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Home My WebLink About194230 02/03/2011 CITY OF CARMEL., INDIANA VENDOR: 051125 Page 1 of 1 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CHECK AMOUNT: $35.30 CARMEL, INDIANA 46032 PROCESSING CENTER PO BOX 856680 CHECK NUMBER: 194230 LOUISVILLE KY 40285£680 CHECK DATE: 2!312011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4238900 OlA011925282 35.30 OTHER MAINT SUPPLIES service. icemountainwater.corn 215 6661 DIXIE HWY, SUITE 4 12/13/10 01/12/11 01AO119252823 LOUISVILLE KY 40258 B ADDRESS SERVICE REQUESTED B B WED JAN 26 HU- FEB 24 0119252823 FRI- MAR 25 TUE- APR 26 CITY OF CARMEL STREET DEPARTMENT Customer Service: 1- 800 -472 -9888 BONNIE CALLAHAN Did you forget about us? Kindly pay upon receipt. 3400 W 131 ST ST Remember, past due accounts are subject to a late fee. CARMEL IN 46074 -6267 Your prompt payment is appreciated. For your convenience, pay online: icemountainwater.com /service. If payment has been made, we thank you. I Make a fresh start to the year wltha healthy resolution `crn zero calorie beverages. e up to, $3 per�cason Sport;Battle and`select Sjiarklingbeverage`s: Log ontoservl Icemountainwatecomor call 1; 8U0 -472 9888n to�add rto yournext oGCter today!`Of 212�11� t y«. e i ACCOUNT ACTIVITY Pay your bill online at: service. icemou ntainwater.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 24.20 12127 0704147644 4 5 GAL ICE MOUNTAIN DIRK WlHANDLE 13.96 4 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 24.00 3 5 GALLON ICE MOUNTAIWDEPOSIT RETURN -18.00 1 9 OZ PLASTIC UP 50C /SLEEVE 2.99 1 BOTTLE BREAKAGE /LASS 6.00 1112 0707604062 1 OIUFUEL SURC' 1ARGEl,° 2.36 A0326776 RENT 3.99 TOTAL 59.50 r ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT CURRENTACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 24.20 0.00 35.30 59.50 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 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- 80OA72 -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.icemountainwater.com 6661 DIXIE HWY., SUITE LOUISVILLE, KY 40258 4. Never hesitate to call us with comments, questions, or concerns. If you think your bill is wrong, or ifyou 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 SA MPLE 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- r ,z3+sera Your Account Number You do not have to pay the disputed amount while it is being ooroofoo 001[0100 investigated. During the investigation, we cannot report your account 1 tsaasbra as delinquent or take any action to collect the amount in question. Ma.oa p s Watch here for a GENERAL INFORMATION nr personalized account 1. Payments received otter the billing (INVOICE) date will appear on important sa+ -vane �g0dia VA1�_dltl•►ttn `a•.w•r message your next invoice. Past due invoices (not paid within 30 days of news and n,.aya j billing date) may be assessed a late tee as allowed by law not to offers exceed $20 per month. Additionally, third party collectionlattoey c0r'�, 00140 m n.�••x•'u'V'� 1 expenses may be assessed at a rate not to exceed 100% of [he- ucrosor,,a4s ,•asne; unpaid balance or the maximum allowed by law- awaca^r`'d r u ,1,,, m .,y..i"'P j Pay electronically 2. Each returned check is subject to a service charge subject to the maximum check return charge allowable in our State. y° g Y Y Make sure this 3. Alt bottle and equipment deposits are shown as CURRENT Activity amount has been ACTIVITY. since your AccouNTACrwrrv�• ;v,TTw�sRe<'•cml.s,nm0w0o paid in full to 4. Equipment replacement costs will be charged for bottles lost, t W. last invoice I avoid late fees stolen, damaged or not returned. 5. In accordance with NWNKs Terms and Conditions "T &C your s s w �m evMVwmr om eNamW Monthly Oil Equipment Lease and/or Service Agreement account may be simas,aw s k ym:ms a, 4<a s rras K s a �r rf f/� subject to minimum monthly purchases and/or early cancellation Sur Fuel ,,,eTaao 1 i�a( t f... 5 fees. (A complete version of the current T &C may be viewed on the Surcharge or Delivery website listed below) Upon service discontinuation, rent for the rrna. I Fee (see >Y6 Under Leased Equipment is charged through the end of the billing cycle i "General in which service is discontinued. nwNn w a R; 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or ACCOUNT SUMMARY U.� Information") ,swan s �v�•m____ Delivery Fee as described in your T &C. Only one of these fees Payment stub "�Y� rwY Tas AMW' will apply to each account. The fee that applies to your account ,m,�: Acc0o umn- m w w 3'°° I is stated on the front of the invoice. For further information please ,xTrserav0 �Lu iAn ,rNClosry ,gvorr Nu.-A WIC visit the website listed below or contact our customer service ,Z�sevava center. 7. As a food product, bottled water is subject to the rules and a420o9097 04200 12639 000391049 zoo” le Amount due regulations promulgated by the Federal Food and Drug fa .,vx Administration (FDA). I Submit your R. Your first invoice indicates the products delivered on your first rz9r� delivery, along with any applicable bottle and account deposits, �y,auJ,•M,fAd:9o„.,,,.. payment by this redemption fees, and any dispenser charges. All future invoices ,,,,,",�,w<ao^^` 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- 0 2008 Ice Mountain Spring Water Company, a Division of Nestle Waters North America Inc. Form No. Nw 709 11108 service. icemountainwater.com VOUCHER NO. WARRANT NO. ALLOWED 20 Ice Mountain IN SUM OF P. O. Box 856680 Louisville, KY 40285 -6680 $35.30 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO, ACCT #(TITLE AMOUNT Board Members 2201 OlAO119252823 42- 389.00 $35.30 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 Thursday`�January 27, 2011 Street Commissioner �n SUM l Uril Tt�le I E 23 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 invoices) or bill(s)) 01/14/11 01 AO119252823 $35.30 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