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Home My WebLink About160403 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CHECK AMOUNT: $36.02 CARMEL, INDIANA 46032 PROCESSING CENTER PO BOX 856680 CHECK NUMBER: 160403 LOUISVILLE KY 40285 -6680 CHECK DATE: 6110/2008 DEPARTMENT. ACCOUNT PO NUMB INVO NUMBER 'Y AMOUNT DESCRIPTION 1701 4239099 36.02 OTHER MISCELLANOUS rs 720106 ICE MOUNTAIN® v 5101/08 5/31708 08E7220327048 #215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 n service. icemountain.com e i 11 1 MON- JUN 16 7220327048 WED- JUL 16 THU- AUG 14 #BWNNWYR MON- SEP 15 #0400072203270488# CITY OF CARMEL OFFICE OF THE C Customer Service: 1- 800 472 -9888 ANN DAVIS 1 CIVIC so Thank you for choosing Ice Mountain Home Office CARMEL IN 46032 -2584 Delivery? We value your business. En,En, p ial sarringst Otder 2 cases of our.most popular on the go sizes for -jus $12t�G nosh a from nur half Uteri A ua a il bottles NestleNPure Life S bottles !ash flavors: Offer ex Ire's 8f30 /OS Lo onto R P P 9 senlice irnfrtriirjtBintntatPr rom n� C211afin( 472 9888 ACCOUNT ACTIVITY Pay your bill online at service. icemountain.com or by phone at: 1 -800- 472 -9888. It's free! Delivery address: OFFICE OF THE CLERK TREASURER, 1 CIVIC SO, CARMEL IN 46032 PREVIOUS BALANCE 81.98 5/28 089918 PAYMENT -THANK YOU -27.02 5/12 EA0582565 LATE FEE -30.00 5/28 EA0602444 PAYMENT RECEIVED -27.96 5/15 0564971828 1 5 GAL ICE MOUNTAIN DRK W /HANDLE 3.49 2 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00 1 5 GAL ICE MOUNTAIN DRK W /HANDLE .00 2 5 GALLON ICE MOUNTAIN DEPOSIT RETURN .00 1 9 OZ PLASTIC UP SOCISLEEVE 2.54 1 .5 LITER LEMON SPLASH 24 /CS 6.00 1 LITER NPL KIWI -STRAW SPLASH 24 CS 6.00 1 2 FOR $12 SUMMER SPLASH .00 5/25 0567022058 1 LATE FEE 15.00 5/31 0568069843 1 OIL SURCHARGE 2.00 E5813645 RENT 3.99 TOTAL 36.02 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT CU ENT CTIVITY PAY THIS AMOUNT iart to tarmS nn r2v4 rmo side 81.98 84.98 39.02 36.02 BILLING RIGHTS SUMMARY FOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER 1. Please remember payment is due by the "pay by" date noted to ensue& the smoothest service. IN CASE OF ERRORS OR puesrlONS ABOU r YOUR BILL. SEND 2. Remember, if you are renting equipment, your equipment rental is charged one month in advance. That means ALL Co RRESPONDENCETO: 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 HWY., SUITE 4 4. Never hesitate to call us with comments, questions, or concerns. LOUISVILLE, KY 40258 [[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 telephone us, but doing so will not preserve your rights. In your letter, give us the following information: Date range of this invoice YOUna,ne, address, telephone and account numbers. The dollar amount of the suspected error. Describe the error and explain if you can, why you believe there is an error. Yon are obligated to pay the parts of your bill that are not in question. Woolnl tzaas Your Account Number 11�� You do not have to pay tiro- disputed amount while it is being ICE Mo investigated. During the investigation. we cannot report your account 'TeR oa oa tzaas67av as delinquent or take any action to collect the amount in question. woR ocr 99 Watch here for a woo aov n GENERAL INFORMATION Important 6.1r <,x saps e'n personalized account s I. Payments are due upon receipt of invoice and should be mailed by g, 0,,, 1It. Jt! nlu ,h,,Iln�fAntht,nt MW nPr >d message news and man r r ^'u the PAY BY dale indicated on the invoice. 23 Ma St offers o9 2. pa received after billin g (INVOICI') [late will a car o utys }our nest lnvmce. I tll.l.,,l, ill IL,, IL IhJ III t t n 3. fast clue invotces feat Paid vrithin 30 tl.rys of billing date) may be "ta ^r .,d r Ontamu aanu p am Pay electronically assessed a late fee as allowed by law not to exceed $20 per month. Additionally, third party collection /attorney expenses may be f assessed at a rate not to exceed 10(I of th Make sure this maximum allowable by law e unpaid balance or the r ,are a, Activity �m amount has been ACCOUN our [vin w AR s ooWO 4. It is undetstaod and agreed that each returned check is subject too sinc Y ce ns��¢ct c v ,..99 P aid in full to O Pddresi'. Johnn 1199 service charge The amount of this service charge is equivalent to last invoice a. +s avoid late fees agar ^ce the maximum check return charge allowable in your Stale. 5. All bottle and equipment deposits arc show'[[ as CURRENT oa1T scaim °r✓atv�a'sp "9W "e1 -sow 1 P p n� nreas,a+m s Rc "�a�n scat ro¢ "mgt sno ACTIVITY. naes,A s ^sna 9 9 Monthly oil surcharge "nm r vees'du. oeis�trnage of up to $5.00 per 6. Equipment replacement cost, will be charged for bottles lost, o9nz Tta =srea" s,. 99" p stolen, damaged or not returned month in a n y month 7. In accordance with NWNA'sTerrus and Conditions ("T &C" your during which the Equipment Lease andlor Service Agreement, account may be �sa,.wNr monthly average price subject to mininmm monthly purchases andlor early cancellation vPaMNrtln"WSaMFM CVaatHtn 594n fees. (A complete version of the T &C may be viewed on the t 99 n99 per Barr of$SOfO websne listed below.) Upon service discontinuation, rent for Payment stub ACC U TOu MMAar L ao PAY BY 'AYTMTAMOa1NT great an 0, Leased Equipment is charged through the end oFthe billing cycle "v�wr^`^" Accoow*NUx+aEn ss°° as determined by the in which service is discontinued. ,Zr +56]89° w 001wr NV NU e1L,I GnATE MT. EN<LOSEP New York Mercantile I MBER R As a fond product, bonled water is subject to the rules and zT +s�R Exchange regulations promulgated by the Federal Food and Drug ,c3910 Amount 2914 1 e. Administration (FDA). For further information, contact Ice p42p0163 auzo2vlzs>"s Amount due Mountain Spring Water Company or Nestic Waters North America to r, "o "e Inc. at the address shown above. Ica MOU,rrAlk v+nTen coPA� =r"'a� ChYS, ODOCn 4. Your First with any applicable battle and account im�o ce the products delivered on your first Submit your roe. cusroMra sravicr. cnu -vosa delivery, along •use p ay ment h L„ IIFL.. h. ia. 16 tda,a,at K s�d•. D P.. ^t Mr P t y this surchar•cs, rcdem tan fees, and any dispenser charges. All future P date invoiccs will reflect charges for water delivered and dispenser rental bottle deposits. surcharges, and credits plus charges for any additional products ordered by you. Deliveries are matte every three or Four weeks, for a total of 16 -17 deliveries per year. You will ealy CCCi"C invoices 12 dine, per year. so approximately 3 ofthose Imolces will reflect Iwt) deliveries. O 2007 Ice Mountain Spring Water Company, a Division of Nestle Waters North America Inc. Form No. NW 609 02108 Sz— 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 .1 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached involce(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 oa- ON ACCOUNT OF APPROPRIATION FOR Board Members PO or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. 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 p 20 Signatu Title Cost distribution ledger classification it claim paid motor vehicle highway fund