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Home My WebLink About216075 01/09/2013 a \�f CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER i CARMEL, INDIANA 46032 PROCESSING CENTER CHECK AMOUNT: $58.64 PO BOX 856680 CHECK NUMBER: 216075 LOUISVILLE KY 40285-6680 CHECK DATE: 11912013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4238900 02LO11925282 58 . 64 02LO119252823 service.icemountainwater.com N 119M #215 6661 DIXIE HWY,SUITE 4 to w LOUISVILLE KY 40258 11/13/12- 12/12/12 02L0119252823 ADDRESS SERVICE REQUESTED 1111 1111111 I� �I I I I I �� III IN MOD- JAN 07 0119252823 WED- FEB 06 FRI- MAR 08 TUE- APR 09 CITY OF CARMEL STREET DEPARTMENT Customer Service: 1-800-472-9888 BONNIE CALLAHAN Did you forget about us? Kindly pay upon receipt. 3400 W 131 ST ST Remember,past due accounts are subject to a late fee. CARMEL IN 46074-8267 Your prompt payment is appreciated. For your convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. d>�m'-r—�A j., %e, , ��»� `,ya;: a�'°��:�`:- i�i�o-. '+'.d�ax.1� a\�°`�`�L° :'�. �A� ".i;��_`x.�°- ;a�;b 'ac`�. •`aw'. _: _ .w��?;° <'�K x`°, Be reatlfgr.alfth!s` ear?s.celebratlons Now°throu h 12%31/312=:en osavin son°c ses ofaACQUA;PANNA aS PEL'LEGRINO SAN_PELLEGRINO:SP.QRKLING•FRUITkBEVERAGES &.PERRIER GaIl, 800-472,9888t'-'to - -= a�.:.?�. z._.. -�.:�� ._.,:�.• .c-Y. -z ry-� au...:.��.°,�- mW„e.3,a<.., .. ,.- , - _mom-�.�-,._aS"`��',.�.-� >a:. ..,. <,. --p .�- ,'y°�" o_ akLh'`'':. _ -�`�*:az Y=- g; ;...- .:.a• .*: 5 :key .m "�?x....-_�`,'c�°,C,',..� z�.�.'e3'�y. , '_", �, -. a'�i'.;° :.y.•.,:�. ...'�'a..: b 'fie... 3°�'4n 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 71.46 12/04 0805830924 9 5 GAL ICE MOUNTAIN DIRK W/HANDLE 31.41 9 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 54.00 8 9 OZ PLASTIC CUP 50C/SLV 26.32 10 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -60.00 12/12 0808649008 1 OIL/FUEL SURCHARGE 2.92 L3794085 RENT 3.99 TOTAL 130.10 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.If you #216 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 SAMPLE INVOICE 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 telephone us,but doing Date range of this invoice so will not preserve your rights.In your letter,give us the following Information: Your name,address,telephone and account numbers. ^ [23+567890 • The dollar amount of the suspected error. / 00100100-00100/00 • Describe the error and explain if you can,why you believe there is " iz3nse7890 an error. THB0C'°' MDN-« =9 Your Account Number You are obligated to pay the parts of your bill that are not in question. wEONOV_, NE DEC,B You dg not have to pay the disputed amount while yit is being mlt:an,ab,alwt:Jm,um�,„Ina"�'nJ,tu Cmlomet5ervke'1eoB-nz"9888 investigated.During the investigation,we cannot report our account T„a"Ero°i°•°a.9"`M°""°'"°"' � Watch here for a as delinquent or take any action to collect the amount in question. I"n^D« ,„a.•rvka. 23Ma,^sl P ka,e D°°°° personalized account Ciry. La.J...I.ILI.J„a Important GENERAL INFORMATION Im P q, message 1.Payments received after the billing(INVOICE)date will appear on news and _ _.��r.--�•�^ <»S• `°,,. M' `” Y g( PP »•-----';:'��;w�umaei«n�'�Mativro9°^m�meatic �°^e'a&..,:x`;r�:' .... our next invoice Past due invoices(not aid within 30 days of 7' P Y offers billing date)may be assessed a late fee as allowed by law not to ^: e�w.m« °�;;`.' <.- -;•+-=�,»}'_.=i^3;,=`• ';"`�`� exceed$20 per month.Additionally.third party collection/attome - ' .,,„A,,.w.". Pay electronically expenses may be assessed at a rate not to exceed 100%of the ACCDUNTACT,,,y `•>>°""°°'�"" unpaid balance or the maximum allowed by law. •Dewen Ad—,.Jon^D«.a3Mamsc,ee,,oors,a,e°°°°0 n Make sure this 2.Each returned check Is subject to a service charge subject to the �;°°sBa�="•• amount has been paid in full to Activity m,m>nLr^° maximum check return charge allowable in your State. as,B9e swN=,",•,sm�^9">`° 50°° your avoid late fees 3. All bottle and equipment pment deposits are shown as CURRENT , ^,�A,Re° „99 ACTIVITY. last invoice 9zn' J"�J""a s ae�5"'.«`9er:),m, , 09113 1,036JBBtt 57 a0 4. Equipment replacement costs will be charged for bottles lost, stolen,damaged or not returned. 0 AL E°"— Monthly Oil 5.In accordance with N WNA's Terms and Conditions("T&C"),your Surcharge,Fuel Equipment Lease and/or Service Agreement account may be _ ,aM•<TM'^ _ """"n� subject to minimum monthly purchases and/or early cancellation Your new I „w,,,, _ Surcharge or Delivery ACCOUNT SUMMARY __ <,,,, ,k,,,�,,,,„„„,,.�,aB Fee(see#6 under fees.(A complete version of the current T&C may be viewed on the delivery ”` ""'""��--�_ --- eoo website listed below)Upon service discontinuation,rent for the calendar. '�y De-----es "General Leased Equipment is charged through the end of the billing cycle ,M Information"} 'D'indicates in which service is discontinued. 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or a scheduled Delivery Fee as described in your T&C. Only one of these fees delivery i I; r „„ n "° •„•^ will apply to each account. The fee that applies to your account is stated on the front of the invoice.For further information please y o,',f,;. M mm n m visit the website listed below or contact our customer service G•o"°""" "'° �n n..•,. '3�>s;a „" Bn_ ' center. Payment stub r� - ------- pAYOY 1AY THIS AMOUNT 7. As a food product, bottled water is subject to the rules and w7b„wm ,�, o V AccouNrauMBER s,00 Amount due oBlaDloo regulations promulgated by the Federal Food and Drug oiCE NUMBER O,WNG DATE NCLOBED ,NVOKE 67890 W,./W Administration(FDA). Jz3as57B90 8 Your first invoice Indicates the products delivered on your first delivery,along with any applicable bottle and account deposits, ...0096307 0"282712619 0003910V9 z0Dr0701 Submit your redemption fees,and any dispenser charges.All future invoices will I"n"D« payment by reflect charges for water delivered and dispenser rental, bottle �cEMOm+Ta;wArER.IoM.,";,. .. 133M>�"s� „�, c,cysa,. oo°oB this date deposits and credits plus charges for any additional products w OS.DMLRSERm<E<ALL,-a°°->j3-9°°a ordered by you. Deliveries are made every three or four weeks,for 6„Ind„J„la,„.a.,al„Jt.a'tl'd^ua•4't"n s,,, ❑E�"� <^>"geO"°""":„` a total of 16-17 deliveries per year.You will only receive invoices SAN„p•08'B"P1ROp""51°°°"`°"��R��M VOUCHER NO. WARRANT NO. ALLOWED 20 Ice Mountain 4( IN SUM OF $ P. O. Box 856680 Louisville, KY 40285-6680 $58.64 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 102LO119252823 I 42-389.001 $58.64 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'_'/F ridl , Janua °04, 2013 Street Commissioner Title 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)) 12/14/12 02LO119252823 $58.64 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