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Home My WebLink About187874 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CARMEL, INDIANA 46032 PROCESSING CENTER CHECK AMOUNT: $279.64 PO BOX 856680 CHECK NUMBER: 187874 LOUISVILLE KY 40285 -680 CHECK DATE: 7/21/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4238900 0OF011782108 X6.23 0OF0117821082 2200 4239099 0OF012004852 -`40.88 0OF0120048525 1125 4350900 0OF012009535 X88.18 0OF0120095351 1091 4350900 0OF012120276 77.66 0OF0121202766 1205 4239099 DOF012177619 -3.99 0OF0121776199 920 4239099 0OF012220610 X29.76 0OF0122206105 1701 4239099 0OF722032704 X12.79 0OF7220327048 A IT service.icemountainwater.com ®p 0 Ma 1 215 6661 DIXIE HWY, SUITE 4 06101/10 06/30/10 0OF0122206105 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED III II I I I I III II� MO 0122206105 E- AUG 17 THU- SEP 16 FRI- OCT 15 CITY OF CARMEL ENGINEERING/1ST AVE Customer Service: 1- 800 472 -9888 KATIE NEVILLE Thank you for choosing Ice Mountain Home Office 1 CIVIC SQ Delivery! We value your business. CARMEL IN 46032 -2584 �I�I��I�II1 `1111�1 a.. Get AnZona Delivered antldSAVEl 1�tl[i ghat to trng ArrZona Iced Ylea to your next order Choose from Lemon Tea, Green Tea Dl et Green Tea, Arnoid. F'alme� and Sweet Tea available rn 11 5oz cans and "1 gallon A 0." Calf go onlrne' #oatld'.to your order xx 7 ACCOUNT ACTIVITY Pay your bill online at: service.icemountainwater.com or by phone at: 1 -800-472-9888. It's free! Delivery address:: CITY OF CARMEL ENGINEERING, 13 0 1 STAVE SW, CARMEL IN 4603 PREVIOUS BALANCE 69.11 6127 170100 PAYMENT -THANK YOU -53.41 6111 FA1357201 WATER ADJUSTMENT -0.28 6117 FA1361159 LATE FEE �6 -15.00 6114 0677389629 1 5 GAL ICE MOUNTAIN DRKWIHANDLE .y 4 5 GAL ICE MOUNTAIN DRK 1 r ��q 13.96 BOTTLE DEPOSIT: 5 CHARGED, 5 CREDITED 6117 0677201659 1 5 GAL ICE MOUNTAIN DRK WIHANDLE j 3.49 BOTTLE DEPOSIT: 1 CHARGED, 0 CREDITED 6.00 6130 0680330388 1 OIL/FUEL SURCHARGE F9316925 RENT' ��3 3.99 9433024 RENT a t�' FREE TOTAL .'�jG�3d°�� 30.18 f5 4>!�D I T 4 'Pu. y melt ACCOUNT SUMMARY F !EVIOUSBALANCE PAYMENT/ ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 69.11 68.69 29.76 39!h8 L{. (4 9 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 1 -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 MOUNTAIN 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 SA INVOI sent you the first bill on which the error or problem appeared. 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 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. 1'3456769 Your Account Number You do not have to pay the disputed amount while it is being t o0100toa- 0otcolo investigated. During the investigation, we cannot report your account a 23456799 as delinquent or rake any action to collect the amount in question. A a MoH -ar 29 Watch here for a GENERAL INFORMATION OEC Ia personalized account 1. Payments received after the billing (INVOICE) date will appear on Important IId1: 4111„ 111PIa1LL .dI11.I,IlILndOa.,a,hl.ldp cuu�c. sera:,- eoo- az.9ase your next. invoice. Past due invoices (no[ paid within 30 days of news and T1,'anE you b. u9n9 tie MOVn P^dpds message billing date) may be assessed a late fee as allowed by law not to offers 123 Main s, O,y,s exceed $20 per month. Additionally, third party collection /attorney t "oat oL n,,,,n.. Ln t Ltn d "a expenses may be assessed at a rate not to exceed 100% of the unpaid balance or the maximum allowed by law. wy a dr° nrg Pay electronically Tan�!tM4dT Mvlxcm+:"'u `"T" c,^a "rv`I 2. Each returned check is subject to a service charge subject to the maximum check return charge allowable in your State. Make Sure this 3. All bottle and equipment deposits are shown as CURRENT Activity tr w om j1d0P amount has been ACTIVITY. since your I Dowd aid in full to 4. Equipment replacement costs will be charged for bottles lost, last invoice °e ""`ry t 0 -1199 p stolen, damaged or not returned. ,a„m�.sNan,ey u suw avoid late fees 5. In accordance with NWNA's Terms and Conditions "T &C your cal ,e, SG;Iiont✓envneiSP "n9w 50.67 3t]e651aMA 5 MounW'n 5Ga10•Pnsit 196 Equipment Lease and/or Service Agreement account may be 9111 t„ 3nees,«+. s x„nsc,re.I�m ,..99 Monthly Oil Pq Tt,8e wel5v cnaryet subject to minimum monthly purchases and/or early cancellation 67113 ),8]63881, Surcharge, Fuel' fees. (A complete version of the currentT &C maybe viewed on the 5740 Surcharge or Dollver)' website listed below) Upon service discontinuation, rent for the ,or e (see #h under Fe Leased Equipment is charged through the end of the billing cycle fee "General in which service is discontinued. �n siau 6. You will be charged Y g Surcharge or eel a month] Oil Surcha Fuel Surcharg °R,nw3uuPC, 9q'M"" Information s „49 y.� Delivery Fee as described in our T &C. Only ne of these fees Payment stub ACCOUNT SNMMARY y our PAy THIS AMOUNT will apply to each account. The fee that applies to your account p, ;•m,n,ao•�'•'" AccouNTNUM6ER YArev 00 is stated on the front of the invoice. For further information please u3 +s6res° 61LCINC UA1e Mr_E.CLOSeo INVOICE NUMBER pptoolo0 visit the website listed below or contact our customer service ,z34 s67 90 center. p j ❑420096307 0,112"t1Z 619 009391049 2004 10 7. As a toad pr bottled water is sub to the rules and Amount due regulations promulgated by the Federal Food and Drug I Administration (FDA). IcEMOUNrAwwATTvA ":,yz�a�es° Submit your S. Your first invoice indicates the products delivered on your first .oax..w.•• voA „,,oME n,Emaxc ^`L''800"'906fl delivery, along with any applicable bottle and account deposits, Ari payment by this I. dpd.. d. aLn ,dl,..iL.t1.La,.LnLL6I,.{,.a „sw�. vxn xs�d<, redemption fees, and any dispenser charges. All future invoices date slcry w °onla.c. u,nam^hy9a ua °n A 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 a 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 709 1 service. icemou Fla In.com Sr Proscribed 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 I ce Mountai Dire Purchase Order No, NA PO Box 856 .Terms Louis ville, .KY 40258 -6680 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)} 07/06 00F0122206105 Keystone Reconstruction Project $14. Miscellaneous Project 07-08 Total� 14.48 I hereby certify that the attached invaice(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 14.48 ON ACCOUNT OF APPROPRIATION FOR Ice Mountain Direct PO# or INVOICE NO. ACCT# /TITLE AMOUNT Board Members DEPT.# NA 0OF0122206105 4 239099 S4 NAB 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 19 -Jul 20 10 f Total $14.48 Signature Cost distribution ledger classification if City Eng ineer claim paid motor vehicle highway fund Title service.icemountainwater.com MaQ j 215 6661 DIXIE HVIIY, SUITE 4 06/01/10 06/30/10 0OF0117821082 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED TUE- JUL 20 0117821082 WED- AUG 18 FRI- SEP 17 MON- OCT 18 Customer Service: 1 800 472 9888 CITY OF CARMEL STREET DEPATMENT Did you forget about us? Kindly pay upon receipt. 3400 W 131 ST ST Remember, past due accounts are subject to a late fee. WESTFIELD IN 46074 -8267 Your prompt payment is appreciated. For your �'��IE1 11111 1 "11' 111 11' II' lIh 1 1 11 1 1111 11 1 1 111 1111 1 11 1 1 111' convenience, pay online: icemountainwater.comiservice. If payment has been made, we thank you. b x,.x,..e. [Geet r a�Dellverecl` aind` SAVE Add.great tstmg ArZona Iced Tea to your next order Choose Green Tea, Diet Green Tea Arnold. Palmer�and¢S.weet Tea availablein 11'5 oz can' �4nd_ t allon go onllnerta add`to your order ACCOUNT ACTIVITY Pay your bill online at: service. icemountainwater.com or by phone atA -800 -472 -9888. It's free! Delivery address: CITY OF CARMEL STREET DEPARTMENT, 3400 W 131TH ST, WESTFIELD IN 46074 PREVIOUS BALANCE 5533 6127 170105 PAYMENT -THANK YOU -26.13 6118 0677343907 4 9 OZ PLASTIC UP 50CISLEEVE 11.96 4 5 GAL ICE MOUNTAIN DIRK W /HANDLE 13.96 4 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 24.00 5 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -30.00 6124 0679367136 1 LATE FEE 15.00 6130 0680204849 1 OILIFUEL SURCHARGE 2.32 F9315012 RENT 3.99 TOTAL 70.43 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. I s 55.33 26.13 41.23 70.43 VOUCHER NO. WARRANT NO. ALLOWED 20 Ice Mountain IN SUM OF P. O. Box 856680 Louisville, KY 40285 -6680 $41.23 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 2201 0OF0117821082 42- 389.00 $44-23 1 hereby certify that the attached invoice(s), or 22 bill(s) is (are) true and correct and that the <a J materials or services itemized thereon for which charge is made were ordered and received except rt //Th y, July 15, 2010 re t et C m i sioner 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)) 07/06/10 0OF01 1 7821 082 $41.23 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.icemountainwater.corn e YJJJ #215 6661 DIXIE HWY, SUITE 4 06/01/10 06130110 00>= 0120095351 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED WED- JUL 21 0120095351 THU- AUG 19 MON- SEP 20 TUE- OCT 19 CARMEL CLAY PARKS AND REC DEPT. Customer Service: 1- 800 472 -9888 AUDREY KOSTRZEWA qn9 1411E 116TH ST L �a LV I Q Did you forget about us? Kindly pay upon receipt. Remember, past due accounts are subject to a late fee. CARMEL IN 46032 -3455 Your prompt payment is appreciated. For your I��Ill�lillilll! Ill' �I�' II��' I�Ilil�lllllll��l 'I�IIII�III�I'lIl convenience, pay online: icemountainwater.comiservice. 8y If payment has been made, we thank you. Get &Z' na Delivered' and- SAV8!! AddPgreat- tasting ArlZona Iced�Tea to your next order �Chaose from yr 11 W to ea, Green Tea, Diet GreehfTea, Arnold Palmier and Sweet Tea available in 11 5 oz cans ands 1 -gall, on a It gs Cail or go "online3to adctata your order. u A> k W57 h 5& qr a b >'t a... d d Fr J. .«..n +x -L.a ,..-1 m. ,,,,...,v'. nt .�..:yse ACCOUNT ACTIVITY Pay your bill online at: service.icemountainwater.com or by phone at:1 -800 -472 -9888. It's free! Delivery address: P CARMEL CLAY PARKS AND REC DEPT., 1427 E 116TH ST, CARMEL IN 46032 PREVIOUS BALANCE 96.28 6127 170103 PAYMENT -THANK YOU -45.09 6121 0677671661 10 5 GAL ICE MOUNTAIN DIRK W /HANDLE 39.90 2 9 OZ PLASTIC UP 50CISLEEVE 5.98 BOTTLE DEPOSIT: 10 CHARGED, 5 CREDITED 30.00 6124 0679371070 1 LATE FEE Purchase MIN V I A& 15.00 6130 0680279890 1 OIL/FUEL SURCHARGE Description 2.32 F9338482 RENT P.O. P or P 9.98 TOTAL G.L. 1 a LJ 4 3 5 C)C)00 154.37 Bu ne V I H t` cc) C_+ Line Descr Purchaser Date Approval Date ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT C Subject to terms on reverse side. 96.28 45.09 103.18 154.37 se'ice.icemounta!nwater.com 0610111 215 6661 DIXIE HWY, SUITE 4 0 06/30/10 0OF0121202766 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED III I IIII I I I III I I I II I I I I I I I I II II III WED- JUL 21 0121202766 THU AUG 19 MON- SEP 20 D TUE- OCT 19 CITY OF CARMEL PARKS DEPARTMENT JUL 1 2 200 Customer Service: 1 -800 -472 -9888 MANDY SPADY Did you forget about us? Kindly pay upon receipt. 1411 E 116TH ST BY: Remember, past due accounts are subject to a late fee. CARMEL IN 46032 -3455 Your prompt payment is appreciated. For your 1 111 111 'l convenience, pay online: icemountainwater_comiservice. If payment has been made, we thank you. Get Arl Delivered' and SAV07,kdd dreat tasting AftZona Iced lea to ou next o�d'er. Choose from r Lemon Tea, Green `Tea, Dlet Green.Tea, Arno1&0alrner °and Sweet Tea availa ble in 11 5 ,oz cans and 1 gallon Jugs Calhor go online to add�to your order ACCOUNT ACTIVITY Pay your bill online at: service. icemou ntai nwater.com or by phone at: 1 -800-472-9888. It free! Delivery address: CITY OF CARMEL PARKS DEPTIMONON CENTER, 1235 CENTRAL PARK DR EAST, CARMEL IN 46032 PREVIOUS BALANCE 61.82 6127 170104 PAYMENT -THANK YOU -23.92 6121 0677671737 10 5 GAL ICE MOUNTAIN DIRK WIHANDLE 39.90 2 9 OZ PLASTIC UP 50CISLEEVE 5.98 1 .5 L NATURAL SPRING WATER ICE MTN 5.99 BOTTLE DEPOSIT: 10 CHARGED, 7 Pu CREDITS igT 18.00 rchase �jp j til >�CC N �l W 6124 0679372086 1 LATE FEE Description .mG� 15.00 6130 0680195559 1 OIL/FUEL SURCHARGE P.O. P or F 2.00 F9409920 RENT G.L. 5.99 TOTAL Budget i�(/l.(��' SV�� 130.76 Line eSCr Purchaser Date ---~r— Approval flats -LP-i,o 3i' [4 ct6ft-c- ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT 1 ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 61.82 23.92 92.86 130.76 f ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 051125 Ice Mountain Terms P.O. Box 856680 Louisville, KY 40285 -6680 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 7/6/10 OOF0120095351 Water cooler lease 103.18 7!6110 OOF0121202766 Water cooler lease 92.86 Total 196.04 l 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 1 20 Clerk- Treasurer Voucher No. Warrant No. 051125 Ice Mountain Allowed 20 P.O. Box 856680 Louisville, KY 40285 -6680 In Sum of 196.04 ON ACCOUNT OF APPROPRIATION FOR 101 General 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 OOF0120095351 4350900 R ,19 I hereby certify that the attached invoice(s), or 1091 OOF0121202766 4350900 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 15 -Jul 2010 Signature 196.04 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund service. !cemountainwater.com 215 6661 DIXIE HWY, SUITE 4 06/01/10 06/30/10 0OF0120048525 LOUISVILLE KY 40258 0 ADDRESS SERVICE REQUESTED 9 e H11MIM REM III IHIM N TUE- JUL 27 0120048525 WED- AUG 25 FRI- SEP 24 MON- OCT 25 CITY OF CARMEL DEPT OF ENGINEERING Customer Service: 1 -800- 472 -9888 LISA SCOTT OR JUDY STOHLER Thank you for choosing Ice Mountain Home Office 1 CIVIC SQ Delivery! We value your business. CARMEL IN 46032 -2584 1 �i1 1 1 111 1' I' lllll�l' IIII�II�IIIiLIII��I��l "IIIII I'lllllll�ll l G bt%fA riZona Dew4Vdred.A and SAVE! add g ea! tasting ArlZoria Iced Tea'to your,next ortlel Choose frnm a emon Tea, Green Tea,: Dlet -Green Tea,:�,rro.d�Palmer and'Sav ®et lea available era 9 '5 -.oz ca�i�'arld ga3lon jugs Call or "go`onllne 4 add:,to yot r order a ACCOUNT ACTIVITY ay your i on me at: sernce.icemountamwater.com or by phone at: -8 72-9888. It's freE PREVIOUS BALANCE 54.93 6127 170106 PAYMENT -THANK YOU -20.94 6117 FA1361172 LATE FEE �113 1 4 15 16� -30.00 6/15 0677384984 2 9 OZ PLASTIC UP 50C /SLEEVE �g 5.98 2 5 GAL ICE MOUNTAIN DIRK WIHANDLE 6.98 2 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT fk ,IIc.) P .00 4 5 GALLON ICE MOUNTAIN DEPOSIT RETURN, .00 6/21 0678455262 1 5 GAL ICE MOUNTAIN DIRK WIHANDLE JV� 3.49 1 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 00 6125 0678627290 5 5 GAL ICE MOUNTAIN DRK WIHANDLE 17.45 5 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00 1 9 OZ PLASTIC UP 50CISLEEVE 2.99 4 5 GALLON ICE. MOUNTAIN DEPOSIT RETURN g'�a�' .00 6130 F9325786 RENT 3.99 TOTAL 44,87 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT 1 ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 54.93 50.94 40.88 44.87 Prescribed by State Board of Accounts City Form No. 201(Rev.1995) o 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. Ice Mountain Payee OX 8b6680 Purchase Order No. Terms Louisville, KY 402856680 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 07/06/10 00F Rent and Servie June $40.88 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 Ice Mountain IN SUM OF P.O. Box 856680 Louisville, KY 40285 -6680 $40.88 ON ACCOUNT OF APPROPRIATION FOR Department of Engineering Board Members Poq 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 M75 materials or services itemized thereon for A nt 0120048525 which charge is made were ordered and received except Ali 20 XG Si nature Title Cost distribution ledger classification if claim paid motor vehicle highway fund service.icemountainwater.com s 215 6661 DIXIE HWY, SUITE 4 06/01/10 06/30/10 0OF7220327048 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED TUE JUL 27 7220327048 WED- AUG 25 FRI- SEP 24 MON- OCT 25 CITY OF CARMEL OFFICE OF THE CLERK TREASURER Customer Service: 1- 800 472 -9888 ANN DAVIS 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 �IIII�' I�IIII�III�I' I IIIII�" IIIII�I '�I "�I�I convenience, pay online: icemountainwater.comiservice. If payment has been made, we thank you. -a Ir Get Arizona Deiivered; and SAVEj,Add great tasting Arizona Iced Tea tamyour.next order Choose from, Lemon' Tea, G een Tea`, Dlet Green Tea, Arnold P.almer�and Sweet Tea ava!lable inn 5:oz cans and 1 gallo jugs. Call or go online to add to youir order 4. o xm ACCOUNT ACTIVITY Pay your bill online at: service. icemountainwater.com or by phone at:1- 800 -472 -9888. It's free! WIN e Delivery address: CITY OF CARMEL OFFICE OF CLERK TREASURER, 1 CIVIC 50, CARMEL IN 46032 PREVIOUS BALANCE 34.89 6/27 170109 PAYMENT -THANK YOU -22.64 6124 0679368712 1 LATE FEE 1"0 6125 0678627571 1 9 OZ PLASTIC UP 50C /SLEEVE 2.99 1 5 GAL ICE MOUNTAIN DIRK W /HANDLE 3.49 1 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00 1 5 GALLON ICE MOUNTAIN DEPOSIT RETURN .00 6/30 0680365921 1 OILlFUEL SURCHARGE 2.32 F9350113 RENT 3.99 TOTAL 40.04 ACCOUNT SUMMARY PREVIOUS BALANCY PAYMENT 1 ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOt1NT 4,_ Subject to terms on reverse side. 34.89 22.64 27.79 40.04 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)) t -e5 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 IN SUM OF To g�5 �o D ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or DEPT INVOICE NO. ACCT #/TITLE AMOUNT I 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 20 Jr S Title Cost distribution ledger classification if claim paid motor vehicle highway fund service.icemountainwater.com O D 1010 SMMEM 215 6661 DIXIE HWY, SUITE 4 06/01/10 06/30/ 0OF0121776199 LOUISVILLE KY 40258 e ADDRESS SERVICE REQUESTED II IIIIII II III II III TUE JUL 27 0121776199 WED- AUG 25 FRI- SEP 24 MON- OCT 25 CITY OF CARMEL HUMAN RESOURCES Customer Service: 1- 800 472 -9888 JIM SPELLBRING YOUR ACCOUNT IS PAST DUE and is subject to 1 CIVIC SQ additional late fees. Water delivery service may be CARMEL IN 46032 -2584 interrupted. Please make your payment today. For your III�II��' I' llllll�l��" I��IIII "III`�llll'�I'��II�II`�I111 convenience, pay online: icemountainwater.com /service. If payment has been made, we thank you. Get ArlZona Del %ner d an d `Add great tasting AtiZona�lced Tea to your nekford'er Choose from r Lemon Tea, Green Tea, Dlet Green"Tea, Arnold Pal and Sweet Tea available In 91 5;oz cans�and 1 gallon jiugs 'Calf'or go oni ne,to add�totyour order ACCOUNT ACTIVITY Pay your bill online at: service.icemountainwater.com or by phone at:1- 800 -472 -9888. It's free! e e Delivery address: CITY OF CARMEL HUMAN RESOURCES, 1 CIVIC SQ, CARMEL IN 46032 PREVIOUS BALANCE 22.45 6127 170107 PAYMENT -THANK YOU -9.18 6/30 F9319147 RENT 3.99 TOTAL 17.26 n A 192010 By ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 22.45 9.18 3.99 17.26 VOUCHER NO. WARRANT NO. ALLOWED 20 Ice Mountain IN SUM OF PO Box 856680 Louisville, KY 40258 $3.99 ON ACCOUNT OF APPROPRIATION FOR Carmel Administration PO# Dept. INVOICE NO. ACCT #ITITLE AMOUNT Board Members 1205 0OF0121776199 42- 390.99 $3 -99 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 Friday, July 16, 2010 Director, Administration Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts 'City Forma 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)) 06/30/10 COF0121776199 $3.99 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