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HomeMy WebLinkAbout202596 10/11/2011 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER rf CARMEL, INDIANA 46032 PROCESSING CENTER CHECK AMOUNT; $122.59 PO BOX 856680 o CHECK NUMBER: 202596 LOUISVILLE KY 40265 -6680 CHECK DATE: 10111/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 920 4239099 OlEO12220610 14.65 OlEO122206105 920 4239099 01HO12220610 10.15 01HO122206105 2201 4238900 01I011782108 51.55 01I0117821082 2200 4239099 01I012004852 24.43 01I0120048525 1205 4353099 01I012177619 9.66 0120121776199 1701 4230200 011722032704 12.15 O1I7220327048 service. icemountainwater.corn 215 6661 DIXIE HWY, SUITE 4 09/01/11 09/30/11 0110117821082 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED MON- 17 0117821082 NOV TUE- NOV 15 FRI- DEC 16 THU- JAN 19 Customer Service: 1 800 472 9888 CITY OF CARMEL STREET DEPATMENT Thank you for choosing Ice Mountain Home Office 3400 W 131 ST ST Delivery! We value your business. CARMEL IN 46074 -8267 III, I- I1I I1" I111III1 Ill 11 Ill 11 "IIITllT11II1...�I�IIIII��II� e. e ro I�ovu s the prfect time to try ouK a F'ellegrino Sparkl�r'Ig Fru t Be­­ veragesr ttie appeal of a arklEng juic cl �k °py4 apre ',y le fie" thentiulgceaof m umsoda AvallabinLpmoand,rangeEn��y$3 offRercase Cat11r -8�0= 4729888 tiadci to your nett order! Expo 12131!71 y w x 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 STREET DEPARTMENT, 3400 W 131TH ST, CARMEL IN 46074 PREVIOUS BALANCE 45.55 9123 530031 PAYMENT -THANK YOU -45.55 9116 0741111942 2 9 OZ PLASTIC UP 50CISLEEVE 3.98 10 5 GAL ICE MOUNTAIN DIRK WIHANDLE 34.90 10 5 GALLON ICE MOUNTAIN'- BOTTLE DEPOSIT 60.00 9 5 GALLON ICE::MOUNTAIN DEPOSIT RETURN -54.00 9130 0744391863 1 OILIFUEL SURCHARGE`,- 2.68 11441029 RENT 3.99 TOTAL 51.55 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Q, Subject to terms on reverse side. 45.55 45.55 51.55 51.55 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- 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. 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 SA MPLE I NVOICE 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 pans of your bill that are not in question. 1234567890 Your Account Number You do not have to pay the disputed amount while it is being t 0300100 per001oo investigated. During the investigation, we cannot report your account IZ 3 56769 as delinquent or take any action to collect the amount in question. me N0 ".a 79 Watch here for a vrEO Nov 2, GENERAL INFORMATION mr eec,e personalized account tun.att pLann,l,.,nn.LmG "a €ln n..uadn „vme s M e: ,.soo. 9668 1. Payments received after the billing (INVOICE) date will appear an I m p ortant Moe ^��nc,o3„a) message your next invoice. Past due invoices (not paid within 30 days of news and "ro,na "9 a billing date) may be assessed a late fee as allowed by law not to offers '23 Mce 5 1 °3 =rvleea. exceed $20 per month. Additionally, third party colleetion/attomey c"v.aa`° 11101 L daA..d aL..a ,ILntl.ua L L! Lba n expenses may be assessed at a rate not to exceed 100% of the a4 .5 unpaid balance or the maximum allowed by law. N nn+i,aaraotst," mate y Pay electronically r0n>a0a9 miah,cdm.'� skip "'e u et+,muar+"gra, S` A 2. Each rammed check is subject to a service charge subject to the maximum check return charge allowable in your State. 4 ;r" Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity amount has been p 0p0° ACTIVITY. since our AccoUa ,-W y p0k,,23Ma1 "st�ccrv5rojp „?v 4. Equipment replacement costs will be charged for bottles lost, last invoice oar e rynaarea r a" .,,99 P aid in full to stolen, damaged or not returned. P ,r Iona= a. <s avoid late fees �,,,nen,.T6ankYeu 50.00 5. In accordance with NWNA's Terms and Conditions "T &C your ten s,69a Na 4ais4an9w ao /1, )1]8051Maq Ice MnOntalnS Gal MPnnt Equipment Lease and/or Service Agreement account may be Monthly Oil 091,1 31']9851gM4 5 eMOUn 4 We15u cl n9e subject to minimum monthly purchases and/or early cancellation f1E e7esae„ Surcharge, Fuel fees. (A complete version ofthe currentT &C maybe viewed on the Surcharge or Delivery website listed below) upon service discontinuation, rent for the rnai Fee (see 96 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued, information veva., rg 4 lu s .Ma.n s]no b. You will be charged a monthly Oil Surcharge, Fuel Surcharge or e .E4IO4= „?9 SUMMARY tt.4 Delivery Fee as described in your T &C. Only one of these fees Payment stub �..o•=•• ppY eY rAV rnls AMOUNT will apply m each account. The fee that applies to your account M ACCOuu NUMeeR +o u ew, w u �n.e,a �n. onion is stated on the front of the invoice. For further information please 4562890 M ENaro os IN9�I�E NUM&ER 6uNNC C7 visit the website listed below or contact our customer service r,3150W �p center. p sub 331262712619 000391049 2004 1h 7. As a food product, bottled water is subject to the rules and Amount due regulations promulgated by the Federal Food and Drug n nno4• Administration(FDA). ItE MOUNCaN w ^TEa„°"";M""�,_ c 00000 8. Your first invoice indicates the products delivered on your first pBLVSYONrk)ERV1 f 6. ,.ena.<;asesn Submit your delivery, along with any applicable bottle and account deposits, E] mzaa^xo^ka..,aa.. payment by this 1. dnAna .bL a L.,.lL.al.,La L.LLLLA a r redemption fees, and any dispenser charges. All future invoices date will reflect charges for water delivered and dispenser rental, bottle s„ "4oa�a :36,..,000 >�sw ^"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 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 Company, a Division of Nestle Waters North America Inc. Form No. row 70911/08 service. icemountainwater.com VOUCHER NO. WARRANT NO. ALLOWED 20 Ice Mountain IN SUM OF P. O. Box 856680 Louisville, KY 40285 -6680 $51.55 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 0110117821082 42- 389.00 $51.55 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 Friday, Obtober 07, 2011 A -A ZV Street Commissiorpr reef IYIe 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)) 10/04111 0110117821082 $51.55 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 I --,v ice.1cemountainwater.com m 3 IIA I/ 215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 09101/11 09/30111 0110120048525 g 9 e ADDRESS SERVICE REQUESTED MON- 24 0120048525 NOV TUE- NOV 22 FRI- DEC 23 THU- JAN 26 CITY OF CARMEL DEPT OF ENGINEERING Customer Service: 1- 800 472 -9888 LISA SCOTT OR JUDY STOHLER Thank you for choosing Ice Mountain Home Office 1 CIVIC SQ Delivery! We value your business. CARMEL IN 46032 -2584 �11� IIII� NoWs the time to try our' San Pellegrino ing Fruit Beverages the�appeal f a sparkltnmmice' and s 1 the Indulgence of a premium soda Available in Lemon and Orange Enjoy $3'o erxcase Call.1 -8Q:0- 472 ;9,888; Toadd to your next "arderlExp�12 /31 °111= p r n, e ACCOUNT ACTIVITY Pay your bill online at: service.icemountainwater.com or by phone at: 1- 808 -472 -9888. It's free! ir. Delivery address: CITY OF CARMEL, 1 CIVIC SQ, CITY ENGINEERING DEPT, CARMEL IN 46032 PREVIOUS BALANCE 3.49 9/23 0742560469 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 50C1SLEEVEr16,6 7 2.99 9130 11453145 RENT 3.99 TOTAL 24.43 Md EI'VE� oc ACCOUNT SUMMARY PREVIOUS 13ALANCE PAYMENT I ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT r Subject to terms on reverse side. 3.49 0.00 20.94 24.43 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 -900- 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. 2t4s6ravo Your Account Number You do not have to pay the disputed amount while it is being J oa.oroo- omoom investigated. During the investigation, we cannot report your account t 12345 as delinquent or take any action to collect the amount in question. 9n omn Watch here for a GENERAL INFORMATION wEPNw ruE -oEC ,e personalized account 1. Payments received after the billing (INVOICE) date will appear on Important 1111: all aGdandn,llll.6lUGi filn.dhp3da s,omel 9 s lLe l MW ^ems message your next invoice. Past due invoices (not paid within 30 days of news and ,na^ey°^ a^ date m be assessed a late fee as allowed b law not to a mCE1 billing Y Y offers exceed $20 per month. Additionally, third party collectionlattomey c 5 d1e oo.o. .antra au ds tt n.ba u 66114 a wda v expenses may be assessed at a rate not to exceed 100% of the unpaid balance or the maximum allowed by law. lr an N� �•3cw'yR 10 --e• Pay electronically ..So�cea4deta 2. Each returned check is subject to a service charge subject to the maximum check return charge allowable in your State. a srd Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity rnvrn amount has been ACTIVITY. since your AccouNTn ,11M' s ary.sta,e „99 4, Equipment replacement costs will be charged for bottles lost, last invoice oe°eP n old In full t0 p stolen, damaged or not returned. avoid late fees Z, 5. In accordance with NWNA's Terms and Conditions "T &C your N +a, sv^ ^9waa+ 9aes,4444 i� Ice MowntairtS Gal[,eWSlc Equipment Lease andlor Service Agreement account may be 9ve6s,aw s k9M °sGB, "a °m ,t.9e Monthly Oil 99m 3neas14444 rim wlcnase subject to minimum monthly purchases and/or early cancellation T Surcharge, Fuel fees. A complete version ofthe currentT &C ma be viewed on the p y Surcharge or Delivery website listed below) Upon service discontinuation, rent for the ro,4i a Fee (see #6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. ed a monthly Oil Surcharge, Fuel Surcharge or a °e ^•M'" s Information 6. You will be charged Y g g �9 Delive Fee as described in our T &C. Only one of these fees P stub ACCOUNT SUMMARY ry Y Y Y rnrT "isu.+ouar will apply to each account. The fee that applies to your account _�w a e wm PAY ACCOUNT NUM6EM er 90 .moo is stated on the front of the invoice. For further information please 1234567390 euuNCO 1e n.ENCLOSE. ,NJOIGE W.- 00��IW visit the website listed below or contact our customer service ""Ws" center. T As a food product, bottled water is subject to the rules and �,20G163V .....]12619 as63v.u x06° 16 Amount due regulations promulgated by the Federal Food and Drug Administration (FDA). Ier MOUr+rANwATC ci, 3 y sia�e ww° Submit VOUr 8. Your first invoice indicates the products delivered on your first i oA UsroMrnSEevNr t, aGa „z -9333 delivery, along with any applicable bottle and account deposits, p ayment by this 1” rind., a. cn.i;., 6cl a u redemption fees, and any dispenser charges. All future invoices date nown3w .�•�e4°n °e"'ru will reflect charges for water delivered and dispenser rental, bottle u cuuPta+reer^ 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. Farm No. NW 709 11/08 service. icemou ntainwate r. co m 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 U [)U 0 t2Ab Purchase Order No. �(D ED Terms I'D 402!1 h �J Date Due Invoice Invoice Description Amount Date Number (or note attached invoices) or bill(s)) l 1 C�- 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. I ALLOWED 20 b n IN SUM OF ON ACCOUNT OF APPROPRIATION FOR F-4A ri Board Members Po# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 2 l T y Si natu e Tit Cost distribution ledger classification if claim paid motor vehicle highway fund service.icemountainwater.com 215 6661 DIXIE HWY, SUITE 4 09/01(11 09/30/11 0110121776199 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED MOH- OCT 24 0121776199 TUE- NOV 22 FR DEC 23 THU- JAN 26 CITY OF CARMEL HUMAN RESOURCES Customer Service: 1 -800 -472 -9888 JIM SPELLBRING Thank you for choosing Ice Mountain Home Office 1 CIVIC SQ Delivery! We value your business. CARMEL IN 46032 -2584 I IL I �I' I 'lll' Nows theperfecttlme totry our SanPeflegrino SpaIcling appealof�a sparklirig�tiiceancJ the, lndulgeriee of a pre Im um soda. Available In Lemon and Orange. Enjoy $3 off�per case �Cail 1 800 =472 888 a g to add to your nextorderlExp1213111,1 aw v ACCOUNT ACTIVITY Pay your bill online at: service.icemountainwater.com or by phone atA- 800 472 -9888. It's free! 1 I i Delivery address: CITY OF CARMEL, 1 CIVIC SQ, HUMAN RESOURCE DEPT, CARMEL IN 46032 PREVIOUS BALANCE 3.99 9123 530835 PAYMENT -THANK YOU -3.99 0742560568 1 9 OZ PLASTIC UP 50C /SLEEVE 2.99 9/30 0744344904 1 OIL /FUEL SURCHARGE 2.68 11445531 RENT 3.99 TOTAL 9.66 Q OCT 10 2011 By ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side 3.99 3.99 9.66 9.66 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 -9688 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. 9216 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 firm you in writing no later than thirty (30) days after we SA I NVO ICE 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 or 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. 1234567890 Your Accou Number You do not have to pay the disputed amount while it is being I 0o10oro0 ooroa investigated. During the investigation, we cannot report your account r 123456789 as delinquent or take any action to collect the amount in question. vnDN -«r ]4 Watch here for a wEO NDV x1 GENERAL INFORMATION Im ortant personalized account p6 -�wf} d11j,t,taL:i itlC lhd�du eunw a. seM e.l eoo�rz Seas 1. Payments received after the billing (INVOICE) date will appear on P Mo message your next invoice. Past due invoices (not paid within 30 days of news and t�5aAa n•x"r 'n•° 9 billing date) may be assessed a late fee as allowed by law not to offers ;3 s ,na.ary a exceed $20 per month. Additionally, third party collectionlauomey n sate t ,na..a ab a 1t „ct"wa b Lt,tsa.0 expenses may be assessed at a rate not to exceed 100% of the e wf b balance or the maximum allowed unpaid a ��r y” «amp m Pa electronically P Y law. x 9' wxou�eu+ugrg Y Y 2. Each returned check is subject to a service charge subject to the fi maximum check return charge allowable in our State. g Y r ..pi Make sure this 3. All Bottle and equipment deposits are shown as CURRENT Activity d ACTIVITY. since your ACCOUNT AQwITY $11 aws[are as M paid in full to last invoice amount has been >o nno0a.,7xMam 4. Equipment replacement costs will be charged for bottles lost, oeiNeo n� stolen, damaged or not returned. b ,x ante +r avoid late fees 5. In accordance with NWNA's Terms and Conditions (••T &C your 96l3 4,69x i caoa a 9"m n, ane6sla+a+ ce mw.m,�ns 56 Equipment Lease and/or Service Agreement account may be y p,x6s,w4 ,,.99 Monthl Oil 09lI, 31,66514ae1 5 Ke MOUn[d1n $ra.lx y.. subject to minimum monthly purchases and/or early cancellation r 'w" Yl drr� r,.,. Surcharge, Fuel pan: a,aia36 t sr±6 fees. (A complete version of the currentT &C maybe viewed on the o9n� 66 Surcharge or Delivery website listed below) Upon service discontinuation, rent for the roTAE 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 monthly oil Surcharge, Fuel Surcharge or e eN E waa gym Information Delive Fee as described in our T &C. Onl one of these fees Pa ment Stub At[pUNT $UMMAaY ry y y y e,,.ao.,e, xou PAY TNI$AMOUNT will ap to each account. The fee that a p p lies t0 our account -.o,e .+n x AECOUNTNUMBE4 Fm STw PP Y PP Y wro6 op ,7}856,69 is stated on the front of the invoice. For further information please ,NVOicr NuMeEx 6auNC D T ENCLOSED visit the website listed below or contact our customer service 7,856,09- bolppj center. i 7. As a food product, bottled water is subject to the rules and ..zoesb3U7 a....112619 0003910 9 mos Amount due regulations promulgated by the Federal Food and Drug d nooe Administration (FDA). cEM«W1JN w Co"'gN c 8. Your first invoice indicates the P roducts delivered on y our first'"" Submit your on currOMEx :E6wcE UU1$°0",:'96x0 delivery, along with any applicable bottle and account deposits, ,a• JL d6 d164a1,& A ►4kdwa. redemption fees, and any dispenser charges. All future invoices t t" �•,�a�A d payment by this U date will reflect charges for water delivered and dispenser rental, bottle w "ux vox xaEE+�•^ _..w 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. 0 2008 Ice Mountain Spring Water Company, a Division of Nestl(§ Waters North America Inc. Form No. NW 70911/08 04 service. icemountainwater.com VOUCHER NO. WARRANT NO. ALLOWED 20 Ice Mountain IN SUM OF PO Box 856680 Louisville, KY 40258 $9.66 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board Members 1205 0110121776199 43- 530.99 $9.66 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 Mo day, October 10, 2011 f Director, Administration 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)) 10/04/11 0110121776199 $9.66 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 215 6661 Dixie Hwy Suite 4 ACCOUNT NUMBER PAY THIS AMOUNT PAY BY Louisville, KY 40258 7 2 01 0 3 0122206105 21.15 06/22 FOR CUSTOMER SERVICE CALL INVOICE NUMBER INVOICE DATE AMT. ENCLOSED 800 -472 -9888 OlEO122206105 05/31/11 PAYMENT ADDRESS: BILLING ADDRESS: Processing Center CITY OF CARMEL ENGINEERING /1ST AV P.O. Sox 856680 1 CIVIC so Louisville, KY 40285 -6680 CARMEL, IN 46032 ADDRESS CHANGES: Check Box and Print Address Change On Reverse Side Of This Stub Detach This Stub And Return With Your Payment I A�/�' EMOU A r�T FOR CUSTOMER SERVICE CALL ACCOUNT LNTAK 800 -472 -9888 ACTIVITY DATE REFERENCE NO. QTY. DESCRIPTION AMOUNT PREVIOUS BALANCE 6.50 05/17 0723517074 1 .5 L NATURAL SPRING WATER ICE MTN 4.99 05/17 0723517074 1 9 OZ PLASTIC UP 50C /SLEEVE 2.99 05/31 0726529514 1 OIL /FUEL SURCHARGE 2.68 05/31 E0857130 RENT 3.99 TOTAL 21. 15 PREVIOUS' BALANCE PAYMENT CREDIT CURRENT ACTIVITY PAY THIS AMOUNT 6. 50 0.00 14. 65 21. 15 Refreshing drinks and savings! For a limited time, enjoy up to $3 off select cases of Perrier, Arizona and Sweet Leaf Beverages. With prices this cool, bring on the heat! Go to service.icemountainwater.com or call 1- 800 472 -9888 to add to your next order! Offer expires 6/30/11. DELIVERY ADDRESS: UPCOMING DELIVERIES ACCOUNT NUMBER PURCHASE ORDER 72 *01 *03 CITY OF CARMEL ENGINEERING FRI -OCT 14 0122206105 130 1ST AVE S W M O N- N O V 14 INVOICE NUMBER INVOICE DATE THR -DEC 15 CARMEL_ IN 46032 WED -JAN 18 OlEO122206105 05/31/11 ndsuweu uy "ny rums rvu. cu knee. iaao) 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)) 05/31/11 01 E01 22206105 Keystone Reconstruction Project $14.65 Miscellaneous Project 07 -08 Total $14.65 1 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 VOUCHER N WARRANT N0. Ice Mountain Direct ALLOWED 20 PO Box 856680 IN THE SUM OF Louisville, KY 40258 -6680 14.65 ON ACCOUNT OF APPROPRIATION FOR Ice Mountain Direct PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members DEPT.# NA 01 E0122206105 4239099 $14.65 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 10 -Oct 20 1 Total $14.6 ,Signature Cost distribution ledger classification if --Title- Clt ng ineer claim paid motor vehicle highway fund service.icemoun lain water.com 215 6661 DIXIE HWY, SUITE 4 08/01/11 -08131/11 01HO122206105 i LOUISVILLE KY 40258 ADDRESS I SERVICE REQUESTED I OCT 14 0122206105 FR MON- NOV 14 THU- DEC 15 CITY OF CARMEL ENGINEERING /1ST AVE Customer Service: 1- 800 -472 -9888 KATIE NEVILLE 1 CIVIC SQ Did you forget about us? Kindly pay upon receipt. Remember, past due accounts are subject to a late tee. CARMEL IN 46032 -2584 Your prompt payment is appreciated. For your I II I' �I�' l 'I "�I convenience, pay online: icemountainwater.comiservice. If payment has been made, we thank you. Ftal neuu CRA17EWI `1�S rdal�br 3,vvedsic 'dX 4s,, iMgdd', ith high quality tea leav edients:;lt�s ie6d�tea tii d linply; Just thelway�'it:shrsttld; tie. "For, a tirrtiited..t sa a38 to ,add to ypur�nW( c►rderl, Exp 11111k t r gs ACCOUNT ACTIVITY Pay your bill online at: service.icemountainwater.com or by phone at:1 800472 9888. It's free! Delivery address: CITY OF CARMEL ENGINEERING, 130 1ST AVE $W, CARMEL IN 46032 PREVIOUS BALANCE 40.53 8107 276185 PAYMENT -THANK YOU -16.19 8128 386611 PAYMENT -THANK YOU -9.69 8/16 0736553249 1 5 L NATURAL SPRING WATER ICE MTN 6.49 1 9 OZ PLASTIC UP 50CISLEEVE1::. 2.99 BOTTLE DEPOSIT: O'CHARGEb, 1 CREDITED .1 -6.00 8131 0739943777 1 OIL /FUEL SURCHARGE 2,68 H1293203 RENT 3.99 TOTAL 24.80 ...,.aaulcCl,tMM�R.Y m o:.:. VOUCHER WARRANT N0. Ice Mountain Direct ALLOWED 20 PO Box 856680 IN THE SUM OF Louisville, KY 40258 -6680 10.15 ON ACCOUNT OF APPROPRIATION FOR Ice Mountain Direct PO# or INVOICE NO. ACCT /TITLE AMOUNT Board Members DEPT.# NA 01 HO122206105 4239099 $10.15 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 10 -Oct 20 11 Total $10.15 Sign ture Cost distribution ledger classification if City Engi claim paid motor vehicle highway fund Title NT service3cemountainwater.com I 215 6661 DIXIE HWY, SUITE 4 09/01/11 09130!11 0117220327048 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED i MON- 24 7220327048 NOV TUE- NOV 22 FRI- DEC 23 THU- JAN 26 CITY OF CARMEL OFFICE OF THE CLERK TREASURER Customer Service: 1 -800- 472 -9888 ANN DAVIS Thank you for choosing Ice Mountain Home 84 Office 1 CIVIC SQ Delivery! We value your business. CARMEL IN 46032 -2584 l�ll�ll�l��nliul��lll���lli�llliltlnlllll�l�i�ll�llllll�llllll t e :s":? fir' a Now's the perfectUtltne to try our San Peilegrin©j5parl(ling 11, 1t Beverages the;appeal_af a- sparkling Sul and the_iridulgence-eof a pr erriitim Soda Availalale ln.l_emon,ana,urange En�oyz$3 off "per case Cali 1 8Q0 -X72= 9888.,x: to Ladd to yo ur next order! Exp�1213`111�1� mm y a 4 M ACCOUNT ACTIVITY Pay your bill online at: service. ice mountainwater.com or by phone at:1 -800- 472 -9888. It's free! Delivery address: CITY OF CARMEL, 1 CIVIC SQ, CLERK TREASURER OFFICE, CARMEL IN 46032 PREVIOUS BALANCE 19.13 9123 530836 PAYMENT -THANK YOU -19.13 0742560824 1 9 OZ PLASTIC UP 50C /SLEEVE 1.99 1 5 GAL ICE MOUNTAIN DRK.W /HANDLE..._ 3.49 1 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00 1 5 GALLON ICE DEPOSIT RETURN 00 9/30 0744529777 1 OIL /FUEL SURCHARGE 2.68 11481199 RENT 3.99 TOTAL 12.15 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT I Subject to terms on reverse side. 19.13 19.13 12.15 12.15 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 -600- 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.ieemountainwater.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 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 there is an error. You are obligated to pay the parts ofyour bill that are not in question. 123456ra90 Your Account Number You do not have to pay the disputed amount while it is being r oofooloo o investigated. During the investigation, we cannot report your account 1 ,1055799 as delinquent or take any action to collect the amount in question. Woos- n Watch here for a GENERAL INFORMATION WED NO 21 n,E DE[ personalized account 1. Payments received after the billing (INVOICE) date will appear on Important sp;;, to: axdnwt,.ittLtapi„allaaii.,tuan t °m= �.8o0 "z 9B message your next invoice. Past due invoices (not paid within 30 days of news and t o "I "uo 9' °nP s billing date) may be assessed a late fee as allowed by law not to offers ;'2 s exceed $20 per month. Additionally, third party collection/attorney 00000 l dal. "1»ab d1 IL 11�L11 t L1L }d.a expenses may be assessed at a rate not to exceed 100% of the a tw9arUy °ae'i unpaid balance or the maximum allowed by law. Pay electronically 2. Each returned check is subject to a service charge subject to the maximum check return charge allowable in your State. y 4 e Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity ACnVITY °•'^"a amount has been ACTIVITY. since your accouNr �...M 123 Main St�esL Lny paid in full to State �M^�” 4. Equipment replacement costs will be charged for bottles lost, of „e adteES' °AnDde' „99 last invoice stolen, damaged or not remmed. pre�°usHaO,nce as avoid late f¢¢5 payment T�ant Yo” 5.09 5. In accordance with NWNA's Terns and Conditions "T &C your r>sr3, s,e9e Sea Nat ",aisP °n9W 5600 I,t 31]9PS 5 ke Mountain Seal Peposit 7.96 Equipment Lease and/or Service Agreement account maybe BBS, keMo ;nsc "m nv9 Monthly Oil subject to minimum monthly purchases and/or earl cancellation 09 ,',0885 rue v' J Y P Y Surcharge, Fuel fees. (A complete version of the current T&C may be viewedon the wn� jfi6`D"' n.o Surcharge or Delivery website listed below) Upon service discontinuation, rent for the °A Pee (see #6 under Leased Equipment is charged through the end of the billing cycle w "EEr "General in which service is discontinued. ,6n P"" m ranrvnMw.+ 51 Information 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or Et,60awAKKE „99w, Delivery Fee as described in our T &C. Only ne of these fees Payment stub AccouNrsuM y our Y c PAY TNIS AMOaNT will apply to each account. The fee that applies to your account Nn b PAV BY AC, P ^IM rt+uMBEB V Y. ENCLOSED is stated on the front of the invoice. For further information please 12)4552690 ,_.,CK N°MBEB W, C onn visit the website listed below or contact our customer service Bmoof ,z5+s52e center. p sub 0'+282112619 000391 9 2009 1B 7. As a food product, bottled water is subject to the rules and Amount due regulations promulgated by the Federal Food and Drug i nMn Administration(FDA). MouNrMN WATrP y s[me ovOW 8. Your first invoice indicates the products delivered on your first Wn° Submit your PsEA a <ALE 80 O r °Aa delivery, along with any applicable bottle and account deposits, tL.a L;La,.LnLLLl.,lna rP PrvBTPM� 0 Pte,. :gin•. p ayment by this redemption fees, and any dispenser charges. All future invoices d El P date will reflect charges for water delivered and dispenser rental, bottle swnuy Ear EnsE n,na�nv9m�u>•Qeauhe°p ^ww.YS 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 11 /06 Q service.icemountainwateccom 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 A (L Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) r Lb 4 0 1 S Total I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6. 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF ON ACCOUNT OF APPROPRIATION FOR r (60/wrf t Board Members Po# or INVOICE NO. ACCT /TITLE AMOUNT DEPT I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the v4r- materials or services itemized thereon for which charge is made were ordered and received except 41 20 Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund