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231722 04/23/14
Vii,Coq*f( a; CITY OF CARMEL, INDIANA VENDOR: 051125 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CHECK AMOUNT: $*--174.66' 9g. CARMEL, INDIANA 46032 PROCESSING CENTER CHECK NUMBER: 231722 PO BOX 856680 CHECK DATE: 04/23/14 LOUISVILLE KY 40285-6680 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4350900 40.01 04CO121202766 1125 4350900 65.29 04CO120095351 1205 4239099 3.99 0400121776199 1701 4239099 3.99 1407220327048 1801 4350900 36.85 04CO121975593 2200 4239099 24.53 04CO120048525 service.icemountainwater.com #215 6661 DIXIE HWY,SUITE 4e o LOUISVILLE KY 40258 03/01/14-03/31/14 0400121776199 o ``� ADDRESS SERVICE REQUESTED TUE- APR 08 0121776199 WED- MAY 07 FRI- JUN 06 TUE- JUL 08 CITY OF CARMEL HUMAN RESOURCES Customer Service: 1-800-472-9888 JIM SPELLBRING Pay your bill online at:service.icemountainwater.com or 1 CIVIC CARMEL Q 46032 2584 by phone at: 1-800-472-9888.It's free! I"lllllllllllllllllllllllllll'll"'I"'III"IIIII'lll'llll'll'll [Enjoy a Healthy start to the New Year with zero calorie refreshment! Save $2 when you order;the NEW. (delicious Ice Mountain Black Cherry Flavor 100% Natural Sparkling Spring Water. Call 1-800-472-9888ato 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 SO, HUMAN RESOURCE DEPT,CARMEL IN 46032 PREVIOUS BALANCE 27.20 3/07 387333 PAYMENT-THANK YOU -16.60 3/31 C6197219 RENT 3.99 TOTAL 14.59 Submitted To APR 2 12014 Clerk Treasurer ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT y Subject to terms on reverse side. 27.20 — 16.60 + 3.99 _ 14.59 - 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 1-800472-9888 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 �®Me SP INVOICE��I 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 —I an error. You are obligated to pay the parts of your bill that are not in question. 1134s67e90 Your Account Number You do not have to pay the disputed amount while it is being 00I00I00.001D81D8 investigated.During the investigation,we cannot report your account i, 123456789 t as delinquent or take any action to collect the amount in question. MON-Oc z9 Watch here for a WED NW 1, GENERAL INFORMATION NE DEC 18 personalized account Important k„x='.Boo":.9888 1.Payments received after the billing(INVOICE)date will appear on P �i message nu.Idm�.am.n�llum CE u M ke M°unuln P°du U your next invoice.Pas[due invoices(not paid within 30 days of news and 0Do billing date)may be assessed a late fee as allowed by law not to offers 113 Mm S' •° exceed$20 per month.Additionally,third party collection/attorney °ry• °0°°°„,Ip„11.4/1 a„6w1.t.a.a expenses may be assessed at a rate not to exceed 100%of the aid balance or the maximum allowed b law. s"" f gmnesds'a +✓ xe.uswxUB[9R1"19-°'-`t•, t Pay electronically un Y P ' aT°m> a> M, 'louauwkE99w�m:.r,.-.M. 1� 1•�+`,^:: ..e4s-•`�` ....1 2.Each returned check is subject to a service charge subject to theR64ww. ew,s. J g 1 '7-..cn<u°.,.,�.;;m&,noa1J+!^ :L. ��.- �'^s” :;+•. maximum check return charge allowable in your State. Make sure this .75c 3,.jh,w Jz 5't •• ,,,..cwn,EEE"+mn 3. All bottle and equipment deposits are shown as CURRENT Activity �.; ,.,:.-s• �•' ACTIVITY. ,+d+^••�•^'""""•"•`���p i amount has been since our ACCOUNTyAC3lVlr to 4. Equipment replacement costs will be charged for bottles lost, y peN,Add-' 1nnnD«.u3IAn�°s""`'Ory•sute0� xxxx paid in full es last invoice stolen,damaged or not returned. A,,,k,nB+wN= %xxx avoid late fees r,ym•m an,nkro° 5.In accordance with NWNA's Terms and Conditions("T&C"),your W3, Monthly Oil •6'894 S SO,uonN.�+lsP•^9Wau' _ � � � I �„ 3178B61Axx" I1Ce,,,,,,numswl D•wd' /' xxxx Equipment Lease and/or Service Agreement account may be „ 3nees,4su 6 b n,,nsc6 R6'° / ; < xxxx subject to minimum monthly purchases and/or early cancellation Surcharge,Fuel fees.(A complete version of the current T&C may be viewed on the B9n1 '66°9' 1 x % Surcharge or Delivery website listed below)Upon service discontinuation,rent for the o A s =' P iT�-X- 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 m. Information") ACCOUNT SUMMARY xxxN Delivery Fee as described in your T&C. Only one of these fees Payment stub ACCOUNT o^,___•,"..•.K PAy7NISAMDUrrr will apply to each account. The fee that applies to our account _ ^_ �-----' 1. PAY BY PPY PP Y N� ACCOUNT NUMBER 000080 xx% 1iN . i� is stated on the front of the invoice.For further information please '678"NvacNUMBER BIWNG DATE ENCLOSED visit the website listed below or contact our customer service 17N5679" 00/00180 center. 7. As a food product, bottled water is subject to the rules and 0,20096307 09282742419 000391049 200° 16 Amount due regulations promulgated by the Federal Food and Drug 1wnDa Administration(FDA). ICEMoUNMNWATER COMPANV 1231'111 St 08800 .` Submit your y 8.Your first invoice indicates the products delivered on our first °M""" H3acUStoMEPSEK+ICECI•'1'6°°'i179� b this delivery,along with any applicable bottle and account deposits, GJnd.d " ,a-4a.4n1�tJA.1'•n sa• R6. payment Y redemption fees,and any dispenser charges.All future invoices '• ^ ,k,^,,.donP�•• �,dNMo•w�w•Dnk�+• , __, „,„ date ❑vwwEORruE,U,OPAnsy^w 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 Nestl6 Waters North America Inc. Form No.NW 709 08/12 Qservice.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)) 04/02/14 04CO121776199 $3.99 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. Ice Mountain ALLOWED 20 IN SUM OF $ PO Box 856680 Louisville, KY 40258 $3.99 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1205 1 04C 01217761991 42-390.99 I $3.99 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, April 21, 2014 Director, Administrat' n Title Cost distribution ledger classification if claim paid motor vehicle highway fund service.icemountainwater.com - ° ° g U #215 6661 DIXIE HWY,SUITE 4 ° ° LOUISVILLE KY 40258 03/01/14-03/31/14 0400121202766 ADDRESS SERVICE REQUESTED p - III �I�) PHI �I� WED- APR 23 0121202766 THU- MAY 22 MON- JUN 23 WED- JUL 23 CITY OF CARMEL PARKS DEPARTMENT Customer Service: 1-800-472-9888 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 'll'lllllllll'�III�"��I�I�'I�'III��'�'I�'I"�I�'I'IIIIIIII�II�II convenience,pay online:service.icemou ntai nwater.com. If payment has been made,we thank you. IEn�oy a Healthy start to the New Year zero calorie refreshment! Save $2 when you order the NEW-,,,, d'e`licious Ice°Mountain Black.Cherry Flavor 100% Natural Sparkling 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 PARKS DEPT/MONON CENTER,1235 CENTRAL PARK DR EAST,CARMEL IN 46032 PREVIOUS BALANCE 104.02 3/07 387330 PAYMENT-THANK YOU -70.01 3/25 0875777609 10 5 GAL ICE MOUNTAIN DIRK W/HANDLE 42.90 BOTTLE DEPOSIT: 10 CHARGED, 12 CREDITED -12.00 3/31 0877447607 1 OIL/FUEL SURCHARGE 3.12 C6301861 RENT 5.99 TOTAL74.02 C-'P',TVED APR 1 12014 BY: PREVIOUS BALANCE_ PAYMENT/ADJUSTMENT CURRENT ACTIVITY —PAY THIS AMOUNT 104.02 70.01 + 40.01 74.02 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. 1234567B90 You do not have to pay the disputed amount while it is being ooIN100 00100100 , Your Account Number investigated.During the investigation,we cannot report your account 1 123456789 � as delinquent or take any action to collect the amount in question. TNN.ocl a i MON-OCT]9 1 Watch here for a WEONW71 GENERAL INFORMATION IDE-DEC,R personalized account 1.Payments received after the billing(INVOICE)date will appear on Important sf kf.1�°0�7Z 9ssa message lap„,nl«m»mnanalmu:`aua.u�na+a C' ke Mwn aln M^4 t' g your next invoice.Past due invoices(no[paid within 30 days of news and _ m.nL Y. billing date)may be assessed a late fee as allowed by law not to offers 123 M& exceed$20 per month.Additionally,third party collection/attorney °ry'S dte 00000„n„n"ua„b.tbbgana expenses may be assessed at a rate not to exceed 100%of the - hw. -'�+•f” ”' }" — unpaid balance or the maximum allowed by law. ,, win ,�„„;,n,-bris+y,ti r �. f' =,�rYcy�;,- Pay electronically 2.Each returned check is subject to a service charge subject to the u,wc�lt�,,,,�f"�ut ,a. y r^; �"�r,•, maximum check return charge allowable in your State. Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity 1 - - ,«a,a...+-•�'" 1 amount has been ACTIVITY. Amvm p° ""' since your ACCOUNT lohnDoe123Ma1n5tree0CByScateBWDo paid in full to 4. Equipment replacement costs will be charged for bottles lost, last InVO1C¢ DelbertAddress: Yxxx stolen,damaged or not returned. P,NlpyaBalanm Yxxx avoid late fees s a�Ron=.' 1NnLYou f 5.In accordance with NWNA's Terms and Conditions("T&C"),your mm .'898 s ,5�"'""" xx ,„ 31YBBSLau keMwma,nswloev9dl *-"'"- ""x Monthly Oil Equipment Lease and/or Service Agreement account may be �„ 3vees14443 s eMounv,nsGalRewrn �, xsz .f y wn, 3,YBes,4aaA - OM1" subject to minimum monthly purchases and/or early cancellation 3,826M' l suKti qtC''�.a ua�r:l�at p Surcharge,Fuel fees.(A complete version ofthe currentT&C may be viewed on the " Surcharge or Delivery website listed below)Upon service discontinuation,rent for the TOTAL w'" Fee(see#6 under Leased Equipment is charged through the end of the billing cycle Y- "General in which service is discontinued. �,, „,.f_ = ""' ,u:�"` - 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or ,R„Aa„wAN< "x„a„'«`"` -" 3wa "a. 1 Information Deliver Fee as described in our T&C. Only one of these fees Payment stub ACCOUNT SUMMARY a..e,"aataYW ---__- i Y Y Y Y «,.........«..a..._.__... PAr TNIxou y will apply to each account. The fee that applies to your account __'_ �� r„ o.m ' A[couw NUMBER PAY BrOD is stated on the front of the invoice.For further information please ,2 5s7890 81U, 3 cDAATE .ENCLOSED ( 1,2NUMBER oo,00loo t visit the website listed below or contact our customer service l—,z3as67890 center. 7. As a food product, bottled water is subject to the rules and 0420096307 04262712619 000391049 zoo4 1° l Amount due regulations promulgated by the Federal Food and Drug )a.0o Administration(FDA). ICE MOUNraNNW WATER COMPANY I�,s'�LRS'Doom 8.Your first invoice indicates the products delivered on your first •,—mo""a ,.888.,YYseee Submit your HIR NSTOMfP SERYICF delivery,along with any applicable bottle and account deposits, ai�•a,,,tl"6B..4n6wNba.p _ Dnv.e"•s"ti I payment b Y this redemption fees,and any dispenser charges.All future invoices t"aiLLd.ai•^ uvR•w••°On"`"`"`F" lJ P«a date will reflect charges for water delivered and dispenser rental,bottle vG"°P,�TRff MnDPM an — ""'" T 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 Nest16 Waters North America Inc. r l'11-` service.icemountainwater.com : ~��^ service.icemountainwater.com ®g - �,, #215 6661 DIXIE HWY,SUITE 4 , LOUISVILLE KY 40258 03/01/14-03/31/14 0400120095351 ADDRESS SERVICE REQUESTED 11101 lagdow 114,M7014 ON MR I 111111111111 NMI 11 I( B ��I I M MWED- APR 23 0120095351 THU- MAY 22 MON- JUN 23 WED- JUL 23 CARMEL CLAY PARKS AND REC DEPT. 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 I�II�'lll�'ll'll�'11111"II�I��I��l'll'll'I�I"'ll�lll�""'�I�II convenience,pay online: service.icemountainwater.com. If payment has been made,we thank you. `Enj"oy a Healthy startto the'New Year with zero calorie refreshment! Save $2 when you order the NEW, delicious Ice Mountain Black>Cherry Flavor 100% Natural Sparkling Spring Wafer.Calf1-800-472-9888 to orderi ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. NOW Delivery address: P CARMEL CLAY PARKS AND REC DEPT.,1427 E 116TH ST,CARMEL IN 46032 PREVIOUS BALANCE 151.87 3/07 387331 PAYMENT-THANK YOU -49.71 3/25 0875777575 8 5 GAL ICE MOUNTAIN DIRK W/HANDLE 34.32 3 9 OZ PLASTIC CUP 50C/SLV 9.87 BOTTLE DEPOSIT: 8 CHARGED, 8 CREDITED .00 3/27 0876777491 1 5 GAL ICE MOUNTAIN DIRK W/HANDLE .00 BOTTLE DEPOSIT: 1 CHARGED, 0 CREDITED 6.00 3/31 0877415182 1 OIL/FUEL SURCHARGE 3.12 C6220115 RENT 11.98 6329219 RENT DFREE TOTAL . 2014 167.45 BY: i'rsF PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT 151.87 — 49.71 + 65.29 = 167.45 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 1-800472-9888 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. 1-11 1234567890 i your Account Number You do not have to pay the disputed amount while it is being 00,00,00-00100/00 investigated.During the investigation,we cannot report your account . 123456789 't as delinquent or take any action to collect the amount in question. INP-ocr w MON on z9 Watch here for a wEo-NW 2+ GENERAL INFORMATION UE.DEC personalized account 1.Payments received after the billing(INVOICE)date will appear on Important s,M_14WA72.9888 -� „gNeMW message pn:•m.neanmt�,nn.ianu�aun�+s•naan c,Bu~nu your next invoice.Pas[due invoices(not paid within 30 days of news and n nky""° I billing date)may be assessed a late fee as allowed by law not to offers �1236on«51 exceed S20 per month.Additionally,third party collection/attorney °aGa.�J" ,,.11'II.bn•J_A1141"'i - expenses may be assessed at a rate not to exceed 100%of the ;,1.<t'c"�+ ,a•u,<',+xe1+7�ie6r�;."`' leyonc$aP.<,yN. gmnB . unpaid balance or the maximum allowed by law. _ • ,„,,,yjii�ea".a!e9ub,I;P�,. xwT• 3"`> t3• Pay electronically „ .`�, r9?',TS°n aB•Yat CmtMh mUthga•d m' ,. !:'. 2.Each returned check is subject to a service charge subject to the q�' a' �.?_' a�^1Q"nf�,=,P;;,�ee;ule<r?1h8?°i�,�"�,"`�-,•ate° kyr+„,Y�,,,,a$,1�.:t maximum check return charge allowable in your State. �'” . -sr'; .' :Ht?^•4<-"d:•= ;Ik r:-> `' , x Make sure this ;�-.,?:. Pq �._-.0-- s,.foo.n.amm6.w 3. All bottle and equipment deposits are shown as CURRENT Activity e--`"- � � ,,,,„„�,...•m^> I amount has been ACTIVITY. since your ACCOuNTpcnvlTl' "+ aid in full to 123 Main Svee4 4ty,5w,e 00880 4. Equipment replacement costs will be charged for bottles lost, ON Add:mm ox xw I P last invoice �,,,"•, >�� t avoid late fees stolen,damaged or not returned. 9rtviw+TM EYP x,exx 5.In accordance with NWNA's Terms and Conditions("T&C"),your W31 46+898 5 sw lNx,umiswl"9'^•"e1 ��_..--ms's '1 c ryxxx Monthly OilEquipment Lease and/or Service Agreement account may be 8s+4s subject to minimum month) purchases and/or earl cancellation " 3j0°51 pe15n""'9e Surcharge,Fuel 1 Y P Y oxn2 318263eM' Pe", t,Ct,S g fees.(A complete version of the current T&C may be viewed on the oxnz '86'°'x7 / (p}y..w!>l, xxxx Surcharge or Delivery website listed below)Upon service discontinuation,rent for the TDref L- _.,a.,,a. Fee(see#6 under Leased Equipment is charged through the end of the billing cycle , ! "General in which service is discontinued. ".M3,R e"IfNE PMN7"aM7,' _ '"'""'xx Information') 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or ,.fMw3Pe1u•�f we +fv -------- -------------- , ACCOUNT SUMMARY xxnx Delivery Fee as described in your T&C. Only one of these fees Payment Stub ,,...••K•°•__ -_-- PAY r ISWOU will apply to each account. The fee that applies to your account --°"-�--------.+eo«�wv"•"`* ACCOUNT NUMBER 00�� xxxx is stated on the front of the invoice.For further information please 23456]890 gIWNC Dp F T.ENCLOSED INVOICE NUMBER WtW/W visit the website listed below or contact our customer service 1234567690 center. 7. As a food product, bottled water is subject to the rules and 0420046307 04212712x19 000393049 2004 1° I Amount due regulations promulgated by the Federal Food and Drug wm,D,• Administration(FDA). 'cE OunmN- 2= `C-Y•'�'e5tOe0ao 8.Your first invoice indicates the products delivered on your firs[ ° ""m ` Submit your wp�85TOMfP SERYKf UfE'89P'4 b this delivery,along with any applicable bottle and account deposits, Sana" µ0„I,"°wW"aM E O m. payment Y redemption fees, and any dispenser charges.All future invoices M,,,I,.6o•e�"•51°` • ,,.,,,,.�� date 9cN ur raP rPfENrto�"nsN"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. :^K•«;,s=' rte;+,,,k''" ©2008 Ice Mountain Spring Water Company,a Division of NestI6 Waters North America Inc. service.1cemountainwater.com r +� r5 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 4/2/14 4CO121202766 Drinking water& cooler- MCC $ 40.01 4/2/14 04CO120095351 Drinking water Maintenance Dept. $ 65.29 Total $ 105.30 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 i Voucher No. Warrant No. 051125 Ice Mountain Allowed 20 P.O. Box 856680 Louisville, KY 40285-6680 In Sum of$ $ 105.30 ON ACCOUNT OF APPROPRIATION FOR 101 General fund / 109 Monon Center Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT Dept# 1091 40012120276 4350900 $ 40.01 I hereby certify that the attached invoice(s), or d correct and that the 1125 04C0120095351 4350900 $ 65.29 bill(s) is (are)true an materials or services itemized thereon for which charge is made were ordered and received except 17-Apr 2014 Signature $ 105.30 Accounts Payable Coordinator Title Cost distribution ledger classification if claim paid motor vehicle highway fund service.icemountainwater.com - ° ®0; _® #215 6661 DIXIE HWY,SUITE 4 o LOUISVILLE KY 40258 03/01/14-03/31/14 0400120048525 ADDRESS SERVICE REQUESTED g - 11-0010,13111 ® - TUE- APR 08 0120048525 WED- MAY 07 FRI- JUN 06 TUE- JUL 08 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 SO 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.icemou ntai nwater.com. If payment has been made,we thank you. lEnjoy a Healthy start to the New Year with zero calorie refreshment! Save $2 when you order the NEW delicious Ice Mountain Black Cherry Flavor 100% Natural Sparkling Spring Water. Call 1-8007,472-98818 to order . now! - E -- _ _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: CITY OF CARMEL,1 CIVIC SO, CITY ENGINEERING DEPT,CARMEL IN 46032 PREVIOUS BALANCE 45.77 3/07 387334 PAYMENT-THANK YOU -21.24 3/10 0873015945 4 5 GAL ICE MOUNTAIN DIRK W/HANDLE ��$910111��3, 13.96 4 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT4' .00 2 9 OZ PLASTIC CUP 50C/SLV C° �� 6.58 4 5 GALLON ICE MOUNTAIN DEPOSIT RETURN �► ECEtgED .00 3/31 C6204944 RENT PPR 2p14 00 3.99 TOTAL Cn �A�tJ1EL 49.06 9e97.1 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 45.77 - 21.24 + 24.53 = 49.06 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. 1z}+s6ra90 ,3 Your Account Number You do not have to pay the disputed amount while it is being ooloaoD-oolooloo `'4 investigated.During the investigation,we cannot report your account 5 3456799 MO `.I as delinquent or take any action to collect the amount in question. TMR-a'°` MO-oU 29 `4 Watch here for a GENERAL INFORMATION WED-NDY 21 U,-.EC 16 personalized account 1.Payments received after the billing(INVOICE)date will appear on Important WO,dli«pi,di114ti•IUI�l,Iu6n.lClp�u•�lldap Cultomcr5ervke 1.800-+]2-98 message your next invoice.Past due invoices(not paid within 30 days of news and Tmnk y.- "yn9lce M1.P� billing date)may be assessed a late fee as allowed by law not to offers 123MalnSt .n6aeMe" exceed$20 per month.Additionally,third party collectionlattorney an,sn. 0°00°_W al«6u 6n666Ga"9 I.aua,anu6.•_. expenses may be assessed at a rate not to exceed 100%of the ' u•`7`' unpaid balance or the maximum allowed by law. r . - Nan.", m9ni"A _. Pay electronically Totninage, 2.Each returned check is subject to a service charge subject to the �"'ki°"`��a;,;.uo, , 9ff ??•a; � ` maximum check return charge allowable in your State. 'p•<. •.�aR�Y „' Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity M amount has been ACTIVITY. since your AccouNrArnvm' 4. Equipment replacement costs will be charged for bottles lost, DelrveryAtlaress.lo�nDoe,123Ma1n5Reet,Clty,State00000 paid in full to last invoice stolen,damaged or not returned. Pe« e = xaxn avoid late fees Payment"T1unEYou 5.In accordance with NWNA's Terms and Conditions(•`T&C•'),your aen, +fi,696 SGaIMNatN•19P^^9W`N xxx: Itt 3120651M++ IceMWMam Seal Depostt %X%% Equipment Lease and/or Service Agreement account may be /„ 3ne6s++°+ s IePA,e,,,,,,msGalRe+.m �;' �. %%x% Monthly Oil subject to minimum monthly purchases and/or early cancellation 09/" 3O�s p"ds""""�` �'; -"• 2�I 'Y` Surcharge,Fuel 09/12 31816306„ Rent ,.�•,"'e ,S`,p b fees.(A complete version of the current T&C may be viewed on the 09112 ,66a9°91 ; .,;.„+;".; f,: xxx% Surcharge or Delivery website listed below)Upon service discontinuation,rent for the DAL Fee(see#6 under Leased Equipment is charged through the end of the billing cycle nnSMaouN, "General in which service is discontinued. Information 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or ..EY. �""'- -wl% 1M :,uaa DeliveryFee as described in our T&C. Only one of these fees Payment stub ACCOUNT SUMMA0.Y a e%xxE•° Y Y PAY 1MI5 AMOUM __ will apply to each account. The fee that applies to your account __"_'-" p, .�c„ w/"""` ACCOUMNUMBER -------- P BY is stated on the front of the invoice.For further information please u3+sfir690 'uJ Goo DATE MT.ENCLOSED INVOICE NUMBER 00/001W visit the website listed below or contact our customer service 123+56]690 center. 7. As a food product, bottled water is subject to the rules and °420096307 °4262712619 000391049 2°04 16 Amount due regulations promulgated by the Federal Food and Drug phn°9e Administration(FDA). ICE UMAIN WAX! MOCOMPANs.*1 173 Mam 5' a « „c,fifiry cm.slace °°°°° Submit your 8.Your first invoice indicates the products delivered on your first cuc,ao6<n-9666 4 delivery,along with any applicable bottle and account deposits, wRCUSTOMMSEpayment� e a ment by this ISI 11"6°"6"6i�6k.d.a sde �6,a,.B1.�„alwa vnn,Amcn.ree. - redemption fees,and any dispenser charges.All future invoices 1❑ RupFpplREE„,,O„nswnuo6rt°0n"`"""vtle ,___ _ 1 date will reflect charges for water delivered and dispenser rental,bottle ”°- _.•-. `` "• deposits and credits plus charges for any additional products w" ' 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 08112 Se 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 4/2/2014 04C012 water cooler $ Q Total $ 2q, -'?; 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 ON ACCOUNT OF APPROPRIATION FOR 0qk K�7'S Board Members PO#or INVOICE NO. ACCT#/TITL AMOUNT DEPT# I hereby certify that the attached invoice(s), 0 04CO12 2200-4239099 $ 2 S3 r 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 4/21/2014 Sig ature City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund service.icemountainwater.com 0 #215 6661 DIXIE HWY,SUITE 4 03/01/14-03/31/14 04CO121975593 0 LOUISVILLE KY 40258 g ADDRESS SERVICE REQUESTED — - III III III I I I I I�I III FRII-- MAY 09 0121975593 TUE- JUN 10 THU- JUL 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. E �' - „- -. njoy a Healthy start to the'New Year with,zero calorie refreshment!:Save $7 when you order the NEW delicious Ice Mountain Black Cherry Flavor 100% Natural Sparkling"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: CARMEL REDEVELOPMENT COMMISSION,30 W MAIN ST STE 220,CARMEL IN 46032 PREVIOUS BALANCE 58.54 3/07 387332 PAYMENT-THANK YOU -29.27 3/14 0873485098 3 5 GAL ICE MOUNTAIN DIRK W/HANDLE 22.74 3 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 18.00 3 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -18.00 3/31 0877444687 1 OIL/FUEL SURCHARGE 3.12 C6264685 RENT 10.99 TOTAL 66.12 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 58.54 — 29.27 + 36.85 = 66.12 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 -i an error. You are obligated to pay the parts of your bill that are not in question. 23asb2e90 You do not have to pay the disputed amount while it is being Asom omoa0o-0010000 1 Your Account Number investigated.During the investigation,we cannot report your account1 4 as delinquent or take any action to collect the amount in question. TMB ocr a 123+56289 MON.00 s9 Watch here for a 21 GENERAL INFORMATION no-C 1. abA01*"110•blpb.ltla,ll;,IldtU c".w MouI MB+BMo9n�.9eUba .C persona l ized account I.Payments received after the billing(INVOICE)date will appear on Important your next invoice.Past due invoices(not paid within 30 days of newsand se messaue -� billing date)may be assessed a late fee as allowed by law not to offers iii li St CIry,State 00000 exceed$20 per month.Additionally,third party collection/attorney expenses may be assessed at a rate not to exceed 100%of the �r, v gid* roman«ar.wro�„s i Pa electronically unpaid balance or the maximum allowed by law. i, ,9 •t,[.yia` 5�N0+ NNw«r�?..:«•` <” Y Y t s 9.r,. Tme�a'e' =mo.rouwgd KEsmw ,ne i^ n„•^1'o'"�w.`I.` 2.Each returned check is subject to a service charge subject to the maximum check return charge allowable in our State. `"` aa«Awm g Y � .ry. � '_�R'��=_: .::,.:fii�'•'�,�",..a•,n..l J Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity • „ ..^« 1 amount has been ACTIVITY. since your ACCOUNrACn9� 123 Main SVM paid in full to bl,n Doe OH•Su[e 00000 4. Equipment replacement costs will be charged for bottles lost, last invoice D°'"e^ stolen,damaged or not returned. o<erw:a,I,.N• xqt avoid late fees >tinEY"u 5.In accordance with N WNA's Terms and Conditions("T&C"),your 0&3, .10. s �'WB`twt",a sv��^9W'tn 00 „ 3vees•+• msOalD w t t Monthly Oil Equipment Lease and/or Service Agreement account may be „ 3vebsaw s «AO,�u,sOalBa 1 x. Y o9n, 3[raes+•A•" s cu•ImrcAanre �Y `� Surcharge,Fuel subject to minimum monthly purchases and/or early cancellation oil 31262een 1 pm j^j/rF to'`y�ti iii?�..� g fees.(A complete version of the currentT&C may be viewed on the 091+2 1B°"0"' r yt� s,;;air 14""` 'j Surcharge or Delivery website listed below)Upon service discontinuation,rent for theTDrnL ,`. ,w=.� Fee(see#6 under Leased Equipment is charged through the end of the billing cycle .l "General in which service is discontinued. 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or ,,,,wNC -",�; - _ ,'} Information") ACCOUNT SUMMARY qtK 1 Delivery Fee as described in your T&C. Only one of these fees Payment stub , _ °� ____--- PAY TNIS AMOUNT will apply to each account. The fee that applies to our account -_ ^° -, ,•� PAY 1 PPY PP Y mp.mrt�M�^ ACCOUHr NUMBER pp 00/00 .0 67890 , •', is stated on the front of the invoice.For further information please 12N5,NYOKE NUMBER BIWNG GATENCLOSED E visit the website listed below or contact our customer service 1234562890 0o1ao100 center. P 3 py20096307 04262712619 000391049 2pp4 Sn 7. As a food product, bottled water is subject to the rules and Amount due regulations promulgated by the Federal Food and Drug W� Administration(FDA). CEMMWNNW-1CCO", cnv 1e51BDo0o N d m ^' Submit your 8.Your first invoice indicates the products delivered on your first •O�tl ,DR cusrOMER san'KE W'['80°''239BBe delivery,along with any applicable bottle and account deposits, payment b this A1:bR^b"bbGbd.,a Ksd. ❑N„Nncn,�9•*a'w•""5f°• date Y redemption fees,and any dispenser charges.All future invoices �rBEEwrroanN9ay9fle0"".ao�B•.a� _ ,,. 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 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. I Q• 64K 95 d6 bd Terms �p+ktifyl ale l�� O�OJ b 60 Q Date Due Invoice Invoice Description Amount Date Number (or note attached inJoice(s) or bill(s)) 0gColz 14SS 8s Total J b. 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. n ALLOWED 20 ,y� /14111Gf/n IN SUM OF $ Louj.fy e . Ky �t028s-66�o ON ACCOUNT OF APPROPRIATION FOR 4350196 Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), SS �350� 3 CST 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 i nature Cost distribution ledger classification if Title claim paid motor vehicle highway fund service.icemountainwater.com #215 6661 DIXIE HWY,SUITE 4 0 LOUISVILLE KY 40258 03/01/14-03/31/14 1407220327048 ADDRESS SERVICE REQUESTED ® B e TUE APR 08 7220327048 WED- MAY 07 FRI- JUN 06 TUE- JUL 08 CITY OF CARMEL OFFICE OF THE CLERK TREASURER Customer Service: 1-800-472-9888 ANN DAVIS Pay your bill online at:service.icemountainwater.com or 1 CIVIC SQ by phone at: 1-800-472-9888.It's free! CARMEL IN 46032-2584 ��I���II�I�I�II"��'III'�I'IIII����II'��IIIII'lll'll��l�l�lll�lll ,=zzv,<: "'fig."_'-_'' - »: .F°✓ -;"` '•i, -- Eta'o`a=HealtFS,'start,to',the New::Yea�withszero calorle� efreshmentl;`Save'$2 when.: ou ord"er ttie.NEW%a = ; r`K,os'.rr:'.- _ wF^`�> ..,, Yr,•,k,Y'.s"sfe,',;s`]'., z=:rs�r:;�r,.�;i%, :•k.:;.n, zo:.:. a a 0 ,? ` delicious�Iee;Mountain_Black�..Che"rry_.;F.,Ia�or. 100%.;Nato al°Sparkltng�SpringmWater�<Ca11��1�80,0-,472�9888,toforder�^ '�`;..r``° :r'9'',r:•', '��,-" -...�``s'OAf:a ;-.a," ?�� g � - _ '�F'' "r. ; � '^»A r'-✓��'=4" x✓,°_,F,F�%fa�'d��'s.,�'.f'`=f�`�� �_� m�:�, r^ ,z a- m✓ �� ,ter-;�',- ;e" ox -.� _ ,r',,'�'- ��"a „, .•,Md ` .;�.�- _ ^✓��:�� .tom _�:F'..n.s� - :�'°�✓'AF :4. . ;,�,! ��r;- <r:`,,�'�9'.�' •'�:�.:.�.xirs- .�' ...��,� '.,a�"���r,�- _ %�°,s`'»„�.,�^.,,rr�• ...t�,y` �. :� .,:r;' y.ar,+�, _. =r,s. :rr,`. .. .+�` e^,+_, ^,.j,s: �. F sYp FJ' •'S✓,, x, A' '-_. J;q','K�p��,„" x _ .� .'z.:. -�'%��i ,_,�w r�.+ �`_'.%d _ <�;'�'����sl:„.` 'z:.'��;',/,.w'✓'��y�u��`-si's.'.�;,� 'd`«sµ�<;,;,, �,a � :'�.r�z� a ;?,f,�?���:,'.�- �cv::' ,s✓. �� ACCOU NT 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, CLERK TREASURER OFFICE,CARMEL IN 46032 PREVIOUS BALANCE 13.89 3/21 479888 PAYMENT-THANK YOU -13.89 3/31 C6233470 RENT 3.99 TOTAL 3.99 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 13.89 — 13.89 3.99 = 3.99 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. •• 1134567890 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 i 113456789 as delinquent or take any action to collect the amount in question. HR-oa a MON" 1 29 Watch here for a GENERAL INFORMATION WEO NOV 7, rUE-DEC,e personalized account 1.Payments received after the billing(INVOICE)date will appear on Important ptlp CO OmerS__1 B1pA72-9888 i /1,/1«8/1„ncamtt:tm,ttnti�ntnan 1p*".Mp�ul^, message your next invoice.Past due invoices(not paid within 30 days of news and ma^E yW billing date)may be assessed a late fee as allowed by law not to offers iii main St .Aa a NeI oty,state 00000 exceed$20 per month.Additionally,third party collection/attomey 1•,ad,Appy^„p,yn;,,n�up"u.!'bt.bd^p expenses may be assessed at a rate not to exceed 100%of the p, t aid balance or the maximum allowed b law. cprq Pay electronically un Y P - 2.Each returned check is subject to a service charge subject to theC +'M° maximum check return charge allowable in your State. : ;._ a Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity ACTIVITY. since Our ACCOUNT ACTMTY ° �p,,„,.na."9..R•�•^•�^-^"m'"" amount has been y pdd ess:lehn Ooe.123 Main Street,Gry.kate 00000 paid in full to 4. Equipment replacement costs will be charged for bottles lost, last inVOIC¢ °eI"`ry stolen,damaged or not returned. avoid late fees pryment-ThankYou 5.In accordance with NWNA's Terms and Conditions("T&C•'),your OBn, 41090 G lb^Namral SprMaa`B1 Y ... 111 317865,M44 lee Mountain SGal Depart "' Equipment Lease and/or Service Agreement account may be „ 805,.«+ S keMou^,„^SG Monthly Oil 091,1 3178051M4a EpN5u:.-NS 1..�-; V; Surcharge,subject to minimum monthly purchases and/or early cancellation .9,n 31 8 3 6 3861, 1 c;.` "c- Fuel fees.(A complete version of the current T&C may be viewed on the o9nz ,00+0`97 U,-:_ ,•,Pt lj y�:`” >a*y Surcharge or Delivery website listed below)Upon service discontinuation,rent for the o Al Fee(see#6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. `”"„” _ ,AYTHIa. M Information") 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or moo eNAN x xxTM „ Delivery Fee as described in your T&C. Only one of these fees Payment stub ACCOUNT SUMMARY ca YE•p --------- ------------------- -_____ pAY THIS AMOUNT will apply to each account. The fee that applies to your account ___- ,'„e,----- ;1;_1•• �omw ACCOUNT NUMBER is stated on the front of the invoice.For further information please 1239567890 61LUNG DATE ENCLOSED ER visit the website listed below or contact our INVOICE NUMB100100 customer service ,=34567090 center. 7. As a food product, bottled water is subject to the rules and 0420096307 04262712619 0003911199 2004 16 Amount due regulations promulgated by the Federal Food and Drug I"I,ne Administration(FDA). ICE MOUNTAIN Submit our WATE��p*NM 23Mt S`00000 `1 y 8.Your first invoice indicates the products delivered on your first ao,4�aaN•ma^^p^ ""slatTOMER5EBYICE CALL1600JI729666 delivery,along with any applicable bottle and account deposits, payment b this I:dpdpd.a6,.„t6..d6:.146R.4p66t.4Apn aae ❑D.m nmcle^9•+a`"`"""sae. __:% y redemption fees,and any dispenser charges.All future invoices date 5yn0p"`w"40^'�"` . 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 Nestl6 Waters North America Inc. Form No.NW 709 08/12 service.icemountainwater.com i __O%� Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995) CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Total I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor- dance with IC 5-11-10-1.6. , 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF $ � U1S�n1� �(L $ ?,qq ON ACCOUNT OF APPROPRIATION FOR coq � Board Members PO#or INVOICE NO. ACCT#!TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that �d 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