HomeMy WebLinkAbout200900 08/30/2011 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1
f r ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER
CARMEL, INDIANA 46032 PROCESSING CENTER CHECK AMOUNT: $186.98
PO BOX 856680 CHECK NUMBER: 200900
LOUISVILLE KY 40285 -6680
CHECK DATE: 8/30/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DES CRIPTION
1125 4350900 01GO12000953 78.56 01GO1200095351
1091 4350900 01GO12120276 67.85 01GO121202766
2201 4238900 01HO11925282 40.57 01HO119252823
I service.icemountainwater.com
0 711,77,7171 215 6661 DIXIE HWY, SUITE 4
07/01/11 07/31/11 0160120095351
LOUISVILLE KY 40258
B e
ADDRESS SERVICE REQUESTED OJ
II�I�I�II��I II"'I I IIII I���III I I�� THU- AUG 18 0120095351
MON- SEP 19
TUE- OCT 18
WED- NOV 16
CARMEL CLAY PARKS AND REC DEPT. Customer Service: 1- 800 472 -9888
AUDREY KOSTRZEWA Did you forget about us? Kindly pay upon receipt.
1411 E 116TH ST Remember, past due accounts are subject to a late fee.
CARMEL IN 46032 -3455 Your prompt payment is appreciated. For your
I" IIIII�II�"' �I�l�' I' I' l�l�' �IIIIIII�I�IIIIII��I�IIIIIII '��I'll convenience, pay online: icemountainwater.comiservice.
If payment has been made, we thank you.
IntroducingnewTRAQEWINbS real brewediced #eas Made wt #hfiigh e qualityotealeaves, real "sugar
natural ingredients 1t s made s mply just the way t should`be for a [Irr%yted time; sae Call g
=800- 472= 9$8,8to addtoyotir next or Exp8131111
m ao- >t
r:
ACCOUNT ACTIVITY Pay your bill online at: service.icemountainwater.com or by phone at:1 -800 -472 -9888. It's free!
9' 9
Delivery address: P CARMEL CLAY PARKS AND REC DEPT., 1427 E 116TH ST, CARMEL IN 46032
PREVIOUS BALANCE 49.60
7120 0732797014 12 5 GAL ICE MOUNTAIN DIRK W/HANDLE 47.88
2 9 OZ PLASTIC UP 50C /SLEEVE 5.98
BOTTLE DEPOSIT: 12 CHARGED, 1,0 CREDITED 12.00
7131 0735414989 1 OIL/FUEL SURCHARGE 2.72
G1171881 RENT 9.98
TOTAL ���F JJ 128.16
Purchase R=
escription l ,qC' I°l'1 Ct�,t," �q
P.O. or F r n
G.L.# ll Im i3 3609o(P A II
Budget t AUG 0 8 1011
Line Descr c )e.ti (Ti �Y.
Purchaser Date
Approval Date
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT
Subject to terms on reverse side. 49 "60 .W 0.00 78.56 128.16
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 S AMPLE 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. 1Z3a567!89 Your Account Number
You do not have to pay the disputed amount while it is being 1 00l00100.00100lou
investigated. During the investigation, we cannot report your account 0 1 23g56789
as delinquent or take any action to collect the amount in question. r -OCT
uoR -oCT =9 Watch here for a
GENERAL INFORMATION wEP
rvE oEE personalized account
1. Payments received after the billing (INVOICE) date will appear on Important
1LIIud11 cu,w ".oax
your next invoice. Past due invoices (not paid within 30 days of news and 91IA1ti4a:111LLtt16'.ago &.111 message m m]x°mlx,irelt°
billing date) may be assessed a late fee as allowed by law not to offers X 121 S1 .,,axm•m.
66t I,d a
exceed $20 per month. Additionally, third party collection/attorney L y s to 00000 i apt ,axll6 xat x.tt nx6 4
expenses may be assessed at a rate not to exceed 100% of the
unpaid balance or the maximum allowed by law. t� r urr m im?,:40Y ;W xv �r Pay electronically
2. Each returned check is sub to a service charge sub to the ,uerc"^^'�^ b0. 1b "w9du£eyan 4 ri' ^0C" moan: T"
J g J A
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 accour+rna+v 23Min5VQe1 c,rysm1eo0000 aid in full to
4. Equipment re replacement costs will be charged for bottles lost, pen.rry "ae,e,= °nnt>ce P
P g last invoice e yam :xs avoid late fees
stolen, damaged or not returned.
5. In accordance with NWNNs Terms and Conditions "T &C your +a,e9e 5 %,u ��oism gw soo�a
$uses R. ^,wmins 's"
Equipment Lease and/or Service Agreement account may be =638911 gent Monthly Oil
subject to minimum monthly purchases and/or early cancellation mns r]essl+w4 r�dw °i av
°Stu 91e f 1 1 Y h. Surcharge, Fuel
fees. A complete version of the current T &C may be viewed on the o9m �°bpp T r''> s 10
p Y j Surcharge or Delivery
website listed below) Upon service discontinuation, rent for the r o, ^r f ro Fee (see X16 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 E _•..Nwn+a M sr4R Information”) v cFVNUS 1 y,y�tmt•�
Delivery Fee as described in your T &C. Only one of these fees Payment stub ACLOUNr SUMMARY 99
e .,ex ic e.o�wt.i� PPY 1.11 AMOUNT
will apply to each account. The fee that applies to your account ;a, Mww�Pn"`°` AccwN567390 R Wj00 0o srw
t j346] M+. ENCLOSED
is stated on the front of the invoice. For further information please ,NVacE NUr.+aeR "iwxc O•TE
visit the websue listed below or contact our customer service 2345-11" °0106tp0
center_ 0003'110 211,
p42gpg630i 04242712619 1!
7. As a food product, bottled water is subject to the rules and Amount due
regulations promulgated by the Federal Food and Drug
Administration (FDA). 1Ct MOUNraNw^h" m c vs,,,�s v4p00
8. Your first invoice indicates the products delivered on your first •^p "n2ssa* Submit your
Iu.,tt
delivery, along with any applicable bottle and account deposits, FOR CU °n "srwcrwtl a ment b this
wawa- a:o11„t6 t.ngt.P6ti,t�t�u M 9,�,"vU•�9.,oPx�.KV� y
redemption fees, and any dispenser charges. All future invoices date
0999^
will reflect charges for water delivered and dispenser rental, bottle srxU9FOe1xcE^n°"` °Up
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 Nestle Waters North America Inc. Form No. NW cos 1 1roe
servfce.icemountainwater.com
service.icemountainwater.com I I N 11 Lima a
215 6661 DIXIE HWY, SUITE 4 07/01/11 07/31/11 01GO121202766
LOUISVILLE KY 40258
ADDRESS SERVICE REQUESTED B e
THU AUG 18 0121202766
MON- SEP 19
TUE- OCT 18
WED- NOV 16
CITY OF CARMEL PARKS DEPARTMENT Customer Service: 1- 800 472 -9888
MANDY SPADY Did you forget about us? Kindly pay upon receipt.
1411 E 116TH ST Remember, past due accounts are subject to a late fee.
CARMEL IN 46032 -3455 Your prompt payment is appreciated. For your
convenience, pay online: icemountainwater.comiservice.
If payment has been made, we thank you.
,455't
Introducing new TRAD�EW[NDS real brernied "ICed teas Made�with high quality tea lea "vies, real sugar& all
natural ingredients It's iced`tea`m de simply dust the way it should be For a limited time, save $2lcase 5u,
1800- 472= 98$8'toaddto,yoiir�rext orde Exp 8L3II'E:1.
i c
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 PARKS DEPTIMONON CENTER, 1235 CENTRAL PARK DR EAST, CARMEL IN 46032
PREVIOUS BALANCE 48.39
7120 0732797063 2 .5 L NATURAL SPRING WATER ICE MTN 11.98
3 9 OZ PLASTIC UP 50C /SLEEVE 5.97
9 5 GAL ICE MOUNTAIN DIRK WIHANDLE 35.91
BOTTLE DEPOSIT: 9,CHARGED, 8 CREDITED 6.00
7/31 0735554164 1 OIL/FUEL SURCHARGE 2.00
G1246672 RENT 5.99
ff I
Pr r"' Olp,AL �Ll "I`�'�lI�� �,IV1LL i ,m,
116.24
Description ter{ j'`
P F j' er F r J J Q IN ea
La L �1 AUG 0 8 2011
L� D escr- f 1
Lir�oiJ�
r
Purchaser p` .0 -7;
Approval
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT I ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT
Subject to terms on reverse side. 48.39 0.00 67.85 116.24
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 IN VO I C 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 oalomoo- oorooro° tzsasareso y Your Account Number
investigated. During the investigation, we cannot report your account
as delinquent or take any action to collect the amount in question. rnn ocr tzs4se�e9
M°N -OCf 39 Watch here for a
GENERAL INFORMATION
NE -oEC e personalized account
i. Payments received after the billing (INVOICE) date will appear on Important
tGik+ vtllraEla114I�iN91tIL1tlLi „i11tIn11 d1daU. c� :coma 'ce nw meSSagC
your next invoice. Past due invoices (not paid within 30 days of news and oce .n,6x "°e
billing date) may be assessed a late fee as allowed by law not to offers �ixiMa,65 a "eu
exceed $20 per month. Additionally, thirdparty collectionlattorney ccy
i.aaa.a „m.
expense, may be assessed at a rate not to exceed 100% 0f the
unpaid balance or the maximum allowed by law. '""'T.�� r°i°'g Pay electronically
2. Each returned check is subject to a service charge subject to the ce y ",,,.n& a "Y&Sadv ms`s- p 's
maximum check return charge allowable in your State.. i"acs.mda.r Make sure this
N �wwr
3. All bottle and equipment deposits are shown as CURRENT Activity ..,wm amp•
ACT since your ACCOUNrArnvtTM
amount has been
113 M s eq° ,,,9
4. Equipment replacement costs will be charged a, 1 c paid in full to
ged for bottles lost, last invoice o<IrveryAdd
stolen damaged or not returned.
avoid late fees
m "EVw so.ro
5. In accordance with NWNA's Terms and Conditions "T &C your mss .6 M. s so i °x :.•.�sa 9W so ac
�q 3V9Be,uu 5 toMOOP 69r W4 rte, 2.96
Equipment Lease and/or Service Agreement account may be r,reas,ww s a.M6 6 sw a v p 99 Monthly Oil
o9m nvess„wa we, s "rz6am.,'
subject. to minimum monthly purchases and/or early cancellation „eaaaeeu L fq!.,�i N! Surcharge, Fuel
fees. (A complete version of the currentT &C maybe viewed on the o9nr 16b'0' kr r' n,a 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.
6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or ca._ Pe *�•"'s;;'�;+` �sr+o r s a6 Information")
Delivery e as described in our T &C. Only one of these fees P stub A¢our+rsuMMAar i
r}' Y Y Y qU on. o0
will apply to each account. The fee that applies to your account ,;,,M, f ,aver PAV m6� ouNr
A<COUNr NOMBEa
.wn. 1 )890 Mr.ENCLO
is stated on the front of the invoice. For further information please ell, n ,NV °iCr NUMaEe s,LL,NC °aTE
visit the website listed below or contact our customer service 1zj456jeg omooioa
Centel z'19 Do0391049 9 y.E
7. As a food product, bottled water is subject to the rules and °,2oo963o1 u Amount due
regulations promulgated by the Federal Food and Drug
Administration (FDA). ,cE MOUMaN 'nrE9 coMMeaF++. 1 Ct iLZ "Q OOOOO
S. Your first invoice indicates the products delivered on your first °M a�6 vo,,,9eLe Submit your
xoa cU+romee sLxwcE rwLLis d
delivery, along with any applicable bottle and account deposits, P ayment b Y this
t ana JNm:.as "au.tt�uu;u.t.�t,t.aar u :a. .•,u�we
redemption fees, and any dispenser charges. All future invoices r aN 9 nuo9.9a" 6 o ,a. date
will reflect charges for water delivered and dispenser rental, bottle jcN °o
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 Nestle Waters North America Inc. Form No. NW 709 11108
service. ice mountainwater.com
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
Louisville, KY 40285 -6680
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
813111 01 GO120095351 Drinking water cooler Maint 78.56
813/11 01GO1 2 1 2 02766 Drinking water cooler- MCC 67.85
Total 146.41
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No,
051125 Ice Mountain Allowed 20
P.O. Box 856680
Louisville, KY 40285 -6680
In Sum of
146.41
ON ACCOUNT OF APPROPRIATION FOR
101 General 109 Monon Center
PO# or INVOICE NO. ACCT #ITITE_E AMOUNT Board Members
Dept
1125 01G0120095351 4350900 78.56 1 hereby certify that the attached invoice(s), or
1091 01GO121202766 4350900 67.85 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
23 -Aug 2011
Signature
146.41 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
service.icemountainwater.com "�A AIR 215 6661 DIXIE HWY, SUITE 4
07/13/11 08/12/11 01I
LOUISVILLE KY 40258
8 B 9
ADDRESS SERVICE REQUESTED wall
1I1I1�11II1II1II III IN I� I� II� RED SEP 23 0119252823
MON- OCT 24
TU E- NOV 22
CITY OF CARMEL STREET DEPARTMENT Customer Service: 1 472 9888
BONNIE CALLAHAN Did you forget about us? Kindly pay upon receipt.
3400 W 131ST ST Remember, past due accounts are subject to a late fee.
CARMEL IN 46074 -8267 Your prompt payment is appreciated. For your
I1111 Ji 111111 111111111' 1" 11111111111111111111111111111 '1111 convenience, pay online: icemountainwater.comiservice.
If payment has been made, we thank you.
�Y Yk
Intoducing new TRADEWINS real brewed Iced teas. Made wlthhlghqual[ty tea leaves, realsugar& ally
natural it g4 ent�sRI7Us z c ed a te a made slmpiy, Mast the way should be. Fo °r a Itmlted time, sane $2 /case.rCall
'i 800.472 9888t4 addato�your next "Arder,!Exp X 8/3111
xr»
,rr r
n
ACCOUNT ACTIVITY Pay your bill online at: service. icemou ntainwater.com or by phone at:1 -800 -472 -9888. It's free!
Delivery address: CITY OF CARMEL STREET DEPARTMENT, 2 CIVIC SQ, CARMEL IN 46032
PREVIOUS BALANCE 99.24
7/22 195244 PAYMENT -THANK YOU -61.62
7126 0733815005 8 5 GAL ICE MOUNTAIN DRK W /HANDLE 27.92
8 5 GALLON ICE MOUNTA DEPOSIT 48.00
8 5 GALLON ICE MOUNTAN',DEPOSIT RETURN -48.00
2 9 OZ PLASTIC UP_,50C /SLEEVE
e1.:.'.' 5.98
8112 0737603019 1 OIL /FUEL SURCHARGE 2.68
H1329474 RENT 3.99
TOTAL 78.19
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT
a'W— Subject to terms on reverse side. 99.24 61.62 40.57 78.19
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- 800472 -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 INVOIC
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. tzsasaievo Your Account Number
You do not have to pay the disputed amount. while it is being t a alootao- coloolo
investigated_ During the investigation, we cannot report your account
as delinquent or take any action to collect the amount in question. "s W us +seiav
I,ION -ocr 29 Watch here for a
tyro- "ov
GENERAL INFORMATION or<<" personalized account
I. Payments received after the billing INVOICE date will appear on Important 'zYas3
Y g PP w
ILtt.�ltl,gtidtltl L.dA1,416Lid{1tl,i1h,llAdn ro 1 message
5 1 <eM
your next invoice. Past due invoices (not paid within 30 days of news and oM -1 s
billing date) may be assessed a late fee as allowed by law not to offers 1 23 MIMSr
C v 000aa y,L"N"
exceed $20 per month. Additionally, i4 ..ti:LR y, third party collection/attorney
I 1tM Jt mow'
expenses may be assessed at a rate not to exceed 100% of the e a
unpaid balance or the maximum allowed by law. �,,,c "xun®M emew: Pay electronically
2. Each retumed cheek is subject to a service charge subject to the a p
maximum check return charge allowable in your State.' ae�Nerfa•, Make sure this
3. All bottle and equipment deposits are shown as CURRENT Activity mMa
k� amount has been
ACTIVITY. since your pCCOOIT ACTlv1ri ry s,are noaoo
paid in full to
last invoi
4. Equipment replacement costs will be charged for bottles lost,
ce
stolen, damaged or not returned. �I^ erw 50.E avoid late fees
5. In accordance with NWNA's Terms and Conditions "T &C your ter+ +ss+s s s "aeualsP ^y w s
ne"s «M� ^vl ^swlomm
Equipment Lease and/or Service Agreement account may be Monthly n, vees,+•+a s I• ,,,,,,msc „-Y� i�?s y Oil
subject to minimum monthly purchases and/or early cancellation g Surchar e, Fuel
fees. {A complete version ofthe current T &C may be viewed on the mnx IbG+M9r s s Surcharge or Delivery
website listed below) Upon service discontinuation, rent for the Fee (s¢¢ #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 month) Oil Surcharge, Fuel Surcharge or
Delivery s _M.M•" rw1TM" Information
g Y g g
Fee as described in our T &C. Only one of these fees stub ACCOUNT SUMMAar a Y,.49
ry y y oc a
PAY TXIS AM011NT
will apply to each account. The fee that applies to your account p ��,�,mamv' AuouNTNUMeea vnrer sr
",,,.n w,,wn. ao oa Da
is stated on the front of the invoice. For further information please ,rlasArevo INV CE "WNC DATE r. ENCEOVro
OI NUM6EN 01.01.
visit the wabsite listed below or contact our customer service ,23,167
Center. P sub 042009630"! 0428a7L2619 000341049 2064 LA
7. As a food p bottled water is to the rules and Amount due
regulations promulgated by the Federal Food and Drug Ion
Administration (FDA) Ic E ouNTUN w aE ^,mac„ °M, AN „c 1 2 3 m. ".'a0000
Your first invoice indicates the products delivered on your first Submit your
Lw "tl usroMEPSEa lcewil a�9. =9aea
delivery, along with any applicable bottle and account deposits, payment by this tl.Ltl..4 on
redemption fees, and any dispenser charges. All future invoices i'J9L••.t.9L....l ^°s' date
will reflect charges for water delivered and dispenser rental, bottle sue" P
deposits and credits plus charges for any additional products
ordered by you. Deliveries are made every three or four weeks, for
a total of t6 -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
service. icemountainwater.com
VOUCHER NO. WARRANT NO.
ALLOWED 20
Ice Mountain
IN SUM OF
P. O. Box 856680
Louisville, KY 40285 -6680
$40.57
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
2201 01 HO119252823 42- 389.00 $40.57 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
1) Thursday, August 25, 2011
lia 4`6tw
Street Commissioner
n` ann,r,9ieeinnP.r
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))
08/16/11 01 HO119252823 $40.57
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