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ICE MOUNTAIN- 003303- 11/16/2012
CARMEL REDEVELOPMENT COMMISSION 0 0 3 3 0 3 j Ice Mountain Check: 3303 PO Box 856680 Date: 11/16/2012 Louisville, KY 40285-6680 Vendor: ICE MOU1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 0230121975593 103.01 103.01 0.00 0.00 103.01 water services 103.01 103.01 0.00 0.00 103.01 ���----cam...---r--�-�--�--fi.� ,,,_.,�..,.._ __�- TiitAy, �T_woci MENT$EGURITY€?[ AcilyATED ATAb PRitra ADDITIO►VA`L#SECIIRI TyY FEATURES,N.EiTA SEE BAWI:n DETAILS Pis"."tie Carmel Redevelopment Commission P a 30 West Main Street A REGIONS 003303 ��f 20-1421/740 at Suite 220 '`aRMEC`. Carmel, IN 46032 aiiiRK't 3303 DATE AMOUNT 11/16/2012 **********103.01 PAY THE SUM OF ONE HUNDRED THREE DOLLARS AND 01 CENT*************************************** TO THE ORDER OF Ice Mountain PO Box 856680 Louisville, KY 40285-6680 �r15E NS,l S W 11°00330311° ':0 'NO L42L31: 0087504LLlll° CARMEL REDEVELOPMENT COMMISSION 003303 Ice Mountain Check: 3303 PO Box 856680 Date: 11/16/2012 Louisville, KY 40285-6680 Vendor: ICE MOU1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 0230121975593 103.01 103.01 0.00 0.00 103.01 water services 103.01 103.01 0.00 0.00 103.01 X-11-52 COMPUTEREASE FORMS DIVISION(877)577-5791 T-71771 - 4C.), service.icemountainwater.com = BILLIN G PERIOD INVOICE NUMBER ICE MOUNTAIN #215 6661 DIXIE HWY,SUITE 4 10/01/12- 10/31/12 02J0121975593 direct.' LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED LIJf?CQM:I:NGRELI_VERIES—ACCOUNT NUMBER= II I I 11 111 I III 'I I I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I MON- NOV 05 0121975593 THU- DEC 06 WED- JAN 09 FRI- FEB 08 CARMEL REDEVELOPMENT COMMISION DON CLEVELAND Customer Service: 1-800-472-9888 30 W MAIN STREET Pay your bill online at:service.icemountainwater.com or SUITE 220 CARMEL IN 46032-1938 by phone at: 1-800-472-9888.Its free! IIIIIIIIIIIIIIIIIIlI11IIIIIIIIIIIIIi uIuii'1'1"'II'IIIIIIIIIIiIII -1Bexready for-.all,this.year"s celebrationsa=Now°th rough 12/31/12;;"-enjoy savings-on•cases of ACQUA1PANNA,"` " IS.PELLEG.RINO; SAN PELLEGRINO SPARKLING FRUIT BEVERAGESY&PERRIER a Call 1:800-472;9808-on-logy. onto service Icemountainwater:corn to order today' .. - �Y `. '" -.7.- -1r ,.'..r, , ".€'`v-,,,, "TJ",.. 27 42.;o. ., 7 _ ,'`,7.-,7 ty 1":"!x.. _ 'C'' ; 1 w-.�„• —,fir ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. -CATE RFF RENO ,A ,, TY DESCRIPTION--- -- ,,_ ___ ,_.__ `_- , - ,MOUNT Delivery address: CARMEL REDEVELOPMENT COMMISSION,30 W MAIN ST STE 220,CARMEL IN 46032 PREVIOUS BALANCE 39.86 10/28 675102 PAYMENT-THANK YOU -39.86 10/08 0796203610 4 BOTTLE CRATE 25.00 6 5 GAL ICE MOUNTAIN DRK W/HANDLE 40.14 6 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 36.00 2 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -12.00 10/31 0802195388 1 OIL/FUEL SURCHARGE 2.88 J3508687 RENT 10.99 TOTAL 103.01 \QU ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT y Subject to terms on reverse side. 39.86 - 39.86 + 103.01 = 103.01 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. s, 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. ^__._.� E�Mws You are obligated to pay the parts of your bill that are not in question. "`- o° Your Account Number g P Y P Y q 00/00-ootooloo 1234567890 You do not have to pay the disputed amount while it is being `p N Alti -•-=_���-a ccb^I�`uu-I,Tia`"t investi ated.Durin the investi ation,we cannot re ort our account ICEM o NcoTCw nm5'g`g g g P Y pdi_ e.oa9 123456]89as delinquent or take any action to collect the amount in question. oN-aT x9 Watch here for a O 505 21 GENERAL INFORMATION °E oar 1s personalized account I.Payments received after the billing(INVOICE)date will appear on Important message II.Ue.lU+U6dUUdm11U,1°IU4^dtlU„UnildtU Cuslome.5ervxe t-800-4]2-98 your next invoice.Past due invoices(not paid within 30 days of news and •nkYnuloruil^9�eeMwma'^Prv°""' billing date)may be assessed a late fee as allowed by law not to offers 123 s (155tate 09°°0 exceed$20 per month.Additionally,third party collection/attorney I•�d•dnUL,ntt•^U,"n..Ganu•aubwa•U ,'., expenses may be assessed at a rate not to exceed 100%of the _—_-____-_.- - - �,d4y.w.,M,,,b`,+1,^, _7, unpaid balance or the maximum allowed by law. -c-r"-" ,,,,,wwummk u � '°°`°'°"� �,y , Pay electronically .'L Tom+n -o1...-rou can ,�pdre.lcn.m.. F, 2.Each returned check is subject to a service charge subject to the ' iK dt"°tli" :”' • _4-'µ _ ' maximum check return charge allowable in your State. ,- m•, Make sure this 3. All bottle and equipment de deposits are shown as CURRENT Activity -- -- ----.. P tY S �, , ^�^^ amount has been ACTIVITY. since your AccouNTacTw Q s � ` paid in full to y EfiA1. 1 1 O CRM Ad u3 Ma 5uee1,erys o000D 4. Equipment replacement costs will be charged for bottles lost, od^Kn�^'�`'°""Doe last invoice x stolen,damaged or not returned. p,ed^aa9a�anca tons avoid late fees PaYr„,,„man Mu 5.In accordance with NWNA's Terms and Conditions("T&C"),your oen, W1899_ "",�1. 5 KGalb^Naw.al Sp"179 V''^10 "/, 31'x' Monthly Oil Equipment Lease and/or Service Agreement account may be ,•,„ 3178851033 s m.Mama1ms0a,,0.elnm solo` Y o9m 31788514448 weisa.ma'9• Surcharge,Fuel subject to minimum monthly purchases and/or early cancellation „] ,,9]6389u Rent . ■ g fees.(A complete version of the current T&C may be viewed on the pent 16630497 'x"` 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. 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or wR,,a�^^"^""""a0e Information") ACCOUNT SUMMARY --- - Delivery Fee as described in your T&C. Only one of these fees Payment stub •,a..^•eF•a_ ----- PAY THIS AMOUNT will apply to each account. The fee that applies to your account _ __'°°" ,Q.wa^•�•"• pCCOUM NUMBER is stated on the front of the invoice.For further information please .a• aa,a-,b M,�3.- 123456]090 9RUNG°ATE , IENO3350789E0. Wt00tun visit the website listed below or contact our customer service 1233507090 center. 7. As a food product, bottled water is subject to the rules and 0A2oa963o7 052A2712619 000391049 2pp4' Amount due regulations promulgated by the Federal Food and Drug ionnooe Administration(FDA). KEMO� w,A•T,TN�„°M,,,�: c13rz�:�es��0n I Submit your 8.Your first invoice indicates the products delivered on your first T09cu6;e1 711.E'-600"'2-9886 a ment by this delivery,along with any applicable bottle and account deposits, 6�Wd „�..d6.,t6to..u.6wiJ•U ❑gym,,,.,,"„f10-,p•,•„a5�• p y y redemption fees,and any dispenser charges.All future invoices BTE6u*ownw^upPawu�°nP`""`Stle . date will reflect charges for water delivered and dispenser rental,bottle 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 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 (-71— Purchase Order No. f /9ox 856680 Terms Lac'ise/ /P/ ) Y yozy— 66S, Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) lg7-3/--(2 02 3'0/2/275.5'93 103, 0/ Total I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have - e same in accor- dance with IC 5-11-10-1.6. ! l -)" , 20IZ ! � er - reasurer VOUCHER NO. WARRANT NO. ALLOWED 20 ro 5s�� .5>o IN SUM OF $ $ /a3 /a ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT TITLE AMOUNT DEPT.# #/ I hereby certify that the attached invoice(s), 9'°- v2,roi2/975;1 3 /. 3-0/ or bill(s) is (are) true and correct and that �2�90 the materials or services itemized thereon for which charge is made were ordered and received except //— E" 20 12- ignature Executive Director Title Cost distribution ledger classification if Carmel Redevelopment Commission claim paid motor vehicle highway fund