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Home My WebLink About203033 10/25/2011 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CHECK AMOUNT: $126.01 CARMEL, INDIANA 46032 PROCESSING CENTER 4 PO BOX 856680 CHECK NUMBER: 203033 LOUISVILLE KY 40285 -6680 CHECK DATE: 10/25/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4350900 55.86 01I0121202766 1125 4350900 39.59 01I0120095351 2201 4238900 26.57 01JO119252823 920 4239099 01I012220610 3.99 01I0122206105 A ITA "m service. icemountainwater.com 215 6661 DIXIE HWY, SUITE 4 09/01/11 09/30/11 0110120095351 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED 9 e TUE- 18 0120095351 NOV WED- NOV 16 MON- DEC 19 FRI- JAN 20 I01411 t 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 ll IIIIII�' I�I��I' ��I�'li'llll "II��I��I'�'�II' convenience, pay online: service. icemou ntai nwater.com. If payment has been made, we thank you. Now's Eke perfect time to try our San Pellegrino Sparking Fruit Beverages -the appeal of a sparkling Juice and the Indulgence of a ptemiurn soda. AVaila6le in. Lemon and Orange. Enjoy $3 off per case, fraltl -80Q -472 -9888 to add to °your next order! Exp. 12/31/�11 ACCOUNT ACTIVITY Pay your bill online at: service. icemou ntainwater.com or by phone at:1 -800 -472 -9888. It's free! B g B A e every address: PREVIOUS BALANCE 106.15 9/12 457416 PAYMENT -THANK YOU -78.56 9/19 0741464580 6 5 GAL ICE MOUNTAIN DIRK W /HANDLE 23.94 1 9 OZ PLASTIC UP 50C /SLEEVE 2.99 BOTTLE DEPOSIT: 6 CHARGED :6 CREDITED- .00 9/30 0744398371 1 OIL/FUEL SURCHARGE 2.68 11467905 RENT 9.98 }u f`0 67.18 D escription DRINKIN(a {IAtEtZ ;MF41PtF P.O. P or F ��aS ►,3 ,~350900 O(:. G. L. 7 ZU11 Budon D acrr 'IP1' COY1�,Y: 3 Line D L Purchaser Date Approval Date ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 106.15 78.56 39.59 67.18 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. #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 SA IN VO ICE 1.J I 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. t You are obligated to pay the parts of your bill that are not in question. 123459 678 You do not have to pay the disputed amount while it is being 1 oolootuo 00100100 Your Account Number investigated. During the investigation, we cannot report your account as delinquent or take any action to collect the amount in question. HR oc a 12345678 t MDm oa Watch here for a GENERAL INFORMATION WE?NW 7, DEC nE personalized account 1. Payments received after the billing (INVOICE) date will appear on Important n�tl« ansatauu.�.�iuuui�4�aaa:ti��+ap °,wm�,se�•.,�Ilo-. your next invoice. Past due invoices (not paid within 30 days of news and manky ^9 "•M°" "�mp message billing date) may be assessed a late fee as allowed by law not to offers Z3 M.i. SINN,, ana uak•a exceed $20 per month. Additionally, third parry collection/anomey i s lal n 11 n ^taAA 1,11 4. 0 expenses may be assessed at a rate not to exceed 100% of the unpaid balance or the maximum allowed by law. x u Pay electronically 2. Each returned check is subject to a service charge subject to the maximum check return charge allowable in your State. r .•4.n. Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity ID amount has been ACTIVITY. since your ACCOUNT "rn °o° 4. Equipment replacement costs will be charged for bottles lost, •Deme,rndere: 1° nno°e. paid In full to last invoice stolen, damaged or not returned. s avoid late fees 5. In accordance with NWNA's Terms and Conditions "T &C your No 461e99 5 52 N 1;= sp mm 31)895,4444 Ice ^�I W Dep°S° '.9fi I,1 Equipment Lease and/or Service Agreement account may be 79as,4+" s e 5 ns 1 .99 i Monthly Oil subject to minimum monthly purchases and/or early cancellation 99 3 9N` 1 e;s "greet d Surchar g e m e, Fuel 09)17 ,664W97 Renc 57.W f fees. (A complete version of the current T &C may be viewed on the X 111 ayr' a Surcharge or Delivery website listed below) Upon service discontinuation, rent for the TOTAL Fee (see #6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. „,An'r si.,o 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or ,N H t- ty Information') Delivery Fee as described in y our J our T &C. Only one of these fees Payment stub ACCOUNT SUMMARY 99a o 'AY THIS AM will apply to each account. The fee that applies to your account �p� ma ACCOUNT NUMBER ppY eY 0 3 is stated on the front of the invoice. For further information please ,234567890 I PATE W. ENCEosED visit the website listed below or contact our customer service W ICE NUMBER MINIM ,234567 center. P 0420096307 04262712619 000391049 2004 16 7. As a food pr oduct, bottled water is sub to the rules and Amount due regulations promulgated by the Federal Food and Drug I .M o« Administration (FDA). ICE ouNT, ccy,s�a :es1 00000 Submit your 8. Your first invoice indicates the products delivered on your first a^ w9cDSroMER 6EmAC CA1 1 0 p° 172 -9W delivery, along with any applicable bottle and account deposits, A6.n.4aa6 66L6i «n. 5 payment by this redemption fees, and any dispenser charges. All future invoices' date xeTeu,omns�uv��.ea^n�ste. .fe_..�-• will reflect charges for water delivered and dispenser rental, bottle deposits and credits plus charges for an additional products PO P Y P 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 Q service. icemountainwater.com se rvice.icemountainwater.com MENINN b hffa 215 6661 DIXIE HWY, SUITE 4 09/01/11- 09/30/11 0110121202766 LOUISVILLE KY 40258 e ADDRESS SERVICE REQUESTED TUE- 18 0121202766 NOV WED- NOV 16 MON- DEC 19 FRI- JAN 20 10/41 CITY OF CARMEL PARKS DEPARTMENT Customer Service: 1- 800 472 -9888 MANDY SPADY H ST Did you forget about us? Kindly pay upon receipt. 1411E 116T CARMEL IN H ST 3455 Remember, past due accounts are subject to a late fee. Your prompt payment is appreciated. For your �1I "��1�111i' 111 11' 11111111' Ji 11111 1111'11111111'1' convenience, pay online: service.icemountainwater.com. If payment has been made, we thank you. Now's�the perfect time to try our San Pellegrino Sparkling Fruit Beverages fhe appeat of a sparkling juice and .the indulgence of a premium sod .Available inl.emon and Orange. Enjoy $3 off per case. Call�1 800,472 =9888 to add�to your nex order! Exp. 1�27351/�131 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 DEPT /MONON CENTER, 1235 CENTRAL PARK DR EAST, CARMEL IN 46032 PREVIOUS BALANCE 129.71 9/12 457417 PAYMENT -THANK YOU -67.85 9/19 0741464630 1 .5 L NATURAL SPRING WATER ICE MTN 5.99 3 9 OZ PLASTIC UP 50C /SLEEVE 5.97 9 5 GAL ICE MOUNTAIN DRK W /HANDLE 35.91 BOTTLE DEPOSIT: 9 CHARGED, ,9 CREDITED .00 9/30 0744539776 1 OIL/FUEL SURCHARGE' 2.00 11548639 RENT 5.99 Purchase: r h TOTAL Dascriptp6n DRlt4V igU,WATM- M CC r 117.72 P.O. P or:F OCT G L. ..:109f 4M0400 I, Budget Line Descr_ ow ca* ylX ur Pur chaser Date Apprcvaf Date ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side 129.71 67.85 55.86 11712 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 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. 1234567890 Your Account Number You do not have to pay the disputed amount while it is being 00100/00- 001o0100 investigated. During the investigation, we cannot report your account 23456789 as delinquent or take any action to collect the amount in question. rHR 29 MDN -DC 19 Watch here for a GENERAL INFORMATION wED. UE V 1, TDE -DEL ,R personalized account 1. Payments received after the billing (INVOICE) date will appear on Important auA. �nansann,t ^dniainGaann,ai;�taan ^U,a message your next invoice. Past due invoices (not paid within 30 days of news and Ti,, E,«� billing date) may be assessed a late fee as allowed by law not to offers 123 mce s a oa mee exceed $20 per month. Additionally, third party collectionlattomey oevstaL ppp ate aL a 14 ^CI +LII V LLLkd n expenses may be assessed at a rate not to exceed 100% of the unpaid balance or the maximum allowed by law. Pay electronically E�..- 2. Each returned check is subject to a service charge subject to the maximum check return charge allowable in your State. a Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity „I .....�•�^°'^""`m”' amount has been ACTIVITY. since our ACEDUNT ACTT ITY y 19n 23Mams reeco y ,se a ,eoWW 1199 paid in full to 4. Equipment replacement costs will be charged for bottles lost, Deu�en n.99 last invoice stolen, damaged or not returned. 41100 avoid late fees Payment- ThanEYou Water 5. In accordance with NWNA's Terms and Conditions "T &C your oer3, 461e9a s scan ^Nam�aav�� ^9 296 3,78951 ntaln 5 Gal Oep°si Equipment Lease and/or Service Agreement account may be o 3na9s,a444 5 .SOW Ice M"u Monthly Oil subject to minimum monthly purchases and/or early cancellation Wm 3,]e9s'aw+ Ee^IS "na'9° g lete version of the current T &C maybe viewed on the oW9nz 1 M9]" S urchar g e, Fuel fees. (A corn p y Surcharge or Delivery website listed below) Upon service discontinuation, rent for the TOTAL Fee (see #6 under Leased Equipment is charged through the end of the billing cycle "General i n which service is discontinued. M7,. I f 9p T.cnYOY s�40 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or n Ormatil)n 99 Deliver ee as described in our T &C. Only one of these fees Payment stub ACCOUNT SUMMARY ry y y Y pqY THIS AMOUNT PAY BY will apply to each account. The fee that applies to your account Accouw NUMBER 00/00100 s, 4o p0p.,atr, M �e, °m w�N V °'P•Y^�"' 56]890 ENCLOSED is stated on the front of the invoice. For further information please 1234 9;wNC DATE MT INVOICE NUMBER wI00100 V151t She Webslte listed below Or contact our customer service 12;456]890 center. 7. As a food product, bottled water is subject to the rules and 0420096301 042.2112619 000391049 200° Amount due regulations promulgated by the Federal Food and Drug i n D^e Administration FDA ;CE lAO UI•IrAINwATER COMPANY 113 M.m S, N•K orystlte Submit your S. Your first invoice indicates the products delivered on your first wpC U SToMERSER`ICE CAUL' °o- 'ESa delivery, along with any applicable bottle and account deposits, cw^0es payment by this I. daa�d „g{„„dL.�.IL.,n�La „L.LLLLdra 0�xe�ea. see. redemption fees, and any dispenser charges. All future invoices .eao°R ^e51tlC 4m date will reflect charges for water delivered and dispenser rental, bottle sONw,oRrREE4 oP.YIS9^ P R 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 11/08 service. icemountainwater.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 1014111 0110120095351 Drinking water cooler- Maint 39.59 1014111 0110121202766 Drinking water cooler- MCC 55.86 Total 95.45 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. 051125 Ice Mountain Allowed 20 P.O. Box 856680 Louisville, KY 40285 -6680 In Sum of 95.45 ON ACCOUNT OF APPROPRIATION FOR 101 General 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 0110120095351 4350900 39.59 1 hereby certify that the attached invoice(s), or 1091 0110121202766 4350900 55.86 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 -Oct 2011 Signature 95.45 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund service.icemountainwater.com "I IF 215 6661 DIXIE HWY, SUITE 4 09/13/11 10/12/11 01J0119252823 M EM WLOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED MON- 24 0119252823 NOV TUE- NOV 22 FRI- DEC 23 WED- JAN 25 CITY OF CARMEL STREET DEPARTMENT Customer Service: 1- 800 472 -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 I��IIIIIIIIIIII��' III' I�I�III "II'llll'lll� "'I "IIII'I "�IIIIII convenience, pay online: service. icemountainwater.com. If payment has been made, we thank you. Now's the perfiect time to tr�your San f?ellegrino Sparkling Fruit Beverages -the appealof a sparkling juice an the indulgence of a premium soda. Available in C.ernon and Orange. Enjoy $3 offper case. Call 1 -8U0 -!172 888 to acid toyour�next or >derl Exp. 1�2/3:1/�41 e 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, 2 CIVIC SO, CARMEL IN 46032 PREVIOUS BALANCE 30.10 9/23 0742560428 4 5 GAL ICE MOUNTAIN DIRK W /HANDLE 13.96 4 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 24.00 4 5 GALLON ICE MOUNTAIN, DEPOSIT RETURN -24.00 2 9 OZ PLASTIC UP 50C /SLEEVE 5.98 10/12 0746412394 1 OIL/FUEL SURCHARGE 2.64 J1627387 RENT 3.99 TOTAL 56.67 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 30.10 0.00 26.57 56.67 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 semice.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 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 00 0010010 Izs4sera yam° your Account Number Y`. investigated. During the investigation, we cannot report your account r 23456] as delinquent or take any action to collect the amount in question. iHR -ocr o4 MonocT 19 Watch here for a GENERAL INFORMATION wEO "a9 21 u E -oEC IR personalized account 1. Payments received after the billing (INVOICE) date will appear on Important IUII", 1tl: gkdO�W,.'1I11dAN4�aVip�a.tVt�Jq an °met seN�ce. 1- eoo- a2� "as message your next invoice. Past due invoices (not paid within 30 days of news and rna "Ey °f °e "sl "91ee M "ul "P� billing date) may be assessed a late fee as allowed by law not to offers J iziy nce exceed $20 per month. Additionally, third party collection/attorney cnv sate 00.00 .aua..a al. at .n a ua t 66t u.a a expenses may be assessed at a rate not to exceed 100% of the unpaid balance or the maximum allowed by law. o L nwta°'N W Pay electronically 2. Each returned check is subject to a service charge subject to the maximum check return charge allowable in your State. Make sure this 1 All bottle and equipment deposits are shown as CURRENT Activity "�a'a.,,.a.�.,l.••� ACTIVITY. since your o.,«�.�a, a amount has been ACCOUNTAm� 4. Equipment replacement costs will be charged for bottles lost, last invoic oemelynaatess. inn "o°e.,z3Ma� "5 "ee`otrs�a1p00°°° ,1.99 paid in full to e stolen, damaged or not returned. maala "ce avoid late fees Payment- ThankYw A atet IO 5. In accordance with NWNA's Terms and Conditions "T &C your 08131 a6,09R s s can "NawmisP ui men[ Lease and/or Service Agreement account may be m 3 °ees,aa.ea Item "NI "saaloew q P g Y n1 2aes a M °famsG 1Ret °m Monthly Oil E 09111 312 W 5 Fu el SUrcnar9e subject to minimum monthly purchases and/or early cancellation ne "t Surcharge, Fuel 09112 3116388,1 fees. (A complete version of the current T &C may be viewed on the °91,1 ,66a4197 52 Surcharge or Delivery website listed below) Upon service discontinuation, rent for the ro— Fee (See 96 under Leased Equipment is charged through the end of the billing cycle "General N in which service is discontinued. Re Acm'rtY w 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or A1Ae� EN3 ",3 a Information') Delivery Fee as described in y y Y our T &C. Only one of these fees Pa ment stub AccouNr SuMMARV eo.. PAY 8Y PAY t'N15 AMOU will apply to each account. The fee that applies to your account A CCOUNT NUMBER szw is stated on the front of the invoice. For further information please 1 23as67a90 6RUNC DATE Mr. ENCLOSED INVOICE NUMBER W10010o visit the website listed below or contact our customer service 23456789 center. 7. As a food product, bottled water is subject to the rules and 0420096307 04262212619 ❑00391049 2 np 4 16 Amount due regulations promulgated by the Federal Food and Drug Administration (FDA). IcEMOUN *AINwATERCOMPNY ,�Irys�a�es OWN 8. Your first invoice indicates the products delivered on your firs[ Submit )rout sEmlcE uEE 1 Roo <71.veae delivery, along with any applicable bottle and account deposits, E e pay b this redemption fees, and any dispenser charges. All future invoices t"aat "'t "ai „'Bluff'. n ta.t, „attla.a we o date y will reflect charges for water delivered and dispenser rental, bottle sic B 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 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)) 10/14/11 01 JO119252823 $26.57 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 VOUCHER NO. WARRANT N ALLOWED 20 Ice Mountain IN SUM OF P. O. Box 856680 Louisville, KY 40285 -6680 $26.57 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 01J0119252823 42- 389.00 $26.57 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 Thursday, October 20, 2011 Street Commissioner` i v Street f t emissioner 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 0110122206105 LOUISVILLE KY 40258 0 ADDRESS SERVICE REQUESTED itliitiitlll!I II I91I (II II IIII I III 14 0122206105 MO NOV MON- NOV 14 THU- DEC 15 WED- JAN 18 CITY OF CARMEL ENGINEERING /1 STAVE 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 I�I�I�IIII�I "�I' 111' II' �I�II�II' �I'I�111��1'1��111 "II'lll'I'lll convenience, pay online: service. icemountai nwater.com. If payment has been made, we thank you. Now's the perfect time to try our San Pellegrino Sparkling Fruit Beverages -the appeal of a sparkling juice and the indulgence of a premium soda. Available in !_emon and Orange. Enjoy $3 off per ease. Ga111 800- 4772 =9888 fo add to your next ordert Ezp:1�2 °t3A1111 ACCOUNT ACTIVITY Pay your bill online at: service. icemou ntainwater.com or by phone at: 1 -800-472-9888. It's free! B� e Delivery address: CITY OF CARMEL ENGINEERING, 130 1ST AVE SW, CARMEL IN 46032 PREVIOUS BALANCE 24.80 9/30 11443110 RENT 3.99 TOTAL 28.79 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 24.80 0.00 3.99 28.79 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 sen'ice.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. t You are obligated to pay the parts of your bill that are not in question. lz3as67seo Your Account Number You do not have to pay the disputed amount while it is being I 00/ 0 /00 001 00100 investigated. During the investigation, we cannot report your account ff� 19tN as delinquent or take any action to collect the amount in question. mR ocr a l z 3ns6ia9 MON -O T 29 Watch here for a GENERAL INFORMATION wED NDY TUE DEC 16 p ersonalized account 1. Payments received after the billing (INVOICE) date will appear on Important Customer xr^ It, 1latta MOUnta 0 l p+od ^'i g messa e 114aa161uaa1 .4 1 H4.�. 1418.a1. t ladU n your next invoice. Past due invoices (not paid within 30 days of news and naekyo 9 billing date) may be assessed a late fee as allowed by law not to offers 123 Mam St exceed $20 per month. Additionally, third party collectionlattomey c Sta 0000D "y' 14,a1.LRA'LL41,a.a expenses may be assessed at a rate not to exceed 100% of the FI unpaid balance or the maximum allowed by l aw. t•s!!ra`r Pay electronically ky� 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 ea �,,,,,,,,,,,,a,...° amount has been ACTIVITY. since your nccouNTArnwTr 4. Equipment replacement costs will be charged for bottles lost, last invoice Do- YAdd,es: 39n ^D°°,1'3Mai ^s L�rys'aLe "e9 paid in full to s9 p,e„io�+RalaMe 50 s avoid late fees stolen, damaged or not returned. pa ^t maoLV sOw 5. In accordance with NWNA's Terms and Conditions "T &C your oer31 X 1898 SGallon Natural Sp ^9 Wd1Bf 5000 /11 31IRR51a S ce MOUntaln SGalceWa�1 Equipment Lease and/or Service Agreement account may be 3nee5,du+ s teMO,,,,taese IE n�9 Monthly Oil 09 /11 31)RR516<aa Euel surcharge subject to minimum monthly purchases and/or early cancellation 3,RZ63aRt Rest Surcharge, Fuel fees. (A complete version of the current T &C may be viewed on the 51 Surcharge or Delivery website listed below) Upon service discontinuation, rent for the TOTAL Fee (see #6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. S;w 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or ,,,AN 9� 57 Information Delivery ee as described in our T &C. On one of these fees Pay ment stub ACCOUNT SUMMARY coo LE•oU rY Y •l J pAY TH15 AMOUM 1 to each account. The fee that applies to our account x ozor- ACC.,,NUMSER P Wl s-/q0 wills PPY PP Y �i,�WO.� �wm "'"v°"�°"'� oDiooroo 67M 1 is stated on the front of the invoice. For further information please 2345 6wNC DATE MT ENCLOSED NV IOICENUMBER p0 /00 /00 _l visit the website listed below or contact our customer service 1 z3450e90 center. 7. As a food product, bottled water is subject to the rules and 0420096301 04262732619 ❑00391049 Zoo° 1& Amount due regulations promulgated by the Federal Food and Drug pn ^Doe Administration FDA ,CE MOUNTAIN WATEROM�?�AN'Yrc 123 Main st OM oU TAIN City, State 00000 Submit YOUr Y 8. Your first invoice indicates the products delivered on your first R cuSTOMER sEmlct ALU eoo /z-9a� delivery, along with any applicable bottle and account deposits, Eo w�neso�R ewe,tesme payment b this date 1. aaa �;u "rn Dot redemption fees, and any dispenser charges. All future invoices date will reflect charges for water delivered and dispenser rental, bottle SwNU +oREREEAUSU °Ar. deposits and credits plus charges for any additional products ordered by you. Deliveries are made every three or four weeks, for a total of I6 -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 rresaiueu uy orate ouaru ui Hucuums any runic rvu. cu i �nev. 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)) 10/04/11 0110122206105 Keystone Reconstruction Project $3.99 Miscellaneous Project 07 -08 Total $3 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 NO. WARRANT NO. Ice Mountain Direct ALLOWED 20 PO Box 856680 IN THE SUM OF Louisville, KY 40258 -6680 3.99 ON ACCOUNT OF APPROPRIATION FOR Ice Mountain Direct PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members DEPT.# NA 0110122206105 4239099 $3.99 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 2 4 -Oct 20 11 Total $3.99 Sign Lure Cost distribution ledger classification if City En claim paid motor vehicle highway fund Title