HomeMy WebLinkAbout193448 01/05/2011 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1
0 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CHECK AMOUNT: $24.20
CARMEL, INDIANA 46032 PROCESSING CENTER
a PO BOX 856680 CHECK NUMBER: 193448
LOUISVILLE KY 40285 -6680
CHECK DATE: 1/5/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 OOL011925282 24.20 OOL0119252823
service. icemoun tai nwater.com i O
215 6661 DIXIE HWY SUITE 4 11/13/10 12/12/10 OOL0119252823.
LOUISVILLE KY 40258
ADDRESS SERVICE REQUESTED
11f1l1111'11I11I1H1HII �I I� MOD- DEC 27 0119252823
WED- JAN 26
THU- FEB 24
FRI- MAR 25
CITY OF CARMEL STREET DEPARTMENT Customer Service: 1- 800 -472 -9888
BONNIE CALLAHAN Thank you for choosing Ice Mountain Home Office
3400 W 131 ST ST Delivery! We value your business.
CARMEL IN 46074 -8267
Special deNvery dust In.tlme for the holidaysl For ailmited time yota scan save $3 per cafe on Variety-of, ur m
'.Pe!legr rlo Perrier >Acqua;Panr a lzeuerages::fag` er lre.igemou,ntalri at r cow al c 11 X00 -Q72 -9
to adtl toEyour r Xk ier
or to l y Qffepeirpir4_ 2/,3.1 10
Alp
MI, Ak—
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 STREET DEPARTMENT, 2 CIVIC SO, CARMEL IN 46032
PREVIOUS BALANCE -14.01
11117 0699530143 3 5 GAL ICE MOUNTAIN DRK WIHANDLE 10.47
3 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 18.00
2 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -12.00
6 9 OZ PLASTIC UP 50C /SLEEVE 17.94
11123 0699766713 1 5 GAL ICE MOUNTAIN DIRK WIHANDLE 3.49
1 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 6.00
2 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -12.00
12112 0703684456 1 OILIFUEL SURCHARGE 2.32
L0189006 RENT 3.99
TOTAL 24.20
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT
Sr Subject to terms on reverse side. -14.01 0.00 38.21 24.20
BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER
IN CASH 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- 800472.9888 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, If you
#216 prefer, you can pay your bill online at service. icemnu III tainwater,com
6661 DIXIE E, KY SUITE 4 4, Never hesitate to call us with comments, questions, or concerns.
LOUISVILLE, KY 40258 q
If you think your bill is wrong, or if you need more
information about a transaction on your bill, write us on a separate SAMPLE INVOICE
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 telephone us, but doing Date range of this invoice
so will not preserve your rights. In your letter, give us the following
information:
Your name, address, telephone and account numbers. =xaase]avo
The dollar amount of the suspected error. c oorooroo- oorooroo
Describe the error and explain if you can, why you believe there is rz3as5r990
an error. TM" -ar
Your Account Number
You are obligated to pay the parts of your bill that are not in question. wroaa•'
NE- OEC ,a
You do not have to pay the disputed amount while it is being ow.] =.vxse
investigated. Dunng the investigation, we cannot report your account 1 6t1:;, nw �tkEd11!!• t.• ]kb l >ny tea uu ��;a��, �M ^�v' ^P'°"""' Watch here for a
as delinquent or take an action to collect the amount in question, *n
q y s3 M,i s
ra.ss• personalized account
GENERAL INFORMATION Important t ,,ua,mw +4w'.`'�s' "su"`fn
t message
1. Payments received after the billing (INVOICE) date will appear on news and^°° yay
your next invoice. Past due invoices (not paid within 30 days of offers .��n`a«
billing date) may be assessed a Tate fee as allowed by law not to paTawvw p
exceed $20 per month. Additionally, third party collection /attorney K.- �,w „a,;,,,.v Pay electronically
expenses ma y be assessed at a rate not to exceed 100% of the T ,ww -mow
UNTAR��m
unpaid balance or the maximum allowed by law. pCCO cm.s�tgpp00 Make sure this
2. Each returned check is subject to a service charge subject to the ount has been
maximum check return charge allowable in our State. Activity' s
g Y
since your paid in full to
3. All bottle and equipment deposits are shown as CURRENT osn r mss s ,i,
ACTIVITY. last invoice u- soeas 'Ate:(' avoid late fees
wnz nie:eamu wKn••n
4. Equipment. replacement costs will be charged for bottles lost,
stolen, damaged or not returned. m u Monthly Oil
5. In accordance with NWNA's Terms and Conditions "T &C your m a Surcharge, Fuel
Equipment Lease and(or Service Agreement account may be s+
ter— }r m
subject to minimum monthly our new Surcharge or Delivery
thly purchases and /or curly cancellation surxMpar s 'C"- ^'�,f,��
fees- (A complete version of the current T &C maybe viewed on the delivery pGCOU-
u^�^"u""`' Fee (see #6 under
yam "General
website listed below) Upon service discontinuation, rent for the calendar, pelNeries
Leased Equipment is charged through the end of the billing cycle •D• indicates °°^m' 5 Information')
in which service is discontinued •^o',t
6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or a scheduled r „'o ;;o'p m
delivery
Delivery Fee as described in your T &C. Only one of these fees
will apply to each account. The fee that applies to your account
is stated on the front of the invoice. For further information please N o;, M Si
visit the website listed below or contact our customer service
center. Payment stub nw °x
7. As a food product, bolded water is subject to the rules and :>"wr^^' pccou*nnu^^nrrt 0000l� Amount due
regulations promulgated by the Federal Food and Drug H�MarA e p t ,NC °prs xa°sro
0=3456]690 �Ol00IW
Administration (FDA).
8. Your first invoice indicates the products delivered on your first
delivery, along with any applicable bottle and account deposits, a42ett9IN7 i9 ooagq}pv9 p °oeio Submit your
redemption fees, and any dispenser charges. All future invoices will 1 ^n ^off payment by
reflect charges for water delivered and dispenser rental, bottle ��0° this date
deposits and credits plus charges for any additional products •mod w^.. u•rus,w•E +srm'rEC^u''80""'A�
ordered by you. Deliveries are made every three or four weeks, for t ;,ly,�,a.tpt»�??�at•'aa'p'�"'� 0 a�^'+�w^ge
a total of 16 -17 deliveries per year. You will only receive invoices s r+uvFO•'A'- r""O°"
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 708 5108
service. icemountai nwater.Com
VOUCHER NO. WARRANT NO.
ALLOW ED 20
Ice Mountain
IN SUM OF
P. O. Box 856680
Louisville, KY 40285 -6680 NA
$24.20
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 OOL0119252823 42 389.00 $24.20 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
n Mond�YJa#�y 03, 2011
Ul;
Street CommissioneP
71ree_ �Tlle missicner
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Farm 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))
12/16/10 OOL0119252823 $24.20
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