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Home My WebLink About193795 01/19/2011 CITY OF CARMEL, INDIANA VENDOR 051125 Page 1 of 1 0 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CARMEL, INDIANA 46032 PROCESSING CENTER CHECK AMOUNT: $209.33 PO BOX 856680 CHECK NUMBER: 193795 o LOUISVILLE KY 90285 -6680 CHECK DATE: 1/19/2011 DEPARTMENT ACCOUNT PO NUMBER INV NUMBER AMOUNT DESCRIPTION 2200 4239099 OOL012004852 13.96 OOL0120048525 1125 4350900 OOL012009535 42.22 OOL0120095351 1091 4350900 OOL012120276 89.81 OOL0121202766 1205 4239099 OOL012177619 3.30 OOL0121776199 920 4239099 OOL012220610 47.25 OOL0122206105 1701 4239099 OOL722032704 12.79 OOL7220327048 D service.icemountainwater.com 215 6661 DIXIE HWY, SUITE 4 12/01/10 12/31/10 OOL0120048525 &9 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED WED- JAN 26 0120048525 THU- FEB 24 FRI- MAR 25 TUE- APR 26 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 CARMEL IN 46032 -2584 Delivery! We value your business. "I" III` I' I"" IIIIIIII` lil' ll" II'IIIIIIIIIIIII�I�IIII'IIIIIII tom. 7 017 777777%, Special detivery dust In time foriMi Far a Ilmited time you can sane $3 per case on.a�variety of our S!P elleg Plno; _,__I,, Acqua Panna beverages I_og¢ nto service icemountainu� titer com or ca11800 =472 -988$ ;3 to- hddApo Your r�xt or er t�odayf C3ffer experes .tea- r ACCOUNT ACTIVITY Pay your bill online at: service.icemountainwater.com orb phone at:1- 800 -472 -9888. It's free! Delivery address: CITY OF CARMEL, 1 CIVIC SQ, CITY ENGINEERING DEPT, CARMEL IN 46032 PREVIOUS BALANCE 31.41 12110 029417 PAYMENT -THANK YOU -13.96 12124 096831 PAYMENT -THANK YOU D-17.45 12127 0704147701 2 5 GAL ICE MOUNTAIN DIRK WIHANDLE 6.98 2 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT n .00 2 5 GALLON ICE.MOUNTAIN DEPOSIT RETURN .00 1 9 OZ PLASTID UP 50C/SLEEVE i 2.99 12/31 L0164320 RENT 1 3.99 TOTAL 13.96 G IC IVEEp c6 Se ZZ ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT I ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT S Subject to terms on reverse side. 31.41 31.41 13.96 13.96 M p� Iduy D e89Ver9e5 ACCOUNT NUMBER: 0120048525 Customer Service: 1- 800- 472 -9888 service. icemountainwater.com S Ilua[y 2 e44uuaa _Kppp_�,20 pri 20 Ma. 201 Jun 1 rai 1 1 2 3 4 5 1 2 3 4 5 1 2 1 2 3 4 5 6 7 1 2 3 4 2 3 4 5 6 7 8 6 7 8 9 1011 12 6 7 8 9 10 11 12 3 4 5 6 7 8 9 8 9 1011 12 13 14 5 6 7 8 9 10 11 ,x 9 10 11 12 13 14 15 13 14 15 16 17 18 19 13 14 15 16 17 18 19 10 11 12 13 14 15 16 11� 15 16 17 18 19 20 21 12 13 14 15 16 17 18 16 17 18 1920 21 22 2021 2223 25 26 20 21 22 23 24 (D 26 17 18 19 20 21 22 23 22 23 24 26 27 28 1920 21 2223 O 25 23 24 25 0 27 28 29 2728 27 2829 3031 2425 t] 27 28 29 30 2930 31 26 27 28 29 30 i uguat2A 3 SeRtembe�201�1 ctabeL2.0a1 S _ovember-20,11 December_ 1 2' 1 2 3 4 5 6 1 2 3 1 1 2 3 4 5 1 2 3 3 4 5 6 7 8 9 7 8 9 10 11 12 13 4 5 6 7 8 910 2 3 4 5 6 7 8 6 7 8 9 10 11 12 4 5 6 7 8 910 10 11 12 13 14 15 16 14 15 16 17 18 19 20 11 12 13 1415 1617 'A 9 10 11 12 13 14 15 13 14 15 16 17 18 19 11 12 13 14 15 16 17 17 18 19 20 21 22 23 21 2223 O 25 26 27 �n 18 1920 21 22 (D 24 16 17 18 19 2021 22 2021 Q 23 24 25 26 18 192021 22 lJ 24 24 25 1 0 27 28 29 30 2829 3031 25 26 27 2829 30 23 O 25 26 2728 29 2728 2930 25 26 27 28 29 30 31 0�1 BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR DILL, 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 -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 NYATER 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.icemountainwater.com 6661 DIXIE HWY., SUITE 4 LOUISVILLE, KY 46258 4. Never hesitate to call us with comments, questions, or concerns. If you think your bit[ 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 S AMPLE NVOICE 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.1z3ASezeso The dollar amount of the suspected error. i woiws- p 0 I 00Ip0 Describe the error and explain if you can, why you betieve there is z 436jB90 an error. W r4 s Your Account Number o- You are obligated to pay the parts of your bit] that are not in question. NE- IXC 18 You do not have to pay the disputed amount while it is being investigated. During the investigation, we cannot report your account, tdtitl3tat :ata. t7tt .1gle ,tt,e.t•ta as delinquent or take any action to collect the amount in question. on o4 a e> Watch here for a 113 Ma s: ersonalized account GENERAL INFORMATION p �.s ]m ortant cµa,s t.1o:,.,,a�"td,coa,.taa,t, a P message I. Payments received after the billing (INVOICE:) date will appear on news and your next invoice. Past due invoices (not paid within 30 days of offers I1=" billing (late) may he assessed a late fee as allowed by law not to exceed $20 per month. Additionally, third party collectioniationtcy pa R,,,,.,,v.a.m,a•" Pay electronically expenses may be assessed at a rate not to exceed 1001 of the Ace ounr unpaid balance or the maximum allowed by law. bn ,M s Make sure this pelNery ppdsess. qy 2. Each returned check is subject to a service charge subject to the amount has been maximum check return charge allowable in our State. Activity w „ef s000 S y paid in full to 3. All bottle and equipment deposits are shown as CURRENT since your eas,w44 ke rz^ "s avoid fate fees ACTIVITY. last invoice i: nazbzee 4- Equipment replacement costs will be charged for bottles lost, stolen, damaged or not returned. o.E Monthly Oil 5. In accordance with NWNA's Terms and Conditions "T &C your Surcharge, Fuel Equipment Lease and /or Service Agreement account may be a ."Kawn. n4o subject to minimum monthly purchases and /or early cancellation Your new E'i Surcharge or Delivery h CCOUNr SUMMARY FCC see #6 under fees. (A complete version of the current T &C may be viewed on the delivery website listed below) Upon service discontinuation, rent for the calendar. "General e My Delweries .ccou Leased Equipment is charged through the end ofthe billing cycle `D" indicates Information in which service is discontinued. 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or a scheduled Delivery Fee as described in your T &C. Only one of these reel delivery -m' will apply to each account. The fee than applies to your account is stated on the front of the invoice. For further information please visit the website listed below or contact our customer service m center. Payment stub AY M 5 AMOONr 7. As a food product, bottled water is subject to the rules and ..,;w,�^' •ccovNrNUMSr11 °P nao Amount due tzl4saze9a ool�loa NCLOSED regulations promulgated by the Federal Food and Drug sauNC Vnre i9lJOICE W.— wmo Administration (FDA). 1z3 "se7eso R. Your first invoice indicates the products delivered on your first delivery, along with any applicable bottle and account deposits, 042,,096307 04262712619 0003'11049 20040701! Submit your redemption fees, and any dispenser charges. All future invoices will wn„oo< payment by reflect charges for water delivered and dispenser rental, battle MOaN1N w` °M"" en this date deposits and credits plus charges for any additional products aEwcEU«'x 96B w9cunoME ordered by you. Deliveries are made every three or four weeks, for ty „,,tl 6 u�u d a p a total of 16 -17 deliveries per year. You will only receive invoices ❑.vuPE�+FaEE""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 5/08 se rvi ce. i ce m ou nt a inw a t e r. co m N C CL g v to z Q tD c�Dx a o a v .n w ae� p a m< m c -n m m p o m c) O p Q t o o c z< a (D c O< N O 7 m O C 7 O .Oe CD O O O m L1 fD C m m CL :3 n 3 s c a m CD N c 3 ID m o 3 ^F f/! n, m m ro m x Zr m m n�i rg o H 2 --h C ro c m m y ,y m n C ,a <o<o<n m m Z .3. a K m x i m m o D n tD m c m m m m m o m m 0 c to c �p O m m o d d m p o m m o `m a to 3 ea e° E o tc m c m J ro ro O O o 3 m V f a x n� c m n d 'e rowmm o F nc v f m m c v m Z m2 2 O 0 0 ro v A 3 Q CL c m m c m m C ya0amm m m =c a o =o `o a m 3 D3 0 rn m a m C 3 O W (D ii o a� q�� c O c U3 o m m r e m f o e m o 7 rn y= n c O m q .ro. 3 t11 n O C m U, co N O '.O °2,< r n O O „O. '6 m nm wg 9a H ar ^.m aD.3 m m 3 �o C m O� t1) si o w c 3 o c 2 0 o to m n 3 111 m Pr 3 c 4 in c Oa m m m c o m o o� 3 3 e y m '0" N e g o in o m m 3 m a a m eM i o y o tom m' p R o 3 d m n <D. 3 m m m to o t� CO) S m a O m c m c a n D' m sYl., m a to m n n o ma m 3' o M o a m m a v+ m n o c a 3 m l �1 c a o m c G CD m is d m y c c a m c o m C m3 m c o o D m v K- to 3 tom m` m a iB to m 0 f rt m =v m Z o m R U) o to c e o .O CL c m m c n c a �B N E o m C1 Prescribed by Slate 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. Payee Ice Mountain P.O. Purchase Order No. OX Terms Louisville, KY 40285 -6680 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 01/04/11 00L Rent and Servie Dec $13.96 AGcnt 012004852,' i r .r" 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 Ire Mniiritain IN SUM OF P .O. Box 856680 Louisville, KY 40285 -6680 $13.96 ON ACCOUNT OF APPROPRIATION FOR Department of Engineering Board Members PO# 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 n/a OOL E G 4239099 6 materials or services itemized thereon for Ac nt 0120048525 which charge is made were ordered and received except tlM��1` 20 Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund service. icemountainwater.com 0 215 6661 DIXIE HWY SUITE 4 12/01/10 12/31/10 OOL0121776199 Q LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED a WED- JAN 26 1111111111111111 milli VIII II I I I I I iIII III HU- FEB 24 0121776199 FRI- MAR 25 TUE- APR 26 CITY OF CARMEL HUMAN RESOURCES Customer Service: 1 -800- 472 -9888 JIM SPELLBRING Thank you for choosing Ice Mountain Home Office 1 CIVIC SO Delivery! We value your business. CARMEL IN 46032 -2584 �Illllllll��llrn�llil��lllllllullll�l�lllllli��lllnl��i�l�lr p c;Ial delivery Austin tlme for the •hoildays! F,or a� limited tulle you: can�saue $3percase on a variety of our: t S.Pellegrfno, Perrters& Acqua Pannabeuerages Lag onto servtcegtcemountamw com orca11800472�9888= tC►2St� t �V[111r�rlPY4 nrclar #nrFta� l flf far Rav_ iFoci71`t 1111 m w a 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 SO, HUMAN RESOURCE DEPT, CARMEL IN 46032 PREVIOUS BALANCE 22.74 12110 029415 PAYMENT -THANK YOU -18.75 1103 129193 PAYMENT -THANK YOU -3.99 12/27 0704147818 1 9 OZ PLASTIC UP 50C /SLEEVE 2.99 BOTTLE DEPOSIT: 0 CHARGED, 1 CREDITED -6.00 12131 0705606754 1 OILIFUEL SURCHARGE 2.32 L0156946 RENT 3.99 TOTAL 3.30 JAN 17 2011 i 8v VOUCHER NO. WARRANT NO. ALLOWED 20 Ice Mountain IN SUM OF PO Box 856680 Louisville, KY 40258 $3.30 ON ACCOUNT OF APPROPRIATION FOR Carmel Administration PO# 1 Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1205 OOL0121776199 I 42- 390.99 $3.30 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 Tuesday, January 18, 2011 4n� Director, 4dministratKon 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)) 01/22/11 OOL01 21 7761 99 $3.30 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.com EM-41111=19311,2 215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 12/01/10-12/31/10 OOL0120095351 e e ADDRESS SERVICE REQUESTED FR[- JAN 21 0120095351 FRI- FEB 18 MON- MAR 21 TUE- APR 19 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 nl�llllllnl�l�lll�lll�lll��l�ll�ll�l�ll�lnll1ll1 Special del very jlustint�me�for#hexholldaysFo� a Ilrtited tlrrie you�cansave $3per case ono variety of our SF?ellegrno, Perrier B:Acqua: Pan na beVerages~Logo.nto serul'ce:lcemountalnwater comor call 800- 472m9888 to add to.your riextocier tod'ay! ezir�es�12 /31=/10" ACCOUNT ACTIVITY Pay your bill online at: service. icemountainwater.com or by phone at: 1 -800-472-9888. It's free! LAP e la e Delivery address: P CARMEL CLAY PARKS AND REC DEPT., 1427 E 116TH ST, CARMEL IN 46032 PREVIOUS BALANCE 33.43 12110 029413 PAYMENT -THANK YOU -11.23 12119 070612 PAYMENT -THANK YOU -22.20 12120 0703142265 6 5 GAL ICE MOUNTAIN DIRK W /HANDLE 23.94 2 9 OZ PLASTIC UP 5OC /SLEEVE 5.98 BOTTLE DEPOSIT: 6 CHARGED, 6 CREDITED .00 12/31 0705641280 1 OIL /FUEL SURCHARGE Purchase 2.32 L0178397 RENT Description /`l ,/A �f /1 /�3�f 9.98 TOTAL P.O. P or F 42.22 Budget Lirie De JAN Q 20I 1 Purchaser e (�Ll Date Approval Date ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT 1 ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT a w- Subject to terms on reverse side. 33.43 33.43 42.22 4222 seiceicemontainatccom ry u we G 215 6661 DIXIE HWY, SUITE 4 12/01/10 12/31/10 OOL0121202766 LOUISVILLE KY 40258 Y. B 6 ADDRESS SERVICE REQUESTED FRI- JAN 21 0121202766 FRI- FEB 1$ MON- MAR 21 TUE- APR 19 CITY OF CARMEL PARKS DEPARTMENT Customer Service: 1- 800 472 -9888 MANDY SPADY Thank you for choosing Ice Mountain Home Office 1411 E 116TH ST Delivery! We value your business. CARMEL IN 46032 -3455 Irlillll��llrll�1 Special delivery fl w t fr`me fortlie holldaysj For al,imited time youcan safe $3°'p�reas ona variety o our S:Fellegrino; Perrier -Acqua Panna beverages ;Lo j .onto service cerhountairi ateir.010 or:call 800- AIZ -98U73 i ...o.. t t. oad�+ o- y�ourlgext �ta�aylv�tfier +rxr,irasl2�81 /�a, ACCOUNT ACTIVITY Pay your bill online at: service. icemou ntainwater.com or by phone at: 1 -800-472-9888. It's free! Mrs e Delivery address: CITY OF CARMEL PARKS DEPTIMONON CENTER, 1235 CENTRAL PARK OR EAST, CARMEL IN 46032 PREVIOUS BALANCE 129.72 12110 029414 PAYMENT -THANK YOU -64.86 12119 070611 PAYMENT -THANK YOU -64.86 12120 0703142323 13 5 GAL ICE MOUNTAIN DIRK W /HANDLE 51.87 2 9 OZ PLASTIC UP 50CISLEEVE 5.98 3 .5 L NATURAL SPRING WATER ICE MTN 17.97 BOTTLE DEPOSIT: 13 CHARGED, 12 CREDITED 6.00 12131 0705805638 1 OILIFUEL SURCHARGE 2.00 L0251180 RENT 5.99 Purchas b n Descript on TOTAL l V 2011 89.81 G P.O. P or F. G.L. e LD 9� `f3 y09'00 Line Descr Puroha�gr dote Approval D ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT �T IVITY PAY THIS AMOUNT Subject to terms on reverse side. 1 129.72 129.72 89.81 89.81 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 114111 L0120095351 Drinking water cooler Maint 42.22 114111 L0121202766 Drinking water cooler MCC 89.81 Total 132.03 I hereby certify that the attached invoice(s), or bills) 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 132.03 ON ACCOUNT OF APPROPRIATION FOR 101 General 109 Monon Center PO# or INVOICE NO. ACCT #(TITLE AMOUNT Board Members Dept 1125 L0120095351 4350900 42.22 1 hereby certify that the attached invoice(s), or 1091 L0121202766 4350900 89.81 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 13 -Jan 2011 Signature 132903 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund 4 rJJ A"; A service.icemountainwater.com D 215 6661 DIXIE HWY, SUITE 4 12/01/10 12/31/10 OOL7220327048 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED e Il I I I II I II IIII IIII II I I I I I III WED- JAN 26 7220327048 THU- FEB 24 FRI- MAR 25 TUE- APR 26 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��Il�lll�l�li�illl�llll�l�lll�lllll�lll��illll�llllllllllilil Special <deltvery -dust In tune fir the hvlldays +."Fora Itm tune you;.can save $3::per'case on.a variety of our S:Rellegr nv, Perrier 8i Acqua Parana beverages: Log onto serv�ce:icemvuntarnwater,c ®rn or ca1180Q -472 =9888 ♦v auu tv�fiu/ S'e�Xt�a'Sraacr avuwyii iJal!@1 8n�irEaS I�r.+zl Iv,. FV w >x `el.. N r c, 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, 3 CIVIC SO, CLERK TREASURER OFFICE, CARMEL IN 46032 PREVIOUS BALANCE 12.75 12/24 096829 PAYMENT -THANK YOU -12.75 12127 0704148014 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 12/31 0705662864 1 OIL /FUEL SURCHARGE 2.32 L0191296 RENT 3.99 TOTAL 12.79 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)) 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. f �n ALLOWED 20 IN SUM OF ON ACCOUNT OF APPROPRIATION FOR t ��06jq W Board Members PO# or INVOICE NO. ACCT /TITLE AMOUNT DEPT. I hereby certify that the attached invoices) or CoL !�J 7 bill(s) is (are) true and correct and that the "7049 materials or services itemized thereon for which charge is made were ordered and received except 6 n Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund service.icemountainwater.cam O O 215 6661 DIXIE HWY, SUITE 4 12/01/10 12/31/10 OOL0122206105 LOUISVILLE KY 40258 O 9 ADDRESS SERVICE REQUESTED �II��II�I�I�II II I��II) II I�I I I� II� WED- JAN 19 0122206105 WED- FEB 16 THU- MAR 17 FRI- APR 15 CITY OF CARMEL ENGINEERING 11ST 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�nl�l��ll��lll��ll. ��l��nl�l�llnl�I�I�llll�nlnl��ll xi HE Tw Spi cCNI deli�e�ry dust in time for the hvlidaysl For a limittbd yo can save $3 p case on a vanety of n S.Pellegrino, Pettier Acqu.aPa,nna beYerages,Log; onto senrtce.lcemountainwatereom or.call' °8Q0'- 472 -9888µ tosadd to your 131110. m ACCOUNT ACTIVITY Pay your bill online at: service.icemountainwater.com or by phone at:1- 800 -472 -9888. It's free! UV 11w Delivery address: CITY OF CARMEL ENGINEERING, 130 1ST AVE SW, CARMEL IN 46032 PREVIOUS BALANCE 19.98 12110 029416 PAYMENT -THANK YOU -15.25 12124 096832 PAYMENT -THANK YOU 6l $9 1011 -4.73 12116 0702706862 1 .5 L NATURAL SPRING WATER ICE MTN u� 5.99 4 5 GAL ICE MOUNTAIN DIRK W /HANDLE SY� 13.96 1 9 OZ PLASTIC UP 50C/SLEEVE tS 2.99 BOTTLE DEPOSIT: 4 CHARGED, 1 CREDITED RECEIVED a 18,00 12131 0705667491 1 OILlFUEL SURCHARGE J 2.32 L0154512 RENT CpRM L co 3.99 TOTAL CITYENGIN 47.25 <e 9esztz ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT 1 ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 19.98 19.98 47.25 47.25 rre5 ueu uy male DUAIU UI NUU0UnI2! Uuy run" "U. 'U' '�dD) 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 Ice Mountain Direct Purchase Order No. NA PO Box 856680 Terms Louisville, KY 40258 -6680 Date Due Invoice Invoice Description Amount Date Number (or note attached invoices) or bill 01/10/11 OOL0122206105 Keystone Reconstruction Project $47.25 Miscellaneous Project 07 -08 Total $47.25 I hereby certify that the attached invoice(s), or bills(s), is (are) true and correct and I have audited same i&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 47.25 ON ACCOUNT OF APPROPRIATION FOR Ice Mountain Direct PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members DEPT.# NA OOL0122206105 4239099 $47.25 NA 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 18 -Jan 20 11 Total $47.25 Signature Cost distribution ledger classification if Citv En ine claim paid motor vehicle highway fund Title