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Home My WebLink About226704 12/03/2013 +,f CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1 `1 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CARMEL, INDIANA 46032 PROCESSING CENTER CHECK AMOUNT: $10.99 PO BOX 856680 CHECK NUMBER: 226704 LOUISVILLE KY 40285-6680 CHECK DATE: 12/3/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1801 4350900 3JO121975593 10 . 99 OTHER CONT SERVICES service.1cemountainwater.com ®® k 61 rd Nff #215 6661 DIXIE HWY,SUITE 4 10/01/13- 10/31/13 03JO121975593 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED II I I II II I III II III II I I I I I I I I I I I I III MON- DEC 09 0121975593 THU THU- JAN 09 MON- FEB 10 WED- MAR 12 CARMEL REDEVELOPMENT COMMISION DON CLEVELAND Customer Service: 1-800472-9888 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 'lull'I'I�I'Il�l��l'l'IIIII�I�'IIIII'lll�l"'ll��illlll�ll�l�� convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. Enjoy this Holiday season with great savings on Sjiaekling Products. Save$2 when you order any case of i SanPellegtno Sparkling�Fruit Cans orany case of the'NEW-ice Mountain Sparkling Water,Variety Pack f AvailabWJn a variety of flavors. Call fx$00-472=98884o:order"nowt :71 r m. x 4 ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. % B' 6 M B Delivery address: CARMEL REDEVELOPMENT COMMISSION,30W MAIN ST STE 220,CARMEL IN 46032 PREVIOUS BALANCE 43.27 10/11 591644 PAYMENT-THANK YOU -32.28 10/31 J5425395 RENT 10.99 TOTAL 21.98 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 43.27 — 32.28 + 10.99 = 21.98 BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR QUESTIONS ABOUTYOUR BILL,OR FOR YOUR INVOICE- A REPORT ON WATER WRITE QUALITY AND INFORMATION, PLEASE I• Please remember payment due by thle HELP US SERVE YOU SETTER CALL]-800-4)2-9888 OR WRITE US AT. Pay by"date noted to ensure the smoothest service. ICE MOUNTAIN SPRING WATER CO. 2• Remember,if You are renting #216 Your first invoice will include a pro-rated fee for the current month,plus the next month's rental. g equipment,your 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 Klfyou indly prefer,you can a your account number on Ifyou think your bill is wrong,or ifyou need more information about Pay Your bill online at serviee.icemountainwater.comr check, 4. Never hesitate to call us with comments, and do not send cash. a transaction on your bill,w questions,or concerns. must hear from Tue us on a separate sheet of paper.we sent you the first bill on which the error or problem appeared.0)days after we telephone us,but doing so will not preserve your rights.In Yourrolletter c give us the following information: SAMPLE 1 Your name,address,telephone and account numbers. INVOICE The dollar amount of the suspected error. Describe the error and explain if Date range of this invoice an error. You can,why you believe there is You are obligated to pay \b the parts of your bill that are not in question. u do not have [o d pay the dispute amount while it is being investigated.During the investigation, cannot report your account as delinquent or take any action to collect the amount in question. E ootooroo•aorooroo "34567890 your Account Number GENERAL,INFORMATION ].Payments received after the billing(INVOICE) —OCT a 123456789 Your next invoice.Past due invo es( OIp E)date will a MoN.oa 19 appear Important "rtPNO"=' Watch here billing date not aid within 30 days of n¢WS an mE-DEC 1e for a exceed S20)may assessed a late fee as allowed by law not o d 0.11.:.P7dtlLA7ln,imllU.6N4.dI1tlnt1.ltldd0 anVme.sal aEe:1-sowzz-saes personalized Per month.Additionally,third parry offers loh"D'oe account expenses may P tycollectionlattorney 1z3M°i"SE Th.n4ywTOrusinglaMwnUlnprodutt• message y be assessed at a rate not to exceed 100%of the ov,St- OW00 unpaid balance or the maximum allowed by law. was,w�.m,.at..awat.ba.t,.t�t.bi„a r 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 k � ACTIVITY_ 3; a• �° kO"° 0p"oK° Payelectronicatl Activity ? 'x �. > 4. Equipment replacement costs will stolen,damaged e charged for bottles lost, since your c ...,+�x,.,�o.,...«� Make sure red Or not returned. ACCOUNT A(mV TY a N°°w"" 5.In accordance with N last invoice =..- this wl`JA'sTermsandConditions mnnooE.IZ3Awmsue°EoTysRlROM amount has been Equipment Lease and or Service Agreement your paid in full to subject to minimum and/or greement account may be oenl .Blase P,rme"1-TM•"AVOU xxxx monthly purchases and/or 1 3naesuw 5 BCaROnNAWnl6prLgWater %l(X% avoid late fees tees.(A complete version ofthe current T&C may,be viewed on ^' 3veesuw s keMaunUmsGalDepbLT -. _.. x„ website listed below U osm nTessuRU 5 ke MOUntanSG.l Pe xxxx pon service discontinuation,rent for the o9nz 318:6 0811 as°,xn°se x MOntbly Oil Leased Equipment is charged through the end of the billing cycle z texas= Qen I q- • in which service is discontinued. Surcharge,Fuel O AL 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or Surcharg¢Or Delivery Delivery Fee as described in your T&C. Only one of these fees x Fee(see#6 under will aPPIy to each account. Payment stub %1L'�1O1SBA1""'c° °"'MT,"1Ame°TMENI — M°TM1SMO N "General is stated on the from of the invoice f For furtherlinfortnagon please ACCOVNrSUMMARY xx — x x + — xx visit the website listed "_ _ •' °---_-------------- "" " Information's - - - xxx- IOW or contact our customer ae��munYw O". ACCOUNT NUMBER PAY BY PAY THIS AMOUNT Center. service 123.36)890 'N ). As a food product, bottled water is 5111)}CCt t0 the rules and INVOICE NUMBER BIWNG OATS MT.ENCLOSED 1 regulations promulgated b Iz3.567890 oaooroo Administration(FDA). Y the Federal Food and Drug 8.Your first invoice indicates the products delivered on your first 0420096307 04282432639 000393049 2vo4 38 delivery,along with any applicable bottle and account deposits, °^nDae Amount due ICE MOUNTAIN WATE0.COMPANY redemption fees,and an .orwN.nRw•M,Na4, M°m sl y dispenser charges.All future invoices clxstnlE 000w will reflect charges for water delivered and dispenser rental, deposits and Credits plus charges I.JG.1..d.tlF....n,.,Ji.:di„6tI,.4.4R4i.a.tl. ox cus.oMER SERVICE Cwu Tao9.>a9eae Submit your g for an bottle Payment b ordered b Y additional products O slcRUPEOREREEAVmPAnsNnvPA.w4.ea.R...nASix y 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 invoi two deliveries. roxces 12 tunes per year,so appimately 5 of those invoices will reflect ©2008 lce Mountain Spring Water Company,a Division of Nestle Waters North America Inc. service.icemountainwater,con Form No.NW 70908/12 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 Ce Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) S �3JU�2f�7s�93 P lU 99 Total 9� 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 �ce '1dun�r(l�l IN SUM OF $ $ 10, 99 ON ACCOUNT OF APPROPRIATION FOR Igoi g3509jO Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DoEPT.# I hereby certify that the attached invoice(s), or d 0r✓ 0-3joamsrSyr 435d9 Q 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 2013 _ l ' U ign t re itle Cost distribution ledger classification if claim paid motor vehicle highway fund