HomeMy WebLinkAbout199526 07/20/2011 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1
ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CHECK AMOUNT: $103.63
CARMEL, INDIANA 46032 PROCESSING CENTER
PO BOX 856680 CHECK NUMBER: 199526
LOUISVILLE KY 40285 -6680
CHECK DATE: 7/2012011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 01FO11782108 48.10 01FO117821082
2200 4239099 01FO12004852 13.96 01FO120048525
1205 4239099 01FO12177619 13.19 01FO121776199
920 4239099 01FO12220610 16.19 01FO122206105
1701 4239099 01F722032704 12.19 01F7220327048
se rvice ice moummnwateov
Nky
#o10 s*o1 DIXIE *vvY SUITE 06/01/11 08/3011 01FO117821082
Loumv|LLs KY 40258
ADDRESS SERVICE REQUESTED
Tus' JUL 19 0117821082
vvso' AUG 17
pRI- seP 16
w0w' OCT 17
Customer Service: 1-800-472'0888
CITY oFcxnweL STREET ospATmewT
Thank you for choosing Ice Mountain Home uOffice
3*00 w131STST
Delivery! We value your business.
C*RMEL|N40074'82O7
IntrodUcing new TRADEWINDS real brewed iced teas.'Wdewith high- quality tea leaves, real sugar all
nalural ingredients. It's iced tea made simply, just the wayift For a limited"time, save $2/case. Call
ACCOUNTACTIVITY Pay your bill online at: service. icemounta i nwater.com or by phone at: 1 -800-472-9888. It's free!
Delivery address: CITY OF CARMEL STREET DEPARTMENT, 3406W 131TH ST, CARMEL IN 46074
PREVIOUS BALANCE 87.48
6/10 868502 PAYMENT-THANK YOU '14.45
7/03 084704 PAYMENT-THANK YOU '73.04
6/17 0728104738 o nOz PLASTIC uPnou/SLsEvE 3.98
S u GAL ICE MOUNTAIN DIRK wVHAmDLE 31.41
8 o GALLON ICE MOUNTAIN BOTTLE DEPOSIT 5400
8 n GALLON ICE MOUNTAIN DEPOSIT RETURN -48.00
030 0731172169 1 n|uFusLSunCHAnGs 2.72
r09e8113 RENT 3.99
TOTAL 48.10
ACCOUNT SUMMARY
Subject to terms on reverse side. 87.49 87.49 48.10 48.10
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 14MO.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 no later than thirty (30) days after w•e 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. "',.n. Your Account Number
You do not have to pay the disputed amount while it is being .,00100 001001oo
investigated. luring the investigation, we cannot report your account
1734567
as delinquent or take any action to collect the amount in question.
Mo r9 Watch here for a
WEO-pW 7t
GENERAL INFORMATION ur -'a personalized account
1. Payments received after the billing (INVOICE) date will appear on Important 144ah•�•'ap,ttp au k^"`''pp0.41 -anse mess e
your next invoice. Past due invoices (not paid within 30 days of news and y16,al.aWlaM -'a n, `a�� message
billing date) may be assessed a late fee as allowed by law not to offers i �23n
pry,5urc 8008
exceed S20 per month. Additionally, third party collect ion /attorney
expenses may be assessed at a rate not to exceed 100 of the
d balance or the maximum allowed law. and o4�^mw,emr caw
by Pay electronically nw�•�'""'�
Tenw"9ePO mm .WUancliad Y Op1 niuc�.n•u<he
2. Each returned check is subject to a service charge subject to the
maximum check return charge allowable in our State.
B Y Make sure this
3. All bottle and equipment deposits are shown as CURRENT Activity .>ms a°^'
amount has been
ACTIVITY. since your ccourrr fir sRe uns� ppp ,z aid in full to
4. Equipment replacement costs will be charged for bottles lost, last invoice 0 d °"nOOe P
stolen, damaged or not returned. P avoid late fees
5. In accordance with NWNA'sTerms and Conditions "T &C'), your ,sn, a,ePb s wm, nsam�m" 5604
ent Lease and/or Service Agreement account be Monthly Oil
E
S d o•w A
quipm g may sne*s,..+a s "e rew�•se•�nem*' ,,.n
subject to minimum month purchases and/or earl cancellation
bj monthly port y Surcharge, Fuel
fees. (A complete version of the current T &C may be viewed on the av, '"a Surcharge or Delivery
website listed below) Upon service discontinuation, rem[ for the AL Fee (see #6 under
Leased Equipment is charged through the end of the billing cycle
"General
in which service is discontinued. L r ,,,.�mm. s
6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or ..,,,,,,,w z. .a ss Information
Delivery Fee as described in your T &C. Only one of these fees Payment stub A0co0Nrsumu" P Y.rtlsA^OU"
will apply to each account. The fee that applies to your account Accouw nurm0
PAY V a
is stated on the front of the invoice. For further information please 1zs4sb7sso e1 u+aosro
visit the website listed below or contact our customer service wvo ct un atA po ablao
7NSM1
center.
18
7. As a food product, bottled water is subject to the rules and a420a963a aV262 12619 00a391aV9 2ea4 Amount due
regulations promulgated by the Federal Food and Drug
Administration (FDA). 1Cea �ivrur+wn> 1 a vie
8. Your first invoice indicates the products delivered on your first c
aau.77 -Pen Submit your
a
delivery, along with any applicable bottle and account deposits, n.. •a,•�a„1u.4.LLLLl.tl menu ��•,rt,,,,,� payment by this
redemption fees, and any dispenser charges. All future invoices ,,,,,,,,�,.�••�a••"^• date
will reflect charges for water delivered and dispenser rental, bottle
C s r+•u••oe •ec.�m P..n
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.
6 2008 Ice Mountain Spring Water Company, a Division of Nestle Waters North America Inc. Form No. NW 709 1 1/08
C service. icemou ntai nwater.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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
07/06/11 01 FO117821082 $48.10
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
V NO. WARRANT NO.
ALLOWED 20
Ice Mountain
IN SUM OF
P. O. Box 856680
Louisville, KY 40285 -6680
$48.10
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT# /TITLE AMOUNT
Board Members
2201 01 FO117821082 42 389.00 $48.10 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
�l Thursday, July 14, 2011
i
treet Cor its er,
Ptr Title
Cost distribution ledger classification if Oner
claim paid motor vehicle highway fund
service. icemou ntainwater.com
Or 215 6661 DIXIE HWY, SUITE 4 06/01/11 06/30/11 01 FO120048525
LOUISVILLE KY 40258
ADDRESS SERVICE REQUESTED
E- JUL 26 0120048525
VV
ED- AUG 24
FRI- SEP 23
MON- OCT 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
CARMEL IN 46032 -2584 Delivery! We value your business.
1 1111 1 1'I' I I lllll'1'I` 1 111 111 1111111 ,1, 11'I'11 1 11 11 111
Introducing new TI�AI]EWIIVDS real brewed�lced�Was Made with htgl%q a`lity tea fea es real sugar 8
natural `Ingredlerts. It "s "rcecifea made simply For al!mitetl tlme,sae$21 aseCa11"
1 800- 472 =9888 t4 acld i your next ordert
xp 813 111 '�ry
r
w
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 SQ. CITY ENGINEERING DEPT, CARMEL IN 46032
PREVIOUS BALANCE 31.91
6110 968496 PAYMENT -THANK YOU -20.94
7/03 084763 PAYMENT -THANK YOU -10.97
6124 0729335380 2 5 GAL ICE MOUNTAIN DIRK WIHANDLE 6.98
2 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT: 7 .00
3 5 GALLON ICEWOUNTAIN DEPOSIT RETURN' '�01 1,4 .00
1 9 OZ PLASTIC.UP 50CISLEVE art' ��b,� 2.99
6/30 F1010836 RENT 3.99
TOTAL 13.96
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT !ADJUSTMENT CURRENT ACTIViTI( PAY T H IS AMOUNT
S bject to ter ms on reverse side. 31.91 31.91 13.96 13.96
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, ifyou 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 pp ��pp
must hear from you in writing no later than thirty (30) days after we S AM PLE I NVOI C E
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.
You do not have to pay the disputed amount while it is being ,01Wt00- aP1oolPU 123+s67evP Your Account Number
investigated. During the investigation, we cannot report your account
12345
as delinquent or take any action to collect the amount in question. te n Watch here for a
nw n
GENERAL INFORMATION u-la personalized account
1. Payments received after the billing (INVOICE) date will appear on Important M 6 nt„�.WdI33a c message
your next invoice. Past due invoices (not paid within 30 days of news and hd'"m �,„r
billing date) may be assessed a late fee as allowed by law not to offers M D ,„,a
exceed $20 per month. Additionally, third party collection/attomey on'sw,e ,.a.dl.►
expenses may be assessed at a rate not to exceed 100% of the
unpaid balance or the maximum allowed by law. ,��„�,yt>+,+�dn '"s"`�' ".,�awv� r.,. Pay electronically
2. Each returned check is subject to a service charge subject to the
maximum check return cha allowable in our State.
arg Y Make sure this
3. All bottle and equipment deposits are shown as CURRENT Activity
ACTIVITY. since your nccauF rnc' ^TM v ei" o s o000o amount has been
4. Equipment replacement costs will be charged for bottles lost PeuKrv�°°' n5e� h paid in full to
last invoice =s avoid late fees
stolen, damaged or not returned. ne.lw
5. In accordance with N WNA's Terms and Conditions "T &C your
Equipment Lease and/or Service Agreement account maybe Tan 1 4 s sc Monthly Oil
subject to minimum monthly purchases and/or early cancellation 3' r"els' dei1 I a,T t pt Surcharge, Fuel
fees. (A complete version of the current T &C may be viewed on the ",nz r, r-(; *�j s=. Surcharge or Delivery
website listed below) Upon service discontinuation, rent for the rorw 1 Fee (see #6 under
Leased Equipment is charged through the end of the billing cycle
General
in which service is discontinued.
6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or
,.r .,o Information")
,.r„w „m �m^�^°°'_�±^^-
Delivery ee as described in our T &C. On one of these fees Payment stub ALccoui4rsumm" 1193
rY Y 1 3' Y mr e+ vxr rnls,wourtr
will apply to each account. The fee that applies to your account ..nwrr^� I,cCeoW NLLMeA
B n.a
is stated on the front of the invoice. For further information please ,z3+s67evo an�iax Wr r.EKKlosEo
IM7OICENUMeFR Wllbl00
visit the website listed below or contact our customer service ,x1,sa7ava
center.
7. As a food product, bottled water is subject to the rules and ,,20096307 0!2712619 0aa391099 200 1b
42 q Amount due
regulations promulgated by the Federal Food and Drug
Administration (FDA). r,,uwnrracoMeN+�' +n"1+1"u
M cm,sv,e ooamo
8. Your first invoice indicates the products delivered on your first Submit your
delivery, along with any applicable bottle and account deposits, t .aa�- •�•^a" at"a•�tl"t' a su• payment by this
redemption fees, and any dispenser charges. All future invoices d w 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 lee Mountain Spring Water Company, a Division of Nestle Waters North America Inc. Form No. NW 709 11108
O 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.
T Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1 4 i
Total yp
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
m IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
j1/ fk 3 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
i natur
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund
service.!cemountainwater.com p p p
215 6661 DIXIE HWY, SUITE 4
06/01111 06130111 01F7220327048
LOUISVILLE KY 40258
FF—
ADDRESS SERVICE REQUESTED g
II I I Ig I �I Ili! I ��II 9111 I I l l l it l III TUE- JUL 26 7220327048
WED- AUG 24
FRI- SEP 23
MON- OCT 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 SO Delivery! We value your business.
CARMEL IN 46032 -2584
IIII'I �I IIII'I'lll' 11111' I`II�IIIIIIIII "III11 3 1 11 111 11 1t "11
to s_u.
lntrotllactr g nevu l RADEWINDS real' br w d ICetl teas' Made- WiR,high quail tea leaves, real suc a�r�8 all
naturalin`grectients Itxs iced #ea =made slrinpI dust fhe wal It should be For a Ilmited time, $2 /case Ca l
P 7 QR ri si W c� inn t'Crrtcrlxn 3'I 1'(0
u i& SS S� t0 �_r X
M
a
ACCOUNT ACTIVITY Pay your bill online at: service.icemou ntai nwater. co m or by phone at: 1 -800-472-9888. It's free!
Delivery address: CITY OF CARMEL, 1 CIVIC SQ, CLERK TREASURER OFFICE, CARMEL IN 46032
PREVIOUS BALANCE 1215
7/03 084765 PAYMENT -THANK YOU -12.15
6124 0729335745 1 5 GAL ICE MOUNTAIN DRK WlHANDLE 3.49
1 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00
1 5 GALLON ICE MOUNTAIN DEPOSIT RETURN .00
1 9 OZ PLASTIC °UP 5aC /SLEEVE 1 1.99
6130 0731314845 1 OIL/FUEL SURCHARGE 2.72
F1039900 RENT 3.99
TOTAL 12.19
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT
Q Subject to terms on reverse side. 12.15 12.15 12.19 12.19
BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER
IN CASE OF ERRORS OR QUCSTIONS 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 Boo 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 no later than thirty (30) days after we S AMP L E INVOI
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.
You do not have to pay the disputed amount while it is being ootoaloUoaoo�ooY 7tsarevo Your Account Number
investigated. During the investigation, we cannot report your account r 133456
as delinquent or take any action to collect the amount in question.
MoNorT zs Watch here for a
wEO -Nw
GENERAL INFORMATION personalized account
I
80 0 7 r -seae
1. Payments received after the billing (INVOICE) date will appear on Im P message
tLthf +IpaLanna»otttta`- .tpa "U'dtatl° e
your next invoice. Past. due invoices (not paid within 30 days of news and ti
billing date) may be assessed a late fee as allowed by law not to offers ,121 wi" 5, M n
exceed $20 P Y p ar t y collection/auome er month. Additionally, third art cn,x pppp0
Y i.]➢.t,Awta- .JL «dt -,ll -Ln t.L1tLaA i
expenses may be assessed at a rate not to exceed 100% of the
unpaid balance or the maximum allowed by law veylwceauY bre+'k�'R` Pay electronically
2. Each returned check is subject to a service charge subject to the s n,s s c a �«,ia•� OCO.enamucic^m'
maximum check return charge allowable in your State. Make sure this
3. All bottle and equipment deposits are shown as CURRENT Activity
ACTIVITY. amount has been
since your Aaouiar aw.sm,e �60
4. Equipment replacement costs will be charged for bottles lost paid in full to
last invoice oA6ErAdaa s
stolen, damaged or not returned ThKk� avoid late fees
5. In accordance with N WNA's Terms and Conditions "T &C your o •A+ew sra,a+Nmu,al5n�^9waar .3 ".w
Lease and/or Service Agreement account may be Month) Oil
Equipment g Y nlees, s keMw "see,RewM „?s y
subject to minimum month) purchases and/or earl cancellation T'7aes" s mow"
1 Y P Y -1e4o Surcharge, Fuel
fees. (A complete version oftbe current T &C may be viewed on the 1 bf" pi9 5�eo Surcharge or Delivery
website listed below) Upon service discontinuation, rent for the tO1Al. Fee (see #6 under
Leased Equipment is charged through the end of the billing cycle "General
in which service is discontinued.
RsrAw Information
6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or ..P "an•µ�x• ,�sv va•�m'"^"_"_"'°'
Delivery Fee as described in your T &C. Only one of these fees Payment stub ACCOUNT SUMMARY _T e nr rNis AM
OUNT
to each account. The fee that applies to our account "`,7,,:.�� J• env ev
PPh pP y A[COLLMNU 5 will a
is stated on the front of the invoice. For further information please 134 }61890 Rn�nc UArE T. ENCEOSfU
INJOICE NUMBER WIW Ilb
visit the website Fisted below or contact our customer service 1r33567evo
center.
1°
7. As a food product, bottled water is subject to the rules and 042ao96307 0420271261M1 vooa91as zn Amount due
regulations promulgated by the Federal Food and Drug
Administration (FDA). �Cf�, NTXN wA —C ""'„F alr s <m<
8. Your first invoice indicates the products delivered on your first Submit your
wRrosTOMfRSERw "`""'$°d" a
delivery, along with any applicable bottle and account deposits, d6..q „wtl.,t "ttt.ld.o payment by y this
u.M�
redemption fees, and any dispenser charges. All future invoices ^""R°°"•.eu,�..«•sa•. ,AMC 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 limes per year, so approximately 5 of those invoices will reflect
two deliveries.
2008 Ice Mountain Spring Water Company, a Division of Nestl6 Waters North America Inc. Form No. NW 709 1 1106
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))
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
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
D 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
s 0
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
service.icemountainwater.corn
215 6661 DIXIE HWY, SUITE 4
06/01/11 06/30/11 01F0121776199
LOUISVILLE KY 40258
e B e
ADDRESS SERVICE REQUESTED
TUE- JUL 26 0121776199
WED- AUG 24
FRI- SEP 23
MON- OCT 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 Delivery! We value your business.
CARMEL IN 46032 -2584
Introducing new TRADEWINDS -real brewed iced teas. Made with, high- quality tea leaves,, real sugar all
natural ingredients. It's.iced'`tea made simply, just the way it should be. For a limitedAime,:save $2 /case: Call
1- 800 4.72 -9888 o add'to your nett orderl.' -E 8 /31/11
ACCOUNT ACTIVITY Pay your bill online at: service. icemou ntainwater.com or by phone at: 1 -800-472-9888. It's free!
e e e e
Delivery address: CITY OF CARMEL, 1 CIVIC SQ, HUMAN RESOURCE DEPT, CARMEL IN 46032
PREVIOUS BALANCE 16.65
6/10 968497 PAYMENT -THANK YOU -3.50
7/03 084766 PAYMENT -THANK YOU -13.15
6/24 0729335489 1 9 OZ PLASTIC UP 50C /SLEEVE 2.99
1 5 GAL ICE MOUNTAIN DIRK W /HANDLE 3.49
BOTTLE DEPOSIT: 1 CHARGED, 1 CREDITED .00
6/30 0731123303 1 OIL /FUEL SURCHARGE 2.72
F1002858 RENT 3.99
TOTAL n 13.19
LJ
JUL 1$ 2011
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT
Subject to terms on reverse side. 16.65 16.65 13.19 13.19
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. 800472 -9888 OR WRITE US AT: your first invoice Will include a pro -rated fee for the current month, plus the next month 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 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. 1234s67s Your Account Number
You do not have to pay the disputed amount while it is being 001001110.110/00100
investigated. During the investigation, we cannot report your account
2;45679
as delinquent or take any action to collect the amount in question. MON 00 o.
ON Watch here for a
GENERAL INFORMATION NF ND\' DfC 21 U p ersonalized account
I. Payments received after the billing (INVOICE) date will appear on Important tubbtab»aun.a,tuau c �k, s. L.,''"' 988
ran Int.tnanna. k° 1 ^pp6K message
your next invoice. Past due invoices (not paid within 30 days of news and Tn.roYO•'O'
billing date) may be assessed a late fee as allowed by law not to offers S,
exceed $20 per month. Additionally, third parry collection/attomey °'Y'$O" 00000 a.n.ba u•66u+'a
I.aaa,a.m•..n
expenses may be assessed at a rate not to exceed 100% of the
unpaid balance or the maximum allowed by law. J am..a «^'e" r isw v91^:ur><a^ry Pay electronically
tom,^w�ra^ o ^mvW?`
2. Each returned check is subject to a service charge subject to the u^���^" ,•kn�o�
maximum check return charge allowable in our State. a.mNb>,�m•69ma
g Y Make sure this
3. All bottle and equipment deposits are shown as CURRENT Activity m.+- ^""•.•a amount has been
ACTIVITY. since our ACCOUNTACTI paid In full to
y 121 M,m s1.K,. an.sm. oaooD 1,w
4. Equipment replacement costs will be charged for bottles lost, last invoice Ab°
stolen, damaged or not returned. I..a«AEYW� avoid late fees
5. In accordance with NWNA's Terms and Conditions "T &C your 9e n, ,61eN s0,W—iw^Nn4olswww som
ui ment Lease and/or Service Agreement account may be
11 1 5
9 P 8 Y k�M"°""w�i0�a9w^^
E ilw Monthly Oil
subject to minimum monthly purchases and/or early cancellation o^' jii°6s' s r4�k" Surcharge, Fuel
fees. (A complete version of the current T &C may be viewed on then jQ6"0i911 w01
p Y 57w Surcharge or Delivery
website listed below) Upon service discontinuation, rent for the TOLE Fee (see #6 under
Leased Equipment is charged through the end of the billing cycle "General
in which service is discontinued. y w y N L .L 0 s"
6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or 49 Information
Deliver Fee as described y our bed in our T &C. On Payment
one of these fees Pa stub ACCOt SUMMARY �c °N
pAY 9Y YAY TNIS AMOUNT
will apply to each account. The fee that applies to your account ,;,�w�^�•"' 1 Accou"T mums" s
is stated on the front of the invoice. For further information please 121+567890 BwN�pATE MT. ENCLOSED
visit the website listed below or contact our customer service NY 5676"
12345679 COW
center.
7. As a food product, bottled water is subject to the rules and 0420096307 04292712619 000391049 200A 1 Amount due
regulations promulgated by the Federal Food and Drug 19 1O
Administration FDA ICE MOONS Nw,W n. co 10 s
8. Your first invoice indicates the products delivered on your first bu 79eu Submit your
rpp LUSTOMEA 1f.`AL[UIl''e99J7 a
delivery, along with any applicable bottle and account deposits, a.ba•.b.a.b. 1�.�9•,D^wM••so-. p ayment by this
redemption fees, and any dispenser charges. All future invoices 6 date
Cl
SWN V•fO.iRE MrtOMYIeq�U9
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 Nestl6 Waters North America Inc. Form No. NW 70911/08
service. icemountainwater.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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
06/30/11 01 FO121776199 $13.19
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
PO Box 856680
Louisville, KY 40258
$13.
ON ACCOUNT OF APPROPRIATION FOR
Carmel Administration
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1205 1 01 FO121776199 I 44- 670.00 I $13.19 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, July 15, 2011
Director, Administration
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
service.icemountainwater.com
215 6661 DIXIE H4VY, SUITE 4 06/01/11 06/30/91 01 FO122206105
0 LOUISVILLE KY 40258
ADDRESS SERVICE REQUESTED
MON- JUL 18 0122206105
IO���IDlfl�l II I�I� Ill 01 ICI BIB III! TUE- AUG 16
THU- SEP 15
FRI- OCT 14
CITY OF CARMEL ENGINEERING /1ST AVE Customer Service: 1 -800- 472 -9888
KATIE NEVILLE Did you forget about us? Kindly pay upon receipt.
1 CIVIC SQ Remember, past due accounts are subject to a late fee.
CARMEL IN 46032 -2584 Your prompt payment is appreciated. For your
��III'' llll�' IIIIll' In lli L ll` I��I 'II��I�elllleull�il�llll���ll convenience, pay online: icemountainwater.comiservice.
If payment has been made, we thank you.
gRADEWIEVDS, real l�rewec tcedteas�h1ad'evtith Iiigtt qualitykte leaves;,eat�s:ugar
f Intrgdetcin anew T
na4t ral it gredients tea rrtade;sttt ply; dust the'way tt�shautd b Fora' limited tirr�e'TsaVe`$?Jcase,Ga It
;1 -8 X72- 9888vty add tcryotJr ne�ctxorderl Exp $13111'1
4
e
ACCOUNT ACTIVITY Pay your bill online at: service.icemountainwater.com or by phone at1 -800 -472 -9888. It's free!
Delivery address: CITY OF CARMEL ENGINEERING, 130 1ST AVE SW, CARMEL IN 46032
PREVIOUS BALANCE 21.15
6110 968500 PAYMENT -THANK YOU -6.50
6116 0727767632 1 5 L NATURAL SPRING WATER ICE MTN B.49
1 9 OZ PLASTIC UP 50C /SLEEVE 2,99
6130 0731167193 1 OILIFUEL SURCHARGE 2.72
F1000300 RENT 3
TOTAL 30.84
A
�U
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT I ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT
Subject to terms on reverse side. 21.15 6.50 16.19 30.E
rresunueu uy oieie ouaw ui Muuuums uny run" "U. cui �nev, iaao�
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))
07/09/11 01 F0122206105 Keystone Reconstruction Project $30.84
Miscellaneous
Project 07 -08
Total $30.84
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
30.84
ON ACCOUNT OF APPROPRIATION FOR
Ice Mountain Direct
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
DEPT.#
NA 01 FO122206105 4239099 $30.84
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
18 -Jul 20 11
$30.84 Signature
Cost distribution ledger classification if City Engineer
claim paid motor vehicle highway fund Title