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Home My WebLink About184794 04/27/2010 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CHECK AMOUNT: $71.77 CARMEL, INDIANA 46032 PROCESSING CENTER o PO BOX 856680 CHECK NUMBER: 184794 LOUISVILLE KY 40285 -6680 CHECK DATE: 4/27/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4238900 000011925282 0.16 OTHER MAINT SUPPLIES 2200 4239099 000012004852 X17.45 OTHER MISCELLANOUS 920 4239099 000012220610 44.16 OTHER MISCELLANOUS t w o service.icemountain.com #215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 03/13/10 4/12/10 00DO119252823 ADDRESS SERVICE REQUESTED lmiL MON- APR 19 0119252823 III IIII II II NI II lil III II I Ililll II II9II I II �I9I WED- MAY 26 FRI- JUN 25 #BWNNWYR TUE- JUL 27 #0400001192528234# CITY 01= 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 Delivery! We value your business. I'll'lll'n 1 1 'I'll l l'I'll' II "II "I F G6etAribina Delivered -,and SAVE! Add' great tasting Arizona Iced Tea to your,next order. Choose fromLemon Tea, Diet Green Tea, Arnold Palmer.and.Sweet Tea available.in 11,5 oz cans and 1 gallon jugs. Call or o a dd to yo ..r wL .c...a..c ..c vn.. �.e'.....✓.._ .n2. .v.: ..�i a _.m,. ..+.5 v.._r.. r..... ACCOUNT ACTIVITY Pay your bill online at: service. icemountain.com or by phone at: 1 -800- 472 -9888. It's free! Delivery address: CITY OF CARMEL STREET DEPARTME, 2 CIVIC SQ, CARMEL IN 46032 PREVIOUS BALANCE 69.46 3/19 670949 PAYMENT -THANK YOU -14.32 4/05 741529 PAYMENT -THANK YOU -55.14 3/18 0664(358663 2 5 GAL ICE MOUNTAIN DRK W /HANDLE 6.98 2 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 12.00 3 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -18.00 1 9 OZ PLASTIC UP 50C /SLEEVE 2.99 4/12 0669262768 1 OIL /FUEL SURCHARGE 2.20 D9075550 RENT 3.99 TOTAL 10.16 ACCOUNT SUMMARY I PREVIOUS BALANCE PAYMENT /ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT h e r„ f r,,, ,,,,,e �i 1. 69.46 69.46 10.16 10.16 BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER' IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR HILL. OR FOR I Please remember payment is due by the "pay by" (late noted to ensure the smoothest service. A REPORT ON WATER QUALffY AND INFORMATION, ['LEASE 2. Remember, if you are renting equipment, your equipment rental is charged one month in advance. That means CALL I- soo -47z I888 OR WRITE US AT: your first invoice will include a pro -rated fee for the current month, plus the next month's rental. ICE MOUNTAIN SPRING NV TER CO. 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. #216 If you prefer, you can pay your bill online at service.icemountain.com. 6661 DIXIE IIN Y., SUITE 4 LOUISVILLE. KY 40258 4. Never hesitate to call us with comments, questions, or concerns. If you think your bill is wrong, or if you need more information about a transaction on your bill, write its on a separate sheet of paper. we sent hear from you in writing later than shiny days after we SAMPLE INVOICE sent you the first bill on which the he m error or proble apppp eared. You can telephone us, but doing so will not preserve your rights. In your letter, give us the following information: Your name, address, telephone and account number. Date range of this invoice The dollar amount of the suspected error. Describe the error and explain if you can, why you believe there is an error. 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 00100)00- oowotoov Your Account Number tz3nseraeo investigated. During the investigation. we cannot report your account r as delinquent or take any action to collect the am OCT ount in question. mR w u3 +seTas DN -OCT I9 Watch here for a GENERAL INFORMATION wEn ND4 T TuE -DEC ,R personalized account I. Pavmenis received after the billing (INVOICE) date will appear on Important Cunomer Servk =:,-BOD'e)2988 your next invoice. Past due invoices not p. II.11.,111„ 111" 111161,.• 1111 .1.1116,••IIIII•.II.AI.I•III message billing date) may be assessed it late fee as allowed by law not to offers 121 ,xeM ^s, exceed S20 per month. Additionally. third party collection /attorney o,vs�a 000� A••111,.. expenses may be assessed at it rate not to exceed 100 of the unpaid balance or the nta.xinu in allowed by law. ear "m"' Ienewv°°1 °a °m' Pay electronically xnr 2. Each returned check is subject to a service charge subject to the TOm�e �„',°„nwMOm.Yw� ^AI7o Wew,w nntxunum check return charge allowable in your State. Make Sure this 3. All bottle and equipment deposits are shown as CURRENT Activity ��.e°+ I ACTIVITY. amount has been ACCO ACTIVITY 4. Equipment replacement costs will be charged for bottles lost, since your 'DCl.e,rnea =s,, nnD z3r+a "s 0,01- 0000D paid in full to last invoice stolen, damaged or not returned. p,e, ;n °ae,lan soon avoid late fees 5. In accordance with NW'NA'sTerms and Conditions "TtiC), your IIt ]l]E85 5 Ise Mn°ntainSGal DeP°ait 196 Lquipntent Lease anti /or Service Agrecrucnt account may be P 11 tnessa+`a s ,=M °mamsm,R 1,.99 Monthly Oil subject to minimum monthly purchases ;uullor earl}' cancellation °vin maeslaa+a pe^1 =m g Surchar e, Fuel fees. (A complete version of the current TSC may be viewed on the 16p°0a" s?+o Surcharge or Delivery websitc listed below) Upon service discontinuation, rent for the TOTAL Fee (see #6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. Information 6. You will be charged n monthly Oil Surcharge, Fucl Surcharge or I 1 w.e Delivcn' Fee as described in uur'Tfi C. Only one of these fees Payment Stub ACCOUNT SUMMARY y pqY BV PAY THIS AMOUNT will apply to each account. The fee that applies to your account „f, „,,,m7rw w+° -•"F NUMSEA ACCOUNT is slated on the front of the invoice. For further information please IZ3456'e90 RrtuNC DATE MT. ENCL ,NMO,CIL NUMBER alODlao visit the websitc listed below or contact our customer service 11,41 7e” center. F su 042E2T12619 000391049 2004 lE 7. As a food p bottled water is subject to the rules and Amount due regulations promulgated by the Federal Food and Drug 1 °1n D« Administration (FDA). I" n S, "0. Submit your S. Your first invoice indicates the products delivered nn your first i delivery, along with any licablc pp bottle and account deposits, ,o.cus.oMEpsUn'ICTCA<L1�"°° payment by this a 6.. n1. 1., d.. N,. .dl...•Il „1 „a,I,1,L.LA redemption ices. and any dispenser charges. All future invoices lop ,ops9 ^v „aM °e.e o ^P=te ^•v^° s date will reflect charges for water delivered and dispenser rental. bottle deposits and credits plus charges for any additional products ordered by you. Deliveries are made every three or four weeks, for it total of 16 -17 deliveries per year. You will only receive invoices 12 times per year. so approximately 5 of those invoices will reflect two deliveries. 2008 Ice Mountain Spring Water Company, a Division of Nestle Waters North America Inc. Form No. NW 809 service. icemountain.com VOUCHER NO. WARRANT NO. ALLOWED 20 Ice Mountain IN SUM OF P. O. Box 856680 Louisville, KY 40285 -6680 $10.16 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 2201 00DO119252823 42- 389.00 $10.16 1 hereby certify that the attached invoice(s), or 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 hursd�a�y April 22, 2010 Street Commissioner r v 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)) 04/14/10 00DO119252823 $10.16 1 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 service. icemou n tai n.com 0 co #215 6661 DIXIE HWY, SUITE 4 p LOUISVILLE KY 40258 3/01/10 3/31/10 0000120048525 ADDRESS SERVICE REQUESTED R OME MON- APR 19 0120048525 111 11111111 IN 11111111111111111111111111111 WED- MAY 26 FRI- JUN 25 #BWNNWYR TUE- JUL 27 #0400001200485252# CITY OF CARMEL DEPT OF ENGINEE LISA SCOTT OR JUDY STOHLER Customer Service: 1 800 472 9888 1 CIVIC SO Did you forget about us? Kindly pay upon receipt. CARMEL IN 46032 -2584 Remember, past due accounts are subject to a late I III I I��III II I� �I I I �rllll Ili�l I fee. Your prompt payment is appreciated. For your convenience, pay online: icemountainwater.com/service. If payment has been made, we thank you. 1 Get AriZona Delivered and SA dd ggreat tasting AriZona Iced Tea to your.next order. Choose from Lemon" j Tea, Green Tea ,:Diet.Green,Tea, Arnold and: Sweet Tea available.in 11.5 oz cans and,1 gallon jugs. Call or go online to add to your Order ACCOUNT ACTIVITY Pay your bill online at: service. icemountain.com or by phone at: 1 -800- 472 -9888. It's free! Delivery address: CITY OF CARMEL TOWN HALL ENGIN, 1 CIVIC SO, CARMEL IN 46032 PREVIOUS BALANCE 76.41 3/08 603211 PAYMENT -THANK YOU -13.96 3/23 689524 PAYMENT -THANK YOU -17.45 3/12 CAl272578 LATE FEE -15.00 3/18 0664658721 3 5 GAL ICE MOUNTAIN DRK W /HANDLE 10.47 3 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00 3 5 GALLON ICE MOUNTAIN DEPOSIT RETURN 01' .00 1 9 OZ PLASTIC UP 50C /SLEEVE �D� 2.99 3/31 C8915675 RENT 3.99 TOTAL P'(� t�3� 47.45 AP pol 11 'ENGINEER cow ACCOUNT SUMMARY PREVIOUS BALANCE a PAYMENT /ADJUSTMENT CU AC IVITY PAY THIS AMOUNT �biect to terms on reverse side. 76.41 46.41 17.45 47.45 Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 7995) 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. Ice Mountain Payee Purchase Order No. OX Terms Louisville, KY 40285 -6680 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 04/06/10 OOB Rent and Service, March 2010 $17.45 ccn Total 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 VOUCHER NO. WARRANT NO. ALLOWED 20 lce Mountain IN SUM OF P.O. Box 856680 Louisville, KY 40285 -6680 $17.45 ON ACCOUNT OF APPROPRIATION FOR Department of Engineering Board Members Po# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the n/a oac N 4239699 materials or services itemized thereon for A cnt 0120048525 which charge is made were ordered and received except �t2lp 20 Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund service. icemoun tai n.com o #215 6661 DIXIE HWY, SUITE 4 0 g 0 LOUISVILLE KY 40258 3/01/10 3/31/10 0000122206105 ADDRESS SERVICE REQUESTED g MON- APR 19 0122206105 III IIIIII III IIIIIIIIIIIII III IIIIIIIIIIIIIIII THU- MA N 17 #BWNNWYR MON- JUL 19 #0400001222061057# CITY OF CARMEL ENGINEERING /1ST KAREN NOLAN Customer Service: 1 800 472 9888 1 CIVIC SO Thank you for choosing Ice Mountain Home Office CARMEL IN 46032 -2584 Delivery! We value your business. Illi��lll�l��l Get AriZona Delivered, andtAVE! Add great tasting AriZona Iced Tea to your�next order. Choose from Lemon :.Tea, Green Tea, Diet GreenTea, Arnold Palmer.and Sweet Tea available in 11.5 oz cans and.1 gallon jugs. Call or j go online to add to your order 4 l <..._.,u...r ...r.� ...=.u_m... vy .S. W... ...oz.._vw_....�.�.�_....,__.. _..m..,w.,, -.F., .a?..K ACCOUNT ACTIVITY Pay your bill online at: service. icemountain.com or by phone at: 1 -800- 472 -9888. It free! Delivery address: CITY OF CARMEL ENGINEERING, 1301ST AVENUE SOUTHWEST, CARMEL IN 46032 PREVIOUS BALANCE 32.57 3/08 603213 PAYMENT -THANK YOU -1.67 3/23 689528 PAYMENT -THANK YOU -30.62 3/18 0664658994 2 9 OZ PLASTIC UP 50C /SLEEVE 5.98 1 .5 L NATURAL SPRING WATER ICE MTN 5.99 4 5 GAL ICE MOUNTAIN DIRK W /HANDLE 13.96 BOTTLE DEPOSIT: 4 CHARGED, 2 CREDITED ��,F, R 9 7( 12.00 3/31 0667513634 1 OIL /FUEL SURCHARGE �j 2.24 C8906317 RENT r�J �j 3.99 TOTAL $4.x44 APR 5010 4 41� N Ica (y ti tZ EZ2 ACCOGNT "SIJPviiJARY 'PREVIOUS BALANCE PAYPAENT //!DJUSTMENT CURRENT ACTIVITY PAY-THIS AMOUNT hiact to terms nn reverse side 32.57 32.29 44.16 44.44 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 Ice Mountain Direct Purchase Order No. NA PO Box 856680 Terms Louisville, KY 40258 -6680 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 04/06/10 00 Keystone Reconstruction Project $44.16 Miscellaneous Project 07 -08 Total $44.16 I hereby certify that the attached invoice(s), or bills(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6. 20 Clerk- Treasurer VOUCHER NO, WARRANT NO. Ice Mountain Direct ALLOWED 20 PO Box 856680 IN THE SUM OF Louisville, KY 40258 -6680 44.'16 ON ACCOUNT OF APPROPRIATION FOR Ice Mountain Direct PO# or INVOICE NO. ACCT /TITLE AMOUNT Board Members DEPT.# NA 0000122206105 4239099 $44.16 NA I hereby certify that the attched invoice(s), or 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 26 -Apr 20 10 Total $44.16 Signature Cost distribution ledger classification if City Engineer claim paid motor vehicle highway fund Title