HomeMy WebLinkAbout162786 08/20/2008 CITY OF CARMEL, INDIANA VENDOR: 051125 Pegg 1 of 1
f ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER
O PROCESSING CENTER CHECK AMOUNT: $190.79
CARMEL, INDIANA 46032
oN PO Box 556680 CHECK NUMBER: 162786
LOUISVILLE KY 40285 -6680
CHECK DATE: 8/2D/20D8
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4239099 086722032704 10.36 08G7220327048
2201 4238900 086011782108 54.48 0864117821082
2200 4239099 06GO12004852 26.52 0860120048525
7125 4353099 08GO12009535 99.43 0860120095351
O 720106 d
7/01/08 7131108 0867220327048
#k215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258
servi ce. icemountai n.com
a## THU- AUG 14 7220327048
MON- SET 15
TUE- OCT 14
#BVVNNVVYR WED- NOV 12
#0400072203270488#
CITY OF CARMEL OFFICE OF THE C Customer Service. 1- 800 472 -9888
ANN DAVIS
1 CIVIC SO Did you forget about us? Kindly pay upon receipt.
CARMEL IN 46032 -2584 Remember, past due accounts are subject to a late
fee. Your prompt payment is appreciated. For your
convenience, pay online:
icemountainwater.comiservice. If payment has been
made, we thank you.
Vsitour webslteto IearnhoWtabeat the hea;wlth tlellclousicetl co #fee_reclpes from Starbucks Fo lmited
time; save $3 when �y anu ciuu a 11b bag of`coffee to�your ortie x¢Offer -iexplres 8115108 Log onto fi
�servlce lcertiountalnWater:com to�order tatlav} 4
ACCOUNT ACTIVITY Pay your bill online at: service.icemountain.com or by phone at: 1- 800 -472 -9888. It's free!
Delivery address: CITY OF CARMEL OFFICE OF CLERK, 1 CIVIC SO, CARMEL IN 46032
PREVIOUS BALANCE 12.74
7116 0574218798 1 5 GAL ICE MOUNTAIN DRK W /HANDLE 3.49
1 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00
1 5 GALLON ICE MOUNTAIW DEPOSIT RETURN .00
7131 0577577968 1 OIL /FUEL`•SURCHARGE 2.88
G6099685 RENT 3.99
TOTAL.. 23.10
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENTIADJUSTMENT+ CU ENT ACTT ITY PAY THIS AMOUNT
�bject to terms on reverse side. 12,74 .00 10.36 23.10
BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER
IN CASE OF ERRORS OR QUESTIONS Agour YOUR BILL, OR FOR 1. Please remember payment is due by the "pay by" date noted to ensure the smoothest service.
A REPOU ON AATFR QUAi_11Y 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 -9988 OR WRITE us Ar: your first invoice will include a pro -rated fee for the current month, plus the next month's rental.
ICE P10UNTAIN SIRING NvvrER 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 HR Y, SUITE
LOUISVILLE. KY 40258 4. Never hesitate to call us with comments, questions, or concerns.
I f you think your bill is wrong, ar if you need more information about
it 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 SAM I NVOICE
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 hill that are not in question. lZa456759 Your Account Number
You do not have to pay the disputed amount while it is being 1 naooroa- ooloolon
investigated. During the investigation, we cannot report your account
12145
as delinquent or take any action to collect the amount in question. Tµr .oR
Wo ac 19 Watch here for a
GENERAL INFORMATION wEa H�4 31
Tae oec ,a personalized account
I. Payments received after the billing (INVOICE) date will appear on Important
n,n„an,.nt,. not ,t,•,nn.t,nn,,,,nnt „tt „n,t,n+ cuzra�siSeMM�' 00 P� 9B8 message
your next invoice. Past due invoices (not paid within 30 days of news and m,nwr�'I ^�a'
one
,nd,eMces
billing date) may be assessed a late fee as allowed by low not to offers "I to M
exceed S20 per month. Additionally, third party collectionlattorney aa,s„Ie
U,�lII I III It 11 „a
expenses may be assessed at a rate not to exceed 100% of the
unpaid balance or the maximuln allowed by law. w— rnme*�9^rPi�0.s` ;^�'a"`a p �u� ml>uK ewrkr "r`",alw a Pay electronically
�q,ti Yd4 ti che[kk ,x, yre v eh.mocM1ma�et
2. Each returnal check is subject to a serviec charge subject to the ,sarvkeww f, ,wtilewnrrratptPa
i d
maximum check return charge allowable in your State, Make sure this
3. All bottle and equipment deposits are shown as CURRENT Activity
amount has been
ACTIVITY.
since your ACCOUM AC n TY C”, Sr ppdpp g
4. Equipment replacement costs will be charged for bottles lost, n t yAdd,es dnlMC.I23Me' s n. paid in full to
last invoice
stolen, damaged or not returned. Pm+ma,eaex�m s avoid late fees
Parno-Tha�xvou waar som
5. In accordance with NWNAs Terms and Conditions "T &C your o,v3, 4G� sG con
I Naw, e G in9
3„ses,aaae s 1Ce M�o�,xma +vews�' z.96
Equipment Lease and /or Service Agreement account may be 3 nsesi° Nmse,InerP,n „se Monthly Oil
o„ 3 „ees g` Surcharge, subject to minimum monthly purchases antiJor early cancellation e, Fuel
3+si63ee!I s g
fees. (A complete version ofthe current T &C may be viewed on the 99 16 i 9 Surcharge or Delivery
websitc listed below) Upon service discontinuation, rent for the roes Fee (see #6 under
Leased Equipment is charged through the end of the billing cycle "General
ouu
in which service is discontinued. mTV "v sz °o
6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or ,t.99 HS,:m M� d Information
win wA t vrun
u 99
Delivery l'CC as dL`5erlbCd n VUnI' Only o ne U llCie in t rCeS 1'a tub ACCOUNo SuMMAoY c c cF W x-
P S PAY THOS AMOUNT
will apple to each account, The fee that applies to your account n as m ACEpUNr NUMBER PAY By Si:b
90 ooaoo
is stated on the front of invoice. For further information please ,z34s67e90 g lwNC OAre Mr rNCZOSt'o
INVOICE NUM6EP
visit the website listed below or contact our customer service ,i3 °s6,a9n aujoww
center. se
7. As a food product, bottled water is subject to the rules and 04200 v4zaaz>•a�1g ano39�oy 2 °64 Amount due
regulations promulgated by the Fedcral Food and Drug tent oce
Administration (FDA). ,CF MOUNwN w" rEN COA,vANV Iz3 Man s,
tee, City. State o000o Submit your
H. Your first invoice indicates the products delivered on your first row p ayment by this
cus *oMEwsE�^C 6 Cn" jp0 -a
delivery, along with any applicable bottle and account deposits, �.=aa..
l.. nl u..¢t „1 „d.t,l,l,•l"tl .,t,���.
redemption fees, and any dispenser charges. All future Invoices date s cNUr rnarRe6 "v�oPAVwamuo „=ao =,xsw=
will reflect charges for water delivered and dispenser rental, bottle
deposits and credits plus charges for nnv 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 Nest16 Waters North America Inc. Form No. NW 709 sroe
S,
Prescribed by State Board of Accounts City Form No. 291 (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 invoices) 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
Pots or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. 1 hereby certify that the attached invoice(s), or
a bill(s) is (are) true and correct and that the
p materials or services itemized thereon for
which charge is made were ordered and
received except
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
720106
EEEEA
o 7/01/08 7/31/08 08GO117821082
#215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258
service. icemountain.com
THU- AUG 21 0117821082
III IlII IIII it III III I III III IIII I Ili I IIISI MON- SEP 22
TUE- OCT 21
WED- NOV 19
#BWNNWYR
#0400001178210823# Customer Service: 1 800 472 9888
CITY OF CARMEL STREET DEPATMEN
3400 W 131ST ST YOUR ACCOUNT IS PAST DUE and is subject to
WESTFIELD IN 46074 -8267 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.
l Visit our website to learn'how tobeat the heat with delicious iced coffee recipes from Starbucks. For a limited
time, save 3 you go on 1 addMa 1lb 3a� cs coffee to your order. Offer expires 8 /15/08. 1t g ont
service icemountairiwater:com to order'.today_I`
ACCOUNT ACTIVITY Pay your bill online at: service.icemountain.com or by phone at: 1 -800- 472 -9888. It's free!
OWN
Delivery address: CITY OF CARMEL STREET DEP RTM 3400 W 131TH ST, W S FIELD IN46074
PREVIOUS BALANCE 146.57
7/11 346726 PAYMENT -THANK YOU -54.91
7/23 0575483441 4 9 OZ PLASTIC UP 5OC /SLEEVE 10.16
5 5 GAL ICE MOUNTAIN DRK W /HANDLE 17.45
5 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 30.00
5 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -30.00
7/25 0576560171 1 LATE FEE 15.00
7/31 0577685290 1 OIL /FUEL SURCHARGE 2.88
G6059423 RENT 8.99
TOTAL 146.14
ACCOUNT SUMMARY PREVIOUS BALANCE a PAYMENT /ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT I
to terms on reverse side. 146.57 54.91 54.48 146.14
r t
BELLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER
IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR EI LL. OR 1 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 1 -800 472 0988 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.icemountain.com.
6661 DIXIE IIWY.. 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
sent you the first bill on which the error or problem appeared. You can SAMPLE INVOICE
telephone us, but doing so will not preserve your rights. In your letter,
give us the following information:
Nbur 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.
)'on are obligated to pay the pars of your bill than are not in question. 123+ '�5e799 Your Account Number
You do not have to pay the disputed amount while it is being 00100100 00/00100
investigated. During the investigation. we cannot report your account 123956789
as delinquent or take any action to collect the amount in q uestion. ,HB -W 0
q ,.toH.00i 39 Watch here for a
GENERAL INFORMATION WED N09
nE� DEC to nga0e personalized account
I. Payments received after the billing (INVOICE) (late will appear on Important ill„ tll„ utn l,,,1m,l,lllb,,,lllll a+t«n11 800'��c message
vour next invoice. fast due invoices (not paid within 30 (lays of news and tl,n TT.nk W- a
Ny nu "p
date) may he assessed a late fee as allowed b law not to M-11
b Y Y offers b iz
billin n
otY State 00000
exceed 520 per month. Additionally. third party collection /attorney I,, lit I,,, I„ nl, ,,,ab, „I „n
expenses i
aiid balance or the maximum allowed la w cec(I 100% of the
u n .r ,a^v "'hu"'" nrw�ow°'"'” reap Pay electronically
Vpc 9
2. Each returned check is sub to it service charge subject to the „9Ykeaemwma <mn. Yau u "`"Kx „�„nacnm 9 N+
del6e� yaUn fium our wl0eva6ery dP
maximum check return charge allowable in your State. Make sure this
1 All bottle and equipment deposits are shown as CURRENT Activity amount has been
ACTIVITY. I, IVI Y p 6 N w
since you ACCOUNT etws +a +e 00000
"p"e,,33M s 99 paid in full to
4. Equipment replacement costs will be charge(] for bottles lost, last invoice ,yAddm
stolen, damaged or not returned. p,ew
1 :<5 avoid late fees
pav"K° 5Ym wale, 6008
5. In accordance with NWNA's Terms and Conditions "TCC" your ,61098 5 5�,a "Nam,a,sanp9 w
Equipment Lease and /or Service Agreement account may 9rn i+7� keM nu^SGal 0 e 99 1
g y be 885 5 G,aemrn ❑19 Monthly Oil
5 Fuel5u.c
subject to minimum monthly purchases and/or early cancellation p91 3uB0s,"aa e 1 Surchar Fuel
89113 318363881, 5]10 ti
fees. (A complete version of the current TfiC may be viewed on the 411 Surcharge or Delivery
website listed below) Upon service discontinuation, rent for the TOTAL Fee (see #6 under
Leased Equipment is charged through the end of the billing cycle "General
in which service is discontinued. cva ..n R j70° A
6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or Fe1 w.. �9..uaart Information
Delivery Fee as described in your T &C. On one of these fees Payment stub ACtOUm SUMMARY a l ot me.w ppy THIS AMOUNT
ppV BY
will a 3 h• to each account. The fee that ap lies to your account 1�,�awM couNTNumsit' 5
is stated on the front of th For invoice. r further
information please 133s67e9 81 00 AiE Mi. ENCLOSEEI
INVOICE Nu-su, G o DA
visit the website listed below or contact our customer service 123/567090 OOI
center.
7. As a food product. bottled water Is Sltbject to the rules all(] 0120096307 042827126L9 000391019 200 1 Amount due
regulations promulgated by the Federal Food and Drug i.nn C
Administration (FDA). ICE .0UHN;, o oYS�a�
w=pT
8. Your first invoice indicates the products delivered on your first
Submit your
0aC 5T 0MEB5Em9auL1 -Bm.7 =.9668 payment by this
delivery, along with anv applicable bottle and account deposits, p,�,pmc6.�9n0�a....-
w, i„ a, du ,.,.aba,a,a,.,661,6a „u date
redemp fees, and any dispenser charges. All future invoices y°•
P P g wNUa loala�wlop..�L 9 ��a aM,.,.ao
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
it total of 16 -17 deliveries per year. You will only receive invoices
12 times per year, so approximately 5 of those invoices will reflect
Iwo deliveries.
2008 Ice Mountain Spring Water Company, a Division of Nestl6 Waters North America Inc. Form No. NW 709 5 /08
I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Ice Mountain
IN SUM OF
P. O. Box 856680
Louisville, KY 40285 -6680
1
$54.48
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO, ACCT #!TITLE AMOUNT Board Members
2201 08GO117821082 42- 389.00 $54.48 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
Thu sday, August 14, 2008
Street C issioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by Slate 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))
08/05/08 08G0117821082 $54.48
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
0 720106
0
7/01/08 7/31/08 0860120095351
#215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258'
service.icemountain.com 0
MON- AUG 18 0120095351
1111111 III 1 111 II 111 IN IN 1111 11111111 II 111 WED- SEP 17
THU- OCT 16
#BWNNVVYR FRI- NOV 14
#0400001200953515#
CITY OF CARMEL PARKS DEPARTMEN Customer Service. 1- 800 472 -9888
AUDREY KOSTRZEVVA
1411 E 116TH ST Did you forget about us? Kindly pay upon receipt.
CARMEL IN 46032 -3455 Remember, past due accounts are subject to a late
i I I II II I I II I I I I I II I! �I fee. Your prompt payment is appreciated. For your
convenience, pay online:
icemountainwater.comtservice. it payment has been
made, we thank you.
4r
Vlslt our wet�slte to�learn�ow to beat ,the heat wtth'tlelictou s Iced coffee recipes frofn "Starbu" Fora it
tifne save $3 When you ;goyonline and,4 d At", bag of coffee to §your order Offer expires 8/15108 Log onto
t
eltemountamwate r com .r ortlert A 3 s�3
r
i5 d r y k
ZIN
ACCOUNT ACTIVITY Pay your bill online at: service.icemountain.com or by phone at: 1 -800- 472 -9888. It's free!
D elivery address:
PREVIOUS BALANCE 155.71
7111 346730 PAYMENT -THANK YOU -43.31
7118 0574719704 12 5 GAL ICE MOUNTAIN DIRK W /HANDLE 47.88
1 9 OZ PLASTIC UP 506 /SLEEVE 2.69
BOTTLE DEPOSIT: 12 DELIVERED, 6 RETURNED 36.00
7131 0577824410 1 OIL /FU,EL SURCHARGE �t T� 2.88
g�
G6086460 RENT CF,7 A'-+ 9.98
Tom AUG 1 1 2008 211.83
ttlar� �RIn�cI nr� W ���-CDC�fY}�i r ti~h:
P.O. p NA P or F BY:
G.L a Iii 35 �i 1�G�
Date
ACCOUNT SUMMARY PREVIOUS BALANCE A MENT /ADJUSTMENT CUR TIVITY PAY THIS AM61JNT
bject to terms an reverse side. 155.71 43.31 99.43 211.83
BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER
IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR HILL„ OR I'OR 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 -4888 OR WRITS US Ar: 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.icemountain.com.
6661 DIXIE llWY_ SUITE 4
LOUISVILLE, KY 40258 4. Never hesitate to call us with comments, questions, or concerns.
1f 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 ar 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 riot in question. tz3nsareeo Your Account Number
You do riot have to pay the disputed amount while it is being 1 ppJ pOj°°- oaraa1
investigated. During the investigation, we cannot report your account
as delinquent or take any action to collect the amount in question. .N2 OCT °a 1234567a9
MoN -XT I9 Watch here for a
wto -NUN
GENERAL INFORMATION of oE"A personalized account
I. Payments received after the billing (INVOICE) date wit) appear on Important e� grzsaaa
Y g PP message
your next invoice. Past due invoices (not p' y Ilah,,lll„ III,. IIIILI,,, 1111.hIIIh,..11111••11,.161,111 m. ^Erw t "al^°i.:MW "vim "n,
aid within 36 da of news and
billing date) may be assessed a late fee as allowed by law not to offers liiM. sl
exceed $tu per month. a I ]III l l l.al
Additionally, third patty collectionlattorney o" 0000°
1 nl I...I.A9 II II .Il.dl
expenses may be assessed at a race not to exceed 100% of the e.�
unpaid balance or the maximum allowed by law. �1amx ycY a I�,a t ae Pay electronically
2. Each returned check is subject to a service charge subject to the r eO1 j nww� a
maximum check return charge allowable in your State. t Make Sure this
3. All bottle and equipment deposits are shown as CURRENT Activity
m...x amount has been
ACTIVITY.
since your ACCOUNT ACTIVITY° luPn ]A "SVee,, Cl'q OE00° ,L99 paid in full to
4. Equipment replacement costs will be charged for bottles lost, last invoice :r-
stolen, damaged or not returned. mpo avoid late fees
5. In accordance with NWNA'sTerns and Conditions 'T our
C"), y C"
0Alr� eai995 5 SGai�"n Naau[alsp� "9 SOM
ors, 3naesl++M Ma, ",a ^scaioev^s�� 296 oil
p urchases andloi early cancellation
Equipment Least: and /or Service Agreement account may be r,raes,<wa s '�«MO ^n,., "sca,�� +I.9a
Monthly
subject to minimum monthly a9"' a� i °`s °e
W11 s,.„ Re" Surcharge, Noel
Ices. (A complete version of the current T &C maybe viewed on the °v,: 'x' Surcharge or Delivery
website listed below) Upon service discontinuation, rent for the roTAU Fee (see #6 under
Leased Equipment is charged through the end of the billing cycle "General
which service is discontinued.^
in wit c "..E sr
ill be charged a monthly Oil Surcharge, Fuel Surcharge or wr, ,.wr<r_rA gg *M•*^
6. You Iv wN d. Information")
MAPY v "US 199
Deliver Fee as described in our T &C. Only one of these fees Pay ment stub
ACCflUEfi SUM
PAY THIS AMOUNT
will apply to each account. The fee that applies to your account o.^' E,CcOUER NUMBER 'AY arm sT <o
wroo
11}45b] MT.fN<LOSE
is stated on the front of the invoice. For further information please iNVOi air ❑N¢onrr
visit the website listed below or contact our customer service
"5o890
rraserav°
center.
7. As a food product, bottled water Is subject to the rules and 1y2nU963a7 0�26a�L2619 00039L°�9 2004 1B Amount due
regulations promulgated by the federal Food and Drug+
Adntinistration(FDA). ice MOVNiAIN wATE� 4"3a ;that U
b a
S. Your first Invoice Indicates the products delivered on your firs[ apt" g E .3�.�,,,,� E acE I.eoo.arz.9nnA Submit you
delivery, along with any applicable bottle and account deposits, 1 payment his
R C SIOM N SERV CALL b`' t
al „i"r.,,, _sa.,.a. „,n,MrU•aH�^a fie
redemption fees, and any dispenser charges. Ai] future invoices y t
5M a.u^�•"o_ ^A""•{5 date
will reflect charges for water delivered and dispcns'er rental, bottle
deposits and credits plus charges for any additional products
ordered by you. Deliveries are mode every three or four weeks, for
a total of 16 -17 deliveries per year. You will only receive invoices t' i
12 times per year, so approximately 5 of those invoices will reflect Di s14L
two deliveries
2008 Ice Mountain Spring Water Company, a Division of Nestle Waters North America Inc. Form No. NW 709 s /oa
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 860120095351 Drinking Water cooler- Maintenance 99.43
Total 99.43
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 0 Box 856680
Louisville, KY 40285 -6680
In Sum of
99.43
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or Board Members.
Dept ept INVOICE NO. ACCT #/TITLE AMOUNT
1125 860120095351 4353099 99.43 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
14 -Au2 2008
Signature
99.43 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
720106
o fluilub
#215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258
service.icemountain.com
THU- AUG 14 0120048525
III IIII III I Illi II I II III II 111111 I III II I III III MON- SEP 15
TUE- OCT 14
#BVVNNINYR WED-NOV 12
#0400001200485252#
CITY OF CARMEL DEPT OF ENGINES Customer Service: 1 -800- 472 -9888
LISA SCOTT OR JUDY STOHLER
1 CIVIC so Did you forget about us? Kindly pay upon receipt.
CARMEL IN 46032 -2584 Remember, past due accounts are subject to a late
I I III II II I I I (III I I III 11 I I fee. Your prompt payment is appreciated. For your
convenience, pay online:
icemountainwater.comiservice. If payment has been
made, we thank you.
,VJt t our webslte to team how. #t beat the heat wlthtlellclous Ice( coffee r�xdpeS from Starbucksili& a Ilmltetl
time, save- whwyou go online and adtl ai 11b bag "of c6ffee to your order. Offer 8151Q8 lrog onto
servicepcenn5yflta�i]64�fcmi a.t}Iii tO fir er t5dayl
T e t
a r 2nd ca r✓ xt
e
Two +4 .E?. =d-v. c 4y .....a...a k3' •n �.yi:,,, qa�f., ,...:.'>�R� id";k'
ACCOUNT ACTIVITY Pay your bill online at: service.icemountain.com or by phone at: 1- 800 -472 -9888. It's free, A
Delivery address: CITY OF CARMEL TOWN HALL ENGIN, 1 CIVIC SQ, CARMEL IN 46032
PREVIOUS BALANCE 76.48
7111 946729 PAYMENT -THANK YOU -60.53
7/16 0574218624 5 5 GAL ICE MOUNTAIN DRK WIHANDLE 17.45
5 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00
5 5 GALLON ICE MOUNTAIN DEPOSIT RETURN .00
2 9 OZ PLASTIC UP 50C/SLEEVE 5.08
7/31 G6071484 RENT 3.99
TOTAL 44.47
RECEIVED j
c� I
CARMEL o
ENGIM iu
ti
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENTIADJUSTMENT+ CU r26.52 NT ACTIVITY PAY THIS AMOUNT
biect to terms on reverse side.
78.48 60.53 44.47
w
BILLING RIGHTS SUAV ARY 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 WAFER QUALITY AND INFORMATION. PLEASE 2. Remember, if you are renting equipment, your equipment rental is charged one month in advance. That means
CALL I 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 NIOUNTAIN SPRING WATER CO. 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash.
#2 -16 If you prefer, you can pay your bill online at service.icemountain.com.
6661 DIXIE IIWY., SUITE 4
LOUISVILLF, 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 it separate sheet of paper. N'e
must hear from you in writing no later than thirty (30) days after we SAM I NVOIC E
sent you the first bill on n which the error or problem appeared. You ca
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 pans of your bill that are not in question. s 123gs57e90 Your Account Number
You do not have to pay the disputed amount while it is being 00100100 00100100
investigated. During the investigation. we cannot report your account
as delinquent or lake any action to collect the amount in question. T "n -Ml oI
123456
Mon OCT 79 Watch here for a
GENERAL INFORMATION 'LE DE. W 71
DEC 15 personalized account
1. Payments received after the billing (INVOICE) date will appear on Important 1611., 116AIL, 11111,1,IIILLIIII.nlllll..Il "11'1'111 cmE°mer x^+`e'' e on.n7 .9888
message
your next invoice. Past due invoices (not paid within 30 days of news and Th n Eynnl�ua^9 1peMOUnumpr°a ,,.L,
billing date) may be assessed a late fee as allowed by law not to offers t in s,
Gq, State DODDD
exceed S20 per month. Additionally, third party ti
collecon /attorney
1..,III,1.,.1„ Ill, „I,n „1 „•1,1
unpaid balance or the ma assessed
al law. 100% of the w ",a "r+ a w°r °a °al Pay electronically
i°maroFY99`0` pm YUUUnctu+. muc"m°1et
2. Each returned check is subject to a service charge subject to the eM< e1O "f,��„ +9a
maximum check return charge allowable in our State.
g Y Make sure this
3. All bottle and equipment deposits are shown as CURRENT Activity amount has been
ACTIVITY.
since
since your nccou T C YSU e 00000
4. Equipment replacement costs will be charged for bottles lost. last invoice •DelneryAaams+. "3Mai s 1,� paid in full to
199
stolen, damaged or not returned. p•e�9Y'�°I 12 avoid late fees
5. In accordance with NWNA's Terms and Conditions ("T &C your oBn1 061 -%w Ill 3178a1asaq Ice MOUntainS Wl Depu*it 2.95
Equipment Lease and /or Service Agreement account may be 0 n798s1ana9 s ,nmswi9ervrn 1,.99 Monthly Oil
091,1 3179031Maa 5 Euel9urcMlge
subject to minimum monthly purchases and /or early cancellation p91 v9:53e9 +1 Surcharge, Fuel
fees. (A complete version of the current T &C maybe viewed on the a9n2 40 91
Surcharge or Delivery
websitc listed below) Upon service discontinuation, rent for the TOTAL Fee (see #6 under
Leased Equipment is charged through the end of the billing cycle "General
in which service is discontinued. Ac jA {M15 5-mr
6. You will be charged a monthly Oil Surcharge, Fuel Surcharge o anw ve• s Information
our T &C. Only one of these fees Pay ment stub uMMARY
Delivery Fee as described in .e. c.. "u
Y y Y HIS AMOUNT pAY T
will apply to each account.
fee Ihal a pplies V011r iICCOlIII[ mm.�aM m .wn w�p•Y •CCOUIdr NEIMBFA oAY 5719
BY
DD, 00
is stated on the front of the invoice. For further information please 1734567890 WEVNO OATS MT. ENCLOSED
IN`yOICE NUMBER 00100100
visit the websitc listed below or conta our customer service 12 7890
center. 1 B
7. As a food product, bottled water is subject to the rules and 0820096307 1]4282712619 11003910V9 200`1 Amount due
regulations promulgated by the Federal Food and Drug i°nn Dce
Administration (FDA).
ICE MOUNTAIN MiATEP�COMM,.epA z ci y$Eate3t Submit your
8. lour first invoice indicates the products delivered on your first
delivery, along with any app licable bottle and account de osits, EoacusioME 9 s EmncECAEL,099 "T9 a ment by this
1..�IIL1,..L. III, IL ..a1.,,1I,0,n „I,,,Ia011ll
redemption fees. and any dispenser charkcs..All future invoices date ❑srN U r YD9rnEr "mo.arlsw "°pe•9yjre°o
will reflect charges for water delivered and dispenser rental, bottle
deposits and credits plus charges for any additional products
ordered by y ou. 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 Nestle Waters North America Inc. Form No. NW 709 5/08
Prescribed,by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLEVOUCHER
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
Purchase Order No.
P.O E30X dobbtsu
Terms
Louisville, KV'40285 -6680
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoices) or bill(s)) 1
815108 08GO120048525 Rent and Service -July, 2008 $26.52 I
cc
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
Ile- -0 M01Intain IN SUM OF
P.O. Box 856680
Louisville, KY 40286 -6680
$26.52.
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
bills) is (are) true and correct and that the
n/a 0 GO120048525 E NG 4239099 26.52 materials or services itemized thereon for
Ac ont 0120048525 which charge is made were ordered and
received except
20(08
Si na e
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund