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Home My WebLink About186674 06/21/2010 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CHECK AMOUNT: $57.45 CARMEL, INDIANA 46032 PROCESSING CENTER c yo� eo, PO BOX 856680 CHECK NUMBER: 186674 LOUISVILLE KY 40285 -6680 CHECK DATE: 6/2112010 DEPARTMENT ACCOUNT PO N INVOICE NUMBER AMOUNT DESCRIPTION 902 4239099 OOE012197593 54.19 WATER 902 4239099 OOE120223912 3.26 WATER service.icemountainwater.com 215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 05/01/10 05/31/10 OOE0120223912 0 ADDRESS SERVICE REQUESTED THU JUN 17 II' II' I I I'I"III I "'II II'I'I I'I'I'll 0120223912 MON- JUL 19 TUE- AUG 17 THU- SEP 16 CARMEL REDEVELOPMENT COMMISION Customer Service: 1- 800 472 -9888 DON CLEVELAND Thank you for choosing Ice Mountain Home Office 30 W MAIN ST. STE 220 Delivery! We value your business. CARMEL IN 46032 -1938 I�III' VIII' I��' I' I�' �I�I�IIIIIII 'I'�� Get a Delivered and SAVE! Add, great tasting AriZona Iced Tea to your next order. Choose from Lem, Green Tea,_Diet.Green. Tea, Arnold Palmer and Sweet Tea available in 11.5 oz cans and 1 gallon _lj.u9A: r_go_online to asid_to__vour__order. ACCOUNT ACTIVITY Pay your bill online at: service.icemountainwater.com or by phone at:1 -800 -472 -9888. It's free! 8 B I I L 8 Delivery address: CARMEL REDEVELOPMENT COMMISION, 111 W MAIN ST STE 140, CARMEL IN 46032 PREVIOUS BALANCE 22.98 5/17 965356 PAYMENT -THANK YOU -3.99 5%07 EA1329669 LATE FEE -15.00 5/14 0672011673 1 9 OZ PLASTIC UP 50C /SLEEVE 2.99 1 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -6.00 5/31 0675737142 1 OIL /FUEL SURCHARGE 2.28 E9241030 RENT 3.99 TOTAL 7.25 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT 2,,_ Subject to terms on reverse side. 22.98 18.99 3.26 7.25 r BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL, OR FOR 1. Please remember payment is due by the "pay by" date noted to ensure the smoothest service. A REPORT ON WATER QUALITY AND INFORMATION, PLEASE 2. Remember, if you are renting equipment, your equipment rental is charged one month in advance. That means CALL I -800- 472 -9888 OR WRITE US AT: your first Invoice Will Include a pro -rated fee for the current month plus the next month's rental. ICE NIOUNTAIN SPRING WATER 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 HWY, 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 us on a separate sheet of paper. We must hear from you in writing no later than thirty (30) days after we sent you the first bill on which the error or problem appeared. You can SAMPLE INVOICE telephone us, but doing so will not preserve your rights. In your letter, give us the following information: Your name, address, telephone and account numbers. 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. 12345°7890 Your Account Number You do not have to pay the disputed amount while it is being 00100100 00100100 investigated. During the investigation, we cannot report your account 1234567 as delinquent or take any action to collect the amount in question. MDN. oCr 79 Watch here for a GENERAL INFORMATION 11EDN -Y71 ,DE -DEC ,R personalized account 1. Payments received after the billing (INVOICE) date will appear on Important IIJI III. UII, IIIIId ,.,IIILIJ{I4 ^JIIU.JI „fl,l,ltl euaomel xrvim:l- eoo-'7Z'9ee s mea e your next invoice. Past due invoices (not paid within 30 days of news and na ^aYO„IOr ullyNeM^u ^••1nv'°°u`B g billing date) may be assessed a late fee as allowed by law not to offers 1 113 M.i 1 an e,erme.. exceed S20 per month. Additionally, third party conectiordattorney 011.11.10 00-00 I. Ja. 1.., I. D4..,.11 ,14 ..II dU..4.441,4J.0 expenses may be assessed at a rate not to exceed 100% of the unpaid balance or the maximum allowed by law. mR 7 nR+wam «^"I m' tl T U.,Cq `a ,eW0tir9W UP,0 tl09 Pa}' electronically 2. Each returned check is subject to a service charge subject to the a° *n d08w�.�•xo -1 ,mc dw maximum check return charge allowable in your State. J Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity maw••^"^" amount has been ACTIVITY. since your ACCOUNT ACTIVITY R c OWN ui ment replacement costs will be charged for bottles lost, last invoic Adores ,on- o«. \73M paid in full to 4. E q P P g e stolen, damaged or not returned. TM0^kr s2AS avoid late fees 5. In accordance with NWNA's Terms and Conditions "T &C your -Rql +610.90. S a r,mn Natural 516.9 Waltt .SON Ilt 317RR5 5 ke M9unU;n SGal Deposll 7,96 Equipment Lease and/or Service Agreement account may be 317MS1AA4. 4 1ea,A.unuinSG+IRewm \1.99 Monthly Oil 09111 fRUN SUr<I,al9e subject to minimum monthly purchases and/or early cancellation 317RR51MM Surcharge, Fuel fees. (A complete version of the current T &C may be viewed on the o�9n OA97 17.A0 Surcharge or Delivery website listed below) Upon service discontinuation, rent for the ,orAE 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 a monthly Oil Surcharge, Fuel Surcharge or Evlov aA T I' uiN1 a ACC SUMMARY pC 99 Delivery Fee as described in your T &C. Only one of these fees Payment stub RAY THIS AMOUNT will apply a lies to ,o„ PAY By to each account. The fee that ap account ream ru ACCOUNr NUMBER 57.a- is stated on the front of the invoice. For further information please 1734567890 RLLUNC DAT ZN561890 E MLENCEOSEO visit the website listed below or contact our customer service INVOICEN omwlm 189D center. 7. As a food product, bottled water is subject to the rules and 0420096307 OV2 °2712619 0003910 2 L° Amount due regulations promulgated by the federal Food and Drug John 0 IV iCEMOUNLAIN WALEPCOMRANY env s�a� -W Submit vour 8. Your first invoice indicates the products delivered on your first •o^^jond"•'"`""'"'� AU \'R delivery, along with any applicable bottle and account deposits, oRCDS,oMER3ERmCEC OO'oZ98" ayment by this Laa4 n.4a J .M.J. 0 redemption fees, and any dispenser charges. All future invoices �y6Nw1ORIKEwraR"'°Sq^ date ea- ^R^ °i 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 Pour weeks, for a total of I6 -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 Nestl6 Waters North America Inc. Form No. NW 709 1 1/08 service. icemountain.com service. icemountainwater.com D 0 215 6661 DIXIE HWY, SUITE 4 05/01/10 05/31/10 OOE0121975593 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED II I II' I I' I 1 I' 11111 11It II'Itl I' I I' 1 I11 FRI- JUN 25 0121975593 TUE- JUL 27 WED- AUG 25 FRI- SEP 24 CARMEL REDEVELOPMENT COMMISION SUITE 220 Customer Service: 1-800-472-9888 DON CLEVELAND Thank you for choosing Ice Mountain Home Office 30 W MAIN STREET Delivery! We value your business. CARMEL IN 46032 -1938 r et AriZona Delivered -'and SAVE! Add great tasting AriZona Iced Tea -to your next order. Choose from emon Tea, Green Tea, Diet Green Tea, Arnold Palmer and Sweet Tea available in 11.5 oz cans and 1 gallon g Call or go online to add to your order. ACCOUNT ACTIVITY Pay your bill online at: service. icemou ntainwater.com or by phone at: 1 -800-472-9888. It's free! 9 Delivery address: CARMEL REDEVELOPMENT COMMISION, 30W MAIN ST STE 220, CARMEL IN 46032 PREVIOUS BALANCE 6.78 5/11 0672465259 3 5 GAL ICE MOUNTAIN DIRK W /HANDLE 17.97 3 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 18.00 2 9 OZ PLASTIC UP 50C /SLEEVE 5.98 3 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -18.00 5/26 0673870457 2 5 GAL ICE MOUNTAIN DIRK W /HANDLE 11.98 2 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 12.00 1 9 OZ PLASTIC UP 50C /SLEEVE 2.99 1 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -6.00 5/31 0675752695 1 OIUFUEL SURCHARGE 2.28 E9241202 RENT 6.99 TOTAL 60.97 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 6.78 0.00 54.19 60.97 Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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 C e /'1oa �t I n Purchase Order No. eX W Terms LouisyI IIC x/ �L 90 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) =3� 1 0 UoE01�i y &ke.r 4r C o f f; c 5 OPI^agvz iz iv (1 l f qr DI/ office 2 C Total 57. q S 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 Cc f��u/jfo►h IN SUM OF 57.�s ON ACCOUNT OF APPROPRIATION FOR Pay from Cash Board Members PO# or D PT. INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or lO L 51,11 bill(s) is (are) true and correct and that the C-- t10F.0h0Zl1yi2 j,2 materials or services itemized thereon for which charge is made were ordered and t% received except ignature itle Cost distribution ledger classification if claim paid motor vehicle highway fund