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241305 01/22/15
G�q CITY OF CARMEL, INDIANA VENDOR: 051125 q ® Yl ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CHECK AMOUNT: $*******225.16* CARMEL, INDIANA 46032 PROCESSING CENTER CHECK NUMBER: 241305 91j�roN"E°' PO BOX 856680 CHECK DATE: 01/22/15 ' LOUISVILLE KY 40285-6680 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4350900 51.93 04LO121202766 1125 4350900 49.34 04LO120095351 1205 4239099 3.99 04LO121776199 1801 4350900 30.01 04LO121975593 2200 4239099 28.42 04LO120048525 2201 4238900 61.47 14LO117821082 service.icemountainwater.com ®® #215 6661 DIXIE HWY,SUITE 4 12/01/14- 12/31/14 14L0117821082 m LOUISVILLE KY 40258 Ai ADDRESS SERVICE REQUESTED II I I II I I II I II I I I I II II I I I I I II III II I JAN 16 0117821082 WED- FEB 18 THU- MAR ' 19 Access your delivery calendar at. FRI- APR 17 service.icemountainwater.com Customer Service: 1-800-472-9888 CITY OF CARMEL STREET DEPATMENT Pay your bill online at:service.1cemountainwater.com or 3400 W 131ST ST by phone at:1-800-472-9888.It's freel CARMEL IN 46074-8267 rlllnnnllllllllllrl�l�l�llllrlll�rl�lllu�l�llliil�l�lllll Bring in the Holiday Season with Sparkling Celebrations! Enjoy premium brahc1si including San Pellegrino, t Perrier antlAcqua Panna Look for specialholiday savings going onmfrom now until the end of the year. Call y ._ . r, k z ! 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: CITY OF CARMEL STREET DEPARTMENT,3400 W 131TH ST,CARMEL IN 46074 PREVIOUS BALANCE 105.61 12/04 898942 PAYMENT-THANK YOU -61.35 12/23 014315 PAYMENT-THANK YOU 44.26 12/15 0915314637 14 5 GAL ICE MOUNTAIN DIRK W/HANDLE. 48.86 14' 5 GALLON ICE MOUNTAIN BOTTLEDEPOSIT 84.00 2 9 OZ PLASTIC CUP 50C/SLV 6.58 14 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -84.00. 12/31 0918824467 1 OIL/FUEL SURCHARGE 3.04 L7662258 RENT 2.99 TOTAL 61.47 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT I ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 105.61 — 105.61 + 61.47 61.47 BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR QUESTION§ABOUT YOUR HILL,OR FOR YOUR INVOICE-4 WAYS TO A REPORT ON WATER QUgLI71 AND INTO KELP US SERVE YOU BETTER RIvu,TION,PLEASE 1. Please remember payment is due by the`pay by"date noted to ensure the smoothest service. CALL t-soo a7z-gess oR WmTE us AT: 2. Remember,if You are renting equipment, ICE MOUNTAIN SPRING WATER CO. your first invoice will include epic-rated fee for the current month,plus the next month's rental. IICE your equipment rental is charged one month in advance.That means DUU 6661 EVIL ,KY SUITE 4 3• Kindly fill in the amount enclosed include your account number on your check, and do not send cash. LOUISVILLE,KY 40258 If you prefer,you can pay your bill online at service-icemountainwater.com If You think 4. Never hesitate to call us with comments,questions,or concerns. Y mk 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: LE INVOICE Your name,address,telephone and account numbers. r G • The dollar amount of the suspected error. Date range of this invoice • Describe the error and explain ifyou can,why you believe there is an error. You are obligated to pay the parts of your bill that are not in question. You do not have to pay the'disputed amount while it is being investigated.During the investigation,we cannot re as delinquent or take an ° Port Your account 00!00/00-00/00100 1234567890 Your Account Number y action to collect the amount in question. . GE INFORMATION NR.00 01 123456789 Payments received after the billing(INVOICE)date will appear on Important MOW OCI 29 Your next invoice.Past due invoices(not paid within 30 days of news and wEn W n billing date)may be assessed a]ate fee as allowed by law not to TOE-oEc le € Watch here for a exceed S20 er month, Il.the�Ihp0l�Altn l�,tllld,(tII�S�,ntu«W��ti•lap,. C11S1eT,Se�misown_9asa 1 personalized account P Additionall offers len"nOe ThMkyauWunai9NnMn Wnprod� message expenses may be assessed at a rate not to exceedcollec100%of the u3 Ma n s a•a e w e _ cnysmm 00000 - unpaid balance or the maximum allowed by law. 1"m'u t"ut," t,aG„ .G•i.4b` t�•n i 2.Each returned check is subject to a service charge subject to the wearexirl rsasetvtlsmt -- _ __ maximum check return charge allowable in your State. -- cm;Y°P4�a,chatxY "Pe^` ”", �"7°m°p'P, t Pay electronically 3. All bottle and equipment deposits are shown as CURRENT ee°y��nx 1 was ow YPEvrW<xrt"a^a axnma ACTIVITY. Activity =4 4. Equipment replacement costs will be charged for bottles lost since our Make sure this stolen,damaged or not returned. y AccOUNT ACnvnr o � _-•�� °^"" " S.In accordance with N last invoice Equipment WNA's Terms and Conditions T cel a yAea 3onnvoe 393Mamsvee a y,sale 9a000 amount has been q Pment Lease and/or Service Agreement account may be r e eaw„� °° ! paid in full to pgr3, 4 Ms payment•3nankYou '"'” avoid late fees subject to minimum month) m 3,80514N4 5 5Q5.Na -1SPUn9Wa ee y purchases and/or early cancellation I °° fees.(q corn tete version n, 3veeslaaM 5 IceMoumainSGalDeposR a o P onofthecurreatT&C may be viewed on the o9m nvses,Mw 5 Ice MonalnSGalRecum Monthly Oil website listed below)Upon service discontinuatioq rent for the WA 31Bzs3aB„ sm n ree f T, ',It,id# t(iY Leased Equipment is charged through the end of We billing cycle 3 lasso 9] Surcharge,Fuel in which service is discontinued. O P Surcharge or Delivery _,.W - _-_ 6,You will be charged a monthly Oil Surcharge, eneral Delivery Fee as described in your T&C. Oy one of th se fees Fee(See#6 under Will apply to each a Payment stub PpM94'B�AN 1 �N + — A. G NPNNi Ac'fM1Y P taUS M,oYM account. The fee that applies to o AccouNr suMMaar a a ,,a„" �„„. Information) is stated on the front of thein i your __-------- visit "_ __ invoice. For further information please "--'----" visit the website listed below or contact our c �a"'�„�' ACCOUM NUM6FA PAY BY, PAY lN1�S�0UNT CCnteC. nSmmel service 723156]090 00000D .ENCEOSED 1 7. As a foodNYOiCE NUMBER 81WNG GATE product, bottled water is subject to the rules and uieswe90 oowo/oo regulations promulgated by the Federal Food and Drug ' Administration(FDA), 04200%307 042!27121,14 000391/349 2004 lA 8.Your first invoice indicates the products delivered on your first } Amount due del' OE MOUMN,M ,IERCOMPANY 1-M Oce ry,along with any applicable bottle and account deposits, a"*� ^A '� 323 Main se redemption fees,and any dispenser charges.All future invoices O ; will reflect charges for water delivered and dispenser rental,bottle c ole 00000 deposits and credits plus chargesisana:,tan.nnat„na.,t,nittaatr. EORCUSTOMEPSERYICEGA11800]39888 i Submit your p�GwaVENo,A��PnOpB, ,OPe� SO ❑antAwo 9 «9«�e i payment by this ordered by you. Deliveries are e every three or four wany additional eeks,fo1 date a total of 16-17 deliveries per year.You wil 12 times per year,so approximately l only receive invoices two deliveries. 5 of those invoices will reflect ”"'•._ ___..____ _.___._ _-- -- ©2008 Ice Mountain Spring Water Company,a Division of N estleWaters North America Inc. service.icemountainwater.corn Form No.NW 709 02/14 --- IV— VOUCHER NO. WARRANT NO. ALLOWED 20 Ice Mountain IN SUM OF$ P. O. Box 856680 Louisville, KY 40285-6680 $61.47 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department I I PO#/Dept. INVOICE NO. ACCT#IrITLE AMOUNT Board Members 2201 14LO117821082 42-389.00 $61.47 1 hereby certify that the attached invoice(s), or I 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 h�Iday�J 1 2015� 1 St> eQcGr�mt5sic ;ter Title ,1 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)) 01/05/15 14LO117821082 $61.47 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. ®p #215 6661 DIXIE HWY,SUITE 4 12/01/14- 12/31/14 04LO121975593 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED FRI- JAN II I I II II I 1111111011 I III II II I I IN I I I 'I 'I III TUE- FEB 090 0121975593 THU- MAR 12 Access your delivery calendar at FRI- APR 10 service.icemountainwater.com. CARMEL REDEVELOPMENT COMMISION DON CLEVELAND Customer Service: 1-800-472-9888 30 W MAIN STREET Pay your bill online at:service.icemountainwater.com or . SUITE 220 by phone at:1-800-472-9888.It's freel CARMEL IN 46032-1938 II���II�II�I���I�I�I��IIIII��II�IIIII�III���'lll�l�'I-11YllIII- Brlrig in the Holiday Season Wtth Sparlfl6r g Geiebrat�onsl Enjoy premium brands IncludingpSan,Pe egrina�", Perrier andAcqua PannaL�ookfor pecal holiday savings going on from noW until the end of the year Call 1 $Q. S ar Ui s@#? 4G@C*tnt?„*3ii3`vatot Gr`'37*A DfE�Prt - � ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1=800-472-9888 or visit service.icemountainwater.com. milli• • ® ® • - 1 Delivery address: CARMEL REDEVELOPMENT COMMISSION,30 W MAIN ST STE 220,CARMEL IN 46032 PREVIOUS BALANCE 82.12 12/04 898944 PAYMENT-THANK YOU -52.07 12/23 014313 PAYMENT-THANK YOU -30.05 12/08 0914210190 2 5 GAL ICE MOUNTAIN DIRK W/HANDLE 15.98 2 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 12.00 2 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -12.00 - 12/31 0918867664 1 OIL/FUEL SURCHARGE 3.04 L7736972 RENT 10.99 TOTAL 30.01 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 82.12 — 82.12 + 30.01 =. 30.01 BILLING RIGHTS SUMMARy IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL,OR FOR 'OUR INVOICE-4 WAYS TO A REPORT ON.WATER QUALITY AND INFORMATION,PLEASE �'I1p US SERVE YOU BETTER 1. Please remember payment is due by the"pay by"date noted to ensure the smoothest Seryice. CALL 1-800-47y_98gg OR�.I.E US AT: 2. Remember,if you are renting equipment,your equipment rental is charged one month in advance.That means ICE MOUNTAIN SPRING{ygTER Co. Yom'first invoice will include aero-rated fee for the current month,plus the next month's rental. #216 6661 DIXIE HWY.,SUITE 4 3. Kindly fill in the amount enclosed, include your account number on your check, and do.not send cash. LOUISVILLE,KY 40258 If you prefer,you can pay your bill online at service.icemountainwater.com Ifyou think your bill is wrong4. Never hesitate to call us with comments,questions,or concerns, a transaction on your bill,write us on a sed more information about aper.We must hear from you in writing no later than thirty(30)tdaysafter 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 give usthefollOwinginformation: 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 an error. if you can,why you believe There is 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 Your account , as delinquent or take any action to collect the amount in question. oomww-ooworoo 1234S6789 f Your Account Number tuber GENERAL INFORMATION � ,z345e1B9 I.Pa THa-oa oa yments received after the billin M0N-0Q 29 Your next_invoice, g(INVOICE)date will appear on Important Past due-invoices 30- �NOV11 Watch he billing date)may be assessed a late fee days-of- news and_ __ uE-DEc,a re for a exceed date)mayer a aAdditionallye fee as allowed by law not to - T,p:111 T6t11tt�11il,L1111 ItldnHaLl.}(1 Nttnme.ser0m1800.172-9M personalized account offers ohnDoe ihaFyouforudnglcaM"unalnpmdtl message expenses may be assessed at a rate not to exceed 100%of the rty collectiontattorney 123Mal e -dnMaa — ? _ aty,suc Bogoo . ' unpaid balance or the maximum allowed by law. Jaati.t 1 et.it.-aytl ua}eyyl;d,ir 2.Each returned check is subject to a service charge subject to the _ maximum check return charge allowable in your State. ra ms roU ^a 1`71-1 -e xt_ a'u;a mmm 3. All bottle and equipment deposits are shown a axa"u � ��"� Pay electronically ACTIVITY. as CURRENT Activity �i I 4.Equipment replacement costs will since your Make sure this stolen,damaged or not returned, be charged for bottles lost ACCOUNT ACTIVITY v uaM".e" e " 5.In accordance last invoice amount has been with NWNA's Terms and Conditions("T&C", oe,;.RnAdd�t:inBnDoe.lz3MalnscreeoOrv•swte°°oB° paid in.full to E ui ment ) yow PKMo %lame a« i 4 P Lease and/or Service Agreement account may be °�' �18� P,-oTh—"O avoid late fees subject to minimum month] anu317aB9144a9 a swoon NatunlSpdngwater fees.(A complete version ofthe Purchases may be viewed oor early n the " 31W5144°' s mB M•"numswmapndt 09111 31100514444 5 i¢MounufnSGai Return !, %% website listed below)Upon service discontinuation,rent for the o9ilz 3+a2B30B,I t P"e s",marve a9nz 1W.91 Ben: .t.'i?.'{ ? Monthly 011 Leased Equipment is charged through the end of the billing cycle Surcharge,Fuel in which service is discontinued. OTA r ' o O i Surcharge or Delivery 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or Fee(see#16 under Delivery Fee as described in yew T&C. Only one of these fees win apply to each account. The fee h Payment stub ACCOUNTSUMMABY "°"°""+`°B" _ •A'TM General is stated that a lies to 0 on the front of the PP Your account ______ ____ Information') visit mvosce.Forfiutherinfo .a.>._>e..",a.^.a^°^,—a„-`°" '"`"_' Fmx�"°'�'",""`."""`. nform n' ---�- ----ACCOUNT NUMBER----PRY BY PAY THIS AMOUNT ' cethe website listed below or contact our customer service � center, 12345678'0 00 00 00 I As a food product, bottled water is subject to the rules and NYO34S67 BEB BIWNO DATE 7. ENCLOSED lzxs67a9B oorooroo 1 regulations promulgated by the Federal Food and Drug Administration(FDA). 0420096307 04282712619 000391049 2004 SB 8.Your first invoice indicates the products delivered on your first Amount due delivery, CE MOUMA N WATER COMPANY IoM Doe along with any applicable bottle and account deposits, oMm aN mawm Nw A •K 123 Male redemption fees,and any dispenser charges.All future invoices citystale 00000 will reflect charges for water delivered and dispenser rental,bottle ^.,1I1��'I6"a'aG•tt 4p.t"ttlitl�'�wtt fOB NS OMEB SEANCE WLl BURa11.988a t Submit your deposits and credits plus charges for an ❑S.GNwwRraEartoPAn99 uP awre4a Bove (]"n1A rn n9 D B«esa. Payment by this oducts ordered by you. Deliveries are made every three or four weeks,for date --— a total of 16-17 deliveries per year.You will only receive invoices tura deliveries. 12 times per year,so approximately 5 of those invoices will reflect ©2008 Ice Mountain Spring Water Company,a Division of Nestle Waters North America Inc. - ---- service.icemountainwater.com `— ---- Form No.NW 709 02/14 - 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 Di r c c4— Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) k5 A5 Total I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor- dance with IC 5-11-10-1.6. , 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. 11 n I ALLOWED 20 0Oul/1`I-n i h /�"e(-� IN SUM OF $ PO 80x ISW9 1 , �Lo5y;l1TY gOZ 'S-G4X0 $ ON ACCOUNT OF APPROPRIATION FOR I Z��q 14? O 1/ q 1 000 Board Members PO#or D PT.# INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s), o 0 SSqU50 Ob 30•° 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 j -Z o- 20/5 C9: S' nTne . Title Cost distribution ledger.classification if claim paid motor vehicle highway fund service.icemountainwater.com ®� ° #215 6661 DIXIE HWY,SUITE 4 ° / LOUISVILLE KY 40258 12/01/14- 12/31/14 04L0120048525 k m ® y V ° ADDRESS SERVICE REQUESTED IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII FRI_ FEB 06 0120048525 TUE- MAR 10 WED- APR 08 Access your delivery calendar at THU- MAY 07 service.icemountainwater.com CITY OF CARMEL DEPT OF ENGINEERING Customer Service: 1-800 472-9888 LISA SCOTT OR JUDY STOHLER Pay your bill online at:service.icemountainwater.com or 1 CIVIC SQ by phone at:1-800-472-9888.Its freel CARMEL IN 46032-2584 'I'IIS'�'�1�'IIIIII�"�I'II�III������I1���111�11�'IIIII�'IIIII..I ' Brinlg�ln�the'Hol>tday Season wtth Sparkling Celebrations) Enjoy premium brantls including San Pellegrino, fi70errier and Acqua Panna Look for special holiday savings'going on from now;until the end of the year.Call t 1 11Q-4 8$8 or_v1t h% sepyLcountaii1water_' n 01w _6rde� � � -- sr � ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.corI. WWW Delivery address: CITY OF CARMEL,1 CIVIC SQ, CITY ENGINEERING DEPT,CARMEL IN 46032 PREVIOUS BALANCE 31.61 12/04 898947 PAYMENT-THANK YOU -20.64 12/23 014314 PAYMENT-THANK YOU -10.97 12109 0915351829 7 5 GAL ICE MOUNTAIN DRK W/HANDLE 24.43 7 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00 7 5 GALLON ICE MOUNTAIN DEPOSIT RETURN �0��9��37�[7S .00 12/31 L7675899 RENT 1= jl�\' 3.99 TOTALRECENFD e� 28.42 i �� 2015 JAN N CARMEL 'CIV ENG NEER ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT I ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Q Subject to terms on reverse side. 31.61 — 31.61 + 28.42 _ 28.42 BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR QUESTIONS ABOUTYOURBILL,OR FOR YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER A REPORT ON WATER QUALITY AND 1. Please remember payment is due b the"Pay b " CALL 1-800-472-9888 OR W INFORMATION,PLEASE Y p y y date noted to ensure the smoothest service. RITE EAT: 2. Remember,if you are renting equipment,your equipment rental is charged one month in advance.That means ICE MOUNTAIN SPRING NATER CO. your first invoice will include a pro-rated fee for the current month,plus the next month's rental. #216 6661 DIXIE HWY.,SUITE 4 3• Kindly fill in the amount enclosed include your account number on your check, and do LOUISVILLE,KY 40258 If you prefer,you can pay your bill online at service.ieemountainwater.com not send cash. If ou y wrong,or if you need more info 4• Never hesitate to call us with comments,questions,or concerns. Y Wink our bill is a transaction on our bill, information about must hear from of paper.we you in writing than thirty(30)tdays 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. give us the following information: In your(ester, SAMPLE INVOICE nd acco • Your name,address,telephone and numbers. • The dollar amount of the suspected error. Date range of this invoice • Describe the error and explain ifyou can,why you believe Were 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 investigation,we cannot report Your as delinquent or take any action to collect the amount in question,unr ` 00(00100•UD/00100 1234567890 Your Account ` Number GENERAL INFORMATION IHR.DCT as 723456789 � 1.Payments received after the billingMD oa 29 Your next invoice.Past due invoices (INVOICE)paid date will appear on Important billing date}may be assessed a late fee as allowed by law not to 21 Watch here for a (not paid within 30 days of news and luE-DEC le t exceed$20per month.Additionally,third c t>Q6�t^p?^tol!)!"lt�t't`rctt'"'fIW„tlaM.ldtl eurtomerseM-1850472-9888 personalized account expenses may be party ollecton/attorney offers ions rnakyovrmnAn91�Mn0014.poduN message 123 Mal.st end urNtt3, { Y assessed at a rate not to exceed 100%of tSe Less t.tn� ..0;:,ni.bn t..utdi,apn' unpaid balance or We maximum allowed by law. _- 2.Each resumed check is subject to a service charge subject to the maximum check return charge allowable in your State. - xY�,'' Y °gy —=e'`as'unap`°m�n9 3. All bottle and equipment deposits are shown as CURRENT fr� " a6 '”d° � f Pay electronically ACTIVITY, Activity 4. Equipment replacement costs will be charged for bottles lost since your I Make sure this stolen,damaged or not resumed. accouNrnrnvnr a �a�a�e��+„^"�^°"•°'^'°^"°'°""'°""°°"'"'°'1"r"" .. , 5.In accordance with NWNA's Terms and Conditions("T&C" last invoice amount has been Def ryAddresa.JohnDce,123 Main 5veet Ory,5late OOOW Equipment Lease and/or.Service Agreement account may be PmwusBal =C' I paid in full to Thank You avoid late fees subject c minimum month] x/11 31)88514444 5 spW al'Wvnal SpBng Waur 1pEq fees.(A complete version ofthe current T&C may be viewedand/or early lonrthe x /11 31708514444 5 lu MounuinS Gal Degos. 09/11 31788514444 5 Im Moun[dinS Gal ReNnl f website listed below)Upon service discontinuation,rent for the o9n2 318743BBn 1 RM15• 9• 1 F aaa'y n;# f a o Monthly OIl Leased Equipment i charged through the end of the billing cycle urn 166 0497 _ Y Surcharge,Fuel in which service is discontinued. r``` TOTAL Surcharge or Delivery Y_ ..- 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 Payment stub _'ATM + """ _ "` TM�"^'O"N` t% "General account. The fee /azY that applies to your account AccouNr suMA4ARr wo m Information,) 5s stated on the front of the i -- nvorce.For firrther information please ---------""'------"'------------"- visit the website listed below or contact ow customer service pmdummmw.� aurum ACCOUNrNUMBER PAY BY PAY THIS AMOUNT center. wxK 1214567890 �D0� , i 7. As a food product, bottled water is subject to the rules and IN9010ENUMBER BILLING DATE Et,CL05ED 1230567890 DOM/00 regulations promulgated by the Federal Food and Drug Administration(FDA). 0420096301 042A2712639 000391049 2004 38 8.Your first invoice indicates the products delivered on your first ; Amount due delivery, ICEMOTTAIN%YITZCOMPANY ."Doe along with any applicable bottle and account deposits, pM o"Nad2ry �""•"" 123 W.31 redemption fees,and any dispenser charges.All future invoices will reflect charges for water delivered and dispenser rental,bottle C ry,s are aooao deposits and credits 1 Buda t•J+t t•• a'�•n t{bn t"'ut,t�-tl EOR CUSTOMER SERWCEULL1800.477-9�0� Submit your III us charges for any additional products ❑Pdar� o n9 aDnB meSpe f Payment by this ordered by you. Deliveries are made every three or four weeks,for __ __ _ _ _____. date a total of 16-17 deliveries per year.You will only receive weeks, os . ._ w deli Per Year,so approximately 5 of those invoices will reflect two deliveries. S©2008 Ice Mountain Spring Water Company,a Division of Nestle Waters North America Inc. service.icemountainwater•COm Form No.NW 70g 02/14 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 1/5/2015 04L Water cooler $ 28.42 Total $ 28.42 1 hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accordance with IC 5-11-10-1.6. ,20 Clerk-Treasurer VOUCHER NO WARRANT NO. Ice Mountain I ALLOWED 20 is POB 856680 IN SUM OF$ I ' Louisville, KY 40285-6680 i $ 28.42 i ON ACCOUNT OF APPROPRIATION FOR I Board MembersPO#or I DEPT# INVOICE NO. ACCT#!TITLE AMOUNT DEPT# ���I hereby certify that the attached invoice(s), or 0 04L 2200-4239099 $ -28.42 bill(s) is (are)true and correct and that the materials or services itemized thereon for j which charge is made were ordered and i j received except r 1 1 ^ 1/20/2015 Signature City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund i service.icemountai nwater.com g1111101. 0 #215 6661 DIXIE HWY,SUITE 4 12/01/14- 12/31!14 04LO120095351 LOUISVILLE KY 40258 ®RAI=P 0 a LVA W.4 1 ADDRESS SERVICE REQUESTED IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII FRI_ JAN 23 0120095351 TUE- FEB 24 WED- MAR 25 Access your deliverycalendar at THU- APR 23 service.icemountainwater.coin CARMEL CLAY PARKS AND REC DEPT. JAN 12 2015 Customer Service: 1-800-472-9888 AUDREY KOSTRZEWA Pay your bill online at:service.icemountainwater.com or 1411 E 116TH ST. BY: by phone at:1-800-472-9888.It's free! CARMEL IN 46032-3455 _ �IIIIIII�I'IIIIIII��Illilill'II1I�IIIInIIIIII�II�I�II�I�III�II�I Bang In the HaJitlay Season„wl h SparklingCelebratlons�777, "'in oy premium brands:mcluding Say Pellegrino gerTier antl AcquaPanna.'Lookfiospeclroal�hohday savings going onfrom noW until the end of tt►e year Ca ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800.472-9888 or visit service.icemountainwater.com. ® ® 1 Deiivery address: CARMEL CLAY PARKS AND REC DEPT.,1411 E 116TH ST,CARMEL IN 46032 PREVIOUS BALANCE 66.22 12/04 898945 PAYMENT-THANK YOU -12.55 12/23 014316 PAYMENT-THANK YOU -53.67. 12/19 0916447022 8 5 GAL ICE MOUNTAIN DIRK W/HANDLE 34.32 BOTTLE DEPOSIT: 8 CHARGED, 8 CREDITED "00 12/31 0918842956 1 OIUFUEL SURCHARGEi�rCh?se 3.04 L7691388 RENT ; ,i DRINKIAN W ATM MO -AO 11.98 L..,ci ip on TOTAL P.O.# P or F 49:34 G.L.# 1125• I.13•�-35vgov Line Deser Purchaser Date Approval Date/S ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side:, 66.22 — 66.22 } 49.34 = 49.34 BILLING RIGHTS SUAV4ARy IN CASE OF ERRORS OR QUESTIONS ABOUTYOUR BILL,OR FOR YOUR INVOICE-4'WAYS TO HELP US SERVE YOU BETTER' A REPORT ON WATER QUALITY AND INFORMATION,PLEASE l• Please remember payment is due b the" a CALL 1-soo-an-9sss ox WRITE Us AT; 2. Remember,if you are renting equipment,Yourby"equipment tr ntaled to is charged one month n ansure the Smoothest dvance.That ICE MOUNTAIN SPRING IVATER Co, your first invoice will include a pro-rated fee for the current month,plus the next month's rental. k216 means 6661 DIXIE,KY,SUITE 4 3•-Kindly fill , 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 4. Never hesitate to call us with comments, If you think your bill is wrong,or if you need more information about a transaction on our bill, questions,Or concerns. of paper.We must hear from you in writingltno later than hirseparatty(30)tdays 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 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 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 your account ^ rPwrw�Pu,. as delinquent or take any action to collect the amount in E - ootooioo•oo/ovoo 1214567e90 questionYour Account Number GENE , I.Payments GENERAL INFORMATION billing T,IR-OCT- 123456789 (INVOICE)date will appear on Important MON ocr 29 your next invoice.Past due invoices(not paid within 30 days of news and yourdate may " "� ' Personalize here for a billing ) y be assessed a late fee as allowed by law not to TUE.DECc IB exceed$20 Per furl°iuF;nioflitis�.�tNp6un„IJAu,.ti,IIAaIt 0°„°�erServia:1800i72-9888 personalized account P month.Additionally, party offers wenn°< mr°anglceM°°nump°a� message expenses may be assessed at a rate not to exceed c100°/o ttorney of the 123 main te sl .nd-1-1- unpaid balance or the maximum allowed by law arysw,e gogoo Ldn,i !ph p,.II,,,p„6II„1n,1.464A.p 2.Each returned check is subject to a service charge subject to the maximum c eek return charge allowable in your S[aie. M” a w<Mr° <1 3. All bottle and equipment deposits are shown as CURRENT off” „"p a� 6 �4 Pay electronically ACTIVITY. Activity4. x Equipment replacement costs will be charged since your m a • ^°"°° '° Make sure this stolen,damaged or not ret g for bottles lost, AccouNrArnwTr c��'=M °'�"=m 5.In accordance with N caned last invoice i WNA's Terms and Conditions("T&C" o<n9<yadarea:mnno°e.,23Mamsu<ec arys,a,e 00000 amount has been to Equipment Lease and/or Service Agreement account may be "<,N,�wn� oux paid in full es ankY °° avoid]ate fees subject to mini pBJ31 '61890 P'""`”� law, mum month! n, mess,a4a4 s grMW"��s�a d1e• _ � fees.(q complete version of he current T&C may be viewed oand/or early ntion he 3vgesla 4a sG.1u a 09/11 317e8-14 N'[SUnMGeP >av« Monthly Oil website listed below)Upon service discontinuation,rent for fhe 091: 3s7s3gen , s°rvwy< n Leased Equipment is charged through the end of the billing cycle X91 Surcharge,Fuel in which service is discontinued. TO'" Surcharge or Delivery 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or Fee(see#6 under Delivery Fee as described inour T Y &C, only one of these °<M,a4Nnrc _ TM11 °VN "General will apply to each account. The fee ese fees Payment stub 8919,oas.uu9`e °"''"FNt1i""""""`+ ° M. is stated on the front that applies to your account ACCOUNrSUMMARY a, - tocn ontoftheinvoice.For „.. --— ° Information's visit the ter information please ----au-'-'---- ----------------------------- webslte listed below or contact our customer service °""°°° �" ACCOUNT NUMBER "II PAY THIS AMOUM center. 1234567890 00 00 00 7,As a food product, bottled water is subject'to the rules and ENaosro INVOICE NUMBER 81WNG OATS 1234567890 00!00/00 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, LPCEMOUMAN WATER COMPANYredemption fees,and annse m�aNamwNw s uwill reflect charges for lvatertdel'veed and dispenlser r ntal,bottle elrysure 00000 deposits and credits plus charges for an ture invoices PoRNS OMERSENY CEBALL 180M141b9888 SLUmIt year g�4°9wa1 Aa�9•�v9.°9a«�4.... �e ❑P°M o�9 0�sde. payment by this ordered by you. Deliveries are made eve Y additional products _. _. date every three or four weeks,for a total of per year, deliveries per year:You will only receive invoices t2 times per year,so approximately 5 two deliveries, of those invoices will reflect ©2008 Ice Mountain Spring Water Company,a Division of Nestle Waters North America Inc. q1setvice.icemountainwater.com Form No.NW 709 02114 ser0ce.1cemountainwater.com #215 6661 DIXIE HWY,SUITE 4 12/01/14- 12/31/14 04L0121202766 LOUISVILLE KY 40258. ADDRESS SERVICE REQUESTED "IIII II'III IIII II II I II' FJAN 23 0921202766 TUE- - FEB 24 WED- MAR 25 Access your delivery calendar at THU- APR 23 service.icemountainwater.com CITY OF CARMEL PARKS DEPARTMENT JAN 1 2015 Customer Service: 1-800-472-9888 MANDY SPADY Pay your bill online at:service.icemountainwater.com or 1411 E.1 16TH ST �' \/ ,�S by phone at:1-800-472-9888.It's freel CARMEL IN 46032-3455 -- �I�nlnll�lull�lllu�i��ll'Il�llilil�rll'Ill��lln'I'II�'�!'��I Bring In the Holrtlay Seasdn with Sparkling Gelebratibnst Enjoy premwm brands Inclutling San Pellegrino, a KP" Per=rIeraantl Acqua Panna Look for`special holitlaysavmgs going on from now until the end of<the year Call 1=80 0"472 9888 0[visit service icemountainwater comt9Notderi =' — ae. W.Now p - - .v ACCOUNT ACTIVITY For questions"ora report on waterquality and information,call 1.800-472-9888 or visit service.icemountainwater.com. 6 Delivery address: CITY OF CARMEL PARKS DEPT/MONON CENTER,1235 CENTRAL PARK DR EAST,CARMEL IN 46032 PREVIOUS BALANCE 23.37 12/04 898946 PAYMENT-THANK YOU -19.40 12/23 014317 PAYMENT-THANK YOU -3.97 12/19 0916447048 10 5 GAL ICE MOUNTAIN DRK W/HANDLE 42.90 BOTTLE DEPOSIT: 10 CHARGED, 10 CREDITED .00 12/31 0918855438 1 OIL/FUEL SURCHARGE 3.04 L7775331 RENT 5.99 TOTAL 51.93 0124 N ICI MCS WItTi5R •VKC.L • 1t3�ogo o ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 23.37 — 23.37 + 51.93 = 51.93 BILLING RIGHTS SUMMARY 'CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL,OR FOR YOUR INVOICE-4 WAYS TO � - A REPORT ON WATER QUALITY AND INFORMATION,PLEASE SLP y" SERVE ypU BETTER CALL t- 1• Please remember payment is due by the"pay e date noted to ensure the smoothest service. so MOUNTAIN sass OR WRITE EAT; 2. Remember,if you are renting equipment,your equipment rental is charged one month in advance.That m 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 sans LO SVILE gWY,SUITE 4 3. Kindly fill in the amount enclosed include your account number on LOUISVILLE,KY 4025s If you prefer,you can pay your bill online at servfce.icemountainwater.corn check, and do not send cash. If ou think y 4, Never hesitate to call us with comments, Y our bill is wrong,a son need more information about questions,Or COIlCerI]S- a transaction on your bill,write us on a separate sheet ofpaper.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. c give us the following information; Inyour ,]eller, 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 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 report g as delinquent or take any action to collect the amount in question,Your ount 00100/00-Do,toDloo 1334567890 F Your Account Number GENERAL INFO I,Pa CATION. 123456789 Payments received after the billing(INVOICE)date will appear on Important M0 «79 Your next invoice.Past due invoices(not paid within 30 da s of billing date)may be assessed a late fee as allowed by law not to ,1 i Watch here for a Y news and wE-DiE 1R exceed$20 per month.Additionally,third c �4s(iti HirdllG,t»dUlaauL.auU•�tl,tan a ams seN sg.l eDaan-9ses 1 personalized account expenses may patty ollection/attomey offers 11TJoe Try.nkyoofe—Inglce6bun 11Peed— message Y be assessed at a 23 Main St antl eMca rate not to exceed 100%of the a y s ne unpaid balance or the maximum allowed by taw. i autw t m at„_tG:•tb6o t �gw;a.n; 2.Each returned check n subject to a service charge subject to the maximum check r3tiun ccharge al owable In your State,` � µ MM 16a>,^a9eraa_-�a'� >„ nau�"` 'evrowu�a9 3. All bottle and equipment deposits are shown as CURRETrI Pay electronically ACTIVITY Activity , 4. Equipment replacement costs will be charged for bottles lost, sfnce your ,�s ��M��a � Make sure thfs stolen,damaged or not returned, ACCOUNT ° 5.In accordance with NWNA's Terms and Conditions("T&C" last invoice amount has been Equipment L 0amanndntes::ipnnoaeu7Mau,svrel.oq,s+a,aoogg0 Lease )your P,ee,foWooe U D paid In fun to and/or Service Agreement account may be oan, 46109R pe7 tm TeokVou ( avoid late fees subject to minimum monthly purchases and/or earl n, m7Res14aa 5 SOallm k,wal5pdngWa er fees.(A complete version of the current T&C may be viewed on the m 3nags,4a4 s �Ma nwu DaIDeP�all - - x Y cancellation d Woo o9m nveesl44a4 s IceMo„nwnscalReW+a >a>« R'Ionthly Oil website listed below)Upon service discontinuation,rent for the mn 3VI1 97 w s mares o Leased Equipment w charged through the end of the billing cycle w, ,4ea9a97 R 1 ',aP t f pi Surcharge,Fuel in which service is discontinued. 7D°"E (r i 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 will apply to each account. Payment stub T+`I - "Y ° Ewsuaouert � The fee that applies too AccouNr suMMAav "General is stated on the Your a mu^ _---. Information") dGa. front „•,„„. ..aa•a--a,n-ao•,ae_•oa_n.�•_-_-_-_—_-------------------- further information please visit the website listed below or ------------------ center. contact our customer service IX"���� MA a ACC12USNUM ER PAV BY PAYTN4 AMOUNE 13]4567890 00 D D >woc 7.As a food product, bottled NVOICENUMOFA BIWNO DAT MT ENCEOSED S regulations promulgated b water is subject to the rules and 12345678" W00JOD Administration(FDA). Y the Federal Food and Drug f 0420096307 04282712619 000391049 2004 18 S,Your first invoice indicates the products delivered on your first i Amount due delivery,along With CpE'MOUMANWATJ COMPANY 14nnDaa Y applicable bottle and account deposits, •M OU «W ATL"•"' 133'sb t,So M.o so redemption fees,and any dispenser charges.All future invoices will reflect charges for water delivered and dispenser rental,bottle a vsw+e 00000 deposits and credits plus uatLG.a,gGvat,�AG.ttct4•t^A.GGGawn iDRNSOMERSEMCECALLIOW 13AE8R f Submit your P charges for any additional ❑sORURNQ REEM�0nv9 uPRvw do R=Rn vd ❑mama 9 onRa Payment by this ordered by you. Deliveries are made every three or four weeks,for _,v_--_-_, date a totalof 16-17 deliveries per ._. _____-__ ..----- -- _ - ---_-_ only ve invoices 12 times per year,so approximately 5 of those lwill reflect two deliveries. ©2008 Ice Mountain Spring Water Company,a Division of Nestle Waters North America lnc, _ service.icemountainwater.com -- Form N6.--NW 709 02114 _ 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 1/5/15 4LO121202766 Drinking water&cooler- MCC $ 51.93 1/5/15 4LO120095351 Drinking water,.MO AO $ 49.34 Total $ 101.27 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 Voucher No. Warrant No. 051125 Ice Mountain Allowed 20 P.O. Box 856680 Louisville, KY 40285-6680 In Sum of$ $ 101.27 I 1 ON ACCOUNT OF APPROPRIATION FOR if i 101 General fund/109 Monon Center pOpt# Board Members INVOICE NO. ACCT#/TITLE AMOUNT i 1091 4LO121202766 4350900 $ 51.93 1 hereby certify that the attached invoice(s), or 1125 4LO120095351 4350900 $ 49.34 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 January 15, 2015 Signature $ 101.27 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund service.icemountainwater.com C ®D e #215 6661 DIXIE HWY,SUITE 4 12/01/14- 12/31/14 04LO121776199 . LOUISVILLE KY 40258 . ADDRESS SERVICE REQUESTED FRI- FEB 06 0121776199 IIIIIIIII11111II111111IIIII1111III TUE- MAR 10 WED- APR OS Access your delivery calendar at THU- MAY 07 service.icemountainwater.com 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.It's freel CARMEL IN 46032-2584 Ilnllr�l��l�n�llll'11110ll1lltill III l�„II��1'lullu�llllll. . r m � Brtngm theHoliday Season with Sparkling Celebrationsi Enjoy premt,um brands including San-Pellegrino, . , Pei rlerrlantl Acqua Panna Look for special4holiday savings going ori from now until the-end of ttie year Call 0V8' 6472-9888 o visit�service icemounta riiniater corn tQ orders --- ,a c ACCOUNT ACTIVITY For questions or a report'on water quality and information,call 1.800-472-9888 or visit service.icemountainwater.com. Delivery address; CITY.OF CARMEL,1 CIVIC S0, HUMAN RESOURCE DEPT,CARMEL IN 46032 PREVIOUS BALANCE 54.68 -20.09 12/04 898943 PAYMENT-THANK YOU 12/23 014312 PAYMENT-THANK YOU -34.59 12/31 L7667740 RENT 3'99 TOTAL 3.99 Submitted To JAN 1 9'2014 Clerk Treasurer ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT �� Subject to terms on reverse side. 54.68 54.68 + 3.99 = 3.99 BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR QUESTIONS ABOUTYOUR FILL,OR FOR YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER A REPORT ON WATER QUALITY AND INFORMATION,PLEASE I. Please remember payment is due by the"pay by"date noted to ensure the smoothest service. CALL 1-800-472-9888 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. Yow first invoice will include a pro-rated fee for the current month,plus the next month's rental. #216 6661 DIXIE HWY,SUITE 4 3• Kindly fill in the amount enclosed include your account number on your check and do not send cash. LOUISVILLE,KY 402IT If you prefer,you can pay your bill online at service.icemountainivater.com IfYou think 4. Never hesitate to call us with comments Y your bill is wrong,or ifyou 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 tban thirty(30)days after we sent you the first bill on which the error or problem appeared.You can telephone us,but doing so will not preserve your rights.In your letter, give us the following information: 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 ifyou can,why you believe there is an error. You are obligated to pay the parts of your bill that are not in question. You do not have to pay the disputed amount while it is being investigated.During the investigation,we cannot report as delinquent or take anP Your account , 0°(OQ/00-------00 1234567890 ` zour Account Nu y action to collect the amount in question. tuber GENERAL INFO "n" 1 ].Pa INFORMATION TH8.00 oe 123456789 E Payments received after the billing(INVOICE dateocr Your next invoice.past due invoices(not paid within 30 days of news and WE.DEC z9 will appear on Important NOV 21 billing date)may be assessed a late fee as allowed by law not to roe_DEC 18 Watch here for a exceed$20 per month.Additionally,third a�tlp.llGdlL'1f11�4�„tllLl,litL.�tlnq.�tledI,LIU, CuslumerSeMce�1800�R•9888 personalized account expenses may be a party colleetion/attoo Offers i•M unY ,^E , 0 g la MounUln pm6Ym 723 Main St YW a^^ ( message Y assessed at a mte not to exceed 100%of the orys ”00°p0 •^a n R Unpaid balance or the maximum allowed by law. i•aa,t,t nt tt .u,.,is,6n,a,.�lt,ha•u 2.Each returned check is subject to a service charge subject to the maximrmt-check return charge *� xcrosum pgn,mroYbao^rew•o^rO a((owab(e=isyow-StateacFa+�P.mai+.to*^em'Ge"c,"�,* ..,. Y0;b° ` Pay electronically 3. All bottle and equipment deposits are shown as CURRENT ACTIVITY. Activity 4. Equipment replacement costs will be charged for bottles lost, Since your accouNrarnvm , e�m�.e a« ^�'.•'^"'a 'y -1—'Make-sure-this stolen,damaged or not returned, r _ S.In accordance with N last invoice WNA+s Terms and Conditions oer yAaare:::mnnooe.,z3Ma1^sreeutysreregoo0g amount has been v Equipment Lease and/or Service Agreement account mayyour be v Mwaeaw^tt * Paid in full to ThankYou '�'" avoid late fees subject to minimum 0B 1 367898 `0= month] nP 3,]665,4442 5 SGalbn NaNml5PAn9VYarer �r1 fees.(A complete t Purchases and/or early cancellafion n, 3V885,4444 s keMo^umsc2l°ePo+d _-_- a o P version ofthecurrent T&C maybe viewed on the o9nt 3vses+a4aa 5 Im Meumain.Gal Netum E _ website listed below)Upon service disontinuation,rent for the X12 166:669677 I BmtSuName ( '-J.,; Monthly Oil Leased Equipment is charged through the end of the billing cycle �' ,66 949rSurcharge,Fuel in which service is discontinued. °A Surcharge or Delivery 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or I Fee(see#6 under Delivery Fee as described in will apply your fee Only one of these fees P" +N°P M"""' - "" PP y to each account. The fee that a Payment stub mu4mowm '(y`en ncn, ma is stated on the front of the' applies to your account accouNr suMMasr 10fIX visit invoice For fi3rther info ea.,..^...+,=+e.•a••e--=,_-e•.�°'°'°"*'°".—" '�'"'" "---- 4 Infor hp ) ---- ) the website listed below or contact our customers service °°" 0o°'dm"•""'° aaauNr NUM9ER PAY BY PAYTNiS AMOUNT center. Pz34s69690 w 69 Po v2aosto water is subject to the rules and Ierad NVOICE NUMBER 7. As a food product, bottled 81WNG DATE 1234567890 110100/00 regulations promulgated by the Fedl Fooand Drug Administration(FDA), 0420096307 04282712619 000341049 2004 as 8,Your first invoice indicates the products delivered on your first } Amount due del' p MOUNTAIN WATER COMPANY onn o« ry,along with any applicable bottle and account deposits, mw a 4 wm wm "w 123 M.I.St redemption fees,and any dispenser charges,All future invoices will reflect charges for water c yWST 00000 g [r delivered and dispenser rental,bottle ldt0l�r�t0..n•.n tr0,1,..6w�;arn Pon cunoMtRscmrcccu.+�Po+zz•Peee Submit your deposits and credits plus ch c uP,a R E unOPAn P uvnm•�ao nsa.. "M° O P""`N°` ! Payment by this ordered b arges for any additional products 1 date y you. Deliveries are made every three or four weeks,for ""` " - a total of 16-17 deliveries per year.You will only receive invoices w times per year,,so approximately 5 ofthose invoices will reflect two deliveries. �seni©2008 Ice Mountain Spring Water Company,a Division of Nestle Waters North America Inc. ice.icemountainwater.com --------_____,_, ~Form No.NW'709 0&14 - — — Q VOUCHER NO. WARRANT NO. ALLOWED 20 Ice Mountain IN SUM OF$ PO Box 856680 Louisville, KY 40258 $3.99 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1205 104LO121776199 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 Tuesday, January 20, 2015 i Director, AdministraIon 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)) 01/05/15 04LO121776199 $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 5-11-10-1.6 120 Clerk-Treasurer