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Home My WebLink About205883 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER I 0 CHECK AMOUNT: $29.60 CARMEL, INDIANA 46032 PROCESSING CENTER PO BOX 856680 CHECK NUMBER: 205883 LOUISVILLE KY 40285 -6680 CHECK DATE: 1/31/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4238900 02AO11925282 29.60 02AO119252823 service.icemountainwater.com 215 6661 DIXIE HWY, SUITE 4 12/13/11 01/12/12 02A0119252823 LOUISVILLE KY 40258 e ADDRESS SERVICE REQUESTED B II I I'1 I II I1 i it 11I1 I1 I I I I I III I'II MOD- FEB 06 0119252823 WED- MAR 07 THU- APR 05 MON- MAY 07 CITY OF CARMEL STREET DEPARTMENT Customer Service: 1- 800 472 -9888 BONNIE CALLAHAN Thank you for choosing Ice Mountain Home Office 3400 W 131 ST ST Delivery! We value your business. CARMEL IN 46074 -8267 III��'ll'lllll�ll�ll��l��l��ll I��I��I�I '�I�II'll�l�l�'ll'l Start the =year off right wlth of,ze.ro calorie beverages For a llmlted`time, enjoy up to-$2 offwper case x v t� r ,r on our 70,9. Sport Bottles, Tradewi kls�Unsweet Tea ice Mountain Sparkling Waters, and Perrier`products. Call 1 -800- 472-9888. Offer expires 2/29/12 y u r 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. 131ST ST, CARMEL IN 46032 PREVIOUS BALANCE 20.48 1/15 125114 PAYMENT -THANK YOU -20.48 1/05 0756838272 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 3 9 OZ PLASTIC UP 60C /SLEEVE 8.97 1/12 0759394257 1 OIL /FUEL SURCHARGE 2.68 A2078892 RENT 3.99 TOTAL 29.60 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 20.48 20.48 29.60 29.60 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 I 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. 6216 6661 DIXIE HWY., SUITE 4 If you prefer, you can pay your bill online at service.icemountainwater.com 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 later than thirty (30) days after we SAMPLE INVOICE sent you the first bill on which the he 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. 123+s67690 I your Account Number You do not have to pay the disputed amount while it is being omooloo.00loolDo investigated. During the investigation, we cannot report your account as delinquent or take any action to collect the amount in question. TNB OCT 123456 OCT I MDN-DQ 29 I Watch here for a WEO NOV 21 GENERAL INFORMATION TuE- DEC IB personalized account 1. Payments received after the billing (INVOICE) date will appear on Important �Il" O t "gt,�ppl,"IItL4ItlL:dUtl "II�AWdQ eunanttse�" °''800'''j29�e 1 Mounui"P'°d�E' I message your next invoice. Past due invoices (not paid within 30 days of news and T.d Y°91a•u>t^9 [e date may be assessed a late fee as allowed b law not to X 1 23 nei I billing Y Y offers 123 Mam St exceed $20 per month. Additionally, third party collection/attomey C y s ate 0C I ma "a.tp• i t Lo L LLL4J tl expenses may be assessed at a rate not to exceed 100% of the mvB e�,;w,,,,,.,eM.A• unpaid balance or the maximum allowed by law. rt, 3 r y#I+e�:^` t?""'vCO"'r'9 Pay electronically 2. Each returned check is subject to a service charge subject to the maximum check return charge allowable in your State. n Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity N .✓k ^Pm amount has been ACTIVITY. since your ACCOU'rrAa°'m 123 Main Sn¢et Clry,State RBOOB aid in full t0 4. Equipment replacement costs will be charged for bottles lost, last invoice Deu•enAdd ^L ^DOP P stolen, damaged or not returned. Fabu :BalanTe 42A5 avoid late fees Payne P,a`a Yw SOAR 5. In accordance with NWNA's Terms and Conditions "T &C your 8091 AdIB9e SI s swn N ISP^n9 -s°� ltl 31)BBA SWI Dep9v 1.96 Equipment Lease and/or Service Agreement account may be 3 nees,4•+4 s M scalR ,1.99 Monthl Oil 09111 31)0851 IS he 9ei� �Y3.r T r subject to minimum monthly purchases and/or early cancellation Surcharge, Fuel fees. (A complete version of the current T &C may be viewed on the wm "�10' 57.4o 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. 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or w 1 Information Delivery ee as described in our T &C. Only ne of these fees Payment stub ACCOUNT SUMMARY ry Y y Y PAY BY PAY THIS AMOUNT will apply to each account. The fee that applies to your account B+„od mM,� wy^<^ ACCOUNT NUMBER a 00 57.. is stated on the front of the invoice. For further information please tN123456)090 BPUNC DATE MT. ENCLOSED IOICE NUMBE0. Wt�t� visit the website listed below or contact our customer service 123+56 90 center. 7. As a food product, bottled water is subject to the rules and 0920096307 09262712619 000391049 2009 16 Amount due regulations promulgated by the Federal Food and Drug 19hn Doe Administration (FDA). ICE MOUNTAIN WATER COMPANY 2 S ei.1T DD 00 D 8. Your first invoice indicates the products delivered on your first RVICE GLL, -0W- •T FOR CUSTOMER SE Submit your a delivery, along with any applicable bottle and account deposits, a 4 n „4.64LLJ.tl P B�.• sm•. p ayment by this Aro cN"x m. redemption fees, and any dispenser charges. All future invoices 1.aa4.a ta»~• date will reflect charges for water delivered and dispenser rental, bottle sr4+uP r a,,a,e A� *DPAy s uP a. Pe,= 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. Ji�t7ritain Spring Water Company, a Division of Nestle Waters North America Inc. Form No. NW 709 1 1/08 service. icemou ntainwater.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)) 01/17/12 02AO119252823 $29.60 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 $29.60 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 02AO119252823 42- 389.00 $29.60 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; January 26, 2012 I 1. Street Commissioner Street uommissloner Title Cost distribution ledger classification if claim paid motor vehicle highway fund