HomeMy WebLinkAbout178722 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1
ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CHECK AMOUNT: $47.53
CARMEL, INDIANA 46032 PROCESSING CENTER
PO BOX 856680 CHECK NUMBER: 178722
LOUISVILLE KY 40285 -6680
CHECK DATE: 10/28/2009
DEPARTMENT AC PO NUMBER INVOICE NUMBER A DESCRIPTION
2200 4239099 0120048525 24.43 OTHER MISCELLANOUS
2201 4238900 J0119252823 23.10 OTHER MAINT SUPPLIES
service. icemountain.com
#215 6661 DIXIE HWY, SUITE 4 11OV0 11509MURVA
o LOUISVILLE KY 40258 09/13/09 10/12/09 09JO119252823
ADDRESS SERVICE REQUESTED
III I�II'I II II II III' I Ililll I illy !I II VIII 13 0119252823
VVE DEC
WED- DEC 16
TUE- JAN 19
#BWNNWYR THU- FEB 18
#0400001192528234#
CITY OF CARMEL STREET DEPARTME
BONNIE CALLAHAN Customer Service: 1 800 472 9888
3400 W 131 ST ST Thank you for choosing Ice Mountain Home Office
WESTFIELD IN 460748267 Delivery! We value your business.
"I' ICI' I I I II I �I' I '�IIII'll l 'll
Did you know our 3 and 5 gallon bottles are cleaned and refilled on average 35 times before being turned over to
a recycling company? Each year, we recycle approximately 900,000 of our 3 and 5 gallon bottles, helping to keep
1.6 million lbs of plastic out of landfills.
i
i
ACCOUNT ACTIVITY Pay your bill online at: service. icemountain.com or by phone at: 1- 800- 472 -9888. Its free!
Delivery address: CITY OF CARMEL STREET DEPARTME, 2 CIVIC SQ, CARMEL IN 46032
PREVIOUS BALANCE 32.53
10/11 844545 PAYMENT -THANK YOU -32.53
9/16 0638528927 4 5 GAL ICE MOUNTAIN DRK W /HANDLE 13.96
4 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 24.00
4 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -24.00
1 9 OZ PLASTIC UP 5OC /SLEEVE 2.99
10/12 0644065856 1 OIL /FUEL SURCHARGE 2.16
J8246799 RENT 3.99
TOTAL 23.10
BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER
IN CASE OF ERRORS OR QUES PIONS A130UT YOUR BILL. OR FOR 1. Please remember payment is due by the "pay by' date noted to ensure the smoothest service.
A RFPORT ON wA'fER QUALITY AND INFORNIATION. 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 wRrrF US AT: your first invoice will include a pro -rated fee for the current month, plus the next month's rental.
ICE NIOUNTAIN SPRING WYI'ER 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.icemountain.com.
6661 DIXIE H VY'.. 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 its on it separate sheet of paper. We
hear front you in writing later than thing (301 days after
sent SAMPLE I H =E
sent you the first bill on which the he error or problem appeared. You c all
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. iza <s6�ssD Your Account Number
You do not have to pay the disputed amount while It is being I 00)00)00 00)00100
investigated During the investigation. we cannot report your account 123456799
as delinquent or take any action to collect the amount in question. TAR p4
raoN.oCT 29 Watch here for a
GENERAL INFORMATION
ToE� DEC IS personalized account
I. Pavmems received after the billing (INVOICE) date will appear on Important
yew nest invoice. Past du (I e invoices (not paid within days of news and
n.n.,, tit„ m, anna ,.,nue,ull,,,,llllt..0 „ua,ul T�,.^L>°pl.° 951.eMa ^.�o^�peu message
billing Llate) may be assessed a late fee its allowed by law not to offers 12q'Da
exceed S20 per month. Additionally. third party collection /attorney oly,
1 ..III,1..1,. 111., II •.IL ,,11,.1.11.•I,,,LI,I,I „I,•I
expenses may be assessed at a rate not to exceed 100% of the
timpani balance or the maximum allowed by 1a33t Pay electronically
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
ACTIVITY. TArnvin amount has been
since your AccouN CY.s EoDLa
4. Equipment replacement costs will be charged for bottles lost. last i nvoice Dlll e'y TJMaI ^s paid in full t0
stolen, damaged or not returned. sans avoid late fees
5. In accordance with NWNA's Terms and Conditions "T &C your vein 461e9e wage
5 Gallon Na,ural sp�l ^9 Wa,e� .501
II 3I7ee5144 -+A S ,air seal ceps^
Equipment Lease and /or Service Agreement account may be O9�I, mewl s Mo��,a; ^sGalRe, ne9 Monthly Oil
o9n, nJaes++^° s I wels °I°re��
subject to minimurn monthly purchases and /or early cancellation
A complete version of the current T &C may be viewed on the p97 „a,6sas Re ^I Surcharge, Fuel
fees. cons 09,17 1sr>aoa9, snw
p Surcharge or Delivery°
websitc listed below) Upon service discontinuation, rent for the rorAL Fee (see #6 under
Lcased Equipment is charged through the end of the billing cycle "General
in which service is discontinued. I nforma t ion")
6. You will he charged it monthly Oil Surcharge, Fucl Surcharge or I 99
Delivery fee as described in yourT &C. Onlc one of these fees Payment stub A CCOUNTSUrn Mn ,E a
YBY
w Th
ill apply to each account. e fee thin applies to your account ACCOUNT NUMaza oo1�1a PAT TP'nU MOON
pW+we.�d MT. ENCLOSED
is stated on the from of the invoice. For further 1134567890 ber inlonnation please I- C'CENU -80' 811 "GOATE
visit the websitc listed below or contact our customer service Wit)0
1234567
center.
p l' 0920096301 0,,292112619 000391099 2009 b
7. Asa food p bolted water is sub ject to the rules and Amount due
regulations promulgated by the Federal Food and Drug i pn ^D °e
Ad13 ini,trat1011 (FDA). ICE MOUNiA1N WATER CO P NYa C y State S`00000
Whin, Na
S. Your tiro invoice Indic :nc> the products delivered oil vnur lust I Submit V'OUP
°RT
deliver}, along with any applicable bottle an n „I,.,iaaa
d account deposits. „O�Ra<,,a avment by this
u,a, L; P•, 9
redemption fees, and any dispenser charges. All future invoices 0 s o•I�• .e"r
Will reflect charges for water delivered and dispenser rental, bottle L] date ss R OP,oRie,E Am
deposits and credits plus charges for any additional products
ordered by you. Deliveries are made every three or tour weeks. for
it total of 16 -17 dcliveries per year. You will only receive invoices
12 times per year. so approximately 5 of those invoices will rellect
£Z 01 £Z £S'Z£ £S Z£ apis eSJanaJ uo SWIel 01 l3efgr�
Nf1pIN 1 11 AVfd 1 1 IAI 1 1 W 1 1:_1>434r l t lu w cnrnvr r Ar r vviAE
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_
i
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))
10/14/09 09JO119252823 $23.10
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Ice Mountain
IN SUM OF
P. O. Box 856680
Louisville, KY 40285 -6680
$23.10
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
2201 09JO119252823 42- 389.00 $23.10 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, 9ct ber 22, 2009
r
Street Comm s o r
Strut r^.- Title'5SlOnG'P
Cost distribution ledger classification if
claim paid motor vehicle highway fund
0 720806
9/01/09 9/30/09 0910120048525
#215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 MUD NMI,
service. icemountain.com
THU- OCT 15 0120048525
IIII lil 1111 II 1 II ill II IN II IN II II 1 IIl VVE DEC
1 13
WED- DEC 16
#BWNNVVYR TUE- JAN 19
#0400001200485252#
CITY OF CARMEL DEPT OF ENGINEE Customer Service: 1- 800 472 -9888
LISA SCOTT OR JUDY STOHLER
1 CIVIC SQ Did you forget about us? Kindly pay upon receipt.
CARMEL IN 46032 -2584 Remember, past due accounts are subject to a late
fee. Your prompt payment is appreciated. For your
convenience, pay online:
icemountainwater.com /service. If payment has been
made, we thank you.
j Back to School Savings n our most popular products! Great new lower prices on cases of 1/2 L Spring Water
plus get $2 off each box of Nestea`Tea Sticks or case of San Pellegrino Sparkling fruit cans you add to your
j order._Limited Time -Only =CAI- L:TODAY_!
mr
ACCOUNT ACTIVITY Pay your bill online at: service. icemountain.com or by phone at: 1 -800- 472 -9888. It's free!
Delivery address: CITY OF CARMEL TOWN HALL ENGIN, 1 CIVIC SQ, CARMEL IN 46032
PREVIOUS BALANCE 17.45
9/16 0638528992 5 5 GAL ICE MOUNTAIN DRK W /HANDLE 17.45
5 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00
4 5 GALLON ICE MOUNTAIN DEPOSIT RETURN .00
1 9 OZ PLASTIC UP 50C /SLEEVE 6 7 8 9 '077,7 2.99
9/30 I8079779 RENT nj 3.99
TOTAL WED �j 41.88
a OCT V
CAF IV
i l Y ENGINEER ti`°
0
c 9Z SZ t z j:-6 1,
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT CURB T ACTIVITY PAY THIS AMOUNT
,SZ-4ubject to terms on reverse side. 17.45 .00 24.43 41.88
BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER e
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 NVAITR QUALITY AND INFORxf A'T ION. PLEASE 2. Remember, if you are renting equipment, your equipment rental is charged one month in advance. That means
CALF" 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.
9216 If you prefer, you can pay your bill online at service.icemountain.com.
6661 DIXIB IIWY., 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
newt hear front you in writing no later than thirty (30) days after we SAMPLE INVOICE
sent you the first bill on which (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:
)'Our 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.
)'on are obligated to pay the parts of your bill that are not In question. iz34se]R90 Your Account Number
)'on do not have to pay the disputed amount while it Is being t 00100100 0 0 1 001 00
investigated During the investigation. we cannot report your account Iz34s6
as delinquent or take any action to collect the amount m question. OP OCT I
rnDN -0-r 29 Watch here for a
GENERAL INFORMATION TO, NDV 21
TOE DE< IB personalized account
Yom- n xt invoic
b as s e ss e d i a (Inc l rail �vitl 0 days of news and t tial I. mil IIIII, I, ,.IIILLIIII „IL,II,LIII ,nes Luc ^lln9sla 1.800. ^]z -9sea
L payments received after the blllin (INVOICE) date will appear on p Mn„ ^Ial ^P.^0- ^1v. message
exceed 520 per month. Additionally, third part\ collectionhiuornev c11si-
6. au ,t,.,I,.nl,,,.al. .u u lilt „I,,,I,I,t,t „t,.n
expenses play be assessed at a rate not to exceed 100'X1 of the
unpaid balance or the neaxinuun allowed by law. y «.aara^' .e Pay electronicalh
2. Bach returned check is to the
subject Subject to a service charge b
m J b J And—.y v _�P,.
nlaxlllnl check return charge allowable in your State lanp^ Make sure this
3. All bottle and equipment de osits are shown as CURRENT Activity amount has been
ity jp
p .�„R..
ACTIVITY. since your ACCOUNTA c
as Ina ^D^ zeMr s n.99 paid in full to
4. Equipment replacement costs wdl be charged for bottles lost. last invoice Dervev 199
stolen. damaged or not returned. e9m�,ealan 12 avoid late fees
v vmenl.rnanLr^^ Sow
5. In accordance with NWNA's Terms and Conditions TSC). your oB11 161898 SG411on Naw�al5p.m9wa'•' 'S 2 m
11 11]085 5 Ice M^unu�nS Gal DePOSt 96
Equipment Lease and /or Service Agreement account may be 0 1 1 atTafl514444 5 IceMDnnldinS6alRewm 1199 Monthly Oil
1 )1 )0001 5 Fuel5u�clvrge
subject to minimum monthly purchases and/or early cancellation o�n2 r 1e261aen Surcharge, Fuel
fees. (A complete version of the current TSC may be viewed on the p9'12 Surcharge or Delivery
wcbsite 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. N IArn9l1. •A`T
Information
6. You will be charged a neonthly Oil Surcharge. Fuel Surcharge or 99 a
I T9 Delivcry tee as described Ill vour T&-C. Only one of these fees Payment stub ACCOUNT SUMMARY cis. c9YW PAY THIS OUNT
M'tll apply (11 each accoU t. The fee Ihat appl lCS to y0 ter account .wnam,ti�m,„�n,w wry^'"' AC<OUM NUMBER OO�OO W 57.10
AM
Ix slated (111 the front of the invoice. For further information please 1234 INVOICE 56]890 BER BILLING DATE Mr. ENCLOSED
NUM
visit the wcbsitc listed below or contact our customer service 1z31s6]R90 Bp.jw
Ce a p sub 04282712619 000391049 2004 16
7. Asa food roduct, bottled water is sub�cct to the rules and Amount due
regulations promulgated by the Federal Food and Drug 1.,n
Adminisnalion (FDA). Ice MOUNTAIN wAtER COMA y spa es X
pN„,mdrvn�I. w.vn Nay TO _412.988
S. Your first invoice indicates the products delivered on vuur fins S ubmit }Our
deliver'. alone
OR LDS MfpVHN payment by this
evnh env applicable bottle and account Lleposils, L1. A o �9...,.e Sla.
u,aa 6 „6t.6t „I'u 1 C °.,1A, date
redemption fees. and any thspenser charges. rVII future mvotec''s A A T 5 °n
will reflect charges for water delivered and dispenser rental, bottle
deposits and credits phis charges for any additional products
ordered by you. Deliveries arc made every three or four weeks, for
it 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 5i08
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.
Ice Mountain Payee
Purchase Order No.
OX
Terms
Louisville, KY 40285 -6680
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/06/09 9.10E +11 Rent and Service September, 2009 $24.43
Accnt012004852
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.
u
ALLOWED 20
Ice Mountain IN SUM OF
P.O. Box 856680
Louisville, KY 40285 -6680
$24.43
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
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
na 0 9
materials or services itemized thereon for
A cnt 0120048525 which charge is made were ordered and
received except
1 O 210 220
Signature
n`t 0 9 1-
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund