Loading...
HomeMy WebLinkAbout221560 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CARMEL, INDIANA 46032 PROCESSING CENTER CHECK AMOUNT: $187.79 a, o� PO BOX 856680 CHECK NUMBER: 221560 LOUISVILLE KY 40285-6680 CHECK DATE: 7/2/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4350900 61 . 39 3EO121202766 1125 4350900 44 . 72 3EO120095351 2201 4238900 81 . 68 03F0119252823 service.ice mountainwater.com ®® 0 o #215 6661 DIXIE HWY,SUITE 4 e 05/13/13-06/12/13 03FO119252823 p LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED — 6 - — -- DIBOB801��19�81NH1�1 II �IID �IO� 01� WED- AUG 07 0119252823 FRI- SEP 06 MON- OCT 07 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 �l�'VIII'll�l'llI'I�I'llll�ll�llll�lll"IIIII'lll�l���l�l'lll'�Il convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. Refresh your senses with Nested! Buy any 2 cases of"1/2 Titer hesteAottles for only$12.98! Available in a variety of refreshing"flavors, including new^Raspberry-Tea! Visit service.icer ourttai°nwatef.com or'cdl! =- j 1-800-4i'2-9888 toadd to your next order.! Offerwexpires.9/30/13... " s - - _ _ _ - ally'. 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 118.89 5/26 822102 PAYMENT-THANK YOU -70.50 5/29 0832362883 2 5 GAL ICE MOUNTAIN DIRK W/HANDLE 6.98 2 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 12.00 6/07 0832928808 5 9 OZ PLASTIC CUP 50C/SLV 13.95 12 5 GAL ICE MOUNTAIN DIRK W/HANDLE 41.88 12 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 72.00 12 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -72.00 6/12 0835276403 1 OIL/FUEL SURCHARGE. 2.88 F4741343 RENT ` ' 3.99 TOTAL ?, 130.07 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 118.89 — 70.50 + 81.68 = 130.07 -.. - 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 1-80OA72-9888 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 later than thirty(30)days after we SAMPLE INVOICE sent you the first bill on which the 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. 123A567890 Your Account Number You do not have to pay the disputed amount while it is being ootooloo ootwto6J investigated.During the investigation,we cannot report your account as delinquent or take any action to collect the amount in question. TMA a,a 123+56799 MON-oa Watch here for a GENERAL INFORMATION WEPNO0V K p ersonatized account ruE- ,e I.Payments received after the billing(INVOICE)date will appear on Important nn.bin6�dlln.n.atdan c,mm•k^"'�''d00-'n 9aen your next invoice.Past due invoices(no[paid within 30 days of news and 16n.anenLaln66.' TIwEY°^Id u+l"91c<Mamu1"P•°d""6 ' message billing date)may be assessed a late fee as allowed by law not to offers 1123 1 S a"a.<.A•� exceed$20 per month.Additionally,third party collection/attorney °ty' 00000 a..at.l,a»l,.bbl's,a,a t.ma..a.m...a.-• expenses may be assessed at a rate not to exceed 100%of the -- � ,,,"`osu<as - unpaid balance or the maximum allowed by law. (•--- r°� �„,��;,,,, r � M .-, e.w<.+r '�'01Nf9 I Pay electronically 2.Each returned check is subject to a service charge subject to the maximum check return charge allowable in your State. Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity -' _ aa°”""°°""m"'� m� m"_ amount has been ACTIVITY. since your ACCOUNT ACrt91TM - 4. Equipment replacement costs will be charged for bottles lost, last invoice - oel,,,<nAae,<ss: ^°Op123M'1"s"�`Orysu`e04� „�, paid in full to stolen,damaged or not returned. ,,.ealaM< avoid 18t¢f¢¢S P� ,-TankYw 5.In accordance with NWNA's Terms and Conditions("T&C"),your �, m,e9n s scallulNawdsPnmwam Equipment Lease and/or Service Agreement account may be Monthly Oil W/11 3,]885""'' WeI S°rtN19e subject to minimum monthly purchases and/or early cancellation wn: 31n,�e„ 9en Surcharge,Fuel fees.(A complete version of the current T&C maybe viewed on the 09117 11 0 9 Surcharge or Delivery website listed below)Upon service discontinuation,rent for the iOTAt Fee(see#6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. L �"A = <"'TM 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or <„�"„aww --,a;;`°`"` , Information Delivery ee as described in our T&C. Only ne of these fees Payment stub AccouNr 5uMMA9r •`E.�a rY your Y ------ PAY 8Y PAY TITS AMOUNT will apply to each account. The fee that applies to your account -•°� ,-,; a.w ACCOUNT NuM5E9 xx.xx is stated on the front of the invoice.For further information please %••°n""�� 171.567990 gwNc DAT T.FNCEOSED INVOICE NUMBER visit the website listed below or contact our customer service uls67e90 oolooloo ' center. 7. As a food product, bottled water is subject to the rules and 0420096301 04262712619 000391049 zao4 16 Amount due regulations promulgated by the Federal Food and Drug Administration(FDA). ICE M,NN ,,,RCI"',mPAW 123";,°,e`oo9ro ty, 8.Your first invoice indicates the products delivered on your first •°^^°^""°°' "' w Submit your b delivery,along with any applicable bottle and account deposits, gym, li,ya„G.��6t,a.a � ❑�����„,KS,,, payment Y this redemption fees,and any dispenser charges.All future invoices .ovAwsa°w^�'"°On"``j}e 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 70908/12 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 06/14/13 03FO119252823 $81.68 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. ALLOWED 20 Ice Mountain IN SUM OF $ P. O. Box 856680 Louisville, KY 40285-6680 $81.68 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 103FO119252823 I 42-389.00 $81.68 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except L urs June L 2013 .-I,Wvv StA%F6:R e Title Cost distribution ledger classification if claim paid motor vehicle highway fund service.icemountainwater.com - #215 6661 DIXIE HWY,SUITE 4 05/01/13-05/31/13 03EO121202766 G LOUISVILLE KY 40258 W15=1 TERM ADDRESS SERVICE REQUESTED - HMEHIMIII II �I�I I �I MOD- JUN 24 0121202766 WED- JUL 24 THU- AUG 22 MON- SEP 23 CITY OF CARMEL PARKS DEPARTMENT Customer Service: 1-800-472-9888 MANDY SPADY Did you forget about us? Kindly pay upon receipt. 1411 E 116TH ST Remember,past due accounts are subject to a late fee. CARMEL IN 46032-3455 Your prompt payment is appreciated. For your convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. Refresh your;senses with Nestea!$:Buy any-2 cases of 1/2 liter Nestea°bottles for only°$12.98!;Available in a__ variety of refreshing'flavors, including new Raspberry Tea! Visit service.icerniountainr ater.com or.call 1-800=472-9888 to add to your next order!-;`Offer expires 9%30/13 " ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. MIKE ESE 52_F Delivery address: CITY OF CARMEL PARKS DEPT/MONON CENTER,1235 CENTRAL PARK DR EAST,CARMEL IN 46032 PREVIOUS BALANCE 154.03 5/12 744380 PAYMENT-THANK YOU -72.62 5/24 0831360169 10 5 GAL ICE MOUNTAIN DIRK W/HANDLE 39.90 2 9 OZ PLASTIC CUP 50C/SLV 6.58 BOTTLE DEPOSIT: 10 CHARGED, 9 CREDITED 6.00 5/31 0833210917 1 OIL/FUEL SURCHARGE 2.92 E4649699 RENT 5.99 TOTAL 142.80 Purchase rinkiv� (Na P RECFIVE� Cesc,ript;on �r-rYJCG PG.Y PorF JUN 10 2013 4 G.L.# AQ 90 Linic Descr B-� Purchaser Date Arpmval n+(; ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 154.03 — 72.62 + 61.39 = 142.80 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 NIOUNTAIN SPRING WATER CO. 3. Kindly fill in the amount enclosed include your account number on our check, and do not send cash. #216 Y 6661 DIXIE HWY.,SUITE 4 If you prefer,you can pay your bill online at sen ice.icemountainwater.com LOUISVILLE,KY 40258 4. Never hesitate to call its 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 later than thirty(30)days after we SAMPLE INVOICE � sent you the firs[bill on which[he he 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. 1234567890 Your Account Number You do not have to pay the disputed amount while it is being oolomoo-00/00100 investigated.During the investigation,we cannot report your account 1 '123456789 as delinquent or take any action to collect the amount to question. TNR-ocr oa MONOCT M Watch here for a WED NOV 21 GENERAL INFORMATION UE-DEC IB personalized account 1.Payments received after the billing INVOICE date will appear on Important 1611"Ot"n6dnn�6.dln,btn4^Alu"n„tlaan `"swmer seMa F Boo-F729esa Y g( ) PP MWmd^pmd^< message your next invoice.Past due invoices(no[paid within 30 days of news and Tn,^Er° "` billing date)may be assessed a late fee as allowed by law not to offers 123M 51 'oaae 4<n. ohstme 00000 exceed$20 per month.Additionally,third party collection/attorney W Laaa..a.tu•.•"n....n.•,u.,6u"6.6u1,6a.0 � ,•-q— expenses may be assessed at a rate not to exceed 100%of the unpaid balance or the maximum allowed by law. _ .._�_TO9e.,� „^YL <o„^, rR °a°'°8 t _ _ Pay electronically 1 Each returned check is subject to a service charge subject to thel�a„,,"„Nq..a,wm^tp'°d'"'s:� maximum check return charge allowable in your State. Make sure this 3. All bottle and equipment de deposits are shown as CURRENT Activity - °"°”`°''° _ - ACTIVITY. P since your ACCOUW Cnvm """•"" •m�•p t amount has been 4. Equipment replacement costs will be charged for bottles lost, De1„e,yAdaress inn^D«•'23Mam5tree�c�n5taie00°°D xxxx paid in full to last invoice stolen,damaged or not returned. P,�,"":Bala^<. avoid late fees PaF+^e^1-Tw^Era xx 5.In accordance with NWNA's Terms and Conditions("T&C'•),your oen, amB9e s 51,n"^Namraap^^9wmer i Ill 31)BB5144H Ice Mp,nta�nSGal p¢p,sit Equipment Lease and/or Service Agreement account may be �„ 3neBS,u44 s iremw^tai^sGalRemm xxxx Monthly Oil 3 09111 1700514•+1 FuelSur<Nai9e subject to minimum monthly purchases and/or early cancellation Surcharge,Fuel „2 3,B 63881' Re^t fees.(A complete version of the current T&C may be viewed on the .112 140"" xxx" 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 .NAN Information") ACCOUNT SUMMARY xxxx ` Delivery Fee as described in your T&C. Only one of these fees Payment stub _.,,c.•o.��.•ou PAYTNISAMOUNr --- PAY BY will apply to each account. The fee that applies to your account __ ..Mw•vP•�^`"" ACCOUMNUMeER oo xw is stated on the front of the invoice.For further information please 3234567890 BILLING DATE MT.ENCLOSED INVOICE NUMBER visit the website listed below or contact our customer service 1234567090 0o700/O0 center. 7. As a food product, bottled water is subject to the rules and D,20a96302 °.282212639 °°03910'19 ' 200° Amount due regulations promulgated by the Federal Food and Drug 1i,^o0e Administration(FDA). ICE MOUMAIN wATERc"DF"�„ANY„a 123 w[eSt 00000 8.Your first invoice indicates the products delivered on your first •�^^°°^°"”"°`W""' Submit your delivery,along with any applicable bottle and account deposits, wacunoMER SLasncE UU,9W4]2-9BB° a ment by this t.aaa.a.nt".at�,a6.aw6n„6.666t.a"u ��^,xmUa„�so^RM.^.5ae redemption fees,and any dispenser charges.All future invoices Np°FDRFIBF„N,D,,,"y,^ooE•9"^�On"`""" 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 Nestl6 Waters North America Inc. Form No.NW 709 08/12 o�service.icemountainwater.com service.icemountainwater.com U A #215 6661 DIXIE HWY,SUITE 4 e — o LOUISVILLE KY 402Y, 05/01/13-05/31/13 03EO120095351 ADDRESS SERVICE REQUESTED - - - -- �I 88 0100 I I I8�0�1 I I 11 0 0�I I0� SID MOD- JUN 24 0120095351 WED- JUL 24 THU- AUG 22 MON- SEP 23 CARMEL CLAY PARKS AND REC DEPT. Customer Service: 1-800-472-9888 AUDREY KOSTRZEWA Did you forget about us? Kindly pay upon receipt. 1411 E 116TH ST Remember,past due accounts are subject to a late fee. CARMEL IN 46032-3455 Your prompt payment is appreciated. For your convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. Ref s your,senses with,Nesteal Buy any 2-cases of 112 liter Nestea-bottles,'for only"$12.98CAvaila6]ini 'tai_variety of refreshing;flavors, including new Raspberry Tea! Visit°service:icerriountainwater:com or-ca1-800-472-9888 to add to your next_orderi..Offer expires:9/30/13.,. ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. Delivery address: P CARMEL CLAY PARKS AND REC DEPT.,1427 E 116TH ST,CARMEL IN 46032 PREVIOUS BALANCE 77.56 5/12 744381 PAYMENT-THANK YOU -35.39 5/24 0831360128 3 9 OZ PLASTIC CUP 50C/SLV 9.87 5 5 GAL ICE MOUNTAIN DIRK W/HANDLE 19.95 BOTTLE DEPOSIT: 5 CHARGED, 5 CREDITED .00 5/31 0833196926 1 OIUFUEL SURCHARGE 2.92 E4567934 RENT 11.98 TOTAL 86.89 Purchase f JUN 10 2013 i>script:on DRlMkIf4E7 WATER- P or IF LBY--,_ R .tscr� VC .''::rch-ser Date al nl- ACCOUNT SUMMARY PREVIOU3-gAEANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 77.56 - 35.39 + 44.72 = 86.89 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.,SU-,TE 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. ' ' - 3z3asfi7a. Your Account Number You do not have to pay the disputed amount while it is being 00100100-00100108 investigated.During the investigation,we cannot report your account ` ` 23956769 as delinquent or take any action to collect the amount in question. R16-GCr a MoN.ocl z9 Watch here for a 7, GENERAL INFORMATION n° ,e personalized account 1.Payments received after the billing INVOICE date will appear on Important 1.68°"71-°BBB Y g( ) PPe pp,1,InL„,nro.n,.naan c��smx°` �m message your next invoice.Past due invoices(not paid within 30 days of news and lLn".IIL•nLANdm TI�.nEy"n." keMa•". billing date)may be assessed a late fee as allowed by law not to offers �123"BS •nd'ervk"s exceed$20 per month.Additionally,third party collection/attorney ons�`• ",p..n.LanL"LLLLJ"p expenses may be assessed at a rate not to exceed 100%of the ----': -.,.ew•�_-..-; -` unpaid balance or the.maximum allowed by law. _,- �.�„8yi,., . °`"°� ,„�rt.- ti Pay electronically 2.Each returned check is subject to a service charge subject to the maximum check return charge allowable in your State. _ - - - Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity _ - ___. - -=`�""-` -`-- .� ad°'•""°°"'"qA - amount has been ACTIVITY. since your paid in full to AccO°rrArn'ry - \73 Ma,n SCrml Gry•ka,e BBOBB - 4. Equipment replacement costs will be charged for bottles lost, last invoice •o�"erypd°"" stolen,damaged or not returned. P„WSe w trW xw avoid late fees 5.In accordance with NWNA's Terms and Conditions "T&C", our Ben, +s,89B ( ) Y Ny,a t +d sprin9`I+a'� xxxx Ilt 31]0951Naa 5 Muun\a,n5 W1°eWP\ '� Equipment Lease and/or Service Agreement account maybe n\ 3,me51 s keM"nPnmsGa6emm - Monthly Oil subject to minimum monthly purchases and/or early cancellation 09"' ',°mss"µ 1°"w"'""` - Surcharge,Fuel WIl 3836380\\ Pm, "1 fees.(A complete version ofthe currentT&C may be viewed on the Surcharge or Delivery website listed below)Upon service discontinuation,rent for the rt AI - - Fee(see#6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. E„e,N1A�P5+� _ '"°TM",,' ""' 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or Information") Delivery Fee as described in your T&C. Only one of these fees Payment stub ACCOUW SUMM"y _ __ - rAr T131s AMOUM will apply to each account. The fee that applies to Our account __-_ --__---- PAV6v PPY PP Y w• � � ACCOUNT NUMBER �� xx is stated on the front of the invoice.For further information please a•, eb� II3a567690 g,wNG°ATE T.ENC OSEo INV12C 5678 0011 IM visit the website listed below OI contact our customer service 1z3ase7B90 center. 7. As a food product, bottled water is subject to the rules and 0420096307 °4262712619 000391°99 Amount due regulations promulgated by the Federal Food and Drug Oh,,C« Administration(FDA). ICE MoU~:ATE6cwoMr� 123ryStms`� „ ••MN Submit your 8.Your first invoice indicates the products delivered on your first •tea mME`""100 �9°°° delivery,along with any applicable bottle and account deposits, p"6anL•LLLLa.a w.E„noME•SE �»k payment by this redemption fees,and any dispenser charges.All future invoices ,k,,,.•ao•P "" � date �Sr,PUO1o6vPEE"uroPe„sgnw 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 709 08/12 service.ice mountainwater.com — ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 051125 Ice Mountain Terms P.O. Box 856680 Louisville, KY 40285-6680 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO # Amount $ 61.39 6/4/13 3EO121202766 Drinking water&cooler- MCC $ 44.72 6/4/13 3EO120095351 Drinking water & cooler- Maintenance I Total $ 106.11 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. 051125 Ice Mountain Allowed 20 P.O. Box 856680 Louisville, KY 40285-6680 In Sum of$ $ 106.11 ON ACCOUNT OF APPROPRIATION FOR 101 General fund / 109 Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1091 3EO12120276 4350900 $ 61.39 1 hereby certify that the attached invoice(s), or 1125 3EO120095351 4350900 $ 44.72 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 2013 Signature $ 106.11 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund