HomeMy WebLinkAbout207487 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1
ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER
CARMEL, INDIANA 46032 PROCESSING CENTER CHECK AMOUNT: $20.79
a rod �o PO BOX 856680 CHECK NUMBER: 207487
LOUISVILLE KY 40265 -6680
CHECK DATE: 3/26/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 02CO11925282 20.79 0200119252823
service.icemountainwater.com
215 6661 DIXIE HWY, SUITE 4 02/13/12 03/12/12 0200119252823
LOUISVILLE KY 40258
ADDRESS SERVICE REQUESTED
II IN �I�I �I� THU- APR 05 0119252823
MON- MAY 07
WED- JUN 06
FRI- JUL 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
I�I���I�I�I��� I�1��� '�II"
Bring InvSpring! Now is the time to try something new! F�or�a limited firne, enjoy up to $2 aff on a variety of
products •including Sweet Leaf -Teas, San Pellegrino, anc! S:f'. Sparkling Fruit Be�,erages.�Ca11' 1 80Q:- 47�2988,8:�
ACCOUNT ACTIVITY For questions or a report on water quality and information, call 1- 800 472 -9888 or visit service.icemountainwater.com.
Delivery address: CITY OF CARMEL STREET DEPARTMENT, 3400 W. 131ST ST, CARMEL IN 46032
PREVIOUS BALANCE 27.05
3/11 427640 PAYMENT -THANK YOU -27.05
3/07 0765517883 4 5 GAL ICE MOUNTAIN DIRK W /HANDLE 13.96
4 5 GALLON ICE MOUNTAIN. BOTTLE. DEPOSIT 24.00
4 5 GALLON ICE MOUNTAIN.DEPOSITRETURN- -24.00
3/12 0767752611 1 OIL /FUEL SURCHARGE 2.84
C2383515 RENT 3.99
TOTAL 20.79
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT ADJUSTMENT CURRENT ACTIVITY AY THIS AMOUNT
Subject to terms on reverse side. 27.05 27.05 20.79
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.
#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 (30) days after we p A
sent you the first bill on which the error or problem appeared. You can SA M PLE I NVOICE
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. at' 2 3 as67a90 Your Account Number
You do not have to pay the disputed amount while it is being r 00100100 00100100 a
investigated. During the investigation, we cannot report your account
as delinquent or take any action to collect the amount in question. TNP ocT 12345678
MON 00 29 Watch here for a
GENERAL INFORMATION WE -NDO =1
Toe DEC 16 personalized account
1. Payments received after the billing (INVOICE) date will appear on Important
1 pn, ttl, pGdlilhl ,.Apd ;INw 6 r lElk..tlnUAdtt CustomerxMMounBaln message
your next invoice. Past due invoices (not paid within 30 days of news and rnonky "n
billing 123 o« s
8 date m be assessed a late fee as allowed Y law not to offers 1z�Ma��OWOo
exceed $20 per month. Additionally, third party collection/attomey i. aaaaa�al ••"It' 1 0 1 0Lf •a
expenses may be assessed at a rate not to exceed 100% of the
unpaid balance or the maximum allowed by law. Pay electronically
2. Each returned check is subject to a service charge subject to the
maximum check return charge allowable in your State.
Make sure this
1 All bottle and equipment deposits are shown as CURRENT Activity
ACTIVITY. since our AccouNTAarvITY amount has been
4. Equipment replacement costs will be charged for bottles lost, y Deu "etynadte<.'. n n nDOe ,u 3 M 51'' oey,5t4,c0000o paid in full to
last invoice
stolen, damaged or not returned. PFew ;o "•�al�na 4 =46 avoid late fees
Payment- ThdnkYOU 50.00
/11 31788514444
5. In accordance with NWNA's Terms and Conditions "T &C your 00A, 461890 5 scauon Namra; SP�In9 Water so.ao
Ice M NII-S Gal Deposd 0 -W
Equipment Lease and/or Service Agreement account may be s <eMn"nto ;n SG?IACtum 99 Monthly Oil
subject to minimum monthly purchases and/or early cancellation g
Surchar e, Fuel
fees. (A complete version of the current T &C may be viewed on the w -4049' 57.Q 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. ARN IT. •A`TM" y�qo
N..
6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or Information
A, 99 a�
Deliver ee as described in our T &C. Only ne of these fees Payment stub ACCOUNTSUMMARY .0"
ry y y Y eoa+wn •.o.o onoror- ux•_ PAY TNIS AMOUNT
will apply t0 28e11 eCCOUOt. The fee that applies t0 your account Pm ACCOUNT NUMBER PAY B� r 0
np+ne,e,w ,23456789 MT.
is stated on the front of the invoice. For further information please INVOICE NUMBER 81u1NC DATE ENCLOSED
visit the website listed below or contact our customer service 1234567890 OOIOOI00
center, p sub 04282712619 000391049 2004 lA
7. As a food product, bottled water is subject to the rules and Amount due
regulations promulgated by the Federal Food and Drug ph "Doe
Administration (FDA). ICE MOUNTAIN WATER COMPANY 123 Main 5t
N.wW,t. "N«r6 A�<^O'^`' GtY,SCate 0ooao
8. Your first invoice indicates the products delivered on your first Submit your
c DSTOMEa SEmKF UU1-6oa <7z 9eee
delivery, along with any applicable bottle and account deposits, y payment b this
redemption fees, and any dispenser charges. All future invoices 1 "aa atan „4.k64bJY aonnre "P .e, e. date
51GN UV G08F9EE A,ROPPr. Sy^ UP P.e9ue
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.
2008 Ice Mountain S Form No. NW 709 11/08
��ng Water Company, a Division of Nestle Waters North America Inc.
service.icemountainw
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))
03/14/12 02CO119252823 $20.79
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. WA RR AN T NO.
ALLOWED 20
Ice Mountain
IN SUM OF
P. O. Box 856680
Louisville, KY 40285 -6680
$20.79
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 1 0200119252823 1 42- 389.001 $20.79 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
ThursdayAa rch 22, 2012
Street Commissioner
r u cc vvi i u i uJJIVI IC!'
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund