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HomeMy WebLinkAbout215336 12/11/2012 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CARMEL, INDIANA 46032 PROCESSING CENTER CHECK AMOUNT: $13.73 PO BOX 856680 CHECK NUMBER: 215336 LOUISVILLE KY 40285680 CHECK DATE: 12/11/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1701 4239099 12K722032704 13 . 73 12K7220327048 service.icemountainwater.com ®® � # UI VILL DIXIE H 25 SUITE 4 11/01/12- 11/30/12 12K7220327048 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED g I I� OB IM I MN�I I �I �I M I� N MON- JAN 07 7220327048 WED- FEB 06 FRI- MAR 08 TUE- APR 09 CITY OF CARMEL OFFICE OF THE CLERK TREASURER Customer Service: 1-800-472-9888 ANN DAVIS Did you forget about us? Kindly pay upon receipt. 1 CIVIC SQ Remember,past due accounts are subject to a late fee. CARMEL IN 46032-2584 Your prompt payment is appreciated. For your "IIII'I'I�'�I��' 'llll�l�""��IIIIII'��I'llllllllll'lII'll�'�� convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. B`e read for-.-all"this ear�sscelebrationsIVow•, �` _ A y � x 'y. wlr s� ,, r«. to �m through, 12731/12;xenjoyssavings�onycases�of r4CQU�►►�P 4NM�1;$:z S:PEL`LEGRIRIO; SANS.P€ELLEGRINO SPi4RKLIftIG.FRUIT BEVERAGES„ PERRIER Ca11,�1 800-47F2'9888 or to � �.,�y,+ ;"="'"` "".'✓`�.y�,.% sL" ��H�:O.s.�r'9'S•3. � ,, `�"';�"",,rY�'. ,�a� .•�...,��,..r' g , -on to-sere,ICe Icennountalnwater:COm=to `' �•,-'u� x:° „r»:3'� 6,'°A' c .r�z.,�v � IN..vs,s =a•L':7:: "fit �,rr` ?a`.jw�� , tieX,.:e. ",_ ns`„'.,�ti'�' %,f�' �'���i.'- a. aP'a,a.—.3 �" ,:ar�^5' m','� -, s' u ",� ...-✓-«s �` -'--�"'-':' i6� f.'-`. .^ ""..� ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. ~r Delivery address: CITY OF CARMEL,1 CIVIC SQ, CLERK TREASURER OFFICE,CARMEL IN 46032 PREVIOUS BALANCE 13.65 11/01 0801329384 1 5 GAL ICE MOUNTAIN DIRK W/HANDLE 3.49 1 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00 1 9 OZ PLASTIC CUP 50C/SLV 3,29 11/30 0806656906 1 OIL/FUEL SURCHARGE 2.96 K3638951 RENT 3,99 TOTAL 27.38 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Q Subject to terms on reverse side. 13.65 — 0.00 + 13.73 = 27.38 BILLING RIGHTS SUMMARY YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER IN CASE OF ERRORS OR QUESTIONS ABOUTYOUR 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. 6266 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 no later than thirty(30)days after we sent you the first bill on which the error or problem appeared.You can SAMPLE INVOICE 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. ,21.56]690 Your Account Number You do not have to pay the disputed amount while it is being 't00t00-00100600 investigated.During the investigation,we cannot report your account •j ` as delinquent or take any action to collect the amount in question. w-oa 6 2345676 Watch here for a WEDt�']t GENERAL INFORMATION DEC 1B personalized account 1.Payments received after the billing(INVOICE)date will appear on Important q c,m ,k""�`'-600'03-96°8 { message your next invoice.Past due invoices(not paid within 30 days of news and ' g billing date)may be assessed a late fee as allowed by law not to offers 119^13-- exceed S20 month.Additional third ey per Additionally, party eollection/attom expenses may be assessed at a rate not to exceed 100%of the unpaid balance or the maximum allowed by law. a�. « yw;vo '+"t=;v' =` 1 Pay electronically 2.Each returned check is subject to a service charge subject to the maximum check return charge allowable in your State. x . c', Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity amount has been ACTIVITY. since your pccouarperMTV 4. Equipment replacement costs will be c an'weomo0 paid in fall to ep barged for bottles lost, last invoice avoid late fees stolen,damaged or not returned. 0 a 5.In accordance with NWNA's Terms and Conditions("T&C"),your Monthly Oil Equipment Lease and/or Service Agreement account may be o9n, „Jens,,,,+ r,,.,s,.�wr ` 3_ L� Surcharge,Fuel subject to minimum monthly purchases and/or early cancellation rr:4 f,;_�, „,� rg fees.(A complete version of the current T&C may be viewed on the �' jb6`0"' 7 , r% 'a°` Surcharge or Delivery website listed below)Upon service discontinuation,rent for the Leased Equipment is charged through the end of the billing cycle :- Fee(see#6 under m a, in which service is discontinued. i 'General"-`""""" _ °"" Information' 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or w.ww""` ,nn� ,,,,•, '"- Delivery Fee as described in your T&C. Only one of these fees Payment Stub pccoul+r SUMMARY— —^ �,s.TM+zAmouw will a to each account. The fee that applies to our account _-�----------- °pre- PPIY PP Y ���.e �wwm„^ _ACc' Javo E0. °o10D tEnccosrn is stated on the front of the invoice.For further information please earwc opn ' f visit the website listed below or contact our customer service 001°°6°° �,1VJICE ry0p,6E0. ,23�56J890 center. P subject 04262712619 000391049 2004 16 7. As a food product, bottled water is subject to the rules and € Amount due regulations promulgated by the Federal Food and Drug O.D- i Administration(FDA). pe4wprrncor6run' ,z3-- 8.Your first invoice indicates the products delivered on your first KMa", ""„�.,... °+r'une 0ppp0 , ,,,] 1 Submit your delivery,along with any applicable bottle and account deposits, la•�.6 +-a i0P"15iO"°°5E° r i payment by this u=M•�On R°•""5ide redemption fees,and any dispenser charges.All future invoices y,,,0,e�.�0n""""S°` _ date will reflect charges for water delivered and dispenser rental,bottle �, ,wwe1 _ - - 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 08/12 tQ service.icemountainwater.com Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995) 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 l,� ► J ' " ��� � Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 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. I�1p ALLOWED 20 IN SUM OF $ ON ACCOUNT OF APPROPRIATION FOR 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 -7148 materials or services itemized thereon for which charge is made were ordered and received except 20 r Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund