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Home My WebLink About201255 09/13/2011 F CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CHECK AMOUNT: $23.12 CARMEL, INDIANA 46032 PROCESSING CENTER 4 ON L o PO BOX 856680 CHECK NUMBER: 201255 LOUISVILLE KY 40285 -6680 CHECK DATE: 9/13/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4239099 3.99 01HO121776199 1701 4239099 01H722032704 19.13 01H7220327048 service.icemountainwater.com t 215 6661 DIXIE HWY, SUITE 4 08/01/11 08/31/11 01 H0121776199 LOUISVILLE KY 40258 g B e ADDRESS SERVICE REQUESTED FRI- SET 23 0121776199 MON- OCT 24 TUE- NOV 22 FRI- DEC 23 CITY OF CARMEL HUMAN RESOURCES Customer Service: 1- 800 472 -9888 JIM SPELLBRING Thank you for choosing Ice Mountain Home Office 1 civic CARMEL N 46032-2584 Delivery! We value your business. IIIIIIII' 1 Ilii' I' i l' l Introducing new TRADEWINDS real brewedced tea "s. Made with high- quality tea leases, real sugar 8�,a11 natural ing ectie�nts, It ce¢I aea made simply, just the way itshoulcl be. for a Limited time, sauea$2 /case. Call 1 800 -472 =9$88, to add to your next ord'erf Exp, 8131/11 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 SQ, HUMAN RESOURCE DEPT, CARMEL IN 46032 PREVIOUS BALANCE 22.89 8/07 276189 PAYMENT -THANK YOU -13.19 8/28 386609 PAYMENT -THANK YOU -9.70 8/31 H1295688 RENT 3.99 TOTAL 3.99 D "SEP 12 1011 e e BY ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 22.89 22.89 3.99 3.99 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. 6661 DIXIE HWY, SUITE 4 If you prefer, you can pay your bill online at service.icemountainwater.com 6661 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 SAMPL INVOI 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 r 00100/00 "00 /00/00 1z34s67a9 your Account Number investigated. During the investigation, we cannot report your account as delinquent or take any action to collect the amount in question. mR oa 0. 2345678 M DN -ocT z9 Watch here for a WED NOV GENERAL INFORMATION N E -DECte personalized account I. Payments received after the billin g( INVOICE appear on °„p111e Important d1AddNk °`1tiN "d� 8ddp r se„4"e. message ,so0 <7z 9888 Ym. date will PPe b>da }MaGtwW, your next invoice. Past due invoices (not paid within 30 days of news and m.AEr u EmuilM billing ate may be assessed a late fee as allowed b law not to g Y Y offers 123 M M St exceed $20 per month. Additionally, third party collection/attorney Cm 5 a 00000 p Al 4tl»4. ua A uau.±..+ m...n. expenses may be assessed at a Fete not to exceed 100% of the unpaid balance or the maximum allowed by law. «,aa t au Pay electronically 2. Each returned check is subject to a service charge subject to the T maximum check return charge allowable in your State. Make sure this 3, All bottle and equipment deposits are shown as CURRENT Activity ACTIVITY. „'e amount has been since our ACCOUNTArnY'N 5tree6GtYS[ate00008 aid in full to 4. Equipment replacement costs will be charged for bottles lost, lest invoice cer�renAddrers P stolen, damaged or not returned. 4z4s avoid late fees PaY^�"- TNntYw 50.08 5. In accordance with NWNA's Teens and Conditions "T &C your ,6,e98 S S 0a Nam IsP ^^9 W ltt wm /11 3,780514444 Ire Mwnlain S Gal DeP�I Equipment Lease and/or Service Agreement account maybe S R4Ma 5G18eme m Monthly Oil subject to minimum monthly purchases and/or early cancellation 09/^ a °ms'a44 g weI wrmay fees. (A complete version ofthe current T&C may be viewed on the ee7w497�� Surcharge, Fuel Surcharge or Delivery website listed below) Upon service discontinuation, rent for the DTAE 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 EY s Information SUMMARY 9s Delivery Fee as described in your T &C. Only one of these fees Payment stub ACCO e o-env m. vnuv PAY THIS AMOUNT will apply to each account. The fee that applies to your account NUMBER PAY BY S7M is stated on the front of the invoice. For further information please -.ICE NU 123456 00 MT. ENCLOSED IR BIWNG DATE visit the website listed below or contact our customer service 00 0° /234567 center. 7. As a food product, bottled water is subject to the rules and 6420096307 04882712619 00133919"9 18 2004 Amount due regulations promulgated by the Federal Food and Drug ia Administration (FDA). DuNraNwlEACOMPAN� O ty S I e sl Submit your 8. Your first invoice indicates the products delivered on your first wBCERYKE CU.,�o° ,rz -9880 delivery, along with any applicable bottle and account deposits, OZrDMER p ayment Y a ment b this at Q N „e redemption fees, and any dispenser charges. All future invoices O nSneOPP�w �0 Ru date will reflect charges for water delivered and dispenser rental, bottle NppOPERTEA 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 1 1/08 service. icemountainwater.com 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)) 09/02/11 01 HO121776199 $3.99 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. ALLOWED 20 Ice Mountain IN SUM OF PO Box 856680 Louisville, KY 40258 $3.99 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1205 01 H0121776199 42- 390.99 $3.99 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 Monday, ptember 12, 2011 Director, Administration Title Cost distribution ledger classification if claim paid motor vehicle highway fund service.icemountainwater.com MO M 0 Migma 215 6661 DIXIE HWY, SUITE 4 08/01/11 08/31/11 01H7220327048 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED ffi s e FRI- SET 23 7220327048 MON- OCT 24 TUE- NOV 22 FRI- DEC 23 CITY OF CARMEL OFFICE OF THE CLERK TREASURER Customer Service: 1- 800 472 -9888 ANN DAVIS Thank you for choosing Ice Mountain Home Office 1 CIVIC SQ Delivery! We value your business. CARMEL IN 46032 -2584 'lll�l'llllll�l'll'll'll' 11111 ll 'l 91 Introducing new TR�AD.EWI�VDS real brevediced teas. Made with high- aquality tea leases, real sugar 8 all natural It s iced tea made�slmply;justthe way it should tae. For alimitetl time, save $2tcas.e. Call 1;800- 472= 9888�to add to your�next order! Exp: 8 ?311�1'I fr z. d ACCOUNT ACTIVITY Pay your bill online at: service.icemountainwater.com or by phone at:1 -800- 472 -9888. It's free! e moll e Delivery address: CITY OF CARMEL, 1 CIVIC SQ, CLERK TREASURER OFFICE, CARMEL IN 46032 PREVIOUS BALANCE 31.36 8/07 276188 PAYMENT -THANK YOU -12.19 8/28 386612 PAYMENT -THANK YOU -19.17 8/24 0737916882 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;DEPOSbT e,` .00 3 5 GALLON ICE;MOUNTAIN DEPOSIT RE =TURN .00 8/31 0740090568 1 OIL /FUEL SURCHARGE F;` 2.68 H1331929 RENT 3.99 TOTAL 19.13 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ ADJUSTMENT CURRENT A PAY THIS AMOUNT y Subject to terms on reverse side. 31.36 31.36 19.13 19.13 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. 6661 DIXIE HWY., SUITE 4 If you prefer, you can pay your bill online at service.icemountainwater.com 6661 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. 1234587 Your Account Number You do not have to pay the disputed amount while it is being 00100100 0010010, investigated. During the investigation, we cannot report your account 234567 as delinquent or take any action to collect the amount in question. THR ocr a MON -DET 39 Watch here for a GENERAL INFORMATION wrD No 2, TDE -pEC ,9 personalized account 1. Payments received after the billing (INVOICE) date will appear on Important at4lJka "daaa�ltiaia C az sue: vBOO +7n nn«au: message your next invoice. Pas[ due invoices (no[ paid within 30 days of news and 96dlabt� m billing date) may be assessed a late fee as allowed by law not to offers iiir nsl exceed $2 0 per month. Additionally, third party collection/attorney t,awl..bt expenses may be t.aaa"a�.as� unpaid balance or the maximum allowed law. 100 of the na>�Idar taM y Pay electronically 2. Each returned check is subject to a service charge subject to the maximum check return charge allowable in our State. g Y Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity amount has been ACTIVITY. since your last invoice A ccouNtA.CrMry O1U00 aid in full to 99 Main Street City.Nate 4. Equipment replacement costs will be charged for bottles lost, De lr eg Mdr >°^nOoB 23 P stolen, damaged or not returned. .45 avoid late fees 5. In accordance with NWNA °s Terms and Conditions "T &C your 088 4a'� Parme °t s SGallon Na�tu^N Spd /,1 3,789514a44 Ice MOUntan5Gsl Deposit 2.96 Equipment Lease and/or Service Agreement account may be 3,780s,MM 5 la Ma ",a,pswlRe n?9 Monthly Oil subject to minimum monthly purchases and/or early cancellation 32MS 'wr` `�1 f' f i t Surcharg Fuel 09/,2 3,83639 �`Ff ,A l fees. (A complete version ofthe currentT &C maybe viewed on the 09112 Surcharge or Delivery website listed below) Upon service discontinuation, rent for the UTAL Leased Equipment is charged through the end of the billing cycle F Fee (see #6 under in which service is discontinued. AMwN* General C wCN1_ Acm 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or m•. Information') Delivery Fee as described in your T &C. Only one of these fees Payment stub ACCOUNT SUMMARY Y M NUMBER s MY BY PAY THIS AMOUNT will apply to each account. The fee that applies to your account ,,,,,��,�w/^°" ACCO17.. is stated on the front of the invoice. For further information please 1 2345 7 890 HC DAT MT. ENCLOSED "VaCE NUMBER ODA10100 visit the website listed below or contact our customer service 1234ss7B90 center. 7. As a food product, bottled water is subject to the rules and 0420096307 04282712619 000391049 20DV 1° Amount due regulations promulgated by the Federal Food and Drug I Administration (FDA). IcEA4 ouNrAlNwArE M ry5td1 P St 0DODB 8. Your first invoice indicates the products delivered on your first O .99o..u2ve99 Submit your delivery, along with any applicable bottle and account deposits, w «a wRCVSrDMERSER91cBULL, P a ment b this t:ml"±.mamt6:ab "11 «ca:W.bw, w•. „�tAm�0n9`�"�'e. Y Y redemption fees, and any dispenser charges. All future invoices AD sy,DpPaw+•d 1 date will reflect charges for water delivered and dispenser rental, bottle D up_ 99E 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 n service. icemountainwater.com 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)) k CUP 15, 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 L�1 f� IN SUM OF X21 K V 4aE ON ACCOUNT OF APPROPRIATION FOR 48 8 Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or �C -j j 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 t Xua,,�Ojk Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund