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Home My WebLink About303001 09/12/16 +m.49gM ��•{ ,,�� . CITY OF CARMEL, INDIANA VENDOR: 369794 ONE CIVIC SQUARE READY REFRESH BY NESTLE CHECK AMOUNT: $********23.06* s. _� CARMEL, INDIANA 46032 PO BOX 856680 CHECK NUMBER: 303001 'i". _.� LOUISVILLE KY 40285-6680 CHECK DATE: 09/12/16 .� crux ao. DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 506 4239099 06GO12580552 23.06 OTHER MISCELLANOUS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER READY REFRESH BY NESTLE PO BOX 856680 IN SUM OF$ 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. $23.06 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Carmel City Court 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 06GO125805523 42-390.99 $23.06 1 hereby certify that the attached invoice(s),or 7/26/16 06GO125805523 $23.06 1301 506 1301 506 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and re . ed except Tuesday,August 09,2016 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 1kady eservice.readyrefresh.com BILLING PERIODINVOICE Refresh #215 6661 DIXIE HWY,SUITE 4 06/25/16-07/24/16 06GO125805523 LOUISVILLE KY 40258 JUST CLICK -� 11ND CUENCN ADDRESS SERVICE REQUESTED UPCOMING • UNTNUMBER TLIE- AUG 09 0125805523 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII TRU- SEP FRI- OCT 07 07 Access your delivery calendar MON- NOV 07 at eservice.readyrefresh.com CITY OF CARMEL CITY COURT Customer Service: 1-800-274-5282 DIANE APPELGET For your convenience,you can pay your bill online.It's 1 CIVIC SQ fast and easyl CARMEL IN 46032-2584 �II�III�'III"�IIII�IIII'I��II�'I'I'�'lll"�'I�I""'lllll�'ll�" '�""Custorners thatRgister atReadyRefyesh�com en�oy_ezcitng�featu er s andebenefits Manage and�;trackrdersl Check:outfheaatestofferslEnroil:foraextyalerts ab`outyourdeliue`ryl 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 53.19 6/26 FA3327547 PAYMENT RECEIVED -5.34 7/25 198322 PAYMENT-THANK YOU -53.19 7/11 1003282348 3 5 GAL ICE MOUNTAIN DIRK W/HANDLE11.97 2 9 OZ PLASTIC CUP`50C/SLV f} 6.58 BOTTLE DEPOSIT: 3)CHARGED 3 C. EDITED .00 , � � j �f ' 7/24 1007254475 1 DELIVERY FEE � 3.95 G0820572 RENT ✓ �✓ti �� / 4.99 r f SALES TAX ! .91 TOTAL / ALJ 4 jjte 23.06 �� \•��-"'E,.(��XPi� Si 4 JUST CLICK \�.`��' I. AND QUENCH ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 53.19 — 58.53 + 28.40 = 23.06 ... ... - - --- -------------------------------------------------- Detach this stub and return with your payment ACCOUNT NUMBER PAY BY PAY THIS AMOUNT P.O. Box 856680 0125805523 08/15/16 23.06 Louisville, KY 40285-6680 INVOICE NUMBER BILLING DATE AMT.ENCLOSED 06GO125805523 07/26/16 407201258055238 0002840 00023069 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��lll��llu��lll�l�l�ll��l�l�l�l�l��ll"II'I'I�II'��ull FOR CUSTOMER SERVICE CALL 1-800-274-5282 SIGN UP FOR FREE AUTOPAY!Sign Up Required On Reverse Side. Fj Print Any Changes On Reverse Side. 720407-040-0***--1-D-E-C --0363 Pane 1 of 1 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: 123456799° Ready 001001°° 00100100 g Your Account Number READYREFRESH BY NESTLE � � 123456789 TNR oc B4 N,ONDCT 29 Watch here for a #216 WE6NOY 21 #216 DIXIE HWY.,SUITE 4 Important aapy^In419lh1P°In4d'mhlq^I°4111rrnr personalized account c°swmer 9ervrce:1$00.274.5292 message LOUISVILLE,KY 40258 news andS�t offers Ciy,State LP ,rya k Yluler u61n0 R'a69Relms"Pmde am!p,arq!ptnl hl4llPPll'dhPhlPll4lhr e"� Pay electronically If you think your bill is wrong, or if you need more 1 information about a transaction on your bill,write us on a =_eR7�¢1,WMake sure this separate sheet of paper.We must hear from you in writing no "°'"°pfBoa,4 .IeeF�at amount has been 4,R,m6n wmwweC later than thirty(30) days after we sent you the first bill on Activity PeyY�r•e66e^eaL...r�°' paid in full to which the error or problem appeared.You can telephone us, since your AOOOUNTAOTIWTY avoid late fees last invoice MUM Ad"'John Doe 123 Marn 54 CItY•State 09°09 U but doing so will not preserve your rights.In your letter,give PreWOus W. us the following information: °�' .6'998 Payme"t- YW °w W/11 31,883,4W 5 'Gallon Natura150�^9 Water 9111 11180514444 5 'Gallon DepOSIT- 09111 31]005144N 1 5Gallon.Relum - W112 3182630611 -. • Your name,address,telephone and account numbers. 09111 ,e.I • The dollar amount of the suspected error. • Describe the error and explain if you can,why you believe there is an error. Payment stub ACCOUNTS�UMMARY ,a3oc-__-- BY PAY PAY THUOUNT Q — M' yy�,6.ro rzuvnMup^P'M•"' ACCOUtR NUMBER 00/M100 1234561890 yJ4T.ENCLOSE You are obligated to pay the parts of your bill that are not ,,,VOICE NUMBER BIWNO DAE 1234567890 0010010° in question. You do not have to pay the disputed amount p420096307 OV262712619 000391049 00407016. while it is being investigated. During the investigation,we — �Amount due cannot report your account as delinquent or take any action ,23 Ma 31 ' to collect the amount in question. _ Oty,Slate 00000 P°RcusT MER3T `F`ALL' 2,4-3282 nblp aalll4al lntrn'P'PII^dI Pld'pq"41111 D ��e�a we. �p�ecene96a ,,Submit your GENERAL INFORMATION �""`°R`�Am"PAR3940P 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. - Follow us on Facebook to learn more! Let's talk,follow us on Twitter! Faceboolrcom/ReadyRefresh @ReadyRefresh Sign &9p for =-.,-oEn41ir=35cTc: 4ua ,-,ri(Iais@4 nL due -after 11ca-1." 117C.".-,fi:u 'ul-, ❑ Auto Debit Credit Card L:.. ; ;•;;,' -.i DI : . iJi= .,, e in;; �� ch-nc;es d c�Ia n check bo,.. 3t Otl ;C9G-e ..La...irp-c De4h,-Z _ ,_UIess t p—noe C_i .. Adc;r os CIl_,nge Name On Card/User: Card Number: CID Number(3 or 4 digit security code):__ Expimlion Billing Address: --- - — ------_-- _--__- F-rn,:ii r ::anlpl^: us;rname @ netwr)rkpiovider.com) ❑ Auto Debit C:heckir,g Or "ar!k Acl:,c�_It,. `'G;,r,':,:: -- 91, - - — --- Narne of User: ------- ---- -—---- --- - Financial Institution: Air,: Routing Number:_— Account --- 'In nrL. :cr u,to F,wido,,..n::•_Z1,ir"pL.ase,int I.:-:e yourInil address. Billing Address: _-- - --_--------_____-- - ----------- - i — — --- __-- .IvlPkc:Chec!.:Payable to:P.eac,/Refresh B selecting one of the above ;ons.nnr'sgmn be!c:•„ aai�er,.. IQrsUe I:rr„ ,h'r..i,. oc;;o - • - y op g r -hvrit�your^ccount number on your check. balance due from the d=_siDn,ted acr~Int ezcn mor;r monthly statement will 0 ill be m•only not c'd9dLICt8 .ap-•�n,a 1, t T:,ic^ulPr.r i 1 _.n,r a 1 .: . J r.; Iv1F�ke of r0 ✓C'.lr check IS signed. receipt of cus!omer's written request-Please allc,:v 30 drys to,rt,winng payment oplim,to t,in•Ifod -for any chF;lige;, please check ahs, box on the reverse side of this fr -�• s r� n n-,�.!TTant.;tum to onsure proper handling. r -