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HomeMy WebLinkAbout226347 11/19/2013 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CHECK AMOUNT: $85.64 CARMEL, INDIANA 46032 PROCESSING CENTER PO BOX 856680 CHECK NUMBER: 226347 LOUISVILLE KY 40285-6680 CHECK DATE: 11/19/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4239099 03JO12004852 24 . 73 OTHER MISCELLANOUS 1205 4239099 03J121776199 10 . 36 OTHER MISCELLANOUS 2201 4238900 13JO11782108 36 . 90 OTHER MAINT SUPPLIES 1701 4239099 13J722032704 13 . 65 OTHER MISCELLANOUS service.icemountainwater.com #215 6661 DIXIE HWY,SUITE 4 10/01/13-10/31/13 13J0117821082 / LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED Ill II l l Il l 1I l i l l Il l l l l l I I II l'I 'll WED- 13 0117821082 DEC MON- DEC 16 THU- JAN 16 TUE- FEB 18 Customer Service: 1-800-472-9888 CITY OF CARMEL STREET DEPATMENT Did you forget about us? Kindly pay upon receipt. 3400 W 131ST ST Remember, past due accounts are subject to a late fee. CARMEL IN 46074-8267 Your prompt payment is appreciated. For your convenience,pay online:service.lcemountainwater.com. If payment has been made,we thank you. -Enjoy tt_I holiday season wit reat savings on Sparkling Products. Save$2 when-you order any case of ell' rino;Sparkling Fruit Cans or,",any case of tt>ie NEW1ce Mountain Sparkling Water Variety Pack. Available Ina arlety of'flav ors Gall i=800.47x2-9888 to order.nowt _ � m w p": 40, - x _ _ . 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 131TH ST,CARMEL IN 46074 PREVIOUS BALANCE 74.92 10/11 591642 PAYMENT-THANK YOU -36.27 10/16 0852482330 5 5 GAL ICE MOUNTAIN DIRK W/HANDLE 17.45 5 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 30.00 2 9 OZ PLASTIC CUP 50C/SLV 6.58 4 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -24.00 10/31 0856086582 1 OIL/FUEL SURCHARGE 2.88 J5346199 RENT 3.99 TOTAL 75.55 ACCOUNT SUMMARY PREVIOUS BALANCE_ PAYMENT/ADJUSTMENT CURRENT ACTIVITY —PAY THIS AMOUNT Subject to terms on reverse side. 74.92 36.27 + 36.90 I 75.55 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 AND INFORMATION, pLrASE I• Please remember payment is due by the"pay by"date noted to ensure the smoothest service. CALL iNfOUNTAI 88 PR WRITE US AT: 2. Remember,if you are renting equipment,your equipment rental is charged one month in advance.That means ICE MOUNTAIN SPRING 19ATER CO, your first invoice will include a pro-rated fee for the current month,plus the next month's rental. #21b 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 o LOUISVILLE,KY 40258 pay your bill online at service.icemountainwater.com I f you think your bill is wrong,or ifyou need more information about 4. 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 pp telephone us,but doing so will not preserve your rights.In your letter, SAMPLE P give us the following information: LE INVOICE Your name,address,telephone and account numbers. v The dollar amount of the suspected error. Date range of this invoice Describe the error and explain if you can,",by you believe there is an error. You are obligated to pay the parts o£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 .;.r as delinquent or take any action to collect the amount in question. 0o/oo1DO-ooloD/oo 1234567890 Your Account Number GENERAL INFORMATION nR.oc o I23+56789 I.Payments received after the billing(INVOICE)date Willa MDN-OQ 29 WE DEC 18 21 Watch here for a N.Your next invoice.Past due invoices(not paid within 30P days of news and t WE Dec s billing date)may be assessed a late fee as allowed by law not to J.MC^nb��'I•"htl'Mro6"'tUtl.tlwpddp Cmt�,+er5e e:t-eow119888 personalized account exceedS20Permonth.Additionall third art offers �°hyste ThenkyouimmlrgkeMwnulnproducu message B party 123Mamst esarvk•,, - expenses may be assessed at a rate not to exceed 100%of the rtr,s<ace 00000 '� - unpaid balance or the maximum allowed by law. t.atl.tna„tnn.aw•d+••dt-te.,a.u.t•".a;,ti 2.Each returned check is subject to a service charge subject to the T — maximum check return charge allowable in your State. F3"r a a« - " Pay electronically 3. All bottle and equipment deposits are shown as CURRENTarommnwa9 w�erUmodzn•nnmKM1 ACTIVITY. Activity °— 4. Equipment replacement costs will be charged for bottles lost, Since pUr w _ "°""'°°'"'""`"""•' Make sure this y ACCOUNT ACTIYRY r a+'r•':"^x•a"'"'°•b""'°°" stolen,damaged or not returned, last invoice amount has been Delivery AdCrefi:/°hit Doe,,23 Main Streit,CIry,State 00000 . 5.In accordance with NWNA':;Terms and Conditions("T&C'•),your xxxx • paid in full t0 Equipment Lease °1e"°"a"'ia°`e xxxx s and/or Service Agreement account may be vp„em-Tnanxrw xxxx avoid late fees BBn1 46,e98 subject to minimum m aveenuu s swoon Na,ma6.,U ., xxxx onthly purchases and/or early cancellation n, lveavw+ s neMO9ma�nswioep°arz fees.(A complete version ofthe current T&C may be viewed on the o9"' svees,a+++ ' F�is"r`nzr9ew R - xx.xx Monthly Oil Leased listed below)Upon service discontinuation,rent for the 2 s 666456 "`"' ',1 xxxx 0911 , 9, Surcharge,Fuel Leased Equipment is charged through the end of the billing cycle -1 xxxx 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 "General y one of these fees Payment ww<. wwv�°ETMw+`° xx its will apply to each account. The fee that a stub AccouNT suMMAav ,mac x — xx.xx Information") applies to your account 51"-`"°'°"'°"-"•°'•• is stated on the front of ---------------- the invoice.For further information Please °,•,--a1L�pY1 eYOU 9Ar Br RAY rNtS AMOUNT visit the website listed below or contact ours center. customer service AC[OUN567810 a xx 1234567890 00 00100 ,,,,CE NUMBER muNG DATE T.ENCLOSED 7. As a food product, bottled water is subject to the rules and 123467890 0m00100 regulations promulgated by the Federal Food and Drug Administration(FDA). 0420096307 04162712619 000391099 2009 16 8. tour first invoice indicates the products delivered on your first Amount due delivery,along with any applicable bottle and account deposits, ICEMD""'TUN"'"'E"coMVANy p6n Dce redemption fees,and any dispenser charges.All future invoices oa".�x , 23Ma'nv Cicy State 00000 will reflect charges for water delivered and dispenser our deposits and credits enserrental,bonle I..uLU.d.•m.ndt...dt.,dl„ua,.6„6b6uantl �oacusr°MaRSEm9crwE+�ow7x-9x88 ubmit gn,R 4„ao a .•K „�0 4 ,us,ae payment by this is plus charges for any additional products �vcnw.onre,l.9.00^n date 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. service.icemountainwater.com Form No.NW 709 08/12 VOUCHER NO. WARRANT NO. ALLOWED 20 Ice Mountain IN SUM OF $ P. O. Box 856680 Louisville, KY 40285-6680 $36.90 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 2201 113JO117821082 I 42-389.001 $36.90 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 Thursd No 13 k/VVV VV '--r %,/F §1F8@1 @C-) 'fii'rggi8ROF 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)) 11/05/13 13JO 117821082 $36.90 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.Ice mountainwater.com #215 6661 DIXIE HWY,SUITE 4 10/01/13- 10/31/13 03JO121776199 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII AN 07 0121776199 TUE THU- FEB 06 MON- MAR 10 CITY OF CARMEL HUMAN RESOURCES Customer Service: 1-800-472-9888 JIM SPELLBRING Did ou forget about us? Kindly Y 9 y 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. Enjoy this holidayseasonwithg�eat savings on Sparkling Products Save$2 when you order any case SanPellegrino Sparklind"Fruit Cans orany case of the°NEW Ice Mountain Sparkling_Water'Variety Pack. Available ii a variety of flavors.:.Call 1-800-472-9888 to-order-nowt 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 26.64 10/11 591645 PAYMENT-THANK YOU -10.32 10/07 0850940297 1 5 GAL ICE MOUNTAIN DIRK W/HANDLE 3.49 BOTTLE DEPOSIT: 1 CHARGED, 1 CREDITED .00 10/31 0856128251 1 OIL/FUEL SURCHARGE 2.88 J5351352 RENT 3.99 TOTAL 26.68 D z a NOV g g 213 By ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CU RENT ACTIVITY PAY THIS AMOUNT Subject to,terms on reverse side. 26.64 — 10.32 + t 10.36 = 26.68 - ..... ......... .......... - °..... --- ---------------------------------------I-------------........-----------------.1 ---------------------------•--- ------------ ------------------ BILLING RIGHTS SUMMARY YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER A REPORT ON WATER QUALITY AND tNFORMATION, IN EASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL,OR PLEASE FOR 1. Please remember payment is due by the"pay by"date noted to ensure the smoothest service CALL I-800-472-9e88 OR WRITE vs AT: 2. Remember,if you are renting equipment,your equipment rental is charged one month in 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. #216 1 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 Your If you think your bill is wrong,or if you need more information about 4' 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 /� q telephone us,but doing so will not preserve your rights.In your letter, SAMPLE VI P give us the following information: LE INV®!CE • 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, as delinquent or take any action we cannot report yoLU account ootomoo-o0�ooto0 iz3usra90 ur Account Nu mber to collect the a t mount in question. Yo GENERAL INFORMATION Na_« z3ASS2a9 I.Payments received after the billing(INVOICE)date will a xw�oR r9 pppar on Important wo,NOO Z Watch here for a your next invoice.Past due invoices not p Y roE-oec.e your date a aid within 30 days of news and p,p,ttt„nk,itip,i„,Ilndtpi„JIIlMp.,ndAn c,,^n,ersemcel.eoo-+n-9808 personalized account $ )may be assessed a late fee as allowed by law not to exceed$20 per month.Additionall third offers IohnDce Thm4youlmuslnylceMounUinProautta message X party collection/attorney 133 MainSl nas<ma:. expenses may be assessed at a rate not to exceed 100°a c'rs1ai 00000 unpaid balance or the maximum allowed by law. of the uaaa a p duu.u.,tM4nnG.u4ta.� 2.Each returned check is subject to a service charge subject to the { maximum check return charge allowable in your State. spa " Pay electronically ACTIVIT3. All bottle and equipment deposits are shown as CURRENT a�+xsamow 1 Y Activity 4. Equipment replacement costs will be charged for bottles lost, since your - �”'°•° Make sure this stolen,damaged ccouNTArnwTV uM�.°�-+�^M^°•^""^""'�"'° ged or not returned. last invoice amount has been 5.In accordance with N WN ceiwen Aaaress.inn^oee.1 a Ma+^n.eoc eyscace°°°°° ' A's Terms and Conditions("T&C",your p,a„o�,eaia^« xx.xx 4 paid in full to Equipment Lease and/or Service Agreement account may he oei3i aele9e Payme^'ma""'""` xzzx ` avoid late fees subject to minimum monthly Purchases ”' 31�s""4 s 'GaMi �a��sca°aws��e� fees.(Acomplete version oPthecurrentT&�may be viewed lontthe anees.a. "' "'gas e« : Monthly Oil website listed below)Upon service discontinuation,rent for the 09"z 118363�" ' ne�lsamnar9e ry� x p 09"2 �' xx' Surcharge,Fuel Leased Equipment is charged through the end of the billing cycle in which service is discontinued. `OtAL 4 Surcharge or Delivery 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or Fee(see#6 under Delivery Fee as described in our TR C. Your Only one of these fees ' "General Payment stub ACCOUNT SUMMANY ) will apply to each account. The fee that 1s stated on the front of the invoice. applies to your account -------- swN,e,.�.�n.a.xm•. } Information" For �,.....-•, __._., ..o.,.n--- -- further please Naha a a Parer PAY THIS AMOUNT visit the website listed below or contact our customer service ACCOUNT R xxxx center. 123a56Pa90 Dom. MT.ENcwsm INVOICE NUMBER BILLING DATE 7. As a food product, bottled water is subject to the rules and 123.WR90 ooioao0 regulations promulgated by the Federal Food and Drug Administration(FDA). 0420096307 042E2i12619 00039)049 2004 1d 8.Your first invoice indicates the products delivered on your first Amount due delivery,along with any applicable bottle and account deposits, icEou�NrAfNwATER COMPANY tnnnox �„�yyu„rvwu xmeau lnc 123 Main St City,State 00000 redemption fees,and any dispenser charges.All future invoices Submit voor will reflect c roR<us*oMER sEm9<E uLL,aoo.n 9eae barges for water delivered and dispenser rental,bottle WdaawJ.f.....J1,..Ayatl.Lp41.bi.a.n ❑P, • a�•9•�na � Payment by this deposits and credits plus charges for any additional (]sr.,„orroR.aEr PY$1gn0pP�•I�� s1a date ordered by you. Deliveries are made every three or four weeks for - a 12 total of 16-17 deliveries per year.You will only receive invoices w 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, service.icemountainwater.com Form No.NW 709 08112 VOUCHER NO. WARRANT NO. ALLOWED 20 Ice Mountain IN SUM OF $ PO Box 856680 Louisville, KY 40258 $10.36 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1205 103JO121776199 I 42-390.99 I $10.36 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, - ovember 18, 2013 0 Director, Administration 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)) 11/05/13 03JO121776199 $10.36 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 #215 6661 DIXIE HWY,SUITE 4 10/01/13- 10/31/13 13.17220327048 0 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED o ® ® e THU- DEC 05 II I I III IIII I I I I I I I II I� TUE- AN 07 7220327048 THU- FEB 06 MON- MAR 10 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 ��IIII�IIII�II�'Illlll�lll��'�I�I��II�III��IIIII�'��IIII'��I""I Enjoythis holiday season with great savings onSpakl ng Products Save$2when yatorde�any case SanPell�e nno S arklin Fruit Cans'�or�an ac se,'�of the NEW Ice�Mountaln S arklln �W�ater Vane Pack. Availab^leln�a�variety of flavors. Call '1•-800472-9888 to order Howl '�,�, i�' .�� �tl.� �r ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. 1 e ® NE Delivery address: CITY OF CARMEL,1 CIVIC SQ, CLERK TREASURER OFFICE,CARMEL IN 46032 PREVIOUS BALANCE 13.61 10/27 675580 PAYMENT-THANK YOU -13.61 10/07 0850940453 1 5 GAL ICE MOUNTAIN DIRK W/HANDLE 3.49 1 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00 1 9 OZ PLASTIC CUP 50C/SLV 3.29 1 5 GALLON ICE MOUNTAIN DEPOSIT RETURN .00 10/31 0856225081 1 OIL/FUEL SURCHARGE 2.88 J5391223 RENT 3.99 TOTAL 13.65 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 13.61 13.61 + 13.65 = 13.65 BILLING RIGHTS SUMMARY IN'CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL,OR FOR YOUR INVOICE_I WAYS TO HELP US SERVE YOU BETTER A REPORT ON WATER QUALITY AND CALL 1-800.472-WA OR WRITE US AT: FORMATION, PLEASE I• Please remember payment is due b the" 2, Remember,if you are renting equipment,Pay by date noted to ensure the smoothest service. ICE MOUNTAIN SPRING WATER CO. your first invoice will include a pro-rated fee for the current month, l ?1216 your equipment rental is charged one month in advance.That means 6661 DIXIE HWY,SUITE 4 3. Kindly fill in the amount enclose LOUISVILLE,KY 40258 If you prefer, d, include Pus the next month's rental. You can pay your bill online at service icemountainwatenCOmr check, and do not send cash. Ifyou think your bill is wron 4. Never hesitate to call us with a transaction on g,or ifyou need more information about comments,questions,or your bill,write us on a separate sheet of paper.We must he from you in writing no later than thirty hee 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, give us the following information: SA R9 L E • Your name,address,telephone and account numbers. tltld Ip° I� INVOICE The dollar amount of the Suspected error. Describe the error and explain if you Date range of this invoice an error. can,why 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 in question. ootooloo-ooloaoo 1234567890 ° YOUrAccou GENERAL.INFORMATION nt Number 1.Payments received after the MlA gIO VNpICE)date will a NR. o 123456789 YO ur next invoice past due invoices Mo OCT n plays on Important DEC 7, Watch here for a bil ling dale)may be ces(no[paid within 30 days of news and ruE-OrC,e Y assessed a late fee as allowed by law not to UA.!P pu't't•°Ittt't'td6"dt4"U"ttdltl CusmmerSee:l,eoo�n-9880 personalized exceed$20 per month.Additionally, offers t"t,n 6- account expenses may be assessed Y[)not I,e collection/atto un at a rate not to mey 123^"°'n 5t Tn.nEyw�ro.u,m9+ttMOUnomy.neua. message exceed 100%of the aty,2141 00000 ,ne.enna paid balance or the maximum allowed by law. I:Ja�lt.d»n6.p•..tu.gta6nb.W44�ym' 2.Each returned check is subject maximum to a service charge subject to the check return charge allowable in your State. 3. All bottle and "�'9e>?R, `a&7xxj 'aaownuar0 n .i ACTIVITY equipment deposits are shown as CURRENT Activity Qri4° 4E " Pay electronically � �„� �� �^ ' 4. Equipment replacement costs will be char `- ,1 stolen,damaged charged for bottles lost, since your ? Make sure this g Ol not ACCOUNT ACTIVITY orivx•...R.uu°wnum.u.�> s'em+n ^ 5.In accordance w returned, last invoice amount with and/or Terms and Conditions( our •DeMCn7.aereu:m6,0o 123Ma5nsamec otY.5Mte 00000 1 has been Equipment Lease and/or Service Agreement account may be +an`e paid in full to subject to minimum 0e"' afi1890 °ayTeOt 3na°`Y01 xxxx S avoid late fees monthly purchases and/or earl cane m 3ve9s,uu z scannn Natwa+sRnn9 water xxxx fees.(A complete version ofthe current T&C may be viewed on 317ees+..4a xxxx website listed below o9m 3nee5,s4w s keMaw,Mm 204+0. xxxx }Upon service discontinuation,rent for the o9n7 ',exeaee„ -111—barge xx Monthly Oil Leased Equipment is charged through the end of the billing cycle X91 • � 13tt in which service is discontinued Surcharge,Fuel rs" xx.xx 6.You will be charged a mnL j Surcharge or Delivery g monthly Oil Surcharge,Fuel Surcharge or Delivery Fee as described in � �. � Fee(see#6 under will apply to each account. T&C. Only one of these fees A wm �n Ma m unt. The fee that Payment stub n" + U�EM%% — nmat is stated on the front o applies m Your account ACCOUNT SUMMARY zzxx xxAx Ge f the invoice.For Further info xxxx visit the website listed below, information °°°••^•`°'°'°-"°'°`_.—.,°.,°.�°."°°"="M�---� sw•"m«•'^°^�^••'"• '' Information") ----- ------- ' ion's ease o,;,a wr wn:^e .mr,r�,w, , ------------- center. Or contact our customer service ACCOUNT NUMBER RAr ar VAY THIS AMOUNT 1234567890 000000 7.As a food product, bottled water is subject to the rules and Iwo+cENUMaER NuiNCOATE tENCLOSED regulations promulgated b u34s67a90 WIN[0 Administration(FDA), Y the Federal Food and Drug 8,Your first invoice indicates the products delivered on your first o4zoo9s3oz 09484732239 004393499 4004 3s delivery,along with any applicable bottle and account deposits, 123 o« ' Amount due ICE MOUNTAIN CAIN WATER COMPANY ,Z3 Main 5t redemption fees,and any dispenser charges.All future invoices •" � � City,stace 00000 will reflect charges for water delivered and dispenser rental,bottle l::dil.!•.J, .d�wJG•n•knat:,a4Rr.:r.A: wRCO 0MEtvE Ecut,-eoo+rzeeea Submit Your If and credits plus charges for any additional products °"°`xnyCNrgeO°x"""0e ( Payment by this ordered b y ❑s u. >w s uRneaun4u,ROru•ue• y you. Deliveries are made every three or four weeks,for _ date a total of 16-17 deliveries �n ---'^ "-`"' �"�-will 12 times per year,so approximately 5 of those nvoicestwill reflect �..ices two deliveries. ©2008 Ice Mountain Spring Water Company,a Division of Nestl6 Waters North America Inc. service.icemountainwater.com Form No.NW 709 08112 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 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 IN SUM OF $ ON ACCOUNT OF APPROPRIATION FOR 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 service.icemountainwater.com #215 6661 DIXIE HWY,SUITE 4 10/01/13-10/31/13 03JO120048525 G LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED THU- DEC 05 0120048525 TUE- JAN 07 THU- FEB 06 MON- MAR 10 CITY OF CARMEL DEPT OF ENGINEERING Customer Service: 1-800-472-9888 LISA SCOTT OR JUDY STOHLER 1 CIVIC SQ Did you forget about us? Kindly pay upon receipt. 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. Enjoy this holiday season with great savings on Sparkling Products. Save$2 when you order any caseof San Pellegrino Sparkling,Fruit Cans�or any case of the NEW Ice Mountain.Sparkling Water Variety_Pack�, A Available In a varietyof flavors:"Call 1400-472-9888 to order Howl : ` 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 ^. 45.97 10/11 591646 PAYMENT-THANK YOU -21.24 10/07 0850940255 5 5 GAL ICE MOUNTAIN DIRK W/HANDLE :� 17.45 5 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 00 7 5 GA L ON ICE MOUNTA/NLDEPOSIT RETURN ��G�` ��� 3.29.00 10/31 J5359758 RENT ��� \`��� .\ 3.99 a TOTAL ���\\ 49.46 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 45.97 — 21.24 + 24.73 = 49.46 BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL,OR FOR YOUR INVOICE- A REPORT ON WATER QUALITY AND INFORMATION PLEASE 4 WAYS TO HELP US SERVE YOU BETTER 1. Please remember payment is due by the"pay by"date noted to ensure the smoothest service. CALL 1-800-472-9888 OR WRITE US AT: ICE MOUNTAIN SPRING WATER CO. 2• Remember,if you are renting equipment,your e 9 e cur/ui rental is charged one month advance.That means 6266 your first invoice will include apro-rated fee for the current month,plus the next month's rental. 6661 DIXIE HWl'.,SUITE 4 3. Kindly fill in the amount enclose LOUISVILLE,KY 40258 If you prefer,you can a d, include your account number on our check, and do p Y your bill Online at service.icemountainwater.com not send IfYou think your bill is wrong, 4. Never hesitate to call us with co cash. a transaction on o write or s on need more information about comments,gUeStiOnS,Or concerns. your bill,write us on a separate sheet of paper.We 1'n S. 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 o give us the following information: Your letter, SAMPLE C I Your name,address,telephone and account numbers. INVOICE • The dollar amount of the suspected error. Describe the error and explain ifyou can,wh Date range of this 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 investi ation,w ` as delinquent or take any action to collect the of repot Your account GENE question ' 00100100.00/00/00 1134567890 Your Account Number GENERAL INFORMATION ' I.Payments received after the billing(INVOICE)date will a T R-0cr w 173456789 Your next invoice.Past due invoices n MoN oa z9 appear on Important WE OK 18 Watch here for a billing date)ma (ot paid within 30 days of news and ,aE orc,a Y be assessed a late fee as allowed by law not to ILY"mAt4Alttt't°ri llAddl•Attq.thtWJG c <m<,5.^ 1-eoo�'77-9886 Personalized account exceed S20 per month.Additionally,third party collection/a[torney offers expenses may iii te sr rnaaxwul«� 91r•Mwm.mP««u message y be assessed at a rate not to exceed 100%of the pryssaa< DooOD unpaid balance or the maximum allowed by law, t.'�4t��aah,JG;dL.ALba y,e661J€ll 2.Each returned check is subject to a service charge subject to the maximum check return charge allowable in your State, fi •yowarm,uAmrt"P�dRrvaak:R. mitP + '� 'i0MS9� °'�`u. 3. All bottle and e Max` °wa AQ 6 Pay e equipment deposits are shown as CURRENT leetronically ACTIVITY. Activity 4. Equipment replacement costs will be charged for bottles lost, stolen,damaged since your accouNrACrlvin a . Make sure this with not returned, last invoice �> ,„ .,.p• 5,to accordance with NWNA's Terms and Conditions("T&C" onAe,yAddr<ss.mno0oc u3Maon5—t on,51a+<wo=nM amount has been Equipment Lease and/or Service Agreement account may be —< xxxx Paid in full to subject to minimum tees.(A com ae s, .6,696 Pa me<.ma Ero monthly purchases and/or early cancellation m svees,— 5 6GalbnNamralSptlngWarer ,�„ avoid late fees plete version of the current'f&C may be viewed on the w h _ ; zxz website listed below) Upon service discontinuation,rent for the 09" �1B2e'�„ w<1 w,cn+,9• xxxx Leased Equipment is charged through the end of the lYrent cycle o9 z 6646•w R<a G ,xl` ai 'IX"" Monthly oil in which service is discontinued. Surcharge,Fuel ttIIAE 3.1�^9'� J xxxx 6.Ybu will be charged a monthly Oil Surcharge,Fuel Surcharge or Surcharge or Delivery Delivery Fee as described in our T&C. Fee(see#6 under will apply to each account. y Only one of these fees ,,,,,,,K ,NEw<AMas.aaD+.+,cve NrACrm,. _ aM,»,N•aN "General The fee that Payment stub "a O0 — — is stated a lies to ACCOUNT SUMMARY xxxx ,,, xxxx xxxx on the front of the invoice. P Your account Information") visito1ce For further information please a'a,,.•a,•.__ar�_a•.K•.a•,,,�.� the website listed a�raa. ---�- ______________ACCOUNT NUMBER__-__--- below or contact OUr CUSIOme7 service peua,ab'unw�aaan.,mMM"�^' PAY BY PAY THIS AMOUNT center. oD wrw xxxx 1234361890 7, As a food product, bottled water is subject to the rules and NVOICE NUMBER B111.1.6 DATE MT.ENCLOSED regulations promulgated b u34s67e90 oaeD/w Administration(FDA). Y the Federal Food and Drug 8.Your first invoice indicates the products delivered on your first 0420096307 042627126E9 000391049 ta04 3e delivery,along with an Amount due ICE MOUMAIN WATE0.COMPANY long 0^< redemption fees,and any dispenser bottle and account deposits, aN w.�Ne�a � 173Ma,,,St will reflect charges for water delivered and es.dispenser oeY,s,a,< DM deposits and credits plus charges rental,bottle ,1.►.�L.:a..,1L.,u,.4o.6.6,66t.A.a. RcusTDMER SEmacE UU,aoaaaceee submit your ordered b•vou, g for any additional products ❑s,c,+uoN,REaEE,sno>4ns,p,�up•.,wwo�,ea.aa•s�•. f]D«.r•mw �,^•�•^a i payment by this 7, Deliveries are made every three or four weeks,for date a total of 16-17 deliveries per year.You with 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. service.icemountainwater.com Form No.NW 709 08112 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 11/5/2013 03J01 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 Board Members PO#or INVOICE NO. ACCT#/TITL AMOUNT DEPT# I hereby certify that the attached invoice(s), 0 03J01 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 !� 11/18/2013 1 Signature City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund