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Home My WebLink About195959 03/29/2011 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: $16.40 PO BOX 856680 CHECK NUMBER: 195959 LOUISVILLE KY 40285 -6680 CHECK DATE: 3!2912011 DEPA RTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMO DESCRIPTION 2201 4238900 01CO11925282 16.40 OTHER MAINT SUPPLIES ACCOUNT ACTIVITY Pay your bill online at: service. icemountai nwater.com or by phone at:1 -800 -472 -9888. It's free! we OEM Delivery address: PREVIOUS BALANCE 34.84 3113 499113 PAYMENT -THANK YOU -34.84 2/24 0712381417 2 5 GAL ICE MOUNTAIN DIRK W /HANDLE 6.98 2 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 12.00 2 5 GALLON ICE MOUNTAIN DEPOSIT'RETURN -12.00 1 9 OZ PLASTIC UP 50C /SLEEVE 2.99 3112 0715818357 1 OIL /FUEL SURCHARGE,' f 2.44 00604331 RENT 3.99 TOTAL 16.40 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. F 34.84 34.84 16.40 16.40 BILLING RIGHTS SUMMARY YOUR INVOICE A WAYS TO HELP US SERVE YOU BETTER IN CASE OF ERRORS OR QUESTIONS ABOUTYOUR 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 1 Remember, ifyou are renting equipment your equipment rental is charged one month in advance. That means CALL I -800- 472 -9888 OR WRITE DS 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 4216 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 SAMP INVOIC 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. Iz3 +se�aeo your Account Number You do not have to pay the disputed amount while it is being ootool� ooldolW investigated. During the investigation, we cannot report your account l tai 173456 as delinquent or take any action to collect the amount in question. ,as.ocT Moe T9 Watch here for a wen -HOV n GENERAL INFORMATION nE -eET 1A personalized account 1. Payments received after the billing (INVOICE) date will appear on Important '2- veaB U�UmI11nU1�, 7Utld..�1111.I,IU6•anU�U.ILIdU e„s^me"seMMo ^�P�u`u your next invoice. fast due invoices (not paid within 30 days of news and TM1an4Y°u1�.uA ^9 message billing date) may be assessed a late fee as allowed by law not to offers �izimce s+ a c,rs'd1e ao�9 exceed $20 per month. Additionally, third party collection/attorney expenses may be assessed at a rate not to exceed 100% of the unpaid balance or the maximum allowed by Saw. Pay electronically 1/m daFafvea• 2. Each returned check is subject to a service charge subject to the Ta uran�i'^°^` s maximum check return charge allowable in your State. o Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity k• 1P e..h, ACTIVITY. since your AccouNTACTIVITV amount has been 4. Equipment re replacement costs will be charged for bottles last, Aaae•a ,an ^�°�'asM s c'rs "`e pppp0 1199 paid in full to p g last Invoice ce" r 11199 P,er� ma�kYa so.� avoid late fees stolen, damaged or not returned. Sarmenv warn 80.00 5. In accordance with NWNA's Terms and Conditions "TBcC your 11, )1,9B514aM1+ 5 ke M^un,ainS Wl OeWSn 39fi Equipment Lease and/or Service Agreement account may be ,n99si++^+ s aemn ^u;,,scai Monthly Oil subject to minimum monthly purchases and/or early cancellation g Surchar e, Fuel fees. (A complete version of the current T &C may be viewed on the �1,a p" m Surcharge or Delivery website listed below) Upon service discontinuation, rent for the ¢IA6 Fee (see #6 under Leased Equipment is charged through the end of the billing cycle "General „1/m n,aAMOB• in which service is discontinued. s��,4 u ke P..M ,n°` s, 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or n� ,n9 „s9 Information Delivery Y Y Fee as described in yourT &C. On1 one of these fees Pa meat stub Accouu?suMMAaT a u ..a f PA Y BY PAY THIS AMOUNT will apply to each account. The fee that applies to your account we .+u, P"^•"` Accoum %UM6M o0 0o 8100 is stated on the front of the invoice. For further information please nN ,n +s619eo 9 iu NCOA,r ^T OSro I"O'cr NUMBER 00!00!00 visit the website listed below or contact our customer service ,1J15Vb90 CC a P sub OV292712619 000391049 20[14 S9 7. As a food p bottled water is suh�ect to the rules and Amount due regulations promulgated by the Federal Food and Drug o Bn o ^e Administration (FDA). icr MOUNTA,N wArraoMP r�"n a,1/ s�nm 0000e oM o aB�aw. Submit your B. Your first invoice indicates the products delivered on your first eoo.nz 908 8 delivery, along with any this or any applicable bottle and account deposits. Laot,.a..ut ....n•..al..at t °u..t•.a'wt,l•a a P, ny n, oPQeK,�s,�•. redemption fees, and any dispenser charges. Aft future invoices „e date will reflect charges for water delivered and dispenser rental, bottle 0 deposits and credits plus charges for any additional products ordered by you. Deliveries are made every three or four weeks, for a total of I6 -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 11/08 service. icemountainwater.com VOUCHER NO. WARRANT NO. ALLOWED 20 Ice Mountain IN SUM OF P. O. Box 856680 Louisville, KY 40285 -6680 $16.40 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Member; 2201 01 CO119252823 42- 389.00 $16.40 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 rch 24, 2011 Street Commisspo r Str 'oet C:i ISslone 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)) 03/15/11 01 CO 119252823 $16.40 I hereby certify that the attached invoice(s), or bill($), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 ,20 Clerk- Treasurer