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237150 09/16/14
�i CITY OF CARMEL, INDIANA VENDOR: 051125 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CHECK AMOUNT: $*******264.44* ?4; CARMEL, INDIANA 46032 PROCESSING CENTER CHECK NUMBER: 237150 PO BOX 856680 CHECK DATE: 09/16/14 LOUISVILLE KY 40285-6680 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4239099 04HO12004852 24.93 04HO120048525 1125 4350900 04HO12009535 11.98 04HO120095351 1091 4350900 04HO12120276 52.05 04HO121202766 1205 4239099 04HO12177619 3.99 04HO121776199 1801 4350900 04HO12197559 62.09 04HO121975593 2201 4238900 14HO11782108 109.40 14HO117821082 1 se rvice.icemou ntai nwater.com #215 6661 DIXIE HWY,SUITE 4 08/01/14-08/31/14 04HO121975593 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED IIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIII TUE_ SEP 09 0121975593 WED- OCT 08 WED- NOV 05 MON- DEC 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 convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. + � <z '. ra ^z Sa 'ceon fantastoBack to=Sciciol EssenttIst uxGet3a1Ooff when au purchas (1)Boz 48ac�C or{2}12az "^,..>r,*" r''w `<r 'a zW �#rt ,li" •`.' :d 24- ac�r, nffles ; c stunchX�fr enttt ! oz trFec+fot to tNys 8,busrJ Moms Call1 800-472 938 '��r� ��"% , ''z"'a5 'r wf a � g�iniwa ' ,; ap ° caa ' Y1` 'v .gra fi ,' y': `' r �1�✓ ,w"E�fx yF,to-�.�, 3'x x.,, �, s.;''"A ' �r''` sx ;. a•�I "` 'fir 4l-x% r�i .h��a�4� '�° �=y dfjY's'" a � kt��� :.,.rr � -r. 3 ,t`f✓ ai '��F tig ?.u'9�,+`£urF Y d =arx :r yb-r:. ,�• z �rP' s � p�,"r 'T > h�i, ..,? l" " F•,,-n s� ` 6tT „ lF' �` ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1.800-472-9888 or visit service.icemountainwater.com. ® n e ® ® e Delivery address: CARMEL REDEVELOPMENT COMMISSION,30 W MAIN ST STE 220,CARMEL IN 46032 PREVIOUS BALANCE 30.13 8/06 0895975027 3 5 GAL ICE MOUNTAIN DIRK W/HANDLE 23.97 3 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 18.00 3 5 GALLON ICE MOUNTAIN DEPOSIT=RETURN -18.00 8/25 0899509970 3 5 GAL ICE MOUNTAIN DIRK W/HANDLE 23.97 3 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 18.00 3 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -18.00 8/31 0900543646 1 OIL/FUEL SURCHARGE 3.16 H7081023 RENT 10.99 TOTAL 92.22 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY_—'PAY THIS AMOUNT lr Subject to terms on reverse side. 30.13 — 0.00 + 62.09 92.22 BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR QUESTIONS ABOUTYOUR EILL,OR FOR YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER A REPORT ON WATER QUALITY AMID INFORMATION,PLEASE 1.Please remember payment 1S due by the"Pay y CALL 1-800.472-9898 OR WRITE US AT: p y b "date noted to ensure the smoothest service.- 2. Remember,if you are renting equipment,your e ui ICE MOUNTAIN SPRING WATER CO. your first invoice will include a prorated fee for the current month,plus d o next month's #216 equipment rental is charged one month in advance.That means 6661 DIXIE HWY.,SUITE 4 3. Kindly fill in the amount enclosed, include your account number on rental. LOUISVILLE,KY 40258 If you prefer,you can pay your bill online at service.icemountainwater.com check and do not send cash. If you think your bill is wrong,or if ou need 4. Never hesitate to call us with comments, Y more information about questions,or concerns. a transaction ori your bill,write us on a separate sheet of paper.We must hear from you in writing no later than thirty(30)days afer 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 letter, 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 mere is an error. You are obligated to pay the parts of Your bill that are not in question. You do not have to pay the disputed amount while it is being investigated.During the investi adO 4 as delinquent Or y g n'We the am report Your BCCOUlIt 00/00/00 00/00100 1234567890 9 take an acfion to collect the amount in question. E Your Account Number '(17f;6�RY3� GENERAL INFORMATION ,RB-oRH4 1234567E9 I'Pay'rents received after the billing(INVOICE)date will appear on Important MON Da 39 your next invoice.Past due inYO1COs not aid within `UE-NEC 31 Watch here for a TUE-DEC 18 ,,1 billing date)may be assessed a late fee as by law not to news and ti;tl nt`nt tarcl�iltititt ,iillat lt1dU; c" mefs �.l aBo+7z-9Hsa personalized account exceed$2ppeimonth:Additionally,thirdionoffersattorney __ I°n Doe naaky°uf°rusinglceMounWnp°aum # message expenses may be assessed at a rate not to a exceed 100°g of the z3 nu se d acorea. ❑rysut 00000— ,-- _ unpaid balance or the maximum allowed bylaw. leapt tptaa wit m•uu u GUF,Gd tt _ 2.Each returned check is subject to a service charge subject to the # l maximum check return charge allowable in your State. � e ° gar ^ v°�r 3. All bottle and equipment deposits aze shown as CURRENT V. ' Pay electronicallyv -m rar�3m 7"w�a �t�rttxz""t« f' $ ACTIVITY. Activity 4. Equipment replacement costs will be charged for bottles los; since our ��m�m Mmma �aanaM s Make sure this stolen,damaged or not re y ACCOUNTACTNITY v .°• ^� 5.In accordance with NWNgsnerms and Conditions("T&C" last invoice amount has been • Del r Address loM Doe,133 Ma(0 street.oty SwM 0000D Equipment Lease and/or Service Agreement account )Your paid in full to 4 Payment-ThankY°u ""'" avoid late fees subject to minim unt mai be um monthly purchases and/or earl „ 3nggs,a4a4 5 SGailan Na uml SpdngWater oUo fees.(A complete version of the current T&C may be viewed onthe O9/11 31JBg5144M 5 Ice Mountaf SG IP > Monthly Oil website listed below)Upon service discontinuation,rent for the 09y13 3183638811 , els"repay Leased Equipment is ch own 1660497 8" li a, s41 Surcharge,Fuel barged through the end of the billing cycle 11 1' in which service is discontinued. Tom Surcharge or Delivery 6.You will be charged a monthly Delivery Oil Surcharge,Fuel Surcharge or W t Fee(see#6 under Fee as described in your T&C. Only one of these fees "General vamous eNANca._vAnuENVA9lurrtnN+r}aaauar^<nvlrc _ vd7xu ourar will apply to each account. The fee Payment stub ACCOUNT SUMMARY a O O will on the front oft that applies to your Information') he invoice.For further y accounta�m�m a ae s Info visit information n...a,a.a.. .......W,N°— ----Y "` ' n' the website listed below or contact our customer service center. 0emo1""iVipi°"°•°""'s"'°"°�'�` ACCOUNT NUMBER PAY BY 9AYTNISAMOUM 123956]890 00 00 00 _ 7.As a food product, bottled water is subject to the rules and INVOICENUMBER BIWNGOATE ENCLOSED 1234567890 0oi.,o ,_,.. regulations promulgated by the Federal Food and Drug Administration(FDA). 0420096307 04282712619 000391049 2004 18 8.Your first invoice indicates the products delivered on your first Amount due delivery,along with any applicable bottle and account deposits, CEMOUMANWATERCOMPANY �neoc redemption fees,and any dispenser chabot es.Al]fu DH °""" "'" u oz,S st will reflect charges for water delivered and dispenser rental,bottle CiryS�te ooaao future invoices Submit your deposits and credits plus charges for an t"a�!"'r"'�'^`R"au q�kkl"h-M+t�u�t!^p FOBCUSEOMER SFPVILE CA1L 18WA]3-9888 ❑SIGNUPEO8P8EL 4roPAns,nBpBeq"I,�on86a ❑•^"'mmane�°°8ema•68 I payment by this --nrderedby you.Deliveries are made eve y additional products _t date ry three or four weeks,for - atotal of 16-17 deliveries per year.You will only receive invoices- ��- w 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. y service.icemountainwater.com Form No.NW 7o9 02/14 7An ibed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL nvoiceor 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 r , (e /:.IOU141 ailh P1 ree+ Purchase Order No. 1-5 80 Terms LwAyyllle. KY.' 402-95- 6610 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 9-7-11F 62.°9 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 JOUCHER NO. WARRANT NO. I_- ALLOWED 20 Ice nn�dan1�/ ,n J'i 1'P1 IN SUM OF $ Louis Ville K poi lS—I;480 $ 2. °9 ON ACCOUNT OF APPROPRIATION FOR l �a� 4350900 Board Members oEPT r INVOICE NO. ACCT#!TITLE AMOUNT I hereby certify that the attached invoice(s), 801 0�N0 21 �sS9� 435n ob 62.01 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 Signatu itie Cost distribution ledger classification if claim paid motor vehicle highway fund i service.icemountai nwater.com #215 6661 DIXIE HWY,SUITE 4 08/01/14-08/31/14 04HO121202766 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED I'I I I"I I I I II I I I I I I I I 'I II 'II MON- SEP 22 0121202766 II'I'I MON- OCT 20 TUE- NOV 18 FRI- DEC 19 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 convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. 121", iry' ✓,rr, a ,, y,7y „ir?1 s�" L'i✓`5, a z�&. ri 543 an stBacktci=S` oolsEssenti 51 Ca@t l < f a .e a l p ri m y � 1 $1t?0 aff when�youpurchase(1}Boz 48 hack or.(2)12`oz VIVO', Pt8 oz�s lun Box fr,Iendl antlQ 12y&az} perfect for<ths &busy moms« ?,it service icernountainwat rcomo ortler>I s, �'i� ��ar' "�' n.✓d-y F a �� d'' z sv`� �, �”,�" �a//r��. ,� � �r� ��u' � ,� NEW li':1 k r J �,ff r p '.rk feyw y �. M'441 smc^f, aa�" �J s �' ,* 'a,'"^ y�y%x.' a 3 1 �c,, ..✓roa�y�t u.,kyr a py,. +e k, yy �''i ��;�'�(°'��''a"r '�.a Xa£� "^;-6,w a�:r r�aP:�;��a'� �r�',,:}r...g�' d ✓.;��y3„snl,.,., `. `�%°��,r�, r" j� �`,! ��„.;ra, .,��'��1„n�,":: ACCOUNT ACTIVITY For questions or a report on water qualit and information,call 1-800472.9888 or visit service.icemountainwater.com. B, e Q e Delivery address: CITY OF CARMEL PARKS DEPT/MONON CENTER,1235 CENTRAL PARK DR EAST,CARMEL IN 46032 PREVIOUS BALANCE 40.05 42.90 8/21 0898267141 10 5 GAL ICE MOUNTAIN DIRK W/HANDLE BOTTLE DEPOSIT: 10 CHARGED, 10 CREDITED ?--Y-'d`'7 %-T-7' .00 �X) 8/31 0900526468 1 OIL/FUEL SURCHARGE 3.16 H7118669 RENT SEP -9 2W 5.99 TOTAL i 92.10 DPA QV QC-) W-mEaP,— 1 - (Dc)( - x--350 DD C, N/)ne: ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT .Jiggilaiggs on reverse side. 40.05 — 0.00 + 52.05 = 92.10 BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL,OR FOR YOUR INVOICE-4 WAYS TO A REPORT ON WATER UALITY HELP US SERVE YOU BETTER Q AND INFORMATION,PLEASE 1 Please remember payment is due by the`fpay by"date noted to ensure the smoothest service. CALL ICE v800-NTAI ss R WRITE us AT: 2, Remember,if you are rentinga uI'Patent,your equipment rental is charged one month in advance.That ICE MOUNTAIN SPRING WATER CO. your first invoice will includa pro-rated fee for the current Month,plus the next month's rental, #216 means 6661 DIXIE HWY,SUITE 4 3• Kindly fill in the amount enclosed include your account number on your rhea LOUISVILLE,KY 40258 ffyou prefer,you can pay your bill online at service.icemountainwater•com k and do not send cash. Ifyou think your bill is wrong,.or if ou need more information about 4• Never hesitate to call us with co mments,questions,or concerns. a transaction do yotit.6ill write us n-11separate sheetofpaper,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, c give vs 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 i an error. f you can,why you believe there is You are obligated to pay the parts of your bill that are not in question. You do not have to pay the disputed amount while it is being investigated.During the investigation,we cannot re orto 1234567890 as delinquent or take any action to collect the amount int ur account , 00!00/00-00!00!00 Your Account Number "`GENE R question. � E %r I,Pa after ON -- --_ PCL-Dc o4 123456789 i Payments received after the billing(INVOICE)data will appear on Important �' MON-OQ 29 Your next invoice.Past due invoices(not paid within 30 ~ " "°v 2' ? Watch here for a billing date)maybe,assessed a late fee days of news and rv�o cae exceed at as allowed by law not to -ltytl lFt Hdt[31tG«illlltNk aEiHpmS[)dtkl. c,°,e,,,e,k„,�:,soo-472-9sss I—personalized-account _ $ per month.Additionally,third offers ono 7w4y°4f°,4„n9kd M9°nW°P� message expenses may be assessed at a rate not toarexceed 100%of the anomey 723 s” st a•amu Gry Stat 00000 -, unpaid balance or the maximum allowed by law. I.mt dnHwn t y it n ua G t iuE d6a 2.Each returned check is subject to a service charge subject to the maximum check return charge allowable in Your State. ee Eta k:iPmmla�aur m.Yo�tntcdi ' 3, All bottle and a `� �^a E 4, Pay electronically equipment deposits are shown as CURRENT ACTIVITY. Activity 4.Equipment replacement costs Will since your « Make sure this stolen,damaged or not returned.n be charged for bottles lost, accouNrarnvm > •kM•t . 4 5.In accordance with last inyojCe NWNA's Terms and Conditions T D•.enAad—,°n,t) .123MamsueetC1tYS+e 00000 amount has been Equipment Lease and/or to Service Agreement account may be "�1oY5�la^� a�a paid in full e f Ina°aro" "10` I avoid subject to minimum month] 0831 461898 Pa'°'•^ >a>a d late fees y purchases and/or early cancellation m 3naes,44m s sGau°^N:W Isva eWa� � ,l fees.(A complete version ofthe current T&C may be viewed on the "' "'8851°"M s ,^M9umamsGalDea° 09/11 31)Ett5144a4 5 IR Nonoral 5G IRetu website listed below)Upon service discontinuation,rent for the 0112 3,82638en , vs°rcnay 1� I Monthly Oil Leased Equipment is charged through the end of the billing cycle 0W,2 ,6E4c497 ^abry � Surcharge,Fuel --zf&,€ ;¢ 711.,11 in which service is discontinued. T0T"E - _ Surcharge or Delivery 6.You will be charged a monthly Delivery Fee as described in yoOil Surcharge,Fuel Surcharge or IFee(see#6 under ur T&C, only "General win apply to each account One of these fees Payment Stub P8Ovv4,e4uN f_ +N0.uM4cmm ra is stated on the front The fee that applies to your account nccauNrsumMasr x6 a o x -- ah :�m�"�,� i Inform ontoftheinvoice.For so,,..aaP„o.e..^,•._^,�.•••�^f�u»,..»_---- -------------- ; n, fiutherinformationplease ------------------- 9nvev rnvre7snn7ODNr visit the website listed below or contact our customer service o"a"°""4 m� ' ^ ncc12.5 7890' 00/00 00 >xxr { center, 723456]890 ,ENCLOSED 7.As a food product, bottled water is subject to the rules and NVOKE N71190 810010=0LUNG IE regulations promulgated by the Federal Food and Drug 23456]890 0010Groo Administration(FDA) 042°1196307 04282712619 000393049 2004 36 S.Your first invoice indicates-the-products delivered-on -first _ Amount due delivery,along with any applicable bottle and account deposits, cEMou TaNwar3ncOManNv 1^n^DO= 1 redemption fees,and any dispenser charges.All future invoices _ aN 723nnsnst CirySfate 00000 ,! will reflect charges for water delivered and dispenser rental,bottle - ...�F Submit your UJtlt^felV«.J6,!L gr64��tinE.63.t.J�+tt Wp'tl13TOMERSEe910E GLLl4t00<12-9880 deposits and credits plus charges for any additional products ❑Scxw onmE omPnnsl9^uv Pm as nM"•sa O "ryO"9g°^ -Payment by this ordered by you. Deliveries are made eve date a total of 16-17 deliveries per O'will or four weeks,for __-_ -- w-- "''" `� 12 times per year,so approxim year. 5 of those my receive ete will voices two deliveries. (D-2008 Ice Mountain Spring WaterCompany,a Division of Nestle Waters North Atnerica�Inc. Q Service.icemountainwater.com - O,�f• - _ 'Form No.NW 76902/14 i service.icemountainwater.com ®S ® ° #215 6661 DIXIE HWY,SUITE 4 08/01/14-08/31/14 04H0120095351 / LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED IIIIIIIIIIIIIIIillllllllllllllllll MON- SEP 22 0120095351 MON- OCT 20 TUE- NOV 18 FRI- DEC 19 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�'lll�l'llll��l" '�III�' 'I�'I'1��11'��II'lll'll'��I�II�1'lllll convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. F U� 'Cirn�.:�pur Sane on fantasl�IcBack to Schdol Essenttalsf Geta$1� IQ<aff when�/ou chas {1} 8oz 48 pack or(2)120H E-241Pack bottiesl 8 oz ls'lunch boz frlendiy and 12 ozis erfect forxteens' busyg-&h' Ca111°800-472 988 or 4`a ery,yaa ;?.✓: � r,Q. �"' r ,#'3` Y; &+r" c:a vts t^servicece"11n �#a� ter� om'to4s�.rcfct4. ..__.__ �� 3�.. , '' u. f `ci ,a .✓ hr'�v,�; l . ✓ cl ,'.:^' rur;t 'r r ,y Y k"%' . / E r r rr x" 5 Tr. z�t ✓ yr'`� �.`y✓.,c' �m , '��� x �r%,�x� 'xar rx z�`�`r „r�eA � ^d r �� F x"� �-,e .:'r rrS ..x. '�a xr,e � `���.�' ,�F "' � er' "�^x<'�`l a ✓ate;;. T srfr" ' ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. Delivery address: P CARMEL CLAY PARKS AND REC DEPT.,1427 E 116TH ST,CARMEL IN 46032 PREVIOUS BALANCE 71.20 8/31 H7032416 RENT 11.98 TOTAL 83.18 Purchase DescriptionDWMINIC-) u1A1H4 An0,q© P.O.# P or F G.L.Budg# et Line Descr Purchaser. - -_= -Date -_ Approval Date ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT I Q,,._ Subject to terms on reverse side. 71.20 — 0.00 + 11.98 = 83.1a f BILLING RIGHTS SUMMA, — IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL,OR FOR YOUR INVOICE- A REPORT ON WATER QUALITY AND'NFO 1. Please remember Payment 7t s ds byOthe"aP US SERVE IOU BETTER CALL 1-800-472.9888 OR WRITE US AT: RMATION,PLEASE ICE MO 2, Remember,if YOU are renequipment, pay by"date noted to ensure the smoothest service. UNTAIN SPRING NATER CO. Your fust invoice will include a uipment,your equipment 6661 pro-rated fee forthecurrent mon h charged one 6661 DIXIE NWY, 3, Kindly fill in the amount enclose g month in advance•That means LOUISVILLE, SUITE 4 plus the next month's rental. KY 40258 If you prefer,you can a d include your account number on your check and do not send cash. pay bill online at sarvice.icemountainwater.com Ifyou think your bill,is wron 4•Never hesitate t0 Call us a transaction on B,e- if you need more information with comments, YOu'r.bill;write us' about questions,or concerns. must hear from you in writing UO later thanate sheet of paper,We' sent you the first bill on which the error or problem a30)days after we telephone us,but doing so will not preserve your rights.In your letter, appeared.You can give us the following information:. SAMPLE INVOICE• Your name,address,telephone and account num • The dollar amount of the hers. `•�IC Describe the error and exsuspected error. Date range of this an error. invoice • plain if you can,why you believe there is You are obligated to pay the parts of your bill that are not in question. You do not have to pay the disputed amount while it is being investigated.During the investigation,we cannot report your account as delinquent or take an _ y action to collect the amount in f 00100/00.00(00(00 1234567890 _ question. VourAccount Number GENERAL INFORMATION 1•Payments received after the billin 123456789 g(INVOICE)date will a T w Your next invoice,past due invoices billing date)may be appear°n Important "ON 39 ' (not paid within 30 days of news and of NOVo c ie exceed$20 per month. ddit Additionally,third ate allowed by law not to Watch here for a IIA 111'nA' illllpl Tdai1dlJdtf. Cun9metSeMcea80047M888 personalized account expenses may be Party offers offers 12 D e - _ Y assessed at a not I23M.I.st Thmky°ufwusinglceMoenIDtnptoducta message unpaid balance or the maximum allowed by law. dry State og000 a,d>Mm - Be to exceed 100%of the t ttl t t r f„„,a IG Jh4a„t.„hut ha U 2.Each returned check is subject to a service charge subject to the maximum is charge allowable in your State. 3.All bottle and equipment deposits are shown as CURRENT `""Ce �`'�ana�ae�5�waa^„ntt,awRa.e.ee„>!nupc9^+^9 ACTIVITY. Pay electronically 4. Equipment replacement costs will be charged for bottles lost, Activity stolen,damaged or not re smCi Your AccauNrarnvtrT Am,��4••,•.m^,a •°��°°"'°"°"'"^' Make sure this 5.In accordance wed' last invoice m :e With NWNA•s Terms and Co Equipment L editions("T&C", oe ryAddresJ9hn0oell3 ainSreeGoYSmte00000 amount has been Lease and/or Servo ce A )your PreH°u Balara a a t paid in full to subject to minimum month) greement account may be Deni 4b1898 Paymem-Thank o a a fees.(A complete version ofthe current T&C may be vieases and/or early wed onthe "' 31�s14n« s sGmenna alspdn9 9 avoid late fees /11 31T885144a4 5 ke Mw+n al SG IDep°slt " ,�,,� website listed below)Upon service discontinuation rent for the 89111 31788514911 1 lull 1 5 m aw t Leased Equipment is charged 0911 IWffi 9811 wea„d ( Monthly O$ g throu a9nz 15d19a97 rkm 1Lj s/!-F 11�l in which service is discontinued. 1h the end Of the billing cycle Surcharge,Fuel Taro 39� Y° .�.,,.,�' xwtx 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge ori Surcharge or Delivery Delivery ° ''" �� � Fee as described in your T&C, Only one Of these fees Fee(See#6 under ,will apply to each account is stated on The fee that applies tO Payment stub ACCOUNT SUMMARY P°mus):r<e-"TM /"°'° " +tea n = '"r N "General the front of the invoice.For Your account visit the further information Information) website fisted below or °rtnattonPlease °°"°`"°'°'°°°'"°'°•—°'°�`"'"`"°°"�•�"� 1�em�da<. { center. contact o ------------------------------------------------- nformat' n� ----o•w,wt,em.m�„rcn,eeP.rmml our customer service ACCOUNTNUMBER PAY BY PAV TNI�S�DONT , 7.As a food product bottled water is subject to 234567890 Bo o0 a INVOICE MIMBut BIWNC GATE .EN[lOSED regulations promulgated b the rules and ` y the Federal Food and Drug 1234s67B9g 0010 oo Administration(FDA)- 8.Your First invoice indicates the products ddllveIed-np yyour fif'$t - 0420046307 04282712619 000391049 2004 16 delivery,along with any applicable bottle and account deposits, Amount due redemption fees,and an -- - - ICE MOUNTAIN WATER COMPANY john Doe .uM,M,a NeWxamar+vm A'eic.N° GW,,5tatestOMM urc invoices will reflect charges for water dispenser and dispenser rental,bottle t Submit your deposits and credits plus charges for an I.an,t„a,.nt tl.dti tl�a„I„66tfawa pp CUSTOMER SFRY CE CA 41$OD4R 9888 ordered by you. Deliveries are made every fhreedor four] Products ❑51GNUPiUR R EA OPA 51gnUpP qW d MR rs 4. ❑ANt a 9 U R °LM payment by this a total of 16-17 deliveries per year.You weeks,for _ z-. - ��_- date _-m _.. _ _ _..__ , only ve 12 times per year,so approximately 5 of those invoiceslwill eflec[ two deliveries. - ©2008 Ice Mountain Spring Water Company,a Division of Nestle Waters North America Inc. service.icemountainwater.com Form No.NW 709 02114 S.- - 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 9/3/14 04HO121202766 Drinking water& cooler- MCC $ 52.05 9/3/14 04HO120095351 Drinking water Maintenance Dept. $ 11..98 Total $ 64.03 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. 051125 Ice Mountain i Allowed 20 P.O. Box 856680 Louisville, KY 40285-6680 In Sum of$ $ 64.03 { ON ACCOUNT OF APPROPRIATION FOR 101 General fund/109 Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1091 04HO121202766 4350900 $ 52.05 1 hereby certify that the attached invoice(s), or 1125 04HO120095351 4350900 $ 11.98 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 l r 12-Sep 2014 I Signature $ 64.03 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund i service.icemountainwater.com ®� ® #215 6661 DIXIE HWY,SUITE 4 08/01/14-08/31/14 14H0117821082 / LOUISVILLE KY 40258 ® D ADDRESS SERVICE REQUESTED TUE- SEPIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 16 0117821082 WED- OCT 15 WED- NOV 12 MON- DEC 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.Irs freel CARMEL IN 46074-8267 ����Ilrlll"ILII'ILII"I��IIII�IIIIII�����I���II�I'I��'�I�'II'II Sa eon#antastEc�Back to S1h,dol Essent>a�sl Geta UO off vuhetn you�purchas {1)8"oz 48 p ( kxor 2}12c� � 244 acKEbottlesl 8kcz cs luricl� oxfrlentllq7'r,aritl,lfa;OZ--I's "Arfect#oreeres &uus mem'4 ,C 11 00-4728$ or _ ` 'rf'. .,�.� ;c,. ,. ,.�. 1 ,n.. U� ,1� fi-se, tg 3= r vTON✓7r vnm y4 ..y€� Wit"erirlce tcemountatnWatel com to ord 1 y ma P #Oktt= i sF T v v '' *'F r w r e v f i 9,x K 4� j`a'r ' -x✓o s, r � y r x' c v 5 E�IS 'y tgr� y m55 y z f rr ,* r„T ev vii yf `" a `/ - d ax �v' .,f ? e y � . �xs ;rr� s..�m,xfla-.r", fl.M m,. ..'e" '' s�,^.z$, wr.✓ �:` . M?"llt, ,''�', �1 v 9 ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800.472-9888 or visit service.icemountainwater.com. @m e o Delivery address: CITY OF CARMEL STREET DEPARTMENT,3400 W 131TH ST,CARMEL IN 46074 PREVIOUS BALANCE -5.24 8/07 0896647559 7 5 GAL ICE MOUNTAIN DIRK W/HANDLE 24.43 7 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 42.00 8 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -48.00 8/15 0897063038 10 5 GAL ICE MOUNTAIN DIRK W/HANDLE 34.90 10 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 60.00 4 9 OZ PLASTIC.CUP 50C/SLV 13.16 3 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -18.00 8131 0900508607 1 OIL/FUEL SURCHARGE 3.16 H7001953 RENT -- -2.99 TOTAL - 109.40 ACCOUNT SUMMARY �� PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT p r Subject to terms on reverse side. I -5.24 — 0.00 + 114.64 = 109.40 BILLING RIGHTS SUMMARY — IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL,OR FOR YOUR INVOICE-4 WAYS Tp HELP US SERVE YOU BETTER A REPORT ON WATER QUALITY AND INFO 1. Please remember a CALL 1-800-472-9888 OR RMATION,PLEASE Payment is due by the"pay by"date noted to ensure the smoothest service. WRITE us AT: 2. Remember,if you are renting equipment,your equipment rental is charged one month in advance:That means ICE MOUNTAIN SPRING WATER Co. Your first invoice will include a pro-rated fee for the current month,plus the next month's rental. #216 3. Kindly fill in the amount 6661 DIXIE ,KY SUITE 4enclosed, 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 wron, r 4. Never hesitate to call us with comments, g o If you need more information about questions,Or concerns. a transaction on your bill;write'us on a separate sheet of paper We must hear from you in writing no later than thirty(30)days after we sent you the first bill on which the error or problem appeared.You can telephone us,but doing so will not preserye problem Tem appeared. In your letter,, Q give us the following information: = SAMPLE INVOIC • Your name,address,telephone and account numbers, INVOICE, • 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 ca �! as delinquent nr take any action to collect the not report question. account 00100/00.Go/-0100 1234597890 :. 4 Your Account Number amount in question. � E GENERAL INFORMATION ,:3458789 1-Payments received ager the billin TNR-oa a Your next invoice.Past due illingce�OICa(INVOICE) will appy on Important MON-NOV29 4 E� Z1 Watch here for a within 30111E-DECDEf,8 —— billing date)-may-be-assessed a;ate fee as allowed-by-law norto of news and p;tt nt RI ttllllyll1111n1 A1rll.AtddUl c",�me,seM,e:,eown-9e22 } personalized account exceed$20per'Mmh.Additionall,third offers _!a D9e �ankr9"{°,nangeeM9umampmwm message expenses may be assessed a[a rate not to exceedc100%ttorney of the 1=3 Main te -----,� — ^L City state 00000 6 unpaid balance or the m Lana I tIL,„n.it dhLn.,4�LUt.t maximum allowed by lav t 2-Each returned check is subject to a service charge subject to the maximum check return ch arge allowable in your State. T0�'a� `� 'w�.aera,�yw•ax 3. All bottle and equipment deposits are shown Pay electronically ACTIVITY. as CURRENT Activity 4. Equipment replacement costs will be charged for bottles lost, since your nccou4rAcrnm � �� ^"m Make sure this stolen,damaged with not returned, last invoiee amount has been 5.In accordance with NWN A's Terms and Conditions De -,Add s;John One t23 Main StteeL Ory,i are 80000 Equipment Lease and/or Service Agreement account may be """°°ata na paid in has to Payment-Thankibu +IXlOt f subject to minimum month! as 3, ,6,892 o a avoid late fees Y purchases and/or m 3veest4aa4 5 SGall°nNatu215P�n99'ater >a fees.(A complete version of o early cancellation m 3neesta4l s keM9 ntatnscatDepn, "' ° the current may be viewed on the Ba+, 318263,41. 5 IceMwnatnSGalRenm i Monthly Oil website listed below)Upon service discontinuation,rent for the �A 3tv63e6n wets"ami Leased Equipment is charged through the end of the billing cycle 09/1� 666 0497 t Surcharge,Fuel in which service is discontinued. °A I t f ' 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 "General One of}hese fees PA M Nn4ory MDa}aapN "rnvrt _ Myn rsAM°uM Will apply Wench account. Payment stub — ` The fee that applies t ACCOUNT SUMMARY >au )dant Is stated on the front f PP o Your account Information o the invoice.For visit firrtlterinfo =w�'°"""°=____. � Inform n• --------------- rmanon please -------'-- PAVTa6AMOUM l e websito listed below or contact `""'°'°in0i°°""''"s"°P'"'"" ACCOUMNUM9EA PAY BY +d3oc center, our customer service 1284S67690 0000 ao 7.As a food product, bottled water is subject to the rules and MVotcE NUM"' BIWNc DATE ENCLOSED 1234567890 00(00!80 t regulations promulgated by the Federal Food and Drug Administration(FDA), 0420096307 04292712619 000393049 2004 SE 8.Your first invoice indicates the products delivered-on'yodi`first Amount due delivery,along with any applicable bottle and account deposits, _ ICE MO0N7MNWATEACOMPANY 12"3" 5t t redemption fees,and any dispenser charges.All future invoices Mid N�A2� Ory,Siete 00800 will reflect charges for water delivered and dispenser rental,bottle Submit your I.dn�l"a�JIL...1lµJL..l1.Ltl,.G.,R41,L.!«n wacusroMen 5em9cEcuLtaao+72-9680 deposits and credits plus charges for any additional products P2""ry u g O N 5 Payment by this ordered b ❑Nw+uvvo vB{EA,rt0v6nst9a uaRn"o-mon Ra,rsem: date y you. Deliveries are made every three or four weeks,for a total of 16-17 deliveries per 12 times per year,so a p reap You those only receive invoices approximately 5 of those invoices will reflect two deliveries. ©2008 Ice Mountain Spring Water Company,a Division of Nestld Waters North America Inc. service.icemountainwater.com - Form No.NW 709 02114 VOUCHER NO. WARRANT NO. Ice Mountain ALLOWED 20 � IN SUM OF $ P. O. Box 856680 Louisville, KY 40285-6680 $109.40 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#lrlTLE AMOUNT Board Members 2201 114HO117821082 I 42-389.001 $109.40 1 hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and that the i materials or services itemized thereon for which charge is made were ordered and received except e F e 12014 Street CnMMissioQer Street Commissioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. i Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 09/03/14 14H0117821082 $109.40 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 5-11-10-1.6 120 Clerk-Treasurer i service.icemountainwater.corn t ° A-0 #215 6661 DIXIE HWY,SUITE 4 08/01/14-08/31/14 . 041-10120048525 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED IIIIIIIIIIIII111111111111111111111 MON- OCT 06 0120048525 MON- NOV 03 THU- DEC 04 THU- JAN 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 SQ Remember,past due accounts are subject to a late fee. CARMEL IN 46032-2584 Your prompt payment is appreciated. For your convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. I.7 71 :�G',. a „-x--., .,r 'w ,r . . q r` ^:a —w � ^-. „, ,. �' 7S a ori fantastic Back<to S tool Esse Ivalst Geta$1 00 off when you purchase{1) Boz 48 pick°or{Z)12oz 24 Back bottles 8 02 i5 lunehbox friendlyand 12 oz Is perfect for teens&busy moms Ca11 1°$g0-472 9888 or v1sitS@I Vice IceM_yntain)"Xt r - �^^ hc5 '�.�i,�z,'`y,,, a �e� �,'T,,.e. ,�„w���f1� .;,,,,! r,3,,,, ?�^� J�� >_, �',:. r ! ar .m�` ��i<✓� �; ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. Delivery address: CITY OF CARMEL,1 CIVIC SQ, CITY ENGINEERING DEPT,CARMEL IN 46032 PREVIOUS BALANCE 41.78 8/06 0895465615 6 5 GAL ICE MOUNTAIN DRK W/HANDLE 20.94 6 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00 5 5 GALLON ICE MOUNTAIN DEPOSIT RETURN .00 b 7® 8/31 H7015607 RENT �"a �, 3.99 TOTAL / 66.71 � RECEIVED � c(., 2014 �' CARMEL ; ' CITY ENGINtEpCb ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT `CURRENT ACTIVITY PAY THIS AMOUNT Q Subject to terms on reverse side. I 41.78 — 0.00 + 24.93 = 66.71 I BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR QUESTIONSABOUTYOUR BILL,OR FOR Yo INVOICE-4 A REPORT ON WATER QUALITY I. Please remember payment is due b�Ghe�`�`LP US SERVE Yp[T CALL 1-800-472-9888 OR WRITE US ATS. FORMATION,PLEASE BETTER ICE MOUNTAIN SP 2, Remember,if you are renting equipment, pay by date noted to ensure the smoothest service, #216G WATER CO. Y°m'first invoice will include rateYour equipment rental is charged one month in advance,That means 6661 DIXIE RWY.,SUITE 4 3- Kindly fill in the amount enclosed, include fee for the current month,Plus the next month's rental. LOUISVILLE,KY 40258 Ifyou prefer,you can a your account number on think Pay Your bill online at service.ic account n umberter.com cher Ifyou action on bill is moron 4• Never hesitate t k, and do not send cash. a transaction on g,or Ifyou need more info o call us with comments y'our;bill,1Sriid us o6a information about QUeStlons,or concerns. must hear from ou in 5eP.azate sheet 6fpaper.We sent you the first ill on which the error or proater than bl m(30)days after we telephone us,but doing so will not reserve appeared.You can give us the followinginformation:p youIrights.Inyourletter, SAMPLE INVOICE • Your name,address,telephone and account n • The dollar amount of the suspected error. umbers. • Describe the error Date range of this invoice 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,the cannot report your account as delinquent or take an i y action to collect the amount in oaoom0-ooraoloo 7 2345 67 890 GENE question, IN a Your Account Number I.Payments RrAeLv d after hRMATION 1234567B9 Your next invoice,past due invobillinices(I VOICE)date will a MQW0ET 21 billing date appear Important MON.ocr29 )may be assessed a late fee asal owed b 30 days of news and wEo Novy exceed$20 TUE-DEC,B Watch here for a per month.Additionall, y law'not to ptl It1:AluQilpl ililittlL.JtIp�A,�lldafi Evlt-Sarna:l.8a 72-9BEB _.i personalized account expeuses May Y hail Party collectio offers 723 o°e Y,be assessed at n/attorney 123M 1 St ThanEypulprusinglaMounWnplodum message un aid bal a rate not to exceed 100%of the Cltys..00090 ane mNaa. . P once or the maximum allowed by law I as 1" e ulw.,a1 n tf,ub ,actt,t drord= 2.Each returned check is subject to a service maximum check re charge subject to the w- � 3• All bottle and a turn charge allowable in your State. nnu ax I "'WIV-5 `rev °s«° v" "" "1 quipment deposits ae shown as CURRENTRvxamro a.<°m „ M ACTIVITY, a� .n�* Pay electronicatty- 4. E ui replacement Activity 4 pment ornot rcosts will be charged for bottles los Since yourPM— S stolen,damaged ACCOUNTACTwRY R c� • •,��•4a •'""" Make sure this g or not returned, last invoice 5.!n Equipment ipmeaccordt L with last Terms and Conditions("T&C" amount has been subject to Lease and/or Service Agreement account may be De1ryeryHdtlftS'1o�i0a`123Matnstreer.ay,staleogoao - i )'Y°'u "•'a^ce paid in full to anNor ear subject to minimum MonthlysesBa•,+ 181890 Prymm1-rna�vou ,B,ra fees.(A complete version of he current T&C may be viewed on the "' 3°1°440 s s Wnpnna"-SZID.PtK,re. LL avoid late fees Y cancellation n1 3,OBS,a4W s 1uM°pnamscalDePpY .- xg website listed below 0111 3,90831- S keMa nai 3WIRe m � � Leased Equipment )UP°g°service discontinuation,rent for the wl+z 31B]83RB++ + a:�Is-"6 r1@i Monthly Oil E ui ment is char ed through the end of the billing cycle B9n1 16840199 y+ 4 t) f "" in which service is discontinued, 4 Surcharge,Fuel 6.You will be char T°"` µ g f , � IX 0 charged a monthly Oil Surcharge, Surcharge or Delivery Delivery Fee as described in Fuel Surcharge or Fee(see#6 under will a Your T&C. Only one of these fees `t PPIy to each account. The fee that applies to payment stub .w3�°°:amour e_p<TM •^,U T°" """r"�""' _ P"`TMB"°u" y "General is stated on the front of the invoice.F Y°ur acco ACCOUNT SUMMARY a + x - a visit the 1e Information,) website lisle °r furdter information please "'•'"••""'."°'°"—`".`� a�R,.�R, s�m�.n�,a.�a ! center. d below or contact our ------------------------------------------------------ f 'on') customer service °ei.rngh'uA odrtun,vaAywpes>n.B ACCOUNT NUMBER PAV eY PAY THISAMOUM 7.As a food Product, 11-11190 oB oB e° rao P bottled hater is subject to the MYOICE NUMBER BIWNO DATE FE[EOSED regulations promulgated by the Federal Food rules and 123058)890 ow0a0o Administration(FDA). and Drug i 8.Your first on indicates the Products 0420096307 04282712619 000391n49 2004 18 delivery,along with an a P delivered on your first 's Amount due Y pplicable bottle and account deposits, ICEMOUNEAINWATERCOMPANY to"n redemption fees,and an Ba aN B1w N�aa 123 Main St i will reflect ch Y dispenser charges.All fu °ty,state 00000 charges for water delivered and dispenser rental voices deposits and credits plus charges for an ,bottle 6,:%t„tlu. 1 �:,uta:,(aut,uWap; EaRcusr°aERsumauulswlrz.9BBe i Submit your ordered b y additional products ❑swN rowB B EAuroPAnsg upRwreaa R n a ae ❑PM1AryG go°Rrren 9de payment by this y you. Deliveries are made every three or four weeks, date for a total of 16-17 deliveries per year You moi]]only 1 12 times Per Year so approximately 5 of those invoices will two deliveries. effect u S ©20ce Ice Mountain ater.0 Water Company,a Division of Nestie Waters North r service.icemountainwater.com America Inc. — F6rrff No.NW 709"02/14- 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 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 8/31/2014 04H0l20048525 water cooler $ 24.93 Total $ 24.93 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. 4 Ice Mountain ALLOWED 20 POB 856680 I IN SUM OF$ Louisville, KY 40285-6680 ,I $ 24.93 [ I ON ACCOUNT OF APPROPRIATION FOR I I. I I Board Members PO#or DEPT# INVOICE NO. ACCT#!TITLE AMOUNT I hereby certify that the attached invoice(s), or 0 04H01200485 2200-4239099 $ 24.93 jbill(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 I 1 � 9/15/2014 Signature City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund I i service.icemountainwater.com ®® #215 6661 DIXIE HWY,SUITE 4, 08/01/14-08/31/14 04HO121776199 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED MON- OCT 06 0121776199 MON- NOV 03 THU- DEC 04 THU- JAN 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 SQ by phone at:1-800-472-9888.Its freel CARMEL IN 46032-2584 In��lllnl��l�ll��lll��lnl lull�ll�lllll�'I�I'�I��Illll��ll�il� C Sau ion fantasti7-- -84 ck to School Essent>Ia7s!`Geta$1 00 off when you purchase,(1)8oz 48 pack.or(2)1, 24 91 ack�bottlesl8oz is luncboxfrlendlyanc! 12 oz is jperfect for teens&busy moms.Call 1-84U=472 9888oi: ViSlt s"I Vlce:ic2lTtOuntalnwat6k rc to order!; cry- • - _- » . ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. MENEM Delivery address: CITY OF CARMEL,1 CIVIC SQ, HUMAN RESOURCE DEPT,CARMEL IN 46032 PREVIOUS BALANCE 4.64 8/31 H7007149 RENT 3.99 TOTAL 8.63 Submitted To w SEP," Z014 Clerk Treasurer ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CUR T ACTI ITY PAY THIS AMOUNT Subject to terms on reverse side. 4.64 — 0.00 + 3.99 = 8.63 BILLING RIGHTS SUMMARY IN CASE OF ERRORS YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER A REPORT ON ATE RQUALITYN QUESTIONSABOUT pROMA1,BON°pLEFAOSE I. Please remember payment is due by the"pay by"date noted to ensure the smoothest service. CALL 1-800-472-9988 OR WRITE Us AT: 2. Remember,if you are renting equipment,-your equipment rental is charged one month in advance.That means ICE MOUNTAIN SPRING WATER CO. Your first invoice will include a pro-rated fee for the current month,plus the next month's rental. #216 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. 6661 DIXIE HWY.,SUITE 4 If you prefer,you can pay your bill online at service.icemountainwater.com LOUISVILLE,KY 40258 4. Never hesitate to call us with comments,questions,or concerns. Ifyou think your bill is wrong,or ifyou need more information about a transactioh,on your bill;write us Oft'a-separate,sheet,bfpaper..We must hear from you in writing no later than thirty (30)days after we sent you the first bill on which the error orproblem appeared.You can telephone us,but doing will not preserve your rights.In your letter, SAMPLE INVOICE give us the following information: • 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 ofyour bill that are not in question, W° You do not have toa p y the disputed amount while it is being investigated.During the investigation,we cannot report your account OD1OOJoo-oo/omol 1234567690 1 i Your Account Number INFORMATION as delinquent or take any action to collect the amount in question. GENERAL INFO TNA-OC Ba 123AS6799 MON-oct39 t WEE-NW 11 1 Watch here for a (INVOICE)date will 1.Payments received after the billingappear on Important octant TUE-DEC,s { your next invoice.Past due invoices(not paid within 30 days of news and c ^me,sen re:1�PB4n-sBSB personalized account billing date)may be assessed a late fee as allowed by law not to 1ltlaatt la i1i111�.'IitditiG'JOgdCd6+fid: message offers o11 hn D neokyou for using Iw Movn a^P�vm exceed$20 per month.Additionally,third party collection/attorney Gry Stat 500000 and u dre expenses may be assessed at a rate not to exceed 100%of the is ma t p6_nn-]>.'P`1tt t t uta„tcu unpaid balance or the maximum allowed by law. 2.Each returned check is subject to a service charge subject to the M m.znetsi- r °'"'�e=• � `�""E""� 3 ' Pay electronically maximum check return charge allowable in your State. � „�� `ky,� ""'�n`�' •-3:Alt-bottle-and-equipment-deposits are show,5-as-C U a ACTIVITY. -as-CURRENT-—Activity-' 4. Equipment replacement costs will be charged for bottles lost SmCe your ACCOUNT ACTIVITY e "- a” "m 1s. -Make sure this stolen,damaged or not returned. last amount has been aF ,yA6d�s:JoMooe.,l3rnaf^StaetGrystateB0000 m 5.In accordance with NWNA's Terms and ",e Be.— a P t paid in full to Conditions("T&C"),your °° 1 avoid late fees Equipment Lease and/or Service Agreement account may be Deet 461898 11 t-TBa11 a« /11 31]8B514C44 5 SG"M,o subject to minimum monthly purchases and/or early cancellation n, 317W514 s aMo nNln5G Iceaoa fees.(A complete version of the current T&C may be viewed on the 0911, 3veas,a4" s fmMovn a„sG aea Monthly Oil p9F1 31811 , Wel Surtha.9e `r.f t F f'?'�':3 4 j website listed below)Upon service discontinuation,rent for the 091 1b6263W Surcharge,Fuel billing cycle 26388 TOTAL I £ ' Y °° s; Surcharge or Delivery Leased Equipment is charged through the end of the in which service is discontinued. Fee(see#6 under 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or i "General Delivery Fee as described in your T&C. Only one of these fees ,MAOpS6"'A 5-,A'f” F DOm i"A -PA„BU will a Payment stub ACCOUNT sUM6018r ”a ^m, ,M,�. Information') apply to each account The fee that applies to __--------- isstatedonthefrPp Your account „•. ^_.� ____- ---___-__ PAY mis AMOUNT r Ont of the invoice.For further information -- ',p nw.sds:d^°°T-b•Pp1P "t„M„ ACCOUNTNUM1 0 PAY BY � visit the website listed below or contact our customer service oo Bo oB Center. 123456]990 ,ENCLOSEDt INVOICENUMBEa BILUNG DATE 1 7.As a food product, bottled234567890 00l00100 I regulations water is subject to the rules and promulgated by the Federal Food and Drug /420046307 04262712619 000391049 2004 16 Administration(FDA). Amount due S.Your first invoice indicates the products delivered on your first John Due delivery,along with any applicable bottle and account deposits, .CE MOUN AN WATFA COMPANY 123Maln S[ PIHJw,MNwtwem+NaNM„Maf"c Q3M.Ie 00000 payment by this redemption fees,and any dispenser charges.All future invoices will reflect charges for water delivered and dispenser rental,n bottle wat�L 4 mw a�?6"u-"4u''k"w4fE.'aan' FOaNSTOMEaSE M�rA 11 AOW]1'9BBB ? Submit your deposits and credits plus charges for any additional products ❑ycNwwa'n EAa°°A"P"uPB ^B P"tNry°oga0. date ordered b _._,_, -_— __ y 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. V 2008 Ice Mountaln 5prinrVlatvJ er Company,a Division of Nesil2 Waters North America Inca o ,service_Jeemountainwater.com Form No.NW 709 02/i VOUCHER NO. WARRANT NO. Ice Mountain ALLOWED 20 IN SUM OF $ PO Box 856680 Louisville, KY 40258 $3.99 Y ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1205 104h0121776199 I 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, September 15, 2014 Director,Administration Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service,where performed,dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s)or bill(s)) 09/03/14 000121776199 $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