HomeMy WebLinkAbout200476 08/17/2011 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1
ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER
+o CARMEL, INDIANA 46032 PROCESSING CENTER CHECK AMOUNT: $119.05
PO BOX 856680 CHECK NUMBER: 200476
LOUISVILLE KY 40285.6680
CHECK DATE: 8/17/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4353099 9.70 01GO121776199
1701 4239099 19.17 0167220327048
2200 4239099 34.90 01GO120048525
2201 4238900 45.59 01GO117821082
920 4239099 01GO12220610 9.69 01GO122206105
service. icemountainwater.com MAN MEN
215 6661 DIXIE HWY SUITE 4 07/01/11 07/31/11 01 G01 17821082
LOUISVILLE KY 40258
ADDRESS SERVICE REQUESTED
l��Illl�llllll III�I �I�I I����I�I'
WED
SEP 16 0117821082
MON- OCT 17
TUE- NOV 15
Customer Service: 1 800 472 9888
CITY OF CARMEL STREET DEPATMENT
W 131ST ST Did you forget about us? Kindly pay upon receipt.
3400
3400 W 1 IN 4fi074 -8267 Remember, past due accounts are subject to a late fee.
Your prompt payment is appreciated. For your
"'ll'�I' 1111 I' I I II, III I�I'�I� convenience, pay online: icemountainwater.comiservice.
If payment has been made, we thank you.
Intlroducing nernrTRAD'EWIIVI3S realIrew 1 ed teas Matle with hag quality tea`leaires, real B all
natura�lingredients It's teed$ #ea made s�mly�, dust tFte n►ay tt�shoultlbe Foca ttm sane 2icase. Call
1= 8€10472`= 9888toaddta .yc�t�r next orderlEx $131111
a ro a
k r u�
ACCOUNT ACTIVITY Pay your bill online at: service. icemou ntai nwater.com or by phone at:1- 800 472 -9888. It's free!
Delivery a ress:
PREVIOUS BALANCE 48.10
7119 0732483722 2 9 OZ PLASTIC UP 50C /SLEEVE 3.98
10 5 GAL ICE MOUNTAIN DIRK W /HANDLE 34.90
10 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 60.00
10 5 GALLON ICE MOUNTAIN °AEPOSIT;RETURN 60.00
T
7131 0735408346 1 OIL /FUEL SURCHARGE: 2.72
G1144138 RENT 3.99
i P
TOTAL 4 93.69
y
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT
Subject to terms on reverse side. 48.10 0.00 45.59 93.69
BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU 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 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 -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 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.
Ifyou 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:
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 (here is
an error,
You are obligated to pay the parts of your bill that are not in question. tzuse7evot Your Account Number
You do not have to pay the disputed amount while it is being owooloo -00j 11
investigated. Dunng the investigation, we cannot report your account c
234561
as delinquent or take any action to collect the amount in question.
Watch here for a
wEe Rav 2,
GENERAL INFORMATION tiE -oE la personalized account
1. Payments received aller the billing TNVOICE date will appear on Important QOndnaAtidlllMlwltILL104 ^'Ipa "n.tlddq a.e M`:'$oo-4lm PSaa
Y is d P {„g6<MwnEalnp,.�'� message
Your next invoice. Past due invoices (not paid within 30 days of news end
billin date m be assessed a late fee as allowed 6 law not to
g Y Y offers c"'s s
exceed $20 per month. Additionally, third party collection /attorney ctysta,e
I.iaa.i.tIF. dl a„'71.111 t 66LLA 6
expenses may be assessed at a rate not to exceed 100% of the c yA •xarna.s ,g s';
unpaid balance or the maximum allowed bylaw. b yarnet•rb Py aN+�"""�` Pay electronically
r_,__r�_ Taman7sim' mn m sarfsd+ 01
2. Each returned check is subject to a service charge subject to the
maximum check return charge allowable in your State. v Make sure this
3. All bottle and equipment deposits are shown as CURRENT Activity
ACTIVITY. since our AccauNrnrnvlrT tr1P"" t amount has been
y mnnooc ,z3Mainsveevcry' S p0°Q0 I ,w k paid in full to
4. Equipment replacement costs will be charged for bottles lost, last invoice
stolen, damaged or not returned. p,CagnBalaraa uAS avoid late fees
5. In accordance with N WNA's Terms and Conditions "T &C your
r6ankYO
a SGatbn Natwal5Pa1'9 1.9b
f,t 31tB851aMA A ,,a nP nlinSW ceP
Equipment Lease and/or Service Agreement account may be t )eaL44M s Na,n „lost„ iar,v,n I Monthly Oil
oan, via. �v
subject to minimum monthly purchases and/or early cancellation
visas, 1 ,a zelann ten il, iJ�jtf.- a t Surcharge, Fuel
fees. (A complete version of the current T &C may be viewed on the osnz ,'P' `w s''w
F z Surcharge or Delivery
website listed below) Upon service discontinuation, rent for the ro AE Fee (see #6 under
Leased Equipment is charged through the end of the billing cycle
"General
in which service is discontinued.
w ,nl TM•� Information
6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or +I SS
Delivery Fee as described in y our T &C. Onl y y one of these fees Payment stub ACCOUNT suMMAav P9W
PAY aY PAY THIS AMOUNT
will apply to each account. The fee that applies to your account A, AccouNreuMSEn
is stated on the front of the invoice. For further information please 123a5b1990 RIt M G DATE MT. mnosro
�MrOICE NUMBER Wt�fW I
visit the website listed below or contact our customer service ,21.sarava
center, a
7. As a food product, bottled water is subject to the rules and 0920096301 OypA2212619 000391049 z0 1 Amount due
regulations promulgated by the Federal Food and Drug
Administration (FDA). ICF MOEINTRIN WATER COMPANY 121 Main st
w ens,a,e 000Ra Submit your
S. Your first invoice indicates the products delivered on your first wgCeSTO,.aEasER+ICE -PAea t
delivery, along with any applicable bottle and account deposits, ub at „a, „6„ecct'& i payment by this
redemption fees, and any dispenser charges. All future invoices u I t ;,.o „�.,�L�v^a""x5itl` L J
will reflect charges for water delivered and dispenser rental, bottle date
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 Nest16 Waters North America Inc. Form No. NW 709 1 1106
service. icemountainwater.com
VOUCHER NO. WARRAN NO.
ALLOWED 20
Ice Mountain
IN SUM OF
P. O. Box 856680
Louisville, KY 40285 -6680
$45.59
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE I AMOUNT Board Member
2201 0160117821082 42- 389.00 $45.59 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 Augt�11, 2011 ill?
U 0 j V
Street Commissioner
'J41CCL
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
08103/11 01 GO117821082 $45.59
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 -1.8
20
Clerk- Treasurer
go serviceAcemountainwater.com ®D ei
215 6661 DIXIE HWY, SUITE 4 07/01/11 07131/11 01 GO121776199
AW
LOUISVILLE KY 40258
ADDRESS SERVICE REQUESTED 9 e
II I I II I I III�I I i I I III �II F 0121778199
RI- SEP 23
MON- OCT 24
TUE- NOV 22
CITY OF CARMEL HUMAN RESOURCES Customer Service: 1- 800 472 -9888
JIM SPELLBRING Did you forget about us? Kindly pay upon receipt.
1 CIVIC SO Remember, past due accounts are subject to a late fee.
CARMEL IN 46032 -2584 Your prompt payment is appreciated. For your
loll 1Ilu11111111111111111111IL1111111111- 1.1- 1111111111111 1111 convenience, pay online: icemountainwater.comiservice.
If payment has been we thank you.
Introducing neW TRADEWINDE real breuued Iced teas. Maue wlth high qua�llty tea` s real_sugar:8� all
r i n .3w Yx e,.. ,aga*•
natural %tgrediertts It s teed tea madeestmply, �ustthe °waylt sttoultl�e. For a hrriitedtime, save$2li:ase Call;
1= 8DD- 472 988840 add! to�your<neztxortle Ex p:r:81311�11
6,
,M
a.
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 SO, HUMAN RESOURCE DEPT, CARMEL IN 46032
PREVIOUS BALANCE 13.19
7126 0733815146 1 9 OZ PLASTIC UP 50C /SLEEVE 2.99
7/31 0735360968 1 OIL/FUEL SURCHARGE 2.72
G1148822 RENT 3.99
r€
TOTAL 22.89
AUG 1 5 2011
By—
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT
Subject to terms on reverse side. I 13.19 0.00 9.70 22.89
BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU 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 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 -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
6669 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 SA IN VOIC 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 0am100- 0010°100 3aaase�avo YOarAccountNumber
investigated. During the investigation, we cannot report your account
delinquent or take any action to collect the amount in question. n,n w
morrocr =g Watch here for a
W,,.° 21
GENERAL INFORMATION pE -oE1'a personalized account
I. Payments received after the billing INVOICE date will appear on Important x ssa°
Y g PP mess
n, U`. t19�6dItaIudI t46RL "a�IGa.6.dlJaa c�•m^'••x"
your next invoice. Past due invoices (not paid within 30 days of news and m.•ErW r�•3�0s W. P lum g
billing date) may be assessed a late fee as allowed by law not to offers 121 Ma s3
exceed $20 per month. Additionally, third party collection/att°mey crys ooro0 n n:ta u
j,51
expenses may be assessed at a rate not to exceed 100% of the
unpaid balance or the maximum allowed by law 4 x lm
2. Each returned check is subcharge w rsa�� Pay electronically
subject to a service subject to the
J 1
maximum check return charge allowable in your State. I Make sure this
3. All bottle and equipment deposits are shown as CURRENT Activity
ACTIVITY. since your last invoic amount has been
ACe°UMARNIriy I
4. Equipment replacement costs will be charged for bottles lost, oerveaue aa: m ,23M �svesvcMsai•� paid in full to
e
stolen, damaged or not returned. poie k, e000 avoid late fees
5. In accordance with NWNA's Terms and Conditions "T &C your ov31 siege s �i .aisa so.ao
!It 31r6851,VA ,n SGalcel
Equipment Lease and/or Service Agreement account may be 3,rees�wu s sO•� u.� Monthly Oil
subject to minimum monthly purchases and or early cancellation cs 3V8051 ins fi3ry�
o9nr s l €z ,r= Surchar e, Fuel
fees. (A complete version of the current T &C maybe viewed on the ocn: 'sd°°"' t r5 Surcharge or Delivery
website listed below) Upon service discontinuation, rent for the Fee (see It6 under
Leased Equipment is charged through the end of the bitting cycle "General
in which service is discontinued. ,.�v33aM"r +con.OrrSw�
6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or
^•r Information")
Delivery Fee as described in your T &C. Only one of these fees Payment stub e, e
IA R1 cf
PL, r p WOus"
will apply e
PPy to each account, The fee that applies to y our account a^ Aeeourn Nu iA, �aoloa 57R
is stated on the front of the invoice. For further information please 123456760 .c. E MT EKLO560
NUMerR
visit the website listed below or contact our customer service ,ovoid 0011.1 12i 5o0o
center. P sub 04262 32619 °00391049 200" 1E
7. As a food product, bottled water is subject to the rules and Amount due
regulations promulgated by the Federal Food and Drug o 0«
Administration (FDA). ter n+ourrtRw wn *ra eo� eSL0 -a Submit your
S. Your first invoice indicates the products delivered on your first NeOP 72-ssee
delivery, along with any applicable bottle and account deposits, s payment b this
t.das.a„ut,,;ad It tw.tu.,c.cutwie: a�1M,�.a•9n�.k,�6.5�. P Y Y
redemption fees, and any dispenser charges. All future invoices EoR R3EwroR.nsa�oPR�m�rnx�. date
sr.Rw
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 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 cos 1 1/08
C service.icemountain water. 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
:f L% Ko" ij Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1I
01 Goi�l7�
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
�.70
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
Us 016 of ?l 776/y y3 336 �q 1 7 76 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
Sig tut
Cost distribution ledger classification if Itle
claim paid motor vehicle highway fund
service.icemountainwater.com
215 6661 DIXIE HWY SUITE 4 07/01/11 07/31/11 01 GO120048525
LOUISVILLE KY 40258
ADDRESS SERVICE REQUESTED B e
I��II�I'II
1111111111 I N 1111111111111 F ID SEP 23 0120048525
MON- OCT 24
TUE- NOV 22
CITY OF CARMEL DEPT OF ENGINEERING Customer Service: 1- 800 -472 -9888
LISA SCOTT OR JUDY STOHLER 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 rom t p ayment is a
p p p y appreciated. For your
convenience, pay online: icemountainwater.comiservice.
If payment has been made, we thank you.
IntrodUcing `new R g 9
TRADEWINDS real brewetl iced teas Matle with hl h quatlty tea leaves real su arm& all
mu�
naturalingredte ts. It s IcedJea made simply, just the�ri+►ay It should be Eo a llmlted time, sage $2lcase Call
1800= 472- 9888toaiid to your n6Xt.erder!Exp.= 8131t11"
m h
Y
ACCOUNT ACTIVITY Pay your bill online at: service. icemou ntai nwater.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 13.96
7(26 0733815047 4 5 GAL ICE MOUNTAIN DIRK W/HANDLE 13.96
4 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00
4 5 GALLON ICE MOUNTAIN DEPOSIT RETURN .00
1 9 OZ PLASTIC UP 50C /SLEEVE 2.99
7131 G1156699 RENT .g970 �7 3.99
a�
TOTAL �j� 34.90
CV u
ED
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT
y Subject to terms on reverse side. 13.96 0.00 20.94 34.90 f
BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU 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 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 -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 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. tz13 567e90 your Account Number
You do not have to pay the disputed amount while it is being oolaoroo
investigated. During the investigation, we cannot report your account A 123456799
as delinquent or take any action to collect the amount in question. HB
Watch here for a
GENERAL INFORMATION T ,Ec
reE- f£[ 18 personalized account
I. Payments received after the billing (INVOICE) date will appear on Important message
9iRni11l: p1e11tUdaIltl .Llp4`aflp•fl..11daA c^ ++q^+�� s`n I^ v R g
your next invoice. Past due invoices (not paid within 30 days of news and
billing date) may be assessed a late fee as allowed by law not to offers 123 s na e c•
y
exceed 820 per month, Additionally, third party collection/attamey a9a.,a,al� ,tt,ea4..natn u u6uaga
expenses may be assessed at a rate not to exceed L00% of the
R4 }imp, 5n`
unpaid balance or the maximum allowed by law. R^v38r +ns aBmw,•run>at� tl Pay electronically
2. Each resumed check is subject to a service charge subject to the �yA'
maximum check return charge allowable in your State. Make sure this
3. All bottle and equipment deposits are shown as CURRENT Activity y ,,,„,.,<..�a amount has been
ACTIVITY. since our ACCOUM Attt��
Y n p �13Mnt ^svee+ oev,s� X00 ,En paid in full t0
4- Equipment replacement costs will be charged for bottles lost, last invoice ce
stolen, damaged or not returned. mamr� avoid late fees
5. In accordance with NWNA's Terms and Conditions "T &C your °a ;,mow, ^.•ISO y w 5 sow
11, 31�805,4Ha ke My,nla ns Wio W 196
Equipment Lease and/or Service Agreement account may be t 3neenua meM nuou^SW r� �R r n.94 Monthly Ott
subject to minimum monthly purchases and/or early cancellation Surcharge, Fuel
fees. (A complete version of the current'r&C may be viewed on the B +r 'E`a i' 8 Surcharge or Delivery
website listed below) Upon service discontinuation, rent for the roru Fee (see #6 under
Leased Equipment is charged through the end of the billing cycle "General
in which service is discontinued.
wUN+•" s�+o Information
6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or
ACCOUNT sUMMARV
Delivery Fee as described in your T &C. Only one of these fees Payment Stull PAr S AMOUNT
will apply to each account. The fee that applies to your account r- ACCoU 1 2 34 N 5 6789a UMBER "oo 1. ENIL.10 "V
pry %6 a
is stated on the front of the invoice. For further information please e,wNCOA *c
INVOICENU BER WIW�W
visit the website listed below or contact our customer service iz3 +8
center. 16
7. As a food product, bottled Water is subject to the rules and n420a96357 04282]12619 000391099 zaov Amount due
regulations promulgated by the Federal Food and Drug ph,
Administration (FDA). ,cE MOUNr WATEACOMP�y c,yWi,s, 00009
°o .ew•w wne Submit your
8. Your first invoice indicates the products delivered on your first oRrO:roNER SERVrtew �o- 'x.rnes
delivery, along with any applicable bottle and account deposits, 1 p ayment by this
s aat.:a.ot„9ax..au 1 6a�,c..6l tr.a g P Y
redemption fees, and any dispenser charges. All future invoices rRwfOR „E.ao� y u^ Ra w „ate^ 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 Ice Mountain Spring Water Company, a Division of Nestl6 Waters North America Inc. Form No. NW 709 11/08
O service.icemountainwater.com
Prescribed by Stale 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.
Ice Mountain Payee
Purchase Order No.
OX bbbbbiD
Terms
Louisville, KY 40285 -6680
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
813111 01G Rent and Service July $34.90
ccn
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
DEPT. I hereby certify that the attached invoice(s), or
of C t, qp 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
k 20
r
Si nature
f1o's A
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
service.icemountainwater.com
215 6661 DIXIE HWY, SUITE 4 07/01/11 07/31/11 01GO122206105
LOUISVILLE KY 40258
e B e
ADDRESS SERVICE REQUESTED
TUE AUG 16 IIIIII 0122206105
THU- SEP 15
FRI- OCT 14
MON- NOV 14
CITY OF CARMEL ENGINEERING /1ST AVE Customer Service: 1- 800 472 -9888
KATIE NEVILLE YOUR ACCOUNT IS PAST DUE and is subject to
1 CIVIC SQ additional late fees. Water delivery service may be
CARMEL IN 46032 -2584 interrupted. Please make your payment today. For your
Il��lll��l�l�lll�' 1' I�' lll��' II���I���I���IIII�II��I�I 'llll�llll� convenience, pay online: icemountainwater.com /service.
If payment has been made, we thank you.
1
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 limited time, save $2 case. Call
Y 11- 800 -472 -9888 to a dd to y our next order!' E xo: 8/31/11'
^�e..^V'�` °a..q�.+.np-FY�'_ _'r• C•' F+-..^" ��m' i+'. r. 6Ca•.:, aw— ._.°'_.'�:^C°'-.�..°^ =_Oal
ACCOUNT ACTIVITY Pay your bill online at: service. icemou nta inwater.com or by phone at: 1 -800-472-9888. It's free!
B 8 B 8 9
Delivery address: CITY OF CARMEL ENGINEERING, 130 1ST AVE SW, CARMEL IN 46032
PREVIOUS BALANCE 30.84
7/18 0732175849 1 5 L NATURAL SPRING WATER ICE MTN 5.99
1 9 OZ PLASTIC UP 50C /SLEEVE 2.99
BOTTLE DEPOSIT: 0 CHARGED, 1 CREDITED -6.00
7/31 0735403487 1 OIL/FUEL SURCHARGE 2.72
G1146303 RENT 8910111,3 3.99
TOTAL fp j am, 40.53
s
00
r A
i7
C C,
�9ZSZ �2
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACT PAY THIS AMOUNT
Subject to terms on reverse side. 30.84 0.00 9.69 40.53
i
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- 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
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. 323+56 Your Account Number
You do not have to pay the disputed amount while it is being 00/00100- oo/00/00
investigated. During the investigation, we cannot report your account t ys5678
as delinquent or take any action to collect the amount in question. TMR a3 a
M°N -«T z9 Watch here for a
GENERAL INFORMATION °NOY1 P ersonalized account
1. Pa
NE BEC IB ents received after the billing INVOICE date will appear on Important 1 -9
Payments g( PP III @:G6dI1gd.,tlM1b @b:dtlpA�dtdN cm,� keMamWnC°4i•T' message
your next invoice. Past due invoices (not paid within 30 days of news and T —k 7 p, ror u•�n9
billing date) may be assessed a late fee as allowed by law not to offers 123 s' aMH
exceed $20 per month. Additionally, third party collectionlattorney °h' uooro a- "a L.t,1.64Aj
i.da,4«IwU
expenses may be assessed at a rate not to exceed 100% of the y:M.,,;;,......
unpaid balance or the maximum allowed by law.,n,n'6++sdTr "1O1,�T;6iw^+�•f°f+0jjj1p{0"'�9 Pay electronically
f f :o,n+n•e +w� nw�Ewm
2. Each returned check is subject to a service charge subject to the
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 our nccour+rnrnvm Oae 133 MalnSUe tOgSa,e 00'08
Y x,.99 aid in full to
4. Equipment replacement costs will be charged for bottles lost, p
last invoice
stolen, damaged or not returned. r,Nw�. TM^kYa quo avoid late fees
5. In accordance with NWNA's Terms and Conditions "T &C your 13 m,e9e s sGN,o�wn„ sv�^9w so.00
/,1 3n8ESMM keMw uln S6al DFOn 1.96
Equipment Lease and/or Service Agreement account may be 3nees� s dnsc. ,,.99 Monthly Oil
s Y
subject to minimum monthly purchases and/or early cancellation
Rte Surcharge, Fuel
fees. (A complete version ofthe currentT &C maybe viewed on the o9n7 '°6'°"' a s Surcharg or Deliver
website listed below) Upon service discontinuation, rent for the TOT6E 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 ,u,w. 9�` Information
SUMMARY 99
Delivery Fee as described in your T &C. Only one of these fees Payment stub ^c COOM °..o..••W v "YrV 6MOUNr
will ap The fee that li ��..a,ww 6ccouNreuMBrR PAY By szw
PPY to each account. at a PP es to Y our account m,6.d 000000
is stated on the front of the invoice. For further information please 123 67890 9iWNG T. ENCI,osnU
'Wo'cE NUMBER 00108
visit the website listed below or contact our customer service ,2;.567898
center.
7. As a food product, bottled water is subject to the rules and 09200-16307 09262712619 000391 20 Amount due
regulations promulgated by the Federal Food and Drug pnn ooh
Administration (FDA). ieE MOUNwN w "rE,R„e si a�Ouo0
ppo,d NbRw
8. Your first invoice indicates the products delivered on your first oP CU :TOMFP Submit your
SFm9FFwF, BOU'71 -9688
delivery, along with any applicable bottle and account deposits, wdu►n„u.u,t•bd.o payment by this
redemption fees, and any dispenser charges. All future invoices nv9nucww"'1 On°`•"" 0— ti.,E6..9•+ 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 ,ompany, a Division of Nestl6 Waters North America Inc. Form No. NW 709 11/08
S service.icemountainwater.co]
n b(;11M❑ uy male nuaW ui n;LUU111e UILY rVnn rvu. eu i �n V. raas)
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))
08/09/11 01 60122206105 Keystone Reconstruction Project $9.69
Miscellaneous
Project 07 -08
Total $9,69
I 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
v� a
VOUCHER NO. WARRANT NO.
Ice Mountain Direct ALLOWED 20
PO BOX 856680 IN THE SUM OF
Louisville, KY 40258 6680
9.69
r
ON ACCOUNT OF APPROPRIATION FOR
Ice Mountain Direct
I
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
DEPT.#
NA 0160122206105 4239099 $9.69
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
15 -Aug 20 11
Total $9.6 Signa ure
Cost distribution ledger classification if City Engineer
claim paid motor vehicle highway fund Title
serviceAcemountainwater.com M2.4161B
i 215 6661 DIXIE HWY, SUITE 4
07/01/11 07!31/11 0167220327048
LOUISVILLE KY 40258
6 B e
ADDRESS SERVICE REQUESTED
WED AUG 24 RII- SEP 23 7220327048
MON- OCT 24
TUE- NOV 22
CITY OF CARMEL OFFICE OF THE CLERK TREASURER Customer Service: 1- 800 -472 -9888
ANN DAVIS 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
I 'lll�l�llrlll'�' "�II�I convenience, pay online: icemountainwater.com/service.
If payment has been made, we thank you.
WE
s
Fns
Introducing new TRADEWINDS raalgbrewed1ced `tegs M. with high quality tea leaves; real sugar
9natural�ingr�dients Its iced tea made sirt�pl way It shotald be Fora ltmited time,saue $21case Call
11 804 472- 9888'to acldtoyourneict ordar! Exp X 81_31111
r4
m v
ACCOUNT ACTIVITY Pay your bill online at: service.icemountainwater.com or by phone at:1 -800 -472 -9888. It's free!
Ia e B a
Delivery address: CITY OF CARMEL, 1 CIVIC SQ, CLERK TREASURER OFFICE, CARMEL IN 46032
PREVIOUS BALANCE 12.19
7126 0733815401 1 9 OZ PLASTIC UP 50C /SLEEVE 1.99
3 5 GAL ICE MOUNTAIN DRK W /HANDLE 10.47
3 5 GALLON ICE MOUNTAIN,BOTTLE.DEPOSIT .00
3 5 GALLON ICE MOUNTAIN DEPOSIT RETURW .00
7131 0735547646 1 OIL/FUEL SURCHARGE 2.72
61185583 RENT 3.99
TOTAL Ks 31.36
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT
q Subject to terms on reverse side. 12.19 0.00 19.17 31.36
BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU 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 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 -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.
4216 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. izaass7ev your Account Number
You do not have to pay the disputed amount while it is being r o01001oo- 001°°14°
4
investigated. During the investigation, we cannot report your account ,a3as67a9
as delinquent or take any action to collect the amount in question. TNR -a a
Moe -0c7 19 Watch here for a
GENERAL INFORMATION ToE- DEC 1t
T0E OECa personalized account
1. Payments received after the billing INVOICE date will appear on Important
Ym g( PP
ulili;ta114_�anN;ASa1u <usromn servke: sow+va
message
your next invoice. Past. due invoices (not paid within 30 days of news and 14 M1�14 t ®I rnm4yW ,a.ost�laMoun wnw•^
billing date) may be assessed a late fee as allowed by law not to offers its s e,•••
exceed $20 per month. Additionally, third party eollectionlattorney y se0ry a000a ,n.gdk9Rn..6 6kt+6A.
LJaa
expenses may be assessed at a rate not to exceed 100 °O /u of the
unpaid balance or the maximum allowed by law. m- �,„x, I"9 Pay electronically
am,r n ro
2. Each returned check is subject to a service charge subject to the `"°�"`xY, i-.,
maximum check return charge allowable in our State. A
g Y Make sure this
3. All bottle and equipment deposits are shown as CURRENT Activity
ACTIVITY. since your ACCUUNT Ac
amount has been
nvrrY
bn D ,,a3M30st— C"y a°°0°0 „w pal in full to
4. Equipment replacement costs will be charged for bottles lost, last invoice
stolen, damaged or not returned. p,,.,;,n,e•len<. <a•s avoid late fees
r v nc
5. In accordance with NWNA's Terms and Conditions "T &C your �0, asle9e s r en w�� =lsw'n9W som
!It 31 r90S1faM keMwntain SGd 4 195
Equipment Lease and/or Service Agreement account may be n1 3,reasl+aa• 9 o sw� ]r lr +r .m3 Monthly Oil
subject to minimum monthly purchases and/or early cancellation neo Surcharge, Fuel
was r,ezuree„
fees. (A complete version ofthe currentT &C maybe viewed on the z 168'0"91 :5' Surcharge or Delivery
website listed below) Upon service discontinuation, rent for the "AL Fee (see #6 under
Leased Equipment is charged through the end of the billing cycle "General
in which service is discontinued. A<n
3 0 M S+co Information”)
6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or ,u�0r0"^} ter
SUMMARY 1,.99
Deliver ee as described in our T &C. Only one of these fees P stub ACCOUNT
ry Y Y Y .ru. VAV THIS AMOUNT
will apply to each account. The fee that applies to your account ,m,� AE.0u n NUrneER rarer sra
44140 W
is stated on the front of the invoice. For further information please 123 171 s NG °nrE r. 'NEwS.0 W 01 113 567 M6ER
visit the website listed below or contact our customer service ,23 <56r B90
center. 42A2712L19 rc03910Y9 2004 1A
7. As a food product, bottled water is subject to the rules and 0824096307 0 Amount due
regulations promulgated by the Federal Food and Drug Inn, Ua
Administration (FDA). IC MOUNra�rvw TE "„C 17'5�mS, oa0oo
8. Your first invoice indicates the products delivered on your first .e0r.,r99A6 Submit your
yt,Ua,aNn P a
delivery, along with any applicable bottle and account deposits, v oecusroMEn :E av¢ECA ment b this
t. atita. aHm.,au.,dr.,u.>.n;a,. Q R� Re.•n.sw< Y Y
redemption fees, and any dispenser charges. All future invoices oa, 9rE •umMVV9 ^O9w.,vl�•e0^••^• °`8'° 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.
O 2008 Ice Mountain Spring Water Company, a Division of Nestle Waters North America Inc. Form No. Nw 709 11/08
Q 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))
1g,
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.
n ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Ll-
,P 2y 6
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
D bill(s) is (are) true and correct and that the
l o 4 materials or services itemized thereon for
which charge is made were ordered and
received except
d�
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund