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259669 06/14/16 '1��'C�F'll �/ \� CITY OF CARMEL, INDIANA VENDOR: 369794 is ® �I ONE CIVIC SQUARE READY REFRESH BY NESTLE CHECK AMOUNT: $*******144.16* x. ;_�; CARMEL, INDIANA 46032 PO sox 856680 CHECK NUMBER: 259669 9M�TON�° LOUISVILLE KY 40285-6680 CHECK DATE: 06/14/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 506 4239099 06EO12580552 5.34 OTHER MISCELLANOUS 1205 4239099 06EI21776199 27.43 OTHER MISCELLANOUS 2200 4239099 16EO12004852 47.33 OTHER MISCELLANOUS 1701 4350900 16E722032704 64.06 OTHER CONT SERVICES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) READY REFRESH BY NESTLE ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 856680 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service LOUISVILLE, KY 40285-6680 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $27.43 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# General Administration Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 06EO121776199 42-390.99 $27.43 1 hereby certify that the attached invoice(s),or" 6/7/16 06EO121776199 $27.43 1205 101 1205 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 Tuesday,June 07,2016 e 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- Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Repidy eservice.readyrefresh.com BILLING PERIODINVOICE Refresh #215 6661 DIXIE HWY,SUITE 4 05/01/16-05/31/16 06EO121776199 �^K LOUISVILLE KY 40258 AND GUENCX ADDRESS SERVICE REQUESTED UPCOMING • UNTNUMBER Z�S THU- JUN M 0121776199 ON- JUL 11 1 TUE- AUG 09 Access your delivery calendar at THU- SEP 08 eservice.readyrefresh.com CITY OF CARMEL HUMAN RESOURCES Customer Service: 1-800-274-5282 JIM SPELLBRING YOUR ACCOUNT IS PAST DUE and is subject to 1 CIVIC SQ additional late fees.Water delivery service may be CARMEL IN 46032-2584 interrupted. Please make your payment today. For your ���Ir�l�l'I�I�'�I����I�I�I�II�I�IIIII�I�III��I�I�I�IIII�II�II�II� convenience,you can pay your bill online.If payment has been made,we thank you. C.uStom'er �thatd er glste" r atReatlyRe'frh:com njoy excitingrfeatures.and:benefts"..-Manage:adntrack orders? Check outxthe Latesffers!Enroll, text alerEs abouty urdeliue yt ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-274-5282 or visit eservice.readyrefresh-en-- DATE REFERENCEQTY DESCRIPTIONAMOUNT Delivery address: CITY OF CARMEL,1 CIVIC SQ, HUMAN RESOURCE DEPT,CARMEL IN 46032 PREVIOUS BALANCE 52.96 5/10 0993983980 1 5 GAL ICE MOUNTAIN DIRK W/HANDLE 3.49 BOTTLE DEPOSIT: 1 CHARGED, 1 CREDITED .00 5/29 0998096291 1 LATE FEE I $ -ter 15.00 1 ( . 5/31 0998482632 1 DELIVERY FEE �' /� / t r r j tp. 3.95 E0461603 RENT , ��, 14_ ° ��. k e.�1 4.99 TOTAL 'Submitted80.39 --JUN 0 6 2016 BY JUST AMID QUENCH 1 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT , Subject to terms on reverse side. 52.96 — 0.00 + 27.43 = 80.39 Detach this stub and return with your payment ACCOUNT NUMBER PAY BY PAY THIS AMOUNT P.O. Box 856680 0121776199 06/22/16 80.39 Louisville, KY 40285-6680 INVOICE NUMBER BILLING DATE �T. ENCLOSED 06EO121776199 06/02/16 Z`7,q3 407201217761991 0002743 00080398 5 ReadyRefresh by Nestle a Division of Nestles Waters North America Inc. CITY OF CARMEL HUMAN RESOURCES P.O. Box 856680 JIM SPELLBRING Louisville, KY 40285-6680 1 CIVIC SQ CARMEL IN 46032-2584 FOR CUSTOMER SERVICE CALL 1-800-274-5282 ❑SIGN UP FOR FREE AUTOPAY!Sign Up Required On Reverse Side. Print Any Changes On Reverse Side. 720407-040-0***--1-S-E-C -08.289 Paae 1 of 1 VOUCHER NO. WARRANT NO. n `I I ALLOWED 20 Key IN SUM OF $ Q� �0 �566�0. ON ACCOUNT OF APPROPRIATION FOR: Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), t`lo�. 16 �ti1o31 �i35o1Qo 6`�•©` or bill(s) is (are) true and correct and that O the materials or services itemized thereon for which charge is made were ordered and received except (o �� 20/d ature 67 Cost distribution ledger classification if itle claim paid motor vehicle highway fund <epI y eservice.readyrefresh.com ,B-ILL,ING PER I IOD INVOICE Refresh #215 6661 DIXIE HWY,SUITE 4 05/01/16-05/31/16 16E7220327048 LOUISVILLE KY 40258 JUST' ANO OU..UENCN • ADDRESS SERVICE REQUESTED UPCO II I I I II I II IIII I IIII I I I I I I III II III THU- JUN 09 7220327048 MON- JUL 11 TUE- AUG09 Access your delivery calendar at THU- SEP 08 eservice.readyrefresh.com CITY OF CARMEL OFFICE OF THE CLERK TREASURER Customer Service: 1-800-274=5282 CLERK TREASURER OFFICE 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 I'lllllll"'Illrillllll"IIII'II,�IIIIIIIIIIIII'll�lll�llllllll'I convenience,you can pay your bill online. If payment has been made,we thank you. Customers:th'atregister`at:Readytefresh:comerijaye,�,xc'tr�g:featuYes�and�benefiits=.Manage:and'track orderst Che"""'k:utaheaa"'"` t"�e offers Enroll.�r to t� la erts.about�.yourtleli-u ry;! ACCOUNT ACTIVITY For nuesdons or a re ort on water amalit and information,call 1-800-274-5282 or visit eservice.read refresh.com. DATE REFERENCE# QTY DESCRIPTIONAMOUNT Delivery address. CITY OF CARMEL,1 CIVIC SQ, CLERK TREASURER OFFICE,CARMEL IN 46032 PREVIOUS BALANCE 28.74 5/25 0997141874 5 5 GAL ICE MOUNTAIN DIRK W/HANDLE 20.80 5 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00 2 9 OZ PLASTIC CUP 50C/SLV 6.58 6 5 GALLON ICE MOUNTAIN_DEPOSIT RETURN .00 5131 0998591549 1 DELIVERY FEE 'S 3.95 E0498583 RENT . S J� '; 3.99 TOTAL /'-`e � =� -� � 64.06 JUST CLIC_v ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT 1-4 __.e.. _�;'Ao 1 '30 7A O nn 1 35 39 fid OR VOUCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF $ ro k�5-- 5 ��t $ ON ACCOUNT OF APPROPRIATION FOR Board Members Po#or INVOICE NO. ACCT#!TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), 5Q06& D«s _ or bill(s) is (are) true and correct and that �0 r,SA L1a3 j,6,ff the materials or services itemized thereon `-3 for which charge is made were ordered and received except 20C 6 SVnatureY Cost distribution ledger classification if claim paid motor vehicle highway fund e,a y eservice.readyrefresh.comPERIOD INVOICE Refresh #215 6661 DIXIE HWY,SUITE 4 04/25/16-05/24/16 06EO125805523 �.� LOUISVILLE KY 40258 JUST CLICK\ AND-.ENCN ADDRESS SERVICE REQUESTED UPCOMING • UNTINIUMBER II I I II I II II"I VIII I I I I I I I I II' I III THU- JUN 0125805523 11 MON- JUL 11 TUE- AUG 09 Access your delivery calendar at THU- SEP 08 eservice.readyrefresh.com CITY OF CARMEL CITY COURT Customer Service: 1-800-274-5282 DIANE APPELGET 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 11�1111�1111�1�1111��' "1��11111'I'I'1�11��11�1ii1'1'11"'�I�I, convenience,you can pay your bill online. If payment has been made,we thank you. Customers that,reglster dfiReadyRefresh com enjoy exri iti features.and benefits;,;Managewand trac_Kord, _ Check out the,�latest ffers!Enroll�for text lert about,, our deli e l - - 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,1 CIVIC SQ, CITY COURT,CARMEL IN 46032 PREVIOUS BALANCE 50.50 5/24 E0491627 RENT 4.99 SALES TAX .35 TOTAL - CJI J s- a ;P pt`s 55.84 By JUST CLICK ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 50.50 - 0.00 + 5.34 = 55.84 ---------------------------- Detach this stub and return with your payment ACCOUNT NUMBER PAY BY PAY THIS AMOUNT P.O. Box 856680 0125805523 06/15/16 55.84 Louisville, KY 40285-6680 INVOICE NUMBER BILLING DATE AMT.ENCLOSED 06EO125805523 05/26/16 407201258055238 0000534 00055843 5_ ReadyRefresh by Nestle a Division of Nestle Waters North America Inc. CITY OF CARMEL CITY COURT P.O.Box 856680 DIANE APPELGET Louisville, KY 40285-6680 1 CIVIC SQ CARMEL IN 46032-2584 Iln�r���lllnllm�lll�lilrll���l�l�l�l'1���11'rll'1'I�II'Ilnll FOR CUSTOMER SERVICE CALL 1-800-274-5282 ❑SIGN UP FOR FREE AUTOPAY!Sign Up Required On Reverse Side. Print Any Changes On Reverse Side. 720407-040-0-*-1-T-E-C -01,139 Page 1 of 1 VOUCHER NO. WARRANT NO. Prescribed by state Hoard of Accounts City Form No.201(Rev.1995) READY REFRESH BY NESTLE ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 856680 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service LOUISVILLE, KY 40285-6680 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $47.33 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Engineering Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 16EO120048525 42-390.99 $47.33 1 hereby certify that the attached invoice(s),or 6/2/16 16EO120048525 Water cooler $47.33 2200 201 . 2200 201 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 Thursday,June 09,2016 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Fepdy eservice.readyrefresh.com BILLING PERIOD Refresh #215 6661 DIXIE HWY,SUITE 4 05/01/16-05/31/16 16EO120048525 LOUISVILLE KY 40258 AND DUENCN ��""� ADDRESS SERVICE REQUESTED UPCOMING DELIVERIES ACCOUNTNUMBER II�'llll'll II�I�III�I II �I III�I I 'II THU- JUN 09 0120048525 MON- JUL 11 TUE- AUG 09 Access your.delivery calendar at THU- SEP '08 eser4ice.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 I�I'�III11�'�I�'II���I1'lllll�'I�II�I'1�11111111"11'1'111"�'I�' convenience,you can pay your bill online. If payment has been made,we thank you. 'us tomersahargegista at!adyRefr sh com enjoy*.execltinq--eaturesfanciebenefits-Manag e-and.track orders! """'C_heck:outthe latest offers!wEnro.11forteh alerts abou; our;deliueX ! 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,1 CIVIC SQ, CITY ENGINEERING DEPT,CARMEL IN 46032 PREVIOUS BALANCE 105.38 5/06 739197 PAYMENT-THANK YOU -39.45 5/10 0993983964 11 5 GAL ICE MOUNTAIN DRK W/HANDLE 43.34 11 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00 11 5 GALLON ICE MOUNTAIN DEPOSIT RETURN .00 5/31 E0469524 RENT a ' { 1'i �� ''' €' �° �`l, T® 3.99 TOTAL — '` i i r 1> 113.26 1 t �? ,�)LI�(� 2016 d J Z`Z 00 '-1Z3 q DR i' 1t � Vp r1 e CAWR CITY ENGINEER WST CLICK A N D O WE tz!C � ACCOUNT SUMMARY FPREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT / QSnhiect to terms on reverse side. 105.38 — 39.45 + 47.33 = 113.26