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Home My WebLink About225856 11/05/2013 "Mf CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1 � ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CARMEL, INDIANA 46032 PROCESSING CENTER CHECK AMOUNT: $18.90 o„ PO BOX 856680 CHECK NUMBER: 225856 LOUISVILLE KY 40285-6680 CHECK DATE: 11/512013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4238900 03JO11925282 18 . 90 03JO119252823 service.icemountainwater.com _ ®H® ® ' ,iff #215 6661 DIXIE HWY,SUITE 4 09/13/13-10/12/13 03JO119252823 LOUISVILLE KY 40258 ® g e ADDRESS SERVICE REQUESTED 1I' �I'I� �� II'��I I I I I I I I"I II� THU- DEC 04 0119252823 THU- DEC 05 TUE- JAN 07 THU- FEB 06 CITY OF CARMEL STREET DEPARTMENT Customer Service: 1$00-472-9888 BONNIE CALLAHAN Pay your bill online at:service.icemountainwater.com or 3400 W 131ST ST by phone at:1-800-472-9888.It's freel CARMEL IN 46074-8267 E l day season with great savings on Sparkling Products.-Save$2 when,you order"any case�of - o:Sparkling`Fruit Cans or any case of the"NEW Ice Mountain Sparkling Water Variety Pack4 variety of flavors. Call 1-800-472-9888'to order nowF s ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. 2 Delivery address: CITY OF CARMEL STREET DEPARTMENT,3400 W.131ST ST,CARMEL IN 46032 PREVIOUS BALANCE 40.33 10/11 591643 PAYMENT-THANK YOU -40.33 10/07 0850940222 5 5 GAL ICE MOUNTAIN DIRK WMANDLE 17.45 5 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 30.00 2 9 OZ PLASTIC CUP 50C/SLV 6.58 7 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -42.00 10/12 0853432144 1 OIL/FUEL SURCHARGE 2.88 J5388664 RENT 3.99 TOTAL 18.90 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 40.33 — 40.33 + 18.90 = 18.90 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 DtOUNTAIN 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. 7234567890 Your Account Number You do not have to pay the disputed amount while it is being 00100100.00100100 investigated.During the investigation,we cannot report your account 1 as delinquent or take any action to collect the amount in question. Tae Da oa 123456789 MON_oCT 99 Watch here for a GENERAL INFORMATION WEo-NO 71 NL.DEG,e personalized account I.Payments received after the billing ar on p g(INVOICE a)date will PP Important �p,IppWdpllarnphlU6°dllllll••uaao MW message your next invoice.Past due invoices(not paid within 30 days of news and H Doe rn."Rr°°°'°' billing date may be assessed a late fee as allowed h law not to " °"°a<rrl•.a y y offers 123 Ms"s, ons'a+e 00000 exceed S20 per month.Additionally,third party collection/attorney I�twd,aL,,,dl..�lt".at.6p"I.•�LLU.a expenses may be assessed at a rate not to exceed 100%of the unpaid balance or the maximum allowed by law. T a ;�,;w .u,auArari�+""�°. "A`° "-'` Pay electronically 2.Each retumed check is subject to a service charge subject to the ^_' `,:> � 0°�' wak.= 5"o1,P:Axs","d.."` uy <: maximum check return charge allowable in your State. ��>�,. :.,.,. � -„':=d' —'--'"" €, Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity . %%�` «w "".884,8,8.86 ` � 6B°+°••�-^6•"^"°°^°'""'" amount has been ACTIVITY. since U ACC NT ACTNITY ` y Aaa,<:+ mn°0ce,u3Mal"z"" °ry'SP"pp00° paid in full to 4. Equipment replacement costs will be charged for bottles lost, Del,mn last invoice xx; stolen,damaged or not returned. P,<.AOUaBah6« xX%% avoid late fees Payment-TUnkYOU Watee , %%X% 5.In accordance with NWNA's Terms and Conditions(`"f&C"),your Dent 46'890 s SGalmn Nawn6P^°9 ,._.-- %x% III 31]08514444 ltt MaPUin 5 Gal OePOalt Kx;: Monthly Oil Equipment Lease and/or Service Agreement account may be a l<Mw6,am seal Rewm � . o9m 3nees,4a4 wds°,awx -r1„ Surcharge,Fuel subject to minimum monthly purchases and/or early cancellation ce„r 3,exfiles,l "�' .y +i': g fees.(A complete version of the current T&C may be viewed on the mn] 16649491 „,y %X x% 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. m = °'"'"IS:xxxM H N 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or o„,4,AH --,;;x;;�"""`` Information") Delivery Fee as described in your T&C. Only one of these fees Payment stub ACCOUNT SUMMARY •%%xx ' PAY THIS AMOUNT will a ly to each account. The fee that applies t0 our account ....... e•o�--- ------1 m ACCOUNT NUMBER PAY BY %%%% PP PP Y ----wry 4 e"umw 2N56]e90 00 MT.ENCLOSED is stated on the front of the invoice.For further information please R.IyO4S6789 NUMBER BILUNC DATE visit the website listed below or contact our customer service ool000 12;45fi]890 center. P 0420096307 ❑4262'712619 0110391849 2004 16 7. As a food product, bottled water is subject to the rules and Amount due regulations promulgated by the Federal Food and Drug long DO Administration(FDA). IeE MOUr4ruN WATT MeA"xa,. lc3..,n 11 ,H__ Submit your 8.Your first invoice indicates the products delivered on your first USTOMERSEIN.CETALL'-p00''"j9°Be delivery.along with any applicable bottle and account deposits, • payment b this I.dad..d.�„+•dL.l4".11.6a�.L„6LLLd.a ❑°° C6a"9+'�"Rr.•. ` date y redemption fees,and any dispenser charges.All future invoices ❑slw+uv E9R8eEE n en^UPR•P°rte°On 4<.e+•sly will reflect charees 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 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)) 10/15113 03JO119252823 $18.90 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 $18.90 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT_ Board Members 2201 103JO119252823 I 42-389.001 $18.90 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 Al Thurs y, O er 31 2013 Sb reset i� r,�fr Title Cost distribution ledger classification if claim paid motor vehicle highway fund