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Home My WebLink About193130 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1 j ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CARMEL, INDIANA 46032 PROCESSING CENTER CHECK AMOUNT: $3.99 PO BOX 856680 CHECK NUMBER: 193130 LOUISVILLE KY 40285 -6680 CHECK DATE: 12/22/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4239099 OOK012177619 3.99 OOK0121776199 se rvi ce.i cemou ntai nwate r. c om 215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED e L q k MON- DEC 27 0121776199 WED- JAN 26 THU- FEB 24 FRI- MAR 25 CITY OF CARMEL HUMAN RESOURCES Customer Service: 1- 800 472 -9888 JIM SPELLBRING 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 IIIIIII' IIII' IIIIIIII�IIIIIIII "III'IIIIIIIII111IlIlII "IIIIII convenience, pay online: icemountainwater.comfservice. If payment has been made, we thank you. z, A °Ice Moun #a�n`D�rect w to providing you with the tverybest products,and'servlces Please beradvlsed that yournezt lnvo�ce w ll reflect a nom nl al price; =atljuslment for some of your o"iceiand;coffee a pr oductsjha"nk y06 Our in ACCOUNT ACTIVITY Mo-n amwater Porn or by PREVIOUS BALANCE 18.75 11130 K0017910 RENT 3.99 TOTAL 22.74 i f 20 2010 U ay ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT I ADJUSTMENT CURRENT ACTIVITY PAY a Subject to terms on reverse side. 18.75 0.00 3.99 22.74 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. 9216 If you prefer, you can pay your bill online at service.icemountainwater.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 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 your bill that are not in question. a .3456790 Your Account Number You do not have to pay the disputed amount while it is being f oorooroo tloloclo➢ investigated. During the investigation, we cannot report your account r as delinquent or take any action to collect. the amount in question. INR oa 0 tzaasaza4 MoN -«r 14 Watch here for a wEP Na+ z, GENERAL INFORMATION personalized account 1, Payments received after the billing INVOICE date w a ear on Important ape 4,x 996E Y g( dt ill PP qq,; ainylNtfllWpatt ,toun.tiib•tt,naak your next invoice. Past due invoices (not paid within 30 days of news and mess oce TaeunIX °"a "e M° w°auan g billing date) may be assessed a late fee as allowed by law not to offers p �i3M "s' exceed $20 per month. Additionally, third party collectionlattomey Gry s re ooaoo t.Jaa 0.6 dt di, At L9 L 66LI a•a. expenses may be assessed at a rate not to exceed 100% of the unpaid balance or the maximum allowed by law. Ye�dn L e asta'�""' u, Pay electronically 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 amount has been ACTIVITY. since your ACCOUNT ACrlym Ma Gry,S,at amoo6 paid in full to 4. Equipment replacement costs will be charged for bottles lost. �u A da,«sm )0h "ooe',z3 s news last invoice stolen, damaged or not returned. p n;,�kre„ som avoid tote fees 5. In accordance with NWNA's Terms and Conditions T &C" our ae,esR P a a0 ),y oen s sea bn Nary „sp ew sow ltl )1)88514aaa Ice Mwnaa n 5 Gal VePOS� Equipment Lease and/or Service Agreement account may be „�,a.aa s nsc ,i w< „�n x t sa Monthly Oil V4111 31- /E95,rM "V F a subject to minimum monthly purchases and/or early cancellation w x 3,e,b3aeu R ,s Surcharge, Fuel fees. (A complete version of the currentT &C maybe viewed on the 510 Surcharge or Delivery website listed below) Upon service discontinuation, rent for the 30TA1 Fee (see #6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. 6. You will be charged a month] Oil Surcharge, Fuel Surcharge or ;�„g Information') g Y S g y Deliver ee as described in ourT &C. On one of these fees P stub AccouNrsuNlrAAav u ry y y y ,c ce pAT T111 AMOUNT a u w p. ACCOUNT NU—ER PAV BV will apply to each account. The fee that a Eies to our account 4 N".”' ,�)456I6 Mr.'ENCLOSEO is stated on the front of the invoice. For further information please ia p r aicE NUMarR e,uwc DATE visit the website listed below or contact our customer service 1234567840 oorwiry center. P sub OV26a712611 a➢a391a49 2004 18 7. As a food product, bottled water is subject to the rules and Amount due regulations promulgated by the Federal Food and Drug t "nn ox Administration (FDA), 17 s;ie 0" S. Your first invoice indicates the products delivered on your first Submit your oR OSTO MLasarvKE�a ,-00° p$98 delivery, along with any applicable bottle and account deposits, payment b this maw a on a•...YS� t. d6a "d•tt6wat,w.n dl «La..L.L6LLJ „6 p redemption fees, and any dispenser charges. All future invoices date vr.+ uP• onlr4a .u�P6�s;, "OpRe4,:.•6a, 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. f=orm No. NW 709 1 1/08 .]r serVice.icemountainwater.com 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 /TITLE AMOUNT Board Members 1205 0121776199 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 Monday, December 20, 2010 Director, XdministratXn 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)) 12/22/10 0121776199 $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