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Home My WebLink About191688 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1 0 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CHECK AMOUNT: $12.75 CARMEL, INDIANA 46032 PROCESSING CENTER roa PO BOX 856680 CHECK NUMBER: 191688 LOUISVILLE KY 40285 -6680 CHECK DATE: 11110/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1701 4239099 OOJ722032704 12.75 OOJ7220327048 I cervice.icemountainwater.com 0 H ammil we lm AM A� A 215 6661 DIXIE HWY, SUITE 4 10/01/10 10/31/10 OOJ7220327048 0 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED II I I II I IIII I IIII I I I I I I II 1 III TUN- 23 7220327048 DEC MON- DEC 27 WED- JAN 26 THU- FEB 24 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 SQ Delivery! We value your business. CARMEL IN 46032 -2584 I��I�Illl�l�t�l��ll�li' III' I�!" �I'IIIII�IIII��III�II��I��J�lll -NA1av NOW AVAILABLE Homemade goodness�tn a bottle'! 1UQ n'c Sv+ieet�UeafTea tn�Original Sweet Teak r. d Lemonade,.16oz er -case Call 800472 =9888 orvtsit semce ice an mountainwater.comfor glass #�ottles,�12 p ur $2 off sp`e`cialf iQffer expires 1:©1 4 mM. ACCOUNT ACTIVITY Pay your bill online at: service. icemou ntainwater.com or by phone at:1- 800 -472 -9888. it's free! D elivery address: PREVIOUS BALANCE 16.24 10/24 780963 PAYMENT -THANK YOU -16.24 10/25 0695576926 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 10/31 0697582328 1 OIL/FUEL SURCHARGE 2.28 J9913754 RENT 3.99 TOTAL 12.75 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 16.24 16.24 12.75 12.75 BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVI; _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 hater than thirty (30) days after we SA MPLE I NVO ICE 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. taT4se7e Your Account Number You do not have to pay the disputed amount while it is being l Uweoloo. o °!o °Too investigated. During the investigation, we cannot report your account ]345673 as delinquent or take any action to collect the amount in question. n R p moNoa z9 Watch here for a GENERAL INFORMATION wE "E t1 0[x ,9 personalized account 1. Payments received after the billing (INVOICE) date will appear on Important p, q 1n: pl, dngdl „nd,lU c f "no 11.i a 'm W.— message your next invoice. Past due invoices (not paid within 30 days of news and T N 11- 9 billing ate m be assessed a late fee as allowed b law not to °n"o°e inds��`•' g 7 Y Y offers 113 M "s c,r s,a,e ooa°o exceed $20 per month, Additionally, third party colhection/auorocY i ddt„d nl n dt.,n u „I,t,t,t.J.n expenses may be assessed at a rate not to exceed 100% of the unpaid balance or the maximum allowed by law. ,+*"ak P """s Pay electronically T"f a4P 4 9eT: 2. Each returned cheek 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 ACTIVITY since y our pCCOUN7 ACT v amount has been iTy P' 4. Equipment replacement costs will be charged for bottles lost, °�u.e,vndaHS- torn 00°p° 1 ,.99 paid in full to last invoice z stolen, damaged or not returned. pey,glyR +Ia "�a. 42.45 avoid late fees Parmsn, mankv"a 5 o.9e 5. In accordance with NWNA's Terms and Conditions "T &C your oarT, 4Me9s a,,bnNa, "sac"n9w•,., oR" ui ment Lease and/or Service Agreement account may be npaes,4 s la n,ams� =)Dews' q P b y n1 3veezl a ,,msea, 0.99 Monthly' (711 E subject to minimum month) 09 r" ;a� y p urchases and/or early cancellation 99r, s,�R„ R." Surcharge, Fuel fees. (A complete version of the current T &C may be viewed on the o9nT. "ba0' n.4a Surcharge or Delivery website listed below) Upon service discontinuation, rent for the To,4E Fee (see #6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued ,.Rr•m 0 s "'"°I1— „r,,, 6. You will be charged n monthly Oil Surcharge, Fuel Surcharge or P°q ,,P R°. 5,4 Information T SU ARY MM Delivery Fee as described in your T &C. Only one of these fees Payment stub ACCOUN ..0. -JJ— WBY PAY TNISAMOU Payment will apply to each account. The fee that applies to your account ACCOUNT NUMBER ^tl .hum V•Y pi 0060!00 is stated on the front of the invoice. For further information please 57390 a ,"NC OAre MT.ENaosE° INVOICE NUMBER 00 visit the website listed below or contact our customer service ,zt4s57390 .0s' center. 7. As a food product, bottled water is subject to the rules and 04209 0"2527 L26t9 0°03930 V9 2pp9 y2 Amount due regulations promulgated by the Federal Food and Drug nn oce Administration (FDA). IeE ouNTANwPTE��„ 1 c „ysca 8. Your first invoice indicates the products delivered on your first •o Submit your aymentb y delivery, along with any applicable bottle and account deposits. dl R[uSTOMER St9,[E 80 '9088 this tmdtlb. J. nh� ..,.mi4.dt "6n date v�m,Pmel"+ne•on Nr�+•4x.. redemption fees, and any dispenser charges. Alt future invoices 5 will reflect charges for water delivered and dispenser rental, bottle s” °P EOA E9Eew.ovP 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 wilt reflect two deliveries. 2008 Ice Mountain Spring Water Company, a Division of Nest16 Waters North America Inc. Form No. NW 709 1 1 108 service.icemountain.com �Nq_ 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. r �Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) .�15 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 ON ACCOUNT OF APPROPRIATION FOR Board Members Po# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or A 75 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 Signature kAvw Cost distribution ledger classification if Title claim paid motor vehicle highway fund