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Home My WebLink About204842 12/20/2011 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1 0 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CARMEL, INDIANA 46032 PROCESSING CENTER CHECK AMOUNT: $107.51 PO BOX 856680 CHECK NUMBER: 204842 LOUISVILLE KY 40285E680 CHECK DATE: 12/20/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4350900 59.86 01KO121202766 1125 4350900 31.55 01KO120095351 1205 4353099 3.99 01KO121776199 2200 4239099 3.99 01KO122206105 2201 4238900 8.12 01KO117821082 V PJJ I "A� A service.icemountamwater.com 215 6661 DIXIE HWY, SUITE 4 11/01/11 -11/30/11 01KO117821082 ENE LOUISVILLE KY 40258 B e ADDRESS SERVICE REQUESTED THU- DEC 15 0117821082 TUE- JAN 17 WED- FEB 15 FRI- MAR 16 Customer Service: 1 800 472 9888 CITY OF CARMEL STREET DEPATMENT Thank you for choosing Ice Mountain Home Office 3400 W 131 ST ST CARMEL IN 46074 -8267 Delivery! We value your business. Il l�l�� l ��l' �I' I �l�l lll l l l�� l l ��lll ll l ll l �l ll ��ll�� ll What, better way to enhance your Thanksgiving Day holiday than with SAN PELLEGRINO mineral water and ACQUA PANNA natural spring water..`They're sure to make your table much more, festive.- Enjoy $3 off per; case'Call1- 800-4? 2- 9888to,ordor.!= Fxp.:1- 2/31 =11- L 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 35.04 11/15 0749702627 2 9 OZ PLASTIC UP 50C /SLEEVE 3.98 3 5 GAL ICE MOUNTAIN DIRK W /HANDLE 10.47 3 5 GALLON ICE MOUNTAIN_BOTTLE.DEPOSIT 18.00 11 5 GALLON ICE MOUNTAIN DEPOSIT RETURN i -66.00 11/30 0752977736 1 OIL /FUEL SURCHARGE 2.64 K1741804 RENT 3.99 TOTAL 8.12 t. ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 35.04 0.00 -26.92 8.12 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. #1216 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. 1;4567890 Your Account Number You do not have to pay the disputed amount while it is being 1 00/00100.00100100: investigated. During the investigation, we cannot report your account v 123456789 as delinquent or take any action to collect the amount in question. THR 00 w .ON OCr =9 Watch here for a GENERAL INFORMATION NE-DE 'R personalized account I. Payments received after the billing INVOICE date will appear on Important Y g( PP O�Ue, lgpgl „IINA��UILGIU6.,AI1q�U��tIJJU c�nom�'x"^`e” message your next invoice. Past due invoices (not paid within 30 days of news and TunY5w� billing date) may be assessed a late fee as allowed by law not to offers ;123 n ,,,e Km�4• 00000 exceed $20 per month. Additionally, third parry CIry's— collection attorney 6JU1 J .10...�Jt..,Ji..aLl•U.u�uu6u.1.0 .Wy f expenses may be assessed at a rate not to exceed 100% of the ,;,,yvaeax unpaid balance or the maximum allowed by law. --'r m 489x4' avwmk a P 9 Pay electronically 2. Each returned check is subject to a service charge subject to the u ^i andwo maximum check return charge allowable in your State. ,1 Make Su[¢ this 3. All bottle and equipment deposits are shown as CURRENT Activity m� ACTIVITY. w amount has been since our ACCOUNT ACTNITY See. OOOw 4. Equipment replacement costs will be charged for bottles lost, last i nvoice 7 IDdN•nb0is''°" "D°`'' 7BM,1 s Coy "99 paid in full t0 `199 stolen, damaged or not returned. A�wRw4K. a °6 avoid late fees 5. In accordance with NWNA•s Terms and Conditions "T &C" your 4m898 s wims; ,as soe�9 Bne6s+4444 6 u. MOw�uMSC•ia! a96 Equipment Lease and/or Service Agreement account may be v7MS,4444 s R umsw� ;1 n.99 Monthly Oil subject to minimum monthly purchases and/or early cancellation 3 °866' WH w,6na,9e g o9n7 B1nx6388n Bem %f= $UrChar FU¢I fees. (A complete version of the current T &C may be viewed on the X 113 166 0 s' w 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. ,R.cTNN+ a` 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or B .,AH< ,a• Information') Delive Fee as described in ourT &C. Onl one of these fees Payment stub ACCOUNT SUMMARY °.K.�W ry y our Y PAY THIS AMOU will apply to each account. The fee that applies to our account aArer PP PP Y ,•p N,m•�^"^ ACCOUNT HUMBER 57.40 is stated on the front of the invoice. For further information please u1+s B�0° Co CAT T. E NCLOSED visit the website listed below or contact our customer service IN9010E NUMBER oewlw 11345 center. 7. As a food product, bottled water is subject to the rules and 0420096301 04262112619 000391049 200V 16 Amount due regulations promulgated by the Federal Food and Drug 1&❑ Administration (FDA). iC N? MATE„ °A" °M w ,.,4,.�. o r,, 0000 Submit your 8. Your first invoice indicates the products delivered on your first OR C „s.OMER SEawKE U 600,7: 9888 delivery, along with any applicable bottle and account deposits, s;6• payment b this redemption fees, and any dispenser charges. All future invoices I. J0 4 J gy,,,i6.J4.11. 60 6 6G6LJ.a 0 ni cn.�x+o^R^` date Y will reflect charges for water delivered and dispenser rental, bottle deposits and credits plus charges for any additional products ordered by you. Deliveries are made every three or four weeks, for a total of I6 -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 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 $8.12 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board Members 2201 01 KO117821082 42- 389.00 $8.12 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 Thursdays ecember 15, 2011 Street Commis ioner CtroAt C'.nmmi�cinnRr 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)) 12/02/11 01 KO117821082 $8.12 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 ATM service.icemountainwater.com 215 6661 DIXIE HWY, SUITE 4 11/01/11 11/30/11 01 KO121202766 LOUISVILLE KY 40258 0 B ADDRESS SERVICE REQUESTED WED- DEC 21 0121202766 MON- JAN 23 WED- FEB 22 THU- MAR 22 CITY OF CARMEL PARKS DEPARTMENT Customer Service: 1 -800- 4 -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 111111 Bill 11 111' 1 11111 1 1Illd1111111- 1- 1111 Ill 1 convenience, pay online: service. icemountainwater.com. If payment has been made, we thank you. n W4SeI #s h r cam,. What bett6r way to enfianc your Tf anksgiv ng qay holiday than wltW8AN-PELLEGRINO minera water antl ACQUQ PANNA naturayspring water They re sure to1make -your t b that much more,.festive:� Enjoy,. $3 o#f;.ber w case �Cali`� X04- 72 88�tci ardPrsl Pz� X213111 ..aR g t mss 1 1 r s q y 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 182.58 11113 798662 PAYMENT -THANK YOU -55.86 11109 KA1694175 BALANCE TRANSFER Purchase r -61.86 KA1694373 LATE FEE Descrptlon '6 nW l Ju e�, -15.00 11116 0749998613 2 .5 L NATURAL SI?RAG WATER ICE MTN P.O. P or F 11.98 2 9 OZ PLASTICiU,l?_50C1SLEEVE': 1 3.98 9 5 GAL ICE MOUNTAIN DRK WIHANDLE G•4. 09 1 4350902 35.91 BOTTLE DEPOSIT: f9 CHARGED,' :9 CREDITED Bj f 00 Line, [Oescr 11130 0753114362 1 OILIFUEL SURCHARGE z 2.00 K1846106 RENT Purchaser Date r 5.99 TOTAL A{',�roval Date 109.72 DEC 08 2011 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRE ITY PAY THIS AMOUNT Subject to terms on reverse side. 182.58 132.72 59.8 109.72 hff service. icemountainwater.com 215 6661 DIXIE HWY, SUITE 4 11/01/11 -11/30/11 01 K0120095351 LOUISVILLE KY 40258 WIFF B B ADDRESS SERVICE REQUESTED WED- DEC 21 0120095351 MON- JAN 23 WED- FEB 22 THU- MAR 22 CARMEL CLAY PARKS AND REC DEPT. Customer Service: 1- 800 -472 -9888 AUDREY KOSTRZEWA Thank you for choosing Ice Mountain Home Office 1411 E 116TH ST CARMEL IN 46032 -3455 Delivery! We value your business. Jill 1l11lll11111Illl- i-lll... .il��i�ll�llli�lllll��lillll�l�lll, What.better�wa --to enhance Tour T tvm �Wy holEda than`w!th 'S i t ai Y 7/: g_ Y Y ACQlJA PANNA natura# spring water They're.stare to'make your table that much more festive Entoy >off`per o _.icase Ca h 1 SOQ -472 9888 to orders Ex� 1'21311,11 fi ;a 7 `•-Q' d^ d .e' f 'fay. r ACCOUNT ACTIVITY Pay your bill online at: service.icemountainwater.com or by phone at:1 -800 -472 -9888. It's free! Delivery address: P CARMEL CLAY PARKS AND REC DEPT., 1427 E 116TH ST, CARMEL IN 46032 PREVIOUS BALANCE -14.32 11113 798661 PAYMENT -THANK YOU -39.59 11109 KA1694173 BALANCE TRANSFER 95.45 Purchase e_ 11116 0749998589 4 5 GAL ICE MOUNTAIN DRK WIHANDLE D SG 15.96 3 9 OZ PLASTIC UP.50CISLEEVE 8.97 BOTTLE DEPOSIT, 4 CHARGED 5 CREDITED D l# P or F 6.00 11130 0752983973 1 OIL/FUEL SURCHARGE ,t G L I` 4 C) C) 2.64 K1767259 RENT t3udget 9.98 Lira Uecr .vCS TOTAL 73.09 Purc frier Dale Date DU U8 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT ADJUSTMENT CURRENT ACTT ITY PAY THIS AMOUNT Subject to terms on reverse side. -14.32 39.59 1 73.09 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 1212111 01 K0120095351 Drinking water cooler Maint 31.55 1212111 01 KO121202766 Drinking water cooler- MCC 59.86 Total 91.41 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 91.41 ON ACCOUNT OF APPROPRIATION FOR 101 General 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 01K0120095351 4350900 31.55 1 hereby certify that the attached invoice(s), or 1091 01KO1212027s6 4350900 59.86 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 15 -Dec 2011 7 Signature 91.41 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund service.!cemountainwater.com o 215 6661 DIXIE HWY, SUITE 4 11/01/11 11/30/11 01 KO1 21 7761 99 p LOUISVILLE KY 40258 B e ADDRESS SERVICE REQUESTED TUE- DEC 06 II 11 19 1I I II1I1 I I I oil N THU- JAN 05 0121776199 MON- FEB 06 WED- MAR 07 CITY OF CARMEL HUMAN RESOURCES Customer Service: 1- 800 472 -9888 JIM SPELLBRING Did you forget about us? Kindly pay upon receipt. 1 CIVIC SQ Remember, past due accounts are subject to a late fee. CARMEL IN 46032 -2584 Your prompt payment is appreciated. For your I I� I �I1 1 �1�1I'll 11111- 1111Id 11111 J ill IIIIIIIIIIuII III 1 1 111 111 1 convenience, pay online: service.icemountainwater.com. If payment has been made, we thank you. 7 N INtiat better tniayta enhance rThanksglving t7ayhollday thanwrth SAfV PELLEGRINO mineral water and ACQUA PAfi1NXnatural� spring water They�,re.sure!to i7 akeiy_our tale that much mo a festive! Enjoy $3�off yper case Call' 80p -172 9888 to- orders Exp 11 r tea 2 `o Ww* -7-- W 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 13.61 11130 K1746115 RENT 3.99 TOTAL r 17.60 r 1 19 2011 1 By ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 13.61 0.00 3.99 17.60 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# 1 Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 1205 01 KO 121776199 43- 530.99 $3.99 materials or services itemized thereon for which charge is made were ordered and received except Monday, December 19, 2011 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)) 12/02/11 01 KO1 21776199 $3.99 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 service.icemountainwater.com 0 215 6661 DIXIE HWY, SUITE 4 p LOUISVILLE KY 40258 11!01111 11/30/11 01 K0122206105 ADDRESS SERVICE REQUESTED TUE- DEC 06 1I11111PI�I�ul II 11��II fl H N THU- AN 05 0122206105 MON- FEB 06 WED- MAR 07 CITY OF CARMEL ENGINEERING /1 ST AVE Customer Service: 1 -800- 472 -9888 KATIE NEVILLE Thank you for choosing Ice Mountain Home Office 1 CIVIC SQ Delivery! We value your business. CARMEL IN 46032 -2584 Illlllr�Il�IIP�Illlll�lllllll��IIIIIIII�III�IInII�Illllll��l�l What better way to en ante your Thariksgtv�ng Daay Fio ay titian ..with SAN,, LLI Ri�O mineral water and �ACQUA P 4NN 4 natural =springl wat6fnl ey re sure t'o a�ke your =table that Uch;morelfestive I:hjoy $3 off per case Call 1 SOOa 988> to arderi F�tn 1213111 r r �a X. ACCOUNT ACTIVITY Pay your bill online at: service.icemountainwater.com or by phone at:1 -800- 472 -9888. It free! Delivery address: CITY OF CARMEL ENGINEERING, 130 15T AVE SW, CARMEL IN 46032 PREVIOUS BALANCE 7.98 11/13 798664 PAYMENT -THANK YOU -3.99 11130 K1743805 RENT 3.99 TOTAL 7.98 3N (0789 !ra RECEIVED DEC CARWL ER1Gli1� �v woo•aateMu1e3unow9al•80lA •oul eouawy U1JON SJ912M 9RS8N 10 uo!SIAla a `Auedwoo jajuM II ule}unoIN aol 8003 OO 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 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)) 12/08/11 01 KO122206105 Keystone Reconstruction Project $3.99 Miscellaneous Project 07 -08 Total $3.99 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 G 3.99 RjX 9 [b- *1111(, e ■��}fe ��E011111�♦ PO# or INVOICE NO. ACCT /TITLE AMOUNT Board Members DEPT.# NA 01 KO122206105 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 19 -Dec 20 11 P Total $3.99 Signature Cost distribution ledger classification if City En claim paid motor vehicle highway fund Title