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230472 03/26/14
Cqq... y, CITY OF CARMEL, INDIANA VENDOR: 051125 ® ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CHECK AMOUNT: $**...**330.14* f3. L?4 CARMEL, INDIANA 46032 PROCESSING CENTER CHECK NUMBER: 230472 9M_roN.�, PO BOX 856680 CHECK DATE: 03/26/14 LOUISVILLE KY 40285-6680 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4239099 04BO12004852 24.53 04BO120048525 1125 4350900 04BO12009535 102.16 OTHER CONT SERVICES 1091 4350900 04BO12120276 34.01 04BO121202766 1205 4239099 04BO12177619 10.60 OTHER MISCELLANOUS 1801 4350900 048012197559 29.27 04BO121975593 2201 4238900 040011925282 60.14 0400119252823 2201 4238900 14BO11782108 69.43 14BO117821082 se rvice.icemountainwater.com ` - ® ` 0 #215 6661 DIXIE HWY,SUITE 4 02/01/14-02/28/14 1480117821082 o LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED WED- MAR 19 II I II I III V I I I I I I I I I I I II I II 0117821082 HU- APR 17 FRI- MAY 16 TUE- JUN 17 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 'I�III�I'IIT��I�'I'IITI"II'II�I�IIIII��'�'lllll�ll"�"��I'� convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. Enjoy a wealthy start to the New Year with zerocalorlerefreshmenfSa�eupto $2 whenryota order Jany,case of Ferner„Acqua Panna or Ice Ma�unta n l00°io Iia±ural Spark'i g Spring Wate Ca11 1 800-472-9888 to°ordAFt)wl' .X -^ 7 q ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. e moral implDelivery address: CITY OF CARMEL STREET DEPARTMENT,3400 W 131TH ST,CARMEL IN 46074 PREVIOUS BALANCE 27.85 2/11 0870047545 1 5 GAL ICE MOUNTAIN DIRK W/HANDLE .00 1 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 6.00 2/15 0870011384 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 2/28 0873108070 1 OIL/FUEL SURCHARGE 3.12 86030201 RENT 2.99 TOTAL 97.28 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 27.85 — 0.00 + 69.43 = 97.28 BILLING RIGHTS SUMMARY IN CASE A RFPORTfONRWATER RS RQ�ALITYONS AND ABOUT FOROMUATBILL,OR ION PLEASE YOUR INVOICE- 4 WAYS TO HELP Y" SERVE YOU BETTER CALL 1-800-472-9888 OR WRITE US AT: i• Please remember payment is due by the"pay 2. Remember,ifyou are renting p y by'„date noted to ensure the smoothest service. ICF MOUNTAIN SPRING WATER CO. your first invoice will include aQpro meed fee cguie ens rentalnt is charged#2t6 g one month in advance.That means 6661 EVIL ,KY 0258 4 3• Kindly fill in the amount enclose LOUISVILLE, plus the next month's rental. KY 40258 if you prefer,you can a d, include your account number on Pay your bill online at service.icemountainwater°comer check, and do Ifyou think your bill is wrong, 4. Never hesitate to call us with comm not send cash. a transaction on write or ifyou need more information about cuts,QUCShOnS,Or CO your bill,write us on a separate sheet of Pape[We ncerns. must hear from you in writing no later than thirty(30)days after we sent you the first bill on which the error orprobtem appeared.You can telephone its,but doing so will not preserve your rights.In your letter, give us the following information: SAMPLE INV • Your name,address,telephone and account numbers. �V� ���� The dollar amount of rhe suspected error. • Describe the error and explain if Date range of this invoice an error. p You 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 investi anon,w as delinquent or take an g e cannot report your account y action to collect the amount ill t 60100100.00/00/00 234567890 GENERAL INFORMATION question. Your Account Number (.Payments received after the billing INV rHn,oa w I23455789 your next invoice.Past due invoices(INVOICE)date will appear on Important MON-on z9 bifling date)may be assessed a late fee oaspailrnvedwithb in 30 days of wEO-mov zl news and Dec,a Watch here for a exceed date) per month.Additionally, d party y la's not to t411;n7t6:&{,AfUi,L„IIt61,lIIM„ditU,Al,�ttddU exceede thin offers ph"d°e c"°merle a:,-BooUz-9sea personalized account nc=v 1, assessed P !collection/attorney 173 am S1 TI,” m,"6m toau<rs unpaid balan• ata rates - Y°” ""Mpuntlnp message not to exceed 100%of the aystate anon .ann+Cex ce or the maximum allowed by law L,ttld.,d.ULwJk.�dL.�U.6n,A.,.GI.Lr.Jan 2.Each returned check is subject to a service charge subject to the maximum check return charge allowable in your State. ° 3. Ali bottle and equipment deposits are shown as CURRENT ww�t dkyoursaauHi�,� ACTIVITY. as 0°gdx"ad"" pay elecfronically 4. Equipment Activity + 9 pment replacement costs will be charged for bottles lost Since your stolen,damaged or not returned. 5 In ACCOUNT •bmonrnee,.umn.✓emwm•imm�,w �_°••_ .aaa." Make sure this accordance withlast invoice Equipment L NWNA's Terms and Conditions "T& �rveryAaaies::3°nnDo".Iz3Mamsa,eea oI state 00000 y amount has been Lease and/or Service A ( C'�),Your subject to minimum Agreement account P'"r1ou50a-1 xr� aid may be 0BL3, 61098 Pa mens-Tn kYo x P in full to monthly purchases and/or earl 3neas,4w s swuonNa=",alscB"9wa<e, xxxx avoid late fees fees.(A complete version of Y cancellation " [he currentT&C may be viewed on the 09^' "'80514°46 s IOeM°""m s�Io.P9�t „x website listed below)Upon service discontinuation,rent for the o9n, sneaslew, ; eM°""ta scale",um X% Danz nez6sean wellrna e .xx Monthly Oil Leased Equipment is charged through the end of the billing cycle z 6wa9 Be° in which service is discontinued. Surcharge,Fuel 6,You will be charged a monthly Oil Surcharge,Fuel Surcharge or ro A Surcharge or Delivery Delivery Pee as described in your T&C. Fee(see#6 under Will apPIY to each account Only one of these AYT AM00 is slated on The fee that a fees Payment stub _e °"`xxx = a N1 the front � applies to our `"`"o°'""`""" IMrA<n"t,r^E"` MA�,�Y � ^� "General of the invoice.For }' account ACCOUNT SUMMARY rx xx + x xxxx visit the xxx website listed further information ___-^_- _ _^ _ Information,) below please °°"°` center. or contact our ----- ---------------------- CU$tOlnr SCfVICe '•"�"�5rve.n"rtwn w"---------------- ACCOUNT NUMBER PAY BY PAY THIS AMOUNT T ce e food 7234567e90 oo/oo/oo " product, bottled water Is subject to the roles and INVOICE Nu."O' BILLING DATE MT.ENCLOSED regulations promulgated Iz34S6]890 0vomo0 Administration(FDA), by die Federal Food and Drug 8.Your first invoice indicates the products delivered on 0920056307 avaseP aet9 DDD393o99 aoo� to delivery,along with an your first Amount due 1 applicable bottle and ICE MOUNTAIN wArea coMwNv 1°3M e redemption fees,and account deposits, •0,.,,a,NNaaw•=e.Nem,m.4�iM. Tz3 Maio st am'dispenser char oo,sla,e 00000 sill relleet charges for water delivered and dispenser lrentaluvoiees,bottle deposits ture and credits hisLJnJ...1.n1....,p,.,JL�llwkp..L.t.6L6JPtl E Pcusroma"sEmkE ULu-aoonz-seas Submit your ordered by You. Deliveries are made everylly three additional Products ❑s�NUPEO"IE.v°oPA"a'n0pflw"����"�•,u:,ae ❑P.M=+"y9..0n"a.<us�4e Payment by this a total of 16-17 d date deliveries per year.You will only receive invoices 12 times per year,so approximately two deliveries. 5 of those invoices will reflect ©2008 ice Mountain Spring Water Company,a Division of Nestle Waters North America Inc. Q service.icemountainwater.com �r Form No.NW 709 08112 service.icemountainwater.com = U #215 6661 DIXIE HWY,SUITE 4 02/13/14-03/12/14 04CO119252823 LOUISVILLE KY 40258 ® � o ADDRESS SERVICE REQUESTED TUE- APR 08 0119252823 NUMINNII NII0 II DIIB fill DIS FWE - AY 07 RID JUN 06 TUE- JUL 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 freel CARMEL IN 46074-8267 nlllllnlllllllll�lll�lllr�nllrllllnlll�I�l�nllll��llnlnl Enjoy a Health start ao the Ne Year_with zero calorie refreshment t,Save;up to $2,whew ou order-,,any case of "Perrier, Panna'or Ice Mountain 100% Natural'Sparkiing Spring Water. Call 1-800-472-9888 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 STREET DEPARTMENT,1 CIVIC SQUARE,CARMEL IN 46032 PREVIOUS BALANCE 65.84 3/07 387329 PAYMENT-THANK YOU -65.84 3/10 0873015911 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 3/12 0875102386 1 OIL/FUEL SURCHARGE 3.12 06231144 RENT 2.99 TOTAL 60.14 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 65.84 — 65.84 + 60.14 = 60.14 BILLING RIGHTS SUMMARY I RASO FON ORS ORU TQUESTIONS Al O T YOUR BIL�.NATION, PLEASE EAFOX YOUR INVOICE-4 TO I. Please remember Payment is due by the ELP US SERVE YOU BETTER CALL 1-800-472-9833 OR WRITE US Al-: 2. Remember,ifyou are renting equ. mens,Pay by date noted to ensure the smoothest service. ICE NIOUNTAIN SPRING WATER CO. your first invoice will include a pro-rated fee for the current month,plus the next month' #216 p your equipment rental is charged one 6661 DIXIE NWy SUITE 4 g month in advance.That means 3. Kindly fill in the amount enclose LOUISVILLE,KY 40258 if you prefer,you can Pay include your account number on your chec s rental. Ifyou think your bill is wrong,or ifyou need more information about p Your bill online at sen'ice.icemountainwater.com 4• Never hesitate to k and do not send cash, 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 telephone us,but doing so will not preserve your rights.In your letter, give us the following information: • your name,address.(elephone and account numbers. SAMPLE INVOICE • The dollar amount of the suspected error. Describe the error and explain if you can,why you believe there is date range of this invoice 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,we cannot report your account as delinquent or take any action to collect the amount in .. 00100100-00100/00 123+5671190 Your Account Number GENERAL INF question. • MUM I.Payments received after boiling (INVOICE)date will a your I1CXt Im'niCC.Past MO-OCT 04 723456789 due im•oiccs not PPear on Important Mon 0a 7e hitting dal,)may be assessed a late fce as allowed 30 dnot to wEONo x Watch h bellied dal 5 of news and T0E-DE<,e ere for a permonth.Additional!, laty 16UadN�Uti,IIII1,6.d114L111L„dlitl„N.,ilddp eualmer Semce'.1-eoo�7z9aea personalized account ythirdpartycollection/attorney, offers 123Dce ThankywllruringleeMlunulnprldoc4 message espc°sex may he assessed at a rate not to exceed 1(10"" MIM unpaid balance or the 123 st-sl ,, / of the caystl,e 00000 ,w,e ex maximum allowed by lace I;tdUd,.d..aL:.�aM,.ILJt.bH,.4:,l.bbl.J„U .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 ��� ���� mcerunwaarawAcwr w. y ryicCy-,gpquftly,.Lmn,Y1 rLedlvw iRdaRlsuaOc6rtr%S�Y�WK�9- '� AC'U(V(Tt'. clic aoa 6 www ” n°”" "a a t Pay electronically Activity is 4. Equipment replacement costs will stOlen.damaged be charged for bottles lost, since your M N w - Make sure this g or not retuned. ACCOUNT ACT7vm 5.In accordance with NR'NA's Terms and Conditions(•'T&C", last invoice amount has been Equipment Lease and/or •ceu.ery Adores>on3Dce.Iz3 Mamsven.alrs[a[e 00000 Service )Your �1,e ia3« x paid in full to subject to minimum monthl Agreement account may he 0e73, amara paymena,Tnan%ra A Complete Y Purchases and/or earl n, 3neas,esw s swnlnNa[1[alslrhna'ala % fees.( pleteversionofthecurrentT early m 3nees,aaa s k¢M113vains0s0ewad xxxx avoid late fees website listed below) Upon service discontinuation rent Poon the r the 092 3veas, a s M""n<amswine,"m .,% p9/li 318]6388,1 FuA SurcM1arge %%%% Month! Leased Equipment is charged through the end of the billing cycle w ' 660"97 Be" xxxx y Oil in which service is discontinued. xx Surcharge,Fuel 6.You will be char. mAL Surchare,Fuel Surcharge 0. ge or belivery will veryapp Fee as described tin yourtT&C.ho�ly one of these fees Fee(see#6 under will apply to each account. The lee that a is stated pp lies to your account Pa}mentstub ACCOUNTSUMMAer ^F`^O0x%xx""—'"`"`"" 1MF"F+`" _ "e 'uzx"` neral on the front of a Mx%NH " the invoice.For % ..e Ge further information please _�,_,..•_.. ..-•.,a. ,•�..o.�e."oar..,„_ __._. Information") visit the website listed � •"• ---�' below or contact our c -- - - cemer. ustomer service � � ACCOUNT NUMBER FAY BY PAY THIS AMOUNT /.As a food ,IGEN MB 110 00 xxx Product. bottled water Is sub'ecl to the rules and INVOICE NUMBE0. BIl11NG DATE MT.ENCLOSED regulations promulgated b 123x67890 WIDOW Administration(FDA). y 111, Federal Food and Drug S.Your first im"oice.indicates the products delivered on your first OV2o0963a7 oV282712639 Oon391oV9 z00v to deln�ery along with an• 11230« Amount due y appfieable bottle and account deposits. ICE MDUNF�NWWATTER COMPAN ,2sMa . redemption fees, and any dispenser charges.All future invoices 123M,ie 00000 will sited charges for water delivered and dispenser rental,bottle deposits and credits plus chargers for an t.da,l..d..67.•...16..11„AI,.Ltlub.L641d.n Fon<usTOMEB SEmrcL uu,-sawn-vaseSubmit your ordered h y additional products ❑sw”1.FOaFn[E.Oroo.„s;9�"pa.n.,�mo�ae�r,ee�ee. ❑aM=Am<",19e,ona..eMs-a.. payment by 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 invoices 12[ones 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 $ P. O. Box 856680 Louisville, KY 40285-6680 $129.57 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members 2201 14BO117821082 42-389.00 j $69.43 1 hereby certify that the attached invoice(s), or 2201 04CO119252823 42-389.00 $60.14 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 Thur cy, h 20, 2014 Street Commissi Street ie Issloner 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)) 03/13/14 14BO117821082 $69.43 03/14/14 04CO119252823 $60.14 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 m aP service.icemoun6inwater.com ®® #215 6661 DIXIE HWY,SUITE 4 02/01/14-02/28/14 0480121776199 G LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED 11111111119111 MON- MAR 10 0121776199 TUE- APR 08 WED- MAY 07 FRI- JUN 06 CITY OF CARMEL HUMAN RESOURCES Customer Service: 1-800-472-9888 JIM SPELLBRING Did you forget about us? Kindly 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 �'I'�II'lllllllllllllllll"I'I'III"I�'I�'I'll�l�lll'I'llll"I'I' convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. "�' ,� ,mow. u'".�awna w. .r,.r_.d7; .,: ,as',ag;�.5, ,,J':v-s ar��[� _�s're°w.�r ,."w,"-,, ,.-a , a°�i.� ,;m?a °�a. .a.�r`�s 3 � ;�•.. Enjoy a�Fiealthy start�ao the Mew Year with,zero alone refreshmehtI1Save.up to�$2 when you order any caseft o� Perrier AcquaPannaor�Ice,IV1'untaln 100%NaturalSparklingSpring Water 'Call 1800-4729888 toi ordernow! .. •: ' �, ,� - e e. kph. �... :z,�, , a 9 ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. lowr. Delivery address: CITY OF CARMEL,1 CIVIC SO, HUMAN RESOURCE DEPT,CARMEL IN 46032 PREVIOUS BALANCE 16.60 2/10 0868466269 1 5 GAL ICE MOUNTAIN DIRK W/HANDLE 3.49 BOTTLE DEPOSIT: 1 CHARGED, 1 CREDITED .00 2/28 0873149512 1 OIL/FUEL SURCHARGE. 3.12 86034989 RENT 3.99 TOTAL 27.20 Submitted T® MAR 2 4 2014 Clerk Treasurer ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRVITY PAY THIS AMOUNT Subject to terms on reverse side. 16.60 — 0.00 + 10.60 = 27.20 BILLING RIGHTS SUMMARY INCASE OF ERRORS OR QUESTIONS ABOUTYOUR BILL,OR FOR YOUR INVOICE-4 A REPORT ON WATER QUALITY AND INFORMATION, PLEASE 1. Please remember payment d bAYS �HELP US SERVE YOU BETTER CALL]-80p-g7�.g838 OR WRITE US AT: Z. Remember,if you are renting "Pay b}�"date noted to ensure the smoothest service. ICE MOUNTAIN SPRING WATER CO. 6661 Your first invoice will include agt4rpment,your equipment rental is charged one month in advance.That means 6b61 DIXIE H pro-rated fee for the current month,plus the WY,SUITE 4 3• Kindly fill in the amount enclose LOUISVILLE,KY 40258 $ include our next month's rental. !f you prefer,you can pay your bill online at se our ac count n number rton your check, and If you think your bill is u'ron 4. Never hesitate to call us with do not send cash. a transaction on g,or if you need more information about comments,questions, Your bill,write us on a separate sheet of a or concerns. must hear from you in writing no later than thirty(30)days atter we sent you the first bill on which the error or problem appeared.You can telephone us,but doing so will not preserve give us the following your rights.In your letter, information; • Your name,address,telephone and account numbers. ������ ����'�� • The dollar amount of the suspected error. • Describe the error and explain cle can,tvh' Date range of this invoice an error. y you believe there is You are obligated to Pay the parts ofyour bill that are You do not have to pay n question. the dinot isputed 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. t 00100100-00100100 123,1567890 GENE Your Account Number 1 Payments INFORMATION yments received after the billingINV Your next invoice.Past due invoes(not date will appear WTHR-o 29 1z3as6289 billing date pP ar on Important MON NOV zv ( o Paid Within 30 Ko NOV v may be assessed a late fee as allowed by law days of news and TUE-Dec,a tiVafch here for a exceed S20 per month.Additional! not to 1641.,dtf.+pL.mlr,R..tIt661pR..diih..tt.,tf.idU c".c°m,1,s.r,1<c:+-Bao-12-9Bes Offers 123A personalized account expenses may y third party collection/attorne 123 M>m s Tm"% a°,".m Im Muu".•+" oau<u y be assessed at a rate not to exceed 100% Y message unpaid balance or the maximum allowed by law. of the ary.xac=00000 9 P 2 !d91.,J n6,.,.iR.IR.11 Rp.R..RRRI d a Each returned check is subject to a service charge subject to the Masi check return charge allowable in your State. n� '` ct � :krrn 3. All bottle and equipment deposits are shown as CURRENT 7 rce�+++�r � aeyuN9M.> pir _ Tyi�R Sservkcx�+mu .wr�'m,asanLima�xacca�n.Lala ,w.`oaih+"meq ACTMTY a� xawoa a "" Pay electronically Activity 4. Equipment replacement costs will be charged for bottles lost, stolen,damaged or since your Make sure g not returned. AccouNTAttmTv „��,�".. �••�."N"., w°"oM _�"' 5.In accordance with NWNA' last invoice this Equipment Lease s Terms and Conditions(`'f&C' DeuYe,ynaa,esz mn°Dce,IZBMsms„ee,,e,Ysw,e 00000 amount and/or Servi ),your has been subject to mini CC Agreement account P,eYI°°.e•I"°"• X xx pati in full to es minimum monthly may be oei3, c616se P„me"+.rn°"%r°° xx fees. A com Y'purchases and/or earl cancellationan, 3vees,e.,m s sc°I+°"rva�,nlson"vvrale• xxxx avoid late fees ( complete version ofthe current T&Cm YOnhe nl 3neeswau s I,e m°"°,"I"se°i D.00slc - xxxx Taebsite listed below) a}'be viewed on the 0Bm 3vee1— k,M° il5 Gz19eturn - xxxx Upon service discontinuation,rent for the oYns ',�63ea„ r°•Is�,<n"�� xxx Monthl Leased Equipment is charged through the end of the billing os,z ��9z flent xxx y Oil in which service is discontinued. g cycle Surcharge,Fuel 6.You will be charged a month) OTAL x" Surcharge or Delivery Delivery Fee as described fn ouurrlT&CCharge,Fuel Surcharge or Fee(see#6 under will apply to each } Only one of theseao account The tee that app Your fees Payment stub .Er, a"'" — `"`"`+"0jb""`"T _ "x "N "Genet is stated on the front ties to accountACCOUNT SUMMARY xxxx"" °' ..xxxx "f`UftMxx • xxxx"T al ,m. of the ' l .•oM��.Y��--- - wp�„a",",,,�«...uw.. Information,,) visit the w olcf.For further information natio ebsite listed below or contact please ) ------------------------------ center. our customer x` ACCOUNT NUMBED PAY BY PAY THIS AMOUNT Sfr\'ICC 123,156)690 00(00100 7' As a food product, bottled water Is sub)eC( to the rules and INVOICE NNMBEB BILLING DATE MT ENCLOSED regulations promulgated 6 123ase7890 0moo/o0 Administration(FDA). Y the Federal Food and Drug 8.Your first invoice indicates the products delivered on ❑420096307 042027b2619 000391049 2004 1,e delivery,along with an a Your first Amount due Y Ppticable bottle and account deposits, is M u"Nr INwA�rER^^oMP Nr 123-1,S1 redemption fees,and any,dispenser charges.A11 future invoices nn.S',1 00000 wilt reflect charges for water delivered and disPenser rental,bottle deposits and credits plus char es R,aar..,6.m,...dt^.;n,.at.,Rn„6.,RRt,Ra,.e oxcusroMEBSEwI<ECAu,.eoo-oz.vaae Submit your ordered b g for any additional r Q slw+On.aerxeEnmo �9"OPa�"„�onar=„e:,e ❑,.m,A"x«°9�o"w�.,=eaa,- payment by this y you. Deliveries are made every three or four w eks,ufor date 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.ice mountainWater.COm tS Form No,NW 709 O8112 VOUCHER NO. WARRANT NO. Ice Mountain ', ALLOWED 20 t, IN SUM OF $ PO Box 856680 Louisville, 'KY 40258 $10.60 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members_ 1205 10480121776199 I 42-390.99 I $10.60 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 Monda , March 24, 2014 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 bi(l(s)) 03/04/14 04BO121776199 $10.60 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 service.icemountainwater.com ' ® LglivAlm #215 6661 DIXIE HWY,SUITE 4 LOUISVILLE KY 40258 02/01/14-02/28/14 0480121202766 B @ ® e ADDRESS SERVICE REQUESTED TUE- MAR 25 0121202766 111111 11 I 11 1 1 11 H I I M i 11H HN WED APR 23 THU- MAY 22 MON- JUN 23 CITY OF CARMEL PARKS DEPARTMENT Customer Service: 1-800472-9888 MANDY SPADY Did you forget about us? Kindly pay upon receipt. 1411 E 116TH ST Remember,past due accounts are subject to a late fee. CARMEL IN 46032-3455 Your prompt payment is appreciated. For your convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. Enjoy a Healthy start°to the New Year with zero calor a refreshment! Save upAU r$2 when�yoWhortler�any case of Perrler;.�►cqua,Ranna:=or IceiMounta 10 )%,NaturaI Sparkling Spring Wafer Call 1 800-472 9888 to ortler 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 70.01 2/24 0871175329 10 5 GAL ICE MOUNTAIN DIRK W/HANDLE 42.90 BOTTLE DEPOSIT: 10 CHARGED, 13 CREDITED -18.00 2/28 0873119002 1 OIL/FUEL SURCHARGE 3.12 66141425 RENT 5.99 TOTAL 1 � 104.02 MAR 10 2014 N V,1 NO W ATC-R • MM BY: ACCOUNT SUMMARY [—PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 70.01 — 0.00 + 34.01 = 104.02 _ BILLING RIGHTS SUMMARY I RAS OF ER ORS RRQUAL QUALITY AND OUT YOU BIL,OR EAFop YOUR INVOICE- l. Please remember payment its due byOtH HELP US SERVE You BETTER CALL 1-800-472-9888 OR WRITE US AT; 2• Remember,ifyou are renting your by„date noted to ensure the smoothest service. !CE AlOUNT.gIN SPRING AATER CO. your first invoice will include a9pro ated fee for theteunt rentalnt is charged one #216 q P B month in advance, 6661 DIXIE HWY.,SUITE 4 3. Kindly fill in the amount enclosed include Plus the next That means LOUISVILLE,KY 40253 If you prefer,you can a Your account number on month's rental. Pay your bill online at account check, and do not If You think your bill is wrong, 4. Never hesitate to call us wend cash. a transaction on write e s you need[noes information about lull coCommen tS, UEShonS, Your bill,write us on aq Or Concerns. must hear from you in writing no later than thiirty I e sheet30 of paper'We ' sent you the first bill on which the error or problem appeared.you rcan we telephone us,but doing so will not preserve In your Letter. Rive us the following information: your rights. SAMPLE • Your name,address•telephone and account numbers. ,Y'1_L• INVOICE The dollar amount of the suspected error. Describe the error Date range of this invoice and explain ifyou can,why you believe there is an error, You are obligated to pay the parts ofyour bill that are not in question. You do not have to pay the disputed amount while II is being investigated.During the investigation,we cannot report your account as delinquent or take any action to collect the amount in question. t ooraoroo.00rooroo z3As67e90 YourAcco GENERAL INH q soon. Account Number 1.Payments received after the ORMIATIINV ' 123A56789 Your next invoice.Past due invoc es((INVOICE)date will a IHR oa a billing appear On Important WON Oa 29 g date)may be assessed a late fnot pall within 30 days of Eo,Nov„ Y• news and tiE OEc iB tiVatch her'for a exceed S20 per month.Additionall,this as allowed by law not to [til('.{U UbdUU.6..tlU;btpknJUtl.,U.,UdJti Offers 123 Doe cueL^m<,s,M�e:,-aoo-.7z-9888 personalized account expenses may y udpanycopectian/attorney 123MamSt T6nnMynubruvinglceMounr,inprotlu4s message Y he assessed at a rate not to exceed low/ of the aq,sMN, D0000 „a.<-1. unpaid balance or the maximum allowed by larv, 2.Each returned check is subject to a service charge maximum check return charge allo 3. All bottle and g wable in your State.subject to the , equipment are shown as CURRENT ACTIVITY. Activity pment deposits ° Pay electronically ° �' - 4. Equipment replacement costs will be charged for bottles lost, since your stolen,damaged or not returned. ACCOUNT ACTIVITY Make sure this 5.1»accordance with NWNA's Termlast invoice fiM♦����e�n Terms and Conditions Denve,yAdre,i Joh,Oi ,123Mamst,eepams tate00000 Equipment Lease and/or (7&C�),your amount has been subject to minima Service Agreement account p,edno-T,,a xxxx paid in full to m month[ may be OB 3, afi1098 Pzm<no-m,nxvou xxxx fees.(A complete version ofthe currtentT&ses nd/or earl can 9n, inaeslww, s s�nnnN,«alsp.-etre. xxxx avoid late fees Y cancellation n. 7BBsl+aw s Muuntx�sG lOeposlt xxxx website listed below) Upon service discontinuatC Mayion fo�the,the O9^1 m7eeslswa FemWn,,,sG lR twn sl° xxx I,B)63B6„ 9 Monthly Oil Leased Equipment is charged through the end of the billing cycle "/" ,�,oas7 B<nt x.xx in which service is discontinued. Surcharge,Fuel 6.You will be char DTAL -° "x' Surcharge or Delivery charged a monthly Oil Surcharge,Fuel Surcharge or Delivery Fee as described in yourT&C. Only one of these fees ° Fee(see#6 Under Will apply to each a r AMo" is stated on ccount. The fee that a Payment stub _ xx _ he front PPlies to our ,Exxx%" of the invoice Y aCCOU»t ACCOUNT NXxx xxxx +cu General visit the website CeForfurtherinformatio _____ wN•"«` °^�« - listed bei n please °°,....••.-°,°•°-•^•^�__._.,,�-•°.�«.n°^..,.._..__.__. Information") -------------------------------------- CenlEr, Ow Or contact our customer service ACCOUNT NUMBER FAY eY PAY THIS AMOUNT 1134567090 W.100 Asa food product, bottled water 1s sub2ect to the rules and I 0,ENUMRER BILLING DATE MT.ENCLOSED regulations promulgated b the Iz3nss>s90 omootuo Administration(FDA). Y Federal Food and Drug 8.Your first invoice indicates the products delivered on UVZUU963U7 UV2az21z6b9 000391UV9 eoow 3a delivery,along with any applicable bottle and account deposits( Joh,, AmOUnt due ICE MOUNTAIN WATER COMPANY 121-l',5t redemption fees,and an "' """"`"''"""°°°""'""'"" y dispenser charges. - otrsace voices O000O "f reflect charges for water delivered and dispenser rentaure l boule deposits and credits plus char IMtaJ,..l.,m.....U,,..U,au.:.6U..t„ut,l.UJ,.a. roRcusroMExsERVICE<ALu-soo.>z-sBee Submit your ordered b charges for any additional ❑s.6N «FREEAu*o.Ansi9o^R<„<.,.<:N<. ❑'.'^t"^vcI”^9no^"M'•°sw<. payment by this y you. Deliveries are made everor products date a rota)of 16-17 deliveries per year-Your"'ill only receive inour voices - - 12 times per year,so approximately 5 of those invoices will reflect nvo deliveries. ©2005 Ice Mountain Spring Water Company, a Division of Nestle Waters North America Inc. service.icemountainwater.com Form No.NW 709 08/12 service.icemountainwater.com ®® #215 6661 DIXIE HWY,SUITE 4 o LOUISVILLE KY 40258 .02/01/14-02/28/14 0480120095351 ADDRESS SERVICE REQUESTED TUE- MAR 25 0120095351 FD WED APR 23 THU- MAY 22 MAR 10 2014 MON- JUN 23 CARMEL CLAY PARKS AND REC DEPT. BY. Customer Service: 1-800-472-9888 AUDREY KOSTRZEWA Did you forget about us? Kindly pay upon receipt. 1411 E 116TH ST Remember,past due accounts are subject to a late fee. CARMEL IN 46032-3455 Your prompt payment is appreciated. For your convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. Enjoy a Healthy start tothekNew 1Fear with zero calorie refreshment/ Save upto$2 wtie`n you:order->any case;o a Perrier,AcquaPanna or IceMountain 1x00% Natural Sparkling Spring Waster Eall 1 800-4729888 tooriier Howl � 61 C� r .t •a5�'s Wim, , .,c _ �„ - 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 49.71 2/24 0871175295 11 5 GAL ICE MOUNTAIN DIRK W/HANDLE 47.19 3 9 OZ PLASTIC CUP 50C/SLV 9.87 BOTTLE DEPOSIT: 11 CHARGED, 6 CREDITED 30.00 2/28 0873135040 1 OIL/FUEL SURCHARGE 3.12 B6058209 RENT 11.98 TOTAL 151.87 TOnI0KINCS WATER-RA,Inor. INSA-13-4350clo0 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 49.71 — 0.00 + 102.16 = 151.87 BILLING RIGHTS SUMMARY YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER IN CASE OF ERRORS OR QUESTIONS ABOUT 1'OUR BILL,OR FOR A REPORT ON WATER QUALITY AND INFORMATION, PLEASE I. please remember payment is due by the"pay b CALL 1-800-472-9888 OR WRITE US AT; p y }' dale noted t0 ensure the smoothest SerVICe. 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 3. Kindly fill , 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 p Y your bill online at service,icemountainwater.eom ifyou 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 hill on which the error or problem appeared.You can telephone us,but doing so will not preserve your rights.In your letter, SAMPLE give us the following information: INVOICE • Your name,address,telephone and account numbers. V G • 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 MMOM as e l inq e n During the investigation,we cannot report t4. 1234567890 as delinquent or take any action to collect the amount in question.account E omootoo.00roo/oo Your Account Number GENERAL INFORMATION ,„„-OCT. 123^5689 1.Payments received after the billing(INVOICE)date will a rwN-oo zp ppear on Important �Eo-Np9" Watch here for a Your next invoice.Past due invoices(not paid within 30 days of news and E-eEUE billing date)may be assessed a late fee as allowed by law not to exceed S20 14th.til„ptnitll4l.,JIILI�m4°dlltlna.Jtddd Cprtomer Servkc l-8004)3A888 Personalized account Per month.Additionall offers 1.2h'0.' Tnanxyndn9�aMpumamproa°m message cxpcnscs may Y,third parry collection/attorney lz3 W, S, y be assessed at a rate not to exceed !Un% ay,sane am ana.em unpaid balance or the maximum allowed by law. °t the LJaa°J„n4,.,J4„J4..tG,4tt„t,,.444t.d�t1 2.Each returned check is subject to a service charge subject to the maximum check return charge allowable in your State, T r 3. All bottle and equipment deposits are shown as CURRENT ca �"� aa "'• Pay electronically 3 ACTIVITY. Activity % wm Y A 4. Equipment since oure,w "Ae°°"'""` Make sure this replacement costs will be charged for bottles lost, ,m.. stolen,dam' Y AccouNrprnvtTT N���,M{e. aged or not returned. 5.In accordance with N last invoice amount has been WNA's Terms and Conditions( your •oorpery Aaare::.3ann Oce 133 Main a�.er.aevscece 000ao Equipment Lease and/or "I'&C"),1 a�wpre�anre paid in full to subject to Service Agreement account may be A,vme^r mn°Ly°° xxxX 00�3� 461090 avoid late fees XX J minimum monthlypn, s1,Oes,aw. s seaian m=�^rat spn"9waref xx xX purchases and/or early cancellation m mees,aaaa s keMwmzl"sc=i o.p°„r xxxx fees.(ACompleteversion ofthecurrentT&C may be viewed on the oon� 3nessuar s �aMe°ar=rose"Ret°`" xx.xx website listed below)Upon service discontinuation,rent for the o9nx 3,eateen r„�s°..nav9e xxxx Monthly oil o9,z 'bio p ee Surcharge,Fuel Leased Equipment is charged through the end Of the billing cycle x%x` in which service is discontinued. or"` 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 T _ Y &C. Only one of these fees <"" "x ,. _ P „��:,Mau«, xx.XX eneral e'tll apply to each account. The fee that a Payment stub ACCOUNT SUMMARY %xx Information") x pplies to your account o„.Mo....._._____ s aRrro mr=^^° *. is stated on the front of the invoice.For further infor ----------- visit the W -------------- information please ----�_m m�uwe+M.ewm wenry aW^`^' PAY By IAyT 11 AMOUNT ehsile listed below ACCOUNT NUMBER Or COI1taCC our customer service 1 234 5 61890 wow W center.a MT.ENCLOSED 7. Asa food iNvoicE NUMBER BRUNC DATE product, bottled water is subject to the rules and 12345689& oorooloo regulations promulgated by the Federal Food d Drug Administration(FDA). 0420096309 64212712419 UUn39Yo49 zaav la an 8.Your first invoice indicates the products delivered on your firstount due Ionn D°e delivery,along with any applicable bottle and account deposits, COWAN'�cEMourrA�NwArERcoMraNy 121—,5, °M,�,a^.,a wn",No�,Am�,�uu- cry,slme 00000 redemption fees,and any dispenser charges.All future invoices Submit your will reflect charges for water delivered and dispenser rental,bottle deposits �cusroMER SERvicE uui.aoa-sn-pace SDR ,m d 9e,�R�,uSae. payment by this P and credits pros charges for am- additional �s�^OoroRrRE�nO.ocwnsq°0perop���onRe,.^°51°° date ordered by you. Deliveries are made every three or four weeks Ibr a total of 16.17 deliveries per year.You hill only receive invoices 12 times per year,so approximately 5 of those invoices will reflecttwo deliveries. S©2008 Ice Mountain Spring Water Company,a Division of Nestle Waters North America Inc. service.icemountainwater.com _nry. Form No.NW 709 08/12 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 3/4/14 4BO121202766 Drinking water& cooler- MCC $ 34.01 3/4/14 4BO120095351 Drinking water & cooler- Maintenance $ 102.16 Total $ 136.17 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 3 Voucher No. Warrant No. 051125 Ice Mountain Allowed 20 P.O. Box 856680 Louisville, KY 40285-6680 In Sum of$ $ 136.17 ON ACCOUNT OF APPROPRIATION FOR 101 General fund / 109 Monon Center PO#or Board Members INVOICE NO. ACCT#/TITLE AMOUNT Dept# 1091 46012120276 4350900 $ 34.01 1 hereby certify that the attached invoice(s), or 1125 4BO120095351 4350900 $ 102.16 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-Mar 2014 W1 le�frl��� Signature $ 136.17 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund service.icemountainwater.com 012®® #215 6661 DIXIE HWY,SUITE 4 02/01/14-02/28/14 0480121975593 0 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED II I II I II I III IIS II II19 II II I� WED- APR 10 0121975593 FRI- MAY 09 TUE- JUN 10 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 convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. 'En oy a Healthy start to the�New 1(ear wlth zero,calorie refreshment! -ave up to;$2 when you order any case o �2rrter;AcgVa Panna or lie R�iountaln 100°I°}Statural a:a�klin �pr:i�� i,�ater Cali 1oaf-X72=S8a8 t or.ifer s1O—W c w a- v bx n 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 61.55 2/07 226257 PAYMENT-THANK YOU -32.28 2/19 0868752601 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 2/28 0873127393 1 OIL/FUEL SURCHARGE 3.12 86103644 RENT 10.99 TOTAL 58.54 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 61.55 — 32.28 + 29.27 = 58.54 BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL,OR FOR YOUR INVOICE-4 A REPORT ON WATER QUALITY AND INFORMATION, PLEASE WAYS TO HELP US SERVE CALL 1-800-472-9888 OR WRITE US AT: I. Please remember payment is due b YOU BETTER 2. Remember,ifyou are renting y the pay by-date noted to ensure the ICE MOUNTAIN SPRING WATER CO. g equipment,your equipment rental is charN smoothest service. 6261 your first invoice will include a r - bed one month in advance-That means 6661 DIXIE ,Ky.,SUITE 4 p o rated fee for the current month,plus the next month's rental, 3. Kindly fill in the. amount enclosed include LOUISVILLE,KY40258 If you prefer, your account number on you can pay your bill online at se rvice.icemountainwater.com Ifyou thinkYour 4. Never Your check, and do not send cash. y ur bill is wrong,or ifyou need more information hesitate t0 Call us with co a transaction on about comments,questions,or your bill,write us on a separate sheet of a concerns. must hear from you in writing no later than thirty(30)days per We sent you the first bili 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. SAMPLE INVOICE • The dollar amount of the suspected error. • Describe the error and explain ifyou can,why Date range of this invoice an error. y you believe there is You are obligated to pay the parts oryour bill that are not in question. You do not have to pay the disputed amount while it is beine port your account investigated,During the investigation,we cannot re as delinquent or take any action to collect the amount in question. E 00100/60-00/00/00 1234567890 Your Account Number GENERAL INFORMATION t.Payments received after the billing(INVOICE)date will a THR-oa w 123456789 your next invoice,Past due invoices not appear Important Morv�oaa9 billing date)may be ( paid within 30 days of new weo-Nov z, Y assessed a late fee as avowed b law Sand TUE-oec,a Watch here for a exceed$20 per monlb.Additional) y not to 16k.,.tthfib,lfln,l,,,f1166tnL...littl„nntfd.Ia c°cmm.r sen7ee.LBO 2-9988 offers 1,11 D11 personalized account expenses ma y third party Collection/attorne C"'s— TMn4 you{or using ice Mountain protluc6 Y or assessed ata rate not y exceed 100% y ocy,s{ale o000o anaurwmea. message unpaid balance or the maximum allowed b11 lane of the +„dna.,a,.nLw.n,.,dL.al.Ln.L,LLtd,a�p ?.Each returned check is subject to a service charge subject to the maximum check return charge allowable in 3. All bottle g Your State, and equipment deposits are shown as CURRENT �mu •rc"�cmxe,eacx+>9'+sowRna> ACI quipme t Pay electronically, Activity 4. Equipment replacement costs will be charged for bottles lost, f., stolen,damaged or since your last ACCOUNT ACTIVITY -°n,me a,w.la em°°m„m, .wma Wa6one< e this 5.In g not returned. accordance with NWNA invoice Make sur 'S7ermsandCondition DO—yAddree::mon o«,Iz3Mamzvee,,acyscac°Iwoao amount has been Equipment Lease and/or Service Agreement s("TRC")'your P,e°m°.eala°re xxx paid in full to subject to minimum month) g Ment account 1 x nay be o8/9, 46,998 Pa,,11.n T n4 Vou fees.(A coin I Y Purchases and/or earl cant n, 317--t s sGanon rvaawalswln9 waren p ete version ofthe current cancellation n, 9n9Bs,4au s meMuunt4inseal0eposlr xxxx avoid late fees website listed below) Upon service disconrinuationVIrentaoon ther the o r„ Bnees,mac ; 9n2 3,8]6308,1 r°els°r<sar9e Monthly Leased Equipment is charged through the end of the billing osnz lserw9� aem - y Oil in which service is discontinued. b cycle Surcharge,Fuel 6.You will be charged a moonily Oil Surcharge,Fuel Surcharge or TorAE - xxxx. Surcharge or Delivery Delivery Fee each described in your TRC, Only one of these fees Fee(see#6 under writ apply to each account. �^” "YT "General is stated on The tee that applies to your account Payment stub ^•° ,A4xNrE_°"yMEM'Ao14'TM` "R°.1: m = "'x:ax"` [Ile t}pot Of[tie my ACCOUNT SUMMARY +`° ' visit the invoice For further informatio °"_` °'°°°""°'°` ""°""°"" website listed below nplease °°"_ _ `"°° �-����` Ipformation") center. or contact our customer service ""'""-°•ro p -75t,t, 000DO MBER PAY BY PAY THIS AMOUNT 7. AS a 90 BO/OB/. x. food product, bottled water is subject 10 the rules and MBER BILLING DATE T.ENCLOSED regulations promulgated b 89- BV001", Administration(FDA)- y the Federal Food and Drug 8.Your first invoice indicates the products delivered on your first 004282712619 00039SnV9 an04 as delivery,along With any applicable bottle and account deposits. I°^nom Amount due ,23 Main Scredemption fees,and any dispeser chargesAll future invoices will reflect charges for water delivered and -p cuy,state 0000Bdeposits and credits lus disenser rentap charges for b bonle ,... Eo9cus10MEReEavlcEuu,,BOB.,>z-9aBB ubmit your ordered b any additional ❑sw„uP�a+.nc�AurBPaas>g°uP9ea°,� ❑°n°c+°r ^9e=o"9�"aesme. payment by this Y you. Deliveries are made ever products a total of 16-17 deliveries Y three or Pour weeks,for date 12 times e Per year,You will only receive invoices Per year,so approximately 5 of those invoices will reflect two deliveries. SO 2008 Ice Mountain Spring Water Company, a Division of Nestle Waters North America Inc. service.icemountainwater.corn Form No.NW 709 08/12 I 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, 117 Purchase Order No. PQ. ' 8S bb 8d Terms Lml V /to �1 �L2 Y5— Ud Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 0t 12 11 7_S 13 e Total 2 /.2_7 1 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. T -� ALLOWED 20 " Ce IN SUM OF $ LOW 6 led $ 29 L ON ACCOUNT OF APPROPRIATION FOR s r�900 Board Members FO# INVOICE NO. ACCT#!TITLE AMOUNT oEPr.# I hereby certify that the attached invoice(s), 2-q.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 20! Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund seryice.icemountainwater.com ' ®® 0 #215 6661 DIXIE HWY,SUITE 4 02/01/14-02/28/14 0480120048525 9 LOUISVILLE KY 40258 e ADDRESS SERVICE REQUESTED IUAPR 08 N- MAR 10 WED- 0120048525 WED- MAY 07 FRI- JUN 06 CITY OF CARMEL DEPT OF ENGINEERING Customer Service: 1-800-472-9888 LISA SCOTT OR JUDY STOHLER Did you forget about us? Kindly 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. mww Entoy`a Healthy start to the=New Year with zero=Yalorie refreshment Saye up�to�$2 when you�'ortleFai case of _. ' Perrier; Acgat Panna°or Ice Mounta n 100% Natural SparkIing Spring Water Call 1-800 472=9888 to°ostler navel ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. ® " ® MINE" ' Delivery address: CITY OF CARMEL,1 CIVIC SQ, CITY ENGINEERING DEPT,CARMEL IN 46032 PREVIOUS BALANCE 21.24 2/10 0868466210 4 5 GAL ICE MOUNTAIN DIRK W/HANDLE 13.96 4 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00 2 9 OZ PLASTIC CUP 50C/SLV 6.58 3 5 GALLON ICE MOUNTAIN DEPOSIT RETURN .00 2/28 B6042791 RENT ��' �7 8 9 70,7 3.99 TOTAL RF ��� 45.77 � CEI�FD esu M C'J%7 i C', C171 C/n'EniG11V ti tZEZZ2��o ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 21.24 — 0.00 + 24.53 = 45.77 BILLING RIGHTS SUMMARY YOUR INVOICE -4 nt TO HELP US SERVE YOU BETTER IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR GILL,OR FOR A REPORT ON WATER QUALITY AND INFORMATION, PLEASE I. please remember a P Yment is due by the"pay by"date noted to ensure the smoothest service. CALL I_$00-472_9988 OR WRITE Us 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 6661 DIXIE HWY.,SUiTE 4 3• Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. LOUISVILLE,KY 40258 If you prefer,you can pay your bill online at service.icemountainwater.com If you think your bill is wrong,Or if you need more information about 4• Never hesitate to call us with comments,questions, a transaction on your bill,write us on a se must hear from parate sheet of paper.We Or concerns, 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 your letter, SAMPLE give us the following information: LE INVOICE • 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.slngn During the investigation,we cannot report your account -.. as delinquent or take any action to collect the amount in question. oaool-o-oowo/oo u34s6za90 Your Account Number t GENERAL INFORMATION THR.Or 123456769 J.Payments received after the billing(INVOICE)date will a MON-oa z9 ppear on Important `"Eo-N6C r' Watch here for a your next invoice.Past due invoices(not paid within 30 days of news and personalized account TUE-DE .e b billing date)may e assessed a late fee as allowed by law not to nainatt�a[:dnnd,•auia.+uz�.nla„q.ataau cseMa:t-R00<7z-968R eparty Offers °^^u°R Thank youVorusinglaMwntainprodu<b message xceed$20permonth.Additionally,third P rycollection/attorney /Z3""a'"n expenses may be assessed at a rate not to exceed 100%of the olss�l. 000x0 unpaid balance or the maximum allowed by law, t_aaa�J"ns„.,.a..,,a.•at.atr„u"r.6t+GJ..p 2.Each returned check is subject to a service charge subject to the maximum check return charge allowable in your State. > saAr2uckyw+r? 7' "^$,°,'ry' ra�u'fpm�""Vy'. 3. All bottle and equipment de Pay electronically dd:•e.(R adetfroi�m$ Y W 's6 mM ACTIVITY Posits are shown as CURRENT Activity 4. Equipment replacement costs w Since your � <ni,M•'• ^�'^•^•°'^°'"'°"°”""- ill be charged for bottles lot, ACCOUNT ACTIVITY Make sure this s stolen,damaged or not returned. last invoice amount has been 0.NA's Tenn 5,In accordance with Noer..n Aaerea.1°n"ooe.Iz3 Male s<reet,on,scale o---o Terms and Conditions paid in full to Equipment Lease and/or ("f&C"),your subject to minimum Service Agreement account may be parmenrrnanxm" r%x.xx oR/„ 4e,e9e xx avoid late fees /tt 31IHRS1444a 5 SG�°untan5Ga�1'ceM,Ie %%.%X monthly purchases and/or early cancellation gnl mees444a s fees.(A complete version of the current T&C may ^ xxxx 9m syses,44w s i�eM"°nlamsGaieemm xxx Monthly oil website Listed below) Upon service discontinua(on,�Ir it door the o9nz nRza3eel, E°.is°:<nai9ex o9nz 66404w Rem Leased Equipment is charged through the end of the billin x - Surcharge,Fuel in which service is discontinued. b cycle Surcharge or Delivery 6.You will be charged a monthly Oil Surcharge, Fee(see#6 under Delivery Fee as described in Fuel Surcharge eor s Your T&C. Only one of these fees >A.ME""�I°`T"`"T+`°""`;;x`T""' will aPPly to each a - Pa'ment stu •R`w°ucxxzx E— xx.xx = ••+T"sxx x"* I "General account. The tee that a lies to 3 b ACCOUNT SUMMARY Information") is stated on the front of the invoice.For furthepr information account °,_._.a,°_--�-.,°°•**----_--_________________w°"_'_______-- visit the please ---'--�,„,A���^�°mN>• �o;>m-, pnr ey pAY THIS AMOUNT website listed below ACCOUNT NUMBED - center. or contact our customer service 123456)89- OOIoo/w center. INVOICE NUMBER BILLING-PTE MT,ENCLOSED 7. As a food product, bottled water is subject to the rules and 1234567890 m/oaoo regulations promulgated by the Federal Food and Drug ❑4262712619 000393049 zona 1E Administration(FDA), /920096307 8.Your first invoice indicates the products delivered on your first Amount due (olio Dce delivery.along wl Ib any applicable bottle and account deposits, IC M"ODUMQAIN WATER COMPANY 123 Main St ,Itwnm Nann.,me^<z i^.. Ciry,State 000-0 redemption fees, and any dispenser charges.All future invoices Submit your will reflect charges for water delivered and dispenserE cus*oMER SERvrcT cnu,e-6.7z 9eea 1.aat.J.pL.ndlm.a,.,naun,a.nt.t,I.t.a.n ottle .nr�Naa9e=-n Re�.�3�.. payment by this deposits and credits plus charges for any additional fpr ducts ❑ °""`•�ses�a.. o�^r ordered b You. date Y y Deliveries are made every three or four weeks,for a total of 16-17 deliveries per year.YOU will only receive invoices 12 times peT 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 3/4/2014 04B water cooler $ 24.53 Total $ 24.53 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 $ 24.53 ON ACCOUNT OF APPROPRIATION FOR Board Members Po#or INVOICE NO. ACCT#/TITL AMOUNT DEPT# I hereby certify that the attached invoice(s), 0 04B 2200-4239099 5 24.53 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 3/245/2014 Signature City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund