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HomeMy WebLinkAbout223004 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CARMEL, INDIANA 46032 PROCESSING CENTER CHECK AMOUNT: $52.77 ?� PO BOX 856680 CHECK NUMBER: 223004 LOUISVILLE KY 40285-6680 CHECK DATE: 8/13/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4239099 03GO11217761 7 . 85 03GO121776199 2200 4239099 036012004852 27 . 82 0360120048525 1701 4239099 136722032704 17 . 10 1367220327048 O service.icemountainwater.com • »® #215 6661 DIXIE HWY,SUITE 4 07/01/13-07/31/13 03GO120048525 LOUISVILLE KY 40258 ® ® e ADDRESS SERVICE REQUESTED D 0120048525 FRI SEP 06 f t MON- OCT 07 MON- NOV 04 CITY OF CARMEL DEPT OF ENGINEERING Customer Service: 1-800-472-9888 LISA SCOTT OR JUDY STOHLER Pay your bill online at:service.icemountainwater.com or 1 CIVIC SQ by phone at: 1-800-472-9888.It's free! CARMEL IN 46032-2584 IIIIIIIII'lllllllll'I'1111111'lllllllllllllll��l�'I'I"111'1111 ll W. M,tW� Take°home a1Warholand Save! In July, Perrier is reconnecting w!th legend'aryartist Andy Warhol torelease" 60 limit select P rceaacks! n 7 stC--472- 8R toy^rdQ•n :M! ,u -— s u ACCOUNT ACTIVITY For uestions or a re ort on water quaI4 and information,call 1-800-472.9888 or visit service.icemountainwater.com. Delivery address: CITY OF CARMEL,1 CIVIC SO, CITY ENGINEERING DEPT,CARMEL IN 46032 PREVIOUS BALANCE 42.48 7/07 GA2156202 PAYMENT RECEIVED -21.24 7/30 179805 PAYMENT-THANK YOU -21.24 7/09 0837442425 4 5 GAL ICE MOUNTAIN DIRK W/HANDLE 13.96 4 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00 3 9 OZ PLASTIC CUP 50C/SLV 9.87 4 5 GALLON ICE MOUNTAIN DEPOSIT RETURN /`—� .00 7/31 G4875337 RENT 6 7 8 9 707,x, 3.99 TOTAL 'W ,try, 27.82 t: c7 /? CEIVED 2013 CY) CAPAAEL Na d�< CITY ENGINEER N BILLING RIGHTS SUMMARY YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER IN CASE OF ERRORS G QUESTIONS ABOUT YOUR BILL,OR FOR A REPORT ON WATER QUALITY AND INFORMATION,PLEASE I• Please remember payment is due by the"pay b " CALL 1-800-472-9888 OR WRITE US AT: 2. Remember,if you are renting equipment,y your equipment trentalis charged one month er advance.That means ICE MOUNTAIN SPRING WATER CO. your first invoice will include a pro-rated fee for the current month,plus the next month's rental. 6661 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. 6661 DIXIE HWY.,SUITE 4 If you prefer,you can a LOUISVILLE,KY 40258 Pay Your bill online at service.icemountainwater.com 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 sent you the first bill on which the error or problem appeared. p�p can telephone us,but doing so will not preserve your rights.In your letter, SAMPLE P give us the following information: L E I N VOIC E Your name,address,telephone and account numbers. • The dollar amount of the suspected error. Date range Of this invoice 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 ' investigated.During the investigation,we >i as delinquent annot report your account „roB�oB-o,roolou 1234567890 j Your Account Number quent or take any action to collect the amount in question. GENERAL INFORMATION THq-°R w 723456789 1•Payments received after the billing(INVOICE)date will a Mon-« 29 paear on Important "rd"°°" Watch here for a Your next invoice.Past due invoices not p uE-DEC,e billing ( aid within 30 days of news and q nt„artmemG:x!n-9lia>! �, �,BBwrz-9Bee personalized account g date)may be assessed a late fee as allowed by law not to exceed$20 per month.Additionally,third offers tOn" ,�„r,,.,,,�9'••M �mw <* - message expenses may be assessed at a rate not to eaceedc100°/a of the ocys re BoaOO i unpaid balance or the maximum allowed by law. i:aaa.a m..n dkai.ba g.ts�u!atl maximum check return charge allowable in you2.Each returned check is subject to a service charge tate.bject to theyaa�� - s 3. All bottle and equipment deposits are shown as CURRENT mu4a amvmt i Pay electronically ACTIVITY. emu.ass a.t 4k, Yz�Ccn r Activity � 4. Equipment replacement costs will be since our 10D Make sure this charged for bottles lost, y accouNrArnvm'j eB w...•��°"'° M stolen,damaged or not returned, last invoice ! amount has been 5.In accordance with NWNAS Terms and Conditions("T&C"),your od;K,y Aeeress:'°""°pe•123A0Vn na��ecY.s,a,e a,om P,na,B,,,� xxxx � paid en full to Equipment Lease and/or Service Agreement account may be orus, .AS9B Pm"e",-rn•nxrw x avoid late fees subject to minimum monthly . rneBS,44a s sw ^r• sc• »z,x x y purchases and/or early cancellation ^' "]mss'""" s / xx.xx tee (A Complete version Of the current T&C maybe viewed on the � mou""1"swim j Month website listed below)U 0912 "� " wda2A 9e gs tt 4 Monthly Oil Upon service discontinuation,rent for the p9"2 "`�'9J B•" �l �>s`� �� Surcharge,Fuel Leased Equipment is charged through the end of the billing cycle E¢kR -« "° in which service is discontinued. °” Surcharge or Delivery 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or ? Fee(see#6 under Delivery Fee as described in your T&C. Only one of these fees M1w4 N �xxMA General will apply[o each account The fee that applies to your account Payment stub accoUNT SUMMMY ^6� �"0A"`-• wa + Information') Nom . is stated on the front Of w�,......,.-.•e= _-^'°_.`"° ","'-. -------- ______ ___- i the invoice.For ____ ------------` ACCOUNT NUMBER PAY BY PAY THIS AMOUNT visit the website listed below or contact ouricustomer service ������� 12N36]e9D B4 W1W Center .ENCLOSED 1 7, As a food ,NVacE NuMBEa B,wr4c LATE product, bottled water is subject to the rules and ,23456)890 wm= I regulations promulgated by the Federal Food and Drug 1 Administration(FDA). 042009630"1 04282712619 0,0391049 2004 1B 8.Your first invoice indicates the products delivered on your first { Amount due delivery,along with any applicable battle and account deposits, ICE a Nw�ATCq"°°M"AN+ +23 sut,, u>y,su:e BDOO, redemption fees,and any dispenser charges.All future invoices Submit your will reflect charges for water delivered and dispenser rental,bottle t:,taagt.m..,a6.ar.aMba.;t,.t��ut.aeu: wq�,,,oMEATEwNEw�ao0+,:-aBae t N�0a.a EA�PAn g.w °B^R "° ❑P � �« payment by this deposits and credits plus charges for any additional products t date ordered b - yyou. Deliveries are made eve •-^�-- - ry three or four weeks,for -- a total of 16-17 deliveries 12 times per year.You will only receive invoices Per Year,so approximately 5 of those two deliveries. invoices will reflect VOUCHER NO. WARRANT NO. ALLOWED 20 Ice Mountain IN SUM OF $ P.O. Box 856680 Louisville, KY 40285-6680 $27.82 ON ACCOUNT OF APPROPRIATION FOR Carmel ''`" PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 03G0120048525I 4 .99 I I hereby certify that the attached invoice(s), or $27.82 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 /Monday, August 12, 2013 Director 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)) 08/08/13 03GO120048525 Water $27.82 I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Clerk-Treasurer service.icemountainwater.com 0 #215 6661 DIXIE HWY,SUITE 4 07/01/13-07/31/13 0360121776199 AMR LOUISVILLE KY 40258 g ® e ADDRESS SERVICE REQUESTED �I ����I �I�I FRID 0121776199 SEP 06 MON- OCT 07 MON- NOV 04 CITY OF CARMEL HUMAN RESOURCES Customer Service: 1-800-472-9888 JIM SPELLBRING Pay your bill online at:service.icemountainwater.com or 1 CIVIC SQ by phone at: 1-800-472-9888.It's free! CARMEL IN 46032-2584 Take home a�Warhol�and Save! In July, Perer is��econnecting with legendary artist Andy UVarhol to�release�,, 6U.limlted edition designslnsplred by the artists work featuring�th"e icon!c Ferrier Bottle:Save�10/o on=select; r Perrler�case packs! Call 1-$O;0-4,72-9888 to order noinr! � � W �� _ - - a � a. ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. ® ' e� ® ® • Delivery address: CITY OF CARMEL,1 CIVIC SQ, HUMAN RESOURCE DEPT,CARMEL IN 46032 PREVIOUS BALANCE 9.34 7/07 GA2156200 PAYMENT RECEIVED -2.47 7/30 179809 PAYMENT-THANK YOU -9.34 7/09 0837442466 1 5 GAL ICE MOUNTAIN DRK W/HANDLE 3.49 BOTTLE DEPOSIT: 1 CHARGED, `1 CREDITED .00 7/31 0842160152 1 OIL/FUEL SURCHARGE' 2.84 G4866504 RENT 3.99 TOTAL AUG 12 2013 By ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 9.34 — 11.81 + 10.32 = 7.85 BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL,OR FOR YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER A REPORT ON WATER QUALITY S A INFORMATION, PLEASE 1. Please remember payment is due by the"pay by"date noted to ensure the smoothest sery ice. CALL 1-800-472-9888 OR WRITE US AT. 2. Remember,if you are renting equipment, our e ICE MOUNTAIN SPRING WATER CO. your first invoice will include apro-rated ee forgtheleur t rental is month,charged one month in next month's advance.That means ff216 6661 DIXIE HWY.,SUITE 4 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. LOUISVILLE,KY 40258 If you prefer,you can pay your bill online at service.icemountainwater.com If you think your bill is wrong,or if you need more information about A' Never hesitate to call us with comments, questions,or concerns, 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 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, on; SAMPLE give us the following informati INVOICE • Your name,address,telephone and account numbers, The dollar amount of the suspected error. Date range of this invoice • 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 investigated.During the investigation,we cannot report your account y 1234567890 i as delinquent or take an � aoiootoo-ootootoo 1 Your Account Number y action to collect the amount in question. GENERAL INFORMATION 1HR-OR a 123456799 y 1.Payments received after the billin WV Watch here for a your next invoice,past due invoices(INVOICE)date wil!appear on Important "h°NO0 z1 ( Paid within 30 days of news and NE-D Ie billing date)May be k,„u.,. ,7z-9299 personalized account exceed$20 r y be assessed a late fee as allowed by law not to offers 1",,0- exceed uN Y^°°�s 9 e Maml+6 D� message Per month.Additionally,third party collection/attome 123 Mai"51 expenses may be assessed at a rate not to exceed 100%of the Cry.swle 00000 unpaid balance or the maximum allowed by law. 1•,9t•"t-� � ^ns °u'4'�d,tl 2.Each returned check is subject to a service charge subject to the maximum check return charge allowable in your State. � � 3. All bottle and Pay electronically equipment deposits are shown as CURRENT ACTIVITY. Activity A w,.D ws. f Make sure 4. Equipment replacement costs will be charged since your nccouNracrrvm' �+• •� �°'° re this stolen,damaged or not returned, for boulcs lost, last invoice i amount has been 5.In accordance with NWNAk Terms and Conditions("T&C" oNb,..y aad+�s "oce,1z3 sue,an.w�e 00300 D,•:„,,,��"« xxxx { Paid in tall to Equipment Lease and/or Service A ),Your ma"xvw avoid late fees Agreement account maybe °fl'31 16'�b �`- xx0u ` subject to minimum monthly purchases cancellation m 3I7BBSIHw s swnon NanI sD•m9'v+m fees.(A complete version of the current T&C may be vi wed onthe "� '� � �s ; °' Monthly Oil website listed below)U 09n " ruasuKn.� �. "' pon service discontinuation,rent for the Surcharge,Fuel Leased Equipment is charged through the end of the billing cycle rr /^� �� "x" in which service is discontinued. OT" Surcharge or Delivery 6.You will be charged a monthly Oil Surcharge, Fee(see#6 under or Delivery Fee as described in your T&C. Only once o[these fees 'General p mxx will apply t Payment stub accouNrsub+rnnar °°° x° —"`° °MN + Information o each account The fee that applies to s,�;,,.m�°.,�°a<.. t 's stated on PA your account --- o the invoice.For further information please ----------- visit the we o bee�.d »0,w wx D1w10 Dar mis nnrOUNr bsite listed below or contact our customer service AccQU WsMeEx 14 center. Iz34u7e9a aaaDioo , 7-AS a food INVOICE NUM9FA eItLNG WJE T.ENCLOSED product, bottled water is subject to the rules and 1234367890 oo/ooro0 regulations promulgated by the Federal Food and Drug Administration(FDA). _ 0920046307 0428z7lzsl9 (300391049 3309 le 8.Your first invoice indicates the Products delivered on your first X23 Amount due delivery,along with any applicable bottle and account deposits, KEO11"rar+wnTr9cDMDiwr 1z3Maa,u N"ne,w.e,tl°m.V..wr+xc ccy Ss 00000 redemption fees,and any dispenser charges.All future invoices Submit your will reflect charges for water delivered and dispenser rental,bottle W6a..t.r4•-d6•:.n:^p^tR:J..o4w44�G wacOnoME«su+9cE c"'x'-°�-":-9°°" ._, deposits and credits plus ,9.,OnF�Ewroo+.nsw�o+��^M"•=� "'"`"iry°'"'°OnReO� `4 payment by this ordered b charges for any additional products - ,,: d;:m._,�.,,._._..:... date Y You. Deliveries are made eve __.. -- a total of 16-17 deliveries every three or four weeks,for 12 times Fit Year.You will only receive invoices Pet 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. Q service.icemountainwater.com o�'r' Form No.NW 709 08/12 VOUCHER NO. WARRANT NO. ALLOWED 20 Ice Mountain IN SUM OF $ PO Box 856680 Louisville, KY 40258 $7.85 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1205 103GO111217761199I 42-390.99 I $7.85 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 Mon ay, August 12, 2013 Director, 4ministration 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)) 08/02/13 03GO1121776199 $7.85 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 service.icemountainwater.com 0 #215 6661 DIXIE HWY,SUITE 4 07/01/13-07/31/13 1367220327048 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED D 7220327048 FRI SEP 06 t f 1 1 1 MON- OCT 07 MON- NOV 04 CITY OF CARMEL OFFICE OF THE CLERK TREASURER Customer Service: 1-800-472-9888 ANN DAVIS Pay your bill online at:service.icemountainwater.com or 1 CIVIC SQ by phone at: 1-800-472-9888.It's free! CARMEL IN 46032-2584 II'���'I��1�111'��'��'II'�IIIII�����I�II�IIIIIIIIII�II1�""II'I' e Take home a<Ullarhol and Savei In July, Ferrier is reconnecting with legendary artist Andy Warhol to,release , 60 hmitetl etltti e artistsw rkfeaturing:tFie iconic terrier Boftle.Saye10% onseiect - .� 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 SO, CLERK TREASURER OFFICE,CARMEL IN 46032 PREVIOUS BALANCE 41.10 7/07 GA2156201 PAYMENT RECEIVED -20.47 7/30 179810 PAYMENT-THANK YOU -20.63 7109 0837442656 2 5 GAL ICE MOUNTAIN DRK W/HANDLE 6.98 2 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00 1 9 OZ PLASTIC CUP 50C/SLV 3.29 2 5 GALLON ICE MOUNTAIN DEPOSIT RETURN .00 7/31 0842239519 1 OIUFUEL SURCHARGE 2.84 G4906064 RENT 3.99 TOTAL 17.10 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CUR ENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 41.10 — 41.10 + (( 17.10 J = 17.10 BILLING RIGHTS SUMMARY FOR IN A R N WATER ERRORS OR QUALITY ANDOUTYOUTBIL PLEASE YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER CALL 1-a00-4 DR WRITE US AT; l• please remember payment is due b the" ICE MOUNTAIN SPRING WATER CO. Z• Remember,if you are renting equipment Y Pay by date nosed to ensure the g ,your equipment rental is charged ne month n advance.That #216 your first invoice will include a ro-rated fee for the current 6661 DIXIE HWY,SUITE 4 3. Kindly fill in the amount enclosed, include means month,plus the next month's rental. LOUISVILLE,KY 40258 if you prefer,you can a Your account number on Ifyou think Pay Your bill online at service.icemountainwater.com Your bill is wrong,or Ifyou need more information about 4. Never hesitate to call us with c Your check, and do not send cash. a transaction on Your bill, comments,questions,or concerns. must hear from write us on a separate sheet of paper We erns. sent you the first bill on which the eater than thirty(30)days after we telephone us,but doing so will not Preserve problem erve your ri appeared.You can give us the following information: rights In your letter, SAMPLE • Your name,address,telephone and account numbers. N\/O'/1E • The dollar amount of the suspected error. Y L • Describe the error and explain ifyou can,why Date range of this invoice an error. Y Y°u believe there is 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 investigated.During the investigation,we cannot report your account as delinquent or take any action to collect the amount in question. 5 00100100-oot00100 1234567990 Your Account Number GENERAL INFORMATION 1.Payments received after the billin XR-a o u34sara9 g(INVOICE)date will appear on Important MON-oc x9 Your next invoice.Past due invoices not Paid wEo-NOV z, billing date)may be assessed a late fee as w within law not to news and nE of ,B Watch here for a exceed$2o uNtasat.imttwnawa6Saua. ,adaa E„ xe ,� ,Z-9 personalized account Per month.Additionally,third party collection attorney offers la,,, expenses may 123 Msn sl in.AE r«�,«using ice Ma,mWn P__ Y be assessed at message unpaid balance a rate not to exceed 11X1/of the ciy sSAre 00000 .,.d or the maximum allowed b t.,mgt,J.et...J�•.awat.ta•i..d4tbd.A 2.Each returned check is subject to a service(charge subject to the maximum check return charge allowable in your State. 3. All bottle and mmisx» at v � equipment deposits are sho Pay electronically ACTIVITY, urn as CURRENT Activity � 4. Equipment replacement costs will be charged for stolen,dams bottles lost, since your ACCOUNTACTrvm ,.w,...+=.�.no•�...�^aawK"'"'n'°"""n� Make sure this damaged or not returned. last invoice 5.In accordance with NWNA's Teo and Conditions{"T&C", 0NN.q dd,m:wb one,,z3Manso-en,ays,a,e 0000(1 amount has been Equipment Lease and or Service Agreement account )Your P o sBasaoa paid in full to subject to minimum may be , A,e9B ft m t-r yw monthly purchases and/or n, 3,>aes,aw. s swnw�Na,nal5Pdn9wmn xx:x. avoid late fees fees.(A complete version ofthe current T&C may cancellation ,,, 3,ft05taau : keMa,num s0alaoov, _ r x< website listed below y be viewed on the )Upon service discontinuation,rent for the 12 318z°�" wa an 9 z Monthly Oil Leased Equipment is charged through the end of the billing cycle o3 1 cb.o:m r in which service is discontinued. ' Surcharge,Fuel 6.You will be charged a monthly oil Surcharge,F TorAE - :xxY j Surcharge or Delivery Delivery Fee as described in your TSur Ou Fuel Surcharge m Fee(See#6 Under will apply to each account. only one of these fees is stated on th The fee that applies to o Payment stub ACCOUNT SUMMARY e from of the Inv further eNwcE AaB N n "« """" TM.sx xi y ur accoun rt xx + "General I visit the invoice'For ' _ _ n information please ----------- I website listed below or contact our ---------------COUNT -_------_-- p ease ----� ��� ACCOUNT NUMBER PAY BY PAY m15 AMOUNT center. customer service R..,x 7.As a f 123/561899 OB/OB °°d product, bottled water is subject to the rules and NVOICE NUMBER BIWNG DATE MT ENCLOSED regulations promulgated b l+ssre90 BotOOloo Administration(FDA). Y the Federal Food and Drug 8.Your firs[invoice indicates the products delivered on your first 0420096307 04282412619 000391049 2(104 1a Amount due delivery,along with any applicable Your and account deposits, ICEMWMNN WAtE0.COMPANY I�A� redemption fees,and ana �. ,z3 Nero SI y dispenser charges Ck'sc 00000 will reflect charges for water delivered and dispenser future invoices bottle Submit your de sits and ,[pd„.I.a6„J6.,W.�a..4tl„F..4GG4dya. Eoe cusrvMER SERYrcE UU,.eaa-�n.Paea p° credits plus charges for any additional ❑SK,BVVEOREREEnuroASnsN�OPRrymma.iren<s ❑r ,AMEw.9=,O. sN. ordered by You Deliveries are made every three payment by this a total of 16-17 deliveries or four weeks,for date s ............ .._._ e.__'._ - 12 times Per Year.You will only receive invoices -..,._ . _ Per year,so approximately two deliveries. 5 of those invoices will reflect ©20ce Ice Mountain tPring Water Company,a Division of Nestle Waters North America y service.icemountainwater.com o�P� ca Inc. Form No.NW 70908!12 Prescribed by State:Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(flev.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)) A_) 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. ALLOWED 20 A �� �� IN SUM OF $ ON ACCOUNT OF APPROPRIATION FOR t-H-3�al Q�k4 Board Members Po#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I 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 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund