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244266 4 /15/2015 CITY OF CARMEL, INDIANA VENDOR: 051125 3. ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CHECK AMOUNT: $*r••*••257.63` f. ,q CARMEL, INDIANA 46032 PROCESSING CENTER CHECK NUMBER: 244266 PO BOX 568 LOUISVIL8LE6KY040285-6680 CHECK DATE:: 04/15/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4238900 0117821082 62.38 1500117821082 2200 4239099 0120048525 35.40 0500120048525 1125 4350900 0120095351 62.12 0500120095351 1091 4350900 0121202766 52.84 0500121202766 1205 4239099 0121776199 3.99 0500121776199 1801 4350900 0121975593 40.90 0500121975593 service.icemountainwater.com #215 6661 DIXIE HWY,SUITE 4 LOUISVILLE KY 40258 03/01/15-03/31/15 0500121202766 ADDRESS SERVICE REQUESTED ® ® e THU- APR 30 0121202766 III'III'IIIIIIIII III III IIIIIIIII�ir ? �% MON- JUN 01 TUE- JUN 30 Access your delivery calendar at THU- JUL 30 service.icemountainwater.com i APR 0-6 2015 CITY OF CARMEL PARKS DEPARTMENT Customer Service: 1-800-472-9888 MANDY SPADY Pay your bill online at:service.icemountainwater.com or 1411 E 116TH ST --------- _= by phone at:1-800-472-9888.It's freel CARMEL IN 46032-3455 �I����Ill�llilrll�ll�l�llii�l�ullllllillii�lil��l�l��n��l�lnl� S ang Forward and save+ Savea$2 OQ vy erl you buy yoOr chalce pf ready to drink Iced tea Nestea;Sweet' Leaf,or Trade�Cvinds+VlSIC semcetcemountalnwatemomffl d , 77 tau^ s e '.ez, ,^ Sr .76' '` ; 3" 3rr".,,r r'' +,� �y J,r�r�: �ri'y,� r x �` � 7 �, r / rx x r 7 ``15;a4 °cam a �e l __..- 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 DEPTIMONON CENTER,1235 CENTRAL PARK DR EAST,CARMEL IN 46032 PREVIOUS BALANCE 93.68 3/08 415688 PAYMENT-THANK YOU -40.84 3/30 544363 PAYMENT-THANK YOU -52.84 3/25 0930745385 10 5 GAL ICE MOUNTAIN DIRK W/HANDLE 42.90 BOTTLE DEPOSIT: 10 CHARGED,10 CREDITED .00 3/31 0932429046 1 DELIVERY FEE 3.95 C8265484 RENT 5.99 TOTAL 52.84 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. ��93.68 — 93.68 + 52.84 = 52.84 BILLING RIGHTS SUMMARy YOUR INVOICE-4 WAYS TO HELP US SERVE YOU.BETTER A CASE T ERRORS OR QUESTIONS ABOUT YOUR BILL, L FOR 1- Please remember payment is due by the"pay by"date noted to ensure the smoothest service. A REPORT ON WATER QUALITY AND INFORMATION,PLEASE h CALL 1-soo-472-uses OR WRITE Us AT: 2. Remember,if you are renting equipment,your equipment rental is charged one month i 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 n advance.That means LOUISVILLE,KY 40258 If you Prefer,you can pay your bill online at service.icemo 6661 DDUE HWY.,SUITE 4 3, Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. untainater.com If you think your bill is wrong,or if you need more information about 4. Never hesitate to call us with Comments,questions,or cone w erns. 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.I iter, SAMPLE 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 You are obligated to pay the parts of your bill that are not in question, You do not have to pay the disputed amount an error. while it is being investigated.During the investigation,we cannot report your account t r as delinquent or take an , oorooroo 00roor00 12345fi7890 your Account Number y action to collect the amount in question. GENERAL INFORMATION RIVIATIOly Mo-OCE 04 12345676 I-Payments received after the billingMDU-OCT.29 eINVOICE)date will appear on Important WEO-MC Il Watch here for a Your next invoice.Past due invoices(not paid within 30 da s of NE-OEC IB billing date)may be assessed a late fee as allowed 6y law not to news and cunamersentce l sao n-9888 personalized account exceed date) Per month.Additionally,third a c John Ukd tQ,lMdIUd IUI,INU U;ttdd' offers lonnD mane yox mr uen9 me Moxnmmp9exm message expenses may be assessed at a rate not-to exceed c100%of the z3 Mem s1 4na serntt3. E ❑ry,ilat 00000 - -paid balance or the maxim I„aU+ +ut at iGa to+ udtaa U um allowed by law. 2.Each returned check is subject to a service charge subject to the Vis• OsB ' 4em maximum check return charge allbinur State. , ”inz v "°8 b" r " € Pay electronically 3, All bottle and equipment deposits are shown as CURRENT ' °a e«n� nal andao p fimRRmm� ¢$ ACTIVITY. Activity 4. Equipment re , placement costs will be charged for bottles lost, since our x.cwm wwma as _LMake sure this Y AccourrrAa+vm p n"x"' � ,.. stolen,damaged or not returned, last Invoice amount has been 5.In accordance with N Dee.e yAdare oh Dce,123 Mai0B ree Cry,S ate 00000 WNA's Terms and Conditions("T&C") our Mena 8 lanEe low paid in full to Equipment Lease and/or Service Agreement account may be Tnanern" '0L01 + avoid Iate fees subject to minima oan, 461890 PaP a NNY% m monthly purchases and/or early cancellation n, 31)08514494 5 5Ga0on Nawral5pringWater 4 fees,(A complete version ofthe current T&C may be viewed onthe 0/„ 31788014444 5 Moun amSG IR p 1 - xxw o9Ju 31]88514444 s 10101 Monthly OIl 4 website listed below)Upon service discontinuation, Surcharge,Fuel rent for the 09113 3182630011 billing 0115"tlu ge 09/" 'ss9o49] Leased Equipment is charged through the end of the billing cycle 10L0` in Which service is discontinued. 0" Surcharge or Delivery 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or Fee(see#6 under Delivery Fee as described in xuN A rvm _ 9.YmN. "General Will a your T&th Only one of these fees PaymentyaE.994Ew.N�E_eArMrNnwln""'""+ — e4 NE apply to each account. stub xx>� %1xe a, The fee that applies to our ACCOUNT SUMMARY tt o 89P Information") is stated Onthefr Y account ________-_-- ontoftheinvoice.For further information please wwxcvos-err.-eox¢e xou -_--- _____ ----'- THIS AMOUNT visit the website listed below or contact eonam Nh sweW"a4xx^N - AC[OUNr NUMBER PAY BY center. our customer SeLVICe 23956]090 00/00/00 7.AS a food ,WOICENUMRER BIWNc DATE IENCLOSED product, bottled water is subject to the rules and 1234567890 00/00 00 regulations promulgated by the Federal Food and Drug Administration(FDA). 04200963a7 04282712619 000391049 2004 Y8 8.Your first invoice indicates the products delivered on your first Amount due delivery,along with any applicable bottle and account deposits, eanD"e ICE MOUNTNN WATER COMPANY 123 Main St soM4ond NeNl Waren NOM wmenulnc. Cfry,State 00008 redemption fees,and any dispenser charges.All future invoices Submit your will reflect charges for water delivered and dispenser rental,bottle EOR CUSTOMER OEIMCE GLL 1400>1h9088 tmaut..,+ag6xat tc nit;tr„t,�t�Gl.�a+ ��Ami^gM���r�e payment by this deposits and credits plus charges for any additional products ❑sGNearoa a eu mr 0919^upxnxl�o^ �vtl ordered b 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 two deliveries. 12 times per year,so will 5 of those invoices will reflect ©2008 Ice Mountain Spring Water Company,a Division of Nestle Waters North America Inc: Q service.icemountainwater.com — o'er Form No.NW 709 02%14 6 service.icemountainwater.com Ee #215 6661 DIXIE HWY,SUITE 4 03/01/15-03/31/15 0500120095351 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED o e t II'I II I I II I I I""I I I I I I I I II I I�I111y THU- APR 30 0120095351 MON- JUN 01 TUE- JUN 30 Access your delivery calendar at THU- JUL 30 service.icemountainwater.com APR 06 2015 I CARMEL CLAY PARKS AND REG DEPT. I Customer Service: 1-800-472-9888 AUDREY KOSTRZEWA Ir�3 6TH ST — Pay your bill online at:service.icemountainwater.com or 1411E 11 CARMEL 6 46032-3455 by phone at:1-800-472-9888.It's freel '��II'I'II"Illl�lll�lllllr��lllll"'ll'�II�'ll�lll'I����I�III�I� S rtng Forward antl saver Savex$7 OO when you buy your ch4lce o featly 6--dank Iced tea N stea,Sweef Leaf;or Traciewtntlsl lllstt serulce Icemountamwater4com r:r Mkl g r '' < '� 3�d >: '� _ .y' ✓ �� ( MIA 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 REG DEPT.,1411 E 116TH ST,CARMEL IN 46032 PREVIOUS BALANCE 124.35 3/08 415687 PAYMENT-THANK YOU -50.25 3/30 544364 PAYMENT-THANK YOU -74.10 3/25 0930745369 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 3/31 0932421175 1 DELIVERY FEE 3.95 C8182883 RENT 11.98 TOTAL 62.12 4t TUV V ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT O Subject to terms on reverse side. 124.35 ---124.35 _-Y--v--Y---v+- -----'--62.12 ,..^ _..62.12-�'�- BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR QUESTIONS ABOUTYOUR BILL,OR FOR YOUR INVOICE-4 WAYS TO ,4•• �' A REPORT ON WATER 1. Please remember payment is due b the US SERVE YOU BETTER CALL 1-800-472-9888 OR WRITE US AT. INFORMATION,PLEASE 2. Remember,if you are inclrend equipment,your qu equipy"date ment ntaled to is charged one month ansure the smoothest tdvance.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 enclosed, include your account number on your check, and do not.send cash. i LOUISVILLE,KY 40258 If you prefer,you can pay your bill online at service•icemountainwater.com Ifyou think 4. Never hesitate to call us with comments,questions,or concerns. Y your bill is wrong,or ifyou 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 atter we sent you the first bill on which the error or problem appeared.You can telephone us,but doing so will not preserve your rights.In your letter, SAMPLE give us the following information; INVOICE.N VOIC C • Your name,address,telephone and account numbers. I y 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 as delinquent or take any action to collect the amount in question. oolooroo-ootoo/coo iz34s6r690 Your Account Nu :.gin r` � T��wr.,. tuber GENERAL INFORMATION 123456789 1.Payments received after the billing(INVOICE)date will appear on Important. _ oa a Your next invoice.Past due invoices(not paid within 30 days of NAN OCT 29 N0131 Watch here for a Young date)may be assessed a late feet allowed b Y news and TUE-DEc,B exceed date)may0 per a assessed aalate fed c y law not to 19,nLni»titaiitl6t.,iOddnt�dttu tilfl.>dH 1m 9 e.M ,-,anZ,98Be personalized account bilexpenses may ply ollectionlattorney offers rohn iTankypular°zinglceM°°nUlnprod° message 123 Maln Sl and z JM y be assessed at a rate not to exceed 100%of the - in�at ruooi„fit tL,t.n t 6tt�t"a unpaid balance or the maximum allowed by law. 2.Each returned check is subject to a service charge maximum check return charge allowable in youState 1.subject to the T°n a�,� vada wn�wr�9w ° "•°` ^-"k p°� Pay electronically -' 3.-All bottle-and cquipmcnt deposits'aze shown ys-CU aa�a.u';°">e`r'°m°"`°u`afi�r;�L�`++��^^"n"ioie1 ACTIVITY. RRENT' Activity 4. Equipment replacement costs will be charged for bottles lost, since your AccouNrArnvm P 6°�m•r"�y°°°°"�^"" "°°"""�°° 9e" —Make sure this stolen,damaged or not returned. 5.In accordance with N last invoice amount has been WNA'sTeons DelirfryAdtlrezx JohnDce.173MainSneetGryState0000D paid in full to Equipment Lease and/or Service Agreement account may be T&CII),your - • p�appa6awn.a >oDa �,,, �,gqg pay,nezn-ThankYou ' subject to avoid late fees minimum monthly purchases and/or early cancellation nl 3vBB6E4444 5 SW Bon Natuzal Spdng Walar - fees, y„ 317886144W 6 ice Moontalns Gal Oepont - �� (A complete version of the currentT&C may be viewed on the WJy l WWI- fees- 5 la MwnUtn5Gal Return O%Y website listed below}Upon service discontinuation,rent for the D9n: 3,6:6388„ nertsercna,9e p a Monthly Oil Leased Equipment is charged through the end of the billing cycle o9 2 1664099, Surcharge, lFuel in which service is discontinued. _" _ "'�'x Surcharge or Delivery TOTAL 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or Fee(see#6 under Delivery Fee as described in our _ NY01µ°°R will a Y T&C. Only one of these fees payment °seuAn E ArNxiApu MErt+� ENA M "Genera] apply to each account. The fee that a stub -` RR , lies to ACCOUNTSUMMANY 5e6�a" ,aha Information") a>� a is stated on the front of the invoice.For PP Your account _____-IS A ___. visit the furiherinformation please �,•�_^_••^,^•'.•""•"°"'`"""`"°"'","'a_-- ------------- ------------------- website listed below - a ma67^" ° " "p"`" ACCOUNT NUMBER PAY BY PAY THIS AMOUNT center. or For our customer service 723456]890 DD 00 00 7.As a food product, bottledwater is subject to the rules and INVOICE NUMBER at ND DATE MT.ENCLOSED 1334567690 00100/00 regulations promulgated by ter Federal Food and Drug Administration(FDA), 0420046307 04262712619 00a391049 2004 16 8.Your first invoice indicates the products delivered on your first Amount due delivery,along with any applicable bottle and account deposits, 123 ,I redemption fees,and any dispenser chfuture BCE MOUNEAIN WATER COMPANY ,r.o-s.anwuwxm Nunn A,rekame. 123 Main St will reflect charges for water delivered and dispenser r ntaln bottle c ysLale wooB deposits and credits plus charges for any additional t".t0't"a"to""'tt",d6'et"u0..t"'t.tft"lun fOPCDSTOMERSERVICEG41�8°OA)1-9888 Submit your ❑$6NWEOPLREEMfEDPAY15ignUpPaW,eBOnnere°eatle PA^I MyD,en9es°nPzetuSWe 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 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 70902114 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An'inyoice of bill to be properly itemized must show; kind of service,where performed, dates service rendered; by whom,.rates,per day, number of hours, rate per hour, number of units, price per,unit, etc.. Payee Purchase Order No. 051125 Ice Mountain Terms P.O. Box 856680 Louisville, KY 40285-6680 Invoice Invoice Description . Date Number (or note attached invoice(s)or bill(s)) PO# Amount 4/2/15 5CO121202766 _ Drinking water&cooler,- MCC $ 52:84 4/2/15 5CO120095351 Drinking water MO AO $ 62.12. Total $ 114.96,. I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20_ Clerk-Treasurer Voucher No. -_ _. . ._ Warrant No. , 051125. Ice Mountain Allowed 20 -- P.O. Box 856680 Louisville, KY 40285=6680 ',,In Sum'of$ $ 114.96 ON ACCOUNT OF APPROPRIATION FOR 101 General fund/109 Mdnon C66ter i Board Merhbers PO#or INVOICE NO. ACCT#(TITLE AMOUNT Dept ,091 5C01 212M76 4350900 $: 52.84 I hereby certify that the attached invoice(s), or 1125,-' ,. 5Co1206s5351 , 4350900 $_ 62..12 bill(s)is(are).true and correct and that the { materials or,services itemized thereon for Which a rd . . ,,. ich charge it de were o ered'and received,except April 9,_2015 I: I . Signature $ 114:96 ..Accounts Payable Coordinator, Cost distribution ledger classification if Title claim paid motor vehicle highway fund I' service.icemountainwater.com #215 6661 DIXIE HWY,SUITE 4 03/01/15-03/31/15 0500121776199 A011ARM LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED II'I II II I'III I II"I l I l l I I l l l I l I 'll WED- APR 08 0121776199 THU- MAY 07 MON- JUN 08 Access your delivery calendar at WED- JUL 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 �I�I��II�IIIII'I�'�II�I�III�II�IIIIII�I'I�I���IIII�III��II'�II'�I Spring Forward and saveiSaye12.00 when yota buy your choice of ready to dankiced tea Nesteaa„Sweet- Leaf,or Tradevuintl"s!�/ISIt servtceacemourtainwater com: w e ,e mw ry i ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemobhtainwater.com. - Delivery address: CIN OF CARMEL,1 CIVIC SQ, HUMAN RESOURCE DEPT,CARMEL IN 46032 PREVIOUS BALANCE 7.98 3/08 415692 PAYMENT-THANK YOU -3.99 3/30 544365 PAYMENT-THANK YOU -3.99 3/31 C8157035 RENT 3.99 TOTALr� 3.99 Vii Submitted O APR 13 2015 Clerk Treasurer ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CU ACTfVI PAY THIS AMOUNT Q Subject to terms on reverse side. 7.98 — 7.98 + 3.99 BILLING RIGHTS SUMM,4 IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL,OR FOR YOUR INVOICE VOICE-4 A REPORT ON WATER QoaLI�-v A� WAYS TO HELP US SERVE YOU BETTER CALL 1-900.472-988$OR WRITE US AT: pRMATfON,PLEASE I• please remember payment is due by the"pay 2. Remember,if you are renting e P Y by"date noted to ensure the smoothest service. � ICE MOUNTAIN SPRING WATER Co.#21ti g guio-rate your equipment rental is charged one month in advance.That means your first invoice will include enclosed, fee for the current month,plus the next month's rental, 6661 DIXIE HWy,,SUITE 4 3• Kindly fill in the amount enclose LOUISVILLE,KY 40258 If you prefer,you can a include your account number on pay Your bill online at service.icemountainwater.comr chic ifyou think your bill is wron 4• Never hesitate to call k, and do not send g,or ifyou need'Ore us with comments, cash. a transaction on your bill,write o e information about questions,or must hear from us on a separate sheet of a er Concerns. sent you the f you in writing no later than thirtys P we Y trst bill on which the error or problea p days after we telephone us,but doing so will not preserve appeared.You can give us the but information; Your rights,In your letter, Your name,address,telephone and account numbers. SAMPLE INVOICE The Describe the erollar ror of ndthe suspected error.explain ifyou can,why 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. 00/00!00-00/00(00 1234567890 Your AccountN GENERAI,INFORMATION umber 1•Payments received after the billin 123456799 Your next invoice.Past due invoceSlln DICE)date will THR-ocr 29 billing date appear Important M 110T39 )may be assessed a late Fee as within 30 days of news Mf- 31 exceed$20 per allowed b 1 and TME-DECoEc,B Watch here for a P month.Additionall, Y law not to lits»dG 11t;OtG1�,1111LLlEIL�JIN..l1„lladil C n° Service:1800472-9888 offers 19ll oD a Personalized account expenses may Ythirdparty-collection/atforney z3 Main sl Tnankr°°+°,R,,nBiaMp9mm�P°aea message y ba assessed at a rate not to exceed 100%to the unpaid balance or the maximum allowed by)a1¢ woo0 a°a aa. 2.Each returned check is subject to a service chargeLm1 �� ^It ELGO L.LLlL1 n maximum check return charge allowable in your tate subject to the 3. All bottle and equipment 6rv��y nK�nR mB a a sni�pr«w�o Y6°4n-wAc - -_ deposits are shown as CURRENT ACTIVITY. tl fi e ez;«d ho=^p wa. �rro pntr Pay electronically 4. Equipment Activity replacement costs will be charged for bottles since your stolen,damaged or not returned. 5.In accordance lost, last ACCOUt4TACnYIiY P ,rr�'e,.,.k.�unremwmnnweorMdcne.e,aoo� PaaausireN i Make s dance with NWNA's Te mYOlee sure this Equi mint rtes and Conditions("T&C D0;-yAddresc lehn00e,123 MainStr et rryBtale 00000 amount P Lease and/or has been subject to minimum Service Agreement account may be Pa pRaeaia" xzrA aid in full to month! oB3, x61898 Pa,me "`- kYAu p fees.(A to lite y Purchases an 0 x d/or early m 3nB8s,— s swnw am.aispmywa,e. avoid late fees P version of the currentT&C ycancellation n, 3»883,44 s maMwnuR6Gamep°:R website listed below may be viewed on the 09m 3»ees,4444 s keMonamsGiR IX0 Upon service discontinuation rent for the 69n2 3]8 6388,1 , ruai3 N at9 ”" Monthly Oil Leased Equipment is charwf; PWN97 in which service is discontinue rough the end of the billing cycle t Surcharge,6•You will be charged a monthly Oil Surcharge,Fuel Surcharge or ro a _ tl 0 g Fuel Surcharge or Delivery Delivery Fee each described in your T&C. Fee(see#6 under s stated apply to each account. The fee that ppliestto your account is stated on the from of the Payment stub _ �R KK;;X'°"'' _ °"•TM"""'°""` - "General visit the a invoice.F ACCOUNT SUMMARY - Information,) website listed or further information please :u"�3,°p�„�,�ax _a,,.....°,orv..e,p.-_-„e.a°.,�.°ep...,„_r of n, clow -------------------------- center. Or contact our customer service °a°m Wuub Wrem°wbn 7�+wraTt ACCOUNTNUMBE9 PAY BY PAY THIS AMOUNT , 7•AS 1234567890 B000 a food product, bottled water is subject to the NV12US67 90 BIWNO DATE FNCLOSEO regulations promulgated by the Federal Food and Drug Ole,N7890 00”" Administration(FDA), g 8.Your first invoice indicates the products delivered on 0420096307 04282732619 000391049 2004 18 delivery,along with an Your first Ice"O°e Amount due y applicable bottle and account depositser chargess, .CE MOUNTAIN WATER COMPANY redemption fees,and an ow�mRwR R�AA��,- 23 Main 5E will reflect charges for waterdeliveredand dis Spenser i,bottle invoices a�,swle 00000 deposits and credits plus charges for an P P Lana„�,.to aL.aa.`etatc.t.a,utd+aun iORCUSWAERSFMLEGALLY80647D9888 Submit Your Ordered by you.Deliveries are made ever y additional products ❑3GHUP 08IRFAV 0➢A S9n°pR quo a0 Mmx t ❑—AM31ne9n0e9n d- payment by this a total of 16-17 deliveries y three or four weeks,for _ date l2 times per Per year.You will only receive invoices P year,so approximate two deliveries. ly 5 of those invoices will reflect 02008 Ice Mountain Spring Water Company,a Division of Nestle Water Sr service,Icemountainwater.com - s North America Inc. Form No.NW 709 074 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 105CO121776199 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 M nday, April 13, 2015 Director, dministration 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)) 04/02/15 05CO121776199 $3.99 I 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.comd i #215 6661 DIXIE HVN,SUITE 4 e 03/01/15-03/31/15 1500117821082 ' LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED ® ® D II I I II I'II I'I I I I I'I I I I I I I I III'I 'II TUE- APR 07 0117821082 WED- MAY 06 FRI- JUN 05 Access your delivery calendar at TUE- JUL 07 service.icemountainwater.com Customer Service: 1-800-472-9888 CITY OF CARMEL STREET DEPATMENT Pay your bill online at:service.icemountainwater.com or 3400 W 131ST ST by phone at:1-800472-9888.It's freel CARMEL IN 46074-8267 gym, lir t t s*,r7.ZX " P Spring„Forward and saver',S` ve$2'004uvhen you bud tsur cholce�o"6ady to drlYi<k Iced tea °stea;� e yl.eaf;or Tradewtidsl Vlslt senrlce>!cemountalnwater come V,-v- -145 Krg % J «- ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. � �_W. . g _46, v .,.,�.� �� w.1-,-,,"—,—111-1- __ _ _ _..n _ _111--l- Delivery .--._Delivery address: CITY OF CARMEL STREET DEPARTMENT,3400 W 131TH ST,CARMEL IN 46074 PREVIOUS BALANCE 128.25 3/08 415689 PAYMENT-THANK YOU -71.67 3/30 544366 PAYMENT-THANK YOU -56.58 3/16 0929717908 4 5 GAL ICE MOUNTAIN DIRK W/HANDLE 13.96 4 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 24.00 4 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -24.00 3/19 0929671626 10 5 GAL ICE MOUNTAIN DIRK W/HANDLE- 34.90 10 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 60.00 2 9 OZ PLASTIC CUP 50C/SLV 6.58 10 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -60.00 3/31 0932410111 1 DELIVERY FEE 3.95 C8151709 RENT 2.99 TOTAL 62.38 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT y Subject to terms on reverse side. 128.25 128.145 + 62.38 = 62.38 o'r BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR QUESTIONS ABOUTyOUR BILL,OR FOR yOIJR INVOICE- A REPORT ON WATER QUALITY AND 1. Please remember paymentris ds bO he"Pay US SERVE YOU BETTER CALL]-Spp-gyZ_yg88 OR WRITE US AT: �O�ATION, PLEASE 2, Remembe,if y pay bY"date noted to ensure the#21smoothest service. ICE MOUNTAIN SPRING WATER Co, you are rentinge 6661 your first invoice will include a'pro-rated fee for the current month,plus the next month's rental. utpment,your equipment rental is charged one 6661 DIXIEE,KY SUITE 4 mon 3• Kindly fill in the amount enclosed include your account number o�your check, In t 's re not ln advance.That means LOUISVILLE,KY 40258 1f you prep You can pay your bili online at service,icemountainwater.com Ifyou think your bill is ill 11 4• Never hesitate to call us send cash. a transaction on u gr or Ifyou need more information about with Comments,questions,or concerns. Your bill,write us on a separate sheet of rns, must heat from you in writing no later than thirtyPaper,We sent we you the first bill on which the error or problem appeared.You rcan telephone us,but doing so will not preserve your rights,In give us the following information: Your letter, • Your name,address,telephone and account numbers. SAMPLE INVOICE • Ile dollar amount of the suspected error. • plain Ifyou can,wh Date range of this invoice Describe the error and ex an error, y you believe there is You are obligated to pay the pans of your bill that are not in question, You do not have to pay the disputed amount whie it is being l investigated.During the investigation,we cannot report your account as delinquent or take any action to collect the amount in question. F OOJDOJ00-00/00/DD 1234567890 yourAccou GENERAL=INFORMATION nt Number 1.Payments received after the billing your next invoice.Past due jnvoice(INVOICE) (»OICa adate will a MCIrIR-Oa oa 234567H9 billingd appearon Important MON-OC,29 ate)may be assessed a late fee as paid 30 days of news and WED DEC z, exceed$20 per NE-Drne Watch here for a P month,Additional], y law not to BAGdnGnF,iulLGwiln.I,lub„dnnwu.,n'idti Cummer 5e 1-1.8004119688 offers 9nnope personalized account _.__expenses may be assessed y dud Party collection/attorney unpaid balance at a rate not to 123Main 5t TAantyauEo uMglceMoannlnproau �<I]IeSsageor th'emaximum allowed by Ia yceed 100%of the orystate ou000 ana 2.Each re turned check n 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 nm a9arow n ars ' „�` b a — ACTIVITy. servuctce,re"ung m,wrrnea,yayuraa�Rn cacm.c+e .to P<ontnsr ,._ _ __ `k a: �b«nonrwa� otumaarcsana:�wmrcnmm Pay electronically NOWnically -" 4. Equipment replacement costs will be charged for bottles last, 1 11 stolen,d since your0 i Make sure this amaged or not returned. AccouNrarnv ry aaadm. R vow r� wP ro,aoa.z= ^m our 5.In accordance with N last invoice WNA's Terms and Conditions Wiwri,Mdreas 3ahnDa 113Mafn5—citysune ni amount has been Equipment Lease and/or Service Agreement account may be paid in full to subject f0 minimum n e °° monthly purchases Ben, 361998 Payment-Thank Wu fees. A com and/or earl n 31 8951a4H 5 5Ga on WtunlSpang Water avoid late fees { plete version ofthe current T&C may be viewed on 31T99s,w4a s m•Mannv nse lOepwE a a website listed below Will 317905Eaa44 5 lu MoungtnSGalRNum - RR1LC }Upon service discontinuation,rent for the o9n7 3,81638a11 1 NOSu¢narye °” Monthly Oil Leased Equipment is charged e9n7 16b0 91 ” ` °° in which service is discontinued through the end of the billing cycle Surcharge, 6,You will be charged a monthly Oil Surcharge,Fuel Surchazge or roAL "" Fuel Surcharge or Delivery Delivery Fee as described in your T&C. Only Fee(see 4 6 under will apply to each account. The fee that a li One of these fees Payment stub "General is stated on the frontapplies to your account PR Me4s wANCF_ yMw iAprvm 4RRwTAary Y = PAY Nb AMOUN visit the oftheinvoice.For ACCOUNTIUMMARY >� •!• x"� Information,,) c , x a,n �.. f website our information please ><................P.w.--,.e..w•Pa_w._.•_.••_—__-_- ___---------------------- n'� listed below or contact our customer service center. ------------------ Dens um mutwNrzo.n..+m,ws Nr^+ni ACCOUNTNUMSER PAY BY PAV T0I5 AMOUNT 7. As a food 123456]890 000000 tx Product, bottled water is sub'ect to INVOICE NUMBER BILLING DATE ENCLOSED regulations promulgated b the rules and 23456 890 o0Jo0f00 Administration{FDA), y the Federal Food and Drug 8'Your first invoice indicates the products delivered on your first 0420096307 04262712619 000391049 2004 16 delivery,along with any applicable bottle and account deposits, Amount due redemption fees,and anser KE MOUNTAR WA E0.COMPANY teen Main .DA4bndrMUlwnanWmRA�rc,t•ur- Gry,sta.DDDDD will reflect charges for water Fdel delivered and dispenscharges.All er future taln bottle deposits and credits plus charges for an P t.,.tat..a.nb,..az,..It.ete+.n.a..Lf{F.+wa pR N3TOMFR SFRNCE GLL1880a]L9686 Submit Your ordered by you, Deliveries are made eve y additional products ❑51GNUPEORER EPNOPA 59 UpR q dO R n tl. ❑PM[MyDv 9 Ong rex d payment by this a total of 16-17 deliveriesar, ou will dune or four weeks,for date w times per year,so approximately S of those invoices will lnreflect voices two deliveries. ©2008 ice Mountain Spring Water Company, a Division of Nestle Waters North America Inc y service,icemountainwaterom O�' Form No.NW 709 02/14 1 VOUCHER NO. WARRANT NO. ALLOWED 20 Ice Mountain IN SUM OF$ i P. O. Box 856680 Louisville, KY 40285-6680 $62.38 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members 2201 15C0117821082 42-389.00 $62.38 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 Th ay, YJ � St �c�ir 4�1�3r�i@�er I Title Cost distribution ledger classification if claim paid motor vehicle highway fund ii i Prescribed by State Board of Accounts City Form No.201(Rev.1995) j 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. i Terms Date Due Invoice Invoice DescriptionAmount Date Number (or note attached invoice(s) or bill(s)) 04/02/15 15CO117821082 $62.38 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 4e / LOUISVILLE KY 40258 03/01/15-03/31/15 0500120048525 ADDRESS SERVICE REQUESTED II'I II I I'I I I I'I'II l l I l l I l l I'll "II WED- APR 08 0120048525 THU- MAY 07 MON- JUN 08 Access your delivery calendar at WED- JUL 08 service.icemountainwater.com 2200 — y 2 3q o�i 9 Customer Service: 1-800-472-9888 CITY OF CARMEL DEPT OF ENGINEERING LISA SCOTT Pay your bill online at:service.icemountainwater.com or 1 CIVIC SQ by phone at:1-800472-9888.It's freel CARMEL IN 46032-2584 ' Y'f✓' >•; �' ,N. 5/.,,,Y;,,,.m. °'. "^' :,^�-r- '�"7 2r'�z. ®,mss N ,„�,.,,. `;.,; ✓ '6'' .`' ... S Ing Forward and saver $ale $2 OO�arhenyou puyour choice o neatly to drk Iced teatestea, Sweet, or`Tfaclew''ndsl Vlslt seturce tcemountatnwater com �✓�H �� � 2" l rr,.. 4 5 "".rii,',t 3 b y,.71' ( x ,.,'4' z/rira= z o'er ✓&` b' zfs,. �,r a✓. r a �,.h2"r € ds" a fir.✓ z .%�-¢ ✓, r r »�^ M^^s.,� �,n'rr t..ti �,,i i "" r; ..1" �✓ ✓ .,t° t �'ziw w .z r I u r .,v s, z ✓ 07' xt Irl' ' 1'"'✓ .: ''� ,✓�'`, u.y.. ,'„3 s ^"sz a' y,"'t t zxc' z +. ✓'a1a ;*''ZO " i�`3�✓� z'' .� a ` ��” �;, '� 3 ✓mt�� ✓$ s1` '��urr� x ✓ 5''<y,./ "z n'r zG 3'2', x ,, ,q sr r '` ✓,µ r l ">, o,, E F f ,G' >' >� ,?. : ✓� .z✓'%e, ira',c . "l�,✓zf ,r-o` `' �„sa✓ s y .✓ `' s d� 2 3' r £ z", 1 zj� t 's ,rr r✓ i3 .F,. ,..rr.��. �r2s' "r `=„am:'€°`, , µ� `„,�," > ,;..s,s, , ,� .;.r7 r d"z "j°� ;;"•%'"r „.?✓.r.. ,,'"�,"u 's' s ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. ®, e e e a01-5 3111- IME lmlll�mll Delivery address: CITY OF CARMEL,1 CIVIC SQ, CITY ENGINEERING DEPT,CARMEL IN 46032 PREVIOUS BALANCE 73.49 3/08 415690 PAYMENT-THANK YOU -38.09 3/30 544368 PAYMENT-THANK YOU -35.40 3/10 0927929042 9 5 GAL ICE MOUNTAIN DIRK W/HANDLE 31.41 9 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 6-1 0 g 7®a, .00 4 5 GALLON ICE MOUNTAIN DEPOSIT RETURN � ,i�� .00 3/31 C8165741 RENT meq/ ��� 3.99 TOTAL / ��GE� 35.40 M c� GA N�NtitiR �� ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 73.49 — 73.49 + 35.40 = 35.40 BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR QUESTIONS ABOUTyOURBILL,OR FOR YOUR VOICE- A REPORT ON WATER QUALITY `�WAYS TO HELP US SERVE YOU BETTER CALL I-8pp-47y_gg88 OR W �lN`FORMATION, PLEASE 1• Please remember payment is due by the"Pay RITE US AT: 2- Remember,if p Y by"date noted to ensure the smoothest service. ICE MOUNTgIN SPRING NATER Co. you are renting equipment, #216 your first invoice will include a pro-rated fee for the current month,plus the next month's rental• Your equipment rental is charged one month in advance.That means 6661 DIXIE HWY.,SUITE 4 3. Kindly fill in the amount enclosed, include your account number on LOUISVILLE,KY 40258 If you prefer, YOU can pay your bill online at service.icemountainivater.comr check, and do Ifyou think your bill is wrong,or if 4• Never hesitate to call us not send cash. a transaction on $ You need more information about with comments,questions,or must hear from you in writsine us on gwritno later a sepan arate sheet of paper,We Concerns. sent you the first bill on which the error or problem(30)days after we telephone us,but doing so will not prese your ri Crergh�s 1n our letter, give us the following information: • Your name,address,telephone and account numbers. ced error. SAMPLE INVOICE • The dollar amount of the suspect • Describe the error and explain you can,why Date range of this invoice an error. y you believe there is You are obligated to pay the parts of your bill that are not in question. You do not have to pay the disputed amount while it is being investigated.During the investigation,we cannot report your account as delinquent or take any action to collect the amount in question. GEN 00(00/00-00!00/00 71343fi7890 Your Account Number 1.Payments INer FORMATION Your next invoice.Past due'hig(IN(INVOICE)date will a HB-aT o4 23456789 billing date)may appear on Important ( paid within 30 days of news wEo-NOY 21 exceed$2p Y be assessed a late fee as allowed b 1 and OE-Dec 3B Watch here for a Per month.Additionally, by not to qA.Klti,tiilGJitttln,111LIJa6.�dgq.Ah�ILb1q CustomeESo-Moo-BBBiI]-9888 personalized account y third party collection/attorney of the offers I°nn Dae end—1U Ior Using Ice Mo n a n p odu tl 1. message expenses may be assessed at a rate not to exceed 100%of the unpaid balance or the maximum allowed by lay¢ u3 Mems[ e aey s+a+ aoo0o a ,vla 2.Each re k.tal t qi,.,,th.,li II tq.t.n1.L1.l,J ti tuaJee check is subject to a service charge subject to the maximum check return charge allowable in your State. ommag 7a"^ '"'E+Hme day m.d9hcsimp71o9 roarceuy'[o�arivbAroa[ 3. All bottle and equipment deposits are shown M<aramo nuyova _�R � `vM w« 9 - ACTIVITY. wn as CURRENT ma,a�Rmo pay electronically 4- Equipment Activity 9 pmam replacement costs will be charged for bottles lost, since your stolen,damaged or not returned. AccouNramvrrr P maw,e,��mK,�°u;�..�,.�ae,a•»K,�++a"aa%'^'"" Make sure this 5-In accordance with last invoice NWNA's Terms and Conditions Del-,Add,—John Doe,113W!n3Ueey OgAMe 00000 amount has been Equipment Lease and/or Service A ("T&C"),Your paid in full to sub' greement P"wase" Ject to minimum months account may be o03, 461890 payment-Th nkYou fees.(q complete version ofthe Purchases and/or earl cancellationm 3veestaaa s swuonwmralsPdn9waN, - >ayx avoid late fees Y m 3nees,aana s me M°unwms Oat Dep°:rt MCJoe website listed below current T&Cmaybeviewed onthe o9n, 3,eesla44 s m•Ne°nalnscalBenm �� Upon service discontinuation,rent for the 0v39 3102638811 wdwmn,9e r °" Months Leased Equipment is charged through the end a9na 36640491 p 0 Y Oil in which service is discontinued, of the billing cycle Surcharge,Fuel 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or oaE xYn • Surcharge or Delivery Delivery Fee as described in our T&C. Fee(see#6 under will apply to each account. The fee that applies my One Of these fees is stated on the front of the payment stub u nOnawANa 'AYM m mu MN °"a A " _ e invoice,For ACCOUNT SUMMARY — ,�,� t` ;�,„ ,�,:, "General ` "G visit the website listed further information "°---------- ---I-"°""`""` �n below please "° Information") center, or contact our c ----------UM 131 ---------A"' -------------------- customer service De1i��"'�°��°NMEOU'�' ACCOUM NUMBFA PAY BV PAY THIS AMOUm 7.As a food 1234361890 0000 00 Product, bottled water is subject to the NVO CE NUMBER BWNC DATE ENCLOSED regulations promulgated b rotes and 3234561890 00/o0/Ba Administration(FDA). y the Federal Food and Drug 8,Your first invoice indicates the products delivered on your first OV20096307 04282712619 00a393049 aoDR 1B delivery,along with an John Doe Amount due redemption fees,and anyapplicable bottle and account deposits, .CEM°OUN AN WATER COMPANY a NeU4wkw NamA+e+<.,a- 123 Mein S[ WN will reflect charges for water ldelivered and dispenspenser charges. ser rental,)bottle rnaswTe ERSE y deposits and credits plus charges for an p P Iwtot...tow.4t,,,dt,.,u„ba,.b••t,ttu„!„tt iORCUSTOMERSERYKECALL1dOW)2.9888 Submit our ordered b y additional roducts ❑SIGNUPiOPER EAU OPAtl 9 U0k 9WrNO Rn<ne d. ❑Pn un n"v o a n sa payment by this Y You.Deliveries are made every three or four weeks,for a total of 16-17 deliveries per year.You will only receive invoices date 2 times per Year,so approximately 5 of those invoices will reflect two deliveries. ©2008 Ice Mountain Spring Water Company,a Division of Nestl6 Waters North America Inc. service•icemountainwater.com 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 whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Ice Mountain Purchase Order No. POB 856680 Terms Louisville, KY 40285-6680 Date Due Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s) Amount 4/2/2015 05CO1200 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. Ice Mountain ALLOWED 20 POB 856680 IN SUM OF$ Louisville, KY 40285-6680 i $ 35.40 ON ACCOUNT OF APPROPRIATION FOR I Board Members PO#or DEPT# INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s), or 0 05CO1200 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 received except I I 4/13/2015 Signature City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund serviceAcemountainwater.com 0 #215 6661 DIXIE HWY,SUITE 4 03/01/15-03/31!15 0500121975593 ' LOUISVILLE KY 40258 ®A D ADDRESS SERVICE REQUESTED IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII WED- APR 08 0121975593 THU- MAY 07 MON- JUN 08 Access your delivery calendar at WED- JUL 08 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:1-800472-9888.It's freel CARMEL IN 46032-1938 r — 777 Spring Forwardndsa�el Save$2 d0 wh@nfyou buy your choice of beady to drink Iced tea kNestea,'Sweet 20 Meafi cr_Trada� a dSl��/�s�t�service Ec�cr6e�ulnt�lnvlater CQITI r -,4 TERNIO rix a; ec n 2 ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountaiinwater.com. Delivery address: CARMEL REDEVELOPMENT COMMISSION,30 W MAIN ST STE 220,CARMEL IN 46032 PREVIOUS BALANCE 109.78 3/08 415691 PAYMENT-THANK YOU 42.89 3/30 544367 PAYMENT-THANK YOU -66.89 3/12 0928215433 4 5 GAL ICE MOUNTAIN DIRK W/HANDLE 31.96 4 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 24.00 5 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -30.00 3/31 0932454309 1 DELIVERY FEE 3.95 C8229467 RENT 10.99 TOTAL 40.90 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 109.78 — 109.78 } 40.90 = 40.90 BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL,OR FOR YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER A REPORT ON WATER QUALITY AND FORMATION,PLEASE 1• Please remember payment is due by the" a b " T. ted to CALL 1-s0UNT uses R WRITE TE Co. 2. Remember,if you are renting equipment,your equipmedate nt rental is charged one month n ansure the smoothest dvance.That ICE MOUNTAIN SPRING WATER CYour first invoice will include a pro-rated fee for the current month,plus the next month's rental, #216 means 6661 DIXIE ,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 a transactionnk on bill is wrong,or ifyou need more,information about 4 Never hesitate to call us with comments,questions,or concerns. a transaction on your bill,write us on a separate sheet of paper,We must hear from you in writing no later than thirty(30)days after we sent you the first bill on which the error or problem appeared.You can telephone us,but doing so will not preserve your rights. give us the following in In your letter, formation: SAMPLE INVOICE • Your name,address,telephone and account numbers. The dollar amount of the suspected error. Date range of this invoice • Describe the error and explain if you can,why you believe there is an error. You are obligated to pay the parts of your bill that are not in question. You do not have to pay the disputed 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. ' 00/00100•ootootoo u3as67s90 Your Account Number GENERAL INFO 'S RMATION UP-O T O4 123456769 I.Payments received after the hittingMON-OC 29 (INVOICE)date will appear on Important Your next invoice.Past due invoices(not paid within 30 days of news and 21 Watch here for a billing date may be assessed late fee as "6411-5t,4111,1 roe DEc 10 exceed$20 - lowed by a it,iia.tq ttf 1Nttt Ilil.l.lflt 1Ni1�kL.H.41N Ousromer6eMce:1-800472-9880 personalized account per';;O third party coilectioNa�tt rn y `offers" IABD m,B�Yo m,R,m9aM9^fl,am9 message expenses may be assessed at a rate not to exceed 100%of the ,z3 Aamsc a e MI..oq,scare B0000 -----�4. unpaid balance or the maximum allowed by law. Ldad L pG }6 JG U LII t t G[G Iwti _ 2.Each returned check is subject to a service charge subject to the maximum check return charge allowable in your State. dx •�.� �A&cm§nage ca*nermcG�a+Asht�snwN ,_ 3. All bottle and equipment deposits are shown as CURRENTActivity paY¢lectronicallyACTIVITY 4. Equipment replacement costs since your Make sure will be charged for bottles lost, nccouNTnrnvm em mw this stolen,damaged or not returned. ° 5.In accordance with last invoice amount has been DN ryAtld s JohnD^e,123Matn5creeS�aY.uaae00000 paid in full to NWNA's Terms and Conditions("T&C"),your Pre„ofl,B,,^a uva Equipment Lease and/or Service Agreement account may be Pa me°` n°^k b4 ”° avoid late fees subject to Oen,.96,899 9Gail^n NaNtal SPrierywater ptpt J mini monthly purchases and/or early cancellation m 3vBBs,4aad s fees.(A complete version of the current T&C may be viewed on the n1 3,7e0s,a da s ieeM^p^=^sG ion o« 09/N 31>0061444h 5 Ice MpuMnfn6G IR x>v« Monthly Oil website listed below)Upon service disconfinuation,rent for the o9n2 3+026300„ n ens^ „tee r r Leased Equipment is charged through the end of the billing cycle 2 36swdwt Surcharge,Fuel in which service is discontinued, vtI B Q" Surcharge or Delivery 6.You will be charged ri monthly Oil Surcharge,Fuel Surcharge or Fee(see#6 under Delivery Fee as described in our T& A+TM A Oe^ "General will a Y that Only one of these fees PRmo430ww<e A.McvUAvNnMD +�"" " _ PP1Y to each account Payment stub The fee that applies to your account accouNr SUMMARY ,,„ " Information') is stated on the front f _________ ______ --- o the invoice.For further information please •����•°^�°--��^eOY1Ee�° `-------------- visit the website listed below or contact our customer ae eoemm uBarvesM mwm Wan W^•Pa)^K'^• -------------- ACCOUNT NUMBER PAY BY PAY THISAMODNr center, service 239367890 00/00 00 7. As a food r NV1234 67890 BIW NG DATE ENCLOSED P oduct, bottled water is subject to the rules and 123956]890 BoroOlBo regulations promulgated by the Federal Food and Drug Administration(FDA). 042DO96397 04292712619 000391049 2004 19 - 8•Your first invoice indicates the products delivered on your first Amount due delive KE MOUNTANWATERCOMPANY ^hnOce - ry,along with any applicable bottle and account deposits, °" """ "_ 123 Wm S[ redemption fees,and any dispenser charges.All future invoices will reflect charges for water delivered and dispenser rental,bottle oxs,me 000ao deposits and credits plus charges for an tt IOR NSIOMEfl SERY,CE U111.609 d7YA880 Submit your ucts SIG4VP FORPPFF ANOP YI619^Up ,ed O^Reve"eSd ❑PdntAM CM1an9es Onflevnu3ide ' payment by this ordered by you. Deliveries are made every three edortfour weekpros for date a Ota of 16-]7 deliveries per `" �_;,. -�- 'm_ I2 times per year,so approximately P Year.You will only receive invoices _.. 5 two deliveries. of those invoices will reflect Seser©2008 Ice Mountain Spring Water Company,a Division of Nestle Waters North America Inc. vice.icemountainwater.com Form No.NW 709 02114 t� Prescribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or.Ull.to be properly itemiied 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. BOX' d S b 6 O Q Terms L. ou(S V I lleV ��20 5' �� Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Z" 5 Total 40 I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor- dance with IC 5-11-10-1.6. , 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 QUA L:,L IN SUM OF $ 0. B nX 9sC�16 -.ou►s�;lfP� KK. 40- ZY5-U,?0 ON ACCOUNT OF APPROPR'I'ATION FOR SI �35"61 Board Members Po#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), SCO SS 37� 9� or bill(s) is (are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except I 4- 1-3—20ISY c Sig tuOil r ' Cost distribution ledger classification if Title claim paid motor vehicle highway fund