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ICE MOUNTAIN- 002959- 6/21/2012
CARMEL REDEVELOPMENT COMMISSION 002959 1 Ice Mountain Check: 2959 PO Box 856680 Date: 6/21/2012 Louisville, KY 40285-6680 Vendor: ICE MOU1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Pa 53112 20.97 20.97 0.00 0.00 20.E may 2012 wate 20.97 20.97 0.00 0.00- 20.E • THE KEYATADOUME laKcURITY 4 HEAT ACTIVATED�THUMB;P.RINT o ADDITICHWURITl�IY�FeAT,URES'I CLTUDEp/SEE I*KI RiDETAIP osb ,EN. Carmel Redevelopment Commission A REGIONS 002959 .. P n" 30 West Main Street a '21 Suite 220 20-1421/740 CAR `y Carmel, IN 46032 2959 DATE AMOUNT 6/21/2012 ***************20.97 PAY THE SUM OF TWENTY DOLLARS AND 97 CENTS ********************************************************** TO THE ORDER OF Ice Mountain PO Box 856680 SENS,t/ Louisville, KY 40285-6680 AP sf9 WII'r'�I 0 ' POO 295911' 1:0 ?ILO 2131: 0087504 &11' � wrv � - service.icemountainwater.com BILLING PERIOD INVOICE NUMBER 1C MOUNTAIN #215 6661 DIXIE HWY,SUITE 4 05/01/12 05/31/12 02F0121975593 4 LOUISVILLE KY 40258 direct ADDRESS SERVICE REQUESTED UPCOMINGDEIIVERIES ACC©UNT NUMBER 11'I II I I I I I III Mil I I I I I I I ell III TUE- JUL 10 0121975593 WED- AUG 08 FRI- SEP 07 MON- OCT 08 CARMEL REDEVELOPMENT COMMISION SUITE 220 Customer Service: 1-800-472-9888 DON CLEVELAND Pay your bill online at:service.icemountainwater.com or 30 W MAIN STREET by phone at: 1-800-472-9888.It's free! CARMEL IN 46032-1938 111'111111'11111111111111 11 Refreshing Djriks Refreshing Savings F:or a,llmrted time;,enjoy$1 off select cas s offTRADEWINDS'�&; SyWEET. LE+4 B'''''gesWith'prices:thistcool bring onv„ eEheat!Loggo nto"--' e'e.e„�cemo7,-P- water co 47;14 call/1=80072;9888 to'add¢to you„r„..?�next�or_dert Offer expires 7%31112 ' Ali , ' $ �� „'r E q� ,,. r g .s �. r` .4;11.,. �k` ,X 1” 4P' ° nWl: ,r a?" � �,,,*7 ", 'l r r°' C s 1 r .4,ra s ,oat 3'"'"" ," 0� ,�^asy, te a✓ , arr r .3,4.x'" „e , ✓ r r° r �g 3g.-' "" ,r 4-r� .'? ,,, ,B° ,-.7144, rL�7" ,a".r :'t .,e ,-r ',,.,r" ,rnr g' ,,,,,. „-A4- s ,n,1,- , 76. wr' de `' .dr `-,,, &'d. n. A'r ,p,',4~,-.�'7,:,-//"A-7.7,:..w r-` y.F'a�; m^ :�„vJ" ��r ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. MOUNT DATE REFERENCE# QTY DESCRIPTION T— - — Delivery address: CARMEL REDEVELOPMENT COMMISSION,30 W MAIN ST STE 220,CARMEL IN 46032 PREVIOUS BALANCE 60.01 5/27 837225 PAYMENT-THANK YOU -60.01 5/09 0774575344 4 5 GAL ICE MOUNTAIN DRK W/HANDLE 26.76 4 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 24.00 4 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -24.00 -6 9 OZ PLASTIC CUP 50C/SLV -19.74 5/31 0779309855 1 OIL/FUEL SURCHARGE 2.96 E2720056 RENT 10.99 TOTAL 20.97 P ' ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT I Subject to terms on reverse side. 60.01 — 60.01 -}- 20.97 = 20.97 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. Y 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 concems. 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. ;. --c9EaU •,"3a3-E3t You are obligated to pay the parts of your bill that are not in question. ,238s67a90 Your Account Number You do not have to pay the disputed amount while it is being /CE MOUNTAIN �I�Ieo al0ot , investigated.During the investigation,we cannot report your account -direct a • �� E !E- "`�0°N e, as delinquent or take any action to collect the amount in question. 7w1-DET. MON-Oa" Watch here for a WED-NOV 21 GENERAL INFORMATION TUE-DEC 18 personalized account I.Payments received after the billing(INVOICE)date will appear on Important um ata.�, ,,,.BOB872-9138' Ym i( ) PPS a „ppJmt.dM •t �, ,, message your next invoice.Past due invoices(not paid within 30 days of news and -Do nu.�.)...."4"9"` billing date)may be assessed a late fee as allowed by law not to offers 123 Mon St """"° exceed$20 per month.Additionally,third party collection/attomey CBy'snu ,,,,aal.3a•tiAu't'A'A expenses may be unpaid balance or assessed at a rate to law 100%of the ','_ k r,�0.0.gerw: O1'"y�' ° : '; Pay electronically 2.Each returned check is subject to a service charge subject to the t- .aa. oO,' t"''''. = . ' sa.. ..,z :„3 maximum check return charge allowable in your State. , - d r ''.4) ., _ Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity • ---��. .•,,,,,®......�- - ,�- �-' "-403 amount has been ACTIVITY. since your ACC _.------- nssrmc.A^e - - .,,,,we e°0°° 99 paid in full to 4. Equipment replacement costs will be charged for bottles lost, invoice it _� .. rymo,e,s 123M+.s '• p aTE*,u.R>�4-C4:,..Q 301„ooe last invoice -11 s • tolen,damaged or not returned. °iTVq∎15OtI o1/ avoid late fees 5.In accordance with NWNA's Terms and Conditions("T&C"),your 08/31 .,898 s 13M'"'is9..9 wen -s008 31788618.8 3 Ke MO.t.'^6Gk DeDo 0-_ - 296 Equipment Lease and/or Service Agreement account may be ,•„ 317B8s,� s ,aMO"M.,c.„. ..B „99 Monthly Oil W/1, 31788518.. ,,.,351/,,,,00?;. i' y� "' subject to minimum monthly purchases and/or early cancellation rat ,i. t;% >: . Surcharge,Fuel 09/, 3182838811 fees.(A complete version of the current T&C maybe viewed on the 09/12 166'°"7 n a Surcharge or Delivery ) '.. : g ry website listed below)Upon service discontinuation,rent for the EDT. -- 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 ,,,,,,•„,,..•,•!dt Information") Delivery Fee as described in your T&C. Only one of these fees Payment stub nccouar SUMMARY rY Y Y Y ---- _ var mis 7,,,,DUNr will apply to each account. The fee that applies to your account ---•°-j.,-,„„„......,...^+�+� ""'•" AC6:WN567890 E8 s7w is stated on the front of the invoice.For further information please ,z3+s67890 enuNCw7E `v� �,rypICE NUMBER ��� visit the website listed below or contact our customer service u3s67139B center. :7. As a food product, bottled water is subject to the rules and asraa96307 ay2B2712b19 00a393oV9 zao°'" Amount due regulations promulgated by the Federal Food and Drug 000000 Administration(FDA). mu a3NTa"w",`°F...•to00 cry,sw�este0°p0 pd,, Submit your 8.Your first invoice indicates the products delivered on your first ,pB 6U8TOM[B 3FMK6(dEE,"80U-,7z-9888 delivery,along with any applicable bottle and account deposits, o payment by this .so.4.ttai+.. � ��,�t,,,p„o.�=d•" date redemption fees,and any dispenser charges.All future invoices 1-01.1-1-'5-4-11-110 „�„welw•^0n^••.+• will reflect charges for water delivered and dispenser rental,bottle yE'.m1o87.8ENnoMo 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 11/08 so_service.icemountainwater.com 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 4'4 1 4/ /,-7 O/- 7' Purchase Order No. /c)X R5-66 0 Terms 400/56'>/4, k ; (6 o Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 573(// Fo/z/37sc93 GGq 20 97 C2 w � Q4 Total 20,- 9 7 -J I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I hav- di same in accor- t;. dance with IC 5-11-10-1.6. —� , 20 (2— ;' �i}r'�r�surer VOUCHER NO. WARRANT NO. ALLOWED 20 //dcyl�.,� /�� rP�-4 IN SUM OF $ Pc 6 eX 216)(//..7- Vii(P) /4 Y 402-s— may° $ go .9 7 ON ACCOUNT OF APPROPRIATION FOR yoz/ Board Members PO#or DEPT.# INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s), 9a2. 5 3 / ( Z 26.9 7 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 (7—// 20 /z Signature Executive Director Title Cost distribution ledger classification if claim paid motor vehicle highway fund Carmel Redevelopment Commission