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HomeMy WebLinkAbout195479 03/16/2011 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CARMEL, INDIANA 46032 PROCESSING CENTER CHECK AMOUNT: $195.04 roN `o PO BOX 856680 CHECK NUMBER: 195479 LOUISVILLE KY 40285 -6680 CHECK DATE: 3116/2011 DEPARTMENT ACCO PO NUMBER INVOICE NUMBER AMOUNT DE 2201 4238900 01BO11782108 X42.80 01B0117821082 1125 4350900 0113012009535 /45.29 OTHER CONT SERVICES 1091 4350900 01BO12120276 51.88 OTHER CONT SERVICES 1205 4239099 013012177619 ---9.38 01BO121776199 2200 4239099 01BO12204852 i 17.45 01BO120048525 920 4239099 01DO12220610 X15.37 0130122206105 1701 4239099 013722032704 X 12.87 01B7220327048 service.icemountainwater.com 215 6661 DIXIE HWY, SUITE 4 02/01/11 02/28/11 01 BO120095351 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED OE- APR 2 0120095351 T 9 THU- MAY 19 MON- JUN 20 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 Make a fresh start to thyear with a healthy, re5oluttonon zero- cal orlebe�veages £Sa�eup tv }$3 percase on S ort Botite an °cl select S rara king berrerages °Log ontoservice:icemountainwate� com .ar call 1 $00472 A988$ rtiipadd,to your next order todaylroOffer expires 212$111:' w m t 2 „M 0 ACCOUNT ACTIVITY Pay your bill online at: service.icemountaInwater.com or by phone at: 1 -800 -472 -98 8 8. It's free! Delivery address: P CARMEL CLAY PARKS AND REC DEPT., 1427 E 116TH ST, CARMEL IN 46032 PREVIOUS BALANCE 36.28 2125 410937 PAYMENT -THANK YOU -36.28 2118 0711426858 6 5 GAL ICE MOUNTAIN DIRK WIHANDLE 23.94 3 9 OZ PLASTIC UP 50C /SLEEVE 8.97 BOTTLE DEPOSIT: 6 CHARGED„ 6 CREDITED .00 2128 0714036407 1 OIL /FUEL SURCHARGE 2.40 60454952 RENT n 9.98 Purchase TOTAL RAR 7d1 45.29 Description Zl N i'C_I !11 t ttt7� C kAA,¢ -AD P.O. PorF 0:o 4o° °boa Budget Line escr Purchaser Date Approval Date ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 36.28 36.28 45.29 45.29 IJ 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- 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. 0216 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 SA MPLE IN VOI CE 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. 123456769 Your Account Number do not have to pay the disputed amount while it is being t oclpol°o- D°I investigated. During the investigation, we cannot report your account as delinquent or take any action to collect the amount in question. tux u;gg5za5 off uR z9 Watch here for a GENERAL INFORMATION WED z, w r -o� p ersonalized account 1. Payments received after the billing (INVOICE) date will appear on Important tt, tuanl ,anna „,nn,lant,,,,muMu „naau a ^n°n..,srN;ee:,- ep°alxaaxe your next invoice. Past due invoices (not paid within 30 days of news and yel a ,eeM^ ne,nv^^°n° message billing date) may be assessed a late fee as allowed by law not to offers lizi sr ,na�M•= exceed $20 per month. Additionally, third party collection /attorney c v s`a °p0p0 tt tt,.tn t 6t,u a.d I ana „A n1 expenses may be assessed at a rate not to exceed 100% of the -r ME unpaid balance or the maximum allowed by law.� Pay electronically 2. Each returned check is subject to a service charge subject to the a• maximum check return charge allowable in your State. Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity ACTIVITY s amount has been since our ACCOUNT I 4. Equipment replacement costs will be charged for bottles lost, last i VoiC2 r r nnD 133M s cn.4,ate popGU paid in full CO stolen, damaged or not returned. avoid late fees payment ThanN �pu So 5. In accordance with NWNA's Terms and Conditions "T &C your oe�r m seam ^xa °n spy ^q wa -saw I,, 180514 ice,n[ain 5 Gal Deposit 96 Equipment Lease and/or Service Agreement account may be Monthly Oil 091,1 ),1�31dM4 Hen SUnM1a+ge subject to minimum monthly purchases and /or early cancellation X13 s Surcharge, Fuel 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 ,Drat Fee (sec #6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. 0, „•ps "�`.o 6. You will be charged Y Oil Surcharge, or ed a month) ar e ,ppu,..ur ce .w Information g e, Fuel Surcharge g MM Delivery Fee as described bed your T &C. Only one of these fees Payment stub ACCOUNT SU ARY pAyT,sAmouNT will apply to each account. The fee that applies to your account vAV sr p 00 po is stated on the front of the invoice. For further inf ease orrnation l ,x3es67s9p MT r Nnoseo p n,m ,NVUice NuMatn eauNC DASr visit the website listed below or contact our customer service l, 810 0G 1169 cen a p 042OU96307 04262712619 000391049 20x9 16 7. As a food p bottled water is subject to the rules and Amount due regulations promulgated by the Federal Food and Drug I ^nn oo• Administration FDA ice rnouNUiN VV "TrRp ^Nr 123 M­ 11 k w•�p Submit your 8. Your first invoice indicates the products delivered on your first s ,o, cusroMen seAV,cruu,a0wn9e e ment b' this delivery, along with any applicable bottle and account deposits, I dn4d dt Mat ,a „t.,.W,uud. c e p d Y 3 redemption fees, and any dispenser charges. All future invoices S ryVefOpFpLeP ^o p0 „�aonpa•a 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. 2008 Ice Mountain Spring Water Company, a Division of Nestle Waters North America Inc. Form No. NW 709 1 1/08 O service. icemountainwater.com service.icemountamwateccom m 215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 02101/11 02/28/11 0160121202766 ADDRESS SERVICE REQUESTED M O N MAR 21 0121202766 TU APR 19 THU- MAY 19 MON- JUN 20 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 Z)3 f r r KV .q, ",ae a, •fix Make a Niftistarr to Myear�with a healthy resolution on zero calorie beverages. Saue up to $3 per ca`se on Sport Bottleand seleparll rigbeVerages service tcemountalfnwater.com or call 9 80 ©-4,72 9888 to add to your next #orciertodayl Qffer expires 2!28111. 4 ACCOUNT ACTIVITY Pay your bill online at: service.icemountainwater.com or by phone at:1- 800472 -9888. It's free! Delivery address: CITY OF CARMEL PARKS DEPT /MONON CENTER, 1235 CENTRAL PARK DR EAST, CARMEL IN 46032 PREVIOUS BALANCE 61.87 2/25 410938 PAYMENT -THANK YOU -61.87 2/18 0711426916 8 5 GAL ICE MOUNTAIN DIRK W /HANDLE 31.92 2 9 OZ PLASTIC UP 50C /SLEEVE 5.98 1 .5 L NATURAL SPRING;WATER..ICE MTN 5.99 BOTTLE DEPOSIT CHARGED'; 8 CREDITED .00 2/28 0713961662 1 OILIFUEL SURCHARGE 2.00 5.99 80529304 RENT fy Purch TOTAL 51.88 Description i e�-G P.O. P orF 109 LLlne Des Purchaser Date Approval Date ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT ISr— Subject to terms on reverse side. 61.87 61.87 51.88 51.88 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL C 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 3/3111 1 BO120095351 Drinking water cooler- Maint I 45.29 3/3/11 1 60121202766 Drinking water cooler- MCC 51.88 Total I 97.17 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 �1 a t Voucher No. Warrant No. 051125 Ice Mountain Allowed 20 P.O. Box 856680 Louisville, KY 40285 -6680 In Sum of 97.17 ON ACCOUNT OF APPROPRIATION FOR 101 General 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 1 BO120095351 4350900 45.29 1 hereby certify that the attached invoice(s), or 1091 1130121202766 4350900 51.88 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 10 -Mar 2011 i Signature 97.17 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund A service.icemountainwater.com G AVOMW 215 6661 DIXIE HWY, SUITE 4 02/01/11 02128/11 01 BO117821082 LOUISVILLE KY 40258 Iffi ADDRESS SERVICE REQUESTED e OI 191 l 011 l �l l III I I I I I I I �I O II III FRI MAR 18 0117821082 MON- APR 18 WED- MAY 18 FRI- JUN 17 Customer Service: 1 -800- 472 -9888 CITY OF CARMEL STREET DEPATMENT Thank you for choosing Ice Mountain Horne Office 3400 W 131 ST ST Delivery! We value your business. CARMEL IN 46074 -8267 ���rlill�l���l' {�I' III' I�II111�� '�'ll'I�Illll�n��rililll� F start #a ttie year wlwayhealt t y reso;lutlangon zeta calo�le�beverages Saveup to $3 per cas ;,rlii selecViSpa y Offer eicpires 2%28/1;1, r nett ocler toda t x a, ACCOUNT ACTIVITY Pay your bill online at: service.icemountainwater.coM or by phone at:1- 800 -472 -9888. It's free! e e Delivery address: CITY OF CARMEL STREET DEPARTMENT, 3400 W 13 TN ST, CARMEL IN 4607 PREVIOUS BALANCE 66.47 2125 410940 PAYMENT -THANK YOU -66.47 2117 0709530141 4 BOTTLE CRATE .00 2 9 OZ PLASTIC UP 50CISLEEVE 5.98 7 5 GAL ICE MOUNTAIN.DRK W /HANDLE" 24.43 7 5 GALLON IC&MOUNTAIN BOTTLEAEPOSIT ,..1' 42.00 6 5 GALLON ICE MOUNTA(!V DEPOSIT RETt1RN" 36.00 2128 0714018009 1 OIL/FUEL SURCHARGE'.' 2.40 60430271 RENT 3.99 TOTAL r y 42.80 f ACCOUNT SUMMARY 1S BALANCE PAYMENT/ ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse s S '1 3.47 66.47 42.80 42.80 VOUCHER NO. WARRANT NO. ALLOWED 20 Ice Mountain IN SUM OF P. O. Box 856680 Louisville, KY 40285 -6680 $42.80 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 0160117821082 42- 389.00 $42.80 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 /T Furs March 10, 2011 Street Comna i ioner 81:1 unt II I f II0. 11 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)) 03/03/11 01 80117821082 $42.80 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 AIR "m servi cc, ice mountainwater.com p 215 6661 DIXIE HWY, SUITE 4 02/01/11 02/28/11 0180122206105 EN LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED e 11110141 e THU MAR 17 0122206105 FRI- APR 15 TUE- MAY 17 THU- JUN 16 CITY OF CARMEL ENGINEERING11ST 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 11111111111111 1 Jill 11 1111111 111 "'III"111 11. Ill- 111-1 -1 Make,a fres�hstart to the arwttha heal ffire solutto nvon zero catorle beyeragesSave upto$3per case:on and select Sparkltng�beyerag4Log antoservice.icemounta nwater;com oar callx9 800 -472 9888 to add:to your ext order >todayt Offer,expires 7, 7 ACCOUNT ACTIVITY p Pay your bill online at: service. icemountainwater.com or by phone at: 1-800-472-9888. It's free! M IBM D elivery acid ress: PREVIOUS BALANCE 9.33 2116 0710959438 1 .5 L NATURAL SPRING WATER ICE MTN 5.99 1 9 OZ PLASTIC UP 50C /SLEEVE 2.99 2128 6043224062 1 RENT OIL/FU SURCHARGE p, 9 7U 777 3.99 TOTAL, 24.70 Z Vz ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT I ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 9.33 0.00 15.37 24.70 nesu iueu uy aiaLe nuaiu w nccvUms -ty runn rvu. cu �nev, ia7o� 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 invoice(s) or bill(s)) 03/07/11 01 BO122206105 Keystone Reconstruction Project $15.37 Miscellaneous Project 07 -08 Total $15.37 1 hereby certify that the attached invoice(s), or bills(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. Ice Mountain Direct ALLOWED 20 PO Box 856680 IN THE SUM OF Louisville, KY 40258 -6680 15.37 ON ACCOUNT OF APPROPRIATION FOR Ice Mountain Direct PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members DEPT.# NA 01 BO122206105 4239099 $15.37 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 14 -Mar 20 11 Tot $15.37 Sign ure Cost distribution ledger classification if Cit Eng claim paid motor vehicle highway fund Title service.icemountainwater.com 215 6661 DIXIE HWY, SUITE 4 02/01/11 02/28/11 01 BO121776199 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED 9 T! FRI MAR 25 0121776199 TUE- APR 26 WED- MAY 25 FRI- JUN 24 CITY OF CARMEL HUMAN RESOURCES Customer Service: 1- 800 472 -9888 JIM SPELLBRING Thank you for choosing Ice Mountain Home Office 1 CIVIC SQ CARMEL IN 46032 -2584 Delivery! We value your business. n1 [Jill ii-llii.n-iii.n11inliiiil11 Makeafresh staitto'the year wlth a healtky resolution 16"dal" zero calorie beverages. SaYeup to $3p;T3r caseon aSport Boitte sncl select =Sparkling beverages L og rvice Icemauntainwater_comtar call. 1= 800 -472 9888 to add,toyour rtextord'ertodayIOffer expiresk212$l9a1a k 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, 1 CIVIC SQ, HUMAN RESOURCE DEPT, CARMEL IN 46032 PREVIOUS BALANCE 3.34 2/25 410941 PAYMENT -THANK YOU -3.34 2124 0712381565 1 9 OZ PLASTIC UP 50C /SLEEVE 2.99 2/28 0714007473 1 OIL/FUEL SURCHARGE 2.40 60434550 RENT 3.99 TOTAL 9.38 U MAR I 4701 By ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT ADJUSTMENT CURRENT AC'T'IVITY PAY THIS AMOUN i q Subject to terms on reverse side. 3.34 3.34 9.38 9.38 VOUCHER NO. WARRANT NO. ALLOWED 20 Ice Mountain IN SUM OF PO Box 856680 Louisville, KY 40258 $9.38 ON ACCOUNT OF APPROPRIATION FOR Carmel Administration PO# Dept. INVOICE NO, ACCT /TITLE AMOUNT Board Members 1205 1 01 60121776199 42- 390.99 1 $9.3$ 1 hereby certify that the attached invoice(s), or I 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, March 14, 2011 Director, Ad inistration Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 261 (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)) 02/28/11 01 BO121776199 I $9.38 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 TAFT, "A� A 215 6661 DIXIE HWY, SUITE 4 02/01/11 02/28/11 01 BO120048525 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED e 2 e FRI MAR 25 012004$525 TUE- APR 26 WED- MAY 25 FRI- JUN 24 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 Delivery! We value your business. CARMEL IN 46032 -2584 aft s• Mace a resh totle,ye�arwith; a healy,reso!ution ton zeroealoirle beveragesSa�e upto$3 Sport Bo letar�al se:te�ct Spa kl gdbe�erages, Log onto serrrlce cem ©untalnwater;com:orpcali 9 8 ©0 -472 9888 to' tl£ toayournext !ertoday!�.Offer ad �ezplres 21281'19 f� rv ACCOUNT ACTIVITY Pay your bill online at: service.icemountainwater.com or by phone at:1 -800- 472 -9888. it's free! ea Delivery a ress: PREVIOUS BALANCE 13.96 2125 410939 PAYMENT -THANK YOU -13.96 2124 0712381474 3 5 GAL ICE MOUNTAIN DIRK W /HANDLE 10.47 3 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00 3 5 GALLON ICE MOUNTAIN DEPOSIT RETURN .00 1 9 OZ PLASTIC UP 50ClSLEEVE 9 70 17 ?r 2.99 2128 60441548 RENTG< 3.99 TOTAL 17.45 gs ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT cr' _Subject to terms on reverse side. 13.96 13.96 17.45 17.45 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. Ice Mountain Payee OX 8b6680 Purchase Order No. Terms Louisville, KY 40285 -6680 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 03/03/11 01B Rent and ServiceFeb $17.45 ccn 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 Ice Mountain IN SUM OF P.O. Box 856680 Louisville, KY 40285 -6680 $1 3.96 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 oia E 4t4239099 $W-,17.45 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 NY Cost distribution ledger classification if Title claim paid motor vehicle highway fund service.icemountainwater.com ala 215 6661 DIXIE HWY, SUITE 4 02/01/11 02/28/11 01137220327048 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED FRI MAR 25 7220327048 TUE- APR 26 WED- MAY 25 FRI- JUN 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 II'�I "II�I�II'llllll" III "II��IIIIIIII'I "III'll'll'I "1'11' Make s fresh start too year with�a healthy resolution vn zero caloriffiQe4 ve up to =.$3 a case one a s� Sport ottle a i select Sparkling beverages Log onto senrim nwater:corn ar call 1� 800 472 to add #o�your.next order�t ©�dayi Offer expires 2128f11 ME Fd a gyp mss.° �3w.,• a..,rz ACCOUNT ACTIVITY Pay your bill online at: service. icemountainwater.com or by phone at:1- 800 472 -9888. It's free! Delivery address: CITY OF CARMEL, 1 CIVIC SO, CLERK TREASURER OFFICE, CARMEL IN 46032 PREVIOUS BALANCE 12.83 2125 410942 PAYMENT -THANK YOU -12.83 2124 0712381821 1 9 02 PLASTIC UP 50C /SLEEVE 2.99 1 5 GAL ICE MOUNTAIN DRK,W /HANDLE_ 3.49 1 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT, .00 1 5 GALLON ICE`MOUNTAIN DEPOSIT RETURN .00 2126 0713959062 1 OIL/FUEL SURCHARGE' 2.40 60467349 RENT 3.99 TOTAL 12.87 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT I ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 12.83 12.83 12.87 12.87 Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour; number of units, price per unit, etc. Payee 6 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 8 Total I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6. 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF$ ON ACCOUNT OF APPROPRIATION FOR big 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 materials or services itemized thereon for which charge is made were ordered and received except 20 Signature"' Title Cost distribution ledger classification if claim paid motor vehicle highway fund