HomeMy WebLinkAbout155346 01/10/2008 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1
ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER
CARMEL, INDIANA 46032 PROCESSING CENTER CHECK AMOUNT: $115.82
oN PO BOX 856580 CHECK NUMBER: 155346
LOUISVILLE KY 40285 -6680
CHECK DATE: 111012008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 07KO11782108 48.93 OTHER MAINT SUPPLIES
1125 R4353099 17964 07KO72009535 45.32 WATER COOLER SUPPLIES
2201 4238900 07LO11925282 21.57 O'T'HER MAINT SUPPLIES
MOUNTme 720106 8 now
mwm
11/13/07 12/12/07 07LO119252823
#215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258
service. icemountain.com 0
VVED- JAN 16 0119252823
III II I II II iI II I'I'll II I IIIiI II' II III II iI FRI- 15
MA
TUE- MAR 18
WED- APR 16
CARMEL STREET DEPT Customer Service: 1- 800 472 -9888
3400 W 131ST ST
WESTFIELD IN 46074 -8267 Thank you for choosing Ice Mountain Home Office
Delivery! We value your business.
Special delivery just in time for the holidays! For a limited time you you can save $5 on a case of'Sparkling water
and get a $5 Starbucks card when,you order two bags of Starbucks coffee. Log onto
l
service. icemountain com or call 800 -472- 98t8. _Expiresl2/31 /07._
A CCOUNT ACTIVITY Pay your bill online at: service. icemountain.com or by phone at: 1-800-472-9888. It free!
Delivery address: CARMEL ST. DEP., 2 CIVIC SQ, CARMEL IN 46032
PREVIOUS BALANCE 52.32
11/26 019674 PAYMENT -THANK YOU -41.16
12/09 101752 PAYMENT -THANK YOU -11.16
11/13 0536175482 1 5 GAL ICE MOUNTAIN DRK.W /HANDLE 7.59
1 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 6.00
1 9 OZ PLASTIC UP 50C /SLEEVE 2.99
1 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -6.00
12/12 0542076906 1 OIL SURCHARGE 2.00
L5110276 RENT 8.99
TOTAL 21.57
IREVIOUS BA LANCE 1= H YffENTiADZIUSTMEN THIS AMOUNT
ACCOUNT "�UiVIlUILli2if f
Ubject to terms on reverse side. 52 32 52 32' �1 57
BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER
IN CASE OF ERRORS OR QUESTIONS A13OUT YOUR I. Please remember payment is due by the "pay by" date noted to ensure the smoothest service.
E311 SEND ALL CORRESPONDENCE TO: 2. Remember, if you are renting equipment, your equipment rental is charged one month in advance. That means
ICE MOUNTAIN SPRING WATER CO. yo ur first invoice will include a pro -rated fee for the current month, plus the next month's rental.
#216 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. If you
6661 DIXIE HWY.. SUITE 4 prefer, you can pay your bill online at service.icemountain.com.
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 Date range of this invoice
can telephone its, but doing so will not preserve your
rights. In your letter, give us the following information:
Your name, address, telephone and account numbers.
The dollar amount of the suspected error. z,4ssrev°
Describe the error and explain if you can, why you ICE MO S ooroor °o- oorooroo
believe there is an error. E✓�' 1 2 ;456 7990
You are obligated to pay the parts of your bill that are not Your Account Number
in question. You do not have to pay the disputed amount
while it is being investigated. During the investigation, OE.oC 6
we cannot report your account as delinquent or take any n• 1,, t, t„, 1t„ nm,i.•,un•t•na•,••nni•• "'t'10 C "s, 80
k ^w•^ Watch here for a
action to collect the amount in question. ,23 5,
xsum 000°0 personalized account
GENERAL INFORMATION Important u1. 1••3.311...,,n....0 „31,3.11••1•••1.111 °'n
message
I. Payments are due upon receipt of invoice and should_ be news and
mailed by the PAY 13Y date indicated on the invoice. offers r
2. Payments received after billing (INVOICE) date will appear I
Pay electronically
on your next invoice.
3. Past due invoices (not paid within 30 days of billing date) may
ACCOUNT ACTNITY 5 C1N•SUCe
be assessed a late fee as allowed by law not to exceed $20 per a, A6a,ns: OH "o0B' Make sure this
month. Additionally, third party collection/attorney expenses �,6 "M• "s amount has been
may be assessed at a rate not to exceed 100% of the unpaid Activity
osA °4,6� 5 �u N.w• °a ^ow o� aid in full to
balance or the maximum allowable by law. since your p
4. It is understood and agreed that each returned check is subject last invoice wn inaesu ous rc w• avoid late fees
g j osier m= v nM,
to a service charge. The amount of this service charge is
equivalent to the maximum check return charge allowable in roaE Monthly oil surcharge
your State. M H of up to $2.00 per
5. All bottle and equipment deposits are shown as
CURRENT ACTIVITY. Your new ,N month in any month
Buri which the
6. Equipment replacement costs will be charged for bottles lost, delivery ACC OUNT SUMMSUMMA" -y m n g
stolen, damaged or not returned. calendar. monthly average price
7. In accordance with NWNA's Terms and Conditions "T &C" My oeliveriesM" per barrel of oil is
your Equipment Lease and/or Service Agreement, account D' indicates ou
a scheduled greater than $50.00,
may be subject to minimum monthly purchases and/or early
cancellation fees. (A complete version of the T&C may be delivery as determined by the
viewed on the website listed below.) Upon service gy m,. New York Mercantile
discontinuation, rent for Leased g Equipment is charged throw E ui h o Exchange
9 P M� L—
the end of the billing cycle in which service is discontinued. Lo nb
8. As a food product, bottled water is subject to the rules and Payment stub v
v 0.AY TH,S AMOUM
regulations promulgated by the Federal food and Drug I
PAY By o•n^^• A ccouNr NUMeu o0 o0roo s4.. Amount due
Administration (FDA). For further information, contact Ice 667950 Hameo
Mountain Spring Water Company or Nestle Waters North
N o1cENUM9EA
America Inc. at the address shown above. ns6 1159
9. Your first invoice includes the products delivered on your first pV2p0963 0429e7W61' 00°39,0" 9 z °ppi01° Submit vour
delivery, along with any applicable bottle and account o n "o« payment by
deposits, redemption fees, and any dispenser charges. All CEO dN NWN WoMA nMa "s,
future invoices will reflect charges for water delivered and dis- w.= Co51 this date
penser rental, bottle deposits and credits plus charges for any w9c ",."ME".EMCE`"
additional products ordered by you. Deliveries are made every 1113...1.•111 •••••n• ^a 1
three or four weeks, for a total of I6 -17 deliveries per year. You Y w 0"'" E -u
will only receive invoices 12 times per year, so approximately
5 of those invoices will reflect two deliveries.
0 2007 Ice MOulltBl 'I estle Waters North America Inc. Form No. NW 508 09/07 S
ICE 111�OCiNTAIN® 720106
®e
11/01/07 11/30/07 07KO117821082
#215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258
service. icemountain.com
FRI- DEC 21 0117821082
III IIII IIII I II III III I III I IIII III II II I IIII THU- JAN 24
MON- FEB 25
TUE- MAR 25
CARMEL ST. DEP. Customer Service: 1- 800 472 -9888
3400 W 131ST ST
WESTFIELD IN 46074 -8267 Did you forget about us? Kindly pay upon receipt.
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.
Special delivery just in time for the holidays! For a limited time you you can save $5 on a case of:Sparkling water
and get a $5 Starbucks card when you order ttvo bags of Starbucks coffee. Leg onto
1 servlce.icemountalnwater com or call 800-472-9888. Expires 1
l.w.. .....�n...3i v..0 a-.ne. ...w �a ..W .J.:._,e .J.v_:.�. ..r.,.... F..
ACCOUNT ACTIVITY Pay your bill online at: service. icemountain.com or by phone at: 1 -800- 472 -9888. It's free!
Delivery address: CARMEL ST. DEP., 3400 W 131TH ST, WESTFIELD IN 46074
PREVIOUS BALANCE 42.93
11/20 0537590036 2 9 OZ PLASTIC UP 50C /SLEEVE 5.98
4 5 GAL ICE MOUNTAIN DRK':W /HANDLE 31.96
4 5 GALLON ICE MOUNTAINiBOTTLE DEPOSIT 24.00
4 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -24.00
11/30 0540028818 1 OIL SURCHARGE 2.00
K4931007 RENT 8.99
TOTAL 91.86
ACCOUNT SUMMARY r'REViOUS BALANCE s PAYMENTiADJUSTMEN T CURRENT ACTIVITY PAY T HIS AMOUNT I
ubiect to terms on reverse side. 1 42.93 .00 48.93 91.86
BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER
I. Please remember payment is due by the "pay by" date noted to ensure the smoothest service.
IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL, SEND 2. R•:member, if you are renting equipment, your equipment rental is charged one month in advance. That means
At,[. CORRESPONDENCE TO: 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 HWY., SUITE 4 4. Never hesitate to call us with comments, questions, or concerns.
LOUISVILLE, KY 40258
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.
N'e 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
Your name, 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. You are obligated to pay the parts of your bill that are not in question. 00t °,00 125 "567 Your Account Number
F I cE ii 0 m mc o
You do not have to pay the disputed amount while it is being UNWn
investigated During the investigation, we cannot report your account TH0. -OCT 123456799
as delinquent or take any action to collect the amount in question. MONaT 79 Watch here for a
WE NO 31
GENERAL INFORMATION Important 'e -9W personalized account
7
I. pavmcnts are due upon receipt of invoice and should be mailed by news and ILII��AII„ III„ 111111.,1013,1111 �IIIIL�IL.II,L111 Y u, ,�"'n s`Mmo- 1odnT+ message
m•n. 9 m.
the !AY BY date indicated on the invoice. roh.Dce ,na,.m••+
offers ,73 Main 51
2. Pavments received after billing (INVOICE) dine will appear on 0101a1<
your next invoice.
3. fast due invoices (not paid within 30 days of billing (late) may be
9 n9. 9DYa•attMn
assessed it late fee as allowed by law not to exceed S20 per month. Pay electronically wA<wn.ro9uq en,�nm9a+^p
Additionally, third party collection /attorney expenses may be aka ,p,.6ano9,w�de99�7ro<r^^a °`�•n
assessed at a rate not to exceed 100% of the unpaid balance or the Activit Make sure this
maximum allowable by law vITV y ,an„ amount has been
since your ACcOUNTArn
4. It is understood and agreed that each returned check is subject to a O<I ry Aaa 1 w .,z3Ma11S C e Y s 00000 ,r99 paid in full to
service charge. The amount of this service charge is equivalent to last invoice ax as
P avoid late fees
the maximum check return charge allowable in your State. PaY,,,°n,- TwnIYW° so.00
5. All bottle and equipment do osits are shown as CURRENT �r31 a6�09 SW,bn Nawul Sp,iy 4000
p 31I8051aaM 5 0.eMwnuin SOa1 C<W+It 00
ACTIVITY. 3neev+a• 5 �1eMpunuinSGalPMUm 1�?9 Monthly oil surcharge
09111 1i7089 5 Oi15u
6. Equipment replacement costs will be charged for bottles lost, te n: ne:63aen a.n1 sc.. of up to $2.00 per
stolen, damaged or not returned 1. 11 1"6.0.97 month in any month
7. In accordance with NWNA's Terms and Conditions "TRC your TOT during which the
Equipment Lease and /or Service Agreement, account may be monthly average price
subject to minimum motnhly purchases and/or early cancellation Y .M BY
fees. (A complete version of the TRC may be viewed on the -99'" per barrel of oil is
P :;tub ACCOUNT SUMMA realer than $50.00,
Pa
website listed below.) Upon service discontinuation, rent for 3 u PAYTNISAMOUNT l;
Leased Equipment is charged through the end of the billing cycle M,�,«�P•"^•^' ACCOONrNUMeCx Y sb.a as determined by the
"•0"a 173<5 MT. mclo
in which service is discontinued. NvacrN°MeEa eiU UNCOATe New York Mercantile
8. As a food product, bottled water is subject to the rules and 1z3as678 ppj00j00 Exchange
regulations promulgated by the Federal Food and Drug 04262712619 °an3g1,a9q zaO9 38
pVZOOgb O9zaz73zb
Administration FDA). For further information, contact Ice Amount due
Mountain Spring Water Company or NCsll6 Waters North America I rmo 0O
Inc. at the address shown above. ,CEMOUNTAiN -AWC M cp S `oa000
9. Your first invoice includes the products delivered on your first .0 Submit your
delivery. along with any applicable bottle and account deposits,
ppe C.`O P ,B CE CALL I e 7298" payment by this
Pnn ,A M CN�n. on..... "NM
I..AIM.,.1., 111... ..II....IIn.II..l.11..l..,l,l.l �I.A.,1
redemption fees, and any dispenser charges. All future invoices PeEwn °A.�z,9wP ",.aon date
will reflect charges for water delivered and dispenser rental. 0 1K
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.
2007 Ice Mountain Spring Water Company, a Division of Nestl6 Waters North America Inc. Form No. NW 509 09/07
asr—
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
i�Lt' la. r' Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total C 5 o
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
weo
7 0.6o
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoices or
okoC kV) N 38 j q8, q bill(s) is (are) true and correct and that the
C''IWt j qj�) 3 6 8q 1: 5 materials or services itemized thereon for
which charge is made were ordered and
received except
20
Signat
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
ICE MO
720106
®0
11/01/07 11/30/07 07KO120095351
#215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 e
service.leemountai n. com
TLIE- DEC 18 0120095351
111 111111 IN I HI 0[I III I IIIN IN Q IN IIII [1I II IIN III FRj- JAN 18
WED- FEB 20
THLI- MAR 20
CITY OF CARMEL PARKS DEPARTMEN
AUDREY KOSTRZEWA Customer Service: 1- 800- 472 -9888
1411 E 116TH ST
CARMEL IN 46032 -3455 Thank you for choosing Ice Mountain Home Office
Delivery! We value your business.
I II IIIIIIIII III III III III 1111111 III II111IIIIIiI
Specra(,ge(IVerys�u5t l l tfine ffor the ho(Idays{ I-, or o felted tlme you you can�save $5 on a caswoT Sparkling.wa er
a r kr av k'.; a k
nd get a$SStarbuccard whenyou two bags ofStarbucks coffeeLog ontoa f
servrcercemountarnwatercorn orcall 800 472 9888 Expires 12131707 i r
n
��La "a?� ",w"t'' .�3', ice,' gam o .se A.,zw�.•"
ACCOUNT ACTIVITY Pay your bill online at: service. icemountain.corn or by phone at. 1 -800- 472 -9888. Its free!
Delivery address: P CARMEL PARKS DEPARTMENT, 1427 E 116TH ST, CARMEL IN 46032
PREVIOUS BALANCE 7.31
11/26 019673 PAYMENT -THANK YOU -7.31
11/15 0536677107 4 5 GAL ICE,MOUNTAIN DRK,_W /HANDLE 15.96
2 9 OZ PLASTIC UP 5OC /SLEEVE 5.38
BOTTLE DEPOSIT: 4 DELIVERED, 2 RETURNED 12.00
11/30 0540168242 1 OIL SURCHARGE 2.00
K4957764 RENT 9.98
TOTAL R7' ri i•' iJ T 45.32
DEC tl 2007
44-
79 �q.p
ACCOUNT SUMMARY pREVI0US BALANCE PAYMENT /ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT
�ubject to terms on reverse side. 7.31 m 7.31 45.32 45.32
BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER
I. Please remember payment is due by the "pay by" date noted to ensure the smoothest service.
IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL, SEND 2. Remember, if you are renting equipment, your equipment rental is charged one month in advance. That merns
ALL CORRESPONDENCE To: 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.
9216 It 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
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 bear 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
Your name, 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.
You are obligated to pay the Paris of your bill that are not in question, m l l.L MOIILt tz34se�s90 Your Account Number
CE t'jll6 00106!00 PO)091�
You do not have to pay the disputed amount while it is being LLnu�:7
investigated. During the investigation, we cannot report your account t;a's ",o ,2s4sb12345670 as delinquent or take any action to collect the amount in question. `wu ocr z9
Watch here for a
GENERAL INFORMATION Important HE aE <ie personalized account
I Payments are due upon receipt of invoice and ,hould be mailed by news and A. n.. nL, nt. ,nln.l,.,nn.ldnh,,.lnn.,n,dldau rn „EY °u w n9 "eso,pa „a` message
the PAY BY date indicated on the invoice
offers M s+
2. Payments received after billing (INVOICE) date will appear on al ppp
your next invoice.
1 PI I ,hdll, n li Il l k1.J l l l l l l LL
3. Past due invoices not aid within 30 days of billin date may be x"� a
assessed a late fee d
as allowed by law not to exceed $20 per month. r�'u x "as"' as Pay electronically
,t„Imta” wcw�ae.arksed�o7acwa t°
Additionally, third parry collection /attorney expenses may be
assessed at a rate not to exceed 100% of the unpaid balance or the L90 Make sure this
Activity amount has been
maximum allowable by law
since our ACCOUNTACTIVITY a e0.c +Y Sta .Bo000
4. It is understood and agreed that each returned check is subject m a Y our I yid,. 1zsMalns +�.n paid in full to
service charge. The amount of this service charge is equivalent to last invoice pieal.n<e az4s avoid late fees
the maximum check return charge allowable in your State. +T"'n so.o
5. All bottle and equipment deposits are shown as CURRENT oaral nelsRe saa11 "Nat a ls w
m seeeswa4, s meM °�ma1 „sGamewsx ma
ACTIVITY. a s1 w s ,calRe 99 Monthly oil surcharge
a9„ Plea Rels1 °na9e
6. Equipment replacement costs will be charged for bonles lost, o9nz r1 xE> of up to $2.00 per sea+
stolen, damaged or not returned. p jb0 month in any month
7, In accardanee with NWNA's Terms and Conditions "T &C your Tor"` during which the
Equipment Lease and/or Service Agreement, account may be monthly average price
subject to minimum monthly purchases and/or early cancellation
a,..."a _,A.NE
fees. (A complete version of the
e T &C may be viewed on the per barrel of oil is
websile listed below. ment stub
Up Y U on service discontinuation, rent for Pa A ccourrrsuMMA HY e a reater than $50.00,
PAY YHIS AMOIINr' ti
PAY BY
Leased Equipment is charged through the end of the billing cycle too as determined by the
In which service is diSCOltmned. J 11145vW BILLINGOAIE Air ENCEOSEV New York Mercantile
IFNp10E NUMBER a�N01W
8. As a food product, bottled water is subject to the rules and ,n4sc�s9° Exchange
regulations promulgated by the Federal Food and Dru 00039ta 2 °9” 1^
Administration (FDA). For further information, contact Ice o4eoogs3av u u2e271yby9 Amount due
Mountain Spring Water Company or Neste Waters North America vn "ow
I nc. at The address shown above. IcEMauNTF +Nw ^TE,"+�coMReNr 123N'�a;es'00000
Submit your
9. Your first invoice includes the products delivered on your first +oR COSroMEarEVI<E CArE1 "Hpp- 411
delivery, along with any applicable bottle and account deposits, a. P,�.A n..9�o „I>< 1 -1, payment b this
Ew,cw ^Yls l.,:t:laa P Y
redemption fees, and any dispenser charges. A!! future invoices
p L.aaa.�i,u1PI date
FORfR F.tl,,.11.: '.9 "aeR�u
ect charges for water delivered and dispenser rental, s
bottle deposits and credits plus charges for any additional products
ordered by you. Deliveries are made every three or four weeks, for
a iota] 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.
2007 Ice Mountain Spring Water Company, a Division of Nestle Waters North America Inc. Form No. Nw 509 09/07
Soe
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
A '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.
4 4
Payee
Purchase Order No.
Ice Mountain Terms
PO Box 856680
Louisville, KY 40285 -6680
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/10/07 07KO120095351 Water cooler supplies 45.32
Total 45.32
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.
Ice Mountain Allowed 20
PO Box 856680
Louisville, KY 40285 -6680
In Sum of
45.32
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
17964E 37KO120095351 4353099 45.32 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
4 -Jan 2008
nat e
45.32 Business S rvi es Manager
Cost distribution ledger classification If Title
claim paid motor vehicle highway fund