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HomeMy WebLinkAbout190798 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER 0 CHECK AMOUNT: $101.06 1 o CARMEL, INDIANA 46032 PROCESSING CENTER PO BOX 856680 CHECK NUMBER: 190798 °M LOUISVILLE KY 40285 -6680 CHECK DATE: 10/13/2010 DEPARTMENT A PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4350900 001012009535 16.20 OTHER CONT SERVICES 1091 4350900 001012120276 49.87 0010121202766 1205 4239099 001012177619 18.75 0010121776199 1701 4239099 001722032704 16.24 0017220327048 t w service.icemountainwater.com 0 215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 09/01/10 09!30!10 0010121202766 e g e3 ADDRESS SERVICE REQUESTED 111111111111111111111111 IM 81 IDfB TUE- OCT 19 0121202766 WED- NOV 17 MON- DEC 20 CITY OF CARMEL PARKS DEPARTMENT Customer Service: 1 -800- 472 -9888 MANDY SPADY Thank you for choosing Ice Mountain Horne Office 1411 E 116TH ST Delivery! We value your business. CARMEL IN 46032 -3455 MW il�ll�l���lll��l��l�Ilrll�Il��r�l�I�nIIIIIIII�Ii��l�lr�ll� 'll� ��3 1 %�D NQW AVAILABLE Homemadelgoodness,In a�bottle! 100% Organte SWeet'Leaf�Tea im, dgtri;altWet~t Tea° and'Lemonade,.`16oi glass' boales, 12 p case Call 800 472 9888 or vlslt:�servlce 1cemountalrivvater com for our $2 offpecal! Offerexpires10139l90 e r 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 PARKS DEPT /MONON CENTER, 1235 CENTRAL PARK DR EAST, CARMEL IN 46032 PREVIOUS BALANCE 47.27 9/26 635636 PAYMENT -THANK YOU -47.27 9120 0690272596 9 5 GAL ICE MOUNTAIN DRK W /HANDLE 35.91 2 9 OZ PLASTIC UP 50C /SLEEVE 5.98 1 5 L NATURAL SPRING WATER ICE MTN 5.99 BOTTLE DEPOSIT: 9 CHARGED, 10 CREDITED -6.00 9/30 0693266157 1 OIL/FUEL SURCHARGE 2.00 19830174 RENT 5.99 Pur�hwe TOTAL 49.87 Description Ubljo we w aDIL4 r (2M 77�j CG P.O. P or F OCT' p 8 1010 G.L, _!x.9.3 g35Z900 Bud �Pr CLLh r vrVGS ��o �v Line escr Purchaser Date Approval Gate ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT I ADJUSTMENT CURRENT ACTIVITY PAY TH)S AMQUNT Subject to terms�on reverse side. 47.27 47.27 49.87 49.87 a BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL OR FOR I 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 HATER CO. 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. 9216 If you prefer, you can pay your bill online at service.icemountain.com. 6661 DIXIE H WY, 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 S AMPLE IN 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. u1 +s6rB Your Account Number You do not have to pay the disputed amount while it is being t oalocroo- oalanto investigated. During the investigation, we cannot report your account r 23456 as delinquent or take any action to collect the amount in question. NR o+ B9 mo4oc, 29 Watch here for a GENERAL INFORMATION TUE NEC 11 ruE. DEC ,e personalized account I. Payments received after the billing (INVOICE) date will appear on Important N} n,. a UairtltlbM IilaHtt „tl,td9 eustomee ^.on P^°'"e^ message your next invoice. Past due invoices (not paid within 30 days of news and .a+t billing date) may be assessed a late fee as allowed by law not to offers iiM psi a d k exceed $20 per month. Additionally, third party collectionlattomey oly S.- 000aa it t kA c ^616t expenses may be assessed at a rate not to exceed 100% of the unpaid balance or the maximum allowed by law. Pay electronically 2. Each returned check is subject to a service charge subject to the u"" rAdS,Lxk4MR maximum check return charge allowable in your Slate. w Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity ,w a ACTIVITY amount has been since your Aceourn ACrw'n bee y s,ne a0000 4. Equipment replacement costs will be charged for bottles lost, u i ry nea}e,- m ^n°oe 1z3N ins paid in full to last invoice stolen, damaged or not retumed. avoid late fees v.ymemlBa ^AVam som 5. In accordance with NWNA's Terms and Conditions "T &C your o u,iB9e s swn ^4am,auc,lmywa,et s000 J}I 31]885,44++ ,t¢Mmuntaln SGal p 1.9 Equipment Lease and/or Service Agreement account may be 3nRes,+L60 s 4e Monthly Oil subject to minimum monthly purchases and/or early cancellation o9n} ,Bas, ^nax ,r 31ez63Be Surcharge, Fuel fees. (A complete version of the curvent maybe viewed on the �!'r 166ep49 s,, o Surcharge or Delivery website listed below) Upon service discontinuation, rent for the Fee (see #6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. °TM' cucu•...cT 17. 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or +,oR „•4� sN."'�; s74o K a Information MMAR s ee p ACCOUNiSp ___4_`_ "^R c +W xu +x Delivery Fee as described in your T &C. Only one of these fees Payment stub pAi iHS wN* PP Y AM will apply to each account The fee that ap Y tries to our account $140 s.«. Rn^^m' R Nn. n ra m m nt ACCOUNT NUMBE# 00 is stated on the front of the invoice. For further information lease u 00 a4s67to Mr. ENnosro p lease NUMBER BILLING OM visit the website listed below or contact our customer service 123456799 ao1 Ge a p sub 04282712619 9003.1049 2004 16 Amount due 7. As a food p bottled water is sub�ecl to the rules and regulations promulgated by the Federal Food and Drug c Administration(FDA). Ice MOU+4rA,aw ^TE c°�" �4 �y I... S, a0000 z1 e• S. Your first invoice indicates the products delivered on your first ALL A9o.nveea Submit your delivery, along with any applicable bottle and account deposits, "T°"o t t�'t a m Y eht b this a ,aM ese� t.aw>,.a,.ol., n ^aa,.I. bout e`Tt AI^ Y redemption fees, and any dispenser charges. All future invoices A• a.>a0rr R" w date will reflect charges for water delivered and dispenser rental, bottle deposits and credits plus charges for any additional products a J l 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 .,....M:.,•.- two deliveries. 2008 lce Mountain Spring Water Company, a Division of Nestl6 Waters North America Inc. Form No. NW 709 11 /08 service. icemountain.com CSV- service.icemountainwater.com p M— 215 6661 DIXIE HWY, SUITE 4 09/01/10 09/30/10 0010120095351 M E W LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED a TUE- 19 0120095351 NOV WED- NOV 17 MON- DEC 20 CARMEL CLAY PARKS AND REC DEPT, Customer Service:.1 800 -472 -9888 AUDREY KOSTRZEWA Thank you for choosing Ice Mountain Home Office 1411 E 116TH ST Delivery! We value your business. CARMEL IN 46032 -3455 Ilri��llu�l�l�r�r�lrlrl��lrlrl�rlrl�rrrl�n�rlulrl�l�l�rlrn�' W °AVAILABLE :Homemade goodnes In a bottle! 1 /q 0 ganlc SWeet Leaf Tea In,OHglnal ?Sweet Tea 12 er:c se. C_ 1,t_ 0 -472 =9888 or vlstt` ervlce Iceniounta n nrater:com�for ar�rlemonade, 16oz�glass Mottles; p our,��offspeciall ,Offerexp res 1 %31N0g`e Aw r .a a y a ACCOUNT ACTIVITY Pay your bill online at: service. icemou ntai nwater.com or by phone at:1- 800- 472 9888. It's free! Delivery address: P CARMEL CLAY PARKS AND R DEP 1427 E 11 UTH ST CARMEL IN 4 PREVIOUS BALANCE 98.08 9126 635637 PAYMENT -THANK YOU -98.08 9120 0690272521 4 5 GAL ICE MOUNTAIN DRK W /HANDLE 15.96 2 9 OZ PLASTIC UP 50C/SLEEVE 5.98 BOTTLE DEPOSIT: 4 CHARGED, 7 CREDITED -18.00 9130 0693105363 1 OIL/FUEL SURCHARGE 2.28 19761472 RENT D 4� �p 9.98 Purchase TOTAL 16.20 Description LE�y 1177 d P.O. PorF r G. L, 11 J-Lj:�F (p 90D Bud Budget Line Descr 21- CO77fY (7 VCS Purchaser Date__ APproval Date ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT 1 ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT q Subject to terms on reverse side. 98.08 98.08 16.20 16.20 BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL, OR FOR I 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 UWY., SUITE 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 later than thirty (30) days You we SAMPLE I sent you the first bill on which the he You error or problem appeared. 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, r��r 34sb,ava Your Account Number You do not have to pay the disputed amount while it is being omoom oolooroo investigated. During the investigation, we cannot report your account 2'a56ra as delinquent or take any action to collect the amount in question. Nn o a M oN -oa =9 Watch here for a GENERAL INFORMATION 'm 0K or -DEC'e personalized account 1. Payments received after the billing (INVOICE) dale will appear on Important 14a.: ItMl11 „[Nbh.,tllldda6 "dild••ILaJdO cu „omel s' M e 00 P'o P88B message your next invoice. Past due invoices (not paid within 30 days of news and billing date) may he assessed a late fee as allowed by law not to offers ,nM ms exceed S20 permonth. Additionally, third party colleciioiVattorney c Ys c6 it +tu u tillA a t ,roawa expenses may be assessed at a rate not to exceed 100% of the x ,�.-a- unpaid balance or the maximum allowed by law y Pay electronically 2- Each returned check is subject to a service charge subject to the t; maximum check return charge allowable in your State. Y Make Sure this 3. All bottle and equipment deposits are shown as CURRENT Activity amount has been since your AccourrAC ACTIVITY. IVI” p1A oaoo 4. Equipment replacement costs will be charged for bottles lost, al yAea,e i r "e n paid In full t0 last invoice stolen, damaged or not returned. �I. a as avoid late fees P�eY� S. In accordance with NWNA's Terms and Conditions "T &C your �r3, .bless wrm• Thakv« Saoo S SGall^n Nalu•al5p,tn9W11e1 OW Itl 31,8851aM4 Ice ManrcaiaS Wl cepor 393 Equipment Lease andlor Service Agreement account may be „eBS a sw1A el m:.:' nss Monthly Oil p91n 31Bge}IdM• g Sv2Na+^e subject to minimum monthly purchases and/or early cancellation o Surcharge Fuel 9nz 3 fees. (A complete version of the currentT &C may be viewed on the �?'I= I� s Surcharge or Delivery webstic listed below) Upon service discominuation, rent for the TrnAf Fee (see #6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. s°. a` 6. You will be charged a month) Oil Surcharge, Fuel Surcharge or M „+*rml "T Coe 57.40 Information .Av Delivery Fee as described in your T &C. Only one of these fees Payment stub AccouNT suMMAay PAY TXIS AMOD will apply to each account. The fee that applies to your account ,mow•- ml Accon,o llllii PAY BY o0 va9 is stated on the front of the invoice. For further information lease ,z3as5s Mr. ENaosrD P INVOICE NLl MBE0. BILLING DATE visit the website listed below or contact our customer service ooi ]3a53'89a center. 200'1 l� T As a food product, bottled water is subject to the rules and o'etaq aos usee2vr2sty 990391.049 '3 Amount due regulations promulgated by the Federal Food and Drug 1,1^ 8 Administration (FDA). Ice MOU nnN waTr cvMPANV -.i Ys,ie `-40000 8. Your first invoice indicates the products delivered on your first 0 z -saes Submit your ...,.wecus SrEVIauulaoo�� by this redemption ees, and an delivery, along with any applicable bottle and account deposits, ,tl,...ti,•l1Putt;,p•4tk,bd "u „a �,o "ae,e.,es�a_ P ayment dispenser charges. s P Y P enser ch g es. All future invoices- u,oPA +nw `5ie i 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 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 11108 service.icemountain.com a'e 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 1015110 10120095351 Drinking water cooler Maint 16.20 10!5110 110121202766 Drinking water cooler MCC 49.$7 Totall 66.07 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 Voucher No. Warrant No. 051125 Ice Mountain Allowed 20 P.O. Box 856680 Louisville, KY 40285 -6680 In Sum of 66.07 ON ACCOUNT OF APPROPRIATION FOR 101 General 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 10120095351 4350900 16.20 1 hereby certify that the attached invoice(s), or 1091 110121202766 4350900 49.87 bills) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 7 -Oct 2010 S fLL!LjZV Signature Is 66.07 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund s e ry e ce. i cemou ntai nwate r. c om m 215 6661 DIXIE HWY, SUITE 4 09/01/10 09/30/10 0010121776199 p A LOUISVILLE KY 40258 g MIF am ADDRESS SERVICE REQUESTED R ��I� I I���� I I I I I I 0 N MON- NOV 25 0121776199 TUE- NOV 23 MON- DEC 27 CITY OF CARMEL HUMAN RESOURCES Customer Service: 1- 800 -472 -9888 JIM SPELLBRING Thank you for choosing Ice Mountain Home Office 1 CIVIC SQ CARMEL IN 46032 -2584 Delivery! We value your business. w NO�l1 AViAlLAB1�3=... Homea6de�goodness In a bo4tte+ X900% Organic Suvee Leaf Te m�Orlginal SwieeU,Tea and Lemanatle, 1,6oz glass bot4ies, 92 per case:. CalE,8.00- At72- 9888�or vtsltwser�Ice.ICemoun4a nWater I.. oUr $2 ofil.spec4!! Offer eiepires "90139190::" 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, 1 CIVIC SQ, HUMAN RESOURCE DEPT, CARMEL IN 46032 PREVIOUS BALANCE 33.97 9126 635639 PAYMENT -THANK YOU -33.97 9124 0691331474 1 5 GAL ICE MOUNTAIN DIRK WIHANDLE 3.49 1 9 OZ PLASTIC UP 50CISLEEVE 2.99 BOTTLE DEPOSIT: 1 CHARGED, 0 CREDITED 6.00 9130 0693087942 1 OIL/FUEL SURCHARGE 2.28 19739187 RENT 3.99 TOTAL 18.75 Q a oc� 1 2010 By ACCOUNT SUMMARY 'PREVIOUS BALANCE PAYMENT 1 ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT 2 Subject to terms on reverse s1de. 33.97 33.97 18.75 18.75 BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER IN CASF 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, PLF,ASF 2, Remember, if you are renting equipment, your equipment rental is Charged one month in advance. That means CALL 1 -800- 472 -9889 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 WA'T'ER 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 40256 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 SAM 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. You do not have to pay the disputed amount while it is being r oolomoo- oofootoo 1234567a90 Your Account Number investigated. During the investigation, we cannot report your account 1 456799 as delinquent or take any action to collect the amount in question. ran ocr m Mon 19 Watch here for a GENERAL INFORMATION wEaao9 tur -oE� personalized account 1. Payments received after the billing (INVOICE) date will appear on Important message 14 apa .,a „alga seM MW ^v� ^.0 your next invoice, Past due invoices (not. paid within 30 days of news and rn.nRr��t�' billin date m be assessed a late fee as allowed b law not to 1 °nnooe jo g Y Y offers 0115 s exceed $20 per month. Additionally, third party collection /attorney cns,a, 00000 I.da�tN at It at,tl.4tl ,h „4444J..t1 expenses may be assessed at a rate not to exceed 1004 0 of the unpaid balance or the maximum allowed by law. s asu�d°s° p °9 Pay electronically r9i"vaavrz 1 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 V a a x, amount has been ACTIVITY. since your Ace kJ nncnvlr o0 3 s �al,ys,a,e0000a aid in full to 4. Equipment replacement costs will he charged for bottles. lost, last invoice celwenAdd�°s p stolen, damaged or not returned. mu.eaiance 4245 avoid late fees p 5. In accordance with NWNA's Terms and Conditions "T &C your X 13, ama9P 5'�aii ^�aa�•a�so ef p 0° rt)eas'sw4 S IceMwna��5Ga16epasR, >'M Equipment Lease and/or Service Agreement account may be r,]ses,.ra4 s RMWn sG,IReoum u.99 Monthly Oil sub to minimum month) p urchases and/or ear] cancellation 09 ;;a r" 1 Y n Y is rbras, Surcharge, Fuel fees. (A complete version of the currentT &C may be viewed on the 0 Surcharge or Delivery website listed below) Upon service discontinuation, rent for the mru Fee (see 96 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 ,.movsMw+eE _v. ns4 s mK a.«M. a•' SUMMAR esc your Delivery Fee as described in your T &C. Only one of these fees Payment stub nccouvrr J- -o .p, e .ean•_._ x PPVT57.0 UNT will apply to each account. The fee that applies to your account eccoul+rluuMerR PAY Sy s „o aoraotoa is stated on the front of the invoice. For further information please ,ar4se]a90 RIwNC O are MT.rNaoseo INVOICE NUMRER 00100100 visit the website listed below or contact our customer service ue4 1 CC a p J pY2DO9630'1 9V2B2712639 006391049 2ae4 SE 7. As a food roduct, bottled water is sub to the rules and Amount due regulations promulgated by the Federal Food and Drug n o« Administration (FDA). IcrMOUNrn,N`"arEncoMVnNV I iz3M "n s, .o,.+.aN�Rw.,..a�.,,.,r.l.�. crcr,s,ace a0000 8. Your first invoice indicates the products delivered on your first Submit your cv :roMER SExmcvcx „aoo„v-9asR delivery, along with any applicable bottle and account deposits, v p ayment b' this 4 „a.� ^m..a4 n.ta 4a461 ,4a a p °w n P J 5 redemption fees, and any dispenser charges. All future invoices ,u date will reflect charges for water delivered and dispenser rental, bottle sw uv�oR,AErnumvnn s9�wR�„ "ma,++n• 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 1/08 service. ice mountain. corn VOUCHER NO. WARRANT NO. ALLOWED 20 Ice Mountain IN SUM OF PO Box 856680 Louisville, KY 40258 18.75 ON ACCOUNT OF APPROPRIATION FOR Carmel Administration PO# Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board Members 1205 1 0010121776199 I 42- 390.99 I $18.75 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 Monday, October 11, 2010 Director, Administration 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)) 09/30/10 1 0010121776199 $18.75 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 4f ll service. icemountainwater.com 215 6661 DIXIE HWY SUITE 4 09/01/10 09/30/10 0017220327048 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII MON_ OCT 25 7224327048 TUE- NOV 23 MON- DEC 27 CITY OF CARMEL OFFICE OF THE CLERK TREASURER Customer Service: 1- 800 472 -9888 ANN DAVIS Thank you for choosing Ice Mountain Home Office 1 CIVIC SO Delivery! We value your business. CARMEL IN 46032 -2584 III' II' I' I IIII' II I I I I III[ I I' Ien 'II'IIIII "I "II'IIIIIIII NSW AVAII TAME Homeri7ade gaodriess m�a.bottfe� 10q /a':4rganic Sweet�Leaf Tea m Orlgtnal Sweet Tea. I z e 72 e T d anderiionade,16oz glass Eiottles, =12 percase. Ca1180Q- 4: -9888 or vlslt se rvice icemountainv►►atercorn oulr $2 ofF >speclalt Offer exp�es 1 ©!3111© m g oar .q. ACCOUNT ACTIVITY Pay your bill online at: service.icemountainwater.com or by phone at:1 -800 -472 -9888. It's free! B' A l3 Delivery address: CITY OF CARMEL,1 CIVIC SO, CLERK TREASURER OFFICE, CARMEL IN 46032 PREVIOUS BALANCE 15.74 9126 635638 PAYMENT -THANK YOU -15.74 9124 0691331706 1 9 OZ PLASTIC UP 50C /SLEEVE 2.99 2 5 GAL ICE MOUNTAIN DRK W /HANDLE 6.98 2 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00 1 5 GALLON ICE MOUNTAIN DEPOSIT RETURN .00 9130 0693199986 1 OILIFUEL SURCHARGE 2.28 19774070 RENT 3.99 TOTAL 16.24 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRE ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 15.74 15.74 J 16.24 J 16.24 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 WATFR QUALITY AND INFORMATION, PLEASE 2. Remember, if you are renting equipment, your equipment rental is charged one month in advance. That means CALL 1 800472 9888 OR WRITE US AT: your first invoice will include °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 SAM INVO 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. 121a567s90 Your Account Number You do not have to pay the disputed amount while it is being t 00100100 0 investigated. During the investigation, we cannot report your account r 23a5e789 as delinquent or take any action to collect the amount in question. ,.tON -ar =9 Watch here for a w a acv 21 GENERAL INFORMATION aK15 personalized account I. Payments received after the billing INVOICE date will appear on Important 0.n„ dp „nptltlbl.•II01ltiG °1t18 „6:Add8 °,3001•* u =-98 Ym invoices (not paid within 30 days of news and PP MW6, message your next invoice. Past due invoic °w °A°9'�• billing date) may he assessed a late fee as allowed by law not to Offers I i a S' °'y tt cry s 1 exceed $20 per month. Additionally, third party collectioniattorney expenses may be assessed at a rate not to exceed 100% of the "�p r unpaid balance or the maximum allowed by law. g--^ s N „asy "�"y„'n"" Pay electronically 1 Each returned check is subject to a service charge subject to the teem wrtyx9tP'+�' maximum check return charge allowable in your State. Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity ACTIVITY. amount has been since our ACCOU"r 4. Equipment replacement casts wit! be charged for bottles lost, y 0A ,yAad ion "'z1rysa�° paid in full to last invoice stolen, damaged or not returned. s avoid late fees 5. In accordance with NWNA'sTerms and Conditions "T &C your g6W9a va9«• 1„���ispn °9wa� wm 3 17sea,en4e c.im° Equipment Lease and/or Service Agreement account may be °s icewsu g Y n, 3neaslaa^^ s i 1•,�acain•iw .99 Monthly 0i1 subject to minimum monthly purchases and/or early cancellation Surcharge, Fuel fees. (A complete version of the currentT &C may be viewed on the o9!" 166°0" s Surcharge or Delivery website listed below) Upon service discontinuation, rent for the r°ru_ Fee (see #6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. *TM 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or T Information w3c. °....f,.1� i.sa Deliver Fee as described in our T &C. Only one of these fees Payment stub ACCOUNT SUMMARY 11.99 Y Y Y Y RAY THIS AMOUNT rnr ar will apply to each account. The fee that applies to your account AccouNr uurnarx n.4o is stated on the front of the invoice. For further information please las6ra9 a ��`p M ._wccosev INVOICE NUMBER W100�00 visit the website listed below or contact our customer service 12 3456=890 center. F sub 04262712619 000391049 2004 16 7. As a food product, bottled water is sub�ect to the rules and Amount due regulations promulgated by the Federal Food and Drug °6 °0« Administration (FDA). Or�Me aNrP1N WATER COMMe -ANi� C7Mtace 00000 8. Your first invoice indicates the products delivered on your first Submit your delivery, along with any applicable bottle and account deposits, a wgCpS r ment by this cn 9 naw�xsm° t, aaa„ redemption fees, and any dispenser charges. All future invoices „aona °.v° date will reflect charges for water delivered and dispenser rental, bottle ❑sxw un.oa,�4e w,ovaTisn•0n w9�� 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 1l /08 service.icemountain.com 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)) 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 1 �j� L1.1 ✓�li� v __u�al U 4CA6 WA (Lr" 4 ON ACCOUNT OF APPROPRIATION FOR n 4 46 0 19 ooj �01 Board Members PO# or INVOI E NO. ACCT# /TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or (p, 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 r t y 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund