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HomeMy WebLinkAbout303522 09/26/16 Q
CITY OF CARMEL, INDIANA VENDOR: 369794
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ONE CIVIC SQUARE READY REFRESH BY NESTLE CHECKAMOUNT: S 166.42CARMEL, INDIANA 46032 PO BOX 856680 CHECK NUMBER: 303522
LOUISVILLE KY 40285-6680 CHECK DATE: 09/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4239099 06HO12177619 31.41 OTHER MISCELLANOUS
1801 4350900 06HO12197559 35.58 OTHER CONT SERVICES
506 4239099 06HO12580552 15.26 OTHER MISCELLANOUS
2200 4239099 16HO12004852 51.27 OTHER MISCELLANOUS
1701 4350900 16H722032704 32.90 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,bywhom,rates perday,numberof hours,rate perhour,numberof units,price perunit,etc.
$31.41 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
06HO121776199 42-390.99 $31.41 1 hereby certify that the attached invoice(s),or 9/2/16 06HO121776199 $31.41
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
Monday,September 12,2016
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
!ka y
eservice.readyrefresh.com BILLING PERIOD INVOICE NUMBER
#215 6661 'DIXIE HWY,SUITE
I efre§h. LOUISVILLE KY 40258 08/01/16-08/31/16 06H0121776199
UPCOMING AND QUENCH � 1�
DELIVERIIE�S ACCOUNTNUMBER
ADDRESS SERVICE REQUESTED
TRU- SEP 08 0121776199
FRI- OCT 07
MON- NOV 07 Access your delivery calendar.
THU- DEC 08 at eservice.readyrefresh.com
CITY OF CARMEL HUMAN RESOURCES Customer Service: 1-800-274-5282
JIM SPELLBRING
I CIVIC SQ YOUR ACCOUNT IS PAST DUE and is subject to
CARMEL IN 46032-2584 additional late fees.Water delivery service may be
interrupted. Please make your payment today. For your
convenience,you can pay your bill online.If payment has
been made,we thank you.
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ACCOUNTACTIVITY For questions or a re ort on water 01,alit and information,call 1.800-274-5282 or visit eservice.read refresh.com.
DATE I REFERENCE QTY DESCRIPTION AMOUNT
Delivery address: CITY OF CARMEL,1 CIVIC SQ, HUMAN RESOURCE DEPT,CARMEL IN 46032
8/09 PREVIOUS BALANCE 31.27
1008142992 3 5 GAL ICE MOUNTAIN DIRK W/HANDLE 10.47
BOTTLE DEPOSIT: 3 CHARGED, I CREDITED 12.00
8/29 1012886865 1 LATE FEE fr�7-�7`-
8/31 1013235625 1 DELIVERY FEE,
H0951583 RENT 25
4.99
TOTAL
77.68
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JUST .
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNTQI ]
Subiect to-terms on reverse side. 31.27 0.00 + 46.41 77.68
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: -
4,z34s67R90 ✓your Account Number
Ready 00100100-00/00100
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READYREFRESH BY NESTLE R-W.
#216 MON Y 39 Watch here for a
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LOUISVILLE,KY 40258 news and PM1nDne Customer S-1- 800-214.5282 message
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TM1ank You for using ReadyRenosM1 Proau
offers CN 01aa LP and I s
nidi 4114n1 hdi°Ppq dlPhlpq hlhi _ Pay electronically
If you think your bill is wrong, or if you need more
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separate sheet of paper.We must hear from you in writing no Free
Activity e,e m,.Rc ayR iro.nmmPrmyPro sel.00-z)as r�amount has been
later than thirty(30) days after we sent you the first bill on - --- NpP G paid in full to
which the error or problem appeared.You can telephone us, since your pODDUNTpDTIVRY "�" a 0 i
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last invoice Dept¢ryAdPrers Balancedresslohn,ee.123Main5LCity'5tnte0 000 n u avoid late fees
but doing so will not preserve your rights.In your letter,give G
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09111 3170651MR4 5 5 Gallon Natural Spring
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• Your name,address,telephone and account numbers. TPtal_
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believe there is an error. Payment stub ACCOUNT SUMMARY — --- -- — PAY UOS pMOUM
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You are obligated to pay the parts of your bill that are not
in question. You do not have to pay the disputed amount
while it is being investigated. During the investigation, we 0420096307 04282712619 000391049 00407016 Amount due
cannot report your account as delinquent or take any action = PM1n we
123 Male St
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GENERAL INFORMATION "`"°3wR`� =AR�ua� �RMm pa ment bur
PY Y -
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$20 per month.Additionally,third party
collection/attorney expenses may be assessed at a YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER
rate not to exceed 100%of the unpaid balance or the 1. Please remember payment is due by the "pay by" date noted to ensure the
maximum allowed by law. smoothest service.
2. Each returned check is subject to a service charge 2. Remember,if you are renting equipment,your equipment rental is charged one
subject to the maximum check return charge allowable month in advance.That means your first invoice will include a pro-rated fee for
in your State. the current month,plus the next month's rental.
3. Equipment replacement costs will be charged for 3. Kindly fill in the amount enclosed,include your account number on your check
bottles lost,stolen,damaged or not returned. and do not send cash.If you prefer,you can pay your bill online at:
4. Register or log-in to eservice.readyrefresh.com to eservice.readyrefresh.com
manage your account,see the variety of beverages and 4. Never hesitate to call us with comments,questions,or concerns.
exciting promotions.
© V tuumer
Follow us on Facebook to learn more! Let's talk,follow us on Twitter!
Facebookcom/ReadyRefresh @ReadyRefresh
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
READY REFRESH BY NESTLE ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 856680 IN SUM OF$ 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.
$51.27 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
16HO120048525 42-390.99 $51.27 1 hereby certify that the attached invoice(s),or 9/2/16 16HO120048525 Water cooler $51.27
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
Monday, September 12,2016
r
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
qad
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INVOICE NUMBER
• yeservice.readyrefresh.com PERIOD
Refresh 11215 6661 DIXIE HWY,SUITE 4 08/01/16-08/31/16 16HO120048525
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THU- SEP 08 0120048525
II I I�I I II I I I'I'II V I I I I I I II I I �II OCT 07
MON- NOV 07 Accessyour delivery calendar
THU- DEC '.-08 at e.service.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
�IIIII'�III�I'�I�����'I�IIII' "II'I�IIII'I'lll'I'I�'I�I"I'I"II convenience,you can pay your bill online. If payment has
been made,we thank you.
Customersahatreglster atrReadyRefresh:co.tn;eneatures.and:benefiits Manageandtrackwofdel�s!
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ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-274-5282 or visit eservice.readyrefreWcom.
DATE REFERENCE# QTY DESCRIPTIONAMOUNT
Delivery address: CITY OF CARMEL,1 CIVIC SQ, CITY ENGINEERING DEPT,CARMEL IN 46032
PREVIOUS BALANCE 90.27
SCS,b 2 39.65
8/07 260920 PAYMENT-THANK YOU
ioc} $�22
8/09 1008142976 12 5 GAL ICE MOUNTAIN DIRK W/HANDLE 47.28
12 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 3A`516 7 8.9 .00
12 5 GALLON ICE MOUNTAIN DEPOSIT RETURN .00
8/31 H0960264 RENT `'tlf< ff' �l Et ° `; 3.99
c i_N s`•L e w.� ' C� 61a 101.89
TOTAL
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AMD
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT
Subject to terms on reverse side. 90.27 - 39.65 + 51.27 _ 101.89
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: 234567898
oB1o0100 wloaloo Your Account Number
READYREFRESH BY NESTLEReady`� f _ 1234567898
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6661 DIXIE HWY.,SUITE 4 Important �'114"hd'IId'IP'Inhi4mMq^Phlllrr'ip'nr
news and PMOee Cuslomer5ervka:1-800-274-5282 message
LOUISVILLE KY 40258Ma.n BUee,
Thnnk You for usln9 ReadYRehesM1 Pradu
offers cn.s��ZiP
m ipn�gllhnl hdi P U9 dlPldpq hlh i ^' pay electronically
If you think your bill is wrong, or if you need more e ' er
information about a.transaction on your bill,write us on aT^ °8° "`
n �paSe edetyPlPm�U w Make sure this
separate sheet of paper.We must hear from you in writing no "` `" - = mere weL ,' I" /amount has been
later than thirty(30)days after we sent you the first bill on Activity PaYY°W MB wd ervl Re dYRelm h pard in full to
Smee ACTNITY
which the error or problem appeared.You can telephone us, your ACCOUNT
but doing so will not preserve your rights.In your letter,give last invoice DO-"Add
a^�,PhnOPe.,23 MalnS O X6 ate000N � avoid late fees
us the following information: p03, 4M096 5 Payment-Thankvo" Water
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believe there is an error. °""N XX
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Payment stub ACCOUNT SUMMARY — X%O ----- ------
_ PAY BY PAY THIS AMOUNT
ACCOUNT NUMOER p07oolW
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while it is being investigated. During the investigation,we — 0420096307 04262712619 000391049 0040701E �Amount due
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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$20 per month.Additionally,,third party
collection/attorney expenses may be assessed at a YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER
rate not to exceed 100%of the unpaid balance or the 1. Please remember payment is due by the "pay by" date noted to ensure the
maximum allowed by law smoothest service.
2. Each returned check is subject to a service charge 2. Remember,if you are renting equipment,your equipment rental is charged one
subject to the maximum check return charge allowable month in advance.That means your first invoice will include a pro-rated fee for
in your State. the current month,plus the next month's rental.
3. Equipment replacement costs will be charged for 3. Kindly fill in the amount enclosed,include your account number on your check
bottles lost,stolen,damaged or not returned. and do not send cash.If you prefer,you can pay your bill online at:
4. Register or log-in to eservice.readyrefresh.com to eservice.readyrefresh.com
manage your account,see the variety of beverages and 4. Never hesitate to call us with comments,questions,or concerns.
exciting promotions.
Follow us on Facebook to learn more! Let's talk,follow us on Twitter!
Facebookcom/ReadyRefresh @ReadyRefresh
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
READY REFRESH BY NESTLE ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 856680 IN SUM OF$ 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.
$15.26 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
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
06HO136806634 42-390.99 $15.26 1 hereby certify that the attached invoice(s),or 9/16/16 06HO136806634 Water and Cooler Rental $15.26
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
received except
Friday, September 16,2016
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
120—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
?pady eservice.readyrefresh.com •s •
Refresh #215 6661 DIXIE HWY,SUITE 4 07/25/16-08/24/16 06HO125805523
JUST CLICK LOUISVILLE KY 40258
AND DUENCN
UPCOMING
•
ADDRESS SERVICE REQUESTED
IIIIII IIIIIIIIIIIIIIIIIIIII VIII TRU- SEP 0125805523
07
FRI- OCT 07
MON- NOV 07 Access your delivery calendar
THU- DEC 08 at 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
�III�IIIIII��' '�I�����II'�I'�II'I'I�I'I�'1'lll'lll�l�lll'�'�1'll convenience,you can pay your bill online. If payment has
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ACCOUNT ACTIVITY For Questions or a report on water quality 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, CITY COURT,CARMEL IN 46032
PREVIOUS BALANCE 23.06
8/09 1008143313 3 5 GAL ICE MOUNTAIN DIRK WMANDLE 11.97
BOTTLE DEPOSIT: 3 CHARGED, 4 CREDITED -6.00
8/24 1012367122 1 DELIVERY FEE—-' _ r 3.95
H0984416 RENT :~ 4.99
SALES TAX + ; 's - d i, ( i ; �r d
.35
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ACCOUNT SUMMARY P EVIOUS BA NCE PAYMENT/ADJUSTMENT CURRNT ACTT ITY PAY THIS AMOUNT
Subject to terms on reverse side. 23.06 — 0.00 + T126 = 38.32
Detach this stub and return with y u
ACCOUNT NUMBER PAY PAY THIS AMOUNT
P.O. Box 856680 0125805523 09/15/16 38.32
Louisville, KY 40285-6680
INVOICE NUMBER BILLING DATE AMT. ENCLOSED
06HO125805523 08/26/16
407201258055238 0601526 00038326 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
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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: ,e
ESERVICE.READYREFRESH.COM OR WRITE US AT: Ready °°°°°° DRIB°loo 2Bns61B90 Your Account Number
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GENERAL INFORMATION 51N"pes 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$20 per month.Additionally,third party
collection/attorney expenses may be assessed at a YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER
rate not to exceed 100%of the unpaid balance or the 1. Please remember payment is due by the "pay by" date noted to ensure the
maximum allowed by law smoothest service.
2. Each returned check is subject to a service charge 2. Remember,if you are renting equipment,your equipment rental is charged one
subject to the maximum check return charge allowable month in advance.That means your first invoice will include a pro-rated fee for
in your State. the current month,plus the next months rental.
3. Equipment replacement costs will be charged for 3. Kindly fill in the amount enclosed,include your account number on your check
bottles lost,stolen,damaged or not returned. and do not send cash.If you prefer,you can pay your bill online at:
4. Register or log-in to eservice.readyrefresh.com to eservice.readyrefresh.com
manage your account,see the variety of beverages and 4. Never hesitate to call us with comments,questions,or concerns.
exciting promotions..
. , , V uftw
Follow us on Facebook to learn more! Let's talk,follow us on Twitter!
Facebook.com/ReadyRefresh @ReadyRefresh
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VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
READY REFRESH BY NESTLE ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 856680 IN SUM OF$ 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.
$35.58 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
06HO121975593 43-509.00 $35.58 1 hereby certify that the attached invoice(s),or 9/2/16 06HO121975593 water $35.58
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
Tuesday,September 20,2016
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
qay eservice.readyrefresh.com BILLING PERIOD •
Refresh. #215 6661 DIXIE HWY,SUITE 4 08/01/16-08/31/16 06110121975593
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THU- SEP08 0121975593
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MON- NOV 07 Access your delivery calendar
THU- DEC 08 at eseryice.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
II'II'll'llJill '11Ill ll'll1111111 convenience,you can pay your bill online. If payment has
been made,we thank you.
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DATE REFERENCE# QTY DESCRIPTIONAMOUNT
Delivery address: CARMEL REDEVELOPMENT COMMISSION,30 W MAIN ST STE 220,CARMEL IN 46032
PREVIOUS BALANCE 100.92
8/07 260919 PAYMENT-THANK YOU -59.34
8/09 1008050955 3 5 GAL ICE MOUNTAIN DIRK W/HANDLE 26.64
3 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 18.00
4 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -24.00
8/31 1013253982 1 DELIVERY FEE `__.n. j'" } ,' f ` 3.95
H1021849 RENT l r I 10.99
TOTAL = f r f- 77.16
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ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT
Subject to terms on reverse side. 100.92 — 59.34 + 35.58 = 77.16
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 Ooi �0/°0 2345678 n Your Account Number
READYREFRESH BY NESTLESJ 123456789
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6661 DIXIE HWY.,SUITE 4 Important i,glrhdPhhlp^hihdm4°PPhllhr'iPm' NE°E 16 personalized account
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LOUISVILLE,KY 4025823n$4C01 Tnnnxv°u ueme n9°ftROire°n vmau
offers Liy 8aN 3P 6 ,
anlip,iillpud Edi°PPI dlPldl°I 41hi Pay electronically
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information about a transaction on our bill,write us on a ^ T" Y xWU,a"nw n m�A
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separate sheet of paper.We must hear from you in writing no 4=�=� - _. �� °Il°Fel
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later than thirty(30) days after we sent you the first bill on Activity p6„ •°n^ paid in full to
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since your AocouNrADT10TY avoid late fees
which the error or problem appeared.You can telephone us, Deli Add—„nnDee,123Ma,n5t CY,S.+ems°°° 0�
but doing so will not preserve your rights.In your letter,give last invoice
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us the following information: ' .6'696 5 P„^a"`TnankY6e °°
w/11 31]66514444 5 SOallon Na[ural5prin9 Water �-
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09111 31]06514464 1 SWII^n Rew ,
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• Your name,address,telephone and account numbers. T°�I
• The dollar amount of the suspected error.
• Describe the error and explain if you can,why youN A = 1— °"` _
believe there is an error. ACCOUNT SUMMARY
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while it is being investigated. During the investigation,we — 0420096307 04262712619 000391049 00407018 s Amount due
cannot report your account as delinquent or take any action
to collect the amount in question.
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GENERAL INFORMATION \pament b
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$20 per month.Additionally,third party
collection/attorney expenses may be assessed at a YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER
rate not to exceed 100%of the unpaid balance or the 1. Please remember payment is due by the "pay by" date noted to ensure the
maximum allowed by law. smoothest service.
2. Each returned check is subject to a service charge 2. Remember,if you are renting equipment,your equipment rental is charged one
subject to the maximum check return charge allowable month in advance.That means your first invoice will include a pro-rated fee for
in your State. the current month,plus the next months rental.
3. Equipment replacement costs will be charged for 3. Kindly fill in the amount enclosed,include your account number on your check
bottles lost,stolen,damaged or not returned. and do not send cash.If you prefer,you can pay your bill online at:
4. Register or log-in to eservice.readyrefresh.com to eservice.readyrefresh.com
manage your account,see the variety of beverages and 4. Never hesitate to call us with comments,questions,or concerns.
exciting promotions.
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VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
READY REFRESH BY NESTLE ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 856680 IN SUM OF$ 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.
$32.90 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Clerk Treasurer 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
161-17220327048 43-509.00 $32.90 1 hereby certify that the attached invoice(s),or 9/13/16 161-17220327048 $32.90
1701 101 1701 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, September 21,2016
Linda Harvey
Chief Deputy Clerk Treasurer
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
120
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Rkady eservice.readyrefresh.com ' • INVOICE
Refregh #215 6661 DIXIE HWY,SUITE 4 08/01/16-08/31/16 16H7220327048 _
LOUISVILLE KY 40258
JU�CLICK\
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ADDRESS SERVICE REQUESTED UPCOMING •
UNTNUM BERI
TRU- SEP 08 7220327048
FRI- OCT 07
MON- NOV 07 Access your delivery calendar
THU- DEC 08 at 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
convenience,you can pay your bill online. If payment has
been made,we thank you.
C_u_sto_m_ers„that regLster;atFReatly,Refr�esh comxen�oy;eXclting�fea urs 's and�benef is Manageantl trackiorclers±
C eck outwthe�latestgoffers! EnrOlt=for textaleitS abouty�ourdet!very!
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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 e OUINT
Delivery address: CITY OF CARMEL,1 CIVIC SQ, CLERK TREASURER OFFICE,CARMEL IN 46032
PREVIOUS BALANCE 30.29
8/09 1008143370 6 5 GAL ICE MOUNTAIN DIRK W/HANDLE 24.96
6 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00
6 5 GALLON ICE MOUNTAIN DEPOSIT RETURN .00
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8/31 1013360803 1 DELIVERY FEE 1 _ r p 3.95
H0991558 RENTi s 3.99
TOTAL i-4 — ° i t 63.19
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ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT
Subject to terms on reverse side. 30.29 — 0.00 + 32.90 = 63.19
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Detach this stub and return with your payment
ACCOUNT NUMBER PAY BY PAY THIS AMOUNT
P.O. Box 856680 7220327048 09/22/16 63.19
Louisville, KY 40285-6680
INVOICE NUMBER BILLING DATE AMT. ENCLOSED
161-17220327048 09/02/16
407272203270487 0003290 00063191 5
ReadyRefresh by Nestle
a Division of Nestle Waters North America Inc. CITY OF CARMEL OFFICE OF THE CLERK TREASURER
P.O. Box 856680 CLERK TREASURER OFFICE
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-T-E-C --09,682 Page 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: Your Account Number
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believe there is an error.
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1. Past due invoices(not paid within 30 days of billing v ` ' " 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
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cslr:ric:sorm's:vrrtemmnst Pieasenllov,10daysfor racumngPayment l,ptio tot,emeffect. z.-For any changes, please check the box on the reverse side of Ihis
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