HomeMy WebLinkAbout179252 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1
ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER
CHECK AMOUNT: $38.20
CARMEL, INDIANA 46032 PROCESSING CENTER
ss...i�. PO BOX 856680
CHECK NUMBER: 179252
LOUISVILLE KY 40285 -6680
CHECK DATE: 11/11/2009
EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
920 4239099 09I012220610 25.57 OTHER MISCELLANOUS
1701 4239099 09J722032704 12.63 OTHER MISCELLANOUS
720806
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0
9/01/09 9/30/09 091 12 2061 Ub
t
#215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258'
service. icemountain.com Lem 0 El 0:11 111
THU- OCT 15 0122206105
III IIII II III III I II
111111111111111 IN III III III FR WED- DEC DEC 13
16
#BWNNVVYR TUE- JAN 19
#0400001222061057#
CITY OF CARMEL ENGINEERING /1ST Customer Service: 1- 800 472 -9888
KAREN NOLAN
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.
Back to School Savings on our most popular products! Great new lower, prices on cases of 1/2 L Spring ,water
plus get $2 off, each box of Nistea Sticks or-ca se of San Pellegrino, Sparkling Fruit cans you add to your
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 ENGINEERING, 1301ST AVENUE SOUTHWEST, CARMEL N 46032
PREVIOUS BALANCE 411
,9./16 0638529289 3 5 GAL ICE MOUNTAIN DRK W /HANDLE 10.47
1 9 OZ PLASTIC UP 50C /SLEEVE 2.99
BOTTLE DEPOSIT: 3 CHARGED, 2 CREDITED 6.00
9/30 0642113286 1 OIL /FUEL SURCHARGE r L S6789 j�, 2.12
I8070307 RENT A J, 3.99
SALES TAX a w .49
TOTAL O vpn cl: 84.77
N
BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER
IN CASE OF ERRORS OR QUeS'I IONS 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 QUAIXI Y AND INFORMAtION. PLEASE 2. Remember, if you are renting equipment, your equipment rental is charged one month in advance. That meads
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.
4216 If you prefer, you can pay your bill online at service.icemountain.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 sarong, or if you need more information about
a transaction on your bill. write its on a separate sheet of paper We
must hear from you in writing later than thirty days after we SAMPLE INVOICE
sent you the first bill on which the he m error or proble app eared You can
telephone us. but doing so will not preserve your rights. In your letter,
give its 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. tlrtt m 001001
1234567890 Your Account Number
00
You do not have to pay the disputed amount while it is being oolooloo- t R t
investigated. During the investigation. we cannot report your account r
456]89
as delinquent or take any action to collect the amount in question. TMP .CC* oa
MDN Watch here for a
GENERAL INFORMATION w E. DEC
TU E. DEC 1e personalized account
1. Payments received after the billing (INVOICE) date will appear oil Important
n u,,, m,, m., nnl „u,dt,tau cpapme,9smeM ^.�paaea message
your next Invoice. Past due Invoices (not paid within 30 days of news and Y psi^
billing date) may be assessed a late fee as allowed by law not to i M n eervleee-
y offers 123 al^ a
exceed $20 per month. Additionally. third party collection /attorney a r s a e x
expenses may be assessed at a rate not to exceed 100% of the
unpaid balance or the maxunum allowed by law, xr9vY e;, IB R r .ww r' Pay electronically
PPT
1 Each returned check is subject to a service charge subject to the s�a om
maximum check return charge allowable in your State. Make sure this
3. All bottle and equipment deposits are shown as CURRENT Activity
amount has been
ACTIVITY. since your ACCOUNTACTI 10�, nag
4. 8quipment replacement costs will be charged for bottles lost. last invoice Den e Aee,pSZ' ^h pPe, 123 Mal ^sveec °tY Std100D0° paid in full to
stolen, damaged or not returned. pa�,p ^seals 4245 avoid late fees
9avme rna "sYOe s2.00
5. In accordance with NWNA's Terms and Conditions T &C your ee r31 m 696 5 sGallp Nalplalswlpywale, s w
a44a Ice MOUn[ai^SGal Deppsi 296
Equipment Lease and/or Service Agreement account may be 3nassi444 ",a, ^seal Be. "m u99 Monthly Oil
FueMSur<M
subject to minimum monthly purchases and /or early cancellation 09111 311ee5 31Bl Bent Surcharge, Fuel
complete version of the Curran T &C ma be viewed on the aenz 166+a91 17- 17- fees. (A coin
P y Surcharge or Delivery
website listed below) Upon service discontinuation, rent for the rOlAL Fee (see #6 under
Leased Equipment is charged through the end of the billing cvcle "General
in which service is discontinued.
1 FM 5 5J30 Information") 4 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or 9
Deliver Fee as described in our T &C. Only one of these fees Pa COUNT stub ACCOUNT SUMMARY ,e
y y our PAY BY PAY THIS AMOUNT
will apply to each account. The fee that applies to your account a ,a. ACCOUM NUMBER 00100 7 4G
is stated on the front of the invoice. For further information please 1N 12345 6]890 VacE NUMBER eluwc Dare MT.ENCLOSED
visit the website listed below or Contact our custom 1234567
er service "loo
CCICr. 19 n00391049 2004 16
7. As a food product bottled water Is sub 042621126
to the rules and Amount due
regulations promulgated by the Federal Food and Drug I —D-
Administration (FDA). ICE MouNTA1N wATE�a coMPAN� 23 s —sl _W
"1 Sub
K. Your first invoice indicates the products delivered on your first mlt yOnr
invoice delivery, along svuh any a pp p Fo6cDnomtR50w1cecnul.coo<n9eea p ayment by this
applicable bottle and account deposits. I,,. ut, L�aal „I, ..LId,I,.l.�n
rederlption fees, and any dispenser charges. All future invoices re s .Y. p o date
will reflect charges for water delivered and dispenser rental. bottle 56N O FOe FB
deposits and credits plus charges for any additional products
ordered by you. Deliveries are trade 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.
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
#215 6661 Dixie Hwy, Suite 4 Terms
Louisville, KY 40258 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/06/09 091012220610 Keystone Reconstruction Project $26.06
Miscellaneous
Project 07 -08
Total $26.06
I 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 N0, WARRANT NO.
Ice Mountain Direct ALLOWED 20
#215 6661 Dixie Hwy, Suite 4 IN THE SUM OF
Louisville, KY 40258
26.06
ON ACCOUNT OF APPROPRIATION FOR
Ice Mountain Direct
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
DEPT.#
NA 0910122206105 4239099 $26.06
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
9 -Nov 20 09
Total $26.06 Signature
Cost distribution ledger classification if Cit En
claim paid motor vehicle highway fund Title
�o service.icemountain.com
#21st 6661 DIXIE HWY, SUITE 4
0 LOUISVILLE KY 40258 10/01/09 10/31/09 09J7220327048
ADDRESS SERVICE REQUESTED a
I pp p I p FRI- NOV 13 7220327048
Illl I80 ICI I III III tl QI IDl Dull l 011� �l ll ��l Bl WED- DEC 16
TUE- JAN 19
#BWNNWYR THU- FEB 18
#0400072203270488#
CITY OF CARMEL OFFICE OF THE C
ANN DAVIS Customer Service: 1 800 472 9888
1 CIVIC SQ Thank you for choosing Ice Mountain Home Office
CARMEL IN 46032 -2584 Delivery! We value your business.
I Did you know our 3 and 5 gallon!bottles are cleaned and refilled on average 35 times before being ttarned over to
a recycling company? Each year, we recycle approximately 900,0Wof our 3 and 5 gallon bottles, helping to =keep
1 6 million Ibs of plastic out of landfills.
.M w
o
a o
a
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 OFFICE OF CLERK, 1 CIVIC SQ, CARMEL IN 46032
PREVIOUS BALANCE 16.08
10/25 916691 PAYMENT -THANK YOU -16.08
10/15 0643021595 1 5 GAL ICE MOUNTAIN DIRK W /HANDLE 3.49
1 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00
2 5 GALLON ICE MOUNTAIN DEPOSIT RETURN .00
1 9 OZ PLASTIC UP 50C /SLEEVE 2.99
10/31 0646764571 1 OIL /FUEL SURCHARGE 2.16
J8248818 RENT 3.99
TOTAL 12.63
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT
_Sw�Subiect to terms on reverse side. 16.08 16.08 12.63 12.63
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 NvATER 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.icemountain.com.
6661 DIXIE 1 IWY., SUITE
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 SAM
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 its 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. i vy
You are obligated to pay the parts of your bill that are not in question. 1_< F12!57R Your Account Number
You do not have to pay the disputed amount while it is being 0 0100100 0010
0,00
5
investigated During the investigation, we cannot report your account r
as delinquent or take any action to collect the amount in question.
Y2V 123456
..N Oa "I Watch here for a
GENERAL INFORMATION WED rDE DEC EC
IR personalized account
I. Payments received after the billing (INVOICE) date will appear on Important
tllt t.,u „u,I,w c °:t ^me, message
your next Invoice. Past due invoices (not paid within 30 days of news and
billing date) may be assessed a late fee as allowed by law not to offers 113M-M s'
exceed S20 per month. Additionally, third party collection/attorney °ty slate
tit at .,,,n.,at „tdt
expenses may be assessed at a rate not to exceed 100% of the
unp d bal check maxi a se b c subject to the F~ v i w xaol^_mI Pay electronically
2 subjec J a4ad,de,rl�R.pp ma ucie
maximum check return charge allowable in your State. Make Sure this
3. All bottle and equipment deposits are shown as CURRENT Activity ",°„y.,,�.1,
amount has been
since our ACCOUNT ACHVIT P Ow slm o00W
ACTIVITY.
4. Equipment replacement costs will be charged for bottles lost, last imo De1 enAdd I'D e' ,13M s paid in full to
a
stolen. damaged or not returned. ice 5Ra avoid late fees
rm
Pae "ro^ soon
5. In accordance \vilh NWNA's Terms and Conditions "T &C your 00.731 ^r 5 5ca,bn Nat °,al spd^9wa 1 e 1 _so.W
9111 31780.5 ain SGal Depoz
Equipment Lease and /or Service Agreement account may be 317ea514a44 s <e ealRel ,199 Monthly Oil
subject to minimum monthly purchases and /or earl cancellation 31 —$1 Surcharge, Fuel
J P y 091'1 Fels a 9e
ova 31exe3ean tie
fees. (A complete version of the current T &C may be viewed on the Da nz 16M s?� Surcharge or Delivery
wcbsite listed below) Upon service discontinuation, rent for the Fee (see #6 under
Leased Equipment is charged through the end of the billing cycle
"General
in which service is discontinued. cDMEm 4�.1�'TM 57 40 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or 4.,A 1 o Information")
Delivery Fee as described in our T &C. Only one of these fees Pay ment stub ACCOUNT suMMARY 9 0
y Y PAY BY PAY THIS AMOUNT
will apply to each account. The fee that applies to your account a, Min "Me• ACCOUNT NUMBER 57.40
is stated on the front of the invoice. For further information please 17.341 7es0 81 j 00 w GATE MT. ENCLOSED
INVOICE NUMeE0. wwfoo
visit the wcbsite listed below or contact our customer service i234s578
center. 16
7. As a food product, bottled water is subject to the rules and 04200963UT o42&271 pp03gypp9 e004 Amount due
regulations promulgated by the Federal Food and Drug 1 °hpooe
Administration (FDA). ICE MOUNTAIN WATER COMPANY 123Main St
o �aio�oll+. .l<w..• oaale 00 invoice sl000
Submit your
ddl „I, „Idda�.L.i
H. Your first invoice indic e indic the products delivered on your first P uR payment
delivery, along with any applicable bottle and account deposits, a payment by this
L,. 111, Il, „e sine asT0MER
redemption fees, and any dispenser charges. All future invoices date
will reflect charges for water delivered and dispenser rental, bottle El
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 5/0e
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.
Plee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
a.�
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
�u,-u ri-�u n IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
C' 0 4U 1 MAA L
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
1 materials or services itemized thereon for
which charge is made were ordered and
received except
Al P 20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund