly pay upon receipt. 1 CIVIC SQ Remember,past due accounts are subject to a late fee. CARMEL IN 46032-2584 Your prompt payment is appreciated.For your III'I�'��IIIIIIIII�I�IIIII�I"I'I'II�I�III�'llll�'I�I'��'lll�l'll convenience,you can pay your bill online. If payment has been made,we thank you. IMPORTANT Please be advised that the nvoice for your next delivery will reflect a price Increase on select products and egwpment Please call us if you fiave any questions - — .��-m ��... ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-274.5282 or visit eservice.readyrefresh.com. DATE REFERENCE# QTY DESCRIPTION AMOUNT Delivery address: CITY OF CARMEL,1 CIVIC SQ, CLERK TREASURER OFFICE,CARMEL IN 46032 PREVIOUS BALANCE 21.70 9/11 0956095566 2 5 GAL ICE MOUNTAIN DRK W/HANDLE ' 6.98 2 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00 1 9 OZ PLASTIC CUP 50C/SLV 3.29 3 5 GALLON ICEMOUNTAINDEPOSIT RETURN .00 9/30 0961498060 1 DELIVERY FEE3.95 19185525 RENT r F 3.99 TOTAL 39.91 IC _ r l BY JUST CLICK AND QUEN ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CUR NT AC VITY PAY THIS AMOUNT I Subject to terms on reverse side. 21.70 — 0.00 + 18.21 v 39.91 BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR BILL, OR FOR APORT QUESTIONS ABOUT YOUR Date range of this invoice INFORMATION, PLp EASE VISIT OUR�WEBSITE AAT.. ESERVICE,READYREFRESH•COM OR WRITE US AT: SAMPLE INVOICE READYREFRESH BYNERe�Y ao aaroos:3asb�s9a #216 STLE Your Account Numb 6661 D XIE HWY,SUITE 4 LOUISVILLE 2 ,23486789 KY 40258 Important MON OR 39 Wows and �4Prvinhl9dll InPihirh�9 Pidllrrdi'nr ;8 Watch here for a offers Personalized accomt t If you think your bill is 128 S.W real Customer Sev e:1800 Z74-5282 City,BSN LD Thank Pov br valnB RraCyRoheaM1 Drod message r, information about a transaction on or if you need more 91 911hnh 6dri l l�bdhPhppq yllrr and sarvlw. Separate sheet of your bill,write us on a later than paper.We must hear from Pay electronically thirty m you in writing no o a.savaaa oodan aaaNm +a ya at> which t ty(30)days after we sethe... y he error or Problem a nt you t bill on Activity but doing appeared you -` so will not can telephone us since your /Make sure this us the following preserve your ri hts.In ' ACCm ACnViTy Pa yaurnl a Y.arvkeR adyaal anwm«ypro ae taoazra aFreel / amount mg information: g your letter,give last invoice has been paid in full to D I ryAdd esstloM Doe,123 Mafn Bl Gry,Btate00000 a�,t 46,898aaNMe kx o avoid late fees • Your name,address �• 0911, BI78831s1M s ray ent Thank Ya f 1[It.%lt �,. telephone and ac "1 1,7886,4N4 3 BGallon NeM11 Bpl 9W t n n • The dollar B9m 3vBas,4u s scanon Deposit amount of the sus count numbers, mn: Brexyavn 1 swu RM - rr rxlu suspected error, °'"' 1606 NINE ry Fee • Describe the error and explain if you can,why you ,k 7 NI believe there is an error, ._Payment stub ACCODNTBUMMMY ' °A1ANC—'A ry sg11AFl"} You are obligated to pay the arts of in uesti p your bill that �< °, ------------- while --- - - -question. You -------- do not have --- �^^�^�^�T pMK^ a the are not gCC00MNUMBEA PAYBY PAY TNtBAMDUNT while it is be to pay disputed amount 23 561890 piaoiao 0O0 being investigated.During the investi anon N12US6990 BILNDDAE gMDENaos cannot report your account as delig 'we '° 001WI° to collect thea delinquent or take an mount in question. Y action 0420096307 04282712619 000391049 00407038 • Jahn Da � Amountdue GENERAL INFO = 123 RMATION wl�St GySwe.6tate OM 1• Past due invoicesIthi11i1911hnitu4ihPP11 dIPIdPllfillrr PORN6TOMFA9FRYKECALLIA[62769703 (not paid within 30 days of billing p9w oaruEAu DPan y ua kvwam n sw ❑ mama�9�asw e date)may be assessed a late fee as allowed bylaw not Submit your to exceed 20 $ per month.Additionally,third parry payment by collection/attorney expenses may be assessed at a this date rate not to exceed 100%of the maximum allowed by law. unpaid balance or the YOI7R INVOICE-4 WAYS TO HELP US SERVE YOU 2• Each returned check is subject to a service charge 1• Please remember BETTER smoothest service.payment is due by the pay by" date noted to ensure the subject to the maximum check return charge allowable 2 in your State. Remember,if you are renting e month in advance.That means your first invoice will include a pro-rated fee for p your equipment rental is charged one 3• Equipment replacement costs will be charged for theKindly current i month,plus the next month's rental, bottles lost,stolen,dams 3. Kindly fill in the amount enclosed,include 4• Register or log-in to eservl ere not returned. 3 reftesh.com to and do not send cash.If your account number on your check manage your account,see the variety you prefer,you can a o exciting ty of beverages and Neverce hesitate ro call .com Pay your bill online at: promotions. 4, Never hesitate to call us with comments, questions,or concerns. beerrr Follow us on Facebook to'learn more! _ Facebook-com/ReadyRefresh ----- _ Let's talk,follow us on Twitter! @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. p(�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 ccordance with IC 5-11-10-1.6. , 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF $ fox $ 71 ON ACCOUNT OF APPROPRIATION FOR Board Members .Po#or INVOICE NO. ACCT#!TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), Il +0 or bill(s) is (are) true and correct and that 17,04S the materials or services itemized thereon for which charge is made were ordered and received except S 20 Signa Cost distribution ledger classification if Title claim paid motor vehicle highway fund >r Reddy eservice.readyrefresh.com BILL;ING PERI'&D INVOICE Refresh #215 6661 DIXIE HWY,SUITE 4 09/01/15-09/30/15 0510121202766 ,� LOUISVILLE KY 40258 JUST CLICK\ AND OUENK UNTNUMBER ADDRESS SERVICE REQUESTED UPCOMING • WED- OCT 28 0121202766 MON- NOV 30 THU DEC 31 Access your delivery calendar at eservice.readyrefresh.com OCT 0 g 2015 CITY OF CARMEL PARKS DEPARTMENT Customer Service: 1-800-274-5282 MANDY SPADY Bir: For your convenience,you can pay your bill online.[Vs 1411 E 116TH ST fast and easyl CARMEL IN 46032-3455 i�IIIIII�In�I�IlJrll�ll��n�lllll�nn�lll'�'��urllll�lu�llll IMPORTANT I?lease'be advised that the invoice for your next dellvery will reflect a price Increase n seleet roducts and equipment Please call 7 us if you have any questin os `- ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-274.5282 or visit eservice.readyrefresh.com. DATE REFERENCE# QTY DESCRIPTIONAMOUNT Delivery address: .CITY OF CARMEL PARKS DEPT/MONON CENTER,1235 CENTRAL PARK DR EAST,CARMEL IN 46032 PREVIOUS BALANCE 124.89 9/03 423352 PAYMENT-THANK YOU -118.90 9/02 0955232095 12 5 GAL ICE MOUNTAIN DIRK W/HANDLE 51.48 BOTTLE DEPOSIT: 12 CHARGED, 12 CREDITED .00 9/30 0961398906 1 DELIVERY FEE /��'`'� i •f i-, 3.95 19255977 RENT 5 99 TOTAL s ..l 67.41 f - % f JUST CLiCK AND QUENCH ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT 1 ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 124.89 — 118.90 - 61.42 = 67.41 I BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR BILL, SE FORA QUESTIONS ABOUT YOUR Date range of this invoice INFORMATION, PLEASE OSIT OUR ON WATER QWEBSITE UALITY AAD ESERVICE.READYREFRESH.COM OR WRITE US AT: SAMPLE INVOICE READYREFRESH BY NESTLE Ready - #216 OD/00100 00/00100 2348fi7890 Your Account Numb 666I DIXIE HWY4SUITE 4 123456789 LOUISVILLE, �� KY 025$ Important IPrv6d UIddU^Inhd a hl4 P14116,1„III u1' WEE-Nov 1B Watch here for a news and WE.DEC 1B �;'- If You think our offers personalized account Y bill 23 Man BV°1 1S yyron e�y,since zro cpst°mer servza,too-27a•52ez information about g or if you message need nl,I„la I I II l u l u 1 Yw kY 0 IOBR dYR E 6P°d g a transaction on more d III nd In I III 1111611 i dh I d I separate sheet of a er. your bill,write us on a later at p P We must hear from an thirty(30) da you tri Writing noPay electronically which the err Ys after we "' � ” P" w or or a sent you the first biII on Activity �"°"" •° . but doing so will not reserve appeared.You can telephone us, since your AcCOUNTA�, „� k" °R 6YRehean.c" °rgwa•�,�De=•� -�F Make sure this P your rights.In your letter,give y amount has been us the followinginformation: last invoice �~ • _- paid in full to matron; ' Delivery Address:John Dae,123 Main 8t.Clry,Sinte 00000 ? a a avoid late fees 00131 461099 Plevlous Balance ICUO( • Your name, OWII 31)08514444 5 PaYmenl-Thank You WX address,tele hone ,N 312895,4446 5 SGaI(on Ndturai Spring Water %X.NX • The dollar a p and account numbers. 4Y1" 312085i44H 5 5 W"°nDepeSrt °° mount of the 09,11 318Q639011 , SGaliun Ree • Describe suspected error. 0911' '664049' Delivery Fee � the error and explain if you can,why you believe there is an error. You are obligated to a Payment stub ACCOUNT SUMMARY in question. You dopy the parts of your bill that �<•......,,.a..4.o.__ ----------------- at are not . --- ------------------ not have to --- N�6,�.�mM4 P while it g_ ated.__ pay the disputed ------------- ACCOUNT NUMBER 10010my" PAY THIS AMOUNT bein investi P amount ,:34567690 ovoE1ED cannot re g Dur-ing-the-investi ation; wo)CENUMOER E1 NC DATE AArt.EHC1-S port your account as delinquentg h e��— —_ _ 123456700 OB7BBIoo to collect the amount in a or take any action = - _ '- q question. 0420096307 04262712619 000391049 004070:8 GENE n5, Amount due RAL INFORMATION 'S 1e MOB I• Past due invoicesnotp u1.I^III nblu I n1d p n 30 da II Illud^Inl I 1 I d1i611 I dirt wRN:,oMERSERWrEEAEE1�4r.5m: �. date)may be asses aid within a late ys of billing N °"`" " °° R"°°""°"°""�$1d •" � � to exceed 2p fee as allowed by law not - Submit your $ per month.Additionally Payment by collection/attorney expenses may be assessed party at a this date rate not to exceed 100%of the unpaid balance or the maximum allowed bylaw. POUR INVOICE-4 WAYS TO HELP US 2• Each returned check is subject to a service charge I' Please remember a SERVE YOU BETTER smoothest service.p Yment is due by the 4< a subject St the maximum check return charge allowable 2• Remember,if you are rentinge "Pay by" date noted to ensure the in your State. month in advance, quipment, our e 3• Equipment replacement costs That means Y equipment rental is charged one bottles Iost,stolen,d be charged for the current month,plus the next month's rst i rental will include a r - 4• Register or log-in to damaged reaayrefresh aom to 3• Kindly fill in the amount enclosed,include P o rated fee for manage and do not send cash.If you prefer,you can yo your number on exciting Your account,seethe variety of beverages and eservice.readyrefresh.com your check g Promotions. Never hesitate to call us with pay ur bill online at: 4 comments, uestions, q or concerns. Follow as on Facebook to learn more! Facebook.com/ReadyRefresh � ! Let's talk,follow us on Twitter! @ReadyRefresh RgavI y eservice.readyrefresh.com BILLING PERIOD INVOICE Refresh. #215 6661 DIXIE HWY,SUITE 4 09/01/15-09/30/15 0510120095351 LOUISVILLE KY 40258 AND OUENCN UPCOMING • ADDRESS SERVICE REQUESTED WED- OCT 28 0120095351 MON- NOV 30 THU- DEC 31 Access your delivery calendar at eservice.readyrefresh.com CARMEL CLAY PARKS AND REC DEPT. OCT O 8 2015 Customer Service: 1-800-274-5282 AUDREY KOSTRZEWA BY:— Did you forget about us? Kindly pay upon receipt. 1411 E 116TH STRemember,past due accounts are subject to a late fee. CARMEL IN 46032-3455 Your prompt payment is appreciated.For your convenience,you can pay your bill online. If payment has been made,we thank you. IMPORTANT Please be advised that the invoice for our next tlellve-y-Willireflect a nce Increase on selectr _ Y _ pT products and equipment�Please call us if you have any questions' _ - -- -- = ar._.._ _ - - - T ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800.274-5282 or visit eservice.readyrefresh.com. DATE, QTY DESCRIPTION AMOUNT Delivery address: CARMEL CLAY PARKS AND REC DEPT.,1411 E 116TH ST,CARMEL IN 46032 PREVIOUS BALANCE 162.41 9/03 423353 PAYMENT-THANK YOU -150.43 9/02 0955232053 10 5 GAL ICE MOUNTAIN DIRK W/HANDLE 42.90 3 9 OZ PLASTIC CUP 50C/SLV 9.87 BOTTLE DEPOSI .:10 CHARGED, 10 CREDITED .00 `fit 9/29 0960117489 3 5 GAL ICE MOUNTAIN/DRK W/HANOLE f 1 12.87 2 9 OZ PLASTIQf CUPr50,C/SLV� s/ (.lam J 6.58 BOTTLE DEPOSIT ',3:CHARGEb!'3-CREDITED,/ .00 9/30 0961385051 1 DELIVERY FEEL _ , J 3.95 19172032 3( 1" 11.98 J/ TOTAL IJ1,`(rsr, 100.13 J UST CLI AND QUENCH bwc-- PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT 150.43 + 88.15 = 100.13 I BILLINGRIGHTS SUMMARY IN CASE OF ERRORS SUMMM BILL, OR FORA OR QUESTIONS ABOUT YOUR INFO REPORT ON WATER Date range of this invoice SAMPLE RMATION, PLEASE VISIT OUR QUALITY ��0�E ESERVICE.READYREFRESH.COM OR WRITE US AT. .R ADYREFRESH BY NESTLE Ready .. r' .,. #216 �Ef® 00/00/00 00/00!00 1234567890 Your ACCO ��r� . r.11 , :_ Account Number 6661 DIXIE HWY. (�7 TIrrE 4 TH11-C. 123456789 LOUISVILLE,KY 40258 Important A10N 0Ci 39 hIII44uhPhhlP lnbdu4l9nUlhii6mdlw "`°"°" Watch here for a news and NE•OEC IB If you think �7 offers '0h°� personalized Your bill is 123 Main Sveel Customer Service:,-ODO-274-5282 account information about a transaction oII or if ou cw,saa zP mesane Y ThkY , I,R aCYR he h0od b need more d III nd In I I I I dl I hi i I tl61 separate sheet of paper.We Your bill,write us o _ must hear from n a later than thin 30 you in writing g m Pay electronically )days after we sent g no • R y which the error or You the first bill on Activity it " "orb �� ° problem appeared,You ca but doing so will not n telephone us, y Make sure this preserve our g our le since our / us the followingY rights.In last invoice Accoul+racrnrtv ParwerhioN�na_=°rlroR dyR rreen.eo orwwnae�+�o°ub_ .rcaF I 'P amount has-_ s been information: Y tier,give DDelivery Address:lOhn L 123 Ma1D St,CIry,State 00000 paid in full to • You oen, -'a Previous Balance w o avoid]ate fees Your name,address,telephone691, 31788614444 5 Paym..-Tlaol Yo0 n a • The dollar and account numbers. f1, "7885144u 5 S Galloon NNaepos1l spriny Waler- X%XN 09fI, 31788514414 5 ]OU% amount of the sus 99„1 31826368,1 swu..Remm • Describe t pected error. 09„1 ,664649, DeliveryFee he error and explain if you can,why you r°ml believe there is an error. You are obligatedPayment stub to pay the parts of your bill that ----------- SA-W in question, Y �<•,, w.,, ..e,1.— --- ---CcouNT --- ------ ou do ---------- not have to ----��n�ab,°°��^^�-�° are not ACCOUNT NUMBER PAY BY PAY THIS AMOUNT while it is b pay the disputed amount 1134567890 00/00100 0 0 eiYour aestigated.During-the investigation, we-_ cannot report your account as INVOICE NUMBE0. BIt1M0 O0.TE AMT.ENCLOSE to collect the a delinquent or take •” _ 1234567690 00/00/00 mount in question, any action - -- 0420096307 '0428V12611 000393049 00407016 _.i GENEINFORMATION _ 12 in 'Amount due RAL INF C"Y's'n 6t ORMATION ary,slme x°606 1• Past due invoices ILiI 1111lIlll IIIII IhIhIBI III Vitl it l^411rr PoR<US OMEBSERV CECPLLI BU611 5 61 (not paid within 30 days of billing date)may be assessed a late fee as allowed by notSubmit your to exceed 20 k- $ per month.Additionally, payment by collection/attorney expenses may third party essed at a this date rate not to exceed 100%of the unpaid balance or the maximum allowed bylaw. YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER 2. Each returned check is subject to a service charge 1 Please remember smoothest service.Payment is due by the pay by” date noted to ensure the subject to the maximum check return charge allowable 2 in your State. Remember,if you are renting equipment, month in advance. That meas your first invoice will include a 3• Equipment replacement costs will be charged for the current month,plus the next month's rental ur q pment rental is charged one bottles lost,stolen,damaged or not returned, 3 Kindly fill in the amount enclosed,include your accountpro-rated fee for 4• Register or log-in g m to eservice,readyrefresh.com to and do not send cash.If you manage your account,see the variety eservice.readyrefresh.cfy Prefer,you can a llnumber on your check exciting promotions, tY of beverages and Pay your bill online at: 4• Never hesitate to call us with comments,questions,or concerns. --- Follow us on Facebook to Iearn more! Facebook.com/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. 369794 Ready Refresh by Nestle Terms P.O. Box 856680 Louisville, KY 40285-6680 Invoice Invoice Description Date Number. (or note attached invoice(s)or bill(s)) PO# Amount 10/2/15 510121202766 Drinking water MCC $ 61.42 10/2/15 510120095351 Drinking water AO MO $ 88.15 Total $ 149.57 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 j Voucher No. Warrant No. 369794 Ready Refresh by Nestle Allowed 20 " P.O. Box 856680 Louisville, KY 40285-6680 In Sum of$ $ 149.57 ON ACCOUNT OF APPROPRIATION FOR l 4 101 General fund/109 Monon Center PO .or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1091 510121202766 4350900 $. 61.42 1 hereby certify that the attached invoice(s), or 1125 510120095351 4350900 $ 88.15. ) bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and 4� received except f - October 16, 2015 a Signature $ 149.57 Accounts.Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund