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229511 2/25/2014 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER ;? CARMEL, INDIANA 46032 PROCESSING CENTER CHECK AMOUNT: $280.52 PO BOX 856680 CHECK NUMBER: 229511 LOUISVILLE KY 40285-6680 CHECK DATE: 2/25/2014 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4239099 04AO12004852 21 .24 04AO120048525 1125 4350900 04AO12009535 49 . 71 OTHER CONT SERVICES 1091 4350900 04AO12120276 70 . 01 04AO121202766 1205 4239099 04AO12177619 16 . 60 04AO121776199 1801 4350900 04AO12197559 29 . 27 04AO121975593 2201 4238900 04BO11925282 65 . 84 OTHER MAINT SUPPLIES 2201 4238900 14AO11782108 27 . 85 OTHER MAINT SUPPLIES ' 14. �. service.icemountainwateccom ® ' � #215 6661 DIXIE HWY,SUITE 4 v � e 01/01/14-01/31/14 14AO 117821082 0 79V LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED TUE- FEB 18 0117821082 RM I N110 I III 0B��I I fl fli I�� SID WED MAR 19 THU- APR 17 FRI- MAY 16 Customer Service: 1-800-472-9888 CITY OF CARMEL STREET DEPATMENT 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 _Enjoy=a Healthy start to.the'New Year with aero calorie refreshment! Save upt&$2 when"you order any=case.of ;.Perrier,Acqua Panna or Ice Mountain 100% Natural_,Sparkling Spring Water. Call 1-800-472-9888 to order now! ^3^;.---'�=-� -•---"�"'.^_"_ 'r�1-`L'e`--!`�.- --�w.'.�"�..-`__i,^"�a-�-^'�V_•J�.. �,..�..,_-�.-�eG::s?�,.;,,ay..�:.-.?.may,__..,... ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800.472-9888 or visit service.icemountainwater.com. NIA old-no I;igopuppiging i Delivery address: CITY OF CARMEL STREET DEPARTMENT,3400 W 131TH ST,CARMEL IN 46074 PREVIOUS BALANCE 36.86 1/26 161976 PAYMENT-THANK YOU -36.86 1/28 0868082496 5 5 GAL ICE MOUNTAIN DIRK W/HANDLE 17.45 5 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 30.00 1 9 OZ PLASTIC CUP 50C/SLV 3.29 5 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -30.00 1/31 0868840901 1 OIUFUEL SURCHARGE 3.12 A5829267 RENT 3.99 TOTAL 27.85 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 36.86 — 36.86 + 27.85 a 27.85 ------------------------------------------- .................. ----- - ------------------------------------------ - - -- -- - - - -- - - - - -- -- ---- ------ --------------- ------- 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 sent you the first bill on which the error or problem appeared.You can SAMPLE INVOICE 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 a the arts of our bill that are not in question. g pay P Y q w�t� 234567890 Your Account Number You do not have to pay the disputed amount while it is being 00j00j00- investigated.During the investigation,we cannot report your account F ` 123456789 1 as delinquent or take any action to collect the amount in question. rNa.00r 00 MDN-a 29 Watch here for a WED NO"21 GENERAL INFORMATION DECnE- 1B personalized account Important s =1 Boo-A724UII 1.Payments received after the billing(INVOICE)date will appear on P e 0ig+".Muu„t.Iaproa,�c+a m¢ssage �n;ap;,nFdllfla^,nnJ.lU6�rinnaUaUaan ca*r."'°` your next invoice.Past due invoices(not paid within 30 days of news and .......p billing date)may be assessed a late fee as allowed by law not to offers �'23M s' D. ,ae srk•* exceed$20 per month.Additionally,third party collection/attorney cl"SI.I. 00000 4a1LL«IaUI..d6..dL.al.La,.4.6{,L4a.a ..- expenses may be assessed at a rate not to exceed 100%of the unpaid balance or the maximum allowed by law. c-r—�; tp'• `'p� tt`'K,�n"'ar _m " •_ si^sr' Pay electronically lnunca!q�^" ` `. � 2.Each returned check is subject to a service charge subject to the '»='.,em+ssFc^+.t^'h' ,,`' maximum check return charge allowable in our State. b" g Y , , ,,,,,<,K Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity •" eL.w•w••'"""""", ,�«..�a amount has been ACTIVITY. since your Accoul+rACTIV ' last invoice paid in full to on•5v'ep0p°° 4. Equipment replacement costs will be charged for bottles lost, D,-,Aldrta »n^D«,123rA.m5Fr�lxxxx i stolen,damaged or not returned. p,evfoufBalance �xx '_ avoid late fees parm•m-11w^Evo. 5.In accordance with N WNA's Terms and Conditions("T&C"),your pBA1 aele9e s s.'-'-Nrt_5'-p' '- n1 3170B5%M Ice Mounum sGa�DepuiM1 Equipment Lease and/or Service Agreement account may be rn 3ve.n.w i keMwm•'^5W'"°'"`" _ ,"„F""„x Monthly Oil 09/+1 317005+MM fuel SurcN'9• '/;r- subject to minimum monthly purchases and/or early cancellation 1 �1';;;';�5' � Surcharge,Fuel 09/11 3101810011 Pent ry,r'x+j_'.� I C fees.(A complete version of the current T&C may be viewed on the ^9/'71�gpa91 if x"" Surcharge or Delivery website listed below)Upon service discontinuation,rent for the TDIAE _ -, —^'"" Fee(see#6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or suMAaT •FY,00..Lwa �_,_,_,,,(_�_"aT 3 Information') Deliver Fee as described in your T&C. Onlyone of these fees Payment stub ACCOUNT pAY TM15 AMOUNT _ --- Y will apply to each account. The fee that applies to your account ___"° ,,,a,�.mw^•^""" AccouNrpAY B NUMBER .w is stated on the front of the invoice.For further information please n.volcE NUMBEa BIWNG DATE MT.ENCLOSED visit the website listed below or contact our customer service00100/00 123.567890 center. 7. As a food product, bottled water is subject to the rules and 11"0016307 0....712619 000391049 2004 1° Amount due regulations promulgated by the Federal Food and Drug iy,^Doa Administration(FDA). ICE MO--Nwn Room^, �I�,S�es`00000 a Submit your 8.Your first invoice indicates the products delivered on your first iDpcDSTDMEBBFRVKFTAFF+�'7E9688 , delivery,along with any applicable bottle and account deposits, ^�a�B�u payment b this uaaa„ n.LanL.L1,LLaan �• ❑o,r �°` date y redemption fees,and any dispenser charges.All future invoices Op iBEe 5,p„up �^'•°O”"""" will reflect charges for water delivered and dispenser rental,bottle sKuuvi 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 Q service.icemountainwater.com service.icemountainwater.corn 0 � #215 6661 DIXIE HWY,SUITE 4 01/13/14-02/12/14 0480119252823 0 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED ` MON- MAR 10 0119252823 f I I� DI N DID TUE APR 08 WED- MAY 07 FRI- JUN 06 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: 1-800472-9888.It's freel CARMEL IN 46074-8267 Illlul�l�lnl�llllllllln�lln�lllllll�lnulll��II��II�IIIIIII� _ r . ^ ",'�.--�'',r � avv,-r",- .��xt".n r-: _ �.`�wr�—��-®'-.-''�.,,::r'..;'�' -�'T''��,,�,;r yr"rr�.�' s�,�:;'�vr,`x �En'o a=Health "Wstarf to';tFie Ne%WYear w i ,zero'.cal rie,refresh'mentt'Save;upefo$2`wtien ";ou=order:any case of : Y' §'n">'.'-r^ I...,x= ..Y. ,,. ;.n. ;fria;•-•�e ,�rr,"rr°��'. - .Terner„Acqua;Panna or IceaiVlountam 1,00/o Nattiral,,Sparkling Spring Water: Calh la-800,472-9888'to;ortler.;noW! "r '�;� 'r 2- 2111 . .^ . r X .P' ,d ,.n' Er�C,f,.,, a E»`` _ A� :`. ^9,t ' ,y' = `�„"' ”. »t^ .: --- 051,. �:': _4r r.�'°:.,�.Y.� v_a&� ;F_.,�� `,r f �r,.c. „�r ;✓v,. �?�9�`». �aG�,...�%�.. ��,-o?a' a ..y; yrxx .rP F,,.-;.',.'zN'�G�`xi+�`.d� .__trr,✓:'s":.'?:�',s,;_ ,,�� ,_ �. ''�:5 .. -�_ :�%." '..f,:F.�:r�''.4- ...N^M«."Eir''�ttv,.'":r�%.xa'?, .,^,+,a ,r:,":„.a.�.. ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1.800-472-9888 or visit service.icemountainwater.com. ter— Delivery _- address: CITY OF CARMEL STREET DEPARTMENT,1 CIVIC SQUARE,CARMEL IN 46032 PREVIOUS BALANCE 6.13 1/17 126681 PAYMENT-THANK YOU -2.14 2/07 226256 PAYMENT-THANK YOU -3.99 1/14 0864054168 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 5 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -30.00 2/07 0868466186 9 5 GAL ICE MOUNTAIN DIRK W/HANDLE 31.41 9 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 54.00 1 9 OZ PLASTIC CUP 50C/SLV 3.29 9 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -54.00 2/12 0870957008 1 OIL/FUEL SURCHARGE 3.12 B6069459 RENT _. 3.99 TOTAL 65.84 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 6.13 — 6.13 + 65.84 65.84 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. Ifyou think your bill is wrong,or ifyou 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. ' ON You do not have to pay the disputed amount while it is being 00100100- 00100100 7234567890 Your Account Number investigated.During the investigation,we cannot report your account as delinquent or take any action to collect the amount in question. 10 TBB_Ci o4 123456789 MON- 7 29 Watch here for a GENERAL INFORMATION WCD-N31 TUE-DECC+B personalized account 1.Payments received after the billing INVOICE date will appear on Important 1tp�ap.pbapp l^Ippl[pM"JppapanaaR Customer Serv¢e'.I-8�12.9B88 Y g( ) PP message your next invoice.Past due invoices(not paid within 30 days of news and rnaaxyo°Ia°*'^91ttM° billingdate may be assessed a late fee as allowed by law not to �123n 11 ) offers M=�^SE exceed$20 per month.Additionally,third party collection/attorney O1y's"" 00000 t°apa"a.nswat°atu.,n.t.n..c.61,bw„n expenses may be assessed at a rate not to exceed 100%of the - u unpaid balance or the maximum allowed by law. n� � ”' aTrn+fl'.� A�'95.'�" Y?�.*„ ��,. Pay electronically 2.Each returned check is subject to a service charge subject to the �•,�e,. ?f+m�^�`;-,�;'" '"pt �i„� � ��a,: _ � x+• maximum check return charge allowable in your State. `'fir '' -�- a.•,'ri Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity amount has been ACTIVITY. since your ACCOUNT ACTIVITY 4. Equipment re replacement costs will be charged for bottles lost, Addreea I^h^o^e•113Ma=os,reecGa.S"ie00°°� xxxx paid in full to P g last invoice Dei�xen stolen,damaged or not returned. P,e•,°°,eaw^a o. avoid late fees Payment-ThanxY°u 5.In accordance with NWNA's Terms and Conditions("T&C"),your �f3, ,6,898 scaib^Na,,,,ai sPd^9wa,er rx xx BB5,4w 5 Ice I5a1DeP°+t MonthlyOil Equipment Lease and/or Service Agreement account may be 3neesu4w 5 sea�Be<°,a z:x; 09111 31J00514aM 5 FUN F s subject to minimum monthly purchases and/or early cancellation uvn7 3,8:6388++ Surcharge Be^, ,. Surcharge,Fuel fees.(A complete version of the current T&C may be viewed on the 99nz +66aa9J _ xxxx Surcharge or Delivery website listed below)Upon service discontinuation,rent for the TOTAE - Fee(SBC#6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. "oNm °"r TX1°zx xxM 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or a Information") Deliver Fee as described in our T&C. Only one of these fees Payment stub ACCOUNT SUMMARY s.xx° Y Y S } °U PAY TNIS AMOUNT will apply to each account. The fee that applies to your account _ °=° a e,,,,,,,,,� wr'^M` ACC PAY BY PAY xxxx W10D Do is stated on the front of the invoice.For further information please „a INVOICE BEB 1234567890 86nNc DATE MT ENCLOSED NIIM00100100 visit the website listed below or contact our customer service 1234567890 center. 7. As a food product, bottled water is subject to the rules and 0420096307 04282912619 000391049 11" SB Amount due regulations promulgated by the Federal Food and Drug i°hn— Administration(FDA)' �cEMOUNTAIN WATER COMMPA"z �,'y M,,, 00000 8.Your first invoice Indicates the products delivered on your first Submit your {OR CUSTOMER SERVICE CALLI-BW-V2'9888 a ment by this delivery,along with any applicable bottle and account deposits, ln.4.at.w,an ^.S,de ❑q�°,.arEha^9.,D�BaKMs,4 P Y S redemption fees, and any dispenser charges.All future invoices ME"ur�Ars,9^„°B•9°a�doa9rva date will reflect charges for water delivered and dispenser rental,bottle s.6"OPro^r 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)) 02/04/14 14AO117821082 $27.85 02/20/14 04BO119252823 $65.84 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 $93.69 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 14AO117821082 42-389.00 $27.85 1 hereby certify that the attached invoice(s), or 2201 04BO119252823 42-389.00 $65.84 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 #Oi -9 q1, 2014 Street Commissioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund service.icemountainwater.com 0 -- #215 6661 DIXIE HWY,SUITE 4 01/01/14-01/31/14 04AO121202766 0 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED 91��991�1�1��111 ��BII BILI I�O� DID MON- FEB 24 0121202766 TUE- MAR 25 WED- APR 23 Rr r w—"VIED THU- MAY 22 CITY OF CARMEL PARKS DEPARTMENT FEB 10 2014 Customer Service: 1-800-472-9888 MANDY SPADY Pay your bill online at:service.icemountainwater.com or 1411 E 116TH ST by phone at: 1-800-472-9888.It's freel CARMEL IN 46032-3455 BY; 11111'1'1'111111'I'll'll!I�IIIII!II'llll!II!II!II!III!I'I!III�I�� Enjoy`a Healthy start tattie;New Year with zero calorie refreshment! Save up to$2 when.you order any case of _.Perrier,,Acqua Panna or Ice;Mountain 100%Natural Sparkling Spring Water�,tall.1-800=472- 888.to,order now! 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 PARKS DEPT/MONON CENTER,1235 CENTRAL PARK DR EAST,CARMEL IN 46032 PREVIOUS BALANCE 43.15 1/26 161974 PAYMENT-THANK YOU -43.15 1/24 0866700628 10 5 GAL ICE MOUNTAIN DIRK W/HANDLE 42.90 BOTTLE DEPOSIT: 10 CHARGED, 7 CREDITED 18.00 1/31 0868833229 1 OIL/FUEL SURCHARGE 3.12 A5942637 RENT 5.99 TOTAL 70.01 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT I Subject to terms on reverse side. 43.15 — 43.15 + 70.01 = 70.01 r 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. #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. t t23<s62Rso Your Account Number You do not have to pay the disputed amount while it is being0 0100100.0oloolEw investigated.During the investigation,we cannot report your account E as delinquent or take any action to collect the amount in question. mR o a tails6Je9 MON.DO 29 Watch here for a ,yFD.Nov 21 GENERAL INFORMATION UE-DEC'R personalized account Important BDD J2-9888 1.Payments received after the billing(INVOICE)date will appear on P pLiUld„I11LI�NL„dlitl"tl„Il,idtl a%t«^"5e""`' message your next invoice.Past due invoices(not paid within 30 days of news and tl•tl"'!tl” yR°1°rRsl"R"`M°"°`a'np�°� Mn4 billing date)may be assessed a late fee as allowed by law not to offers l,"m_ exceed$20 per month.Additionally,third parry collection/attorney otwswe O 0 1.dtld„d„06.•„a„.dLni1.L9"L.LL41.d„tl expenses may be assessed at a rate not to exceed 100%of the unpaid balance or the maximum allowed by law. --;> i+?'-”' �'"?R�jmna6r '"" Pay electronically t - 2.Each returned check is subject to a service charge subject to the maximum check return charge allowable in your State. `” aim ' >= - -^"_�'`a- `' - '� Make sure this 3. All bottle and equipment deposits are shower as CURRENT Activity 'h=^'"�-2�,— -"`"/t '- ""' ACTIVITY. - �%�^••"^. " ��"' amount has been since your ACCOUNTACTIVrtY ,23Ma1n5treetOtY.5mte00D00 pNnope, paid in full to nate:: xx A % 4. Equipment replacement costs will be charged for bottles lost, oee"ery % last invoice stolen,damaged or not returned. preNO°,Ravze xxx"x avoid late fees payment-T,MnkYou , 5.In accordance with NWNA's Terms and Conditions("T&C"),your oRe, +8'890 Galla Natutal5prl 9wa t SG io9p0' x% Equipment Oil 9 P g Y /" 3neen++++ i«Mwmum ui mint Lease and/or Service Agreement account may be s 1CeMp„n,a,ns�aiRe,am xai Y (q/11 31J00516M+ Fue15u•<Nt9e subject to minimum monthly purchases and/or early cancellation 31R263een Qen, f'"„ t:'', Surcharge,Fuel fees.(A complete version of the current T&C may be viewed on the aat'2 16 97 %xxx Surcharge or Delivery website listed below)Upon service discontinuation,rent for the otAEFee (see#6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. <p,.F„tArnYiv = °"yiN13xx'n 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or p,r„pp `"`' , Information") Delivery Fee as described in your T&C. Only one of these fees Payment stub ACCOUNT TVMMA0.Y •°[%xxx•° Y , PAY-------- ------------ AMOUNT will apply to each account. The fee that applies t0 our account „a w_R'a__ __— ACCOUNT NUMBER PAY By %xxx PP Y 000000 is stated on the front of the invoice.For further information please /234567890 RIWNG DATE ENCLOSED R'Ne'ENUMBER w,w/W visit the website listed below or contact our customer service 1234567890 center. 7. As a food product, bottled water is subject to the rules and 0420096307 04262732619 000391049 2°°° le Amount due regulations promulgated by the Federal Food and Drug J,h.oce Administration(FDA). iGEMoLWA,NWATERCoMMp 12'Mae5' A� Submit your 8.Your first invoice indicates the products delivered on your first FDREOSTOMERSEm+cECAu'Ron1":98/18 delivery,along with any applicable bottle and account deposits, a ment b this 1.Jtl.Wd„abn„IL„d1,..0„Ltl„LnLLLI.d„tl �. ❑pnm xnrcNa9•+On R`"”'-`s4e. � date Y redemption fees,and any dispenser charges.All future invoices REEAmOp"y,5,g°OpRaw"�OnR^"" will reflect charges for water delivered and dispenser rental,bottle 5KiN0PEOR� 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 los 08/12 service.icemountainwater.com service.icemountainwater.com #215 6661 DIXIE HWY,SUITE 4 01/01/14-01/31/14 04AO120095351 / LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII MON- FEB 24 0120095351 TUE- MAR 25 WED- APR 23 THU- MAY 22 CARMEL CLAY PARKS AND REC DEPT. Customer Service: 1-800-472-9888 AUDREY KOSTRZEWA Pay your bill online at:service.icemountainwater.com or 1411 E 116TH ST by phone at:1-800-472-9888.It's free) CARMEL IN 46032-3455 I'llll'llll'll'111111'II'IIII'1111"1'll'llilll'lIIIIIIIIIIIIIII' `°Enjoy a Healfly start to the New Year with zero calorie refreshment! Save up to$2 when jiou order any case of iPerrier Acqua�Panna,_or°Ice::Mountain 100%Natural Sparkling Spring Water. Call 1-800-472-9888 to order now! •.�� _.. .:�.': - ,. .:�,�;• r� -, ._ .�T. ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. Delivery address: P CARMEL CLAY PARKS AND REC DEPT.,1427 E 116TH ST,CARMEL IN 46032 PREVIOUS BALANCE 54.30 1/26 161975 PAYMENT-THANK YOU -54.30 1/27 0866700594 5 5 GAL ICE MOUNTAIN DIRK W/HANDLE 21.45 4 9 OZ PLASTIC CUP 50C/SLV 13.16 BOTTLE DEPOSIT: 5 CHARGED, 5 CREDITED .00 1/31 A5857799� 1 RENT EL SURCHARGE RECEA17F.� 11.98 TOTAL FEB 1012014 L 49.71 � X125-i-13- �f35pgoo ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 54.30 — 54.30 + 49.71 = 49.71 _------------- -----I------------------ 11 -115 %ke'nt T. t 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. #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. 12345670.90 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 T � as delinquent or take any action to collect the amount in question. m0.-ocr a 123456789 MON-OCT M Watch here for a WE6 NOY11 GENERAL INFORMATION NE-DEL IR personalized account 1.Payments received after the billing INVOICE date will appear on Important 12-98� Y i (INVOICE) PP nn„an„nLanna,,,nna,luL.,mu,tt uaan c�+9nR se MR."v message your next invoice.Past due invoices(not paid within 30 days of news and IphnDOe t„eny �+�^x1/19"` billing date)may be assessed a late fee as allowed by law not to offers 123 Main 51 •" exceed$20 per month.Additionally,third party collection/attorney cm,xale 80000 I.aOA"annL..u1L..•IL.,II«LnwL.LLLLa«0 �... expenses may be assessed at a rate not to exceed 100%of the unpaid balance or the maximum allowed by law. ^'sh` hup « ? Pay electronically - 2.Each returned check is subject to a service charge subject to the :�uRaa'^0iN1. Aeq'arra °.2d "•3e:� ' maximum check return charge allowable in our State.3 ` .dewerk9'aderfrd^,W'«taew .• — ° g Y } � 4. Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity Y,„rr „,«„�,.a«nP•°^•tl jJO°"'.9w lc*6•Nµ Y vm . °°«” `.. amount ACTIVIThas been Since your ACCO 123Ma1nSvee4clty”.D"" I aid in full to 4. Equipment replacement costs will be charged for bottles lost, last invoice oN'�nAede" 1ohn0o` xxxx p stolen,damaged or not returned. P,e,,R.,RavMe .0 avoid late fees Payment-TNnAYw 5.In accordance with NWNA's Terms and Conditions("T&C"),your 6Rn+ �+0.98 6Galbn Nawral5pnn9Wa1a xX%% Itt 31)80618,4• 5 Ice MRuniain SGal Dep9slt XXJtX Equipment Lease and/or Service Agreement account may be ,„ 3vees1+444 s R�M«,numsG,lRe,^rn xxxx Monthly Oil 0911+ 3+78051„4• 5 FUN SOrcNye subject to minimum monthly purchases and/or early cancellation w,+7 31e163Re,1 - ." Surcharge,Fuel fees. A complete version of the current T&C may be viewed on the 99/11 '�+^"' r xxxx ( P Y Surcharge or Delivery website listed below)Upon service discontinuation,rent for the 10TAL Fee(see#6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. _ f,,,MN,"R^^^ 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or Ww..,A xxxMEM Information') Deliver Fdescribed in T&C. Only f these fees Pa stub ACCOUNT SUMMARY eM.°+ Yee as escryour Y one oese Payment •"� ------------ _-- PAY THIS AMOUNT .•.c PAY OY will apply to each account. The fee that applies to your account -__"-- w;;•a,r°m.I�wPo^�«" ACCOUNT NUMBER �001 xx�u is stated on the front of the invoice.For further information please 1234567890 BIW NO DATE MT.ENCLOSED 1WO13ENUMBER 00100100 visit the website listed below or contact our customer service 12 456 center. 7. As a food product, bottled water is subject to the rules and 0420096307 00.262732619 000393049 2000. 16 Amount due regulations promulgated by the Federal Food and Drug ph,DPe Administration(FDA). ICEM�ou� TErR�n°AM-x^• cry- d1e500000 Submit your 8.Your first invoice indicates the products delivered on your first .w R" • TOR CUSTOMER 6fTACE(ALL I-88^'`719800 11 delivery,along with any applicable bottle and account deposits, ..payment by this baa,1,., t1.Ln,.L«LLLI.J.n e.Q P,«nm crem•�D^R�""sa . redemption fees,and any dispenser charges.All future invoices s,9°„pRa9w,a4D•^�«�`Id ..J date will reflect charges for water delivered and dispenser rental,bottle 6M:NOPTORTRff. - 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 service.icemountainwater.com r ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 051125 Ice Mountain Terms P.O. Box 856680 Louisville, KY 40285-6680 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 2/4/14 4AO121202766 Drinking water& cooler- MCC $ 70.01 2/4/14 4AO120095351 Drinking water& cooler- Maintenance $ 49.71 Total $ 119.72 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 5-11-10-1.6 120_ Clerk-Treasurer Voucher No. Warrant No. 051125 Ice Mountain Allowed 20 P.O. Box 856680 Louisville, KY 40285-6680 In Sum of$ $ 119.72 ON ACCOUNT OF APPROPRIATION FOR 101 General fund / 109 Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1091 r 4AO12120276 4350900 $ 70.01 1 hereby certify that the attached invoice(s), or 1125 4AO120095351 4350900 $ 49.71 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-Feb 2014 Signature $ 119.72 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund service.icemountainwater.corn B #215 6661 DIXIE HWY,SUITE 4 01/01/14-01/31/14 04AO121975593 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED MON- FEB 10 0121975593 WED- MAR 12 THU- APR 10 FRI- MAY 09 CARMEL REDEVELOPMENT COMMISION DON CLEVELAND Customer Service: 1-800-472-9888 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 I��IIII'III�IIIII��II'III�IIIIIII'I�'lllll'll"II'�I'lllll�'I convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. =°r"'.:6-.,�_y.,:-"� ..��Jr:�-;,_.,�_"�s"�sK.c.aYrr.=�:�f�-a,:..• ".s:��`� >�" -w;,�.,„, r�;�'.r:n��`:31"" n�'y �L�''��,`..�a`,�^',u,: Enjoy a:Healthy=startaotheNew Yeac wlth, ero;calor._ie:refreshment!Save up�to°$2"wfieou order anycasepof':; Pe r e� Ac ua'Panna or lce'llflouritaln 1 QO% Platural S'arklin rS rin` 1Nater C6lm,800 72=9888 tolor'`der novel ' n;,. q pan. - '. P 9 ,� : 9' a•:1 .-.�'�",� f.�a7a.s� z', :, - ,a,,, ..,�'a°" r.Y',". ..d-"�rv':•_. a ,�%,,"�i;Y� �'�"- •;rte ��_"° �.r”.- =t°'?�."� ��:M`?.c��' #' :�,<" r'..',,.>?`s.t. ,� .'�•" .r" _�' "" `N,..s ";6'° -._ .:>4° n', - .�a*°3":.;r;' <:h-`-"v.' "v%�J�` :Pr� .z�-�;r.�.'.,: ?y.l'.G:b ., 'i.s«' _ �e.^;°',r,"" - <_�:,f`"�ib ,.�,C;, dSgr" _•-�.,_ r r .Ya'na"ir�_ '��`f».� - .<z°zn's��;'`'"4. _ '°.�,.J «<�°'..��.•-..� �-�-= •-a^a - —r ..�;n-." "';t';.x,��.1"...';:'�,..- -:f»; �,.�'. -,.z:x6,.�°3'�_s" :z:a ��:w„"x=z' €5;.^°vrw- :�r�.r»a _ .9.✓,'+,'��s �ss�,..*�;z'':tom 'd�' rye., - _ __ '^`�s"p �, fak•C;�c,°�".;,. •,`-',-,�:. � ...`..'l. ,t�'� ;^,�` ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800.472-9888 or visit service.icemountainwater.com. Delivery address: CARMEL REDEVELOPMENT COMMISSION,30 W MAIN ST STE 220,CARMEL IN 46032 PREVIOUS BALANCE 32.28 1/15 0864364534 2 5 GAL ICE MOUNTAIN DIRK W/HANDLE 15.16 2 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 12.00 2 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -12.00 1/31 0868875972 1 OIUFUEL SURCHARGE 3.12 A5904244 RENT 10.99 TOTAL 61.55 I ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side 32.28 — 0.00 -{- 29.27 = 61.55 - - - - --- - ------ - -- - - ----- - - -- - 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. 1234567690 Your Account Number You do not have to pay the disputed amount while it is being MA 00100100-00,00,00 investigated.During the investigation,we cannot report your accountt • as delinquent or take any action to collect the amount in question. TNR 0a w Iz3as67s9 , MON-o 29 Watch here for a GENERAL INFORMATION TE0-Na 11 NE-DLL,a personalized account 1.Payments received after the billing(INVOICE)date will appear on Important message „ndan Customer Semce l-8004]2-9RB U ma�an"uuallpa,,,nm1,n4„attu"u M°unteln P-d' g your next invoice.Past due invoices(not paid within 30 days of news and m.nxr°"1o'°""9" billing date)may be assessed a late fee as allowed by law not to offers 1123 s ana�MCe1 exceed S20 per month.Additionally,third party collection/attorney L,ms`a`e 00000 - ,at.R.6a.4.4444,1..tl expenses may be assessed at a rate not to exceed 100%of the ° ," ' ,,, ' unpaid balance or the maximum allowed by law. e egi '�`!' �Ka,,,L'u'mRcK3aSp1" !” Pay electronically p✓ 2.Each returned check is subject to a service charge subject to the maximum check return charge allowable in your State. Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity �,,,,R,,,,�„a,n„a,.•,•�m'^°' °"°°` amount has been ACTIVITY. since our ACCouNTACTIVITM ° ° . . 4. Equipment replacement costs will be charged for bottles lost, last invoice lelrve7�dre s lohnDce.l]3Mmn5treet.Otl5tp1e°0°°° xx pard in full t0 I stolen,damaged or not returned. PreMmn6ala«. xxxx avoid late fees Payment-Thank You 5.In accordance with NWNA's Terms and Conditions("T&C"),your 10131 w0l 5 SGalbn Nawral5pr,�+9wa�tt ,. xx rx ' 111 3,]885144M 5 1e M°un,mn 5Gal pRposit Equipment Lease and/or Service Agreement account may be /„ 3nees,44a4 5 ,eM°�",a,n5Ga1Re,°m �. xxxx Monthly Oil 09/„ 31]8651aM4 Fuel Surctiar9e t) ,, subject to minimum monthly purchases and/or early cancellation 09/12 31e263ae„ x:"� i -j ,,; Surcharge,Fuel fees.(A complete version ofthe current T&C may be viewed on the 03/12 16,-9] f, . p;�' 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. .cTNOY = °"Y m'3Xzzx'� 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or au.Nc -;max;uEM' N. " Information') Delivery Fee as described in your T&C. Only one of these fees Payment stub ACCOUNT SUMMARY _ ---- PAYMSAMOUNT will apply to each account. The fee that applies to your account _-_--°-- --- .M.r,«w+^"^'- AccouNTNUMscR P"N xxxx v ovum v2,am•^d�eu,m 113456]890 000000 T.ENCLOSED is stated on the front of the invoice.For further information please 1P1yo,CENUMBER BiLurypOATE visit the website listed below or contact our customer serviceo0romoo 12N56]890 center. 7. As a food product, bottled water is subject to the rules and /420096307 04262712619 11110391049 2°°" la Amount due regulations promulgated by the Federal Food and Drug lnhn— Administration(FDA). ICFMOL�NTAIN`x'ATERCOMPAM' 113Ma-St Submit your °mut wsu"N°,u"nnk•�"` Ciry.State 00000 8.Your first invoice indicates the products delivered on your first wREUSTOMERSERv,EEULLI-R09-i]2-'888 delivery,along with any applicable bottle and account deposits, onRa �°° payment b this redemption fees,and an dispenser charges.All future invoices t.aaana.n6...A»'d4"U'd'U.b.......�R_s0 �" n date y P Y P g �y6Nw1oRFREE nuroPan y9nuPRaR�� . 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 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 Nestt6 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 seryice, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour,number of units, price per unit, etc. Payee. .. &A 0;rCd- Purchase Order No. I. 0• Terms L ok f pi lle' -114 V 2 85— 6`'0 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 2_W-I�fmi2 iqwq3 +er 2 9.27 Total Z9-�7 I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor- dance with IC 5-11-10-1.6. 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 L-0 /-lD(it/l�tfl�j D//"PC']�" IN SUM OF $ P 0. 60X kY 40 2-S-5- 6 U0 $ 29. 2-/ ON ACCOUNT OF APPROPRIATION FOR J Ybl/�350900 v p,4 b Q v q`i 3 Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), 0 1219x393 3509 2q•27 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 2-2�- 2014 nature Title Cost distribution ledger classification if claim paid motor vehicle highway fund service.icemountainwater.com � L #215 6661 DIXIE HWY,SUITE 4 a• g � � , o LOUISVILLE KY 40258 01/01/14-01/31/14 04A0121776199 ADDRESS SERVICE REQUESTED "� ®' ®a` ®_ 1111111H ��I��I�I Il�a� �I I B I I �II ON �Z5 MON- MAR 10 0121776199 TUE- APR 08 WED- MAY 07 FRI- JUN 06 CITY OF CARMEL HUMAN RESOURCES Customer Service: 1-800472-9888 JIM SPELLBRING Pay your bill online at:service.ice mountainwater.com or 1 CIVIC SQ by phone at:1-800-472-9888.It's free! CARMEL IN 46032-2584 I�Il�ll��l��l��l��l�llll�lllll'��II��III��"III�11'�I1��11�1�1 Enjoy a Healthy start to-the-New Year with zero calorie refreshment! Save upAo$2 when"you°:order ariy'case of Perrier,,Acqua Panna,or.lce Mountain 1.00% Natural Sparkling Spring Water:"Call 1=800.472-9888 to oriier now! 77 7 I fir, ;. - 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 SO, HUMAN RESOURCE DEPT,CARMEL IN 46032 PREVIOUS BALANCE 10.32 1/26 161978 PAYMENT-THANK YOU -10.32 1/15 0864054234 1 5 GAL ICE MOUNTAIN DIRK W/HANDLE 3.49 BOTTLE DEPOSIT: 1 CHARGED, 0 CREDITED 6.00 1/31 0868851841 1 OIL/FUEL SURCHARGE 3.12 A5834141 RENT 3.99 TOTAL 16.60 Submitted To FEB 2 42014 Clerk Treasurer ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY P=HS-AMOUNT,Subject to terms on reverse side. 10.32 — 10.32 + 16.60 = - --------------------------`LL...........................------------------------------------------------------ - - -- - --- ..... ... __... - 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. #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. 1234567990 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 account123456789 I as delinquent or take any action to collect the amount in question. TMp.00r a MDN-o0 19 Watch here for a _.Nt 7, GENERAL INFORMATION NE-DEC IB personalized account 1.Payments received after the billing(INVOICE)date will appear on ImportantM1tl"Igatluannd,natl,l,lp►.nnlanllnllddll message your next invoice.Past due invoices(not paid within 30 days of news and ,nE n"t°["•'^9"`M°""`°I°Podu billing date)may be assessed a late fee as allowed by law not to offers �123MlilSt exceed$20 per month.Additionally,third party collection/attorney CIrystee ODDOD 1�,6n"4nN,41.d„n , expenses may be assessed at a rate not to exceed 100%of the ..T - t' ax�6r °�^" eQ9f a Pa electronically ' unpaid balance or the maximum allowed by law. ..^'qtr B arm aa� :40,A , Y Y •,7'e m'an•ObY �.• .Each returned check is subject to a service charge subject to the ,.,aMac ^a""'�'' .x+E4y9fd?!B"D:" •_t _ maximum check return charge allowable in your State. `"=° :'„"4 '"''^6 ;i?:`"u'''""" •'"''''`'�'" Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity z.Y,,- - •�;•,,,x•,„.,.a,..�.�> ^""""'°°-'_' �� ACTIVITY. Arnv1TyJP amount has been since your ACCOUNT to 4. Equipment replacement costs will be charged for bottles lost, DehveryAdd,—3ohnDce,123Main5peeVOry,StatzOD000 xxxx paid in full es last invoice stolen,damaged or not returned. p,Mo":B rze .0 avoid late fees 5.In accordance with NWNA's Terms and Conditions(T&C")•your S Paymem-manF yw x%%% Ill 3178B51a4M Ice M°unta1n5 W1 Dep9ait Equipment Lease and/or Service Agreement account may be „BBs,+« s meMwnumz6a10 t°m r� T max; Monthly Oil subject to minimum monthly purchases and/or earl cancellation wm 3']0851``'" c"Nz"Rna[x -,na, (iii ,ill�_ t"t 3 Y P Y 99„7 3181630011 ;I„i';�., , Surcharge,Fuel fees.(A complete version of the current T&C may be viewed on the o9n '6b97 pen[ - 'rt•p:;:r, xxxx Surcharge or Delivery rc website listed below) Upon service discontinuation,rent for the TOTAE _=--.w Fee(see#6 under Leased Equipment is charged through the end of the billing cycle General in which service is discontinued. apENr.TOM^ - pgy�p�sx''”`"T Information') 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or Deliver Fee as described in our T&C. Only one of these fees Payment Stub ACCOUNT SUMMARY Y Y Y Y - pqy TNIS AMOUNT will apply to each account. The fee that applies to our account •• " `---- .�t� PAY By pp y pp y b wm n W ACCOUNT 3 SOBMBE0. is stated on the front of the invoice.For further information please 123+s6]e90 80U GD`DATE T.ENCLOSED INVO,CE NUMBER Wl�t� visit the website listed below or contact our customer service ,2N567990 center. 7. As a food product, bottled water is subject to the rules and 0420096307 04262712619 000391049 2004 1B Amount due regulations promulgated by the Federal Food and Drug Nnn o« Administration(FDA). ICE MWMAIN WATER COM c tar z�nmst00000 8.Your first invoice indicates the products delivered on your first •p1N,'"^pHe-N ,79888 Submit your fpp CUSTOMEP SEMICf CAEl+600-• payment b this delivery,along with any applicable bottle and account deposits, o,,.sa. I.dnud.aln,.du,:d�nnan„w�.t.61•'ann s,B ❑PnM 6ma•^9"°^ date Y redemption fees,and any dispenser charges.All future invoices ❑ � p6E gp,0w.tl541ntlpeea°va a.PM,u 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 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 jos 08/12 service.icemountainwater.com Prescribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL a . 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)) 02/04/14 04AO121776199 $16.60 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 $16.60 ON ACCOUNT OF APPROPRIATION FOR Administration Department OU bl �Z-1-774qq PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1205 1014AO121776199 I 42-390.99 I $16.60 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, February 24, 2014 Director, Administrati n Title Cost distribution ledger classification if claim paid motor vehicle highway fund service.icemountainwater.com ' ®® ' #215 6661 DIXIE HWY,SUITE 4 01/01/14-01/31/14 04A0120048525 ' LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED ® ° II'I��IIIII 'I�I�II�IIII �I I�I�I� �I' MON MAR 10 0120048525 TUE- APR OS WED- MAY 07 FRI- JUN 06 CITY OF CARMEL DEPT OF ENGINEERING Customer Service: 1-800-472-9888 LISA SCOTT OR JUDY STOHLER Pay your bill online at:service.icemountainwater.com or 1 CIVIC SQ by phone at: 1-800-472-9888.It's freel CARMEL IN 46032-2584 ;Enjoy a Healfhy.start to the New Year-with zero.calorie refreshment! Save.upI&$2 when-you order any case of Perrier;Acqua Panna ord,lce Mountain 100% Naiurat Sparkling-Spring Water. -Catt`1-800-02-98.88 to.order"now! 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 24.73 1/26 161977 PAYMENT-THANK YOU -24.73 1/15 0864054192 4 5 GAL ICE MOUNTAIN DIRK W/HANDLE 13.96 4 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00 1 9 OZ PLASTIC CUP 50C/SLV 3.29 4 5 GALLON ICE MOUNTAIN DEPOSIT RETURN .00 1/31 A5842055 RENT a e 1011 1,2' 3.99 TOTAL , 21.24 RECEIVED I L01 00 0- CARMEL ;U O +� CI-rY ENGINEER vti 'L _ eSZ ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 24.73 — 24.73 + 21.24 = 21.24 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. #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. - 1234567890 1 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 accountt 1. 123456789 as delinquent or take any action to collect the amount in question. TSRa'0° MDN-aT n Watch here for a wEo-NW 11 GENERAL INFORMATION rJE.DEC lR personalized account I.Pavments received after the billing(INVOICE)date will appear on Important 14aRdll»g4J1111,1,,,1114L@L�JUtl.tl.,aJJQ aamme,sem��`•^P your next invoice.Past due invoices(not paid within 30 days of news and Tna^ErRR'�°''^9 message billing date)may be assessed a late fee as allowed by law not to offers 1223Mlil 51 indu��eC4 exceed$20 per month.Additionally,third party collection/attorney eRyseaoe OooDD 1..@J�Jr96..�J4...IL.Jl.4d„4.L444J.@ -9x—T-r"."T_f='�;'i'=•crv^"^.'t expenses may be assessed at a rate not to exceed 100%of the s--9•-" .,,,;,gwet?g?+R,_c x unpaid balance or the maximum allowed by law. I �'?-io.ma^ rom.vw�Ps u+ecur ^`•F"a"aPa,e nwcnmGds^w,e'.a°""'et'''d..S -� r.c�- Pay electronically 2. Each returned check is subject to a service charge subject to the maximum check return charge allowable in your State. `� :i m'• a '' y ,fit- Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity -„.,y ._ '- - - - abP”°"""`°'n ACTIVITY. !ob^n°"'"^`""m" amount has been since your ACCOUNT ACT OMainSueet,Oty,5la,e-11" aid in full to last 4. Equipment replacement costs will be charged for bottles lost, invoice DOe'•oeerervAdd,11 301 oo p stolen,damaged or not returned. ' avoid late fees Payment.ThanRYw 5.In accordance with NWNA's Terms and Conditions("T&C"),your0„, 4fi,09R s sw,bn Natmai sPn^9Wa"' xx i swioePR,^ xxxx 889+Na MonthlyOil Equipment Lease and/or Service Agreement account may be ,,, 9nfiRs�w14• s ',°�M^una,nswiReaa,^ x subject to minimum month) purchases and/or earl cancellation 0911' 9,7Ra s�mm�9e J Y P Y fi3881, I °� Surcharge,Fuel 091,1 ,,01 fees.(A complete version of the current T&C may be viewed on the o9n2 �'0e9 """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. _ �,,,,laA"m'ry 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or mw•^lA" ,,;, .NT w. Information DeliveryFee as described in our T&C. Only one of these fees Payment stub ACCOUNTS a xype Y Y Y PAY HIS AMOUNT will apply to each account. The fee that applies to our account _•^^ -- ,. PP Y PP Y .w.•u�T^'^ ACCOUNT NUMBER is stated on the front of the invoice.For further information please 1238567890 'OWN GATE T.ENCLOSED INVOICE NUM BER 100100 ' visit the website listed below or contact our customer service 12M 7890 center. P 0420096301 04262712619 0003911149 2004 lA 7. As a food product, bottled water is subject to the rules and Amount due regulations promulgated by the Federal Food and Drug 1d,^we Administration(FDA). ,CE MouNraN WATE,"e°w P"".iz �3 swce51D�00 S.Your first invoice indicates the products delivered on your first •^•^•"^°'""Rw""' Submit your iOR CUSTOMER 9FRVKF CALL 1-000-1R-98afi payment by this delivery,along with any applicable bottle and account deposits, se. �°AmcR.^ge,o•Pre^e WJWL.J.tl4�.�JI,..JL.A1.6tl..1.R4446J�tl sae redemption fees,and any dispenser charges.All future invoices nF vnsq^oPR,9w,e�o^Re.•K - date will reflect charges for water delivered and dispenser rental,bottle s,r,,,�P1DRF F A 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. ©2008 Ice Mountain Spring Water Company, a Division of Nestle 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 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 2/4/2014 04A01 water cooler $ 21.24 Total $ 21.24 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 $ 21.24 ON ACCOUNT OF APPROPRIATION FOR X4,4 blR-U®OK'; 5 Board Members PO#or INVOICE NO. ACCT#/TITL AMOUNT DEPT# I hereby certify that the attached invoice(s), 0 04A01 2200-4239099 $ 21.24 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 2/24/2014 Signature City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund