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232531 05/13/14
�`®4 p • CITY OF CARMEL, INDIANA VENDOR: 051125 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CHECK AMOUNT: $*******169.40* CARMEL, INDIANA 46032 PROCESSING CENTER CHECK NUMBER: 232531 PO BOX 856680 CHECK DATE: 05/13/14 LOUISVILLE KY 40285-6680 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4350900 52.05 4DO121202766 1125 4350900 47.75 4DO120095351 1701 4239099 3.99 14D7220327048 1801 4350900 29.31 04DO0121975593 2200 4239099 24.73 04DO120048525 2201 4238900 11.57 14DO117821082 service.icemountainwater.com ' #215 6661 DIXIE HWY,SUITE 404/01114-04/30/14 04D0121975593 ' LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED FRI- IIIIIIIII1111111111111111111III III TUE- J"UN AY 09 0121975593 THU- JUL 10 FRI- AUG 08 - 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 II��II'�'��III�11�111'1111'III' 'I'll�lll��l'll�ll"'��III"I'I'� convenience,pay online:service.icemountainwater.com.. If payment has been made,we thank you. Try the Grea EW taste of NESTER NOWF Save$3 off�;a 11 pack of 12 oz cans for a promote lrprtce of$3 99 AlV®$3.ofF a 12Jpack of Nestea 1/2�liter ottles,for a pi-omotetl priice of $5 99! Call 1-800411.91388 or visit` seivice.icemautalnvuater corn to add toy�our order! f ' x e 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 66.12 4/04 545346 PAYMENT-THANK YOU -29.27' 4/11 0877804138 2 5 GAL ICE MOUNTAIN DRK W/HANDLE 15.16 2 5 GALLON ICE MOUNTAIN-BOTTLE DEPOSIT- 12.00 2 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -12.00 s= 4/30 0882038227 1 OIUFUEL SURCHARGE 3.16 D6427020 RENT 10.99 TOTAL 66.16 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 66.12 — 29.27 + 29.31 = 66.16 BILLING RIGHTS SUMMARY INCASE OF ERRORS OR QUESTIONS ABOUTYpilR BILL,OR FOR yOLTR�iVOICE-4 WAYS TO A REPORT ON WATER UALrry ].Please remember payment is due by the aPb S SERVE yOlj BETTER CALL 1-800-472-9888 OR WRITE US A�INFORMATION,PLEASE "pay y date noted to 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 CATER CO. Your first invoice will include a pro-rated fee for the current month,plus the next month's rental. 6661 3. Kindly fill in the 6661 DIXIEIIWy SUITE amount enclosed, include your account number on LOUISVILLE,KY 40258 If you prefer,you can pay your bill online at serviee.icemountainwater.com check and do not send cash. If ou think 4. Never hesitate to call us with comments,questions,or concerns. Y your bill is wrong,or if you need more information about a transaction on your bill,write us on a separate sheet of paper.We must hear from you in writing no later than thirty(30)days after we sent you the first bill on which the error or problem appeared,you can telephone us,but doing so will not preserve your rights.In your.letter, SAMPLE give us the following information: INVOICE N VO I C E • Your name,address,telephone and account numbers. + �/G • The dollar amount of the suspected error Date range of this invoice • Describe the error and explain if you can an error. ,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 investigation,we cannot report „ magma as delinquent or take anP your account ooroew0-00/00,60 1239567890 ? Your y action to collect the amount in question. Account Number GENERAL''r'ORMATION 123456789 1•Payments received ager the billingPP inn 04 (INVOICE)date will a ear on Important MON«*Z9 Your next invoice,Past due invoices not Y "ED N0C 1. Watch here for a (_ Paid within 30 days of news and DEC billing date)may be assessed-a late fee as allowed b ` I&- exceed — gU«fisHl t8llt 10Y1dAt�tq" 11iaq: c•mmersem e:+aoo4n.9ese i personalized account $20permonth.Additionally,third Ylawnots 1AnD _ Thenky000rueM1glreManaoPoauW message expenses may Party collection/attorn IBM-1,st — a•k• } y be assessed at a rate not to exceed 100%of the j a�a,Ua0000 t4.;tt,4�Ap6tttd ff _� unpaid balance or the maximum allowed by Iaw. 2.Each returned check is subject to a service charge subject to the maximum check re tum charge allowable in your State. v9 ° " ucfir4m a crc Y m4 e _ Pay electronically 3. All bottle and equipment deposits are shown as CURRENT �, , , ACTMTY Activity ll 4. Equipment replacement costs will be charged for since our Make sure this g bottles lost, Y A[C°UNEARNnY eve,urc^eM+wreww,m.^u..an>wva�^�r'�^nAnenm�a stolen,damaged or not returned. last invoice amount has been 5.In accordance with NWNA's Terms and Conditions("T&C DelirenA6are:::mnnDoc 1Z3Mamsuee a y,s ate 00000 Equipment jtto '�,your PreNoue Oaknre laza -: £ paid In full to Lease and/or Service Agreement account may be oan, 461090 pa,,,N, 1SPr subject to minimum monthlylation as ! avoid late fees Purchases anm inaes14a44 5 6GalbnNatwal6Prin9Water >uxx ) fees.(A complete version ofthe currentT&C may be viewed canceIon the "' 317514 44 s k Mo nvnsGalD v WWII;' 3,180514944 5 keMountnlnSG IRew - Monthly Oil website listed below)Upon service discontinuation,rent for the o3nZ 316zfi30eu PuNsw Aayc lip , a9n2 Ifi69949P a=^� 91t r Surcharge,Fuel Leased Equipment is charged through the end of the billing cycle f in which service is discontinued. AL s I 1 Surcharge or Delivery O 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or s Fee(see#6 under Delivery Fee as described in Will apply to each a Your T&C. Only one of these fees wm0us uw ce_PA mDrtrAOrva M x{<OMo*AR"^ _ " 0 3atls4MtluNr Payment stub account. The fee that applies to ° ACCOUNT SUMMARY o 0, „ Inform pLnc is stated on the front of the invoice.Forfirrther Yutaccount .•.>a,aaa_ ,,,_„•.,a,,,,„,^._-_— _____ __ ________ a` Information) ____ ______ _________ R information please ! visit the website listed below or contact our customer service nmwNnw Mm vin ACC12MNUMBER PAY 0,Y PAY3HIS AMOUM >a>a Centel. 12345 6]890 000 0 ENCLOSED 7.As a food product, bottled water is subject to the rules and MOKE NUMBED BILLING 00,1E 1234s678f90 o0/B6Joo 1 regulations promulgated by tate Federal Food and Drug Administration(FDA), 0428046387 04262712619 nn8391049 2004 18 8.Your First invoice indicates the products delivered on your first Amount due delivery,along with any applicable bottle and account deposits, 123 Oce ICE MOUMAIN WAIEA COMPAM 123 Maln St DNbbnM N.IDkwa 0,84.^ ^r^� Oty,state Owao redemption fees,and any dispenser charges.All future in rvi11 reflect charges for water delivered and dispenser rental,bottle FOPNSTOMFA6ERYIRGML130W1L9886 5^Ubn1lt your deposits and credits plus charges fol any adaiiionalt x. n tt etG •+Rl ❑""`�Yrn"g O P� ”` } P�yntent by this ordered by 'ptpduety--- ❑:owownr Avmwnsq uP n a0n0. A6 day y you,Deliveries are mate de every three or four weeks,for a total of 16-17 deliveries per year.You will only receive invoices 12 times per year,so approximately 5 of those invoices will reflect �— two deliveries. -- ©2008 Ice Mountain Spring Water Company,a Division of Nestle Waters North America Inc. service.icemountainwater.com IBM— 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 T nr e �OU�I���h UI/PC� Purchase Order No. �, jOX 6b 8Q Terms Isvilie,IK4429�- 6680 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 5-74 0'f 0 97 �er Total 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. ,yy 1 ,( ALLOWED 20 t!@ /lOUllrl d0 t l'eC I IN SUM OF$ P, 0. 90x gs 6 40 6 680 $ Z�•31 ON ACCOUNT OF APPROPRIATION FOR I fal 1q3 5o900 Board Members PO#or DEPT.# INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s), Q 00014197SS93 4350100 29�3� 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 S' nat Cost distribution ledger classification if Title claim paid motor vehicle highway fund service.icemountainwater.com lug169mrarl. ° #215 6661 DIXIE HWY,SUITE 4 04/01/14-04/30/14 04DO121202766 ' LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTEDTHU- - MAY 23 0121202766 MON- JUN 23 WED JUL MAY 2014 THU- AUG 21 CITY OF CARMEL PARKS DEPARTMENT B1'- 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 convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. 'n x .Try the Great NEW taste of NESTEANOWISave`$3 offa<12 pack of 12 oz cans for a promoted,prlce of$3.99 `SAND$3 ofF a 125c of NesEea 11211te�r kiottles,for a promoted price of $5 991Call 1-800.47 9888 or vtslt se�rv1ce IcemoutaI`a' er co ME to add to yob rder! t ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. Wig ° Delivery address: CITY OF CARMEL PARKS DEPT/MONON CENTER,1235 CENTRAL PARK DR EAST,CARMEL IN 46032 PREVIOUS BALANCE 74.02 4/04 545344 PAYMENT-THANKYOU -34.01 4/23 0880218763 10 5 GAL ICE MOUNTAIN DIRK W/HANDLE 42.90 BOTTLE DEPOSIT: 10 CHARGED-,-I OCREDITED- .00 4/30 0881999676 1 OIUFUEL SURCHARGE 3.16 D6463505 RENT 5.99 TOTAL 92.06 DIr" X00 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 74.02 — 34.01 + 52.05 = 92.06 BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR QUESTIONS AEOUT YpUR 73II L,OR FOR YOB VOICE-4 WAYS TO HELP US A REPORT ON WATER QuALrry 1. Please remember payment is due b the`f SERVE YOU BETTER, CALL I-800-472-9888 OR WRITE US AT: INFORMATION,PLEASE p Y Y pay by"date noted to 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. #2I6 6661 DDCIE 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 Ifyou think your bill is wrong4. Never hesitate to call us with comments, a transaction on your bill .a Ifyou need more information about gneStlOnS,Or Cconcerns.,write us on a separate sheet of paper.We must hear Rom 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. give us the following information: In your fetter, SAMPLE 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, an error. 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 investigation,we cannot r as delinquent or take an o report your account 00/00100-0010woo iz3ss6ra90 = your Account Number y action to collect the amount in question. ` k(Pi"+30i' II4.. a. GENERAL INFORMATION TNR-ORD` 323456789 9 Payments received ager the billing(INVOICE)date will a MDw Oct 29 Your next invoice.Past due invoices not appear Important ( paid within 30 y "�NOV 1' g Watch here for a billing date)may be assessed a late fee as s of news and TUE•DEC,e exceed$20 p allowed by law not to t�(aatt idp6l u1N.ilp6 Itltl tlatWdd, Cus^me,SeMce:7.aoo-`72•9Bee £ personalized account Per offers IhnO Nankyoupruzin9l¢MpunUinprodub message - —expenser'may be assessed ata to not toazexceed IOORo ogrthe _ C;,YS123 St Gty,State OODQ,O unpaid balance or the maximum allowed by law. ieatLi•t RG dt t�"! k n L --- 2.Each returned check is subject to a service charge subject to the r _ maximum check return charge allowable in your State, ih` � � 3. All bottle and equipment deposits are shown as CU s Pay electronically ACTIVITY CURRENT Activity 4. Equipment replacement costs will be charged for bottles lost, since your ACCOUNT ACTIVnY m w.n•a=^ �"m" °°°" °°'' r Make sure this stolen,damaged or not returned. 5.7n accordance with last invoice NV✓NA's Terms and Conditions Oel eryAdtlreu:34M DW,123 MatnSveet 4 Y.Sute OOWD amount has been Equipment Lease and/or Service Agreement account may be PreMo.8a a"� paid In full to °x,31 ,�,we paymem.Tha kY "" avoid late fees Subject to minimum monthlyAl 3I7665144W 5 SDallonNaNalSDrl 9Water u0x fees-(Acomplete version ofthecurrntT&C mand/o1e��eancellafiom n, anew,."` s IenwamalnsWlDpan ; may be viewed on the 09n, 31Wn-a 5 IaMoumainSWIR o0o Monthly0il website listed below)Upon service discontinuation,rent for the o9n 3+s:we3n wels.rtna9e s ���gjI � Leased Equipment is charged through ,: fwao97 Rent l Surcharge,Fuel f in which service is discontinued. the end of the billing cycle =A i ����f��n 0 0 A Surcharge or Delivery 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or 'Al Delivery Fee as described in your T&C. Only one of these fees 4 Fee(see#6 nyder Will apply to each account, The fee Payment stub P�^OUS^a NOY = General Nek,H, 0 THIfra4a�NT is stated on the front of the' that applies to your account ACCOUNT SUMMARY >oc,a — >o`>« visit the invoice.For further info o d InforIDatlo ---------------------- ----------- - --- 1 n website listed below or contact our customer on mw'wewrnw pm^n ACCOUNTNUMaER PAY aY PAY THIS AMOUNT center. ,23`567890 00 Do 7•As a food product, bottled ENCLOSED RWOICENUMRFR eIWND DATE water is subject to the rules and 1234567890 001 0/00 a_C regulations promulgated by the Federal Food and Drug, Administration(FDA)' 0420096307 04262712619 000391049 2004 18 8.Your fust invoice indicates the products delivered on your first Amount due delivery,along with ally applicable bottle and account deposits, a.M0M11NWAT1RCOMVANr (ohm Oce NaDf W+Yn Num,HcnoL 123 Mal^St redemption fees,and any dispenser chaz es All fuces otysMte 00000 will reflect charges for water delivered and dispenser rental bOnle _ tORNSTOMERSERVKE-1-12,9980 Submit your deposits and credits plus charges for any additional products i ��tedt tun Fakhlhdi, M�tM�reeta a cum Payment by this I `atdered"b SG"UP Q9N FAU OPA SgnUpRry red u Knew date -Deliveries-are made every thmeor fou weeod-for a total of 16-17 deliveries per year.You will only receive invoices 4 �. v�u 12 times per year,so YOU 5 of those invoices will reflect two deliveries. ©2008 Ice Mountain Spring Water Company,a Division of Nestl6 Waters North America Inc. q service.icemountainwater.com ate' Form No.NW 709 08/12 3ervice.1cemountainwater.com ' ' ®® #215 6661 DIXIE HWY,SUITE 4 04/01/14-04/30/14 04D0120095351 NL11=fF LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED IIIIIIIIIIIIIIIIIIIIIIIIIII1111111 THU- MAY 22 0120095351 MON- JUN 23 WED- JUL 23 ,,a.� �„�� THU- . AUG 21 CARMEL CLAY PARKS AND REC DEPT. MAY 0 8 2014 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 BY: EYour prompt payment is appreciated. For your convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. (y he Great N,EW taste of NESTEA NOWt Save$3 off-a 12 ack of,, 2 oz cans fora promoted price of$3 99 m � _ ��� p y - ¢ "AK�3$3 off a 12 pack of Ne a l/�2�11t-WISdtttes;�for a promoted price of $5 991 Call 1-800-472= 888 or vlstt }a , se�rrrlce,lcemountainwater corr�toatldtoyour order! 4 e 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 REG DEPT.,1427 E 116TH ST,CARMEL IN 46032 PREVIOUS BALANCE 167.45 4/04 545345 PAYMENT-THANK YOU -102.16 4/23 0880218730 9 5 GAL ICE MOUNTAIN DIRK W/HANDLE 38.61 BOTTLE DEPOSIT: 9 CHARGED,10,CREDITED -6.00 4/30 0882021058 1 OIL/FUEL SURCHARGE 3.16 D6383169 RENT 11.98 TOTAL 113.04 MAInT. ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 167.45 — 102.16 + 47.75 = 113.04 BILLING RIGHTS SUMMARY INCASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL,OR FOR YOUR INVOICE-4 WAYS TO A REPORT ON WATER QUALITY AND HELP US SERVE YOU BETTER CALL 1-800-472-9888 OR WRITE US AT: O ATION'PLEASE I Please remember payment is due by the"pay by date noted to ensure the smoothest service. 2. Remember,if you are renting equipment,your equipment rental is charged one month in advance.That means ICE MOUNTAIN gpRiNG WATER CO. your first invoice will include a pro-rated fee for the current month,plus the next month's rental. #216 6661 EVILDIXI ,KY SLATE 4 3. Kindly fill in the amount enclosed include our account number on our check LOUISVILLE,KY 40258 If you prefer,you can pay your bill online at service.icemountainwater.om 4. Never hesitate to call us with comments,questions,or concerns. and do not send cash. 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 dtirty(30)days after we sent you the fust bill on which the error or problem appeared.You can //�� telephone us,but doing so will not preserve your rights,In your letter, SAMPLE giveusthefollowinginformation: LE INVOICE • Your name,address,telephone and account numbers. �/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 ofyour 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 our a as delinquent or take any action to collect the amount in question.rcovnt 110/00/00-oo/oaoo u34ss7B90 Your Account Nu 4 tuber , GENERAL INFORMATION 123456789 s I.Pa g( TNR-oa 114 Payments received after the billing VIED-ocr=9 INVOICE)date will appear on Important MONOC�1 Watch here for a your next invoice.Past due invoices(not paid within 30 days of news and DEC,a billing date)may be assessed a late fee as allowed by law not to ,exeeed$20- IFUdjlp nbnlnl II TnL dna tlatJdp; cm"mets, Cet, po,,2.,aBB personalized account per month.-Additionall,third- _OffCisIhno r„antye„ro,,,nnyluMoen+dnp.aaem message expenses may be assessed at art not to exceed 100%of e +23M i St.. �•na em«. Gb,SWt - unpaid balance or the maximum allowed by law. L..m,p�flu nit,lu;�n to�t 1,41.yu 2.Each returned check is subject to a service charge subject to the 3 maximum check return charge allowable in your State. � � nxomn9 Pay electronically 3.All bottle and equipment deposits are shown as CURRENT j ,1m Yc��W„Ry�M�""i ACTIVITY Activity 4. Equipment replacement costs will be charged since your `°°"" '" Make sure this stolen,damaged or not returned. for bottles lost, accouNrArnvm > 6� _ °" "'" last invoice amount has been S.In accordance with NWNA's Terms and Conditions("T&C", Dao-ren ndaNN ann Dee n3 Ma"speee Gry.state a0000 your p r aaBawxe i paid in full to Equipment Lease and/or Service Agreement account may be 1 Y.QW, 461090 Snt- , [ avoid late fees subject to minimum monthly purchases and/or ear] n, 3v6es,a4w 5 SOdbn W u215p"97hter fees.(A complete version of the current T&C may be viewed cancellation 3vees1444a s ma Mo nams6l D va rc 1 xc a i W/11 31186914441 5 IFe MOYnlein$WIB <'`� >uM Monthly Oil website listed below)Upon service discon[iauation,rent for the 3,61636011 wa'snm a Bc /e r+s li Leased Equipment is charged through the end of the billing cycle 09 2 6M0197 BmFt(1 xa 1 , 4 Surcharge,Fuel in which service is discontinued. 30?A jai#$ys w ' D Surcharge or Delivery 6.You will be charged a monthly pi]Surcharge Fuel Surcharge of & } Derive Fee(see#6 under Delivery Fee as described in your T&C. will a Only one of these fees Payment stub av V pp96NA p F_e,M M/4�Nm M+ — "General NPB[NIACRYRY PY1RI9�M apply to each account. The fee that applies accouNr suMMaar a Doo is stated on pphes to your account + °"'°""°^_ '"_. Information,) the front of the invoice.For ____ further information please ---'--------------------------------- 1 visit the website listed below or contact our customer service °"d""de`"" ACCOUNT NUMBER PAY BY pAYWISA OUNT center. 1234567990 00000 7.As a food product, bottled water is subject to the rules and NVO�CE NUMBER BIW NO DATE .ENCLOSED 123436789D 00100/DO y regulations promulgated by the Federal Food and Drug Administration(FDA). D42n096307 04262712619 000393044 20114 18 $•Your first invoice indicates the products delivered on your first 1 Amount due delivery,along with any applicable bottle and account deposits, citysut i redemption fees,and any dispenser charges.All future invoices cEMOUNraNwAtE coMwwy 23Manst pMlbndNeBaw.en Nyn.uMmur. Gry,5late 00000 will reflect charges for water delivered and dispenser rental,bottle lAda,tn��at: a..,a6:,t1 Dawe t At lid A VOR CUSTOMS SFRv a uu l Bao.n-9eeB -� Submit your deposits and credits plus ch ❑ +"row °""""d Payment by this ordered b charges for any additional products ❑sBNurwB16FFAM0rMnN94ppne9mR6o�pemusme. __�� date Y You.Deliveries are made ev_ — - ,„.. ..__ __ --- -- 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. TM4 L ©2008 Ice Mountain Spring Water Company,a Division of Nestle Waters North America inc. 0,4 service.1cemountainwater.com - k1m Form No.NW 709 08112 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 5/2/14 4DO121202766 Drinking water& cooler- MCC $ 52.05 5/2/14 4DO120095351 Drinking water Maintenance Dept. $ 47.75 Total $ 99.80 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 i Voucher No. Warrant No. I 051125 Ice Mountain Allowed 20 P.O. Box 856680 Louisville, KY 40285-6680 In Sum of$ $ 99.80 ON ACCOUNT OF APPROPRIATION FOR 101 General fund/109 Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1091 4DO121202764350900 $ 52.05 1 hereby certify that the attached invoice(s), or 1125 4D0120095351 4350900 $ 47.75 , 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 9-May 2014 i l Signature $ 99.80 II! Accounts Payable Coordinator Cost distribution ledger classification if 1 Title claim paid motor vehicle highway fund I service.icemountainwater.com #215 6661 DIXIE HWY,SUITE 4 04/01/14-04/30/14 14DO117821082 LOUISVILLE KY 40258 A ADDRESS SERVICE REQUESTED �' IIIIIIIIIII11111111111111111111111 J0117821082 TUE- UN 17FRI- MAY 16 THU- JUL 17 FRI- AUG 15 Customer Service: 1-800-472-9888 CITY OF CARMEL STREET DEPATMENT Pay your bill online at:service.icemountainwater.com or 3400 W 131ST ST by phone at:1-800-472-9888.It's freel CARMEL IN 46074-8267 ��r��ll��ll��llllll'I�I�Iluln�lilillllllllillllllilnlllllllll� } m- , r^^e-- -'rr-"`'010 � r � Try the Great NEW taste of NESTEA.N©WI Save$ offpaccyof;12 oz cansfor a protnotetl price of3t99 s RAND$3 off a 12 pack of IVestcea 12 Ir er bottI S,fora romotetlF rice of $5 891 r Cal11 800 72 9$$13 or vls>ft f tYt ,ri.'e ',, ��', e Tr c ls"a alp ✓aa"'' % ✓ nl a ervlce>cerrountamwotercom to add 11" your orderlb ' Rm z ✓ a � ✓r�,y ��.l de sa tz i � � +�+'� �v c i k x .�r ar az, Y .x 4th r+ a� ''y�% < z✓ ,max r r�""l t r �� ���� � z � �r- r ���rr wtzx�d� �r.1 t✓ ;1'`' 'p' ^t✓r � � s`��az .a ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800.472-9888 or visit service.icemountainwater.com. BMW Delivery address: CITY OF CARMEL STREET DEPARTMENT,3400 W 131TH ST,CARMEL IN 46074 PREVIOUS BALANCE 50.82 4/04 545342 PAYMENT-THANK YOU -69.43 4/17 0879049930 5 5 GAL ICE MOUNTAIN DRK W/HANDLE 17.45 5 5 GALLON ICE MOUNTAIN BOTTLE.DEPOSIT, 30.00 2 9 OZ PLASTIC CUP 50C/SLV-,n 6.58 5 5 GALLON ICE MOUNTAINDEPOSIT RETURN -30.00 4/30 0881977235 1 OIL/FUEL SURCHARGE'" 3.16 D6352329 RENT 2.99 TOTAL 11.57 r ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT y Subject to terms on reverse side. 50.82 — 69.43 + 30.18 = 11.57 � o'er BILLING RIGHTS SUMMARy YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER IN CASE OF ERRORS OR QUESTIONS D W YOUR BILL,OR FOR I. Please remember payment is due by the"pay by"date noted to ensure the smoothest service. C REPORT ON WATER QUACK,AND INFORMATION,PLEASE CALL 1-800 472-gggg OR US AT: 2. Remember,if you are rentingequipment, ICE MOUNTAIN SPRING WATER CO, your equipment rental is charged one month in advance.That means Your first invoice will include a pro-rated fee for the current month,plus the next month's rental. #2166661 3. Kind! fill in the 6661 DIXIE HWY,SUITE 4 Y 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 4. Never hesitate to callus with comments,questions,or concerns. a transaction on your billabout ,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 /�p A telephone us,but doing so will not preserve your rights.In your letter, SAMPLE P E I��Y/ give us the following information; ®ICE • 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. investigated You do not have to pay the disputed amount while it is being .During the investigation,we cannot report your account lz3as67s9D as delinquent or take any action to collect the amount in question. E o6roD/oo-oploo/oo j Your Account Number GENERAL INFORMATION 2345676 1HA-OCT O4 1.Payments received after the billin MDN a]9 g(INVOICE)date will appear on Important %TE NOV z, Watch here for a your next invoice.Past due invoices(not paid within 30 days of news and n E-DEc 16 billing date)may be assessed a late fee as allowed by law not to i I��tTr�aN Rlntalt t,�11151111k alio paiffidll'. c,,,remarxrvke:lsDD-arz-9666 ,, Personalized account i exceed$20Per month.Additionally,third offers 1^^o Thm4you/oruinglaMounbinpmtluW { message expenses may be assessed at a rate not to a exceed 100°/D of the City,s123Wsl atyswl 00000 ._ .. 1},atYa d t11. .4,li::at,Gp!�64�4b»il ' unpaid-balance or the.maximum allowed by law. — 2.Each returned check is subject to a service charge subject to the " maximum check return charge allowable in your State. ham" a Pay electronically 3. All bottle and equipment deposits are shown as CURRENT ACTMTY, Activity - _ I 4.Equipment replacement costs since your AaouNracnwrr a^M^•e i Make sure this will be charged for bottles lost s amount has been stolen,damaged or not returned. last invoice 5.In accordance with DeO+en�a.e: OhnDo4133Ma1n6 eet dry.5wte 00000 paid in full to NWNA's Terms and Conditions("T&C"),your P<ew„�eawnee w+>« Equipment Lease and/or Service A Pa n nt-ThankYou 0 avoid Late fees subject to minimum month! Agreement account may be oe , x6,696 /tl 3+]6BS144G4 5 6Wilnn Natural SPrl 9'Ma 0.% l fees.(A complete version of the Purchases T&C may be viewed lontthe ion "' 3118851°4" 5 ke Mounw' I D p9 09111 31]869144W 6 ke Mountaln5 Wl4e website listed below)Upon service discontinuation,rent for the 316)fi3001i n m5ntmaree �t ; Monthly Oil Leased Equipment is charged through tI t the end of the billing cycle 3 Surcharge,Fuel in which service is discontinued. rolA Surcharge or Delivery 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or Fee(see#6 under Delivery Fee as described in your T&C. Only one of these fees P`^"'"/"°I°'TM"""+`°""`"`"""^' P Will apply to each account Pa Payment PAS 9� _ _ "General The fee that applies to y stub AccouNr SUMMARY ••, K m j Information') is stated on the front of the' PP Your account ------ mvolce.For further information please ----pe-------- PAY 6Y PAY Ta15 AMOUM I visit the website listed below or contact our customer service m"µ"""' ' AccauNreuMeEa xa I 113496]890 DD OD DD Center ENCLOSED INVOICE WNO NUMBER BID0.TE . 7. As a food product, bottled water is subject to the rules and 113 4 5 6 76 9D 06/00/00 regulations promulgated by the Federal Food and Drug Administration(FDA), n420096307 04282712619 000393049 2004 as S.Your first invoice indicates the products delivered on your firstM.I. { Amount due delivery,along with any applicable bottle and account deposits, ICE MOUMAIN WATER COMPANY john .I redemption fees,and any dispenser charges.All future invoicesmN dE 13MaMsc aq,s�re 00000 ,{ will reflect charges for water delivered and dispenser rental,bottle 6 aa>a. s^a< d6 itl"�a"t'"t16t iDeNSTDME6 SERv arA E+e0w x9000 Submit your deposits and credits plus charges for any additional products i� °"`""""'g°R"" vd payment by this 9GNDPfDRfEEEAUIDPAYl A9^DpRryNmd On Pertrse4d date ordered by you. Deliveries are made every three or four weeks,for a total of 16-17 deliveries Per Year.You will only ve invoices 12 times per year,so approximately 5 of those invoices mwill reflect I two deliveries. ' ©2008 Ice Mountain spring Water Company,a Division of Nestle Waters Service.icemountainwater.com ers North America Inc. Form No.NW 709 08/12 VOUCHER NO. WARRANT NO. ALLOWED 20 Ice Mountain IN SUM OF$ P. O. Box 856680 Louisville, KY 40285-6680 $11.57 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members 2201 114DO117821082 I 42-389.001 $11.57 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 f Fr 2014' %OF -V%01 Y Str��� l§�9 1#�Ser i Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 05/08/14 14D0117821082 $11.57 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 ' ®® ' #215 6661 DIXIE HWY,SUITE 4 04/01/14-04/30/14 04D0120048525 ' LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED - IIIIIIIIIIIII111111111111111111111 MAY 06 0120048525 FRI- TUE- JUL 08 WED- AUG 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 I'I'�III'�III'I'll��l���l"'11111"I"'ll'�'ll�l�l'�I�IIIII'I�'I' convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. { d uf � a T} he Great NIW tasteof STEANC} Sa�erK$3rofca12 pack,Qf 12 oz cans f r,a promateprtce afd�� 6 .. lC► 3 off a 12 ack of Ne a 1/Z Irter bottles,for, romoted prtce,of^< 5 991 Ca111 800 47y2=9888 or vfs� 4setce tcemou tnwatelr ctrjlo add to Baur order «.oa....�as..i - .�sr rr 6/ az'b� 'zxx?..����f ��d� s� t��,,:�m�"G �� "�A6` x^ +�. ±✓ �.� ���z;2�da n'Y„ /�X > ,�� ' �� /lz y.,-.�c?. >rm, ���a,re � � �''d", zu '�� �,�€'"3� �f�a^"d'� d%z ��`,.'�x�%„ ��'� , � � �"- `rr �^' s ,' ,., n?� � r�'�✓"r' ` i v/�',��:%%�y"a y `r' f„��`���'" � � P.;azs�N`,yaF� �j✓�`' / �f'f� -�a?"' µ '^I d � /" I ."�� �;�,�`. "'' d", „�� „" ,>, ., a': 'a�+�5xr�.�aC'9��� y /�✓�'"� _r �''"��'"�.�.�.%F,`i ���-d,�:"z °,,,3' xr :� ;'r`,:„y' r�� � �d�err �� �9 � ,�;:n ���dv"J'��"", ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1.800.472-9888 or visit service.icemountainwater.com. ® o e ® ® e Delivery address: CITY OF CARMEL,1 CIVIC SQ, CITY ENGINEERING DEPT,CARMEL IN 46032 PREVIOUS BALANCE 49.06 4/04 545347 PAYMENT-THANK YOU -24.53 4/09 0877318519 5 5 GAL ICE MOUNTAIN DIRK W/HANDLE 17.45 5 5 GALLON ICE MOUNTAIN BOTTLE,;DEPOSIT- .00 1 9 OZ PLASTIC CUP SOCISLV ,Ej60 7 8 9'7® 3.29 6 5 GALLON ICE MOUNTAIN DEPOSIT`RETURN _ 7� .00 4/30 D6366728 RENT ��� 3.99 TOTAL tCENECS 49.26 MAY 2014 CAPMEL tp CITY ENGINEER 19-1 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 49.06 — 24.53 + 24.73 = 49.26 ---------------------------------------------- BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL,OR FOR YOUR VOICE-4 A REPORT ON WATER QUALITY AND INFO 1. Please remember pay7riep�g ds bOthCLP US SERVE CALL 1-800-472-9888 OR WRITE US AT: RNIATION,PLEASE YOU BETTER ICE MO 2. Remember,if you are renting a ut ment,your equipment rental is charged one month in advance.That pay by"date noted to ensure the Smoothest service. #216 ` SPRING WATER CO. your first invoice will include pro-rated fee for the current month,plus the next month's 6661 DIXIE HWy SUITE 4 3. Kindly fill in the means LOUISVILLE,Ky40258 If You amount enclosed, include your account n rental. Y prefer,you can pay your bill online at se umber on your check, If you wank your bill is wron , 4• Never hesitate to call us with co rvice.icemountainwater:com and do not send cash. a transaction on g or if you need more information about comments,Your bill,write us questions,or concerns. must hear from you in_ on a separate sheet of paper.We sent you the firstill on which the error oting no later r Problem a�thirty a p days after we telephone as,but do' appeared.You can doing so will not preserve your rights, give us the following information: In Your letter, Your name,address,telephone and account numbers. SAMPLE INVOICE • The dollar amount of the suspected error. • Describe Date range of this invoice we error and explain if you can,why you believe were is � a4 error. You are obligated to pay the parts ofyour bill that are not in question. You do not have to pay we disputed amount thiole it is being inves8gat'd.During the investigation,we cannot as delinquent or take any action to collect the rept i your account GENE amount in question. ' 00/00100.00/00100 123456)890 1 Your Account Number 1.PaymentsRrew-INFOr wRMATION saimiTNR-oc o4 u34swe� � Your next invoice.Past due invoices g(INVOICE appear on Important m MON.ocr n dalewill a portant ME-DEC 121 8 Watch here for a billing (not paid within 30 days of pews and TOE-DEC g date)may be assessed a late fee as allowed by law not to exceed nit(1fl�G f1lUd"JJ1ft 46 11 a}"Ilddlt 5c da:+eoo e,z9BBB Personalized account — per month.Additionally,third party cotlection/attorney offers toh Doe message expenses may be 23 Mal s+ Th°nkyou for using ice Moun a n p odu b Y assessed at a rate not to exceed 100%of the gtyswt 00000 and eM— unpaid balance or we maximum allowed bylaw. -— t,",at1 iPa.pt ntG 1i tt 4H G Rd��d tt 2.Each returned check is subject to a service charge subject to the l maximum check return charge allowable in your State. 3. All bottle q P •�M +3r a + and a ui ment d ' ACTMTY. deposits are shown as CURRENTActivity " = Pay-electronically 4• Equipment replacement costs will be stolen,damaged or not re charged for bottles Lost, since your 5,In aC r wed ACCOUNTACTIVITY v emwwa n ta m a�•a , �n+�" flake sure this co dance with NWNA's Terms and C Inst Invoice ° Equipment Lease and/or Conditions(°°T&C'j,your Oe1 eryMdsees:khnDaA InWln5,,eLCtY.State WWI amount has been subject to m' Service Agreement account psedo4E Thank OapnanE.ThanRYpu Paid in full to mimum monwl unt may be °& es,B9B i avoid late fees fees. Aco Y Purchases and/or early cancellation 3+7 +4^44 s sGarcpnNapaiswm9wa,e. ( mplete version of the current T&C ma n, svBes,4a4a 5 lu Moun aln 5 G ID po it _ a o website listed below)Upon service discontmaybq rent foon ther the p9i" anBes,aa s keMo nwlnSG IR m a I 091,2 3+0263BM1 + we�surchx9 ✓ � '°` Monthly Olt Leased Equipment is charged thou osn2 ,6540497 Rent � 2r t1'�a «x in which service is discontinued.through the end of the billing cycle 7 Surcharge,Fuel 6.You will be charged a monthlyTOTAL Surcharge or Delivery Delivery Fee as described in yo6ilur Surcharge,Fuel Surcharge or t Fee(see#6 under .Will apply ee each account Only one of these fees is stated on the front The fee that applies to Payment PaEwvuSRatANa_PATMFEtE,Ao�95tMENT <DPREnrACTN,ry = EAYTRrs AMODNr of the invoice.For PP your account Stub accouNrsuMMaaY O x + orm visit the . Information-) "General website listed below further information pleaseCPYO<°'•�•~ s,ea�xmm,�am�uda � n� center. or contact our cus -------UMBER ---------- -- y u�W"�en4 '0Uf1e1 ACCOUNT NUMBER PAY BY PAYTNIS AMOUNT tomer service 7.As a food product, bottled +2MS67890 OOOD OD Iva is sub'ect to NVOICE NUMBER BWNO DATE ENCLOSED regulations promulgated b the rules and 1234SU99D ooroOloo f Administration(FDA). Y the Federal Food and Drug i S.Your first invoice indicates the a4aaa%307 04282712619 000391049 2004 16 delivery,along with an Products delivered on your first 'r Amount due redemption fees,and an applicable bottle and account deposits, .CE MOUMAM WATERCOMMMN tphn ope I will reflect ch y dispenser charges.All future invoices OM a N tl W "�" Ot Mem sc arges for water delivered and dispenser rent bottle ugswEe oD2oo deposits and credits plus charges for an 1«tna satc.,att t6 tt«Fa.:¢»tttaat; EOR CUSTOMER SERVICE GLL1�800.4759000 Submit your ordered b y additional products ❑Sg PEOR fiFN DFA 51gnUp p retlO Rax Ade ❑PmtA y< 9 onR mad Payment by this a total of 16-17 deliveries per ear mada every three or four weeks,for __ - •- date 12 times per year,so approximately P Y You will only receive invoices i two deliveries. 5 of those invoices will reflect ©2008 Ice Mountain Spring Water Company,a Division of N service.icemountainwater.com estle Waters North America Inc. y m'� Form No.NW 70908/12 -- 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 5/2/2014 04D01 water cooler $ 49.26 Total $ 49.26 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 i VOUCHER NO WARRANT NO. j? I Ice Mountain ALLOWED 20 i POB 856680 IN SUM OF$ h Louisville, KY 40285-6680 t $ 0&/�3 j ON ACCOUNT OF APPROPRIATION FOR I Board Members ` Po#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT# I hereby certify that the attached invoice(s), or 0 04D01 2200-4239099 $ 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 f i 5/5/2014 Signature i City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund 1101 service.icemountainwater.com ° 0 1 8 ' #215 6661 DIXIE HWY,SUITE 4 04/01/14-04/30/14 14D7220327048 ' LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED WED- MAY 07 IIIIIIIIIIIIIIII'lllllllllllllllll JUN 7220327048 FRI- N 06 TUE- JUL 08 WED- AUG 06 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.Its free) CARMEL IN 46032-2584 �'ll I��Il�rll'��"Ilrllll�l�llll�llll"I��I��Illll�������l��r��rl t Trythe'Great NEUV taste of NESTEA NOWt,Save$3 off'a 12 pack of " oa cans for a promoted,,-price of$3 99 ,; AND$3 off a 12 pack of Nestea 112 liter t�ottes,for a promoted price of $5.991 Gall 1-800-472-9888 or,Visit _ service Icemoufalnwater com to add to your order► " ., a "'-s2 «.,.., �..CS' r., LL ,. ,-• " ..a�a. b`Ba?;.�?kzu�rrt' ., ..�.,.-�w r:....'m.�..a -, .�":: .. ..... .... . .„�EPz� '",., .,�,s:, �;2'"-"e'w 1 ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1.800.472-9888 or visit service.icemountainwater.com. Delivery address: CIN OF CARMEL,1 CIVIC SQ, CLERK TREASURER OFFICE,CARMEL IN 46032 PREVIOUS BALANCE 3.99 4/30 D6396297 RENT 3.99 TOTAL - 7.98 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT �� Subject to terms on reverse side. 3.99 — 0.00 + 3.99 = 7.98 BILLING.RIGHTS SUMMARY IN CASE OF ERRORS OR QUESTIONS ABOUTYOUR BILL,OR FOR YOUR INVOICE-4 A REPORT ON WATER WAYS TO HELP US SERVE YOU BETTER QUALITY AND INFORMAIYON,PLEASE l Please remember payment is due by the"Pay CALL 1-sooa7z-uses ox us AT: 2. Remember,if you are renting e by"date noted to ensure the smoothest service. ICE MOUNTAIN SPRING WATER CO. Your first invoice will include equipment, nt,fee forequipment re month,plus he next month's rental. #216our the g month in advance.That means 6661 DDtIE MVy,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.icemountain er Or.com 1f on th' 4. Never hesitate to call us with comments, Y mk your bill is wrong,or if you need more information about a transaction on your bill, questions,or concerns. must hear from you in"ting no later than shirt sheet of paper.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: SAMPLE 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 a investigated.During the investigatimount while it is being on,we cannot report o ur as delinquent or take any action to collect the amount in question.�t ' 00100/00-00/00/00 ,z34ss7e90 Your Account Number 1 GENERAL INFORMATION23456789 I. 29 Payments received after the billingT"R-OCT=29 1 (INVOICE)date will appear on Important MOW=NQV V Your next invoice.Past due invoices n "�NOp r' Watch here for a (not paid within 30 days of news and NE-0Ec 1B billing date)may be assessed a late fee as allowed by law not M lust a�r�nGmtt yt1114(G6 7F1Ndl.attl?t c �mP1�rvI p 140-47298118 personalized account exceed$20perMonth.Additionall offers iwN n9 ThantyvuforusNglceMounulnpmdum message expenses may be Y third Party collectionfattorney 13 Mal se nnd.am... Y asse-ssed_at a tate- 0 oey,sut 000°0 unpaid balance or the maxim not,to_exceed_ICOJ of the I apo apab 71 4",t>V G 6Gtt�wd' 2.Each returned check is suimurnbject t loo ved by ch maximum check return charge allowable in Your bjec[to the ;re rou4�4'ttiis.„�„ ,yytc �'u �6�7 3. Al] bottle and equipment deposits are shown as Cl]RRENr1. �` Rwru "s� ' Pay electronically- ACTIVITY. Activity 4. Equipment replacement costs will be since your 1 Make sure this stolen,damaged or not re charged for bottles lost, AccoUNT ACTIVITY "°""rt"" m^v•°`�" 5.In actor returned. last invoice dance with NWNA's Terms and Conditions("T&C DelrveryA6d—1 h Doe,InMalnStr L Ury,5 ate 00000 d amount has been Equipment Lease ")I Your PmnUSBaiana ovo paid in full to and/or Service Agreement account may be GN31 461890 avoid late fees subject to minimum mon „ n7ees14aa4 s swnynNamalspn gwat6r ou« fees.(A complete version of lthe cuchases an may be viewed early cancellation n, 3,7Bes144a4 s I eM°•nw nseal0epo a - a a ) the °9/11 31788514444 5 Ice MovntainS website listed below)Upon service discontinuation rent for �� 3,B:6BRBn e="s• 9= ` l�" Monthly Oil 166aw9 I I rr Surcharge,Fuel Leased Equipment is charged through the end of the billing cycle in which service is disco through Surcharge or Delivery 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge ori Fee(see#6 under Delivery Fee as described' will aPP1Y to each a bed m your T&C. Only one of these fees '.XX "' OSMYUNT uGe��� account The fee Payment stub B4UNCE_o YMu+v�orvl*�+�M ^'""TM is stated on the that applies to your account accouNr suMMAar + a« atio visit front invoice.For ..>",.e..o o•—•t=•r�•"••^°^"--- :naw w Information') -------------------------- ion the website listed below or contact our customer service COIIteL, ACCOUNT NUMBER 9AY BY PAY Ta11AMOUNT 1239567890 00 00 00 ,ENGLOSEO ...1 7.As a food product, bottled water is subject to the rules and INVOICE NUMBER BIWNG DATE regulations 1234567890 00/00/00 promulgated by the, Federal Food and Drug Administration(FDA). 0420096307 04212712619 000391049 2004 16 8.Your first invoice indicates the products delivered on your first f Amount due delivery,along with any applicable bottle and account deposits, oEMOUNIANWATFACOMPANY wA•°°` redemption fees,and any dispenser charges.d a fu "" `w""°" m tl'" of Mam sv Will reflect charges for water delivered and dispenser rental,bottle crysacB 00000 Lo� aa rm rl»:au,u�ut 4+ulawu G°RwST°MENSERVCEGAI,� 72.9888 Submit your es deposits and credits plus charges for any additional products S:UPMRfBE¢AUl°R-tl IUp Rey ImdOnRneru ❑R 4A rn 9 a e°e Payment by this ordered by You. Deliveries are made eve =� date weeks,for a total of 16-17 deliveries per year.You will only recemive 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.icemountainwater.com -- -- Form No.NW 709 08/12 Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995) CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. 1 Payee Purchase Order No. l " Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s).or bill(s)) Al Total 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. i ALLOWED 20 IN SUM OF $ 10vx5 �� P $ i I ON ACCOUNT OF APPROPRIATION FOR Board Members PO#DEPT. # DEPT. INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s), CI qD-7,),7 o)-3 3 or bill(s) is (are) true and correct and that Q 0 the materials or services itemized thereon for which charge is made were ordered and received except i 20 Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund