HomeMy WebLinkAbout196825 04/26/2011 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: $234.23
is
oN `o z PO BOX 856680 CHECK NUMBER: 196825
LOUISVILLE KY 40285 -6680
CHECK DATE: 4126/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 OIC011782108 56.30 01CO117821082
2200 4239099 01CO12004852 17.45 01CO120048525
1125 4350900 01CO12009535 56.32 OIC0120095351
1091 4350900 01CO12120276 51.88 01CO121202766
1205 4353099 01CO12177619 3.99 OIC0121776199
920 4239099 01CO12220610 15.41 01CO122206105
1701 4239099 010722032704 12.91 01C7220327048
2201 4238900 01DO11925282 19.97 OID0119252823
M I A service.icemountainwater.com
A V 215 6661 DIXIE HWY, SUITE 4 03/01/11 03/31/11 01C7220327048
AW PUM- NW- 1 1 LOUISVELLE KY 40258
a e
ADDRESS SERVICE REQUESTED
TUE- APR 2 7220327048
WED- MAY 25 5
FRI- JUN 24
TUE- JUL 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 SO Delivery! We value your business.
CARMEL IN 46032 -2584
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This Sprung, del ght your guests wIth a variety of flavorst Enjoy $2 off es afi SanPellegrtno Bparklmg Frutt r
Beverages, Nestle Pure Life Splash 8� Sparkling waters., Go�to service:icemauntatnwater cofn °'or call P te
1- 8x0 72 E 9888 to add to yvur�ne rr erl Offer expire 4, 130!"l"1
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ACCOUNT ACTIVITY Pay your bill online at: service. icemountainwater.com or by phone at: 1- 800 472 -9888. It's free!
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Delivery address: CITY OF CARMEL, 1 CIVIC SQ, CLERK TREASURER OFFICE, CARMEL IN 46032
PREVIOUS BALANCE 12.87
3/25 567840 PAYMENT -THANK YOU -12.87
0716667043 1 9 OZ 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
3/31 0718429996 1 OIL /FUEL SURCHARGE 2.44
C0606488 RENT 3.99
TOTAL 12.91
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT! ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT
Subject to terms on reverse side. 12.87 12.87 12.91 12.91
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.
#216 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.
Ifyou 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 SAMPLE INVOICE
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. 1 214 5 675 Your Account Number
You do not have to pay the disputed amount while it is being t DmaoroD- ooloa
investigated. During the investigation, we cannot report your account
as delinquent or take any action to collect the amount in question. Nn tza <sers4
Man _OCT 11 Watch here for a
GENERAL INFORMATION ra, E DLC 1,
m Dec 19 personalized account
1. Payments received after the billing (INVOICE) date will appear on Important
li p,,, nt. at�lnln `f`I�me951aMn��ea0P' =d °80 message
your next invoice- Past due invoices (not paid within 30 days of news and Tn. ^Il v
billing date) may be assessed a late fee as allowed by law not to offers 121 M-!� s °na ae 1aa.
ooD00
exceed $20 per month. Additionally, third party collecn m a,r s; on/alto
ey Ldu ,tli,,,,,p,,,,n „n.,l.a s ett
expenses may he assessed at a rate not to exceed 100% of the
unpaid balance or the maximum allowed by law, f-- ren4�° Y �A- Pay electronically
2. Each returned check is subject to a service charge subject to the
maximum check return charge allowable in your State. des' Make sure this
3. All bottle and equipment deposits are shown as CURRENT Activity q°"'
amount has been
ACTIVITY. since your ACCOUNT ARIVITY G TySNe
4. Equipment replacement costs will be charged for bottles lost, Delrcrv�a 1 n ppe'zsM s�E`e. o paid in full to
last invoice
stolen, damaged or not returned. avoid late fees
5. In accordance with N WNA's Terms and Conditions "T &C" our am999 -ma nx.m
7. 311995,41!2 5 9Gallon Natu,al SG,iny
/11 ke M9Vnla1119Cal Dep9s� 299
Equipment Lease and/or Service Agreement account may be 3nG95, S saalna^�^ n?9 Monthly Oil
09tH a „99s,�4r S 't•se
subject to minimum monthly purchases and/or early cancellation 091,x ,398n a Surcharge, Fuel
fees. AWrupleteversionofthecurrentTB &Cmaybeviewedonthe "91 1h61p6B' sr Surcharge orDelivery
website listed below) Upon service discontinuation, rent for the ro,AE Fee (see #6 under
Leased Equipment is charged through the end of the billing cycle "General
in which service is discontinued.
1 NnMt Cu9GF,tt AClrvna P
6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or o.• G4.ME .o e9 n e0 I nformation
Deliver ee as described in our T &C. Only ne of these fees Pay stub Accoul+TsumMAayM, "•G FYOU=
1/m
V I
ry y our J GAY THIS FMOVNT
will apply to each account. The fee that applies to your account ,;,�u a Ac<DUNTNUraeEU G Arav S im
00 0010
is stated on the front of the invoice. For further information please ,z <ssza90 s INGgA1E N ET ENCLOSED
INVOICC M9e0. po;60lOU
41511 the Web Slte listed below Or CORI3CI our customer SerV ICe ,2 ;x56]6789
center. p sub Dy2E271�619 eau391uy9 2o,, 18
7. As a food p bottled water is subject to the rules and Amount due
regulations promulgated by the Federal Food and Drug o n ^Doe
Administration (FDA). Ice MOUNwN=111 cD9°rnI49. as y. 0omo0
8. Your first invoice indicates the products delivered on your fir's[ wn• 9989 Submit your
delivery, along with any applicable bottle and account tiepusils,
,Dn cusroMEn 9EawcE� "E,,.Ba6. a ment b this
V.dM1,l,.d�• 0.L ,.,dt„IL.,11PL0.91.�.1.IdA.d.tl C3 rr1^ x
redemption fees, and any dispenser charges. All future invoices date 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 11/08
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service. icemou ntainwater.com
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.
n m Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
DA i
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
P
la C
ON ACCOUNT OF APPROPRIATION FOR
07� li- ()C (Aw
c) G �.�o 2 29 o `-Y 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
r l Y
e f 20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
service.icemountainwater.com
215 6661 DIXIE HWY, SUITE 4 03/01/11 03/31/11 0100120095351
d LOUISVILLE KY 40258
e
ADDRESS SERVICE REQUESTED
TUE- APR 19 0120495351
THU- MAY 19
MON- JUN 20
WED- JUL 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
I 1111' 1 llllllll' lll�lll�l "'llllllllllllll'lll'lll
phis Spiing;�delght ynurguests wltha yarle #y�of #laworsl'njoy $2,off ca a ofSanPellegrinoSparkltng Fruit
Be erages�Nesile l'ure,Life Splashy &_Sparkling ;Waters Go to service Icernountalnwater, com or!calf
1 8U0- 472- 9$88'fo add order ►xOfferexplr 4130111
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ACCOUNT ACTIVITY Pay your bill online at: service. icemountainwater.com or by phone at: 1 -800-472-9888. It's free!
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Delivery address: P CARMEL CLAY PARKS AND REC DEPT., 1427 E 116TH ST, CARMEL IN 46032
PREVIOUS BALANCE 45.29
3/25 567835 PAYMENT -THANK YOU -45.29
3/21 4715731378 8 5 GAL ICE MOUNTAIN DIRK W /HANDLE 31.92
2 9 OZ PLASTIC UP 50C/SLEEVE 5.98
BOTTLE DEPOSIT: 8 CHARGED, 7 CREDITED 6.00
3131 0718423668 1 OILIFUEL SURCHARGE 2.44
CO594419 RENT 9.98
TOTAL fl 56.32
Purchase p� 1
Description DP im I Nb ATeR APR 1 2
a
P.O.
G.L. 9 r ay— "1 1 3 T
Bud
1 J� u! V
Line Descr
Purchaser Date
Aom v`r SUMMARY atqp RFVinti s BALANCE PAYMENT 1 ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT
Subject to terms on reverse side. 45.29 45.29 56.32 56.32
service.icemountainwater.com NU 171TA l e i
-J 215 6661 DIXIE HWY, SUITE 4
LOUISVILLE- KY 40258 03/01/11 03131!11 0100121202766
m 9
ADDRESS SERVICE REQUESTED
SI' I II I I I III I I I I� I I I I (O ICI T- APR 19 0121202766
THUHU- MAY 19
MON- JUN 20
WED- JUL 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
1 l I �I�Illlrinll��lllllrllllllll��nn�ll�rl�lll�lf�ll�ll�ln
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This Spring, delight your guests With a variety of flavofst enjoy $t off casts of SanPellegrin- Sparkling Fruit r'
t
Beverages, Nestle�Pure Life Spl'ash_, &�Sparkii :o.'ser_.vIce ntainwater coM or call .n
18UQ- 472= J88,8,to add toyoui ,next order O'fferexpires 4130/11•:'
ACCOUNT ACTIVITY Pay your bill online at: service. icemountainwater.com or by phone at:1 -804 -472 -9888. It free!
Delivery address: CITY OF CARMEL PARKS DEPTIMONON CENTER, 1235 CENTRAL PARK DR EAST, CARMEL IN 46032
PREVIOUS BALANCE 51.88
3125 567834 PAYMENT -THANK YOU -51.88
3121 0715731428 8 5 GAL ICE MOUNTAIN DIRK W /HANDLE 31.92
2 9 OZ PLASTIC UP 50CISLEEVE 5.98
1 .5 L NATURAL SPRING WATER ICE MTN 5.99
BOTTLE DEPOSIT:__8 "CHARGED; 8 CREDITED .00
3131 0718320278 1 OIL/FUEL SURCHARGE 2.00
C0667516 RENT 5.99
Purc ase TOTAL 51.88
Description fl� I N K 16 W Mt Rig' M CA. t E 1r 12 R�
P.Q. P orf 2�1
APR
G.L.
Budget Q s.,e� I�Y S��(
C�1 iC.
Line Deser
pgpfCe "e ..eO.00
Purchaser Date
AnDroval Date
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT
Subject to terms on reverse side. 51.88 51.88 51.88 51.88
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
56.32
415111 1CO120095351 Drinking water cooler- Maint 51 88
4!5111 1 CO121202766 Drinking water cooler- MCC
Total 108.20
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
Voucher No. Warrant No.
051125 Ice Mountain Allowed 20
P.O. Box 856680
Louisville, KY 40285 -6680
In Sum of
108.20
ON ACCOUNT OF APPROPRIATION FOR
101 General 109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 100120095351 4350900 56.32 1 hereby certify that the attached invoice(s), or
1091 1CO121202766 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
21 -Apr 2011
mac
Signature
108.20 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
sery ice. icemountainwater.com A b C! ROM
215 6661 DIXIE HWY, SUITE 4
LOUISVILLE KY 40258 03/01/11 03!31111 0100120048525
ADDRESS SERVICE REQUESTED
II I I� I I II I I II II I I I III I III TUE- APR 2 0120048525
WED- MAY 25 5
FRI- JUN 24
TUE- JUL 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 SO
CARMEL IN 46032 -2584 Delivery! We value your business.
IIL. I"' I' I' �I" I �I' llllll' ll'I'I�II�I��I�I�� "�I'lll��
This Spring, delight your guests wittt VarlQty of flaYorsl Enjoy $2Eo ases Sanpgllegrinq Spgrk tfg Frult�s
Beverages,. Nestle ure if Splash &SparkIing„.:WateW. Go to seruice.icernoun #arnwater corgi °or call
1 -$OU 472888ato addtoyotr neXt "nrderi Offer explres 413Q111�` s
d
3
y+
ACCOUNT ACTIVITY Pay your bill online at: service.icemountainwater.com or by phone at:1- 800 472 -9888. It's free!
e
Delivery address: CITY OF CARMEL, 1 CIVIC SO, CITY ENGINEERING DEPT, CARMEL IN 46032
PREVIOUS BALANCE 17.45
3125 567839 PAYMENT -THANK YOU -17.45
0716666714 3 5 GAL ICE MOUNTAIN DIRK VV/HANDLE 10.47
3 5 GALLON ICE MOUNTAIN BOTTLE-DEPOSIT .00
3 5 GALLON ICE MOUNTAIN DEPOSIT RETURN 00
1 9 OZ PLASTIC UP 50C /SLEEVE 2.99
3131 CO581290 RENT 137x,.7 3.99
TOTAL
s 17.45
f^ CO
F ni l N
R�R1hEL
k It
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT! ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT
Subject to terms on reverse side. 17.45 17.45 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 bbbb8o Purchase Order No.
Terms
Louisville, KY 40285 -6680
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
415/11 01c Rent and Service March $17.45
ccn
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
Ice Mountain IN SUM OF
P.O. Bo 85 6680
Louisville, KY 40285 -6680
$17.45
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
materials or services itemized thereon for
Accnt0120048525
which charge is made were ordered and
received except
20
Signature
t X11 EY1q i l. A
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Al IT "M service.icemountainwater.com 0 19 M1 51 W
215 6661 DIXIE HWY, SUITE 4 03/01/11 03/31/11 01 CO121776199
LOUISVILLE KY 40258
B B e
ADDRESS SERVICE REQUESTED
IIIIIIIII IIII III II II II TUE- APR 2 0121776199
WED- MAY 25 5
FRI- JUN 24
TUE- JUL 26
CITY OF CARMEL HUMAN RESOURCES Customer Service: 1- 800 472 -9888
JIM SPELLBRING Thank you for choosing Ice Mountain Home Office
1 CIVIC SQ Delivery! We value your business.
CARMEL IN 46032 -2584
map III II I IIII' I I' l Illllnl!!!�!���I�IIII !E I� III'
T<hiis Spring, tlel ght you guests.w[th a variety of fla�orsl Enjoy�$2 off,cases of SanPellegrinoxSparkfing Frwlt
Beverages, NestlePur,,eL <Ife�S la "shy& S ark!In waters:': Gorto service [c emountalnwate[;.comzor cakig
p pa, 9 m
a.
1- 800=4T 88 fo ad i to you "rrnext order! Offer;explres 4/3A111 m
ACCOUNT ACTIVITY Pay your bill online at: service.icemountainwater.com or by phone at:1- 800 -472 -9888. It's free!
NUNN
Delivery address: CITY OF CARMEL, 1 CIVIC SQ, HUMAN RESOURCE DEPT, CARMEL IN 46032
PREVIOUS BALANCE 9.38
3125 567838 PAYMENT -THANK YOU -9.38
3/31 CO574437 RENT 3.99
TOTAL 3 -99
APR 2 Zi
By-
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT
Subject to terms on reverse side. 9.38 9.38 3.99 3.99
VOUCHER NO. WARRANT NO.
Ice Mountain ALLOWED 20
IN SUM OF
PO Box 856680
Louisville, KY 40258
$3.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel Administration
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1205 01CO1217761991 43- 530.99 I $3.99 1 hereby certify that the attached invoice(s), or
I 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
Friday, April 22, 2011
2
Director, Administration
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))
03/31/11 101 C0121776199 I $3.99
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
711 ".A service. ice mountaInwater.com
215 6661 DIXIE HWY SUITE 4 03/13/11 04/12/11 01 DO119252823
LOUISVILLE KY 40258
ADDRESS SERVICE REQUESTED 0 e
II I II I l ll ll �O�l l I I I IN I I I I I I X19 TUE- APR 2 0119252823
WED- MAY 25
FRI- JUN 24
TUE- JUL 26
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
lli�l�ll�lllrllilll�In���I�llllrl�llnl�Iluln�ll !!!�!l�II!!I
-ate x�,,'.." ,'s..,. P ER
This`Spring, dellght¢your guests with a variety ofeflavorstErijoy 20cla ses, of.SanPellegrttioSparkling Frult
Beverages Ne ttePuire Life Splashes &Sparkling waters laato smountatnWater corri or call a
9 80g= 472= 988'
toadcl fofyour next °ortEersl Offer expir "es 413Uf11 vh
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a. g
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 46
PREVIOUS BALANCE 16.40
4105 612497 PAYMENT -THANK YOU -16.40
3125 0716666672 3 5 GAL ICE MOUNTAIN DIRK W /HANDLE 10.47
3 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 18.00
3 5 GALLON ICE MOUNTAIN DEPOSIT: RETURN 18.00
1 9 OZ PLASTIC UP 50C /SLEEVE 2.99
4112 0720131218 1 OIL/FUEL SURCHARGE 2.52
D0748106 RENT 3.99
TOTAL 19.97
1
V ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT
q Subject to terms on reverse side. 16.40 16.40 -F 19.97 19.97
A l serviceJcemountamwater.com
215 6661 DIXIE HWY, SUITE 4 03/01/11 03/31/11 01 C0117821082
LOUISVILLE KY 40258
ADDRESS SERVICE REQUESTED Zug
Il i t ll 1 1 ll l ll l I I I II I I I I I I I III I I APR 18 0117821082
WED- MAY 18
FRI- JUN 17
TUE- JUL 19
Customer Service: 1 800 472 9888
CITY OF CARMEL STREET DEPATMENT Thank you for choosing Ice Mountain Home Office
3400 W 131ST ST Delivery! We value your business.
CARMEL IN 46074 -8267
IIIIIIIIIIIIIIIIII�II' �Illlllll�ll�llll�lllll�����ll�lll��lrllll
711is Sprrng, delight your guests�wifh ayAdtity of U Enjoy $2~ )p cases o>�SanPeI rrno SparklIng Fruit.
Beverages, NestleFu`re LlfewSplasfi'$Sparkling waters. Go toserv Icemauntarnwafer com or calf sr
X18.00= 472' ,988 &�'to�atici� your�next,,orderl Offer p
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, 3400 W 131TH ST, CARMEL IN 46074
PREVIOUS BALANCE 42.80
3125 567836 PAYMENT -THANK YOU -42.80
3/18 0715412045 3 9 OZ PLASTIC UP 50C /SLEEVE 8.97
10 5 GAL ICE MOUNTAIN DRK -W /HANDLE 34 -90
10 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 60.00
9 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -54.00
3/31 0718401722 1 OIL /FUEL SURCHARGE g 2.44
CO570230 RENT 3.99
TOTAL 56.30
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT 1 ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT
Subject to terms on reverse side. 42.80 42.80 56.30 56.30
VOUCHER NO. WARRANT NO.
Ice Mountain ALLOWED 20
IN SUM OF
P. O. Box 856680
Louisville, KY 40285 -6680
$76.27
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 01 C01 7821082 42- 389.00 $56.30 1 hereby certify that the attached invoice(s), or
2201 01DO119252823 42- 389.00 $19.97
bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
�7 Thursday,JApril 21, 2011
Street Commissit�n
Strait 'cTWe n1GGioner
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))
04/05/11 01 CO117821082 $56.30
04/14/11 01 D0119252823 $19.97
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
hd ij 7 "1. 1 service. icemountainwater.com 61 1 0 Q
215 6661 DIXIE HWY, SUITE 4
03/01/11 03!31/11 0100122206105
LOUISVILLE KY 40258
ADDRESS SERVICE REQUESTED D 0
FRI_ APR 15 0122206105
TUE- MAY 17
THU- JUN 16
MON- JUL 18
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
Wn
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r_< MaW r
Th s Spring, "atlel ght your guests wifhra variety of flavors! Enjoy $2 off ca es off SanPellegrin Spa�g ult
B ve ges, Nestle !'ure L fe SplasE�, B� Sparkling waters: Go tv ser .ice Icemountaihwater com car call v
1 80Q- 472 =8888 to acJcfk -to -your next "orsier!`sOfferexphes 4130111 a
...mss
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 ENGINEERING, 130 1ST AVE SW, CARMEL IN 46032
PREVIOUS BALANCE 24.70
3113 499112 PAYMENT -THANK YOU -9.33
3125 567837 PAYMENT -THANK YOU -15.37
3/17 0715293213 1 5 L NATURAL SPRING WATER ICE MTN D 5.99
1 9 OZ PLASTIC UP 50C /SLEEVE 2.99
3131 0718423148 1 OILIFUEL SURCHARGE 244
CO572166 RENT 3.99
04 TOTAL 15.41
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT I ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT y
Q Subject to terms on reverse side. 24.70 24.70 15.41 15.41
r—ur ueu uy Jlare nuaru ul HuLuullry idly —rill II.. cu I �I'Sev. lytl3J
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))
04/11/11 01CO122206105 Keystone Reconstruction Project $15.41
Miscellaneous
Project 07 -08
Total $15.41
I hereby certify that the attached invoice(s), or bills(s), is (are) true and correct and I have audited same in
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
15.41
ON ACCOUNT OF APPROPRIATION FOR
Ice Mountain Direct
PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members
DEPT.#
NA 01 CO122206105 4239099 $15.41
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
22 -Apr 20 11
To $15,41_ Signature
Cost distribution ledger classification if City Engineer
claim paid motor vehicle highway fund Title