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HomeMy WebLinkAbout225412 10/23/2013 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CARMEL, INDIANA 46032 CHECK AMOUNT: $135.40 PROCESSING CENTER a�cos PO BOX 856680 CHECK NUMBER: 225412 LOUISVILLE KY 40285-6680 CHECK DATE: 10/23/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4238900 3I0117821082 38 . 65 OTHER MAINT SUPPLIES 2200 4239099 3I0120048525 24 . 73 OTHER MISCELLANOUS 1125 4350900 3I0120095351 26 .43 OTHER CONT SERVICES 1091 4350900 3I0121202766 18 . 28 OTHER CONT SERVICES 1205 4239099 3I0121776199 16 . 32 OTHER MISCELLANOUS 1801 4350900 3I0121975593 10 . 99 OTHER CONT SERVICES service.icemountainwater.com ' 0 D "1'116011 ' 0 � #215 6661 DIXIE HWY,SUITE 4 09/01/13-09/30/13 0310120048525 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED ® B D MON- 07 0120048525 NOV MON- NOV 04 THU- DEC 05 TUE- JAN 07 CITY OF CARMEL DEPT OF ENGINEERING Customer Service: 1-800-472-9888 LISA SCOTT OR JUDY STOHLER Did you forget about us? Kindly pay upon receipt. 1 CIVIC SQ Remember,past due accounts are subject to a late fee. CARMEL IN 46032-2584 Your prompt payment is appreciated. For your ��'III'lull'IIIIIIIIIIIIIII'VIII'll'I�IIIII�III'llllll'llll"I, convenience,pay online:service.icemou ntai nwater.com. If payment has been made,we thank you. Fora=ltmiteddfiime°orilm' bu. two:1` `all`on4Fbott s ofTradewinds slo�wbrewedIcedTeaand ave2b%You=can „^'b.::. =7,'�`c:: ;� <•s.m "4'-'. s.:4:r�, _ �.:s ,r,,-v�.s a.'r^-^��3'-�.s.<. „ as. �.Ci,. r.�:.,, la w Duy one-1jgallon-bottle�foraonly�$y4 99 -Availablem ?weet;,;Greeni=Diet.Green, EPemon>Tea:F als R� lavom, all azoi'r: -32nem c.x°"t---or<?'.,a:°"'.?r';iSdT nr°v.r er r Nr. _^&(d;� 1 r" ra; Vt et 17Z9 R t1. ,sari; . i " .1'x-f":-'*",”s",w°�..';'�xtl.�..s,z!�,...^F`.s�y.,'�✓�x',.5"za.;�L?,.s's"''rF up<W,.�:.,>°:'s./%•'-s�.:zP�'x`N�.°,=�;, .s!giQT'�3:;'K.,;°:„�:�".^,A.",,_-".��.'""d.yr�e"",o w' "..5. >avaw. 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 SQ, CITY ENGINEERING DEPT,CARMEL IN 46032 PREVIOUS BALANCE 21.24 9/09 0846403616 5 5 GAL ICE MOUNTAIN DIRK W/HANDLE 17.45 5 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00 1 9 OZ PLASTIC CUP 50C/SLV 3.29 5 5 GALLON ICE MOUNTAIN DEPOSIT RETURN rnt-�� R 789 .00 9/30 15198283 RENT �� 3.99 /A TOTAL EIVED 45.97 2013 'RMEL v C-INEER c 2Peczz-z 'to �� I ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 21.24 — 0.00 + 24.73 = 45.97 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 1-800-472-9888 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 no later than thirty(30)days after we SAMPLE ®� 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. °t You do not have to pay the disputed amount while it is being \00100100-00100100 1234s,7a90 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. TNB-oc1 oe MON-OC29 Watch here for a WED-NOV 121 GENERAL INFORMATION TDE-DEC 18 personalized account 1.Payments received after the billing(INVOICE)date will appear on Important Ibtl„,lit”pbd[Ilbindl0d.ipb.+•tllfl„a„tIdAO ­me,SamMOU”a00 vr�um message your next invoice.Past due invoices(not paid within 30 days of news and rnank yn"1n°�s1n91ee billing ate)may be assessed a late fee as allowed b law not to 1o110Oe g Y Y offers ,z3 Ma,n sc exceed$20 per month.Additionally,third party collection/attorney o"51-n DOW 11 1U..t..6e6ba.n µ µ µ expenses may be assessed at a rate not to exceed 100%of the unpaid balance or the maximum allowed by law. ""'. bo<;,,E„y,in,ea±r °` g4t0' _d5 ��� .,s„,".� Pa y electronicall y fT7 w1f, 2.Each returned check is subject to a service charge subject to the `'✓.,..aervak; er1101na".rd$},•�,�' - :w: ,o..,;;v ,.. maximum check return charge allowable in your State. "',,.�%.` -!re. - '•r -.---- Make sure this ,�;�"s'•;^. 't "'.%"_:.; ,�:'a::,., ,. aa9.,=.,deal„1,ae 3. All bottle and equipment deposits are shown as CURRENT Activity };,; ,°7::." K „�,,,,,,,,,m..,....•��^^ °"" amount has been ACTIVITY. since your AccouNrAarvnv q0 paid in full to 4. Equipment re replacement costs will be charged for bottles lost, Aaa,aa: J"hnDce 123M°'ns„aae o,yS'R` OW P g Del,en xx last invoice stolen,damaged or not returned. P,ev,nus.alance x xr avoid late fees Payment-ThankVOu 5.In accordance with NWNA's Terms and Conditions("T&C"),your BB13, 461098 ,canon Nav��al s"^^9Wa,e, xxxx 111 31]80514444 s Ice M"uma,n 5 Gal Deposit x%xX Equipment Lease and/or Service Agreement account may be 1„ 3neas++44 5 IaMnumam5GalBe,�," .0 Monthly Oil 0911, 31]80514444 5 Fuel su�cF V subject to minimum monthly purchases and/or early cancellation 318 63�„ Qe^ Surcharge,Fuel fees.(A complete version of the current T&C may be viewed on the Surcharge or Delivery webstte listed below)Upon service discontinuation,rent for the TorAL Fee(see#6 under Leased Equipment is charged through the end of the billing cycle "General to which service is discontinued. 4„aaLN1..g1x1^' 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or lnxx Information") Delivery Fee as described in your T&C. Only one of these fees Pa meet stub ACCOUNT suMMAav .,D-x•^ Y PAY 1 15 AMOUNT UMBER PAY BY x will apply to each account. The fee that applies to your account ---'°-- ,p,-,�,,,,„„ , ^`^ ACCOUwr N oolomoo X' is stated on the front of the invoice.For further information P lease INV 12345 56]890 67890 ER BILLING DATE MT.ENCLOSED OICE NUMB visit the website listed below or contact our customer service Bmoolm 1234 center. 7. As a food product, bottled water is subject to the rules and D420096307 042,2712619 000391/149 2nD° 1° Amount due regulations promulgated by the Federal Food and Drug i^n"Doe Administration(FDA). IcEouNTaN wnTE ^„!,PAu;"^, c Ysi;+as`00000 Submit your 8.Your first invoice indicates the products delivered on your first p0.NSTOME0.5E0.VKE ULL1800-039860 b this delivery,along with any applicable bottle and account deposits, Lda�.a.nr^ Ib„1L„n„y®„I,.6,LbJ•a ❑P a p1$,5,,e payment Y redemption fees,and any dispenser charges.All future invoices ”PlppfeEExu,OPAr5,9^OP B.9°ne°On"°ppe5itle 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 I6-17 deliveries per year.You will only receive invoices 12 times per year,so approximately 5 of those invoices will reflect two deliveries. I ©2008 Ice Mountain Spring Water Company, a Division of Nestl6 Waters North America Inc. Form No.NW 70908/12 Sir 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 Ice Mountain Purchase Order No. POB 856680 Terms Louisville, KY 40285-6680 Date Due Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s) Amount 10/3/2013 0310 water cooler $ 24.73 Total $ 24.73 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 NC WARRANT NO. Ice Mountain ALLOWED 20 POB 856680 IN SUM OF $ Louisville, KY 40285-6680 $ 24.73 ON ACCOUNT OF APPROPRIATION FOR 03L o/zooypSZ5 Board Members PO#or# INVOICE NO. ACCT#/TITL AMOUNT DEPT# I hereby certify that the attached invoice(s), 0 0310 2200-4239099 $ 24.73 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 10/21/2013 Signature City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund service.icemountainwater.com ply #215 6661 DIXIE HWY,SUITE 4 09/01/13-09/30/13 1310117821082 LOUISVILLE KY 40258 B B e ADDRESS SERVICE REQUESTED Il�l��ll�ll el III��I (II ���Slal� �I� WED- 16 0117821082 NOV WED- NOV 13 MON- DEC 16 THU- JAN 16 Customer Service: 1-800-472-9888 CITY OF CARMEL STREET DEPATMENT Did ou forget about us? Kindly Y 9 y pay upon receipt. 3400 W 131ST ST CARMEL IN 46074-8267 Remember,past due accounts are subject to a late fee. Your prompt payment is appreciated. For your I�I�II�IIIII�I'��I'llll��l'II'll�llll����ll�l'I�ii�l"'I'I�I'lll' convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. For a limitedtime only, buy.two 1 gallon bottles of Tradewinds slow brewed Iced Tea and save 20%! Yo,ul, also'buy on I gallon Bottle-for only$4.99! Available WSweet Green, Diet.Green &Lemon Tea'Flavors:ca11 ° _--— 9�800n4.72-98 £3-to-acid_to_vpt;r next_order!,Offer expires-1.0/3'1 x=1.3 .,yy m+. .c'O9Cr' . :.. y. .. 't• .. e .w'' �. dry ., . '°.:z•� _,y.� 5 _, ^.��.+. -va..�•yT..:..- i-w.`.�., _ -.i�SLr"-esz. y .._ rywz� .._ s. ..' r'..1._�n�.- r c-v. .:�rw�i.+. -.d .. /�' _ _ ... '���ww'._-.-�.�.... "....«.E:p��.._�, ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1.800.472.9888 or visit service.icemountainwater.com. __M 00mi e e Delivery address: CITY OF CARMEL STREET DEPARTMENT,3400 W 131TH ST,CARMEL IN 46074 PREVIOUS BALANCE 36.27 9/17 0848017950 5 5 GAL ICE MOUNTAIN DRK W/HANDLE 17.45 5 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 30.00 3 9 OZ PLASTIC CUP 50C/SLV 8.37 4 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -24.00 9/30 0851289702 1 OIL/FUEL SURCHARGE 2.84 15184477 RENT 3.99 TOTAL 74.92 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 36.27 — 0.00 + 38.65 = 74.92 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 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. " You do not have to pay the disputed amount while it is being oo/ooroD-oolaroo r z3+w]svo Your Account Number investigated.During the investigation,we cannot report your account r ' 23A56]8 as delinquent or take any action to collect the amount in question. Ns-o a MDN«r z9 Watch here for a GENERAL INFORMATION rDE��1e personalized account 1.Payments received after the billing(INVOICE)date will appear on Important alb @6:iUC.0wNa9 ,,,�,�,,,"`'"eao'']]"'sae message your next invoice.Past due invoices(not paid within 30 days of news and tNL1a.9MONa-, ,,,,,�„a,�„�,ek`M°"""°'pvd'"" g billing date)may be assessed a late fee as allowed by law not to offers Uzi exceed$20 per month.Additionally,third party collection/attorney expenses may be assessed at a rate not to exceed 1001/ of the unpaid balance or 2.Each returned check eisrsubject t allowed service lcharge subject to the „•a„"mn ',�e Pay electronically maximum check return charge allowable in your State. •' ��_ _, �. "'-'�- �"-`� Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity �°""'.°°•"-'°°m - e9 P eP° tY ,.,•...a..°."®m°": =sx-' amount has been ACTIVITY. since your ACCOUMAC7wn1' _, ., 4. Equipment replacement costs will be charged for bottles lost, last invoice Ddr� °n x. paid in full to stolen,damaged or not returned. a,,,n,,,ea • avoid late fees 5.In accordance with NWNA's Terms and Conditions("T&C"),your esn, .s,eee 5 ss`•°a'•a"'"° Lease and/or Service Agreement account may be "' 3O�'� "`"°"°""�s�L�' Equipment g Y „ area,NA s •NOmnMSwiamm x Monthly Oil subject t minimum monthly purchases and/or early cancellation -"' J9 wc Surchar e,Fuel fees.(A complete version of the current T&C may be viewed on the -,, '%"D"' ' s°,. °'°' Surcharge or Delivery website listed below)Upon service discontinuation,rent for the .orr.r Fee(see#6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. �" -'""""`Y = Mr �" Information°) 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or ,,, �+ u.0 tl°` Delivery Fee as described in your T&C. Only one of these fees Payment stub ACCOUNT SUMMAaY—_•o[�n•"V ----AMOUNT will a to each account The fee that applies to our account _ "- -...... -- "AV Sr PAY PPIY PP Y nw.•c ACCOUNT NUMBEN % is stated on the front of the invoice.For further information please ».°i•� � +zr•ss]evo NwNC o h .ENnosEo 5678 R WIW/00 visit the website listed below or contact our customer service I'Vo'C+zl+ss]aeo center. 7. As a food product, bottled water is subject to the rules and 0420096307 04262712619 00039]049 znp° la Amount due regulations promulgated by the Federal Food and Drug o« Administration(FDA). ,�,,,WNruNwATEACOMru+r ,jziM°'"n 8.Your first invoice indicates the products delivered on your firs[ • e"y'su+e 00006 „296s Submit your NIA�UrTDMFA YlV1�T fALL' a delivery,along with any applicable bottle and account deposits, t.mwa,.m•,.m..at..n.baa.,6uar.o ❑ ,� P Y ment by this redemption fees,and any dispenser charges.All future invoices a�lwrox"Fm 4o�^`OO�a�+•�+•y^` _ date will reflect charges for water delivered and dispenser rental,bottle �,wNwwsr 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 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)) 10/03/13 1310117821082 $38.65 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 $38.65 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 1 1310117821082 I 42-389.001 $38.65 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 0 Wed e day er1 2013 ki St (6&omji r er Title Cost distribution ledger classification if claim paid motor vehicle highway fund service.icemountainwater.com e D #215 6661 DIXIE HWY,SUITE 4 09/01/13-09/30/13 0310121776199 / LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED 9 B MON- OCT 07 0121776199 MON- NOV 04 THU- DEC 05 TUE- JAN 07 CITY OF CARMEL HUMAN RESOURCES Customer Service: 1-800-472-9888 JIM SPELLBRING Did you forget about us? Kindly pay upon receipt. 1 CIVIC SQ Remember,past due accounts are subject to a late fee. CARMEL IN 46032-2584 Your prompt payment is appreciated. For your convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. Fora l mite i tlme oriI--,buy t N,64:ga11on bottles�of�Tradewirids,slow,brewed iceds�Tearand:save 20°l0! YoWC—11 .z "3 q` a ,'mod :+ •' tea.•_ e. :.i. `. `='. s,,;�zm...;._,.:.rgr �^.� - ', -�, �✓ �a•r.rr w���-rs„+.;a'm alsogbuy o,ne�1gallonlottleforonly$4:9,9! Available�inSweet; G"reeri;.Diet:GreenY$ LemonTea=Flavor.'scall==nom 1. 800=472=9.888xtoadd to-yournextoi:der! Offer`expices1.0/3113.' -- -- � o-M ,± _ .�._;__.=�..4 ,✓ �" =tea,.° � r '3;�`.e dns � ���°�. .,���•. .r.+;�a.;�,, io' '� »°�^ '� -- `� _ .dK• �-.'." .g.�o x '-` - ,tom' s: a� �" `�3=':n�s w,r ^-r".�,,, i�w ',r�''�: -: °,:�• -" o, _ `:zrrs,�°. _ ;��"' _ '�' ° .P' � �a�.",F?,.;,`w:s' fi°t� _:�,:_e�' _ 3..t'"s.:",'� ``:.t'mss" �r'J..�:_a�z.x:�.. z•a°' ^":.rw'M.'�. aa:.'" ':t�„ •',�. ...,� �'u "`•p-y.•a� ... r•.=s".dC,t:P"'q" '�.�'..:- � :;-' v....�z" .„,�°, -•ssro� �.:.ati:,.�•a ...!'°a ''„� 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 SQ, HUMAN RESOURCE DEPT,CARMEL IN 46032 PREVIOUS BALANCE 10.32 9/09 0846403657 1 5 GAL ICE MOUNTAIN DIRK W/HANDLE 3.49 BOTTLE DEPOSIT: 1 CHARGED, 0 CREDITED 6.00 9/30 0851328757 1 OIL/FUEL SURCHARGE 2.84 15189720 RENT 3.99 TOTAL 26.64 D Q � OCT 2 12013 By ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURREVITY PAY THIS AMOUNT Subject to terms on reverse side. 10.32 — 0.00 + 16.32 = 26.64 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.,SUITE 4 If you prefer,you can pay your bill online at sen,ice.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 ®� 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 to question. You do not have to pay the disputed amount while it is being 0010 ol0000loolo0 1234567890 Your Account Number investigated.During the investigation,we cannot report your account LI`t'' • 123456789 as delinquent or take any action to collect the amount in question. mR-oa w MDN-DR 29 Watch here for a GENERAL INFORMATION WE°"DY ' TDE.ofC,R personalized account 1.Payments received after the billing(INVOICE)date will appear on Important IkiL,111oNLJN14L.d1{LLINa„df @•'N°NJJN euammer semMa”"u�vredRm message your next invoice.Past due invoices(not paid within 30 days of news and Thmkyouforusl"91<= billing date)may be assessed a late fee as allowed by law not to Offers 1.h3 D- a and a.m<=• exceed$20 per month.Additionally,third party collection/attorney oty,st t DDDDD expenses may be assessed at a rate not to exceed 100%of the unpaid balance or the maximum allowed by law. -^` w�e�aht,,;pomeo+�r«ros+°, ;, ,y«,�, �-; ` '�:�'� Pay electronically 2.Each returned check is subject to a service charge subject to the J g 1 1_'{q,': t` ..'w'Rta�v: r,. atd! L ;'.�;,:;. ..,•,.vs-`,�t maximum check return charge allowable in your State. Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity ACTIVITY. aa,=� _ amount has been since ACCOUNT ACTIVITY na,,! 1z3Main5creet.Crty,State00000 4. Equipment replacement costs will be charged for bottles lost, •D,Iweryndd-' IpnoD"e• xxxx paid in full to last invoice stolen,damaged or not returned. Peev,wa8alan<e x10 avoid late fees Parmam-manu.vo� 5.In accordance with NWNA's Terms and Conditions("T&C"),your 4fi11 a9R 5 sGallon Na,ural sprmgwater xxzz It+ 3+70RS1a444 Ice Mpuntain SGal Deposit Equipment Lease and/or Service Agreement account may be 3nees+444a 5 aeMe"nta,nsGalRetorn xxxx Monthly Oil subject to minimum monthly purchases and/or early cancellation °911 311�sjgjg4 s we's°""a'9e xx Surcharge,Fuel D9117 3,R7fi3R81+ Rent b l fees.(A complete version ofthe current T&C may be viewed on the xxxx 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. "`T"I° P..,H,t"xx"M Information") 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or T Delivery Fee as described in your T&C. Only one of these fees Payment stub ACCOUNT SUMMARY E p,..o _- Y PAY THIS AMOUNT will apply to each account. The fee that applies to our account ______ ---^--- ,� PAY BY ppy pp your "'�'°" ACCOUNT NUMBER 100100 x%Xx 1234567890 MT.ENCLOSED is stated on the from of the invoice.For further information please �n INVOICE NuM 01 euur+c DATE visit the website listed below or contact our customer service 1234567890 0010o10o center. 7. As a food product, bottled water is subject to the rules and 0420096301 04262712619 000391099 2004 18 Amount due regulations promulgated by the Federal Food and Drug John DO Adm 1I11$iranOn(FDA). ICq ODNNTe IN WATER COMPANY 123ste 5t Submit your N pw.<en Nwm rc C,ry State 00000 8.Your first invoice indicates the products delivered on your first R CUSTOMER SERVICE ULL,.eOp<R-9888 by this delivery,along with any applicable bottle and account deposits, E ° I.ANJ.J,.N4,.,d4."14.dI.LN.J„Id,4Ld"N me ❑P^m Aro cna�n°+D^°M"51tl payment redemption fees,and any dispenser charges.All future invoices R ^,,.ao^P<..rs date will reflect charges for water delivered and dispenser rental,bottle sIG"DPEDRrREE AmDPm s9nop 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 Sir 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)) 10/03/13 0310121776199 $16.32 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 $ PO Box 856680 Louisville, KY 40258 $16.32 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1205 1 0310121776199 I 42-390.99 I $16.32 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 Monday, October 21, 2013 / Director, Administration Title Cost distribution ledger classification if claim paid motor vehicle highway fund service.icemountainwater.com ilffl #215 6661 DIXIE HWY,SUITE 4 09/01/13-09/30/13 0310121202766 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED Il 01111 1 1 1 ill 1 1 1 i9 l I I( I I I I I I II �I� MON- OCT 21 0121202766 NOV TUE- NOV 19 FRI- DEC 20 THU- JAN 23 OCT 07 2013 CITY OF CARMEL PARKS DEPARTMENT Customer Service: 1-800-472-9888 MANDY SPADY BY Pay your bill online at:service.icemountainwater.com or 1411 E 116TH ST CARMEL IN 46032-3455 by phone at: 1-800-472-9888.It's free! III���II��I�II�I����III�III�I'III'�IIIIII�II'�'IIII��I�'I'�I�I�I tFoi-a limitedttime only, buy,two 1 gallon bottles of Tladewinds slow brewed Iced7ea and`save-20°I°! You can-- also°buy one.1gallon bottleJor.only $4.99! Available in Sweet, Green, Diet,Gr-eena& Leni Te6flavor a117— 11,802=472 9888 to add o- _next order! Offer expires 1.0/31/13 ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472.9888 or visit service.icemountainwater.com. ®O A B 11111111011 8 Delivery address: CITY OF CARMEL PARKS DEPT/MONON CENTER,1235 CENTRAL PARK DR EAST,CARMEL IN 46032 PREVIOUS BALANCE 109.46 9/08 396949 PAYMENT-THANK YOU -51.73 9/27 512577 PAYMENT-THANK YOU -57.73 9/23 0849165998 5 5 GAL ICE MOUNTAIN DIRK W/HANDLE 21.45 BOTTLE DEPOSIT: 5 CHARGED, 7 CREDITED -12.00 9/30 0851321653 1 OIL/FUEL SURCHARGE 2`84 15298739 RENT 5`99 TOTAL 18`28 rJI2IN1((N(q WkrW.MCG M-4350 9oa ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 109.46 — 109.46 + 18.28 = 18.28 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 Z. Remember,if you are renting a equipment,ment, our equipment ment rental is charged one month in advance.That means CALL 1-800-472-9888 OR WRITE US AT: your first invoice will include a pro-rated fee for the current month,plus the next month's rental. ICE MOUNTAIN SPRING WATER CO. 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. #216 If you prefer,you can pay your bill online at service.icemountainwater.com 6661 DIXIE HWY.,SUITE 4 LOUISVILLE,KY 40258 4. Never hesitate to call us with comments,questions,or concerns. If you think your bill is wrong,or if you need more information about a transaction on your bill,write us on a separate sheet of paper.We must hear from you in writing later than thirty(30)days after we SAMPLE 0 N V=E sent you the first 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. " You do not have to pay the disputed amount while it is being -- 00/00100-00100100 tz34s6ra90 YourAccOUnt Number investigated.During the investigation,we cannot report your account as delinquent or take any action to collect the amount in question. rNR-UO a 123456789 MDN-oa 29 Watch here for a GENERAL INFORMATION 2I ,vE-DES t6 personalized account 1.Payments received after the billing(INVOICE)date will appear on Important ILa"Ja"114JIad„,ta66ia4"1aa„ JJa 91¢Noun,­R7.o1d-1°8�6 88 message Y our next invoice.Past due invoices(not paid within 30 days of news and john Doe a services ” billing date)may be assessed a late fee as allowed by law not to Offers 123 Mam St 00 tV,state 000 exceed$20 per month.Additionally,third party collection/attorney OJai tat 4n.,4„444t,J"a ,✓_ expenses may assessed at a rate not to exceed 100%of the - --- _,.., —^--°="r'a'"xi""°' `''-l'``” ar°•-^-•'.,c-� '" unpaid balance or the maximum allowed by law. r..—;� -,T- �a ,;,,y8'me v !`�?,r;” ..°;;F; Pay electronically' 2.Each returned check is subject to a service charge subject to the ""'"`$% �'ur1�< f0"` p ofv �R'c'"4;'r�°r?` ` y'-.•,,'. ;-ae' ,' maximum check return charge allowable in your State. -' - -"-_ "'s.<'"i:' •"' _°'%. - -`- Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity ACTIVITY. �O IACTiviTY bp1cn""""""'"^°• ,� amount has been since your AccouNT 4. Equipment replacement costs will be charged for bottles lost, o Del,«nAaa,<:" i^n^Dce1z3MalRst,<<eaty,s[meoo9oo %% paid in full t0 KX last invoice stolen,damaged or not returned. 4,e,o"eR la %%%% avoid late fees 5.In accordance with N WNA's Terms and Conditions(T&C",Y our O131 4898 Rarme^`- 6Gallon Nato,ISpnn9 Water %%%% 111 31)86514444 5 Ice Mou^[dln$Gal Deposit %%%% Equipment Lease and/or Service Agreement account may be 3nR6sw444 s aeMw^[a.nsGalRelum x"xx Monthly Oil subject to minimum monthly purchases and/or early cancellation o9n, svRRS'°144 was",ma[9e R9n2 „8363 „ R<^t % Surcharge,Fuel fees.(A complete version of the current T&C may be viewed on the o911 IIB4p338 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. ,Y _ "• """„"r 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or WAN -- " + NT „, Information") Delivery Fee as described in your T&C. Only one of these fees Payment stub ACCOUNT SUMMARY y1LE" ----------y FAY THIS AMOUNT will apply to each account. The fee that applies to our account _____---e -N, r m[^ RAVRY v, PPY PP Y -- ACCOUNT NUMBER 00100100 is stated on the front of the invoice.For further information please uyx.nun 1oICE NUM MT.ENCLOSED INVOICE NUMBER &LUNG DATE visit the website listed below, or contact our customer service 133;56j890 901oo100 center. 7. As a food product, bottled water is subject to the rules and 042009630'+ 042,2712619 000391049 21p9 16 Amount due regulations promulgated by the Federal Food and Drug Rh.D.< Administration(FDA). ICE MOUNTAIN WATEN,�c"_"A„"� 1173 Ma,^s1 M C".sl e owoo Submit our 8.Your firs[invoice indicates the products delivered on your first •0i"'^"""°"`w• - _ y CUSTOMER SERVICE CALL 1800<R-9689 payment b this delivery,along with any applicable bottle and account deposits, ` .Ja.4 J 24...24"J4.Jt sn"t.„F,4f.1,J.a date y redemption fees,and any dispenser charges.All future invoices will reflect charges for water delivered and dispenser rental,bottle s,G"OVEURrREEAUTOC"rs�9n0p 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. I ©2008 Ice Mountain Spring Water Company, a Division of Nestl6 Waters North America Inc. Form No.NW 709 08/12 Sr service.icemountainwater.com