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243240 03/18/15
,4�q CITY OF CARMEL, INDIANA VENDOR: 051125 .i; ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CHECK AMOUNT: $ 289.80 x CARMEL, INDIANA 46032 PROCESSING CENTER CHECK NUMBER: 243240 PO BOX 856680 CHECK DATE: 03/18/15 Y truN°O LOUISVILLE KY 40285-6680 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4239099 05BO12004852 35.40 05BO120048525 1125 4350900 05BO12009535 74.10 05BO120095351 1091 4350900 05BO12120276 52.84 05BO121202766 1205 4239099 05BO12177619 3.99 OBB0121776199 1801 4350900 05BO12197559 66.89 05BO121975593 2201 4238900 15BO11782108 56.58 15BO117821082 service.icemountai nwater.com no #215 6661 DIXIE HWY,SUITE 4 02/01/15-02/28/15 0580121202766 LOUISVILLE KY 40258 ® ® m ADDRESS SERVICE REQUESTED WED- MAR 25 0121202766 THU- PR 30 MON- JUN 01 " Access your delivery calendar at service.icemou ntai mivatet.com MAR ® 9 215 f TUE= JUN 30 _ ` CITY OF CARMEL PARKS DEPARTMENT ` Customer Service: 1-800-472-9888 MANDY SPADY --_---:—==JDid 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 III�I"IIII" 'II�I�IIII'I��III�I�"�'�"�I�'lll���'lll'I'lll'I'I convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. Stan the year off right antl sage!;Save$2 00 when you buy 12oz Ice Mountain Natural Spring,Water., perfect, ( faron the go!Utsit-eservicccemountair�water,com y U; . z ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1.800.472-9888 or visit service.icemountainwater.com. Delivery address. CITY OF CARMEL PARKS DEPT/MONON CENTER,1235 CENTRAL PARK DR EAST,CARMEL IN 46032 PREVIOUS BALANCE 92.77 2/08 253031 PAYMENT-THANK YOU -51.93 2/24 0926024969 10 5 GAL ICE MOUNTAIN DIRK W/HANDLE 42.90 BOTTLE DEPOSIT: 10 CHARGED, 10 CREDITED .00 2/28 0927689182 1 DELIVERY FEE 3.95 B8102071 RENT 5.99 TOTAL 93.68 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 92.77 — 51.93 + 52.84 = 93.68 BILLING RIGH7S"MARy - IN CASE OF ERRORS OR QUESTIFOR YOUR INVOICE-4 WAYS TO HEI p USSERVE YOU BETTER A REPORT ON WgTER QUALITYAND INFOgMgTION,PLEASE • , 1, Please remember payment is due by the"pay by,,date noted to ensure the smoothest service. CALL 1-800-472-9858 OR WRITE Us AT: 2, Remember,if you are renting equipment,your equipment rental is charged one month a advance.That means ICE MOUNTAIN SPRING WATER Co, your first invoice will include a pro-rated fee for the current month,plus the next month's rental. #216 6661 DLYIE HWY.,SUITE 4 3• Kindly fill in the amount enclosec% include your account number on your check, and do not send cash. LOUISVILLE,KY 40258 If you prefer,you cana P y your bill online at service.icemountaimvater.com 4. Never hesitate to call us with comments, � Ifyou think your bill is wrong,or if you need more information about a transaction on your bill,-write us on a sepaiate sheerof p p questions,or concerns. 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 �pp telephone us,but doing so will not preservg.your rights.In your letter, SAMPLE P give us the following information: ' LE INVOICE • Your name,address,telephone and account numbers. • The dollar amount of the suspected error. Date range of this invoice • Describe the error and explain if you can,why you believe there is an error. You are obligated to pay the parts of your bill that are not in question. You do not have to pay the disputed amount while it is being investigated.During the investigation,w 1245 as delinquent or take an g e cannot report your account owovoo•ooloowB tz34se7a90 Your Account Number y action to collect the amount in question, 4 GENERAL INFORMATION . TMg.oc . 4 23456789 I.Payments received after the billing(INVOICE)date will appear on Important MOH NM 79 your next invoice,past due invoices not aid y IE-Dwlt billing date)may be assessed a late fee as llowetd by law not to news and TDE-o6c,B arch here for a exceed$20 per month.Additionally, Lit„du.;ucde11tn3n161ut itu!„ti,.fl,ttu C^y ,S1^e:3$ODa]2.9gee personalized account expenses may y -_partycollectiolawnote offers 123 M.1 ma"kr"" aA9IaM9u"ai^P^a°� message y be assessed at a rate not to exceed 100%to the 1"S,at St unpaid balance or the maximum allowed by lou: Ogsca a 00000 i.,JUJ t of,.a a.:JLLa L^LL41,.1.0 —1-Each-returned-eheek--is-subject-to-a_wmice,sharge sabjecLtathe_ maximum check return charge allowable in your State. r0 3. All bottle and equipment deposits are shown as CURRENT — -` e � "ae � � Pay electronically ACTIVITY. Activity 4. Equipment replacement costs will be charged for bottles lost, since your .k A^• ema "^""°° °•" Make ssure flys` ------ stolen,damaged or not returned. ACCOUNT AcnwTv 9 5.In accordance with NWNA's Terms and Conditions("T&C") your Last invoice amount has been • DeIMery Atldress:John Dae.133 Main StteeL Clry,State OD000 pe�9e4BaIaA4e paid in full to Equipment Lease and/or Service Agreement account may be Pa me"oma"kr9e oP" avoid late fees subject to mini °�" 'a189B ,aJa mummonthl m 3,>ees,4444 s sGauwNatealsP^^9Wate, «a fees.(A complete version of the current T&C maybe viewed oor early n the " 3151444 s �e"°°" "sGamaDa t 09/11 31788514444 5 ,4wnWInSGalRetum `OW Monthly Oil website listed below)Upon service discontinuation,rent for the 09/' 34816380'1 ' n e cutch 9c Leased Equipment is charged through the end of the billing cycle �'] 166497 Surcharge,Fuel 3nrat in which service is discontinued. 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 eAr msAM9u rt "General will a Y one of these fees gemuos94uwa_RA.Mv nAury 3Mu + apply to each account. T Payment Stub xz a is stated he fee that applies to your account Accourvr suMn4Aay „� on the front of the invoice.For moa ------------------ -- Information") visit the website listed below further information please -- bL;a„b„4 �;m ' ppy gY PAY THIS AMOaM Or contact OUf ACGOUNi7890 center. customer service 123466]890 0000180 7. As a food product, bottled water is subject to the rules and INVOICENUMBER BI.-a47E ENCLOSED 1334567890 00/00lDO regulations promulgated by the Federal Food and Drug Administration(FDA). 0420096307 042B27L2619 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, 123 W redemption fees,and any dispenser charges.All future invoices I�MOUMAIN WATER COMPANY ,z3 S— otxearN 11,ATN IOM M4 QtP�V. 00000 will reflect charges for water delivered and dispenser rental,bottle t m.t a.R4.J1„dL AI tALd a!¢.w•awtt OR NSTOM AS RNCE GLLI-0004)3.9888 Submit your deposits and credits plus charges for an wxwwRO¢EAuro9Anv9^OPeFUI UO B e d ” AryO °e' Payment by this ordered by you, Deliveries are made every threedortfour weeks,for products date a total of 16-17 deliveries per year.You will Only receive invoices 12 times per year,so approximately 5 of those invoices will reflect two deliveries. ©2008 Ice Mountain Spring Water Company,a Division of Nestle Waters North America Inc. service,icemountainwater.com Form No.NW 709 02114 service.icemountainwater.com Vigo ® ® ° #215 6661 DIXIE HWY,SUITE 4 02/01/15-02/28/15 0560120095351 ' LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED II I I II I I II I I IIIIII I I I I I I I II I II I III WED- MAR 25_ 0120095351 THU- APR 30 MON- JUN 01 Access your delivery calendar at 1 it q , TUE- JUN -30 service.icemountainwater.com CARMEL CLAY PARKS AND REC DEPT. MAR 09 2015 : Customer.Service: 1-800-472-9888 AUDREY KOSTRZEWA Did you forget about us? Kindly pay upon receipt. 1411 E 116TH ST r Remember,past due accounts are subject to a late fee. CARMEL IN 46032-3455 '—_—• -� Your prompt payment is appreciated. For your II�III�I'1�1'II�I�III' 'II'II�III�I��II"I�II'll�ll'��IIIIII�'lll convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. Start the year rlg nd a ei Save$2 40 when you buy 12oz melee a�n Natural Sprtng Water perfect `fur an the go►1'/slt esenriw V66 , �d"OtintamLOS v ater cum _KM PFI 3 ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1.800-472-9888 or visit service.icemountainwater.com. Delivery address: CARMEL CLAY PARKS AND REC DEPT.,1411 E 116TH ST,CARMEL IN 46032 PREVIOUS BALANCE 99.59 2/08 253030 PAYMENT-THANK YOU -49.34 2/24 0925350902 2 .5 L NATURAL SPRING WATER ICE MTN 11.98 2/25 0926952946 10 5 GAL ICE MOUNTAIN DRK W/HANDLE 42.90 1 9 OZ PLASTIC CUP 50C/SLV 3.29 BOTTLE DEPOSIT: 10 CHARGED, 10 CREDITED .00 2/28 0927680660 1 DELIVERY FEE 3.95 B8020339 RENT 11.98 TOTAL 124.35 3•°I�a�ut+v ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Q Subject to terms on reverse side. 99.59 – 49.34 + 74.10 = 124.35 r1NOF LING RIGHTS SUMMARY ORS OR QUESTIONS ABOUTYOUR BILL,OR FOR YOI7R INVOICE-4 WAYS TOHELP US SERVE YOU BETTERWATER QUAL[TY AND 110 1• Please remember a 9888 OR}yRITE US AT: R'�IA`TION,PLEASE P yment is due by the"pay by"date noted to ensure the smoothest service. 2. Remember,if you are renting equipment,your equipment rental is charged one month in advance.That means IN SPRING WATER CO. your first invoice will include apro-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.icemountaimvater.com Ifyou think 4. Never hesitate to call us with comments,questions, -i concerns. r 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 yoor rights,In your letter, give us the following information: SAMPLE INVOICE • Your name,address,telephone and account numbers. • The dollar amount ofthe 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, X0100 yt;, as delinquent or take ang we cannot report your account 00100/00-OO/00J00 1234567890 Your Account Number y action to collect the amount in question. � GENERAL INFORMATION HA-OC p4 123456789 1, Payments received ager the billing(INVOICE)date will a MON-OCT 29 Your next invoice.Past due invoices not appear on Important billing date)may be assessed a late feet allowed within 0 days of to news and Yho-Nm 2 Hatch here for a TUE-DEC IB not billing$20 per month.Additionally, a nai<an,ninnm6e,niidduiw.8nt„t1;aL61t1 c°�me,seMtt;,Boo 9,2-9BBa personalized account expenses may be a Y party offers °nnDOe rnaDErDnE«°,m91^•M°°nA,nProd°� message Y assessed at a rate not.to exceed 100% 123Ma1n5t d—I. unpaid balance or the maximum allowed by law- °of the oryswre oo0po "ana r m„a,•..u”II t tl 4 161 t d•Af 2_Each returned check is subject to_service charge subject to the maximum check return charge allowable in your State. 3. All bottle and equipment deposits are shown as — -__'- �� • Y��n�° �_wn Pay electronically ACTIVITY, CURRENT Activity 1e a� 4. Equipment replacement costs will be charSince your ACCOUNTACDVITY P � •°��Ye•°^ ^^��"°°"" "°""'M'"` MTke'surethis---- _ stolen,damaged or not returned, gid for bottles lose, amount has been 5.In accordance with NWNA's Terms and Conditions("T&C" last invoice 0efivery Address.JDM Oce,123 Main Street CtyStare 08000 Equipment Lease and/or Service Agreement account may be Prtv°s0ala^ee zE o paid in full to Paymem-ThankYou 1%Jp1 avoid late fees subject to minimum month) °�" 461 211 3I2803,44a4 5 SGalbn Natuml5prin9 Water �� fees.(A complete version of the current T&C may be viewed andfor early cancellation "' 3O�$14" s meMwnwi^sGamewm pyn, gp885,4Wa 5 IceMountainSGelRemm >^ Monthly Oil website listed below U mn2 3102638811 , w�nis"Rn ren aw nt for the Leased Equipment ischarged through the end of he billing cycle 091 jfi6p0497 Surcharge,Fuel in which service is discontinued. 0 O Surcharge or Delivery TOTAF 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or Fee(see#6 tinder Delivery Fee as described in o "General Your T&C. Only one of theseaNriAwusm+tNr�-cuBDu+rArnvm _ PAr reiNE will apply to each account. account fees Payment stub >•�°°:°^^" -°"TM ^x _ i Th. h AccourrrsuMMAav town is stated on the front of the invoice that applies to your account visit the website m oice.Forfurherinformation I .,"»"«>,_°^•"°'°'—°"-ppY1eYO4X1"'"_� ------______�"a.na�.���m°. Information") listed below or contact our cut pease --'Dorn w;wn. mom^ a Dm m ACCOUNTNUMBER PAY BY PAY THIISAMOUNT center. customer service 1234567090 00000 7.As a food product, bottled water is subject to the rules and NV2M567ola MBER BIWNO DATE .ENCLOSED 123956]890 ooJoolBo regulations promulgated by the Federal Food and Drug Administration(FDA)," 0420a96307 04282712619 000391049 2004 1a 8.Your first invoice indicates the products delivered on your firs[ Amount due delive ICE MOUNTAIN WATER COMPANY 123M.i ry,along with any applicable bottle and account deposits, '°""'°"""`°" ' ac7,s�a�5t000o0 redemption fees,and any dispenser charges.All future invoices will reflect charges for water delivered and dispenser rental,bottle °.m.6"1"tn •IL.,.n..A1.Ln.d.«t6t6axq Fp0.EUSTOMF0.3EAY(CEGLLIBW 02-9888 Submit your deposits and credits plus charges for any additional products ❑DnntMytl"n9esO 4 n de. payment by this ordered b ❑51GNUDEOB EB FAU DPA Slgnpp 9 hMD eerers cu. 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 12 times per year,so approximately 5 of those invoices will reflect two deliveries. ©2008 Ice MountainSprin9 Water Company a Division of Nestle Waters North America Inc. _ service.icemountainwater.com - - Form No.NW 709 02/14 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service,where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. 051125 Ice Mountain Terms P.O. Box 856680 Louisville, KY 40285-6680 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 3/3/15 5BO121202766 Drinking water&cooler- MCC $ 52.84 3/3/15 5BO120095351 Drinking water MO AO $ 74.10 Total $ 126.94 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 5-11-10-1.6 120 Clerk-Treasurer Voucher No. Warrant No. j 051125 Ice Mountain Allowed 20 P.O. Box 856680 Louisville, KY 40285-6680 In Sum of$ $ 126.94 I ON ACCOUNT OF APPROPRIATION FOR I 101 General fund/109 Monon Center i � e##r INVOICE NO. ACCT#/TITLE AMOUNT -Board Members P 1091 1 5BO12120276 43 50gr00 $ 52.84 1 hereby certify that the attached invoice(s), or 1125 Z 580120095351 4350900 $ 74.10 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 t i March 12, 2015 I Signature $ 126.94 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund f i I service.icemountainwater.com 600111 0 D d #215 6661 DIXIE HWY,SUITE 4 02/01/15-02/28/15 0560121776199 ' LOUISVILLE KY 40258 e B e ADDRESS SERVICE REQUESTED II'I II I'l"III II"I I I I I I I l l lI I I 'll TUE- MAR 10 0121776199 WED- APR OS THU- MAY 07 Access your delivery calendar at MON- 'JUN 08 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 ��start the year ofrtght andsave+� Saved$230 when you buy 12oz Ice Mountain Natural Spring Water, perfect PlIfor on the golA,islt d' rvlce icemountainWater yW' �. "a Set J%"• —.. x ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. 13 e o e B e Delivery address: CITY OF CARMEL,1 CIVIC SQ, HUMAN RESOURCE DEPT,CARMEL IN 46032 PREVIOUS BALANCE 7.98 2/08 253032 PAYMENT-THANK YOU -3.99 2/28 B7994181 RENT 3.99 TOTAL 7.98 Submitted To MAR 1 22015 Clerk �'reasurer ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT C RENT ACTIVITY PAY THIS AMOUNT Subject to termsonreverse side — 7.98 — — 3.99 + 3.99 = 7.98 --------- ------------- - ----------- - ----------------- ----------------— - - - — - —........- -- — - -- — ——— - - - - - — — — BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL,OR FOR YOUR INVOICE-4 A RBPORT ON WATER QUALITY AND INFORMATION,PLEASE 1• Please remember paymentT`s due byOthe"p yBbyi>date ted to ensure BETTER hest 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. ICE MO[IIVTpI1V SPRING WATER CO. Your first invoice will include a pro-rated fee for the current month,plus the next months in rental. tE216 That means 6661 DIXIE HWY.,SUITE 4 3• Kindly fill in the amount enclosed, include your account number on LOUISVILLE,KY 40258 If you prefer,you can pay your bill online at service.icemountainwater.com Your check, and do not send cash. If you think your bell is wrong 4• Never hesitate to call us with comments, uestions, yi or if need more information about q OC concerns, a transac[ion on your 6i11;write us on a separate sheet of paper.We" must hear from you in writing no later than thirty(30)days ager 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 an error, 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 W « as delinquent or take an oorao+Do ootooioo 234561890 Your y action to collect the amount in question, Account Number GENERAL INFORMATION HR-DC oa 123456789 1.Payments received after the billing(INVOICE)date will appear on Important MDN-ocr 79 Your next invoice.Past due invoices(not paid within 30 days f °N0V 21 Watch here for a billing date)may be assessed a late fee as allowed b y t news and NE-Dec,R exceed$20 per month.Additionally, y law not to ia,t6�:ttt atntllaSn�td61.1lIt„AlMn4t�el'iJg aammerservlce:l.eoo-4n-9888 personalized account y third offers ohnDce Thankyouf"rusinglceM°unainpoduU message Party collection/attorne 123 Main St and uMces. expenses may be assessed at a rate not to exceed lOD%of the ryau�a phots":tt,:,n'tn t,tlta,6tamd unpaid balance or the maximum allowed by law 2.Each returned check is subject to a service charge subject to the maximum check return charge allowable in your State. -3,All-bottle-and equipment deposits are sh t A "`P" tK � Pay electronically as CURRENT eR9LsxwnwR-wwMee.t ircL '^'tmaetl, vchmon ., ACTIVITY. 4. Equipment replacement costs will be charged for bottles lost, since your m www Make sure this ~ stolen,damaged or not re AccounrarnwTv , D turned, last lnvoiee R amount has been 5.In accordance with N WNA's Terms and Conditions D I ryAdd : mnn D°e,123 Mn sveec agstare 00000 Equipment Lease and/or Service Agreement ac(T&C),your ee'°"Ba'anre paid in full to count may be 08/3, 461898 Paymem-TLankYou avoid late fees subject to minimum monthly purchases and/or early cancellation n, 3v6es,a4a4 S SG,ion Natu alsprin9Water fees.to complete version of the current T&C may be viewed on the x a /,t 317885,4444 5 IraM"unlalnSGaID p t _ ra 09111 31)8858414 5 keMwntainSG IRet Monthly website listed below)Upon service discontinuation,rent for the o9nz 31Bz636en we,mRnarye y Oil 09112 1654049] Pent I, Leased Equipment is charged through the end of the billing cycle Surcharge,Fuel in which service is discontinued. 0 0 °TA Surcharge or Delivery 6-You will be charged a monthly oil Surcharge,Fuel Surchazge or Fee(see#6 under Delivery Fee as described in our T& will a y C• Only one of these fees 9Rm°°SRwwn AYME 1A0,O*x+NauN nrn m _ 94+"DSM "General apply to each account, Payment stub -' xX The fee that applies tr your ACCOUNT SUMMARY xx ormation") will on the front of the invoice.For account visit the further in :u"�"°"""'°"'"eSA°` Information,,) ".—a,a.eaa�ae.a9a..�a"--- -- --- website listed below or con Please `--� m,n6 de ZZ-m: a MP m ACCOUNTNUMSER PAY BY PAY THIS AMOUNT cen ter. taut our customer service 12MS67890 00°a/°o 7.As a food product, bottled water is subject to the rules and NVOICE 67U890 BI ofowooUNG E ,ENCLOSED i regulations promulgated by the Federal Food and Drug 234567890 Daoaoo Administration(FDA), p420096307 04282712649 000391049 2004 18 8,Your first invoice indicates the products delivered on your first Amount due delivery,along with an CEUMOUNWN WA ER COMPANY nnn D9e y applicable bottle and account deposits, a°"°" �" Np ctty MMI St redemption fees,and any dispenser charges.All future invoices D will reflect charges for water delivered and dispenser rental,bottle caua,;a,uu.,au aGun a,t1s t�Ktawa- OR NSTOMFR SERV CE CALL Id0047b9888 Submit your deposits and credits plus chazges for any additional products a gn0n""ne5itl` Payment by this ordered b ❑n6Nur wRFR6EaumPAnsl9nuPR ,a4 nReenesme. _ 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 12 times per year,so approximately two deliveries, 5 of those invoices will reflect ©2008 Ice Mountain Spring Water Company,a Division ofNestle Waters North America In Q service.icemountainWater.com _ c. Form No.NW 709 02/74 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. I ACCT#/TITLE AMOUNT I Board Members 1205 105130121776199 I 42-390.99 I $3.99 I 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, March 16, 2015 I 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 - i CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit,etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s)or bill(s)) 03/03/15 05BO121776199 $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 service.icemountainwater.com ~d® b ' #215 6661 DIXIE HWY,SUITE 4 02/01/15-02/28/15 1560117821082 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED IIIIIIIIIII11111111111111111111111 THU- MAR 19 0117821082 TUE- APR 07 WED- MAY 06 Access your delivery calendar at FRI- JUN 05 service.icemountainwater.com Customer Service: 1-800.472-9888 CITY OF CARMEL STREET DEPATMENT Did you forget about us? Kindly pay upon receipt. 3400 W 131ST ST Remember,past due accounts are subject to a late fee. CARMEL IN 46074-8267 Your prompt payment is appreciated. For your convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. Start the year,off nghf and savel Save$2;0 when you buy 12oz Ice MountainNatural Spring Water, pertect y tfiot on the gotyiiSit`eservlce.icemountairiiwater com y : - - YA �� - - sta , ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. Jim-Wiwi i Delivery address: CITY OF CARMEL STREET DEPARTMENT,3400 W 131TH ST,CARMEL IN 46074 PREVIOUS BALANCE 133.14 2/08 253027 PAYMENT-THANK YOU -61.47 2/13 0924688013 5 5 GAL ICE MOUNTAIN DRK W/HANDLE 17.45 5 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 30.00 5 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -30.00 2/18 0924639701 10 5 GAL ICE MOUNTAIN DIRK W/HANDLE 34.90 10 5 GALLON ICE-MOUNTAIN BOTTLE DEPOSIT 60.00 1 9 OZ PLASTIC CUP 50C/SLV 3.29 11 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -66.00 2/28 0927670208 1 DELIVERY FEE 3.95 B7988793 RENT 2.99 TOTAL 128.25 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 133.14 — 61.47 + 56.58 = 128.25 BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR QUESTIONS ABOUTYOUR BILL,OR FOR YOUR INVOICE- A REPORT ON WATER QUALITY AND INFO 1. Please remember payment its ds bOthe LP US SERVE YOU BETTER CALL 1-800-472-9888 OR WRITE US AT: RMATION,PLEASE 2. Remember,if Y pay by"date noted to ensure the smoothest service. ICE MOUNTAIN SPRING WATER Co, You are renting equipment, our e 6661 Your first invoice will in a pro-rated fee for the current month,plus the next month's rental. Y equipment rental is charged one month in advance,That means 6661 DIXIE HWY,SUITE 4 3. Kindly fill in the amount enclose LOUISVILLE,KY 40258 Ifyou prefer,you can a d, include your account number on Ifyou think your bill is wrong or Ifyou need more information about pay Your bill online at service,icemountainwater.COln cher 4. Never hesitate to k and do not send cash. a transaction o call us with comments,questions,or On your bill,write us t. a separate sheet of Paper'We Concerns, const hear from you in writing no late,than thirty(30)days after we sent you the first bill on which the error or problem appeared,You ca telephone us,but doing so will not preserve n . give us the following informatioyour letter, n: your rightsIn SAMPLE 1 Your name,address,telephone and accout numbers. N VOICE • The dollar amount of the suspected error,n • Describe the error and explain ifyou can,why bate range of this invoice an error, y 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, 00700!0°-00100100 1234567890 Your GENERAj,INFO Account Number 1.Payments received after the 6illin ION Your next invoice.Past due invogceIN(VOICE)date will a Man-CCTOLI oa 23456789 billing not aid within appear on Important WU>N0`29 g date)may be assessed a fate fee as allowed by law not to wEDNovn Watch here for a exceed$20 Per y news and TUR-DEC 18 P month.Additionally,thirdcol t[itiSdtidlilSlllAt;.i(ndduLedllfLllut6Ltt1 Custome S,Moe:1400 72-9888 Personalized expenses may be assessed parry collection/ offers 123 in p naliZed account at a rate not t lection/attorney - _ pmsn, ThdteM f°rusinglceMounuinpm8udc unpaid balance or them t0exceed 100%of the O Y 1mB 00008 ana.e deR°. message 2.Each ret maximum allowed by law. - —i:atian,u,nu.,.dun.iu,ti"un•.t.»uutA,.i p returned check is subject to a service charge subject to he niIio maximum check return charge allowable in your State . am ay,3 Nn Iw+•asy«nst NORallY �Seeg°°` 3. All bottle and equipment deposits are shown u h Sae ou m a.m an h kPuu R m P°n w — ACTIVITY. as CURRENT r ° °""dames` " Pay electronically 4. Equipment Activity 9 pment replacement costs will be charged for bottles Lost since stolen,damaged or not returned, your AccouNracnv,n P � e•> x«��"�- �>wKt'oa"'°°'�„"`� Make Sure this 5.In accordance with NWN last invoice 1-11 1 amount has been A's Terms and Conditions("T&C" Berreryaea .:wnnBoe/23M,lnsvee�emst=te a0000 Equipment Lease and/or Service )'your P e o SBa n<e Baa paid in full to subject to minimum month! Agreement account may be Baht 46,898 Paymen,.Th nkYR4 fees.(A complete version of he current T&C may be viewed on the 3,7easlaaw s scA m u,A svBn9W°,=r =U avoid late fees earlyases and/or cancellation n, 317885144M 5 1eMWn msealO ppv, ,X website listed below)Upon service discontinuation,rent for the °"' 3176as14040 5 IceMwo erns Wi0.enm p 09/13 31BM3wl 1 �ntSerttwrge ,l u_. �y Monthly Oil Leased Equipment is charged through the end of therentow,2 IE6E0497 in which service is discontinued. billing cycle Surcharge,Fuel 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or Surcharge or Delivery Delivery Fee as described in your T&C, Only one of these fees Fee(see#6 under �1ill apply to each account The fee that a Pa PR wBu:BAUH<E MwnABry A Ba NPR[MA TVUY — AM HIS WN is stated on the front of pplies to o ymenf stub ACCOUNT SUMMARY —P"" + — "General Your ur account P 'G visit the he invoice.For further information " ^°'°' "° "'°°""`"° '"" :""1"°""'"`"-n""-eytl` Information') website listed below or contact our customer please center. ----�------------------------------------ ixB N�sr°A•"Snovn MN,m prync„ "04262712619 PAY BY PAY 7X15 AMOUNT mer service �• As a food oB oB o0 Product, bowled water is subject to the rules and INVOKEBILLING0toomo E ENCLOSED regulations promulgated b oorooroo Administration(FDA), y the Federal Food and Drug 8.Your first invoice indicates the products delivered on 02619 000391049 2004 1a delivery,along with any applicable bottle and account deposits,t Amount due ICE MOUNTAIN WATER COMPANY Cohn Oce redemption fees,and any dispenser charges.All furore invoices °a a N mEw,un uB Ate.w 123 Main n 0000 will reflect charges for water delivered and dispenser enser rental,bottle 0,cUST . deposits and credits plus charges for an p Ordered by ry u,.w.u.d.nu,...n..,au.,uum,u..6uut„1�u rBRcusroMEnsEm,aul,laN+73.9aea Submit your y additional products ❑SGNUP ORi0.FAU OPA SI9nUpFMulydO F ers S. ❑ payment by this y6-17 Deliveries are made eve three or four weeks,for date a total of per year, deliveries per year.You will only receive invoices 12 times per year,so approximately 5 of those invoices will reflect two deliveries. O©20ce Ice Mountain Spring Water Company,a Division of Nestle Waters North America Inc, _ service.icemountainwateccom Form No.NW — 02/14 VOUCHER NO. WARRANT NO. ALLOWED 20 Ice Mountain IN SUM OF$ P. O. Box 856680 Louisville, KY 40285-6680 $56.58 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 115BO117821082 I 42-389.001 $56.58 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 I which charge is made were ordered and received except riday, r 1 15 StrE d OwNtMINIgnu Title Cost distribution ledger classification if claim paid motor vehicle highway fund - I I' I Prescribed Dy 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 M Date Due I� Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 03/03/15 1580117821082 $56.58 I.hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20' Clerk-Treasurer service.icemountainwater.com #215 6661 DIXIE HWY,SUITE 4 02/01/15-02/28/15 05B0121975593 / ,F OUISVILLE KY 40258 ADDRESS SERVICE REQUESTED ------ ® e IIIIIIIII'll 'IIII 'IIIIIIIIIIIIIIII THD- MAR 12 0121975593 WED- APR 08 THU-- MAY 07 Access your,delivery calendar at MON- JUN 08 service.icemountainwater.com CARMEL REDEVELOPMENT COMMISION Customer.Service: 1-8007472-9888 .... , DON CLEVELAND 30 W MAIN STREET Did you forget about us? Kindly pay upon receipt. SUITE 220 Remember,past due accounts are subject to a late fee. CARMEL IN 46032-1938 Your prompt payment is appreciated. For your ��'�II�II�III'I��I�'I�II�"�II"I�I��I�'I�I'I�II"II'lllll'lll"� convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. Start the year o g and save! Sa4e,tid when you buy 12oz ',Ice Mountain Natural Spring Water, pert ct xk for;on the g !lOrstf eservlceicemounta�nte� comME, i ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1.800-472-9888 or visit service.icemountainwater.com. -00 Delivery address: CARMEL REDEVELOPMENT COMMISSION,30 W MAIN ST STE 220,CARMEL IN 46032 PREVIOUS BALANCE 72.90 2/08 253028 PAYMENT-THANK YOU -30.01 2/10 0923531636 5 5 GAL ICE MOUNTAIN DIRK W/HANDLE 39.95 5 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 30.00 3 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -18.00 2/28 0927710582 1 DELIVERY FEE 3.95 B8065299 RENT 10.99 TOTAL 109.78 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT QQ Subject to terms on reverse side. 72.90 — 30.01 + 66.89 = 109.78 ,.fir BILLING RIGHTSSUMMARY IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL,OR FOR YOUR INVOICE—4 WAYS TO A REPORT ON WATER QUALITY AND INFO 1. Please remember payment is due b theme`° aPb 'S SERVE YOU BETTER CALL 1-800-47y_9588 OR WRITE US AT: CATION,PLEASE Y p y y date noted to ensure the smoothest service. 2, Remember,if you are renting equipment,your equipment rental is charged one month in advance.That means ICE MOUNTAIN SPRING NATER CO. your first invoice will include apro-rated fee for the current month,plus the next month's rental, X216 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 wron 4• Never hesitate to call us with comments, a transaction on your bill,write i on apsper"We e amore information about Questions,or concerns. must hear from you in writing no later than thirty(30)mte Idays 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 followinginform$tidni SAMPLE INVOICE :..'.: ;7: -..:1._. • Your name,address,telephone and account numbers. • The dollar amount of the suspected error. Date range of this invoice • Describe the error and explain if you can,why you believe there is an error. You are obligated to pay the parts of your bill that are not in question. You do not have to pay the disputed amount while it is being investigated.During the investigation,the cannot report your account as delinquent or take any action to collect the amount in question, oaoaoo.oo/00t00 z34sb7a90 Your Account Number GENERAL INFORMATION 123456769 I.Payments received after the billing(INVOICE)date will appear on Important MO-=0a Your next invoice.Past due invoices(not MON-OCV29 �DEI18 Watch here for a billing date)may he assessed a ice (no paid within 30 days of news and It-DEI Ja exceed date) per month.Additionally,third party law not-to- _ 11,t1.�;111.;ill^tltfi�G.ditGldtlld�dtlp,dl„nd nt ,�,,,�ce;,.B0o 4n-9eeB perSOnaliZed account P ty ollection/attorney offers °no o° lhanty"a for using ice Maunutn pmdud expenses may be assessed at a rate not to exceed 100%of the z3 Ma St message Gry,St t 00000 •ndseMtes. _ unpaid balance or the maximum allowed by law t.di,l t nt„:n. a u to t wbtbcann 2.Each returned check is subject to a service charge subject to the __ —- maximum check return charge allowable in your State. 3. All bottle and equipment deposits are shown as CURRENT ”� 9° U � Pay electronically ACTIVITY Activity 4. Equipment replacement costs will be charged for bottles lost since your Eaa r.tom a Make sure this stolen,damaged or not returned. ACC ouNT Arnvm P 5.In accordance with N WNA's Terms and Conditions("T&C,%your last invoiceamount has been ' °DeirtxryAddress:J°hn D°e,123 Main 6°eeC°N•Stdt<BpOUB Equipment Lease and/or Service Agreement account may be Pmwleawn< a« paid in full to "'"`"'° °° avoid late fees subject to minimum monthlyand/orsant °a,e99 Pam o- a a ion /11 3,2806,4041 5 6Ga11°n Naturalaprinq Water fees.(A complete version of the current T&C may be viewed oearly nthe " 3121°44° s iceMnunumsGa D wit xE o a9n, 3t78061a144 s itaMantamsGataemm xz>« Monthly Oil website listed below)Upon service discontinuation,rent for the o5n2 3,B2a3aen , pontis""A 9= i `. , «xz Leased Equipment is charged through the end of the billing cycle owt2 ,4540497 Surcharge,Fuel in which service is discontinued. b`_, _ ._. Surcharge or Delivery roraL 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or Fee(see 1t6 under Delivery Fee as described in your T&C. Only xisaM°uN "General will a li one of these fees RarMun,aRrvm +cuRUN arnn _ a, P apply to each account. T Payment Stub ,acJoc «xxz — is stated on the fronthe fee that applies to your account ACCOUNT SUMMARY of the invoice.For further inform a^°•°r='°• _ --- Information") m visit the website listed below or contact our anon Please --------"-- -------------------- center. O4a Aw>me n" m u p Rt ACCOUNT NUMBER PAY BY PAY TNIS AMOUNT customer service Bo 00"B " 123as67e90 As a food product, bottled water is subject to the rules and NvoKE 678" a 01WI-0 7. ENCLOSED 12xss7a90 aB/aof90 regulations promulgated by the Federal Food and Drug Administration(FDA). 0"20096307 04282712619 000393049 200" 16 S.Your first invoice indicates the products delivered on your first Amount due delivery,along with any applicable bottle and account deposits, o« redemption fees,and any dispenser charges.All future invoices �CEMOUMAINWATERCOMPANI' M,m oiwp^a NMEWaien NAM n^eh+mc p,Y State 00000 will reflect charges for water delivered and dispenser rental,bottle t".tna.,•t"m.,",iLwn°,than„t,et,ta,dan fORNS OME66FAYlCECaLL180002-5088 Submit your deposits and credits plus charges for any additional products ❑swxu5 DRfR EauroPanv9^°P0 W d°R e d ”°`a y ng O"" s" 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 invoices 12 times per year,so approximately 5 of those invoices two deliveries. will reflect ©2008 Ice Mountain Spring Water Company,a Division of Nestle Waters North America Inc. y service.icemountainwater.com - - _ o�" Form No.NW 709 02114 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 whoni;arates per day; number of hours, rate per hour, number of units, price per unit, etc. , . Payee I h D i r e z+ Purchase order No. PV d,. BOX 'L15.6 6BD Terms Louis Yflle. :KY '�oZgs " 660 Date Due Invoice Invoice Description Amount Date Number (or note attached inyoice(s) or bill(s)) 3 3-I os 7sswtia ` • �9 Total 6 6 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor- dance with IC 5-11-10-1.6. , 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 ICP �OG►t1�t11� � D (j''E'L�'-' - IN SUM OF $ •r Lou;sYi 11� KYq62,95— 64xo ON ACCOUNT OF APPROPRIATION FOR i go [ / 4350980 Board Members Po#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), 2 SS43 'f350 00 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 2015 S' re J1/l, Cost distribution ledger classification if Title claim paid motor vehicle highway fund service.icemountainwater.com C #215 6661 DIXIE HWY,SUITE 4 02/01/15-02/28/15 0580120048525 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED II'I II I I'I I I'I'II I I I I I I I I I�II"II TUE- MAR 10 0120048525 WED- APR 08 THU- MAY 07 Access your delivery calendar at MON JUN 08 seviceacemountainwater.com CITY OF CARMEL DEPT OF ENGINEERING Customer,SeNice: 1-800472-9888 LISA SCOTT Didyouforget 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 �'11111'�II��III�II'��II�III"'IIIII�'ll��l'�'I'lll��llll�lll�'�I convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. Start the year'dWright and saves Save $2 00 when you buy�12oz Ic Mountain Natural�Sprtng'Water, perfect, fq�s� , r'- the got VIStt°eservlce Ice mountalnvuater:corn N AT,� 12 j t„ ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. 9o e Delivery address: CITY OF CARMEL,1 CIVIC SQ, CITY ENGINEERING DEPT,CARMEL IN 46032 PREVIOUS BALANCE 66.51 2/08 253029 PAYMENT-THANK YOU.. -28.42 2/03 0923206635 9 5 GAL ICE MOUNTAIN DIRK W/HANDLE 31.41 9 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00 7 5 GALLON ICE MOUNTAIN DEPOSIT RETURN .00 2/28 B8002998 RENT 5�`�G 7 7,07 3.99 TOTAL / l �� 73.49 �� R�CEII/E/J CV) rn C G) MF w y.2.O d $2 3 q C7 Q 1 c� l/y � Zz-6 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT I ADJUSTMENT 'CURRENT ACTIVITY PAY THIS AMOUNT _ Subject to terms on reverse side. 66.51 28.42 + 35.40 73.49 I BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL,OR FOR YOUR VOICE-q WAYS TO HELP US SERVE YOU BETTER A REPORT ON WATER QUALITY AND INFORMATION,PLEASE 1• please remember payment is due by the"pay by"date noted to ensure the smoothest service. CALL I-soo 4�z-gess oft WRITE Us AT: 2. Remember,if you are renting equipment,your equipment rental is charged one month in advance.That 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 means 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.icemountainlvatIn I e Ifyou think your bill is wrong,or ifyou need more information about 4. Never hesitate to call us with comments, a transaction on our bill, Questions,or concerns. Y write us on a separate sheet of paper.We muse 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. letter,, . SAMPLE give us the following information; In your IeINVOICE .N VO C C • Your name,address,telephone and account numbers, 1\I'G • The dollar amount of the suspected error. Date range of this invoice • Describe the error and explain if you can,why you believe there is an error. You are obligated to pay the parts of your bill that are not in question. You do not have to pay the disputed amount while it is being investigated.During the investigation,we cannot report your account ,rr"mm as delinquent or take any action to collect the amount in question. ooiuoiDo-ooJo0/00 z3asb7s90 Your Account Number GENERAL INFORMATION NR OCT a4 123456789 1.Payments received after the billingMON oc zs Your next invoice.Past due invoiice�Olpa d with nte i130pdaas of Important Watch here for a billing date)may be assessed a late fee as allowed b 1 Y news and DE-DEc,e exceed$20 per month.Additional!, by not to n.tl It vlUeilllyt,a,itnd,tst4^dart"ti,dhtaW CuAomer Sery ce:3-000 l7S9886 personalized account y third party offtorneyers John Doe n„ntye„,a w9NemUUn"1",,d.- message expenses may be assessed at a rate not to exceed c100°/p tof the u3 Maln sE unpaid balance or the maximum allowed by law. orystare Dp000 i.aat,E la n it:at un t !tit a u 2.Each returned check is subject to a service charge subject to the We maximum check return charge allowable in your State, ° . `max mo �e0 — — 3. All bottle and equipment deposits are shown as CURRENT °a Yor roaUn'--,T Pay electronically ACTIVITY. Activity 4. Equipment replacement costs will be charged for bottles lost, Since our ° " Make sure this Y accouNTACnvmr emwiK.eum, Mme.^•�> stolen,damaged with not returned, last invoice amount has been S.In accordancewithNWNA'sT WjwgAddress:John Doe.113 MainStre GYS,am00000 Terms and Conditions("T&C"),your o o°,ealan a Xx paid in full to Equipment Lease and/or Service Agreement account may be P ymem-ma"kr90 nn subject to minim ' 's m a avoid late fees um monthly purchases and/or earl m 1110 t4aaa 5 9 all°n Nalual5pdngWater fees.(A complete version of the current T&C may be viewed cancellation n' 31�941e4 5 h ,nsc IR-M 99m 3089314444 s he ,n, > Monthly Oil website listed below)Upon service discontinuation rent for the o9n 3,9zz39en p°_I`mRn ye uw Leased Equipment is charged through the end of the billing cycle X11 ' � Surcharge,Fuel in which service is discontinued. Surcharge or Delivery orAL 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or Fee(see#6 under Delivery Fee as described in our T& _ ,A, nAM00Na walla Y C. Only one of these fees pa P.En009pNANa_P.M Nnmry M N e°°" " apply to each account. The fee that applies to Payment stub AccouNr suMMaav , a o — General is stated on the front of the invoice. PP Your account visit thew Forfurtherinformationplease --- -"---------- Information") website listed below or """" °' °""°""' ACCOUNT NUMBEa PAY BV PAY 015 OUNT center, contact our customer service z3aBTB90 00 00 00 7. As a food Product, NYOICE NUMBER BIWNO DATE ENCLOSED P bottled water is subject to the rules and 23!567890 80/90190 regulations promulgated by the Federal Food and Drug Administration(FDA). 0420096307 04282712619 000391049 2004 LB 8.Your first invoice indicates the products delivered on your first Amount due delivery,along with any applicable bottle and account deposits, 'C,MOUMANWATERC1t1111 lnw redemption fees,and any dispenser charges.All future invoices 0"„.>naNmaw „�,9..".4<,u«. tz3 Mem st will reflect ch crys,are 00000 arges for water delivered and dispenser rental,bottle laaa�t,.EtL,di,.d6..11 416.k•.61.61rLa fOBCUSTOM 8SE2N<ECA L1 BOP4R-9889 Submit your deposits and credits plus charges for any additional products El P"`"""ag O R"" �e Payment by this ordered b S uP o9P dEwroPAhN9"epP<c°�� date y you. Deliveries are made every three or four weeks,for a total of I6-17 deliveries per year.You will only receive invoices 12 times Per Year,so approximately 5 ofthose invoices will reflect two deliveries. ©2 ice ice-- S ce Mountain Spring Water Company,a Division 0f Nest16 Waters-North America lnc. _ �service.icemountainwater.com -Form No.NW 7o9 02/14 --- _. _ t� Prescribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Ice Mountain Purchase Order No. POB 856680 Terms Louisville, KY 40285-6680 Date Due Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s) Amount 3/3/2015 05B01200 Water cooler $ 35.40 Total $ 35.40 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. ,20 Clerk-Treasurer VOUCHER NO WARRANT NO. I Ice Mountain ALLOWED 20 POB 856680 IN SUM OF$ ii Louisville, KY 40285-6680 1 $ 35.40 lE i �1 ON ACCOUNT OF APPROPRIATION FOR l Board Members PO#or DEPT# INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s), or 0 05601200— 2200-4239099 $ 35.40 bill(s) is (are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and i tireceived except ' I ,i � J. 3/16/2015 +' Signature City Engineer Cost Distribution ledger classification if Title 1% claim paid motor vehicle highway fund