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Home My WebLink About197237 05/11/2011 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CHECK AMOUNT: $9.50 CARMEL, INDIANA 46032 PROCESSING CENTER PO BOX 856680 CHECK NUMBER: 197237 LOUISVILLE KY 40285 -6680 CHECK DATE: 5/11/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1701 4239099 11D722032704 9.50 11D7220327048 hff armm, I service.icemountainwater.com I ®d 215 6661 DIXIE HWY, SUITE 4 04101111 04130/11 11D7220327048 LOUISVILLE KY 40258 d e ADDRESS SERVICE REQUESTED II I I I II I II !III III 1 I I I �I I �I� W RI J 7220327048 UN 24 TUE- JUL 26 WED- AUG 24 CITY OF CARMEL OFFICE OF THE CLERK TREASURER Customer Service: 1- 800 -472 -9888 ANN DAVIS Thank you for choosing Ice Mountain Home Office 1 CIVIC SQ Delivery! We value your business. CARMEL IN 46032 -2584 Asa s r�r .+st.. w"- Ab-a h. This Spring- ht your guests with a valety of^fla� ors+ Enjoy$ 2 aff�cases £ofSanPellegrtno °Spark[Ing Frult. Beverages NestlePure LIfe5plash Sparlcltng`waters�Go- to�senatce =lcemoun#a►nwater corn or;call 1- 800-4,72 =9888 toaddto your next order +®ffer explres'4T30I1� a. ACCOUNT ACTIVITY Pay your bill online at: service.icemountainwater.com or by phone at:1 -800- 472 -9888. It's free! p. Delivery address: CITY OF CARMEL, 1 CIVIC SQ, CLERK TREASURER OFFICE, CARMEL IN 46032 PREVIOUS BALANCE 12.91 5101 751995 PAYMENT -THANK YOU -12.91 4126 0720769561 1 9 OZ PLASTIC UP 50C /SLEEVE 2.99 1 5 GALLON ICE MOUNTAIN DEPOSIT RETURN 00 4/30 0722401817 1 OIL /FUEL SURCHARGE 2.52 D0750228 RENT 3.99 TOTAL 9.50 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT !ADJUSTMENT CUR NT AC IVITY PAY THIS AMOUNT Subject to terms on reverse side. 12.91 12.91 .50 9.50 ^s s BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL, 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 I- 900-472 -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. 6661 DIXIE HWY., SUITE 4 If you prefer, you can pay your bill online at service. icemountainwater.com 6661 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 S AMPL E I 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. 123456789U Your Account Number UolUOroa DDIODtUU You do not have to pay the disputed amount while it is being I investigated. During the investigation, we cannot report your account 2345678 as delinquent or take any action to collect the amount in question. MoN ca 19 Watch here fora GENERAL INFORMATION wEO ND mE -DEG personalized account 1_ Payments received after the billing (INVOICE) date will appear on Important g V1: 14., ltwRtial4fk, t,.,lI1LI�IlIL"I11K.a:1.lAAll cPn °^,e[seri[e: eoo.u�VSa meSSa e your next invoice. Past due invoices (not paid within 30 days of news and The ^sra ^yl M P' billing date) may be assessed a late fee as allowed by law not to offers i2, e.i 11 exceed $20 per month. Additionally, third party collectionlattorney cry s ,e I aat.a "at w u ar�au a €aala a expenses may be assessed at a rate not to exceed 100% of the c unpaid balance or the maximum allowed by law Pay electronically 1 Each returned check is subject to a service charge subject to the maximum check return charge allowable in our State. Y 3. All bottle and equipment deposits are shown as CURRENT Activity Make sure this M ACTIVITY, since your A CCOUNT ACTii I o amount has been 4 Equipment re replacement costs will be cha for bottles lost, Aad,e �^h ^n 1211A S1P"c`YS a`e paid in full to F g' last invoice ce` stolen, damaged or not returned. P[erw n"a`4 soon avoid late fees Payne S. In accordance with NWNA's Terms and Conditions "T &C your mss 96,698 s sfielw^N ",el sPl ^ewa ill 31 )68fi144sa 4<Mwn,ainSGel Deposl[ 196 Equipment Lease and/or Service Agreement account may be anees,<ee^ s k ^sal „�9 Monthly Oil p911, 311B651+aM 5 Gvei S"rtivr9• Surcharge, Fuel subject to minimum monthly purchases and/or early cancellation �f11 3ieznsesn fees. (A complete version of the currentT &C may be viewed on the asn] 0 9 a Surcharge or Delivery website listed below) Upon service discon inuation, rent for the Fee (see 96 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. s ,vl ea s .Ey E _YMM+ Information 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or way ^^""_Qe Delivery Fee as described in yourT &C. Only one of these fees Payment stub AccouNrsUMMAaY EeY^ -PAY BV PAY TNIS AMOUNT will apply to each account. The fee that applies to your account m 9 �w ACCOUW NUMBER WON s ,2 }a5fi78 MT. ENCtOSEU is stated on the from of the invoice. For further information please K INVOICE NUMBEP enur9c DArE visit the website listed below or contact our customer service 06 center. p sub 09262712619 n1Ja391a49 zDn4 1d 7. As a food product, bottled water is subject to the rules and Amount due regulations promulgated by the Federal Food and Drug I n ^oP. Administration (FDA). 1eE MOUNrAiN wnrEMnNem- ,c ys 8. Your first invoice indicates the products delivered on your first Submit your w ij2986 -ment a delivery, along with any applicable bottle and account deposits, at..an,a al, €,a "a P 3 by y this redemption fees, and any dispenser charges. All future invoices t "d °t_ ow,.,s,9 ^„PBe,�,ea "S0° date will reflect charges for water delivered and dispenser rental, bottle "D.Ea6 :A deposits and credits plus charges for any additional products ordered by you. Deliveries arc 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 Nest16 Waters North America Inc. Form No. NW 709 11/08 service.icemountainwater.com 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) SZ) 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. I ALLOWED 20 Q r IN SUM F O ON ACCOUNT OF APPROPRIATION FOR Board Members Po# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or d imlvwg bill(s) is (are) true and correct and that the �D 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