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Home My WebLink About206877 02/28/2012 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CHECK AMOUNT: $27.05 CARMEL, INDIANA 46032 PROCESSING CENTER PO BOX 856680 CHECK NUMBER: 206877 LOUISVILLE KY 40285 -6680 CHECK DATE: 2/28/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4238900 023011925282 27.05 02BO119252823 servi cc. icemountainwater.com #41 IT "�J d 0 215 6661 DIXIE HWY SUITE 4 01/13/12 02/12/12 02BO119252823 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED 111111111 IN 11 I1 II WED- MAR 07 0119252823 THU- APR 05 MON- MAY 07 WED- JUN 06 CITY OF CARMEL STREET DEPARTMENT Customer Service: 1- 800 472 -9888 BONNIE CALLAHAN Pay your bill online at: service. icemountainwater.com or 3400 W 131ST ST by phone at: 1- 800 -472 -9888. It's free! CARMEL IN 46074 -8267 Jill 1l1ll111111111111111llllll11111111111lll11 .1111.11,- 11"h ill IMPORTANT Due to w�stng coosts effective Febrtaary 202012 :there wtll�be�a price Increase on�select products', and a20 cent Increase In #our t>rionthly >fuel surchargeIrates For details., pleasego to sevlce icemo ntalnwater Coen /prtcingup "dates o__r calf 1� -P800 4Z2 9888 m ACCOUNT ACTIVITY For questions or a report on water quality and information, call 1- 800.472 -9888 or visit service,icemountainwater.com. B� e rvery a ress: PREVIOUS BALANCE 29.60 2112 271297 PAYMENT -THANK YOU -29.60 2106 0761129592 5 5 GAL ICE MOUNTAIN DIRK W /HANDLE 17.45 5 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 30.00 6 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -36.00 3 9 OZ PLASTIC UP 50CISLEEVE 8.97 2/12 0763706801 1 OIL/FUEL SURCHARGE 2.64 62231647 RENT 3.99 TOTAL 27.05 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT 1 ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 29.60 29.60 27.05 27.05 BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER 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 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 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 (36) days after we SA MPLE IN 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 [here is an error You are obligated to pay the pans of your bill that are not in question. You do not have to pay the disputed amount while it is being oorooroP wtalPP .3456]69 Your Account Number investigated. During the investigation, we cannot report your account as delinquent or take any action to collect the amount in question. rHP ocr a tza4s6]P >.wN -aT 19 Watch here for a GENERAL INFORMATION w I nE DEC rr d p ersonalized account (INVOICE) L Payments received after the a Important ma, att .a6dUak.,ittL6NL�aua °d•ttdJe $eM1' °'-Bp6° "'aae date will appear on c�,tom=' message x 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 iii D S' ",nx Pn exceed $20 per month- Additionally, third party collection/attorney osyst t �a a+= °i,,,1�,,,,iL,d1.La L 6LLLJ.a expenses may be assessed at a rate not to exceed 100% of the aa'' unpaid balance or the maximum allowed by law Pay electronically Ya m•roRa>`°"` zm,E"�h^>.'t c.. y�s 2. Each returned check is subject to a service charge subject to the maximum check return charge allowable in your State. z p Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity „gym. -•mom^° amount has been ACTIVITY I „a„r.,•...a since our ACCOUNT ACiV Oa ,Z3 MaIn5��1•C'ty,Swte PPPPP y paid in full to 4. Equipment replacement costs will be charged for bottles lost, last invoice oe" stolen, damaged or not returned. avoid late fees Th,nxYow SoA 5. In accordance with NWNA's Terms and Conditions "T &C your oe/n, s Sj "anw -so, „t ,neastuw csxso�m +nsra P_ „s9 M Oil Equipment Lease and/or Service Agreement account may be a eMa t „2sw y subject to minimum monthly purchases and/or early cancellation Surcharge, Fuel 09111 l,a] Pin, 'I s'I..O fees. (A complete version of the current T &C may be viewed on the mnr 16616491 r Surcharge or Delivery website listed below) Upon service discontinuation, rent for the TOTAL Fee (see 46 under Leased Equipment is charged through the and of the billing cycle 'General in which service is discontinued. „crony "V 1 H 1 si+o """"51w 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or o s M+A.a` ,9s Information Pa _w,K.e_H^•°^_`""`"°` Pee as described i❑ our T &C. Only one of these fees Pa y ment stub ACCOUNT SUMMAar „?9� ry y y y —o•c. eo. �c, PAY TNIS�MOaN Delive r will apply to each account. The fee that applies to your account ��a n m ro° A CC 11 11E. eEV PAY PY is stated on the front of the invoice. For further information please P 00 o Mr. ENCLOSED tNVO,CE uC.&EP TYPO visit the website listed below or contact our customer service r1167 center. P I a4aoP9Lao� ouzezT12611 ouv39W41 2004 1e Amount due 7. As a food product, bottled water is subject to the rules and -j regulations promulgated by the Federal Food and Drug ono o� Administration (FDA -�1 Submit your 8. Your first invoice indicates the products delivered on your first roxcvsrPMSxu*`''crc.. W 1 delivery, along with any applicable bottle and account deposits, P tion fees, and any dispenser payment by this h. U.L9.L.IJ.LL1:9. su redem date P enser char es. g All future invoices 1] 9 aP oA sr 4 "snoP.w- �n 6 p P,. o tr•• -sb•. 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 16 -17 deliveries per year. You will only receive invoices 12 times per year, so approximately 5 of those invoices will reflect two deliveries. O 2008 ice Mountain Spring Water Company, a Division of Nestle Waters North America Inc. Form No. NW 709 11 /08 se rvi ce. ice mou nta in water. corn IV— VOUCHER NO. WARRA NO. Ice Mountain ALLOWED 20 ri IN SUM OF P. O. Box 856680 Louisville, KY 40285 -6680 $27. ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 2201 0280119252823 42 389.00 $27.05 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 1/ V /Thursday,�l`ebruraP 23, 2012 Street Comm issio ner` Stre &L ernim issloner 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)) 021l5112 02BO119252823 $27.05 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