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Home My WebLink About227747 1/8/2014 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER 0 CHECK AMOUNT: $2.14 CARMEL, INDIANA 46032 PROCESSING CENTER w_o� PO BOX 856680 CHECK NUMBER: 227747 LOUISVILLE KY 40285-6680 CHECK DATE: 1/8/2014 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4238900 03LO11925282 2 . 14 03LO119252823 service.icemountainwater.com o #215 6661 DIXIE HWY,SUITE 4 11/13/13-12/12/13 03LO119252823 ® LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED TUE- JAN 07 0119252823 THU- FEB 06 MON- MAR 10 TUE- APR 08 CITY OF CARMEL STREET DEPARTMENT Customer Service: 1-800-472-9888 BONNIE CALLAHAN Pay your bill online at:service.icemountainwater.com or 3400 W 131ST ST by phone at: 1-800-472-9888.It's free! CARMEL IN 46074-8267 lll'IIIII�III��IIIIIIIII�IIIII11111111'I"ll'I'lllll'll„Inllll AN Fal, NT::Effective January 1,2014,Ytf7ere will be a:plice mcre"ase on select�products.:.Forh details;Nplease " u_ imitemlountairlwater.corn/pirlce:or call us�directly.at 1=800-472-9888:W _ ti: _ 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 STREET DEPARTMENT,3400 W.131ST ST,CARMEL IN 46032 PREVIOUS BALANCE -7.11 11/22 824876 PAYMENT-THANK YOU -18.90 12/05 0859703712 5 5 GAL ICE MOUNTAIN DIRK W/HANDLE 17.45 5 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 30.00 3 9 OZ PLASTIC CUP 50C/SLV 9.87 6 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -36.00 i 12/12 0862328937 1 OIL/FUEL SURCHARGE 2.84 L5709888 RENT 3.99 ! TOTAL 2.14 1 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 WA'T'ER 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 N10UNTAIN SPRING NVATER CO. 3. Kindly fill in the amount enclosed,include your account number on your check,and do not send cash.If you 4216 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 SAMPLE INVOICE 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 telephone us,but doing Date range of this invoice so will not preserve your rights.In your letter,give us the following information: • Your name,address,telephone and account numbers. ` ,z3ns6rPso • The dollar amount of the suspected error. ootooto°-0°t00j0° • Describe the error and explain if you can,why you believe there is ,?;,56]890 an error. TNR«*° MON-OCi=, Your Account Number You are obligated to pay the parts of your bill that are not in question. w —21 You do not have to ay the disputed amount while it is being ,nE-mc 1R P. P S e"n^m»x e,-Roo>naeea investigated.During the investigation,we cannot report your account iLtt m,nL,mna•,.nn,4tnL,,,nte„iL'°a'fn m.^RY,UI"ruai^PI°•''spyn11nprado", Watch here for a as delinquent or take any action to collect the amount in question. ro33 Mce 5, ,"d.em.°+ personalized account GENERAL INFORMATION Important L N.4.L n-•"n 14 dL4W-LW 4A•11 �_ -- message 1.Payments received after the billing(INVOICE)date will appear nn news and your neat Invoice.Past due invoices(not paid within 30 days of offers -- Ton>B^ R°"'•�'0`»iroPrn+ x>O1^ °, n` ,N .,,.,�„Eaxmm^"ndn«+Rx MnwrittYo:PwdUcm ._. ?J billing date)may be assessed a late fee as allowed by lacy not to .'aeRwd•*ad*'I'�"o"'" _ exceed S20 per month.Additionally,third party collection/attorney j _ _ ..�--• ";p,,,.Pe.N+ Pay electronically expenses may be assessed at a rate not to exceed 100%of the P ACCOUNT ACTivoI ^+ _ unpaid balance or the maximum allowed by law. oe,123 Mm S°�`cro.5,,,e° xxo Make sure this ,cel"ery Adtliess loAnD xX xx 2. Each returned check is subject to a service charge subject to the ,R,I,M• x,xx amount has been tivh'i ,^EYa xx maximum check return charge allowable in your State. Ac ,A,a. s�„io„N„"misP^^PW=y=' Yxxx paid in full to +. All bottle and equipment deposits are shown as CURRENT since your �s,aw »in5�1Dep°"` +w,. p911` O'"°"'" avoid late fees ACTIVITY. last invoice 4. Equipment replacement costs will be charged for bottles lost, o nx ,e6+^X7T e” xx,x stolen,damaged or not returned. Monthly Oil 5.In accordance with NWNA's Terms and Conditions("T&C"),your Surcharge,Fuel Equipment Lease and/or Service Agreement account may be subject to mmnimum monthly purchases and/or early cancellation Your new x x••» „ _ Surcharge or Deliver}' ACCOUNT SUMMARY XX �° Fee(see#6 under fees.(Acomplete version ofthecurrent T&C may beviewed onthe delivery °"__ "'______--- website listed below)Upon service discontinuation,rent for the »"»•° °» REP�,sa„Yo "General calendar. y pelive'es K�NN N M Leased Equipment is charged through the end of the billing cycle "D”indicates M Information') in which service is discontinued. 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or a scheduled Delivery Fee as described in your T&C. Only one of these fees delivery f��„ „ n„ A N 4f•o ,�,,.� will apply to each account. The fee that applies to your account m+ "• ,. �➢',;, �'° Ate '• .,°•'�� is stated on the front of the invoice.For further information please _ visit the website listed below or contact our customer service center. Payment stub ;:,,„»NT»” _.. -------- ---- PPY BY PAY TNIS AMOUNT 7. As a food product, bottled water is subject to the rules and -_ ww w^^""+"°'"°'" ACCOUNT"UM eEP wx Amount due oolootoo regulations promulgated by the Federal Food and Drug a W." P U p NaosED INVOICENUMBER WiW1W Administration(FDA). 123+567890 �- 8.Your first invoice indicates the products delivered on your first delivery,along with any applicable bottle and account deposits, orzuo9L3o7 04282712619 aoo3sTON9 zaoROTo>,6 Submit your bl'Z »S6�8Z + 06'86` apis asJanaa uo stwal of loefgng —_ _ l•lL- 1NflOW`d SIHl kVd JIiWiOb LN32 uno 1N3Wlsflf av/1N3WAVd 30NV_1V9 Sf101n3Ud Auvwwns 1Nn000 7 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)) 12/26/13 03LO119252823 $2.14 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 $2.14 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members 2201 103LO119252823 I 42-389.001 $2.14 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 Oa(AI Tuesdays EVA b�kJr4Wd13 1 Street Commissioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund