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224262 09/23/2013
CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CARMEL, INDIANA 46032 PROCESSING CENTER CHECK AMOUNT: $97.16 d� PO BOX 856680 CHECK NUMBER: 224262 LOUISVILLE KY 40285-6680 CHECK DATE: 9123/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4350900 3HO120095351 39 . 43 OTHER CONT SERVICES 1091 4350900 3HO121202766 57 . 73 OTHER CONT SERVICES ,jase rvice.icemountainwater.com !p B ° #215 6661 DIXIE HWY,SUITE 4 ° 08/01/13-08/31/13 03H0121202766 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED ® B e ��—ee �MMON- SEP 23 0121202766 7Y: e �:� �TUOE NOV 19 P 0 9 M3 FRI- DEC 20 CITY OF CARMEL PARKS DEPARTMENT Customer Service: 1-800-472-9888 MANDY SPADY Ell 6TH ST you forget about us? Kindly pay upon receipt. 1411 1411 EL IN 46032-3455 Remember,past due accounts are subject to a late fee. Your prompt payment is appreciated. For your I'I�'I'll'll'�'�I�III"l'1111'll'I'I�I�"III'!IIIII'�I'll'I�III'I convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. On, For arolimited time only, buy two 1 gallon bottles of Tradewinds slow brewed Iced Tea and save20%! You can also buy one:9 gallon bottle for only$4.99! Available in Sweet, Green, DietGreen 8� demon Tea�lavors Ca1F '. 1-800=472-9888 to add to your next�order�!Offer expires 10`!31=i1=3~�- - ---- -- P_ ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1.800-472-9888 or visit service.icemountainwater.com. B 8 B 8 Delivery address: CITY OF CARMEL PARKS DEPT/MONON CENTER,1235 CENTRAL PARK DR EAST,CARMEL IN 46032 PREVIOUS BALANCE 51.73 8/22 0844625632 10 5 GAL ICE MOUNTAIN DIRK W/HANDLE 42.90 BOTTLE DEPOSIT: 10 CHARGED, 9 CREDITED 6.00 8/31 0846826659 1 OIL/FUEL SURCHARGE 2.84 H5134875 RENT 5.99 TOTAL 109.46 DQ101.1 NC1 W PcT9P-• MCG ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT I ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 51.73 — 0.00 -F 57.73 = 109.46 BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL,OR FOR YOUR INVOICE-4 A REPORT ON WATER QUALITY AND INFORMATION, PLEASE WAYS TO HELP US SERVE YOU BETTER CALL I-soo-47z-9sAa OR WRITE Us AT: 1• Please remember payment is due by the"Pay ICE MO 2• Remember,if you are renting ui p Y by"date noted to ensure the smoothest service. MOUNTAIN SPRING WATER CO. your first invoice will include a equipment,fee for the current month, 6266 equipment current rental is charged one month in advance.That means 6661 DIXIE HWY,SUITE 4 3. Kindly fill in the amount enclosed, include your account number on LOUISVILLE,KY 40258 If You plus the next month's rental. Y prefer,you can pay your bill online at service.ieemountalnwater.com lfyouthink 4. Never your check, and do not send cash. your bill is wrong,Or ifyou need more inform he t0 call us With com a transaction on your bill a[ion about metttS,gUCStiOnS,Or must hear from you in writing te later than thirty sheet of paper.We concerns. sent you the first bill on which the error or problem((30)days after we telephone us,but doing so will not preserve your .In letter, appeared.You can give us the following information: rights your SAMPLE Your name,address telephone and account number.. INVOICE • The dollar amount of the suspected error. Describe the error and explain ifyou can,wh Date range oft his invoice an error. Y you 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 00/00/00' Ih 1 -00100/00 123456]890 GENERAL question. i Your Account Num her 1.Payments re jvafteGr the RMATrQN 123456789 billing(INVOICE) ttla-oa w Your next invoice.Past due invoices )date will appear on Important billing date) MON-0Ci z9 Watch here for a ma s no[paid within 30 days of news and TuE-Dec,B exceed y be assessed a Late fee as allowed by law not to Intl.dtt ilkdtll6M.d�It.G�R4idUp.tlupJ.ttl Curto Se ;1-60047 3-9 888 f personalized $20 per month.Additionally,third party colicetion/attorney offers account expenses may be assessed at a rate no[ unpaid balance o"S'..s1 Thank°ul"rusingiceMwnbinproAu s message to exceed 100%of the otsstate 00000 ,ne:<rvmaa. or the maximum allowed by law eat a.ee at tt atw6A 1.1 t W!l 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 equipment deposits are shown as CURRENT x�xdxx°aoxs ACTIVITY I Pay electronically Activity t 4. Equipment replacement costs will be charged for bottles lost, stolen,dams since your .w Make sure damaged 07 not returned. ACCOUNT A1110TY N as a thlS 5.In accordance w last Inv 4th NWNA's Terms oiee Equipment Lease and Conditions("T&C"),your oeimervaddre,:/°hno ..123—'sweet,c,yswte 00000 amount has been and/or Service Agreement account `"ou98a1nC xxx paid in full to subject to minimum monthl ount may be Ben, 461898 payment-mankra, xxxx fees.(A complete Y Purchases and/or earl m 3naes,aa„ s s6aiwnnam,aiswm9watet xxxx avoid late fees p ete version of the current T&C may be vied ed on eas,«a s ite M°"main sc io w9 %%.xx website listed below o9m 3vaesi4ua s ke M°un wain f 7 x%xx Upon service discontinuation,rent for the o9n7 n,ea3ea„ s"����9 xx,,� Monthl Leased Equipment is charged through the end of the billing cycle z 6640.9 aen if `. Y oil in which service is discontinued, r xxxx Surcharge,Fuel 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or DrAL Surcharge or Delivery Delivery Fee as described in your T&C Only one of these fees Fee(see#6 under will apply to each account. The fee that applies[o TM"4""" "°`"�:a�"°°"t 'General is stated on the front of the invoice.F PeYment stub •aEw°":utAr+<E r...at,.Tra°rvnarEM _ ACCOUNT SUMMARY — xxKX +CUpO pixx xxxx Your account xxxx visit the website listed below or further information ___5u0�"""'""° --- Information") Please ,o,,..•„.>r,.a..a,o.. ._o,<-E""�<,.au.,.,• ! center. or contact our customer service w,�e.ro�m.a�ya o ACCOUNT NUMBER NY BY PAY THIS A UNT . 7. As a food 1z3456]090 W-IM xx Product, bottled water is subject to the rules and ii� ,cE NUMBER BauNC DATE MT.ENCLOSED regulations promulgated 6 1234567890 00(Wl o Administration(FDA). y the Federal Food and Drug 8,Your first invoice indicates the 0420096307 04ee2712619 000391049 2004 11 ,. delivery,along with any Products delivered on your first Amount due redemption Y applicable bottle and account deposits, codNA"wATERCOrN I"nn DO fees,and any dispenser charges,All future invoices Cq,51-t r will reflect charges for water delivered and es, city scare 02200 + deposits and credits plus charges penserrental,bottle :aea.a»ma«d6..aittmn.ud>..u4baq EDRCUST°MER:LRwcruuisoB4>z-gees Submit Your ordered b ges for any additional products M0°°"`"""U1Op"Y1zgnOp"gqurcedOnP"`"`5i°` " " A3Yment-by this y You. Deliveries are made every three or four weeks,for date a total of 16-17 deliveries per year.You will only receive invoices q times per year,so approximately 5 of those invoices will reflect two deliveries. ©2008 Ice Mountain Spring Water Company, service. a Division of Nestle Waters North America Inc. Q rte— Form No.NW 709 08/12 serviceAcemountainwater.com ®® ffiffliffie 10111111' #215 6661 DIXIE HWY,SUITE 4 08/01/13-08/31/13 03H0120095351 ' LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED 9 B e MON- SET 23 0120095351 MON- OCT 21 TUE- NOV 19 FRI- DEC 20 CARMEL CLAY PARKS AND REC DEPT. SEP Q 2��� Customer Service: 1-800-472-9888 AUDREY KOSTRZEWA Did you forget about us? Kindly pay upon receipt. 1411 E 116TH ST kemember,past due accounts are subject to a late fee. CARMEL IN 46032-3455 BY: Four prompt payment is appreciated. For your I'lll,'�'�I"llll�lllll'III'1111'lll��l"I'll'll��l'����II�'�Illl onvenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. 'For a limited tirrme only, buy two 1 gallon boftles ofTradewind"sslowbrewed IcecJ Tea and sa�e�20%0!:You ean. also buy one 1gallon bottle"for only 4.99L`Availablen Sweet; Green; Diet Gr>.eeo 8r�Lemon Tea Flauo�s Call. " _-1-800=4.72-9888�to add�to your next�order! O„ffer expires 1.0'131�t1�3 � � fi u 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 100.01 8/22 0844625582 7 5 GAL ICE MOUNTAIN DIRK W/HANDLE 30.03 2 9 OZ PLASTIC CUP 50C/SLV 6.58 BOTTLE DEPOSIT: 7 CHARGED, 9 CREDITED -12.00 8/31 0846813368 1 OIL/FUEL SURCHARGE 2.84 H5053502 RENT 11.98 TOTAL 139.44 DtttNKtNG WR'C� —M�insf. It25-I-13— 4350900 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT 1 Qle Subject to terms on reverse side. 100.01 — 0.00 + 39.43 = 139.44 BILLING RIGHTS SUMMARY IN A REPORT ASE OF ER ORS RRQUALITY IOO AND ABOUT INFORMATION, P OR FOR YOUR INVOICE-4 1. Please remember Payment is due by the"Pay y" SERVE YOU BETTER CALL J-800-472.9888 OR WRITE US AT: ICE MOUNTAIN SPRING WATER CO. 1 Remember,if by"date noted to ensure the smoothest service. You are renting equipment, tt216 Your first invoice will include apro-rated Your ee for the current month,plus the next month's rental. equipment rental is charged one month in advance,That means 6661 DIXIE HWY SUITE 4 3. Kindly fill in the amount enclosed include LOUISVILLE,KY SUIT If You prefer, your account number on You can pay your bill online at service.icemountainwater.com 4. Never hesitate to call us with comments,questions,or concerns. your check, and do not send cash. Jfynu think your bill is wrong,or ffyou 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 probl telephone us,but doing so em appeared.You can will not preserve our ri give us the following information: Y ghts.In Your letter, • Your name,address,telephone and account numbers. SAMPLE INVOICE The dollar amount of the suspected error. Describe the error and explain if you can,wh Date range of this invoice an error. y you believe there is You are obligated to pay the parts ofyour 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. ' 00190J09-09/99/90 234567890 GENERAL INFORM Your Account Number 1.Payments received after the billing A ��VOICE d ' 00 your OCT. 1234567e9 your next invoice.Past due inv ) ate will appear on Important MON-ocr zs oices not we9-Nov Watch here for a billing date)may be ( paid within 30 days of news and 9E.Dec s Y assessed a late fee as allowed by law not to anomc,sema:l-Boo<7z.988e exceed$20 per month.Additionally,third 16dimRtAitifl#Ik11R.bIBA�dRR.Y.,tt##R personalized account Party lion/attorney offers kh^oce n,n«n^rw In 9meM�^mnP°a9n rtleSSag expenses may be assessed at a rate not to exceed 1 z9 Maln ss e unpaid balance or the maximum allowed by lax,Bed 100%of the p,vs,aLe D99D9 2-Each returned check ma is subject to a service charge subject to the t#Ra d RF„.H1#k R 6R u"6646#R M ximum check return charge allowable in your State. 3. All bottle and equipment deposits are shown as CURRENT To-, na�ro� « «fe ACTIVITY. Pay electronically Activity �t � �"� 4. Equipment � °`�-fir replacement costs will be charged for bottles lost, since your stolen,damaged or not returned. ACCOUNTACTIvm "°"°"°^" Make sure this 5.In accordance with N last invoice ^ WNA's Terms and Conditions Equipment Lease and/or ("T&C"),your oerenflame.::i°nnDa 123Mams,�l,clvsraleo000o amount has been subject to mini Service Agreement account o`er°°:�I9Me xxxx paid in full to mum monthly may be Bel31 x61898 aunt=^1-TMa^«ra, xxxx fees.(A cum Y Purchases and/or early cancellation n, s,788s,a444 s swu°n Namaiso,rnswa,e' xxxx avoid late fees complete m 3veesa 4 s 1aM°"neanswiDew xxxx website listed below urrentT&C may be viewed on the o9n1 317885- 5 Ice M°un inSGaiflNmn Upon service discontinuation,rent for the D9i12 3,01638811 wets"anaye Nx Monthly Qjj Leased Equipment is charged through the end of the billing cycle 2 bba.e> flen in which service is discontinued. Surcharge,Fuel 6.You will be charged a monthl roru Surcharge Y Oil Surcharge,Fuel Surcharge or g or Delivery Delivery Fee each described in your T&C. Only one of these fees Fee(see#6 under Will apply to each account. The fee that a Pa me «„ :xA rAVM .3s*NEM N.ACa19NY = ^" AM°° "General is stated on the front of the invoice applies to your account y nt stub ACCOUNT SUMMARY '" °° `— +Ctl TMI: oice.For xxxx xxxx xxxx visit the website listed further information __ _ ----"�----` Information,) please ---- --------------- -------------------- mation'� center. below or contact our customer service 6vm aue ve rtou° ro°wr^•�a ACCOUNT NUMBER PAY BY PAY TNI5 AMOUNT 123456>890 00/08/00 %xx% 7. As a food product, bottled water 15 $ubleCt t0 the rules and INVOICE NUMBER BILLING DATE MT.ENCLOSED regulations promulgated b 1234567890 w/w/. Administration(FDA). Y the Federal Food and Drug 8.Your first invoice indicates the products delivered on your first 0129096307 9'1282712639 099391049 2994 16 delivery,along with an Amount due Y aPPlicable bottle and account deposits, KE6rv�M,,°1;,"T" ,AmenOM,m°MA:r �°nnDOe redempt on fees,and an dis 23 Mx;,1 s, Y penser charges.All future invoices cnY,axle Doo9D will reflect charges for water delivered and dispenser rental,bottle deposits and credits plus charges for any additional h#a6.#"tU.„d6"t6"lt.6R"w 646t#:B; nR�usTOME86ETA[uL 00,2:-9888 Submit your ordered b []vcNOProR uurnPnns9^ Bm�eeo�ee. s .0-nmtMVCnan9e+C°R« ° _ " payment by this y you. Deliveries are made every three or four weeks,total of 16-17 deliveries -..s. - date 12 times er PerY�"You will only receive invoices - -- - - - ---_.- _ _ - —- P 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. Q service.icemountainwater.com o Form No.NW 709 08/12 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 9/4/13 3H01 21 202766 Drinking water &cooler- MCC $ 57.73 9/4/13 3110120095351 Drinking water& cooler- Maintenance $ 39.43 r Total $ 97.16 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 5-11-10-1.6 120— Clerk-Treasurer Voucher No. Warrant No. i 051125 Ice Mountain Allowed 20 P.O. Box 856680 Louisville, KY 40285-6680 In Sum of$ $ 97.16 ON ACCOUNT OF APPROPRIATION FOR 101 General fund / 109 Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1091 31-1011 2120276e 4350900 $ 57.73 1 hereby certify that the attached invoice(s), or 1125 31-10120095351 4350900 $ 39.43 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 19-Sep 2013 Signature $ 97.16 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund