182883 03/03/2010 a CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1
ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER
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CARMEL, INDIANA 46032 PROCESSING CENTER CHECK AMOUNT: $14.32
PO BOX 856680 CHECK NUMBER: 182883
LOUISVILLE KY 40285 -6680
CHECK DATE: 3/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 00BO11925282 14.32 OTHER MAINT SUPPLIES
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service.icemountain.com
1 D o #215 6661 DIXIE HWY, SUITE 4
0 LOUISVILLE KY 40258 01/13/10 2/12/10 00BO119252823
ADDRESS SERVICE REQUESTED
III IIIIIIIIIIIIIII III IIIIIIIIIIIIIIIIIIIIIII THU- MAR 18 0119252823
MON- APR 19
TUE- MAY 18
#BWNNWYR THU- JUN 17
#0400001192528234#
CITY OF CARMEL STREET DEPARTME
BONNIE CALLAHAN Customer Service: 1- 800 472 -9888
3400 W 131 ST ST Thank you for choosing Ice Mountain Home Office
WESTFIELD IN 46074 -8267 Deliveryl We value your business.
IIIII'I'I'I'llll'I'1'llllllll' III 'I'lllllll "IIII'I'I'llllllll�ll
BUY ONE for $4'99 and,GET ONE FREEI Fora limited time'on Nescafe' Taster's Choice instant coffee sticks. Mix
and match great -tasting flavors''Original, 100 Colombian, Hazelnut, Vanilla or_Decaf. -Go online, call Customer
Servi or ask your Routesales Person to order.
ACCOUNT ACTIVITY Pay your bill online at: service.icemountain.com or by phone at: 1 -800- 472 -9888. It free!
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Delivery address: CITY OF CARMEL STREET DEPARTME, 2 CIVIC SQ, CARMEL IN 46032
PREVIOUS BALANCE -5.33
1/19 0656103371 3 5 GAL ICE MOUNTAIN DRK W /HANDLE 10.47
3 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 18.00
3 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -18.00
1 9 OZ PLASTIC UP 50C /SLEEVE 2.99
2/12 0661148114 1 OIL /FUEL SURCHARGE 2.20
B8804431 RENT 3.99
TOTAL 14.32
VOUCHER NO- WARRANT NO.
Ice Mountain ALLOWED 20
IN SUM OF
P. O. Box 856680
Louisville, KY 40285 -6680
$14.32
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 00BO119252823 42- 389.00 $14.32 1 hereby certify that the attached invoice(s), or
bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday; March 01,2010
d
,Street-Commissioner
Title
Cost distribution ledger classification if
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 Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
02/16/10 00BO119252823 $14.32
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