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HomeMy WebLinkAbout163246 09/03/2008 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CARMEL, INDIANA 46032 PROCESSING CENTER CHECK AMOUNT: $99.56 PO BOX 856680 CHECK NUMBER: 163246 LOUISVILLE KY 40285 -6680 CHECK DATE: 9/3/2008 DEPARTMENT ACC OUNT P NU MBER IN VOICE NUMBER AMOUNT DESCRIPTION 902 4239099 086012022391 6.90 OTHER MISCELLANOUS 1047 4353099 086012120276 35.63 OTHER RENTAL LEASES 2201 4238900 08HO11925823 57.03 OTHER MAINT SUPPLIES 720106 i illffil M ask mom r 7/01/08 7131108 08GO121202766 #215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 service. icemountain.com MON- AUG 18 0121202766 III IIII IIII III 1111111111 HIM 1 111111111111 WED- SET 1 6 THU- OCT 16 #BWNNWYR .JL�JC' c 1 FRi- NOV 14 #0400001212027662# CITY OF CARMEL PARKS DEPARTMEN AUG I i ?ooR Customer Service: 1 -800- 472 -9888 MANDY SPADY 1411 E 116TH ST Did you forget about us? Kindly pay upon receipt. CARMEL IN 46032 -3455 ]BY: --_YT— I Remember, past due accounts are subject to a late fee. Your prompt payment' is appreciated. For your convenience, pay online: icemountainwater.com /service. If payment has been made, we thank you. a s v� x Z ,.aa� ...r- '.,ice lelo i"_.".`..... ,.;,""""`.."r""_'�.°'°_'...,"�i �Iitt.our website „to learn hoW to beat the heatwwtth�deltas Icee# coffee recipes from Sfarbucks Fora Itmltetl tlrrie- �ave$3 Wh n`you �o "onl ni e�andatld a 1lbi ba of'ct� #fee;to our order Offer,ex ices 8/,15f08Lo onto service Icernountatnwater corn to order totlay!� a° �a., :..t x "a <�':'t'f� "`n y'°'s�Ht.�. ACCOUNT ACTIVITY Pay your bill online at: service.icemountain.com or by phone at: 1- 800 -472 -9888. Ifs free! Delivery address: CITY OF CARMEL PARKS DEPTIMONO, 1235 CENTRAL PARK DR EAST, CARMEL IN 46032 PREVIOUS BALANCE 39.31 7/11 346731 PAYMENT -THANK YOU 7ar. C �Q T YOU -21.65 7118 0574719746 5 5 GAL ICE MOUNTAIN DIRK W /HANDLE 19.95 1 9 OZ PLASTIC UP 50CISLEEVE 1 8 2008 2.69 BOTTLE DEPOSIT: 5 DELIVERED, 4 RETURNED 6.00 7/31 0577747579 1 OIL /FUEL.SURCHARGE B 2.00 G6157288 RENT 4.99 TOTAL° 53.29 P.O. o 0 In �S �t qq ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENTIADJUSTMENT CURRE=NT ACTIVITY PAY THIS AMOUNT �nblect to terms on reverse side. 39.31 21.65 35.63 53.29 BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO KELP US SERVE Y ©U 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 QUALIFY AND INFORMATION, PLEASE 2, Remember, if you are renting equipment, your equipment rental is charged one month in advance. That means CALL 1-x00 -472 -0888 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. 4216 If you prefer, you can pay your bill online at service.icemountain.com. 6661 DIXIE FIWY., 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 Inter than thirty (30) days after we SAMPL I NVOICE sent you the first bill on which the error or problem appeared u Yo can telephone us. but doing so will not preserve your rights. In your letter, give its 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. ,zlas676 Your Account Number You do not have to pay the disputed amount while it is being t 0olooloo- Doi ooloo investigated. During the investigation we cannot report your account 123A567 as delinquent or take any action to collect the amount in question. TNa 0 C T „,oN_ocr r9 Watch here for a GENERAL INFORMATION WE0 Nm Nf nfc ,e personalized account 1. Payments received after the billing (INVOICE) date will appear on Important II,IL.. 111., IIL. IIIIIJ„1111,1,p11.a111LIl,aladll c se �oaa message nest st Invoice. Past (Inc invoices (not paid within 30 days of news and a "e e...k••. billing (late) may be assessed a laic fec as allowed by law not to offers iii Mal^st Cuy, sta +e 00000 exceed $20 per month. Additionally, u third party callecon /attnrey t III I L. Ip ^'I expenses may he assessed n[ a w rate not to exceed 100% of the y-t.n unpaid balance or the maximum allowed by la f a;.yi!^>c `aw�reeaw nwsaaT B Pay electronically 2. Each returned check is subset ton service charge subject to the maximum check return charge allowable in your State. Make Sure this 3. All bottle and equipment deposits arc shown as CURRENT Activity ACTIVITY. amount has been ACTIVITY. your &ccoa+rarnv V scare 000.00 s paid in full to 4. Equipment replacement costs will be charged for bottles lost, w Aaa.ess: ma ^o°e. urrna^s rnr, n9 last invoice I'll avoid late fees stolen, damaged or not returned. n,r; eeaia peym¢m- r"ankvou 5 °to, 5. ht accordance with N WNA's Terms and Conditions "T &C"), your oel3i ab,eae s coati °'a's4 "9W 30% s!n mees<a^" ��QM° "A,a;�scewrn^�R Monthly Oil Equipment Lease and/or Service Agreemont account may be nnaenaaaq s M ^�a +av "seal 0.«„1^ ovn �;els� Surcharge, Fuel subject to minimwn monthly purchases and /or early cancellation osn: 3 6 e ,nnn g osnz Iswar+y� s�ao fees. (A complete version ofthc currcm l' &C in ay be viewed on t he Surcharge or Delivery website listed below) Upon service discontinuation, rent for the rouE Fee (see #6 under Leased Equipment is charged through the end dof the billing cycle N "General in which service is discontinued. s AT Information') 6. You will be charged a motdhly Oil Surcharge, Fuel Surcharge or Payment stub eRr p6rTNSUaouNr ACCOUNT SUP"" e.c Delivery Fee as described in yourT &C. Only one of these fees l will apply to each account. The I fee that app ties toy Our account recWNrrmMHER To 11A CEOSfO is stated on the front of the invoice. For further information please; ,nassrR90 elwNC OA *c MT. EN 1NYUICE NUMBER Do No visit the website listed below or contact our customer licfvioe; ,zlasbleso 0 16 center. T Yt.#�'i 7. As a food product, bottled water is subjecI to the rules and 0,24496347 "'62712619 9443910.9 2044 Amount due regulations promulgated by the Feder. of 1o""1— Administration (FDA). ;Itw O MOUNTAIN WATEG4MAN 123 Main Sl �,ae.au w.,. p,y, s,me oaaoo j -0808 Submit your 8, Your first invoice indicates the products delivered on your I f rArf ��oo elivery, along with any applicable bottle t t„ o6,, „n s Eon cvsroMEn sent” payment b this ..g.s o „an,��.��a�ea.. use ut. t ..,,n.,,u.aat „6, „t.,n r fees, and any dispenser charges. All future invoices ,p l sy uv n.s�1 •e °M1 will reflect charges for water delivered and dispenser rental, bottle P F date deposits and credits plus charges for ordered by you. Deliveries are trade every three or four Lyeel�.q, for r y Y a total of 16 -17 deliveries per year, You wilronTy receive invoie 12 times per year, so approximately 5 of th o �_:Ii,,;ce. two deliveries. 2008 Ice Mountain Spring Water Company, a Division of Nestle Waters North America Inc. Form No. NW 709 s/os 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 Date Due Louisville, KY 40285 -6680 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 815108 0860121202766 Drinking Water cooler Monon Center 35.63 Total 35.63 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 35.63 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members Dept 1047 0860121202766 4353099 35.63 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 28 -Aug 2008 io Signature 35.63 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund 4 720108 W'. s 07/13/08 8/2/08 08HO119252823 #215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 service.icemountain.com y 4 I 1 i MON- SEP 15 0119252823 III IIII II II II II III III IIII III III I III �I TUE- OCT 14 WED- NOV 12 #BWNNWYR MON- DEC 15 #0400001192528234# CITY OF CARMEL STREET DEPARTME Customer Service: 1-800- 472 -9888 BONNIE CALLAHAN 3400 W 131 ST ST Did you forget about us? Kindly pay upon receipt. WESTFIELD IN 46074 -8267 Remember, past due accounts are subject to a late 11 1111111111111 loll[ „11161IIIL11111di11 ill11111fr11 11 fee. Your prompt pa is appreciated. For y our convenience, pay online: icemountainwater.com/service. If payment has been made, we thank you. Enjoy ca sp p ecia! savrngsl Ord or just err2 sesofour most §popular on thezgo stzes f 121; Chasse from our half lite r r�ttl A l 'fi i ^r m pad oaf f.,r Nes Pure Life Splash IaVOrs. er explre5 t0115f08 Lag onto ser 1cemou c om 1 ,or call 800 472 9888 x F ACCOUNT ACTIVITY Pay your bill online at: service.icemountain.com or by phone at: 1-800-472-9888. Ifs free! Delivery address: CITY OF CARMEL STREET DEPARTME, 2 CIVIC SQ, CARMEL IN 46032 PREVIOUS BALANCE 44.77 7/16 0574218574 8 5 GAL ICE MOUNTAIN DRK W /HANDLE 27.92 8 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 48.00 4 9 OZ PLASTIC UP 50CISLEEVE 10.16 7 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -36.00 8112 0579956707 1 OIL /FUEL SURCHARGE 2.96 H6239627 RENT 3.99 TOTAL 101.80 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT+ CURRENT ACTIVITY PAY THIS AMOUNT I a k ubjectto terms on reverse side. 44.77 0 00 57.03 101.80 Y f BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER 1N 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 t -800- 472 -IMS 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 NVA'I'F.RCO. 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. Q16 If you prefer, you can pay your bill online at service.icemountain.com. 6661 DIXIE IiWY.._ SUITE 4 LOUISVILLE, KY 40255 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 its on It separate sheet of paper. Wit must hear from you in writing no later than thirty (30) clays 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- :O'p4 You are obligated to pay the parts Of your hill that are not in question. 1734­ Your Account Number You do not have to pay the disputed amount while it is being I ooloaloo aofooloo investigated. During the investigation, we cannot report your account 1Z3 56799 as delinquent or take any action to collect the amount in question. Ina -0 ct D MoN ocr Watch here for a w m -aou n GENERAL INFORMATION DEC 18 personalized account I11��11LI1II1 .1��t1111t1n�� ,11111,11 „11A,111 Customer serv�cr. l.eoos i. Payments received after the billing (INVOICE,) date will appearoo Important our nest invoice. Past due invoices (not paid within 3n days of news and II, II, Tna "Er °a ^s ee Mow ^w°a°<° message y billing date) may be assessed a late fee as allowed by law not to offers �iz3 Mce 51 exceed S20 per month. Additionally, third pad collection /attorney c,asra,e I I expenses may be assessed at a rate not to exceed 100% of the unpaid balance or the maximum allowed by law. I z ew a" "'P` Pay electronically 2. Each returned check is subject to a service charge subject to the ww, maximum check return charge allowable in your State. Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity ".rte amount has been ACTIVITY. since your AccoursAawr ,e neon° to 4. E ui anent replacement costs will be charged for bottles lost, cee9°nAeeppSS' "'nnO4e' sr. e, crs paid in full e 99 9 p p last invoice avoid late fees stolen damaged or not returned. TRzC aeit, ,t,a9e p, .sa oa 5, In accordance with N WNA's Terns earl Conditions your s s6ax9naa,,,,aisp�� "gwa�e, 91 1, tea i<e M9Ynlaln SGal Uep9 Equipment !.ease and/or Service Agreement recount may be 8 anaea s @N °„ramsca,B =w•�° nsv Monthly Oil ncellation o9m n,gaes ",u Ae°,�s�r<�,ge Surcharge, Fuel subject to minimum monthty purchases and /or early ca o IAA s mean n Ices. (A complete version of the current T &C may be viewed on the oral 'w W97 Surcharge or Delivery website listed below) Upon service discontinuation, rent for the Fee (see #6 under Leased Equipment is charged through the end of the billing cycle "General in which service is (1ISCOmhned. 57. n e Information 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or ,.Ew Delivery Fee as described in your T&.C. Only one of these fees Payment stub AccouNS SUMAEAnv DAY THI, AMOUNT will apply to each account. The fee that applies to your account «a„w•wr"a" AcrnuNr NUAESEa uoraB is stated nn the front of the invoice. For farther information please RB as 89B e c unc o zE Mr. ENCtos[o INVOt4, NUMBER 0a(eq�� visit the wcbsito listed below or contact our customer service ,�a +s6,.o Center p a,26?7 •2619 000391649 2004 16 Amount due p 7. As a food duct, bottled water is subject to the rules and a420996 regulations promulgated by the Federal Food and Drug Administration f FDA l- icE Ma uN,uNwnnN COI nn Nr ...,v s,n�sooaoa Submit your S. Your first invoice indicates die products delivered on your first r ag casroMEn sExvicE OUri an- payment by this delivery, along with any applicable bottle and account deposits, L. an. i,.. L, lo.,.. ,it,...a..,t6,6u „t,,,6taa „t.,et w ..,a M. o�� <,.�rrN „9<, "yaw date redemption fees, and any dispenser charges. All future invoices next.. „arar,��9w.•9w will reflect charges for water delivered and dispenser rental, bottle deposits and credits plus charges for any additional products entered by you. Deliveri- are made every three or four weeks, far a total of I6 -17 deliveries per year. You will only receive invoices 12 times per year, so approximately 5 ofthose invoices will relleet mo deliveries. 200B Ice Mountain Spring Water Company, a Division of Nestle Waters North America Inc. Form No. NW 709 5(08 Se VOUCHER NO. WARRANT NO. ALLOWED 20 Ice Mountain IN SUM OF P. O. Box 856680 Louisville, KY 40285 -6680 $57.03 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 2201 08HO119252823 42- 389.00 $57.03 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, August 28, 2008 Street Co ssioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by Stale 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)) 08/14/08 08HO119252823 $57.03 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 2a Clerk- Treasurer p 720106 0 7101/08 7131/08 08GO120223912 #215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 w service.icemountain.com O II gg pp THU- AUG 14 0120223912 TUE- SET 15 TUE- OCT 14 #BWNNWYR WED- NOV 12 #0400001202239129# CARMEL REDEVELOPMENT COMMISION Customer Service: 1- 800 472 -9888 SHERRY MIELKE 111 W MAIN ST STE 140 YOUR ACCOUNT IS PAST DUE and is subject to CARMEL IN 46032 -1905 additional late fees. Water delivery service may be interrupted. Please make your payment today. For your convenience, pay online: icemountainwater.com /service. If payment has been made, we thank you. Visit aurwebslte to learn hoWto beat the heat wItl►3dellclous Iced coffee reclpesfram Starbiacks :Fo�: t lme; save $3 yau, goonllnekand addasl lla tiag of coffee to your order Offer explres8715f08 servrce #Corraurtalnwater car1� to order today �A r in ACCOUNT ACTIVITY Pay your bill online at: service.icemountain.com or by phone at: 1- 800 -472 -9888. It's free! D elivery address: 11 VV MAIN S 1 6 FE 140, UAHMEL IN 460 PREVIOUS BALANCE 44.20 7/11 346728 PAYMENT -THANK YOU -12.97 7116 0574218640 1 5 GAL ICE MOUNTAIN DRK W /HANDLE 3.49 1 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 6.00 2 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -12.00 1 9 OZ PLASTIC UP 5OC /SLEEVE 2.54 7/25 0576554869 1 LATE FEE 15.00 7/31 0577498140 1 OIL /FUEL SURCHARGE 2.88 Gb127537 RENT 3.99 TOTAL 53.13 ACCOUNT SUMMARY I PREVIOUS BALANCE PAYMENTIADJUSTMENT� CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. i 4420 12.97 21.90 53.13 BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER 1 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 WNI FR QUALITY AND INFORMATION, PLEASE 2. Remember, if you are Tenting 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 RATER 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.icemountain.com. 6661 DIXIE Fl Y,_ 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 //''w� r must hear from you in writing no later than thirty (30) days after we m SAMPLE I NVOICE ®IL� sent you the first bill on which the error or proble appeared.lou 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 arc obligated to pay the parts ofyour bill that are not in question. 1s34sa]IS90 Your Account Number You do not have to pay the disputed amount while it is being I ealvulva 3 oroo 7oo investigated. During the investigation, we cannot report your account 123456 as delinquent or take any action to collect the amount in question. HP -OCT w MoNxr ]9 Watch here for a GENERAL INFORMATION WEO "oY Tar- oEC ,a p ersonalized account 1, Payments received after the billing (INVOICE) date will appear on Important Past i IIAh „III„ III „IIIIL6.. 111 [.I,IIII,..,I1111,.11,.161,111 Nrtemer sao- g1z9eea your next invoice. 1 ust due uwotces (not paid within 30 days of news and me „wro,l µounuM pt�u.ts message loran oce billing date) may be assessed a laic fee as allowed by law not to offers I]3M,r "s exceed S20 per month. Additionally, third patty cwlicelion /attorney nns=etP 00000 expenses may be assessed at a rate not to exceed 1110 of the Pay electronically 2. Each unpaid cheek is subjcctl allowed l toa service charge subject to the e j g j� d,,n."nscoan �m^w wweaeaav lrca'�",anom h rt maximum check return charge allowable in your State. Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity a. amount has been ACTIVITY. since your AaouaArnvm paid in full to n oo u3 raa;n Sve c ty 5" m 4. Equipment replacement costs will be charged for bottles lost, last invoice stolen, damaged or not returned. Pre�;owem.n Yn saw avoid late fees x.5,898 Payment Wa,e .snba 5. In accordance with NwNA's Teens and Conditions "T &C your oars 1 6 euo °rmsPnn ynasn„ee s rce N.ov „tel ^s camev�•,, x94 Equipment Lease and/or Service Agreement account may be srraas „e,+ s „nsGa,Pet „te 11.49 Monthly Oil i 1 �ts�,�na subject to minimmn monthly purchases and /or early cancellation os o e 's18z6iPPee,�' s ne Surcharge, Fuel fees. (A complete version of the current T &C may be viewed on the "w�= 'a6a9' n.w Surcharge or Delivery website listed below) Upon service discontinuation, rent for the rouE Fee (see #6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. Nr.+ "n;a' „3eM „E "5,:"o Information 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or Y Y 94 Parw swrveg^9" Deliver Pee as described in ourT &C. Only one of these fees Pa stub AccouursuMMAa oe.'..A.I -n.n PAV TNIS AMOUNT PPY PV will apply to each account. Thu fee that applies to your account "'Y AccouNrNUMaER s].� 00 007 is stated on the front of the invoice. For further information please raw 1ns5as90 aluuN6 oATE MT. ENaosro INVOICE NUMBEP ppfpp700 visit the website listed below or contact our customer service in e1e 39- center. 7. As a food product, bottled water Is subject to the rules and pu20096307 0 "a62]E2619 00039L049 2004 18 Amount due regulations promulgated by the Federal Food and Drug l "nn oo® Administration (FDA). ICEMOUNTNNWATEALOMPANY ,=3 Meinst 8. Your first invoice indicates the products delivered on your first Submit your delivery w+n. w.„.+nw,n r �•rc.r c CAY, Stnte tlM�O ow -YSae o u oMecsEavlcrwi''a p ayment by this rodent hvcry, clang with any applicable bank and account deposits, �Pnn,anYrM "e.on date lion ices, and an diS eraser cha All future invoices Ir „111,1 „A,rtu.,.•III^ ^III °I'll "I "'I'Ll'I "I,�II c p Y P g P r sl, "P "•P will reflect charges for water delivered and dispenser rental, bottle deposits and credits plus charges for any additional products ordered by you. Deliveries arc made every three or four+vecks, 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 5 /0e "S Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 7995) r 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 M 0, E L, Purchase Order No. >D R'ok `dS fvl� p La;.;l�,1C 1C Terms L fo yi Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) �c.rte Total 2 I D r'” t 1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in.a rdance with IC 5- 11- 10 -1.6. 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. A,� ALLOWED 20 Icy a�., IN SUM OF Po R ex !mczko L o v +.s c J 1 v e- Y ON ACCOUNT OF APPROPRIATION FOR KZ 3 el o` 4 Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or k cZ Z� ir yz bill(s) is (are) true and correct and that the (j materials or services itemized thereon for which charge is made were ordered and received except Z 20 v 4Z� LV4(ZJ +ab Sig ture n i Cost distribution ledger classification if Title claim paid motor vehicle highway fund