302675 08/31/16 9,%' �,A,f. - CITY OF CARMEL, INDIANA VENDOR: 369794
d ONE CIVIC SQUARE READY REFRESH BY NESTLE CHECK AMOUNT: $"""**41.58*
LOUISVILLE CARMEL, INDIANA 46032 PO BOX 856680 CHECK NUMBER: 302675
9.y�TON- LOUISVILLE KY 40285-6680 CHECK DATE: 08/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1801 4350900 06GO12197559 41.58 OTHER CONT SERVICES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
READY REFRESH BY NESTLE ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 856680 IN SUM OF$ 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.
$41.58 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Redevelopment Department 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
06GO121975593 43-509.00 $41.58 1 hereby certify that the attached invoice(s),or 8/3/16 06GO121975593 water $41.58
1801 101 1801 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
Wednesday,August 24, 2016
Come Meyer
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
BILLING
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LOUISVILLE KY 40258
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UPCOMING DELIVERIES
ACCOUNTNUMBER
ADDRESS SERVICE REQUESTED
TUE- AUG 09 0121975593
II I I II I'11II 'I III 'I IIII IN 1111111
THU- SEP 08 .�
FRI- OCT 07 Access your delivery calendar
MON- NOV 07 at eservice.readyrefresh.com
CARMEL REDEVELOPMENT COMMISION Customer Service: 1-800-274-5282
DON CLEVELAND
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
convenience,you can pay your bill online. If payment has
been made,we thank you.
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AMOUNT
DAQTY
Delivery address: CARMEL REDEVELOPMENT COMMISSION,30 W MAIN ST STE 220,CARMEL IN 46032
PREVIOUS BALANCE 109.80
7/10 110101 PAYMENT-THANK YOU -50.46
7/11 1003282025 3 5 GAL ICE MOUNTAIN DIRK W/HANDLE 26.64
3 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 18.00
3 5 GALLON ICE MOUNTAIN-DEPOSIT RETURN -18.00
3.95
7/31 1008269225 1 DELIVERY FEE r
G0858165 RENT � '� r',h 'f ' ; ;' 10.99
100.92
TOTAL
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ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT
:a inn on rn dR .L 41 M - 100.92
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:
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READYREFRESH BY NESTLE 11345678901
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later than thirty(30) days after we sent you the first bill on Activity _' PayN,6,IIo 1xaLa,. paid in full to
which the error or problem appeared.You can telephone us, since your pccGUNrpaTrvrt H "2
last invoice G Ii eryAdde 5a^h^ •'23Ma1^6LG s 1e00°°° avoid late fees
but doing so will not preserve your rights.In your letter,give
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You are obligated to pay the parts of your bill that are not 1234567890 BIWNO DATE AML ENCLOS
INVOICE NUMBER OOIWI00
in question. You do not have to pay the disputed amount 1234567090
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while it is being investigated. During the investigation,we — 04262712619 000393049 00407016 Amount due
cannot report your account as delinquent or take any action = JaM-
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to collect the amount in question. GrySlme 00wo
3438 NSyOMEB SEPNCE CALL 1-800'774-5283
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B •4ro,.„=g.4p��^M"5a` .... .Submit your
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