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HomeMy WebLinkAbout223522 08/27/2013 CITY OF.CARMEL, INDIANA VENDOR: 051125 Page 1 of 1 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CARMEL, INDIANA 46032 PROCESSING CENTER CHECK AMOUNT: $245.09 PO BOX 856680 CHECK NUMBER: 223522 LOUISVILLE KY 40285-6680 CHECK DATE: 8/27/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4350900 51 . 73 0360121202766 1125 4350900 100 . 01 0360120095351 1801 4350900 47 .44 0360121975593 2201 4238900 45 . 91 03HO119252823 0 service.icemountainwater.com #215 6661 DIXIE HWY,SUITE 4 07/01/13-07/31/13 03GO121202766 LOUISVILLE KY 40258 U We Lei ME ® ° ADDRESS SERVICE REQUESTED THU- AUG 22 0121202766 MON- SET 23 MON- OCT 21 TUE- NOV 19 AUG - 8 2013 CITY OF CARMEL PARKS DEPARTMENT Customer Service: 1-800-472-9888 MANDY SPADY Pay your bill online at:service.icemountainwater.com or 1411 E 116TH ST ___=J CARMEL IN 46032-3455 by phone at: 1-800-472-9888.It's free! FaT, ke;:home a Warhol and Save! In July, Perrier is reconnecting with legendary artist Andy�Warhol to r]select 160 limited edition designs inspired by the artists' work featuring the iconic Perrier Bottle.Save 10% on Perrier casP..packs!.-Call 1.-600-47?_-98.86_to order nnw! ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. 29-999-01 My Lou I KN n FE Delivery address: CITY OF CARMEL PARKS DEPT/MONON CENTER,1235 CENTRAL PARK DR EAST,CARMEL IN 46032 PREVIOUS BALANCE 119.45 7/21 140358 PAYMENT-THANK YOU -61.39 7/30 179807 PAYMENT-THANK YOU -54.77 7/10 GA2157743 CUP ADJUSTMENT -3.29 7/24 0840340376 10 5 GAL ICE MOUNTAIN DIRK W/HANDLE 42.90 BOTTLE DEPOSIT: 10 CHARGED, 10 CREDITED .00 7/31 0842152696 1 OIL/FUEL SURCHARGE Purchase �n 2.84 G4972056 RENT Description Dgwxw& WArm -mcc 5.99 TOTAL P.O.# P or F 51.73 G.L.# zoy-41354gD(,Z� Budget Line`bescr Purchaser Date Approval Date ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 119.45 — 119.45 + 51.73 = 51.73 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. 6661 HWY.,HW ,SUITE 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. 1274567690 Your Account Number You do not have to pay the disputed amount while it is being 0(1100100-00100100 investigated.During the investigation,we cannot report your account ^ti - ' 27456789 as delinquent or take any action to collect the amount in question. MoNorl z9 Watch here for a wfo-Naz n GENERAL INFORMATION personalized account 1.Payments received after the billing(INVOICE)date will appear on Important c« ,x,y"c.1-gOO+IZ-96ae mn.nuustimtalmbm4„auu„aau message your next invoice.Past due invoices(not paid within 30 days of news and r,unfyo„,««�"` billing date)may be assessed a late fee as allowed by law not to offers s, •„a+m*•� 'i exceed$20 per month.Additionally,third party collection attorney ar,S1 00000 ry„n.►u„LAU""a expenses may be assessed at a rate not to exceed 100%of the - unpaid balance or the maximum allowed by law. zom•AMNfin'+D"O"",Y Ei'dY�'tl81' ln"wmppc0�-"'41 _ 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 amount has been ACTIVITY. since your ACCOUMACtMEY 5,/1,•10 paid in full to 4. Equipment replacement costs will be charged for bottles lost, last invoiC¢ °N""ry"ddi"` oce.,z7Maos"�.�' Ef0` stolen,damaged or not returned. avoid late fees 5.In accordance with NWNA's Terms and Conditions("T&C"),Your uz0+ Lease and/or Service Agreement account may be "' Equipment g Y n+ n+reas'u+4 s �` 5�1y,„m xxxK Monthly Oil inn, 3,"+ees,w+ s subject to minimum monthly purchases and/or early cancellation E«'s""""�` � Y`'"11�'��"+"`'' fees.(A complete version of the current T&C maybe viewed on the " ` "- ' Surcharge,Fuel , "`"` Surcharge or Delivery website listed below)Upon service discontinuation,rent for the lorAf _ - - - ,i Fee(see#6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. Information 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or - ,..,•ws.NAN' ,uwc Delivery e as described in our T&C. Only one of these fees Payment stub AccouNrsuMMAar •'c, .o• ____ �' Y Y Y - ver mrs AMOUM �� VAT 0Y will apply to each account. The fee that applies to your account __ _°-°`"���,�,w..,«w+�«"x AcCWMNUMSU+ is stated on the front of the invoice.For further information please W 12'567B" B,,NCO rE U vo,U NUMBE0. 001001m visit the websi[e listed below or contact our customer service 127,567590 center. 7. As a food product, bottled water is subject to the rules and 0420096301 04262712619 0003910V9 18 2004 Amount due regulations promulgated by the Federal Food and Drug Dx Administration(FDA). "CEMWMNN`A'A CO"" ryMam1 8.Your first invoice indicates the products delivered on,your first •�°^"" Sm.n9a55 Submit your LW CUSTOME0.Sf5V�fTEf�- b this delivery,along with any applicable bottle and account deposits, m1.. y,n„�a,y,6t,WJ„a � �o„�s,,, ', payment Y redemption fees,and any dispenser charges.All futKee invoices a"�"� P4w•ao•nM^` 0"°'"°E - - date will reflect charges for water delivered and dispenser rental,bottle 5rxw,o51�2EAUm•Ansm -- 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 service.icemountainwater.com service.icemountainwater.com 0 #215 6661 DIXIE HWY,SUITE 4 07/01/13-07/31/13 0360120095351 &9V LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED - - --- — ���I���I HIM I III HUM �I� THU AUG 22 0120095351 MON- SEP 23 MON- OCT 21 TUE- NOV 19 CARMEL CLAY PARKS AND REC DEPT. Customer Service: 1-800-472-9888 AUDREY KOSTRZEWA Pay your bill online at:service.icemountainwater.com or 1411 E 116TH ST by phone at: 1-800-472-9888.It's free! CARMEL IN 46032-3455 II�I�III'IIIII'1'1111"Illl'll'I'lllllll'll"II 1111111 1111111"I• Take home a Warhol and Save! In July, Perrier is reconnecting with legendary artist Andy;Warhol to release 6,0 limited;edition designs inspired by the artists'work featuring the iconic Perrier Bottle.Save 10% on select- Perrier case packs!_ Call 1-800-472-988.8 to order now! -k_ _. _. 4, 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 121.93 7/21 140359 PAYMENT-THANK YOU -4472 7/30 179808 PAYMENT-THANK YOU -7721 7/25 0840340335 7 5 GAL ICE MOUNTAIN DIRK W/HANDLE 30.03 4 9 OZ PLASTIC CUP 50C/SLV 13.16 BOTTLE DEPOSIT: 7 CHARGED, 0 CREDITED 42.00 7/31 0842139388 1 OIL/FUEL SURCHARGE Purchase 2.84 G4892609 RENT Description De/A/ U�Ne •°AM?-RAI nr 11.98 TOTAL P.O.# P or F 100.01 F:7_ G�^.L.#E udcC t - 2013 j L1n;S.scr Purchaser Date I D�to ' — _—_. 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 serviee.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 sent you the first bill on which the error or problem appeared.You can SAMPLE INVOICE 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 t Your Account Number You do not have to pay the disputed amount while it is being 00100100-00I00IO0 i` investigated.During the investigation,we cannot report your account t as delinquent or take any action to collect the amount in question. to 23456789 MoN«*z9 i Watch here for a n 1 GENERAL INFORMATION �°�'B personalized account I.Payments received after the billing(INVOICE)date will appear on Important t11�ad,tpp,g d41d0 C"„p,,,,5__18°472 9888 message your next invoice.Past due invoices(not paid within 30 days of news and pa°M;OW1I� •' °•°'a°”" g .^a..oxe.. billing date)may be assessed a late fee as allowed by law not to offers ion.D0. 123 Mal.SL exceed$20 per month.Additionally,third party "i."dpSdo.•'d.af f' l .a.d•4p L.446d+tl T 5 expenses may be assessed at a rate not to exceed 100%of the - -. - - "a, ,u;�yec,}:ro.-- •+*^ unpaid balance or the maximum allowed by law. Pay electronically TomaTdxYa" aO.Y000ed161KEY9� ,,, ,,, +.w•rt 2.Each returned check is subject to a service charge subject to the ��` ,,�,,,d�ydr��x`� maximum check return charge allowable in your State. 1-',,,.' �. •%yA - ;,; ,- - "- Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity"- �"""- •""°""'°N"' "^"� ° amount has been ACTIVITY. since your AccouNTACTIVTY paid in full to 4. Equipment replacement costs will be charged for bottles lost, O,tagAdd-1.3ohnDx.123Mai^St—C"%S°eB°°°B i` stolen,damaged or not returned. last invoice % , e,Ke avoid late fees 5.In accordance with NWNA's Terms and Conditions("T&C"),your SGal Dep"sn Equipment Lease and/or Service Agreement account may be 11 31700514+M 3vea51u++ s "`,b„.vlaGalPe."m ! Monthly Oil subject to minimum monthly purchases and/or early cancellation "' 31751+++ `5u.na•9` +'��:` i Surcharge,Fuel 09111 310M3B011 fees.(A complete version of the current T&C may be viewed on the o9n: 1Ewa97 i ,i 101" II Surcharge or Delivery website listed below)Upon service discontinuation,rent for the 7 AL -- - Fee(see#6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. M c.MEN1A _ �A•TM13""'x°x""' 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or ..EYa4.aA'A"` -, 4aw _ 1 Information ACCOUNT SUMMARY xxxx I Delivery Fee as described in your T&C. Only one of these fees Payment stub _•^°___ ---- - mu AMOUNT will a to each account. The fee that applies to our account _ ^"•" __-----_ PAY By PPIY pP Y •0'•,.4iwn..67•`•P•�'"`"'• ACCOUNT NUMBER %x%>< is stated on the front of the invoice.For further information please 1:34567890 w w oA E r.ENCLOSE B D j visit the website listed below or contact our customer service iNVacENuMBEP �tGDX I 173+567890 center. 7. As a food product, bottled water is subject io the-rules and 0420096307 04262712619 000391049 2004 1B ` Amount due regulations promulgated by the Federal Food and Drug Administration(FDA). ,CEM00MaNw61��cOM ' 5t0°°°° I 8.Your first invoice indicates the products delivered on your first •^�'°^"" usY. e �0.,ns6Be i Submit your delivery, acusroMEPSE1MGEUU'- payment by this ry along with any applicable bottle and account deposits,. a6..14.iW4�p„6.61Lt•d-tl E,wA.7U•ree•0^P�•^`see redemption fees,and any dispenser charges.All future invoices 1' w9•w•^0neei""va• _J date sw•1 uPEOBrP¢NnorAn sg. 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. 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. Terms 051125 Ice Mountain P.O. Box 856680 Louisville, KY 40285-6680 Invoice Invoice Description PO # Amount Date Number (or note attached invoice(s) or bill(s)) $ 51.73 8/2/13 3GO121202766 Drinking water& cooler- MCC 100.01 8/2/13 3GO120095351 Drinking water & cooler- Maintenance Total $ 151.74 or bill(s)is(are)true and correct and I have audited same in accordance I hereby certify that the attached invoice(s), 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$ $ 151.74 ON ACCOUNT OF APPROPRIATION FOR 101 General fund / 109 Monon Center PO#or INVOICE NO ACCT#/TITLE AMOUNT Board Members Dept# 1091 3GO121202766 4350900 $ 51.73 1 hereby certify that the attached invoice(s), or 1125 360120095351 4350900 $ 100.01 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 10-Jul 2013 Signature $ 151.74 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund 0 service.icemountainwater.com � #215 6661 DIXIE HWY,SUITE 4 07/01/13-07/31/13 03GO121975593 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED — — FRI- AUG 09�I 1I 11 I 1II 1I 1II NI III I I B Hill 11111 WED- SEP 10 0121975593 WED- OCT 09 WED- NOV 06 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 ' ""�I�"�I�III"I'lll'llllll'llll'll""11'I�I'lll"'lll�llll' convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. [60 —. e'home a Warhol and Save! In July,'Perrier is reconnecting-with legendary,artist AndyfWarhol to release imited edition designs-inspired by the artists'work featuring the iconic Perrier Bottle.Save.10% on select rier-case,packsi-Call-1-800-472-9888-to-order now!, --�--- ACCOUNT ACTIVITY For questions or a report on water quali and information,call 1-800-472-9888 or visit service.icemountainwater.com. Delivery address: CARMEL REDEVELOPMENT COMMISSION,30 W MAIN ST STE 220,CARMEL IN 46032 PREVIOUS BALANCE 71.10 7/07 GA2156204 PAYMENT RECEIVED -30.58 7/11 0837937705 4 5 GAL ICE MOUNTAIN DIRK W/HANDLE 30.32 4 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 24.00 1 9 OZ PLASTIC CUP 50C/SLV 3.29 4 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -24.00 7/31 0842162794 1 OIL/FUEL SURCHARGE 2.84 G4936341 RENT 10.99 TOTAL 87.96 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 71.10 — 30.58 + 47.44 = 87.96 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 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. You are obligated to pay the parts of your bill that are not in question. °' r131sb78so Your Account Number You do not have to pay the disputed amount while it is being 00100100-0010010° investigated.During the investigation,we cannot report your account i 1315678 as delinquent or take any action to collect the amount in question. T e-o ° MoN-oa� Watch here for a n GENERAL INFORMATION cod M 1e personalized account 1.Payments received after the billing(INVOICE)date will appear on Important '800.p2-9888 un:,�u:n�damt�naddad"dnn.u"udde c°°�°'""5n"" message your next invoice.Past due invoices(not paid within 30 days of news and TMn4 Y"",^,uilM+Ee MOUn4h�P�"`E' billing date)may be assessed a late fee as allowed by law not to offers wzil Ciry,Stare BG008 _ exceed$20 per month.Additionally,third party collection/attorney L.".14"•a"dI.A A.6M.W.1 expenses may be assessed at a rate t exceed 100%of the unpaid balance or the maximum allowed by law. xax.nYCtnxaiarMR� mpu d .=r+o-•"00`b` -" ,�1;� I Pay electronically 2.Each returned check is subject to a service charge subject to the J J ,'�:te,..a^ye,twma",.wewmwrdwe*"a maximum check return charge allowable in your State. Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity ?"-•„. — P"'°°"'°�"x ACTIVITY. d"+. """�a amount has been since your AccoUWACmrtl c,ry.SM 00000 4. Equipment re replacement costs will be charged for bottles lost, Add+�s +"hnDO`•1 paid in full to P last invoice °"`ry avoid late fees stolen,damaged or not returned. Prtw.nf 8'la"" xxxx P�„�,-,1MnEYw 5.In accordance with NWNA's Terms and Conditions("T&C"),your w+e48 5 sGaomw,„Mlsamsw"" - l+l 31)885+MM k¢MW"IDln 5 Gal Oep"R, Equipment Lease and/or Service Agreement account may be 3veas,l+•• s M,"sWlRe,"m uxx Monthly Oil subject to minimum monthly P urchases and/or early cancellation Surcharge,Fuel fees.(A complete version of the current T&C may be viewed on the +'1 "°1011 � - r 1°-"` Surcharge or Delivery website listed below)Upon service discontinuation,rent for the .o,a .__ "� Fee(see#6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. Information's 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or ,.E.,wSMw+ rxx y „p,., 1°- , a suMMANY xtcx% Delivery Fee as described in your T&C. Only one of these fees Payment stub pCCOt, •,_.,,�..a•,=E"••_ _________ Pa TNIS AMOUNT ' will apply to each account. The fee that applies to your account __`_°"�-���„a, wP-^'^" 1 ACCOUM NUMBER PAY BY is stated on the front of the invoice.For further information please °°a° ,134 678W ew oArE .ENaosc° INVOICE NUMBER visit the website listed below or contact our customer service ,13+1618" W100108 center. 7. As a food product, bottled water is subject to the rules and 0,20096307 04282712619 00°3910'19 2pp9 'b I Amount due regulations promulgated by the Federal Food and Drug I.- 0 i Administration(FDA). IcE oU;gNo`","`oM` 23 WiRe�W. `I Submit your 8.Your first invoice indicates the products delivered on your first ,o,CUSTOME0.5EwICEUU'-°BO-"1-'e°° k delivery,along with any applicable bottle and account deposits, I"md 6°emu„M,t,W.n ,�,aM,,,Sd• !, payment by this redemption fees,and an dispenser charges.All future invoices m• �"”` �' date P Y Pe arg �vc4wroerPEE w*OMn sa"uP�„Id a.PM"• _ -,-_ 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.icemountainwater.com 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 r (e Am h/� Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoices) or bill(s)) U—I3 3 6 0 2 1SS9 3 y4er 47 Total 47 H 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 1 (e /�VJ qO f fi o IN SUM OF $ $ q7 4t ON ACCOUNT OF APPROPRIATION FOR /10/Z ' 350 900 Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), or �0 036 012M �.350 d o 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 � Sign Cost distribution ledger classification if Title claim paid motor vehicle highway fund aservice.icemountainwater.com #215 6661 DIXIE HWY,SUITE 4 07/13/13-08/12/13 03HO119252823 , LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED SET 06 0119252823 MO N- OCT 07 MON- NOV 04 THU- DEC 05 CITY OF CARMEL STREET DEPARTMENT Customer Service: 1-800-472-9888 BONNIE CALLAHAN Pay your bill online at:service.icemountainwater.com or 3400 W 131ST ST by phone at: 1-800-472-9888.It's free! CARMEL IN 46074-8267 I'll��'�'I"III'11111'IIIIII�II.II""�'I!II�"��II��"��'1�1"I `;TT€%'F or.,,a Im.. l'.t°G;e:.�Ad`.�.�t,.ir^m'e,'"`�;a"onl.,�y.x:b' u: tv"wo 1=., al.l^on�bor�wi tstl:eF s=of,«,sG,T,'r.vfa>;✓iV•�c�"^Fyi"n'n':n>d=is;:.•rs'rr lY�o�w�7F:=br-e.°w-:,e.y.'ad�:.�Ic e^•;H�d;;r..T..'."'.;ea=ran dFr rlS",r Pax.s;e 2-.;�0�r%l o, LenonTea Fa9 vai Gt Green B� palso�buy'o oottle:foronly, 4A ? e .;>'° � �'�, re`e�;=�'' 'csa '?�'.�; �' e':',F,$:2» �<. •:,a-n�;;�'_ ',�..a`��','�-°'�„r., ".•g[6�6,��1�',+..`�t1=mf_.`!'�_°'>y a„"s"�8w✓°,.'.n;,fs nr�0 a"`m..'t.�f r 0 i°,d,�et..4 k;'s«„-'."7�-.?"te".rp.....a:2;,"+.,,.a«'=„s-`.,'^°"`.9�n`gi>8.._'°."ee°.'8.e�'g=.°8-="A.<,��Fi'��."�.t'',°o`.,'rr�,;„"+.p�_"G`l'�'a`:s•d :':€:”•Y:.i57:;°:i•_=._:»_F'-tt?..r a 1•,;�.�j�;s�4:A,���,;;„U.`dr�.^;.?;n�Ps_"t,,°✓.e;�..�r�*X L'-::-�:'-`r_°".,Yo:`�-.„•>r�'y r xd..',z.e^':`£_,J:%E ess"ir'���a"!.rr�,s 9 O�,.':a=-i-ff;.�i'.'_;e_. r<`e�.;X.�"4.�i�;o.aF P,.a•Jl'�,�rde'�:'x�Fs 6.°1�,5:1�"ys..:t*?3�,:•:1:;,:n�_3.,_w_`1?x�`•i-1S..^>Fv;:..x,�af�l,�`d sr r"ra.'z.'3<�P..a SP 9.d..`'�«�a>^`°r,-fi'�°'",:',`•.�c•�c�•"�`".',..�,:�';.�f;;,Y':`;a_,^r'"'Ye...f�`�"✓'. WFr✓ � �.,+° few) ,7 r?d-NI'l "5 2 -- ': ;�.�� -s .::� ✓' ✓ r .r�„y+:P��..r,«� aa-• �j�'',�•.e,r,;..:x �°,�,®�-��'-.,...z "�.^,ztr.'",,.rt'" ..f - ;"";�'��' .�' .:.' �_-;::'..;�".�F,'soe�+. 'S�;y;"�)%� yF� �,._Ysr`��"ri°��°."a ;.. ..�.e.: p.;=°`° «^.z:��� 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 143.78 7/21 140357 PAYMENT-THANK YOU -81.68 8/11 244110 PAYMENT-THANK YOU -62.10 8/07 0841857394 8 5 GAL ICE MOUNTAIN DIRK W/HANDLE 27.92 8 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 48.00 4 9 OZ PLASTIC CUP 50C/SLV 11.16 8 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -48.00 8/12 0844252486 1 OIL/FUEL SURCHARGE 2.84 H5065986 RENT 3.99 TOTAL 45.91 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT I ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 143.78 — 143.78 + 45.91 = 45.91 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. 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 later thirty(30)days after SAMPLE INVOICE sent you the first bill on which[he he or p 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. You do not have to pay the disputed amount while it is being 0010010000100100 1234567890 Your Account Number investigated.During the investigation,we cannot report your account t ` 123456789 as delinquent or take any action to collect the amount in question. rNR-Oa a M°N-ocT 29 Watch here for a GENERAL INFORMATION E-WED NOY=1 N °EC 1R personalized account 1.Payments received after the billing(INVOICE)date will appear on Important n,nNang�auga„,aga,mt•,ana.g;,t>tan a.t^metSem--i.�Pt"°9"•ta message your next invoice.Past due invoices(not paid within 30 days of news and maRE°E«R°^91ae billing ate may be assessed a late fee as allowed b law not to 123M11 "n° g ) Y Y offers ,z3 Mam s1 pry,5tatc 00000 exceed$20 per month.Additionally,third party collection/attorney t.aat•,tagt,,,,,n,,,dt,.,n,au•d..`bbtia"n expenses may be assessed at a rate not to exceed 100%of the ...,-•---•;:�"-';'s,` `w=-b-{j r}:eR ;'” , %°�,a a•RR .gmaneasP?�'Et!., �;r•r>r, unpaid balance or the maximum allowed by law. .��.,�c--�^'. ' ,,; am'pd;i.:^' '°. y�Rm, w�`iros°R°"q" -';:,". - Pay electronically `�J `°sncomr smli Jxcks^irt«m+,re ..::-,.1.::. 2.Each returned check is subject to a service charge subject to the n�. a R maximum check return charge allowable in your State. Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity ACTIVITY. since your ACCOUNrAc voN 1. `�'` "�" a Qe1 cm state00000 amount has been 4. Equipment replacement costs will be charged for bottles lost, last invoic 'ceL,,1eryAdafe„ 1^�^pe¢.,23Mai°sit xx%% paid in full to e stolen,damaged or not returned. Ptevwua8alan«t-TtunM n� avoid late fees paymen YOu 5.In accordance with NWNA's Terms and Conditions("T&C"),your 00131 46,098 Soalro"Nat«a.1De,''a"' %X3x Ill 31]005144M 5 ke M«inta�n5Gal0epo+'t Equipment Lease and/or Service Agreement account may be 1„ 3nees4aw 5 Monthly Oil subject to minimum month) purchases and/or earl cancellation R9m 31']RRS1,,,4 Eae'wt`6•`ee ,. 1 YP Y 0911 R:6 RR„ R t Surcharge,Fuel fees.(A complete version of the current T&C may be viewed on the °9111 166+^•9] 'XX` Surcharge or Delivery websrte 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. RRFNE.�TN°. _ «y*m'""x°V"t 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or °„ "-uX ` Information°) SUMMARY Delivery Fee as described in your T&C. Only one of these fees Payment Stub ACCOUNT y eu — PAY THIS AMOUNT PAY BY will apply to each account. The fee that applies to your account ---- eana,�,,;,«a6,w wn�t ACCOUNT NUMBER ooiooloo xxxx , is stated on the front of the invoice.For further information lease 123456)890 MT ENCLOSED P � INVOICE NUMBER eILLINC DATE visit the website listed below or contact our customer service 16 90 00100/00 center. 7. As a food product, bottled water is subject to the rules and 0420096301 04282712619 0" 000391049 20 1° Amount due regulations promulgated by the Federal Food and Drug 1.1 D— Administration(FDA). IcE MOUNTAIN wATERCDR^n;Y« yzcaresto0000 Submit your 8.Your first invoice indicates the products delivered on your first •°^°°"""°1Rw.,m 0.CUSTOMER SEA9CF ULL 1-0W-•]7-9880 delivery,along with any applicable bottle and account deposits, a•."ta,tb6g"b"t•�61„n payment by this redemption fees,and any dispenser charges.All future invoices t„an'wd"at•«. I�,„rea°�Re..•°s'a` "'°' e date will reflect charges for water delivered and dispenser rental,bottle 5,6R4,EORrRFE-4OmPAr7sq^oP 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 08112 0''r—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)) 08/22/13 03HO119252823 $45.91 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 Ice Mountain IN SUM OF $ P. O. Box 856680 Louisville, KY 40285-6680 $45.91 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members 2201 103HO119252823 I 42-389.001 $45.91 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 Fri Aug st 23, 2013 Streea ioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund