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HomeMy WebLinkAbout221092 06/18/2013 C"'OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1 Q� ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CHECK AMOUNT: $102.21 i°®moo CARMEL, INDIANA 46032 PROCESSING CENTER PO BOX 856680 CHECK NUMBER: 221092 LOUISVILLE KY 40285-6680 CHECK DATE: 6/1812013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4239099 2 .47 03EO121776199 1701 4239099 20 .47 13E7220327048 2200 4239099 21 .24 03EO120048525 2201 4238900 27 . 45 13EO117821082 1801 4350900 03EO12197559 30 . 58 03E0121975593 y service.icemountainwater.com 0 #215 6661 DIXIE HWY,SUITE 4 05/01/13-05/31/13 13EO117821082 ' LOUISVILLE KY 40258 e ® 0 ADDRESS SERVICE REQUESTED N 18 0117821082 THU- JUL FRI- AUG 16 TUE- SEP 17 Customer Service: 1-800-472-9888 CITY OF CARMEL STREET DEPATMENT Did you forget about us? Kindly pay upon receipt. 3400 W 131ST ST Remember,past due accounts are subject to a late fee. CARMEL IN 46074-8267 Your prompt payment is appreciated. For your �Ill�llll�lllll�l�l�l�ll�lil'llll'lll�l"I'I���"I'�I!IIIIIII�III convenience,pay online:service.icemountai nwater.com. If payment has been made,we thank you. `Refresh your senses with.Nestea! -Buy any 2 cases oft1/2 liter-Nestea bottles for only$12.98! Available in,a ` variety of refreshing flavors; including new Raspberry Tea!Visit service.icemountainwater com or`call 1-800-472-9888 to.add to your next order! Offer�expires 9/30/13 # s. .. :4i _ x' ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. ® ® NMI i e Delivery address: CITY OF CARMEL STREET DEPARTMENT,3400 W 131TH ST,CARMEL IN 46074 PREVIOUS BALANCE 47.92 5/12 744386 PAYMENT-THANK YOU -23.92 5/20 0830195384 4 5 GAL ICE MOUNTAIN DIRK W/HANDLE 13.96 4 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 24.00 4 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -24.00 2 9 OZ PLASTIC CUP 50C/SLV 6.58 5/31 0833176613 1 OIUFUEL SURCHARGE 2.92 E4540577 RENT 3.99 TOTAL 51.45 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT y Subject to terms on reverse side. 47.92 — 23.92 + 27.45 = 51.45 o'er - - - - ----------------------- ----- - ---- ------------------------------------- - BILLING RIGHTS SUMMARY YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER -1 t 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 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 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 i writing later than thirty(30)days after SAMPLE INVOICE sent you the first bill o on which[he he error or problem appeared.You can an 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. - -` T Your Account Number You do not have to pay the disputed amount while it is being �looto°-aolooloo 21+sb7a9° investigated.During the investigation,we cannot report your account t as delinquent or take any action to collect the amount in question. TMB ocr a tz34sb7se M°N.ocr 39 Watch here for a GENERAL INFORMATION N° ,B personalized account I.Payments received after the billing(INVOICE)date will appear on Important c1„�smk=� message your next invoice.Past due invoices(not paid within 30 days of news and ,,,,,,MYW ioe uiln9 ke MOUnum p,ua D. billing date)may be assessed a late fee as allowed by law not to offers �i ii s, •ne.m+«• exceed$20 per month.Additionally,third party collection/attorney expenses may be assessed at a rate not to exceed 100%of the m�,n<., . •""°`_.. - + unpaid balance or the maximum allowed by law. Pay electronically 2.Each returned check is subject to a service charge subject to the • ^°"""°` YNr� """`�p4f1' Yy,! 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 AccouNTACmnn paid in full to 4. Equipment replacement costs will be charged for bottles lost, •� �,Md" >hno«.,23�'n `Orf's°re ooaao % last invoice stolen,damaged or not returned. avoid late fees P,ym¢nt-TtwnlYw %% 5.In accordance with NWNA's Terms and Conditions("T&C"),your �, n6,e9e s swmnNawm�sv6nw,,.. x:� Equipment Lease and/or Service regiment account be 5,'.. .. .. k.M°°°`a�°scai°•w°, Y n, 3 rBB Mwnumswix,°m Monthl Oil ment A may q P g y subject to minimum monthly purchases and/or early cancellation B't" „amsae,� �•'�"`""9` Surcharge,Fuel B9nx fees.(A complete version of the current T&C may be viewed on the ��' "A'0 97 B.n `% Surcharge or Delivery website listed below)Upon service discontinuation,rent for the To,AE Fee(see#6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. ° � o ..Y Tnrs •" 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or Information') Delivery ee as described in you T&C. Only one of these fees Payment stub ACCOUW SuMMAaY _ _-- ry y •J y _— PAT THIS AMOUM PAY BY will apply to each account. The(ce that applies to your account __'_' �,�,.�,w P•r"^^• AccouNT N°MBEa ootw oo xxx% is stated on the front of the invoice.For further information please I2;<5678" B,wNG DATE MT ENCLOSED "o,c,NUMBER WIaBtW visit the website listed below or contact our customer service 1234567890 center. 7. As a food product, bottled water is subject to the rules and 0120046307 04282712619 000391019 2004 1° Amount due regulations promulgated by the Federal Food and Drug 1m,— Administration(FDA). �QMWNLA,N WATE0.COMPANY 5t0�00 o Submit your 8.Your first invoice indicates the products delivered on your firs[ roa usTOMEB U.BYKE Cn,i,�"n�9ea° , delivery,along with any applicable bottle and account deposits, ,s„• payment b y this L3 date t.4L".n n 60..4oL646a.0 vnm r+n cn+ 0i redemption fees,and any dispenser charges.All future invoices � •V10,,,,,�„",v.w••^�n"•"`n` 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 Spring Water Company, a Division of Nestl6 Waters North America Inc. Form No.NW 70908/12 service.icemountainwater.com WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ALLOWED —20, ACCOUNTS PAYABLE VOUCHER IN SUM OF $ CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by 85-6680 whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee $27.45 Purchase Order No. OF APPROPRIATION FOR Terms Street Department Date Due Ic N ACCT#rFITLE I AMOUNT Invoice Invoice Description Amount Board Members Date Number (or note attached invoice(s) or bill(s)) 17821082 1 42-389.001 $27.45 1 hereby certify that the attached invoice(s), or 06/04/13 13EO117821082 $27.45 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 F Jurl 2013 /% .4A10 rff RrF StrewtZ qkMner Title distribution ledger classification if I hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accordance paid motor vehicle highway fund with IC 5-11-10-1.6 20_ Clerk-Treasurer service.icemountainwater.com ' ®® 111iff"N #215 6661 DIXIE HWY,SUITE 4 i LOUISVILLE KY 40258 05/01/13-05/31/13 03E0120048525 ADDRESS SERVICE REQUESTED FRI_ JUN 07 II��IIII�II II�I�I�I�I II II I�I�I I �II 0120048525 TUE- JUL 09 WED- AUG 07 FRI- SEP 06 CITY OF CARMEL DEPT OF ENGINEERING Customer Service: 1-800-472-9888 LISA SCOTT OR JUDY STOHLER 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 1I111 '1111111Jill1'llll1l'11'1i111'11 convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. Refresh'your senses with Nestea! .Buy-any 2 cases of 1/2 liter Nestea bottles for only $12.98! Available]a - ,variety .of refreshing fla"vors, including new Raspberry:Tea!,Visit seivice.icemountainwater.com_or call`1,=800-4.72-9888 to:add to your4next order! Offer expires 9/30/13 a 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,1 CIVIC SQ, CITY ENGINEERING DEPT,CARMEL IN 46032 PREVIOUS BALANCE 42.48 5/12 744385 PAYMENT-THANK YOU -21.24 5/08 0828480509 4 5 GAL ICE MOUNTAIN DIRK W/HANDLE 13.96 4 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00 1 9 OZ PLASTIC CUP 50C/SLV 3.29 4 5 GALLON ICE MOUNTAIN DEPOSIT RETURN .00 5/31 E4552988 RENT �p�,�p1 L93�Q 7���\ 3.99 1 TOTAL ^� �� 42.48 C �!�� i9 C�����C w o��Z8Z�.����'L ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 42.48 — 21.24 + 21.24 = 42.48 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 1-800472-9888 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 SAMPLE INVOICE 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 there is an error. You are obligated to pay the parts of your bill that are not in question. ,23s°7avo Your Account Number You do not have to pay the disputed amount while it is being 00100100-00100100 investigated.During the investigation,we cannot report your account 1 723/5678 as delinquent or take any action to collect the amount in question. 1Ha OCT°' NoN-«.z9 Watch here for a wgi Nw n GENERAL INFORMATION ur- '° personalized account 1.Payments received after the billing(INVOICE)date will appear on Important c"ao�s�^'"°'�0°In'v°a° aa:ntuetma,�Ivaun.a;auru message your next invoice.Past due invoices(not paid within 30 days of news and 1w�r-'°"""'"` billing date)may be assessed a late fee as allowed by law not to offers 1123~S, °'" •i Gry.Sn MON exceed$20 per month.Additionally,third party collection/attorney expenses may be assessed at a unpaid balance or the maximum al t exceed 100%of the allowed law. Pay electronically ronwtWO°1^�� o,o-T au4WJ�Y�' rt,,,�hm�Amac4. 2.Each returned check is subject to a service charge subject to the ' > u<�id�°",,,�e�.+6,Y•+wodu"s maximum check return charge allowable in your State. Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity ""' °'°"" Kn. "" -^�'•°'°'"°" amount has been ACTIVITY. since your AeeouNrACrrvlrl''Y - �,�,,.�,5,,,e00oro 4. Equipment replacement costs will be charged for bottles lost, paid in full to last invoice avoid late fees stolen,damaged or not returned. 5.In accordance with N WNA's Terms and Conditions("T&C"), our an, -M Lease and/or Service Agreement account may s M°""'"5G10eP, Monthly Oil Equipment g Y n, Tneas,.a.a ,tt c,,x, Y subject to minimum monthly purchases and/or early cancellation 09"' 31r r�'w'du'0` ^' 1 Surcharge,Fuel fees. A complete version of the current T&C maybe viewed on the �„ 1fi6D"'�, - ., ( P Y r:� ;m '°"° Surcharge or Delivery website listed below)Upon service discontinuation,rent for the a'. Fee(see#6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. R C,�„.A N"• _ '""m o 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or ,a.,,wsw•N� --,a:n s _ Information") Delivery ee as described in our T&C. Only one of these fees Payment stub ACCOUMSUMMAar •c•,a.,u• rY Y Y Y — vAY sY 'Ay 7urs Nr will apply to each account The fee that applies to your account _"_"- """°""'°�"•°" ACCOUNT NOMBIR 00 is stated on the front of the invoice.For further information please '23 W$W Nw,+c OAir .rNaosw visit the website listed below or contact our customer service 'NV12c 678" 00100100 12H°61890 center. 7. As a food product, bottled water is subject to the rules and 0420096307 04282712619 000393049 20V 1° Amount due regulations promulgated by the Federal Food and Drug Id-- Administration(FDA). ,OUNw.WA;O,",'1PA K- 23 M�S 0°°°0 p�,,, Submit your 8.Your first invoice indicates the products delivered on your first rov�usromsx sTAVCr cui,aoo+rzae°e delivery,along with any applicable bottle and account deposits, ��•,�a,,.at4w.a ❑ ",,,,•„„•s„• payment by this redemption fees,and any dispenser charges.All future invoices t' "�• „q,,,, �^^°j5i°` _ date will reflect charges for water delivered and dispenser rental,bottle vT+,wra,v,u.um�^r. 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. I ©2008 Ice Mountain Spring Water Company,a Division of Nestle Waters North America Inc. Form No.NW 709 08112 Service.icemou ntainwater.com j 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 Purchase Order No. POB 856680 Terms Louisville, KY 40285-6680 Date Due Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s) Amount 6/4/2013 0 water cooler $ 21.24 I Totall $ 21.24 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 i VOUCHER NC WARRANT NO. Ice Mountain ALLOWED 20 POB 856680 IN SUM OF $ Louisville, KY 40285-6680 $ 21.24 ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#/TITL AMOUNT DEPT# I hereby certify that the attached invoice(s), 0 0 2200-4239099 $ 21.24 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 / 6/17/2013 Signature City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund service.icemountainwater.com 001 M _ • #215 6661 DIXIE HWY,SUITE 4 - v a LOUISVILLE KY 40258 05/01/13 05/31/13 13E7220327048 ADDRESS SERVICE REQUESTED — ® ® - ® -- -- FRI- JUN 07 B�I1 I M1 I I I I I I N N TUE- JUL 09 7220327048 WED- AUG 07 FRI- SEP 06 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 IIIIIIII'liliill"'I'll'I'lll��ll�llllilliilillll��'lllllll'lll'I convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. Refresh your senses with Nestea! Buy"any 2 cases of`1/2 liter Idestea`bottles;for:only$12.98! Avai}lable.in a lvariety of refreshing flavors, including,new Raspberry Tea! Visit service.icemountainwater.com or call - �-800-472-9888 to>add to.-your next order! Offer,expires 9/30/13 t 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,1 CIVIC SQ, CLERK TREASURER OFFICE,CARMEL IN 46032 PREVIOUS BALANCE 27.38 5/12 744384 PAYMENT-THANK YOU -13.65 5/08 0828480707 2 5 GAL ICE MOUNTAIN DIRK W/HANDLE 6.98 2 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00 2 9 OZ PLASTIC CUP 50C/SLV 6.58 2 5 GALLON ICE MOUNTAIN DEPOSIT RETURN .00 5/31 0833297161 1 OIL/FUEL SURCHARGE 2.92 E4581402 RENT 3.99 TOTAL 34.20 l� ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURffENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 27.38 — 13.65 + _ 20.47 = 34.20 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 WATER CO. 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. 6661 DIXIE HWY., 4 If you prefer,you can pay your bill online at service.icemountainwater.com 6661 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 SAMPLE INVOICE 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 there is an error. You are obligated to pay the parts of your bill that are not in question. •• 1234-61190 Your Account Number You do not have to pay the disputed amount while it is being 00100100-00IOOj°a investigated.During the investigation,we cannot report your account a ,23.156]69 as delinquent or take any action to collect the amount in question. r`I-o,w w,o-w 29 Watch here for a =E Mw n GENERAL INFORMATION mr,a personalized account 1.Payments received after the billing INVOICE date will appear on Important t�oo-o2-sma , Y g( ) PPe �p•L1pi,�itltl.n:audtl C4S�,smk` message your next invoice.Past due invoices(not paid within 30 days of news and 16ft:dli.d -. x�,,,•,,,,,,gk.M«n�ae°""' billing date)may be assessed a late fee as allowed by law not to offers iziMa�^s, „,a,•rke..ODOOO exceed$20 per month.Additionally,third party collection/attorney °ry's`d1e ,.at.dt•►a�.-46t.b�"a I.daJ.d.aL.A'- expenses may be assessed at a rate not to exceed 100%of the unpaid balance or the maximum allowed by law. _ yt�;,„,;,�m .�y��'"'""'� x °a°"'4 - Pay electronically T9maro4ax� <an.YOarmtl�xkYW��O" hnroie! 'N 2.Each returned check is subject to a service charge subject to the :�+�^”"^"°` �-- , maximum check return charge allowable in our State. eerrt6aonk.RaF.>u,�; dF„eu<+. _ g Y Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity ," ._ _ a✓°"°'4°°'""°`m ACTIVITY. �^"^`•""'"""` � amount has been since our pCCOUM AC1wtiY� y w o9•,t��hs,� °•$b"00°°� paid in full to 4. Equipment replacement costs will be charged for bottles lost, last invoice °`�"`ryA°drs xx'°` stolen,damaged or not returned. ,a,w"e avoid late fees FsYment-1NnkYU+ 5.In accordance with NWNA's Terms and Conditions("T&C"),your mn, aa�a98 s scanmN,t"a'sFA�9w+"' xx'� n, 31]ms,+✓^ ke MO=� ,o o , rxxx Equipment Lease and/or Service Agreement account may be /„ 3,]mv4.44 s sGalRat4n, - ' Monthly Oil S ke Mwnwn xyyx p9/11 31]m51M44 r"¢I S-1N9• 't•ti"a 3 subject to minimum monthly purchases and/or early cancellation /,_ „ „ f "�I�_�•�. l,; Surcharge,Fuel fees.(A complete version of the current T&C may be viewed on the o9m 16fi'O"] Surcharge or Delivery website listed below)Upon service discontinuation,rent for the TOPL - Fee(see#6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or ,�„ wANCt --,a;0; _ : Information's Delivery e as described in our T&C. Only one of these fees Payment stub ACCOUNv SUMMARY ,L•uxx 2'Y Y •J Y FAY THIS AMOUNT will apply to each account. The fee that applies to your account ____--- �� �-"`. ACCOUNT NUMBER wt xx xx is stated on the front of the invoice.For further information please ,23456 UM aiWNG OAh ,ENCLOSED INVOICE 12567II90 W/w/w V151I the website listed below OI Contact our customer service ,23.56)890 center. 7. As a food product, bottled water is subject to the rules and 042009630"1 04262712619 000393049 2004 16 Amount due regulations promulgated by the Federal Food and Drug Administration(FDA). KEW--NwAll'CoM" 23 st00pp0 Submit your 8.Your first invoice indicates the products delivered on your first Na usraMERUxvKEUU,-aad'n-gam delivery,along with any applicable bottle and account deposits, � .a•ttW»t�d1„n„6a•.b.LU.t•�.a sue. ❑a�AMVo• sb` payment by this redemption fees,and any dispenser charges.All future invoices N„oMrsa�•w^`T"`dpp°`� _ date 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 Spring Water Company,a Division of Nestle Waters North America Inc. Form No.NW 709 08/12 Q service.icemountainwater.corn Prescribed by Slate 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 �1 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) i 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. r ALLOWED 20 IN SUM OF $ K5 Woo U I s ua,) , 1N 405- WOW ON ACCOUNT OF APPROPRIATION FOR 0( miq Board Members PO#or INVOICE NO. ACCT#!TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), or I l P [3� 6 3,,� �,L(� 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 20 a� Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund t-.. service.icemountainwater.corn ®® #215 6661 DIXIE HWY,SUITE 4 05/01/13-05/31/13 03E0121975593 ® LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED 1I �� I II 1I 1II gill 11 I I I I Il 'II THU- JUN 0121975593 11 FRI- AUG 09 TUE- SEP 10 CARMEL REDEVELOPMENT COMMISION DON CLEVELAND Customer Service: 1-800-472-9888 30 W MAIN STREET Did you forget about us? Kindly pay upon receipt. SUITE 220 Remember,past due accounts are subject to a late fee. CARMEL IN 46032-1938 Your prompt payment is appreciated. For your IIIII��'�II�III'I'�'I�'ICI'II"I�IIII'�III�'I�III'I�II��I'�I��II� convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. i. .-..',�-C,". 1^: '...'.S fi. `✓. '.ffi�a' '.✓t�•s_._ ; T'3 :. Refresh yoursenses'%wittiNesteal Buy,zany=2casesof`'1`/2liter�,Nestea Bottles%for only$12:98! Available in<a ; ... „our.-, ith�a*d6itea Zw' '. ` d'n; r! ,!iiiIab.� �a vartetywof refresiingtflavors :including;'new Raspbere ervice rcemountainwater.com.or calryTVt 11-800 472-9888 to. a`dd to oyr.n`ezt"orderE0ffer•.-ez'ires = " ::.� � _•sm ��r. ��,,.°�°�"��ri,,��:._.;.�`�.`��"z�>�.�` -. der ��,` '�'x:,w- �" '` �...:_ �'".%=:r.,,r,: .> �3�,:"' .,a .,:s, "' ,�a� `;:P"e„&'"*:� .��✓:"'6.... «.. ��x.�' ?�'��:7�:: .,�.f�:%;,„��.P:'�i%'��:�,;�° i. ✓,a,'Sw"'°;r1;rt�' r-n.v.;.f�� "`y"..'�.:,.s"x=.•,�/z'°°"s.:_�s�"�s� R,y::����s r .dr "e i y.'�, ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. ® s s Delivery address: CARMEL REDEVELOPMENT COMMISSION,30 W MAIN ST STE 220,CARMEL IN 46032 PREVIOUS BALANCE 77.83 5/12 744383 PAYMENT-THANK YOU -43.92 5/10 0828977629 2 5 GAL ICE MOUNTAIN DIRK W/HANDLE 13.38 2 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 12.00 2 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -12.00 1 9 OZ PLASTIC CUP 50C/SLV 3.29 5/31 0833221492 1 OIL/FUEL SURCHARGE 2.92 E4612787 RENT 10.99 TOTAL 64.49 woo•Ja;eMulelunowaol•aolAJas_ zuao 60L MN'ON w,oJ .Oul euuatuy 141JON SJ91UM 911seN 10 uolslAla a'/tuedwo0 jaleM buijdS ulelunoW aOl 8002 O Isauangap omJ 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 SAMPLE INVOICE 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 there is an error. You are obligated to pay the parts of your bill that are not in question. '' ' You do not have to pay the disputed amount while it is being 00100100 0oloolta 1234567890 YourAceountNumber investigated.During the investigation,we cannot report your account E ` as delinquent or take any action to collect the amount in question. 1H6-ocr a 23456799 MON-al 15 Watch here for a vrEo-Nov�, GENERAL INFORMATION nE- 18 personalized account 1.Payments received after the billing(INVOICE)date will appear on Important ,�Ip,�apnatW.a,alaa0 cu°""'s""".1 so°-`7296 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 1123�S` exceed$20 per month.Additionally,third party collection/attorney c "s— 00000 ry,a«"It L.66Md.n .aca..a.at• expenses may be assessed at a rate not to exceed 100%of the unpaid balance or the maximum allowed by law. _� >~- ,mcdai« r, mea,mo,e�lua -9.;._r, ';, Pay electronically 2.Each returned check is subject to a service charge subject to the �t maximum check return charge allowable in your State. `'l� ;3 . . ...x.�w7," r.,„ w _ Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity s�„"._u_, nax"°°""°"'•" ACTIVITY amount has been since your COUNT pCnHrl" Dce 113 Man S°re,,cm's..00ow aid In full t0 4. Equipment r replacement costs will be charged for bottles lost, 'De�nenneel�:.>�� P last invoice xx stolen,damaged or not returned. avoid late fees pry,nent-11�ankYW 5.In accordance with NWNA's Terms and Conditions("T&C"),your 06.3, 461797 s sc.eooe>��.'sv"^9`^`"c` ,n ml6anw+ s memo��ta�^sw1D.c�6i xxxx Monthly Oil Equipment Lease and/or Service Agreement account may be 3nees<+4^ ,ceM"onva,nsGa�6etum >� 09/11 311W8 144M Fuel6u,c6xe subject to minimum monthly purchases and/or early cancellation Qe �` -f"'- Surcharge,Fuel o9n1 3,61639711 �+ a: fees.(A complete version of the current T&C maybe viewed on the 69/11 0600°" " Surcharge or Delivery website listed below)Upon service discontinuation,rent for the rout - Fee(see#6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. e,,,,,,,,K,,•+D = e"""'"x M 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or •MV,a„,M],t,l -"' s _ Information") pCCOUNr SUMMARY' xxxx Delivery Fee as described in your T&C. Only one of these fees Payment stub E.9� --iws AMOUNT will apply to each account. The fee that applies to your account °- ,,.,,,m ,«w>m^"•" ACCOUNT NUMBER ppY BY W> is stated on the front of the invoice.For further information please 1234561990 6 W W ORE ,ENCLOSED cr visit the website listed below or contact our customer service iNVOiS 3056]V690 .1,01w 1 center. 7. As a food product, bottled water is subject to the rules and ❑„20096307 04262712619 000 1° 391049 z004 Amount due regulations promulgated by the Federal Food and Drug lone0- Administration(FDA). ieE ouNrar+wArr MAC°,., YM�;°1es`OO 8.Your first invoice indicates the products delivered on our first Submit vour p y LOP CUSrOMfP SEPACE UlE I-6004]3.9687 delivery,along with any applicable bottle and account deposits, payment b this sa..h.dw.w.a e ❑�,.,..,E9,.9e��eP,e,us� P Y Y redemption fees,and any dispenser charges.All future invoices �6rzn.one.w,,.ao�eere„es,e date will reflect charges for water delivered and dispenser rental,bottle s6,B ue eo6 EUn 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 11 ti­,.Pe., cn 1,nFth—in.,.;, ,,,ill­nfl 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 0--13 03 E OIIN WA '3 5'0 Total 3�, 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 VOUCHER NO. WARRANT NO. /� r J �L (� / 'OU/jTA/ D /r��:� ALLOWED 20 IN SUM OF $ $ 3 0 s1 ON ACCOUNT OF APPROPRIATION FOR Igo// X354960 Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), or i 03 3 3-5 SB 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 6-17- 2013 re Title Cost distribution ledger classification if claim paid motor vehicle highway fund