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246365 06/17/15 CITY OF CARMEL, INDIANA VENDOR: 051125 ® ; ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CHECK AMOUNT: $""""*218.64" s =�; CARMEL, INDIANA 46032 PROCESSING CENTER CHECK NUMBER: 246365 „iPO BOX 856680 CHECK DATE: 06/17/15 LOUISVILLE KY 40285-6680 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4239099 OSE012004852 55.34 OSE012004852 1125 4350900 05EO12009535 11.98 OSE0120095351 1091 4350900 OSE012120276 5.99 OSE0121202766 1205 4239099 OSE012177619 20.72 OlEO121776199 1801 4350900 OSE012197559 64.18 OSE01219795593 2201 4238900 15EO11782108 45.71 15EO117821082 1701 4239099 15E722032704 14.72 15E7220327048 service.icemountainwater.com ®® #215 6661 DIXIE HWY,SUITE 4 05/01/15-05/31/15 05EO121975593 LOUISVILLE KY 40258 010 - — jus ®gld B `' eSlguy gam. ADDRESS SERVICE REQUESTED II'I II I'I'll 'I III 'I I I I I I I I I I 'll 'II MON- JUN 08 0121975593 WED- JUL 08 THU- AUG 06 Access your delivery calendar at FRI- SEP 04 service.icemountainwater.com CARMEL REDEVELOPMENT COMMISION DON CLEVELAND Customer Service: 1-800-472-9888 30 W MAIN STREET Pay your bill online at:service.icemounta!nwater.com or SUITE 220 CARMEL IN 46032-1938 by phone at:1-800-472-9888.It's free! IinIiIIIIIIIiIiillli��llllllillnn�Inlii�I�inI�IIIIIIiI�I�iIi It's the Summer of Teai Save when you buy your favorite ready to drink iced tea $2.00_off Sweet Leaf or Tradewinds, $1Of!off Nester""visit eseruce.icemountaltidirectdeliveiy.com: N' ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwaier.com. P` R EF ` Delivery address: CARMEL REDEVELOPMENT COMMISSION,30 W MAIN ST STE 220,CARMEL IN 46032 PREVIOUS BALANCE 30.92 5/22 860257 PAYMENT-THANK YOU -30.92 5/06 0937532182 5 5 GAL ICE MOUNTAIN DIRK W/HANDLE 39.95 5 5 GALLON ICE MOUNTAIN BOTTLE-DEPOSIT- --,77-.' 30.00 1 9 OZ PLASTIC CUP 50C/SLV 4" 3.29 4 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -24.00 5/31 0941977787 1 DELIVERY FEE 3.95 E8557157 RENT ; " "t: � 10.99 TOTAL 64.18 A ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Sub'ect to terms on reverse side. 30.92 — 30.92 + 64.18 = 64.18 J BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL,OR FOR YOUR INVOICE-4 WAYS TO A REPORT ON WATER HELP US SERVE YOU BETTER QUALITY AND INFORMATION,PLEASE 1• Please remember payment is due by the"Ply ed to CALL 1-800472-9889 R NG WAUS TER Co. , Remember,if you are renting equipment,Your y"date equipment quipmenttr ntalis charged one month n nsure the smoothest advance.That me ICE MOUNTAIN SPRING WATER CYour first invoice will include a pro-rated fee for the current month,plus the next month's rental. #216 3.Kindly fill n the amount enclosed, include your account number on your check, and do not send es 6661 DIXIE H KY 025SUr8E 4 If you prefer,you can pay your bill online at service,icemountainwater.com LOUISVII,LE,KY 40258 Ifyou think your bill is wrong,or ifyou need more information about 4• Never hesitate to call us with comments,questions,or concerns. cash. a transaction on your bill,write us on a separate sbeet of paper.We must hear from you in writing no later than thirty(30)days after we sent you the first bill on which the error or problem appeared.You can telephone us,but doing so will not preserve your rights.In your letter, SAMPLE give us the following information: INVOICE • Your name,address,telephone and account numbers. • The dollar amount of the suspected error. Date range of this invoice • rothe error and explain an error. if you can,why you believe there is an er. 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 we cannot investigation,, am Your Account Number report your account 1 0o co/oo-oorooroo 72x567890 as delinquent or take an y action to collect thee amount in question. ` GENERAL INFORMATION Tm-oa w 123456789 I•Payments received after the billingM0N-OCT 39 i your next invoice.Past due invoices ot paid a a date 71 appear on Important wEo-NO°" Watch here for a billing date)may be assessed a late fee as allowed in 0 days of news and "-OEc to exceed$20 u;t[aimuniiitlnl�;ii�ra,rut ana•�:t ii; Ce,,,n Sewul�ooan-96x6 personalized account Per Month.Additionally, offers ohnDoe �ankyaufarusln9leMounNnPod"a message expenses may be assessed ata PAY collection/anorney 123 Mato sc unpaid bol rate not to exceed 100% -ots,stace_o0000 _ d*•^�'• i P balance or them of the uamaximum allowed by law. --- - 2.Each returned check is subject to a service charge subject to the } maximum check return ch arge allowable in your State. • i Pay electronically 3. All bottle and equipment deposits are shown as CURRENT z ACTIVITY. Activity 4•Equipment replacement costs since your em .e .• �a " " "' "'""" Make sure this stolen, will be charged for bottles lost AccouNrgaJvuv damaged or not returned. last invoice '• e S.IIIBCCOtdanC0w1W 'peGveNpddreis John0oe,123MaMStrcN.Gry,3lateooao6 amount has been NWNA's Terms and Conditions'("T&C"),your "A—Ibf— -W paid in full to Equipment Lease and/or Service Agreement account may be Ba me°`-manerw 0 0 avoid late fees subject to minimum 0807 ns,_ deo i monthly purchases and/or earl c nJ 31]66s14N4 5 3Gallan NaNral3pAngWat¢r foes•(A complete version of the currentT&C may cancellation n, 3v6as,uu 5 Ice Moon aMSGalDepot -, _Wa- Y viewed On the 09/„ 3110BS1a4N 5 ke MauntainSGal Return --^ - - website listed below)Upon service discontinuation,rent for the o9, 316z63eaN , Rens RAa ye 0 Monthly Oil (�t`,.Hail%�'.1.aR r•1�r i Leased Equipment is ch ovu 166 6 99 Surcharge,Fuel charged through the end of the billing cycle_^ 0 a in which service is discontinued. II LL Surcharge or Delivery 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or Fee(see#6 under Delivery Fee as described in � your T&C. Only one of these fees Ge NPxFNTAlIIN1v will appy to each account The fee that applies to Payment stub gCCOONT3UMMARY is stated on the front of th PP Your accountInformation) e invoice.For ., a,a a.••,ae— a,----a.e.------- __ further information please ---------------- ---------- visit the ------------ '""'AM ouNr website listed below or contact our customer service ° tl tl "'�' � AOCOO 567990 FR 0 00 0 center. 12x36]890 Bo to 00 7.As a food product, bottled water is subject to the rules and INVOICE467890 R BR 010 OAR ENCLOSED 1z6as6re90 oolooJoo z regulations promulgated by the Federal Food and Drug Administration(FDA), 0420096307 04282712619 000393044 2004 16 8,Your first invoice indicates the products delivered on your first Amount due delivery, 123 nen Main along with any applicable bottle and account deposits, .pEMWN1AW WATER COMPANY ay St nSt redemption fees,and any dispenser chore `"'�'d"��" �� atrstato 116006 will reflect charges for Water delivered and dispenser rental,bottle Submit your 1„tp,y„1„of...,,IL...11%.AI„LIL,t��I+GGt;S a invoices MRcusroMLR sumcEuuJ-eown-9666 deposits and credits plus charges for any additional products ❑s�w� A °P ns9•uoR � s^ ""`"ryR g0 payment by this ordered by you. Deliveries awill re made eve _ —i date R total of 16-]7 deliveries per every three or four weeks,for -.- ------- -— --` -- only ve invoices two deliveries.times per yearso approximately 5 of those invoices lWill reflect ©2008 Ice Mountain Spring Water Company,a Division of Nestle Waters North America Inc. service.Icemountainwater.Corn Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995) CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. y� 11 Payee Ce /-IOIUII�G�iri D<<�L� Purchase Order No. Po aux 8S 6�o Terms 6690 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 545' 05EO12.1,17SSJ3 tv&R r 6 i� Total 6 P 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 1Ce IN SUM OF $ P 0 Dox SSW O �%,15vdle� K Y 4o4s - 66SQ $ ON ACCOUNT OF APPROPRIATION FOR 19W / 435 09CO Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), 1901 w op-m S5v 435NO 64,1 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 64 - 20/5 Cost distribution ledger classification if Title claim paid motor vehicle highway fund service.icemountainwater.com # 215 6661 DIXIE HWY, SUITE 4 �jia LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED -3-7° 11111111111111 1111111 111111 1111'11 CITY OF CARMEL HUMAN RESOURCES JIM SPELLBRING 1 CIVIC SQ CARMEL IN 46032-2584 II'IIS'Illllllill�'�Illill'I�III���il'I���I'II'Ilil�l'I'III' 05/01/15 - 05/31/15 MON- JUN 08 WED- JUL 08 THU- AUG 06 FRI- SEP 04 05EO121776199 0121776199 Access your delivery calendar at service. icemountai nwater. com Customer Service: 1-800-472-9888 Pay your bill online at: service.icemountainwater.com or by phone at: 1-800-472-9888. It's free! ACCOUNT ACTIVITY For questions or a report on water quality and information, call 1-800-472-9888 or visit service.icemountainwater.com. Delivery address: CITY OF CARMEL,1 CIVIC SQ, HUMAN RESOURCE DEPT, CARMEL IN 46032 PREVIOUS BALANCE 2.72 5/22 I 860259 I I PAYMENT -THANK YOU I 2.72 5/07 0936946987 5/31 0941970535 E8483218 1 1 5 GAL ICE MOUNTAIN DIRK W/HANDLE 9 OZ PLASTIC CUP 50C/SLV _ _ t - ---- BOTTLE DEPOSIT - A CHARGED;'',O,CREDITED np:i i%/FRY FFP SiOb11tted To JUN 1 5 2015 Clerk Treasurer 3.49 3.29 6.00 3.95 3.99 20.72 IACCOUNT SUMMARY PREVIOUS BALANCE _ PAYMENT / ADJUSTMENT CURRENT ACTIVITY —PAY THIS AMOUNT s. Subject to terms on reverse side. 2.72 2.72 + 20.72 20.72 BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL,OR FOR YOUR INVOICE-4 WAYS TO A REPORT ON WATER QUALITY AND 1. Please remember payment is due by,the ap US SERVEYOU CALL 1-800.472-9ggg OR INFORMATION,PLEASE OU BETTER WRITE us AT: 2. Remember,if you are renting e Y by"date noted to ensure the smoothest service, ICE MOUNTAIN gpg�G WATER#216 Co. your first invoice will include a pro ated fee for the current month,plus the next month's re 6661 Your equipment rental is charged one month in advance, 6661 DIXIE HWY,SUITE 4 3, Kindly fill in the amount enclosed include your account number plus your check, That means LOUISVILLE,KY 40258 If you prefer,you can a rental. Ifyou think Your bill is wrong or ifyou need more information about Pay Your bill online at serviceaicemountainwater.com k and do not send cash, 4. Nevar 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 information: ihu•InYour letter, SAMPLE INVOICE Your name,address,telephone and account numbers. • The dollar amount Describe the error of the suspected error. • and heexplainDate range of this invoice an error, if you can,why you believe there is You de obligated l g ted too ay the parts ofyour bill that are not in question. investigated.During Pan the disputed amount while it is being g the investigation,we ca t as delinquent or take snot report your account ° + any action t0 collect the amount In a 00100700.00(00(00 II34s67890 GENE question. 1 Your Account Number 1,Payments INFORMATION TNR-a ea 123156789 yments received after the billing(iT1VOICE)date will invoices not appear on Important MON-NV 21 billing date)may be assessed a late fee t allowed by law not to 11 I Watch here for a thin 30 days of news and wE-DEC 18 exceed$20 Per month.Additionalt, '.!L>lJtt ill;dinbt4�ilii.6lpl,„dpp«p,;u,i•itl i .. - e«am,ner semu:,•BBo-4n-968e Personalizedt expenses may Y third PttY collection/a offers fah Doe y be assessed ata ttomey u3M I St Thankyau for using ice M4unWn pmd«N messy 0 aCCOun rate not to exceed 100%of the aysal 000DD .nar.nna,. g unpaid balance or the maximum allowed by law. i an t t tit _«tt_:p h v n«t.yt,G�«i Z.Each retained check is subject to a service charge subject to the — maximum check return ch w«axmrn 3. All bottle and equipment�depositsbaren-yown as CURRENT a1 a B r9w your State._ p Pa ACTIVITy, y electronically 4. Equipment Activity } 9 pment replacement costs will be charged for bottles los since your ` stolen,damaged or not returned, t, accauNrarnvrry e°a�a.=am¢a..abwvla,.,.•a-aa• .=,.aa,n,aaaamaM Make stere this 5,In accordance with NWNq$Terms last invoice Equipment Lease and Conditions("T&C' DelN,,Address:Johne•I23W,SUee;6ry.Suu 00080 amount has been and/or Service Agreement )'your P,n°«+B lana ,o n paid in full to $ subject to minimum monthly g went account may be 8613, 461698 Pa --Thonkya« Y Purchases and/or a n, 31 805iba44 5 SGaI°nNaWmlSpringVaer avoid late fee fees.(A complete version ofthe curentT&C may be v,ewed olnt[he m 31I88`Ia 3 eM°9a nlnsGalDap9, _ f a website listed below e9n, ",onS aaa 5 Ice M.-in S Gal R.— e x e 09n 3,83638611 1 .6Surthe,ge °}}�y. Sd MonffiI Upon service discontinuation,rent for the 09111 16648°97 Part 3 Jti Di 02.E"�',"!IV ""°` y Oil Leased Equipment is charged through the end of the billing cycle -- i in which service is discontinued, TOTAL Surcharge,Fuel 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge Surcharge or Delivery Delivery Fee as described in azge of Fee(sae Surcharge under will a Your T&C. Only one of these fees apply to each account The fee ]5 stated On lite front that applies t0 O Payment stub ACCOU'NT SUMMARY of the invoice,For your account General xx3oc visit the website listed fn'therinformationplease ""° "°'° "'`°"°°°a'""— °�'"°"°" •”" InfOrmation� -------------------------------- center. below or contact o ----° ACCOUNT NUMBER PAY BY PAYTNISAMOUNT our customer service 1234567890 00 000 7•As a food product bottled INVOICE NUMBER BILLING DATE ENCLOSED regulations promulgated b water is subject to the rules and 12345678N 0010C/0D y the Federal Food Administration(FDA), and Drug S,Your fust invoice indicates the products delivered on yom firs 0420096307 OV2a2712619 DOD39b049 2004 38 delivery,alongwith John Doe Amount due any applicable bottle and account'deposits, COE MOUNTANWA EA COMPANY redemption fees, Ma NnetW wNM Aavh ,33Main 5, and any dispenser charges.All future invoices c y,sw,e 00ee0 Will reflect charges for water delivered and dispenser rental,bottle y deposits and credits pias charges )«ap,>.•s.,u.�at.�ac;,t�tp„a«6yr<ta«a iD0.NSTOMf0.5FRVICECALL,•666111.9866 � Submit Our arg for any additional products f Pflyment by this ordered by You. Deliveries are made everyzGNu6 O6nrtEAem An 9awB 9 60 as«•L6 "'^y° O Pn" 5dG i a total of 16-17 deliveries threeorfourweeks,for ___..__,. __ w_____ _ date ou will only 12 limes per ve invoices year,so approximately 5 of those invoices twill effect _ _ two deliveries. C 2008 Ice Mountain Spring Water Company,a Division of Nestle Waters North America Inc. service.icemountainwater.com Form No.NW 70908/12 VOUCHER NO. WARRANT NO. ALLOWED 20 Ice Mountain IN SUM OF$ PO Box 856680 Louisville, KY 40258 $20.72 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1205 105EO121776199 I 42-390.99 I $20.72 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, June 15, 2015 Director, Administr ion 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)) 06/03/15 05EO121776199 $20.72 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 05/01/15-05/31/15 '05E0120048525 LOUISVILLE KY 40258 e oa p. B G e o ADDRESS SERVICE REQUESTED II I I II I I II I-I I'II II I I I I I I I I I I I I I III MON- JUN 08 0120048525 WED- JUL 08 THU- AUG 06 Access your delivery calendar at FRI- SEP 04 service.icemountainwater.com CITY OF CARMEL DEPT OF ENGINEERING Customer Service: 1-800-472-9888 LISA SCOTT Did you forget about us? Kindly pay upon receipt. 1 CIVIC SQ Remember,past due accounts are subject to a late fee. CARMEL IN 46032-2584 Your prompt payment is appreciated. For your III'I'�I"I"III'I�"�I' '�IIIIII��'I�II�IIIIIIII�I"II'�II�'llll convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. it's the Summer of Tea! Save when you buy your favorite ready to d„rink ices!tea: $2:00.,off Sweet leaf ar Tradewincls, $1 ';0 off Nestea! Visit ese iae teemo »` "nclir-=911vei y:com. ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. Delivery address: CITY OF CARMEL,1 CIVIC SQ, CITY ENGINEERING DEPT,CARMEL IN 46032 PREVIOUS BALANCE 31.31 5/01 0936846013 10 5 GAL ICE MOUNTAIN DIRK W/HANDLE 34.90 10 5 GALLON ICE MOUNTAIN BOTTLE_DEPOSIT .00 5 90Z PLASTIC CUP 50C ” 7 5 GALLON ICE MOUN A/NLDEPOSIT RETURN 6 `�'�10777, 16.45.00 5/31 E8491643 RENT ' 3.99 TOTAL C ; , RECEIVED 86.65 "` JUN 2013 't CSS CARMEL dP CITY ENGINEER �Cd "L200 LIZ99 0d 9 `�' cZ�'�°��'J ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT - -- Subject to terms on reverse side313100-- + 5534 :-:--,-=_ 8665 --- ---------------------- - ------ ---------- -------------------------- - ----------------------- ------------------- _ ------ ------------------------- BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL,OR FOR yOIJR INVOICE_Q A REPORT ON WATER QUALITY AND 1. Please remember payment is da TO US SERVE YOU BETTER CALL 1-800472-9888 OR WRM US AT; INFORMATION,PLEASE 2. Remember,if are renting Y pat by"date noted to ensure the smoothest service. ICE MOUNTAIN SP#216RING WATER CO, g equipment,your equipment rental is charged one month in advance,That means 6661 Your first invoice will include a pro-rated fee for the current month,plus the next month's rental. 6661 D]XIE IiWy,g y 3.Kindly fill in the amount enclosed, include LOUISVILLE,KY 40258 If you prefer,you can a Your account number on e at 4. Never hesitate to call us with omilmentsOnlilquesti ns,or concerns.lnwater.com fY°U think Y°ut bill is wrong,or ifyou need more information about Your check, and do not send cash. a transaction on your bill,write us oil a separate sheet of paper.We must hear from you in writing no later than thirty(30)days after we sent you the fust bill on which the error or problem appeared.You can telephone us,but doing so will not preserve your rights. give us the following information; In Your letter, SAMPLE • Your name,address,telephone and account numbers, INVOICE VOICE • The dollar amount of the suspected error. ' you can,wh Date range of this invoice Describe the error and explain if 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 c as delinquent or take an he am report y action to collect the annof r P Your account un[in 00100/00-00100100 1234567890 § your Account Number GENE '' question. 1.Paymena�Lvv�ORMATION Your next invoice,Past due invoicesthe OIC��cia1e will a TNR-OCT0a 7 2345 6 789 billingPP�9r on Important MON-OR 29 date)may be assessed a late fee as allowed b WurNov 2, ( P within 30 days of dews and exceed$20 per month.AddiGo'na71, n E"DK 1B ! Watch here for a Y law not to ,a;8aittinq€�itilAG„{IdJ�1AL�:)11n<tl��ll,Lit1. c.:mrn.r�„��1-X72-96ee t person 1.1l1Zed account Y third offers lonn°ain rn nkyw,r.,nInq uM-noinpn,d•m expenses may be assessed at a rate not P�ceed 100%of the u3M I s1 message unpaid balance or them _ ptow. 00000 maximum allowed by law - t.w i t t t.,niu n rt tn„G.1.6Ia;a„n 2•Each returned check is subject to a service charge subject to the maximum check return charge allowable inyour • i 3. All bottle and State. equipment deposits are shown as CURRENT :. a oar.: i ACTIyITY APay electronically ctivity 4.Equipment replacement costs will be charged for bottles lost, Since Your stolen,damaged or not returned. S.In actor accouNracrrvm ��,...,.,.,m,.,.,�....a.m.:a Make lastlnvoice sure this accordance with NVVNgs Terms and Conditions(°T&C”, uely gAddmw MhnDm 123M Sv Gry,Sbk 00000 amount has been Equipment Lease and/or Service Agreement account may be "e�°�'s'lan paid in full to subject to minimum monthly .25 461698 P M.,-Thankyo A.M fees.(Atom 1 purchases and/or earl c n 3117aM w, 5 5GOI N-15peingWater i avoid late fees peteversionofthec Y cancellation n, i,7ee514aa4 s „eM.unbmsGalDep.lit .,i a« p eS website listed below U urrentT&C may be viewed on the WA, 2117 s14444 5 IaM..n�inSG nem -'" UA Leased Equipment ) Pon service may rent for the .A 31e263W6 l wds Rnk g. ? AA is charged through D911 X40491 "°` $k _% tStj h !+ AX( Monthly O!l in which service is discontinued. Sh the end of the billing cycle z` t r k Surcharge,Fuel 6.You will be ch °0 ' "" arged a monthly Oil Surcharge,Fuel Surcharge or _ Surcharge or Delivery Delivery ry Fee as described in your T&C. On Fee(see##6 under wfll ted o to each account. The fee that a one of these fees Payment stub 'w^ PA"°" + """" " _ "Y"SNNDUN `General is stated on the front of the invoice.For applies to Your account accouNrsuMManr - - visit the >axc the listed act o r information please """"'"> •""`° "� """" center, below or contact o ------------------`-`------------------------------ Information-) W custom ease service Oewdtla+��rtovn•an1^.PM�r ACCOUNT NUMBER PAYBY PAYTNISAMOU14T t 7.As a food product bottled 1234567890 e0 00 AA i water is subject to the NVOICE NUMBER ­001N0-0 IWNG OATS ENCLOSED regulations promulgated b rules and 1]34567890 00r00roo Administration y the Federal Food and Drug 8.Your first invoice the products delivered on 0420096307 04282712619 000391049 2004 1B delivery along with any applicable bottle Your first Amount due redemption fees,and anand account deposits, ICE MOUNTAIN WATER COMPANY ohn 0.e Y dispenser charges.All fie OM dNa���NaAA ,a 123yM.In5tao0ao will reflect charges for water delivered deposits Lure invoices Po and credits plus ch and dispenser rental,bottle u ma�.arn•t6wa,:n ate,t•sttl.:t:R fORN1TOMER SEANCE GLLI-000.4129888 Submit your r ordered by you.Deliveries are made eve anY additional products ❑GNUD R¢Au owmv9nu9P R u aan a se. O RN1A 5bO RvarA3e payment by this I total of 16-17 deliveries every three or four weeks,for _____�_-_. _ _ date Per year.You will Only receive invoices --• --, - — __ twotimes per ,year,so approximately 5 of those invoices Will reflect _ ,__..� ._-".M two deliveries. O° 20(78 Ice Mountain Spring Water Comp service.icemotlntainwater.com any,a Division of]Nestle Waters North America lne. Form No.NW 7pg�}g �__�� 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 6/3/2015 05EO120048525 Water cooler $ 55.34 Total $ 55.34 1 hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accordance with IC 5-11-10-1.6. ,20 Clerk-Treasurer VOUCHER NO WARRANT NO. Ice Mountain ALLOWED 20 POB 856680 IN SUM OF $ Louisville, KY 40285-6680 $ 55.34 ON ACCOUNT OF APPROPRIATION FOR Board Members Po#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT# I hereby certify that the attached invoice(s), or 0 05E01200485 2200-4239099 $ 55.34 bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 6/15/2015 Signature City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund li service.icemountainwater.com C ' • #215 6661 DIXIE HWY,SUITE 4 05/01/15-05/31/15 15E7220327048 ' LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED e v B e II'I I II I" Illi I"II I I I I I I I I I lI I 'll MON- JUN 08 7220327048 WED- JUL 08 THU- AUG 06 Access your delivery calendar at FRI- SEP 04 service.icemountainwater.com CITY OF CARMEL OFFICE OF THE CLERK TREASURER Customer Service: 1-800-472-9888 ANN DAVIS Pay your bill online at:service.icemountainwater.com or CARMI E SQ 46032-2584 by phone at:1-800-472-9888.It's free! �Ill�llll���lirlllllllll"Illlllril��lllllll�l"��I�II�II'��III�� It's the Surnrriecof Tea! Saue when you tau hyo rfauat^Iteady ° f d � $200 off Svieet Leaf ar Tr" ,ewinds,$ 0 off Nestea V t�esenrt 5t emoun#atlndlrectdeltuery com ON ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. Delivery address: CITY OF CARMEL,1 CIVIC SQ, CLERK TREASURER OFFICE,CARMEL IN 46032 PREVIOUS BALANCE 25.19 5/22 860260 PAYMENT-THANK YOU -25.19 5/07 0936947399 1 5 GAL ICE MOUNTAIN DIRK W/HANDLE 3.49 1 5 GALLON ICE MOUNTAIN BOTTLE"DEPOSIT--- .00 1 9 OZ PLASTIC CUP 50C/SLV 3.29 1 5 GALLON ICE MOUNTAIN DEPOSIT RETURN .00 5/31 0942068438 1 DELIVERY FEE,I 3.95 E8522808 RENT 3.99 TOTAL - 14.72 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 25.19 — 25.19 + 14.72 = 14.72 -- BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR QUESTIONS ABOUTYOUR BILL,OR FOR YOUR INVOICE-4 WAYS TO HELP US SERVE YOIJ BETTER A REPORT ON WATER QUALITY AND INFORMATION,PLEASE 1 Please remember payment is due by the"Pay y CALL 1-800-472-9888 OR WRITE US AT: ]l y b "date noted to ensure the smoothest service. 2. Remember,if you are renting equipment,your equipment rental is charged one month in advance.That means ICE MOUNTAIN SPRING WATER CO, your first invoice will include a pro-rated fee for the current month,plus the next month's rental. #216 6661 DUM 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,questions,g,or if you need more information about q 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.In your letter, SAMPLE give us the following information: I N V`,f I C E • Your name,address,telephone and account numbers. v �/ • 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 c "a 7890 as delinquent or cannot report your account 00100/00-00 111 1234567590 (. 9 take any'. to collect the amount in ' a Your Account Number Y question. � GENERAL)INFORMATION TNN-OCT M 123456159 Pay NERAL received after the billing(INVOICE)date will appear on Important MON-M z9 your next invoice.Past due invoices(not paid within 30 days of wBo-NOV 21 billing date)may be assessed a]ate fee as allowed by law not to NE-DEC to Watch here for e Y news and iritl•nu to asntnpdFarai larr G.Wmer 9ervitt:,-800412-9858 personalized account exceed$20Permonth.Additionall offers pn° �akyvufe,u,6ymeM9"nanpmd"b message expenses may be assessed at a rate not tpor party 100%of the 123 Mi.st aura _ 123 Mit 00000 unpaid balance or the maximum allowed by law. �t a ra a as a..it a u t«tout d n; 2.Each returned check is subject to a service ch d maximum elr r St subject to the _ check return charge allowable in your State. - 3. All bottle and equipment deposits are shown as CURRENT % „n-" You _�s" � .h �t Pay electronically ACTIVITY Activity 4. Equipment replacement costs will be charged for bottles lost, since your Make sure this stoleq damaged or not re ACCOUNT ACTIVITY bmmcm cuMWa m mmm tamed. last invoice amount has been 5.In accordance Equipment L xith NWNA's Terms and Conditions Delivery Addre s: ohn Do¢123 Main Street Ciry,S a e W600 p ase and/or Service Agreement acc(ounttC a your Pre"°"sBa,aes9 x aid it full to es may be aar5, 461090 Payment$M1ankY°" � i avoid late fees subject to minimum monthly purchases and/or earl n, 3,00,4494 5 SGall°n Na m15p,IngWae fees.(A complete version of the current T&C maybe viewed cancellation nathe "' 3" 514 4i 5 IQ M°"nbi s D,D po 1 ; 09/1, 31100514414 5 Ice Moumzl 5Ga15 _ website listed below)Upon service discontinuation,rent for the �/" ' 40"'11 1 "°°" 9 „ i a k" "" j Monthly Oil Leased Equipment is charged through Surcharge,Fuel in which service is discontinued. the end of the billing cycle TOTAL l 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. OnlyF one of these fees vxmous 6 wxs_vA MDrtrAON Min{cuaxu •c rnn vArT,rcs _t wzB apply to each account The fee that a Payment stub AaouNr suMEnaar ,a,a loou is stated on the front applies to your account Iaformaho "General of the invoice.For ,,,,,."�_,^•^ '"""- ----- Information') further information please --------------T NUMEM------- visit the -------"' pnrrTlrs AMouNr website listed below or contact our customer service O v tl�p6aaw M^e mm ACCOU 567890 EA PAY 1 o x center. 1134561890 0000/00 7,As a food product, INrDICE NUMBER BIWNG DATE ENCL05ED P t bottled water is subject to the rules and 1z34s67090 00/00100 regulations promulgated by the Federal Food and Drug Administration(FDA). 0420D96307 042827,619 00039bOV9 2D04 38 1 S.Your first invoice indicates the products delivered on your first } Amount due delivery, 12"tee ry,along with any applicable bottle and account deposits, cEMOUNruNWATExcoMPANv redemption fees,and any dispenser charges.All future invoices oM�a ° z3 Mam st Rd]]reflect ch atast4re 00000 charges for water delivered and dispenser rental,bottle t _J Submit hW:d»nI soacusroMexsDmceau,-eoa+n-vesa Submit your deposits and credits plus charges for any additional products Payment by this ordered b ❑vcNuvro Puenurovmsg u nen"iaaana+ers:rwe. - 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 - ]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. QQ service.icemountainwater.com a� Form No.NW 709 08/12 Prescribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of'units, price per unit, etc. n Payee lX� �/� `ni4i/i(,ao , Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) c Total I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor- dance with IC 5-11-10-1.6. , 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF $ ' oo e ON ACCOUNT OF APPROPRIATION FOR (h�t'7-,2c Board Members Po#or INVOICE NO. ACCT#!TITLE AMOUNT_ DEPT.# I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that ' j the materials or services itemized thereon for which charge is made were ordered and received except 20 Signatu Title Cost distribution ledger classification if claim paid motor vehicle highway fund +� service.icemountainwater.com ' #215 6661 DIXIE HWY,SUITE 4 05/01/15-05/31/15 05E0121202766 / LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED II'IIII'IIIII'III IIII II IIII I II ' II T�� TUE- JUN 30 0121202766 /—EID THU- JUL 30 FRI- AUG 28 Access your delivery calendar at JUN - E8 2015 TUE- SEP 29 service.icemountainwater.com CITY OF CARMEL PARKS DEPARTMENT g Customer Service: 1-800-472-9888 MANDY SPADY Did you forget about us? Kindly pay upon receipt. 1411 E 116TH ST Remember,past due accounts are subject to a late fee. CARMEL IN 46032-3455 Your prompt payment is appreciated. For your II'I�'111111"IIII'I'I��'��I��I����'1111"'ll"I'I�II�I'�I'll"I� convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. lt's the Summer f Teal Sa a when you buy—.1-0.04111 te ready to d -nk iced tea: $2:U0 off Sweet f_eaf or Tradewnds, $[ off Neste ! Vislt eservi;;"e. cemotntaindrr c#deli �+ ry�com. - v r 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 104.29 5/31 E8593916 RENT 5.99 TOTAL _.- - - —__ _.__ __- 110.28 o . 3 " ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Q Subject to terms on reverse side. 104.29 — 0.00 + 5.99 = 110.28 BII,LING RIGHTS SUlYIMARy IN CASE OF ERRORS OR QUESTIONS ABOUT BII L,OR FOR YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER A REPORT ON WATER QUALITY AND INFORMATION,PLEASE 1• Please remember paymetit is due by the`° ansurethesmoothest t CALL Moo 472-9asg P WR WITE US AT, 2. Remember,if you are renting equipment,Your equipment trental es charged one month in advance.That ICE MOUNTAIN SPi2IIVG WATER CO, your first invoice will include a pro-rated fee for the current month,plus the next month's rental. 6266 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash.6661 DIXIE HWY.,SUITE 4 LOUISVILLE,KY 40258 If you prefer,you can pay your bill online at service.icemountainwater.com 4. Never hesitate to call us with Com cash. If YOU think your bill is wrong,or if you need more information about mems,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 fust bill on which the error or problem appeared.You can telephone us,but doing so will not preserve your rights.In your letter, SAMPLE give us the following information: INVOICE N VO 1 I C E • Your name,address,telephone and account numbers. G • The dollar amount of the suspected error. Date range of this invoice • Describe the error and explain ifyou ca an error. n,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 /234567890 i as delinquent or take any action t°collect the 00/00/00-00/00100 YOnrAccount Nu amount in question. tuber GENE RAL INFORMATION ,,,­OCTW 123456789 1.Payments received after the billingA w ocr z9 your next invoice.Past due invoi e(INVOIpaid wi thin130pdays of nws and Important billing date)may be assessed a]ate fee as allowed by law not to NOV 21 Watch here for a NE-DEC 18 123 exceed$20 Per month,assessed a latefethird Itilaul�nhfnpd•11n.G1iiGadtttin+LlWdh CWW,e,seM�1.oDO_,zr.9918 i personalized account offers manEya.,•„D0 Im MounWn Phu b expenses may Party cohection/attorney t sSeSt ..d'aMeay 9 f message Y be assessed ata rate not to exceed 100%of the .mm: m,.li„n 6a..G.u6t.4g u` unpaid balance or the maximum allowed by law. i 2.Each returned check is s cct to a service charge�ubject_to the maximum check re • turn charge allowable in your State. { Pay electronically 3. All bottle and equipment deposits are ACTIVITY• PO shows as CURRENT Activity 5 - 4. Equipment replacement costs will be charged for bottles lost, since your ACcournpcllvnv ��-•rm �m� �maaw ,can. aaa.'” ( Make sure this stolen damaged or not returned. last invoice S.In accordance with amount has been NWNA'sTermsandConditions pel a Adde snnnDoe.lz3MansPee ar,snter000 Equipment ("T&C'},your 9reWnuaBalance cw paid infe❑ Lease and/or to Service Agreement account may be Ofl91 46,08 Pyment-ThankYou avoid la fees subject to minimum monthly purchases and/or earl m 3vees4a4a 5 50allon Natural5pdng Water IX.%% fees,(Acomplete version ofthecurrent T&C may beviewed lonithe n' 31V514604 s e"°""a'"5Q,1 on w .._.-- 69n1 317M5144H s Im Mounlnlns Gal Belum website listed below)Upon service discontinuation,rent for file Wnz 31az6Je61, , m soon 9n ;,,-,1-,, ;J "Da t Monthly Oil o9n 1s64w97 Rem , F t};,',', Leased Equipment is charged Surcharge,Fuel arg through the end of the billing cycle TOTAL m which service is discontinued. Surcharge or Delivery 6,You will be charged a monthly Oil Surcharge,Fuel Surcharge or i Fee(see#6 under Delivery Fee as described in P4 N,.00M Yo T&C. Only one of these fees pa „m Wse.una Will apply to each account. yment stub `"""r"°N "+"""x"" ""y = f "General is stated on the The fee that applies to o ACCOUNT SUMMARY 0 0 Your account m Information') The -„^ w^,=•' ”`"" ----------- fiutherinformation please ----o.w w�„W-;,; [--- visit the website ListedpCC00Nr NUMBER PAY BY PAY TNIS AMOUNT below or contact our customer service center. 123456)890 0 00 00 ENCLOSED 7.As a foodproduct, NVOICE NUMBER 6nuNC DATE bottled water is subject to the rules and 1334567990 00/00/00 regulations promulgated by the Federal Food and Drug t Administration(FDA), 0420096307 04262712619 x00391049 2004 1B 8.Your first invoice indicates the products delivered on your first Amount due delivery, CE M00N A N WATER COMPANY obn Oce �ODg with�Y applicable bottle and account deposits, •awwmNwew.ma"° "` u3Mamst J redemption fees,and any dispenser charges.All future invoices o y w1e 00000 will reflect charges for water delivered and dispenser rental,bottle ulni��^��^lwa"tt"b°tt'ts6an w0.LUsrOMFAsmcEcwlsoo,la-9eee + Submit your deposits and credits plus charges for any additional products payment by this ordered b ❑SkN�EORmEE�Ah�"un�9.ueaw,eaw<new• t 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 fee Mountain Spring Water Company,a Division of Nestle Waters North America Inc. service.icemountainwater.com Form No.NW 709 08172 ME service.icemountainwater.com ' ®b ® ' s , #215 6661 DIXIE HWY,SUITE 4 05/01/15-05/31/15 05E0120095351 ' LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED ®►a r_ B e i TUE- JUN 30 0120095351 THU- JUL 30 FRI- AUG 28 Access your delivery calendar at TUE- SEP 29 service.icemountainwater.com CARMEL CLAY PARKS AND REC DEPT. Customer Service: 1-800-472-9888 AUDREY KOSTRZEWA �U N — 2015 Did you forget about us? Kindly pay upon receipt. 1411 E 116TH ST Remember,past due accounts are subject to a late fee. CARMEL IN 46032-3455 B'�: Your prompt payment is appreciated. For your convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. ✓a 1zX ,£ .. sXe ;t,*.lTe r Its�he��Summerof��Tea� Sav�when�you�buyyour fav�a��te ready to�dnnk Iced tea�$2 OOoff�S�e�et�Leaf or �Tha`cle nds$100' off�Nes�i` � 1�/Islt'eserut�e Icem�oun�ridtrec�deilv�e�` com �¢� ��` ` ` �� ° " ' ` ✓"a���,�v�c�:i�"'+` ��s "S `�.s.,, _ r:.z�. �%�.�.�'�a a�� -, r�r,.�,,si ,.s...?, ,.-s-, ,-a" ���:e.r r "`'-� fs�,§. ' _ � ��� �.�"'�^'� � s '�F'�..r ,��� ''r !��;�✓ '� � � ;ham e '.�% v. a.» - " 5" 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 73.10 5/31 E8508251 RENT 11.98 TOTAL -;.:r - 85.08 F ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 73.10 — 0.00 + 11.98 = 85.08 - - -------------------- -- ----- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------�- BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL,OR FOR YOUR VOICE-4 WAYS TO Lp A REPORT ON WATER QUALITY I. Please remember payment is due b the ay b 'S SERVE YOU BETTER CALL 1-800-472,9888 OR A�INFORMATION,PLEASE Y "Pay y date noted to ensure the smoothest service. WRITE us aT: 2.Remember,if you are renting equipment,your equipment rental is charged one month in advance.ICE MOIINTAIIV SPRING WATER CO. Yom•first invoice will include a pro-rated fee for the current month,plus the next month's rental. #216 ce.That means 6661 DIXIEVIL IIWY SUITE q 3. Kindly fill in the amount enclosed include your account number on your check, and do not send cash. LOUISVILLE,KY 40258 Ifyou prefer,you can pay your bill Online at service.icemountainwater.com 4. Never hesitate to call us with comments,questions,or concerns. If you think your bill is wrong,or if you need more information about a transaction on your bill,write us on a separate sheet of paper,We must hear from you in writing no later than thirty(30)days after we sent you the first bill on which the error or problem appeared.You can telephone us,but doing so will not preserve your rights.In your letter, SAMPLE give us the following information: INVOICE Your name,address,telephone and account numbers. 14 G • The dollar amount of the suspected error. Date range of this invoice • Describe the error and explain an error. ifyou 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 c as delinquent or take cannot report your account 00/00/00-U01oo100 1234567890 any action to collect the amount ount in question. 1 Your Account Number � GENERAL INFORMATION E-OCT a 12345678911 i 1.Payments received after the billingMUwL 29 Your next invoice.Past due invoo(s(noOtlpa d w,t�h�J30da appear of neportant "° " Watch here for a billing date)may be assessed a late fee as allowed by law of to ws and 1uE-0K to i exceed date)mS20 per mont assess d a late fed GSlgdI1114d166.fi11.4tg6Gdtt„t6diddq, ewwme sem«:1 eoo4n-seas personalized account ex en Party colleetion/attome offers t9hnD°e Thy,yIn. ",n'1.WunulnpmduM message p ses may_he assessed at a rate not to exceed 100%of the 123Mamst e unpaid balance or the maximum allowed by law, ory- 00000 I..S01 2.Each returned check is subject-to a_seryice charge subject to_the maximum check return charge allowable in your State. ” Pay electronically 3. All bottle and equipment deposits are shown as CURRENT «ti ' m h Je ACTIVITY, Activity 4. Equipment replacement costs will be charged for bottles lost, Since your accouNrASee o ma. °•m • °°'"°"�°°°"°"" Make sure this Y rnvm stolen,damaged or not returned. last invoice ' amount has been S.In accordance with NWNA°s Terms and Conditions(°°T&C", o9r macre innnDoe,+23 Mainsv�c aros aoc x0000 i your ,Mw,a,an a av« paid in full to Equipment Lease and/or Service Agreement account may be JbankY"4 wua subject to minim °0n' +esa P'"""" p11o1 avoid late fees nm monthly purchases and/or n+ 3veas+4444 s swunnaawm�sprtnsWate° ! fees.(A complete version of the currentT&C may beviewedion the 09Jn 31)88516994 6 Mo"ntai SGaI0e1 Monthly Oil website listed below)Upon service discontinuation,rent for the o9n 3+az63een wds°rcw0 °9nz 1669099) �^+ 3;e.= t+,ti_IIti,� '01101 1 Leased Equipment is charged throughSurcharge,Fuel in which service is discontinued, the end of the billing cycle 0 0 Surcharge or Delivery TOtAt _ -,�«✓''- 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or _ 1 Fee(see#6 under Delivery Fee as described in your T&C. Only rnformatt will apply to each a one of these fees Payment Stub °" — "aA0 M+aanN Ana — pp0 account The fee that applies to accouNrsuMMasr Information") is stated on the front f pp Your account o the invoice.For further information _•^°'° °'°` ----"— --- °"______. visit the website listed below or contact our customer service oammn°am a w ACCOUNTNUMBFO PAY BY par mi oUNr l center. 12345619" 00 00 00 1 7,As a food product, bottled water is subject to the rules and INVOICE NUMBER BIWNO DAIS ENCEOSEO 1234567090 00/00/00 regulations promulgated by the Federal Food and Drug Administration(FDA), 042,11396307 04282712619 00/3391049 2004 18 8.Your fust invoice indicates the products delivered on your first t Amount due delivery,along with any applicable bottle and account deposits, ICE MOUNTAIN WA FA COMpANV 123 o« 1 d"atl9wam"onnwmnu ia. 123 Main St redemption fees,and any dispenser charges.All future invoices will reflect ch Cry,State 00000 arges for water delivered and dispenser rental,bottle Submit your deposits and credits plus charges for anl Jad,d tlL.lL a q„1! Iw1 L4La.0 OR CUS OMf 3FRV CE CALL I-0OOi)2-9888 p wNwE,uro,nn 9°,k,�6� O nAM � 9 f payment by this ordered by you. Deliveries are made every three or four weeks,for _ ___ ___ - — date a total of 16-17 deliveries per year.You will only receive 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. t] service•icemountainwater.com `��� Form No.NW 7pg 08112 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service,where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. 051125 Ice Mountain Terms P.O. Box 856680 Louisville, KY 40285-6680 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 6/3/15 5EO121202766 Drinking water&cooler- MCC $ 5.99 6/3/15 5EO120095351 Drinking water MO AO $ 11.98 Total $ 17.97 1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 , 20 Clerk-Treasurer Voucher No. Warrant No. 051125 Ice Mountain Allowed 20 P.O. Box 856680 Louisville, KY 40285-6680 In Sum of$ $ 17.97 ON ACCOUNT OF APPROPRIATION FOR {I 101 General fund/109 Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1091 5EO12120276 4350900 $ 5.99 1 hereby certify that the attached invoice(s), or 1125 5110120095351 4350900 $ 11.98 ,bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except I I June 11, 2015 Signature $ 17.97 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund service.icemountainwater.com ®® #215 6661 DIXIE HWY,SUITE 4 05/01/15-05/31/15 15EO117821082 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED II I I II I I II I'I I I I I'I I I I I I I I III' I III TUE- JUL 07 0117821082 WED- AUG 05 THU- SEP 03 Access your delivery calendar at MON- OCT 05 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:1-800-472-9888.It's free! CARMEL IN 46074-8267 �I�II�III�I�II�I�'111111'SII'ILII..II""�II'lll'I'I'���I��I�'��I Its he Summer of,T ea! Savewhenyou buy your fauante ready to drink iced tea:,$200 off Sweet Leaf or radewinds, $m1 00 off Nestea fiVlsit eservrce.icemounta ndirectdeliuery#C0. ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. Delivery address: CITY OF CARMEL STREET DEPARTMENT,3400 W 131TH ST,CARMEL IN 46074 PREVIOUS BALANCE 48.02 5/22 860258 PAYMENT-THANK YOU -48.02 5/06 0936803592 10 5 GAL ICE MOUNTAIN DIRK W/HANDLE 34.90 10 5 GALLON ICE MOUNTAIN BOTTL"E"DEPOSIT 60.00 3 9 OZ PLASTIC CUP,50C/SLV- 9.87 11 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -66.00 5/31 0941937930 1 DELIVERY-FEE—7 s 3.95 E8478082 RENT �' x 2 99 .� { x TOTAL «;..:; 45.71 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 48.02 — i48.02 + 45.71 = '45.71 I r, BILLING RIGHTS SUMMARY INCASE OF ERRORS OR QUESTIONS ABOUT YptlR BILL,OR FOR YOUR INVOICE-4 WAYS TO A REPORT ON WATER ugLITY 1, Please remember payment is due b thReE aPb S SERVE yOIJ BETTER CALL 1-800-472-9888 OR WRITE US�INFORMATION,PLEASE Y "pay y date noted to ensure the smoothest service. 2. Remember,if you are renting equipment your equipment rental is charged one month in advance.That means ICE MOUNTAIN SPRING WATER CO, Your first invoice will include a p--rated fee for the current month,plus the next month's rental, 6266 ro3.Kindly fill in the amount enclosed, include your account number on your check and do not send ices 6661 DD:IE IIWY.,SUITE 4 LOUISVILLE,KY 40258 If you prefer,you can pay your bill online at service.icemountain er on corn 4. Never hesitate to call us with comments,questions,or concerns. h, a IranYOu think your bill is wroari e s you need mote information about a transaction on your bill,write us on a separate sheet of paper.We must hear from you in writing no later than thirty(30)days after we sent you the first bill on which the error or problem appeared.You can telephone us,but doing so will not preserve your ,tter rights, SAMPLE give us the following information: In your leINVOICE N VO IC C • Your name,address,telephone and account numbers, v G • 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 re ort o j as delinquent or take an P Y m account 00100100.00100100 1214567890 ? your Account y,action to collect the amount in question. 1 ,` Number GENERALORMATION T",_OCT. 123456799 1.Payments received after the billingm�oa 19 your next invoice.Past due invoices pat date will app ays O Important NOV 21 Watch;here for a billing data)may be assessed a]ate fee as allowed by lawd within 30 dnot to news and TUE-DEC 16 ' un to m atilt;imtm6 trio sataaq' �saM�l-8o 7r-9338 personalized account exceed$20 per month-Additionally,third party Celle by Offers expenses ma be °h 0 ThnnY7•uEorusln9lmM°unulnPmd°� message Y assessed ata rate not to excee 123M i St ,na aaMm .- P"Sm.00000 ....I unpaid balance or the maxim 06 f the _ -J4 t pt.n6..,.n arta L yt,yt.f»a 2.Each returned check is subject tolla service charge subject to the i maximum check return charge allowable in your State. ro - 3, All bottle and equipment deposits are shown as C `��r-t p+Ca"" mx1, i Pay electronically ACTMTy. CURRENT Activity { 4, Equipment replacement costsMake sure this will be charged for bottles lost, smce your pCCaUNTpCrIVRr 6•�.rc«�•••Y�^�"a^-° stolen,damaged or not returned. last invoice S.In accordance with NWNA's Term amount has been Terms "T&C 0dn�aloM1nD0413M1afn5`eG°Yswteoo0ao ( „)>Your P aa0o,6ala4t° paid in full to Lease and/or Service Agreement account may Pa7me0t-TBankYa4 subject to minimum be °�' 4618' w0 pn , ! avoid late fees monthly purchases and/or earl nI 4618n,M44 5 6GaIl0nNatu 16p 9Nahr f' Wo ! fees. (A Complete version ofthecurrent T&C maybevlewedolnt�e 0 9neasl^"' s IaMWnalnSGalo�nstt _ 09/11 31766514414 5 Ice Mauntatn5Gal3ftum �) website listed below U 0911 3161 Wl ' t;,,,Qr 4 tir Monthly Oil Upon service discontinuation,rent for the 091 'E`"991 int +''k`'".t`9.`,,.t.11`l Surcharge,Fuel Leased Equipment is charged through the end of the billing cycle 'in which service is discontinued. TO" a Surcharge or DeliveryL>, 6.You will be charged a monthly' SurchFee(see#6 under Delivery Fee as described' Surcharge,Fuel 0rhes Surcharge or es m your T&C. Only one of these fees ' _ v"r7xuRT Will apply to each account The fee that applies to Payment stub ACCOUNT SUMMARY ,� Information's is stated on the front of the invoice.F PP Yom'account ..,a,-- _-_----------------- _ r her visit the website listed below or contact ourrcnstomte�service ----°uAOYmn.d m m�Pm° PArrxlsaaouNr ACCOUNT NUMBER PAY BY I center. 234567890 00 00100 NYOIfE NUMBER BIWNG DATE 7,As a food product, bottled water is subject to the rules and .ENCLOSED 1 1134567690 00(00100 1 regulations promulgated by the Federal Food and Drug Administration(FDA). 0420096307 04282712639 a0a391049 2004 16 8.Your first invoice indicates the products delivered on your fust Amount due delivery, t"s"0°• along with any applicable bottle and account deposits, .CE MOUMAN WATFR COMPANY 123 Main sl redemption fees,and any dispenser ch OMb ANetlfYn NdNMW c omstace 00000 will reflect charges for arges•All future invoices Submit your water delivered and dispenser rental,bottle )d.L.rem 1L�.lL:el:Ltl.A,tLLtdda' wRcusroMrnsumauu'$0o+'1A�e6 deposits and credits plus charges for any additional products ❑ ON OEH"0 " AOe O �m0 °" eN°` Payment by this ordered _.-. date by you. Deliveries are made eve -------- a total of 16-17 deliveries per year.You will receive invoices o-weeks,for -' "` "'mm" _____ 12 times per year,so approximately 5 ofthose two deliveries. invoices will reflect ©2008 Ice Mountain Spring Water Company,a Division of Nestle Waters North Inc. service.icemountainwater.corrl _ Form No.NW 709 08112 VOUCHER NO. WARRANT NO. Ice MountainCi ALLOWED 20 IN SUM OF$ P. O. Box 856680 Louisville, KY 40285-6680 i $45.71 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#IrITLE AMOUNT Board Members 2201 115EO117821082 I 42-389.001 $45.71 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 Thur , Stree ommissloner Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTSPAYABLE 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)) 06/03/15 15EO117 821082 $45.71 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