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Home My WebLink About199055 07/06/2011 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1 t i. ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CHECK AMOUNT: $61.62 CARMEL, INDIANA 46032 PROCESSING CENTER PO BOX 856680 CHECK NUMBER: 199055 LOUISVILLE KY 40285 -6680 CHECK DATE: 7/6/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4238900 01FO11925282 61.62 01FO119252823 AIR "�A service.icemountainwater.com 0 D 0 215 6661 DIXIE HWY SUITE 4 05/13/11 06/12/11 01 FO119252823 0 R VF LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED B 431 e II1I�I�II1III�I1�II�I II IN IIII 1I1 TUE- JU 26 0119252823 WED- AUG 24 FRI- SEP 23 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 �I�III' Ill' I 'IIII "I IIIIIII'lll Refreshing` drinks and savings! For a limited time','enjoy: up -to $3 off select cases of Perrier, AriZona and !Sweet Leaf Beverages. With,�prices this cool, bring on the heat! Go to service. icemou nta i nwate r.com or call 9- 8.Q0_472_988.8a q� dd to your next_orderl Offer ex pires 6 /30/1.1. •-,q�- v. r_.-4 .mo 'x. ,r�...w., q s�a,.,..... .w ACCOUNT A Pay your bill online at: service. icemounta i nwater.com or by phone at:1 -800- 472 -9888. It's free! s e a s e Delivery address: CITY OF CARMEL STREET DEPARTMENT, 2 CIVIC SO, CARMEL IN 46032 PREVIOUS BALANCE 35.62 6/10 968501 PAYMENT -THANK YOU -35.62 5/25 0725101471 8 5 GAL ICE MOUNTAIN DIRK W /HANDLE 27.92 8 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 48.00 4 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -24.00 1 9 OZ PLASTIC UP 50C /SLEEVE 2.99 1 STIR STIX .00 6/12 0728695354 1 OIL /FUEL SURCHARGE 2.72 F1037412 RENT 3.99 TOTAL 61.62 ACCOUNT SUMMARY F__ PREVIOUS BALANCE PAYMENT ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT I S Subject to terms on reverse side. 35.62 35.62 61.62 61.62 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. 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 later than thirty (30) days after we SAMPLE INVOICE sent you the first bill on which the he 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. ,z3ssrevo Your Account Number You do not have to pay the disputed amount while it is being 'DOIOOIDO.00tooioo investigated. During the investigation, we cannot report your account as delinquent or take any action to collect the amount in question. rNa ocr a u3 +sera Nrn,Da Watch here for a -D NW GENERAL INFORMATION v E -DEC l9 personalized account 1. Payments received after the billing (INVOICE) date will appear on Important tln.4tn4.•nln +G.,tt1�n K`s"""_''°0- 'tZ'9see ull.m:olJwJ. M Pte message your next invoice. Past due invoices (not paid within 30 days of news and rb, nEW�'m •uU 9 billing date) may be assessed a late fee as allowed by law not to offers p D n exceed $20 per month. Additionally, third party collection/attorney C111C11111111 Dom° V Jp, t� ,7 "aL.J1..JL..11.40..4.L444J.0 unpaid b assessed t exceed I00 of the balance or the maximum allowed by law. �Yd A w� Pay electronically 2. Each returned check is subject to a service charge subject to the maximum check return charge allowable in your State. Make sure this 3. All bottle and equipment de oasts are shown as CURRENT Activity p amount has been ACTIVITY. since your AccouNTACTvm 5 cry`SN1P paid in full to 4. Equipment replacement costs will be charged for bottles lost, D•,Mn• last invoice stolen, damaged or not returned. P2 w TMrck avoid late fees 5. In accordance with NWNA's Terms and Conditions "T &C your oen, 5 sw nxw>tsm"owx" ww l l,e MamuinSGal ppP4tit t96 Equipment Lease and/or Service Agreement account may be 11 ,rees,aw+ s 4<w "umsGalP�u••^ nsv Monthly Oil subject to minimum monthly purchases and/or early cancellation a ;',g�3 �s"`w•s• Surcharge, Fuel fees. (A complete version ofthe currentT &C may be viewed on the 9' 4 Surcharge or Delivery website listed below) Upon service discontinuation, rent for the rOlAt Fee (see #6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. Information 6. You will he charged a monthly Oil Surcharge, Fuel Surcharge or ..tYbv Deliver Fee as described in our T &C. Only ne of these fees Payment stub ACCOUNTSUMMANY Y y our Y pAY BY PAY TNIS AMOUNT will apply to each account. The fee that applies to your account --^d`• o_ NDMeuI 11. is stated on the front of the invoice. For further information please weo a U CDDAR T. ENCLOSED ,NVICE NUMBER visit the website listed below or contact our customer service 12 145678" w1mm center. 7. As a food product, bottled water is subject to the rules and 042aD96307 042e2712619 000341 2004 1° Amount due regulations promulgated by the Federal Food and Drug d Administration (FDA). k en�c�oMrr+� on.w�•s�D° 00 0°° Submit your 8. Your first invoice indicates the products delivered on your first w ^r w •6osTD 0Ervrce cui,.eown V een delivery, along with any applicable bottle and account deposits, payment by this lwJ4..D.1D..4.4441..LD sue• N� •�u••Yn redemption fees, and any dispenser charges. All future invoices date will reflect charges for water delivered mid dispenser rental, bottle srn w rare w*D�n sw�°e4ji°On 4•.•.+ 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. C 2008 Ice Mountain Spring Water Company, a Division of Nestle Waters North America Inc. Form No. NW 709 1 1/08 Q service.icemountainwater.com VOUCHER NO. WARRANT NO. Ice Mountain ALLOWED 20 IN SUM OF P. O. Box 856680 Louisville, KY 40285 -6680 $61.62 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO #1 Dept. INVOICE N0. ACCT #/TITLE AMOUNT Board Members 2201 01 FO119252823 42- 389.00 $61.62 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 fi Thusday Jdne 30 1 2011 h/ Street Commissioner iu Street GGT�tIe iG3Cr,er 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)) 06/15111 01 F0119252823 $61.62 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