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247320 07/15/15 + ' CITY OF CARMEL, INDIANA VENDOR: 051125 z. ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CHECK AMOUNT: $*******268.99* CARMEL, INDIANA 46032 PROCESSING CENTER CHECK NUMBER: 247320 PO BOX 856680 CHECK DATE: 07/15/15 LOUISVILLE KY 40285-6680 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4350900 05FO12009535 99.28 05FO120095351 1091 4350900 05FO12120276 55.42 05FO121202766 1801 4350900 05FO12197559 67.47 05FO121975593 ' 1205 4239099 05F021277619 3.99 05F0121776199 2201 4238900 15FO11782108 21.13 15FO117821082 1701 4239099 15F722032704 21.70 15F7220327048 service.icemountainwater.com SERUMD #215 6661 DIXIE HWY,SUITE 4 06/01/15-06/30/15 15F01117821082 JW01 H LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED TUE- JUL 07 01117821082 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 For your convenience,you can pay your bill online.It's 3400 W 131 ST ST fast and easyl CARMEL IN 46074-8267 X11'I.II.��I"II'IIS'�I'I.I��I�"�I�III��I""I��'I'�IIIIII'I�'ll ftz., s ar !n #agust, Ice Mounta n is changing the r� me of Itsfs rr rtce We're R becominge'adyRefresh1by,Nestie so that we can serve ou better 11[/,, same greatservice you love,alartg�wn some new features or more trtfo Untg1p, ' ^"`spy;'x'"✓x A nrs $ $ rff�/ ` yr '" J j°r,;, r ,i's y° r,v�k - _ Al" ep,av'�an 9'a�� ✓ - r� � �%„rJ'+.s s �<t� ^ r� q"r��.a`"x'Ay,.,,t' x� �s.�..r ay"`•"z-✓ G,syy.;,� �'�. .: ,"� rs�r ��, �$�,i $t$',��$ks,t: ,,..ash r_�x>s,„,� "a>rr., 4,,,9,?^7�'�`�'”' >n r. ..�r.,.lm•�t�'�y,,,,, � � n e !,�-, ACCOUNT ACTIVITYI 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 45.71 6/28 056437 PAYMENT-THANK YOU -45.71 6/05 0941525289 10 5 GAL ICE MOUNTAIN DIRK W/HANDLE 34.90 10 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT- 60.00 1 9 OZ PLASTIC CUR50C/SLV 3.29 14 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -84.00 6/30 0946727740 1 DELIVERY,FEE_, . 3.95 F8641470 RENT 2.99 TOTAL 21.13 ACCOUNT SUMMARYI PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT -Subject to terms on revers)side. 45.71 — 45.71 + 21.13 = 21.13 BILLING RIGHTS SUMMAlZy IN CASE OF ERRORS OR QUESTIONS ABOUTYOUR BILL,OR FOR YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER A REPORT ON WATER QUALITY AND INFORMATION,PLEASE I• Please remember payment is due by the"Pay b CALL 1-800-472-9888 OR WRITE US AT: p y y"date noted to ensure the smoothest service. 2. Remember,if you are renting equipment,your equipment rental is charged one month in advance.That means ICE MOUNTAIN SPRING WATER CO. Your first invoke will include apro-rated fee for the current month,plus the next month's rental. 6661 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. 6661 DIXIE HWY,SUITE 4 If you prefe,you can a LOUISVILLE,KY 40258 Pay your bill online at service.ieemountainwater.com 4. Never hesitate to call us with comments,questions,or concerns. If you think 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 after we sent you the first bill on which the error orproblem appeared,You can telephone us,but doing so will not preserve your rights. SAMPLE '1IY1 P give us the following information: In your letter, L E INVOICjE • Your name,address,telephone and account numbers. • The dollar amount of the suspected error. an 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 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. oe/oD�Do-oo/00)00 123as6reso I Your Account Number GENERAL INFORMATION , A-OCT 01 123456789 1.Payments received after the billing(INVOICE)date will appear on IMON-OCP 29 wm-NOY 2. mportant Watch here for a Your next invoice.Past due invoices(not paid within 30 days of news and NE-DEc,e billing date)may be assessed a late fee as allowed by law not to exceed$20 per month.Additionally,third D 'IAI!d4f Oi�dpiLGwdI1111UL itltt.�tittlldtt' a:mmerseme=:l-epe-+]2-sees I personalized account expenses may on -. - per' ollection/attomey offers �ioh D menkyoulprusingkeMpunletnprpaum `' message y ba assessed ata rate-not to exceed 100%of the 33 M i se snare CirySMt 00000 unpaid balance or the maximum allowed by law. 'i.,.m t au.,n,.It a'4n„L-, J q 2.Each'clamed check is subject to a service charge subject to the ti maximum check return charge allowable in your State. a ma -x_ y� p ^=^ ''rD`"'"A1 anameata-Tac �T � # Pay electronically 3. All bottle and equipment deposits are shown as CURRENT I � ^ h ACTIVITY. Activity 4. Equipment replacement costs will be ch since your stolen,damaged or not returned. w� "�� m-•�^° °°°" °a` ! Make sure this arged for bottles lost ACCOONTAc- amount has been 5-In accordance with N last invoice Det ypddres 1phn Doe 123 Moms ree4 Cry,9 are 60000 WNA's Terms and Conditions("T&C"),your P,Mw.eaianre wo paid in full to Equipment Lease and/or Service Agreement account may be ThankYop avoid late fees OBAI 461898 Prymen- subject to minimum month) n, 3neesu4w 5 bGallpnNauralSpringW er low fees.(A complete version of he currentT&C may be viewedOr early lonithe " 3oe9suaw s keMopnomsGalo Po h fl---.-- --" ' x ; 09n1 31]685144N 5 ImMounroin9Gaieecum > I Monthly Oil website listed below)Upon service discontinuation,rent for the 09n: ae263esn rpam:tna,ge ��.z, xr 09n2 1660049] iF �' Surcharge,Fuel Leased Equipment is charged through the end of the billing cycle 0 0 in which service is discontinued, ror"` 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 TM'a4o^^" ''General will a y T&C. Only one of these fees Payment stub eaD o°'°" Nre Mu 1,010 nADrt+t0"es = A. sz PA ' apply to each account. The fee that a ACCOUNT - k%Y% M Information') is stated on the front of applies to your account *"° " --- theinvoice.Forfurherinfo --- 4,o.a•.prpr� p,p-ep"=e•p�r." ------ _________________ PAY BY visit the website listed below 'matron please ---------" PAY rNts amouNr Or contact onxn Nb mm."a x" 1 1`"t ACCOU45679 eE0. center. our customer service 1234567890 00/00100 1 7.As a food product, bottled water is subject to the rules and NvotcE NOM0E0. BIW NG DALE .ENCLOSED f 123456]890 00/00100 regulations promulgated by the Federal Food and Drug Administration(FDA), o42DD963D7 04282712619 000391049 2004 18 8.Your first invoice indicates the products delivered on your first Amount due delivery,along with any applicable bottle and account deposits, CEMoaMUNWArFncoMPANr 123 Doe redemption fees,and any dispenser charges.All future invoices > w•a Am�tK 23Aago CIty,State 00000 4111 reflect charges for water delivered and dispenser rental,bottle Poe cusroMu sEmna W1,80P4]D988d Submit your deposits and credits plus charges �LnI,.R6,.`dl„dl.J!<sn.,t,•t,1Grau rg s for any additional products ❑s16NurPo^mcEAtrtoPA»g9nwamw�mopaaA:esme �Pa"`Amcna"ee+onpe✓aa4se` Payment by this 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 _._a___ - �___..- F 12 times per year,so approximately 5 of those invoices will reflect two deliveries. ©2008 Ice Mountain Spring Water Company,a Division of Nestle Waters North America Inc. service.icemountainwater.com Form No.NW 70902114 VOUCHER NO. WARRANT NO. Ice Mountain ALLOWED 20 _ IN SUM OF$ P. O. Box 856680 Louisville, KY 40285-6680 -2--1-13 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 15FO117821082 j 42-389.00 $21.13 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 15 lr 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) 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)) 07/02/15 15FO117821082 $21.13 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 06/01/15-06/30/15 05FO121776199 ' LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED WED- JUL08 01 21 776199 IIIIIIIII1111111111111111111111111 IJ_ AUG 06 FR FRI- SEP 04 Access your delivery calendar at TUE- OCT 06 service.icemountainwater.com CITY OF CARMEL HUMAN RESOURCES Customer Service:,1-800-472-9888 JIM SPELLBRING For your convenience,you can pay your bill online.It's 1 CIVIC CARMEL W 46032-258 fast and easy! 1111111111111 Jill 7=7-7 % ,. , In August;IceMountamtschangng the name of its, service.We rieeom�ngReatlyRefresl�byNe tle so that wMVA QK� e canseuveyl tetter It's the samegreatservlce you love, along wlth some n w featurersr moreir�n, N t.ait� St'allittluCitimom tBiiiClt7L�ul�tlhtie ` artli r 04 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 20.72 6/28 056432 PAYMENT-THANK YOU -20.72 6/30 F8646495 RENT 3.99 TOTAL 3.99 Submitted To JUL 13 2015 Clerk Treasurer ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 20.72 — 20.72 + 3.99 = 3.99 - ---------------- ---------------------------------------------------- --------------------- ---- ------------------------------------------------------------------------------- ------------------- ------ BILLING RIGHTS SUMMARY IN CASE OF YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER A REPORT ONRWAT RR QUALITY AND IQUESTIONS NFORMATION,PLOUR BILL, EFgE I. Please remember payment is due by the"pay by"date noted to ensure the smoothest service. CALL 1-800472-9888 OR WRITE vs AT: 2. Remember,if you are renting equipment,your equipment rental is charged one month in advance.That means ICE MOUNTAIN SPRING WATER Co. your first invoice will include a pro-rated fee for the current month,plus the next month's rental. 4216 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. 6661 DIXIE HWY.,SUITE 4 If you prefer,you can a LOUISVILLE,KY 40258 Y pay your bill online at service.icemountainwater.com 4 If you think your bill is wrong,or if you need more information about . 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.In your letter, SAMPLE INVOICE give us the following information: • Your name,address,telephone and account numbers. • The dollar amount of the suspected error. Date range Of this invoice • Describe the error and explain if you can,why you believe there is an error. You are obligated to pay the parts 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 reportyour00/00/00-oo/00]00 234s67e90 Your Account Number as delinquent or take any action to collect the amount in question. E GENERAL i„ taO y 123456789 ORMATION MER4 DCT 29 Watch here for a 1.Payments received after the billing(INVOICE)date will appear on Important woTUEoOc 21 your next invoice.Past due invoices(not paid within 30daysof new and U,tGdU3h Blame; .I;iii6.itln:.lfiublli, Is a„om^Se u:, 0+n•9BSB personalized account billing date)may be assessed a late fee as allowed by law not to �4hnDoe Thankyuuto-4n9 1ceM^unelnprodu6 i message exceed$20 per month.Additionally,third offers 123 Main St -d 11MI . Y Party colleetion/attomey c+yswte 0000 expenses may be assessed at a rate not to exceed 100%of the Iridal 1 at naL..IL lLLa..l...6LIa,.1eU t unpaid balance or the maximum allowed by law. x _2.-Eachletumed-check_is-subject-to a-service-charge subject_to the__ _ iona'x9"M'e ` 'r �T.uan«.Gu+eJ'~.m'ir:'i�uP:.omkM maximum check return charge allowable in your State. _ -` — ' ^"'•`7`"_��`~ Pay electronically ENT 3. All bottle and equipment deposits are shown as CURRENT arm a.R. _ ACTIVITY. Activity Make sure this 4. Equipment replacement costs will be charged for bottles lost, lance your Acmut4rAarvm amount has been stolen,damaged or not returned. last invoice Dan•enaad :+:�oim°ce,123 Mainso.eec ulys+aae oB°oo Rxx,c t paid in full to 5.In accordance with NWNNs Terms and Conditions DO o Aa'd^ 0v ! Equipment Lease and/or ("T&C"),your Prymen+-TB Y. avoid fate fees Service Agreement account may be oar3+ 461890 0« n+ 3i7Be5144W 5 SGaRon Naw.al SDdngWacer subject to minimum monthly purchases and/or early cancellation n+ 3+7esslaaaa s keMOuntnlnsGaiDapOut ' , ./+ fees.(A complete version of the current T&C may be viewed on the 317 +4°" 5 ^+ainSGalReNm Monthly Oil 09111.15 ] 31826300+1 1 urt1m.9e �.� ��i.{�.'� �� website listed below)Upon service discontinuation,rent for the 0911 ' 91 ReR Surcharge,Fuel i ',. Leased Equipment is charged through the end of the billing cycle rou - Surcharge or Delivery in which service is discontinued, Fee(see#6 under 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or _ "General Delivery Fee as described in your T&C. Only one of these fees P/D°Mma eAVTMn s 0 M ,aE91005aM.MCE_PaaM ,a,a + Informs will apply to each account. Payment stub accouNT suMMaav x„D ,,a, « +4 . hon' The fee that a ------ PPhes to your ----------------- is stated on the front of the invoice.For further i _,,,w.r,nvo•----o.c m_icc.ov– -- PAY pavmISAM UNr information D�"6�0°^° ACCOUNT NUMBS ,A visit the website listed below or contact our customer service 1234567890 000/0 center. .ENCLOSED INVOICE NUMOER 8141NG DATE 7. As a food product, bottled water is subject to the rules and 1234567890 0010/00 regulations promulgated by the Federal Food and Drug 0420096307 04282712619 000393049 2004 301 Administration(FDA). Amount due g.Your first invoice indicates the products delivered on your First16hn Dne delivery,along with any applicable bottle and account deposits, orysM1e a0000 Submit your CEMOUNNNWAMAP +23Man5[ redemption fees,and any dispenser charges.All future invoices adWr will reflect charges for hater delivered and dispenser rental,bottle haq't.a.ul w.n•a,.awda"!"I{GEt`aptl FORC 5 0M ASE M�6a Ll 6^0 1D908B �MMaME6aM•aOnlYm"SRIe payment by this deposits and credits plus charges for any additional products uuvruRmEA4ro9n69^wa4O k sa _- _- date ordered by you. Deliveries are made every three or four weeks,for a total of 16-17 deliveries per year.You will only receive invoices µ 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. Sr service.icemountainwater.com Form No.NW 709 02/14 VOUCHER NO. WARRANT NO. ALLOWED 20 Ice Mountain IN SUM OF$ PO Box 856680 Louisville, KY 40258 $3-99 I ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1205 105FO121776199 I 42-390.99 I $3.99 1 hereby certify that the attached invoice(s), or bill(s) is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Monday, July 13, 2015 Director,Administration Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit,etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s)or bill(s)) 07/02/15 05FO121776199 $3.99 I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Clerk-Treasurer service.icemountainwater.com #215 6661 DIXIE HWY,SUITE 4 06/01/15-06/30/15 05F0121975593 ' LOUISVILLE KY 40258 ADD IESS SERVICE REQUESTED ffll ® e s WED- JUL08 0121975593 II I I II II I SII II III �I I I I I I!I I I II III TI-_ AUG 06 FRI- SEP 04 Access your delivery calendar at TUE- OCT 06 service.1cemountainwater.com CARMEL REDEVELOPMENT COMMISION DON CLEVELAND Customer Service: 1-800-472-9888 30 W MAIN STREET For your convenience,you can pay your bill online.It's SUITE 220 fast and easyl CARMEL IN 46032-1938 ��I�I�I�II�IIII�nI�JIIJI'I��I�III�III��I�I'II�II'�'�'�II�II��I ._._ sti '� Fvrs,,: ate: 'k' a«5w�.�-,.n s r'fF 1MF�QRT tdT Please be adv sjed that'the invoice for your�next dellVery will reflect a price Increase on'select; r � � p�r01 UIC s`andteq}t ent�Please� ' Ilk, SjI o haa/e any questtons'u"N s � 5� - s 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 REDEVELOPMENT COMMISSION,30 W MAIN ST STE 220,CARMEL IN 46032 PREVIOUS BALANCE 64.18 6/28 056431 PAYMENT-THANK YOU -64.18 6/10 0941701138 5 5 GAL ICE MOUNTAIN DRK W/HANDLE 39.95 5 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 30.00 2 9 OZ PLASTIC CUP 50C/SLV 6.58 4 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -24.00 6/30 0946765468 1 DELIVERY FEE 3.95 F8719238 RENT 10.99 TOTAL 67.47 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT O Subject to terms on rIeversl side. 64.18 — 64.18 + 67.47 = 67.47 BILLING RIGHTS SUMMARY ER IN CASE OF ERRORS OR QUESTIONS ABOUTYOUR BILL,OR FOR YOUR INVOICE-4 WAYS TO A REPORT ON WATER QUALITY AND SFO 1. Please remember payment is due by the e""Pay�byJ date noted to eenS SERVE surre he smoothest oo est service. CALL 1-800-472-9888 OR WRITE US AN INFORMATION,PLEASE 2• Remember,if you are renting equipment,your equipment rental is charged one month in advance.That means ICE MOUNTAIN SPRING NATER CO, Yom'first invoice will include a pro-rated fee for the current month,plus the next month's rental #216 6661 DIXIE HWY.,SUITE 4 3. Kindly fill in the amount enclosed, include LOUISVILLE,KY 40258 If you prefer,you can pay your bill online at service icemountainour account bvater.coro Your check, and do not send cash. Ifyou think your bill is wrong,.or ifyou need more info 4• Never hesitate to call us with comments,questions, -i concerns, a transaction on your bill,write us on a separate sheet ofap pec We must hear from you in writing no later than thirty(30)days after we sent you the first bill on which the error or problem appeared.You can telephone us,but doing so will not preserve your rights.In your letter, C give us the following information: SAMPLE INVOICE • Your name,address,telephone and account numbers. • The dollar amount of the suspected error. Date range of this invoice • Describe the error and explain if you can,why you believe there is an error. You are obligated to pay the parts of your bill that are not in question. You do not have to pay the disputed —"1 investigated.D P amount while it is being g During the investigation,we cannot report 010 " as delinquent or take an P rt Your account , ootooroo-ooloolDo u3asc7s9° t Your Account Number y action to collect the amount in question. GENERAL INFORMATION • • 23456789' 1•Payments received after the billing MR (INVOICE)date will appear on Important MON.NCV 21 4 r Your next invoice.`Past due invoices(not paid within 30 days of ME- a' Watch here for a NE-DECc to billing date)may be assessed a late fee as I Y news and exceed$26per momenta.Additional],qua a lowed by law not to_ m6mW tI!tNlbt,�Il11 I Il1LMdllllath�liddll: Curiomer Sernce:,-RD041L988B personalized account -offers _ InhnD T4anYyouforusinglceMaunWnprodvct, message expenses may be assessed at a rateec 10 attorney not to exceed 100%of the — 123 M.14 st �ae hal. O1Y 5t @ 00000–�-- v_ 'i unpaid balance or the maximum allowed by law. a m a ua„u 14 a;n; 2.Each returned check is subject to a service charge subject to the T F maximum check return charge allowable in your State, nmyo �� M 3. All bottle and equipment deposits are shown as CURRENT 8 R A�Nn Pay electronically ACTIVITY. Activity 4. Equipment replacement costs will be charged for bottles lost since your a a.e ,.mewraM••m 1e1d0P ''°°° Make sure this stolen,damaged or not returned• ACcouNTACT vm 5.In accordance with NWNAs Terms and Conditions("T&C" last invoice amount has been • Delivery Address:JohnDce.123Main S,ree4 Ory,State 00000 Equipment Lease andfor Service Agreement account may be Pawn wlanre �x2 paid in full to 09131 491R9e P,ymen,-mankvo� " avoid late fees subject to minimum month) m 3v99s166u 5 3Ga11onNaturalSpringWater , Y Purchases and/or early cancellation m an9as,a441 s aaM°°m msGalO p°t I a s fees.(A complete version of the current T&C may be viewed on the 09/11 31789516144 5 ke MounWN3 Gal Rehm website listed below)Upon service discontinuation, Duna 159/°697 rent for the °9n: 3,9zs3R9n wawnh 9 Monthly Oil �(i l;! via Leased Equipment is charged through the end of the billing cycle Surcharge,Fuel in which service is discontinued. TOTAL a Or Delivery _ g 6.You will be charged a monthly Oil Surcharge, Surcharge Fuel Surcharge or Fee(see#6 under Delivery Fee as described in will a your T&C. Only one of these fees PAYMv rAnp M M }cuRau A mm _ rAT waAMouN "General pply to each account. Payment stub — 1Tte fee that applies to your account AccouNr......r „• Information') is stated on _•�• the front listed invoice.For ------ visit the website Listed further information please ..r.°`"••••^w Pp1e'----are-ee.�ee•ee.."•--- ------------- ----------------- ____– PAY BY PAY THIS AMOUNT below or contact our c P°A°° ��°� ACCOUNTNUMBER center customer service 1234567890 00Jp0 .EryCLOSEO 7. As a food product, bottled water is subject to the rules and Nvac 56799D R U-1-0 regulations promulgated by the Federal Food and Drug 1234567890 00/00100 Administration(FDA). D4zoD9 307 a4aaa71e 19 0003`71049 2004 18 8-Your first invoice indicates the products delivered on your first Amount due delivery,along with any applicable bottle and account deposits, ICEMO, WATO COMPWY °nn D9e redemption fees,and any dispenser charges.All future invoices °rma"dr+.�9EaaamYa9w�Aar,x.M. 123 Main sc will reflect ch a,y,s,are 0000D charges for water delivered and dispenser rental,bottle t:a LL�•to.tt rdt•a1.Gast vbtk i,d»a wRCUs.OMERSERnauu laown-999R Submit your deposits and credits plus charges for an ❑ cNUPwR R rAumPAn 9e4Plm Products to yQv g O P" �d` payment by this ordered by you. Deliveries are made every three or Pour 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. service.1m ceountainwater.com Form No.NW 709 02/14 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. Payee . Ice &4mh N a L Iff' Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Numbed (or note attached invoice(s) or bill(s)) S "�a►z�7ss; WJ a 6747 Total 67 k7 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 �Ce �°11�wq�tllil �A1 j'2C`1- IN SUM OF $ $ 67g7 ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or DEPT.# INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s), �� DSF 2�i�TSSFl x'350 �� ' or bill(s) is (are) true and correct and that the materials orservices itemized thereon for which charge is.made were ordered and received except 7-5 -201 S Si na ure 7VtQr1/lJl:' Title Cost distribution ledger classification if claim paid motor vehicle highway fund I service.icemountainwater.comBig I ®D e #215 6661 DIXIE HWY,SUITE 4 06/01/15-06/30/15 05FO120095351 ' LOUISVILLE KY 40258 B B ADDRESS SERVICE REQUESTED THU- JUL 30 0120095351 ne9 FRE- AUG 28 TUE- SEP 29 Access your delivery calendar at WED- OCT 28service.icemountainwater.com CARMEL CLAY PARKS AND REC DEPT. Customer Service: 1-800-472-9888 AUDREY KOSTRZEWAFor your convenience,you can pay your bill online.It's 1411 E 116TH STfast and easy! CARMEL IN 46032-3455 I�lunllnlll�lnlll�u�llil�lllll�llll�lllrll�llllllll��lll�ll In August, 11" dunt8ln is�chang�ng�the name of Its serVlce We re becoming ReadyRefresh„l y estle so that we can sera�e�you�betterIt�s�tFte�sarriegre�t serutce�you love along wlthasome�new�features�For more.lnfo — - rYc•f E2.S$� n�mru�nFarrv�Jae t�atavt�rstr•�tT�a ^...s V �=— -- -- ,� sf' " 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 85.08 6/05 922428 PAYMENT-THANK YOU 73.10 6/28 056436 PAYMENT-THANK YOU -11.98 6/01 0940853070 10 5 GAL ICE MOUNTAIN DIRK W/HANDLE 42.90 5 9 OZ PLASTIC CUP 50CISLV 16.45 BOTTLE DEPOSIT: 10 CHARGED, 6 CREDITED 24.00 6/30 0946750486 1 DELIVERY FEE 3.95 F8671099 RENT 11.98 TOTAL 99.28 I ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on revere side. 85.08 — 85.08 + 99.28 = 99.28 I — BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILLOR FOR YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER L A REPORT ON WATER QUALITY AND INFORMATION,' 1. Please remember payment is due by the" a CALL I-800-472-9888 OR WRITE Us AT: PLEASE "Pay by"date noted to ensure the smoothest service, 2. Remember,if you are renting equipment,your equipment rental is charged one month in advance.That means ICE MOUNTAIN SPRING WATER CO. Your first invoice will include aero-rated fee for the current month,plus the next month's rental. #216 3. Kindly fill in the amount enclosed, include your account number on 6661 DIXIE HWY.,SUITE 4 If you prefer,you can a LOUISVILLE,KY 40258 pay your bill online at serviee.ieemountainwater.eomr check, and do not send cash. 4. Never hesitate to call us with comments, Ifyou think your bill is wrong,or ifyou need more information about questions,or concerns. a transaction on your bill,write us on a separate sheet of paper.We must hear from you in writing no later than thirty(30)days after ave sent you the first bill on which the error or problem appeared.You can telephone us,but doing so 3vill not preserve your rights.In your letter, give us the following information: SAMPLE INVOICE • Your name,address,telephone and account numbers. • The dollar amount of the suspected error. Date range of this invoice • Describe the error and explain if you can, an error. molly 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. ' oo/o0/0°-00100100 lzsasG7a90 Your Account Number GENERAL INFORMATION "H OC104 123456789 1.Payments received after the billing "1DN OCF 29 Your next invoice.Pas[due invoices(not withi11te will 30appear on Important �NOV 11 billing date)may be assessed a late feet aid witllowed by law not to DEC8 Watch here for a Y newsand u,d,:X111:,Iti�1101,6.d01d.IflS,.�.Ultl.,1LJLIJFI Customer servke:l-BDO-4]2-9888 personalized account -- _exceed$20-Per�nth Additionally,.thirdpartycollection/attorney_-_ expenses ma OffCCS 1123 -1 ma^Ey°",au,l^9maM°vntalnpmt"� message y be assessed a[a rate not to exceed 100% O the - u3 Mai^st unpaid balance or the maximum allowed by law a ysla,e 00000 a^a are nre - -- - --I".iNt t..aL.wll"dL._n:.Ltl,.L.LLII l a 2.Each returned check is subject to a service charge subject to theIi- - — maximum check return charge allowable in your State. °maz �r� 3. All bottle and equipment Pay electronically deposits are shown as CURRENT ACTIVITY. Activity 4. Equipment replacement costs will be charged for bottles lost, since your a"„• u-n� dq K1v0 ' Make sure this stolen,damaged or not remmed. Accou 4rnmvm P 5.In accordance with last invoice amount has been NWNA'sTermsandConditions( our Oeli ryAddresz mne0«.u3Ma'nsva• cy,swoaoo° Equipment Lease T&C")r Y rem"a0alante 0 o paid In full to and/or Service Agreement account may be Payment-ThankY°u lwoc subject to minimum m 0fl31 461698 xxA avoid late fees monthly /I+ 3+1686+dW4 5 SGaBon Natural5pring Water %%X% fees.(A complete version of he current T&C may be viewed(or early cancellation ^' 310o ' 5 Ice Mountaln5 Gal Oeposlt 'DIM p9/1+ 3DR85,4444 5 Ice M°u In6 Return Monthly Oil Leased listed below)Upon service discontinuation rent for the o3/il 318]6388+( w�naoru ye o xn Leased Equipment is charged through the end of the billing cycle 6sao v] Surcharge,Fuel in which service is discontinued. °"L 1� 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, oprvr will a DnIY one of these fees ,�,,,, "Genera! pply to each account. The Payment stub ACCOUNT SUMMARY enmo4sawNa_w My MD + _ is stale fee that applies[o your account '«"` d on the front >azc of the invoice.For further information ' Information") w. ---------------------------- visit the website listed below or contact our please '-- o w ae.a am m�Pm mr ACCOUM NUMBER PAY eV PAY THIS AMOUNT center. customer service 13456,890 DD o°oD As a food product, bottled water Is subject to the rules and NVOICE 67890NUMBBIWNG OA E 7. MT.ENCLOSED 123456]890 00/00100 regulations promulgated by the Federal Food and Drug Administration(FDA), a42DD963D] 04282712619 000391a49 2004 18 S.Your first invoice indicates the products delivered on your first Amount due delivery,along with any applicable bottle and account deposits, .oEM�OUNMNN WATERCOMPANT en^Dce redemption fees, and anNal":A Wnu+a NonM1"me^`e°" 123 WW st will reflect charges for waterldelivered and dispenser rental,bottle otr,stale 00000 charges. future invoices (u.(a,Lut"m"wa....ti...tlw1.tl.L"1Lt1i.1n1I' FORNSTOM[RSUMCEG111AUMIlA888 Submit your deposits and credits plus charges for any additional "ntgryOa° °e"" "` payment by this ordered by products ❑swN UPFoxFR[EwmFAnst9^OPRn��»a a.R�Mesma. 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 two deliveries. of those invoices will reflect ©2008 Ice Mountain Spring Water Company, a Division of Nestl6 Waters North A service.icemountainwater.com merica Inc. '- Form No.NW 709 02114 service.icemountainwater.com ' b16, WEBB #215 6661 DIXIE HWY,SUITE 4 06/01/15-06/30/15 05F0121202766 AW0111 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED oil 91"a THU- JUL 30 0121202766 FRI- AUG 28 PRY- TUE- SEP 29 Access your delivery calendar at WED- OCT 28 service.icemountainwater.com JUL 4 9 2015 CITY OF CARMEL PAR S DEPARTMENTCustomer Service: 1-800-472-9888 MANDY SPADY ��' 1411E 116TH ST For your convenience,you can pay your bill online.It's fast and easyl CARMEL IN 46032-3455 Il�ll�ll�llllll��llllln��Iln�llill�lln�rrullillll�i,lllll 77 In;August, IceMountain,tschanging the name ofwltsservlce We re b¢cornmg ReatlyRefreshby Nestle so that b It's esamef' j we calserve�you otter, ting eatservlce you lovef along with some newfeaturesF�ormore in — ?�sl e.$er'#1� FP.11'(Iaftalf3CeiL�C8`C�`nO'T _r �r x'�* '* z r f �sr € AF zs a 5 a x 4^ `�a"°'�'ucvta'.v .�&;.., a, b�,;;'f u s _ n' ACCOUNT ACTIVITY I 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 110.28 6/05 922427 PAYMENT-THANK YOU -104.29 6/28 056435 PAYMENT-THANK YOU -5.99 6/01 0940853120 12 5 GAL ICE MOUNTAIN DIRK W/HANDLE 51.48 BOTTLE DEPOSIT: 12 CHARGED, 13 CREDITED -6.00 6/30 0946763661 1 DELIVERY FEE 3.95 F8758237 RENT 5.99 TOTAL 55.42 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT I � Subject to terms on reverie side. 110.28 - 110.28 -F 55.42 = 55.42 BILLING RIGHTS SUMMARY A REPORT ON WATER QUALITY AND INFORMATION,PLEASE YOUR INVOICE-4 WAYS TO ITp US SERVE YOU BETTER IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL,OR FOR 1. Please remember payment is due by the"pay by"date noted to ensure the smoothest service. CALL 1-800-472-9888 OR WRITE Ds AT; 2. Remember,if you are rentingequipment, ICE bIOUNTAIN SPRING NATER CO, your first invoice will include a pro-rated fee for the current month,plus the next month's rental. #216, q pment,your equipment rental is charged one month in advance.That means ICE LOUT DIXIE HWY,SUITE 4 3. If you 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 wrong, 4. Never hesitate to call us with comments, a transaction on oui bill,write us on a need more information about questions,Or Concerns. Y write us on a se information sheet Ofpaper.We mus[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 righc give us the following information: ts.In your letter, SAMPLE INVOICE • Your name,address,telephone and account numbers. • The dollar amount of the suspected error, Date range of this invoice • Describe the error and explain if you can, an error. why you believe there is You are obligated to pay the parts of your bill that are not in question. You do not have to pay the disputed amount while it is being investigated.During the investigation,we cannot report your account as delinquent or take an oorooroo-aolooloB 1234567890 Your Account Nu y action to collect the amount in question, tuber GENERAL INFORMATION IV 123456789 1.Payments received after the billin aR,O[T a g(INVOICE)date will appear on Important MU&NOV 29 Your next invoice.Past due invoices(not paid within 30 days of billing date)may be assessed a late fee as allowed by law not to � win Nov 21 Watch here for a Y news and T"',DEC,B --exceeds2o per n;duaiti;ut;aTut,[,.,iin.i.ia��^�mn�u.;na,{II CunomerSeMa:i�800472.9888 personalized account p month:Additional) offers Iphn 0. Tha,kp,a,mm9+�Ma—Iapud— message expenses may y,e not exceed _ ____ _ 123 5 to St a,.a:em•eE. Y or assessed at a rate not to exceed 100%of the - ry unpaid balance or the maximum allowed by late _-_ r.....t>r tt^un_u^w,ut t n` F 2.Each returned check is subject to a service charge subject to the _ _^ maximum check return charge allowable in your State. Tnnue 9 r=4 . n asY«or9n - 3. All bottle and equipment deposits are shown as CURRENT n«» awp' Yx gay '^t1 a o"�cp�9 Pay electronically ACTIVITY. '' ' + � Activity 4. Equipment replacement costs will be charged for bottles lost, since Your ACCOUNT ACT IVftY ��Kae••M.•A Make sure this stolen,damaged or not returned, 5.In accordance with NWN last invoice A's Terms and Conditions("T&C Oee a yAddes ohnDce 123Main5tree Ory,State OOWO amount has been Equipment Lease '7,your %erio4aBalan a wa paid in full to and/or Service Agreement account P ThankYou avoid late fees subject to minimum month) nt may be oen, aMaoe m ee+ x o Y purchases and/or early cancellation m 3+7BBs,4444 5 SGaII.—la5GalDn9Wd,lr rx a fees.(A complete version n, 3vee,4u4 5 Ice Moun ainSGal Deposit X%O P rsion ofthe current T&C maybe viewed on the BBn, 3nBR5I4 5 I¢Moun aln SGal Return website listed below) Upon service discontinuation, g cycle osn2 ,6a40d97 rent for the wn2 3, _I, sU r9e Monthly Oil XKn •.a:`'C• �c;`1€ Leased Equipment is charged through the end of thebilling ? ' Surcharge,Fuel in which service is discontinued. Surcharge or Delivery 6.You will be charged a monthly Oi]Surcharge,Fuel Surcharge or Delivery Fee as described in your l Sur Only one of these fees Fee(see#6 under wiB apply to each account Payment stub p4[vOBSCANMaE_Y•YM /.m m� +E4 _ •Y B M pgF„T AOTMmY P The fee that applies to ACCOUNT SUMMARY «o x ,,m, Inform "General is stated on the front PP Your account " anon of the invoice.For ,......a.ae,ew.•e,e,�,�e.ee•��ano�...,.� ----- further information ------- -------- visit the the website listed below or contact our c Please ----ow 4m mm.aMB�w KM ACCOUNT NUMBER PAY BY PAY TN,S AMOUNT center. nstOmer service OOIOBl00 WO' 1234567898 •ENCl05ED 7. As a food product, bottled water is subject to the rules and NV123450MBFR BIWNG DATE regulations promulgated 6 1z34sB7s90 00100 00 , Administration(FDA), Y the Federal Food and Drug 0420096307 a42821b2639 000391049 2004 18 8,Your first invoice indicates the products delivered on your first Amount due delivery,along with any applicable bottle and account deposits, CE MOUNTAN WA ER COMPANY 23 Main redemption fees,and an GUS MNOW R^N ^om aq,s nSt will reflect charges for Y dispenser char arystare 08000 g water delivered and dispenser rental,bottleure invoices u FO0.CUSTOMER SfRVICf LrU11.800.g2.9B98 Submit your deposits and credits plus charges For any additional products ❑sGnwwnmEEwmPAnsyeuPR w 4a R.Reuse. ❑" MO g O P"evtl 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 fne. ServiCe.iceMOuntainWater.COm - _ - Form No.NW 709 02/14 2 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. i Payee Purchase Order No. 051125 Ice Mountain Terms P.O. Box 856680 Louisvi le, KY 40285-6680 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 7/2/15 5FO126095351 Drinking water MO AO $ 99.28 7/2/15 51`0121202766 Drinking water MCC $ 55.42 I ' I Total $ j 154.70 1 hereby certify that th 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 I ,20 Clerk-Treasurer Voucher No. Warrant No. 051125 Ice Mountain I Allowed 20 P.O. Box 856680 Louisville, KY 40285-6680 In Sum of$ $ 154.70 I ON ACCOUNT OF APPROPRIATION FOR 101 General fund/109 Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1125 5FO120095351 4350900 $ 99.28 1 hereby certify that the attached invoice(s), or 1091 5FO12120276 4350900 $ 55.42 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and l received except I July 9,2015 Signature $ 154.70 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund ,I I� I i i 4 service.icemountainwater.com #215 6661 DIXIE HWY,SUITE 4 ° 06!01!15-06/30/15 15F7220327048 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED II WED- JUL 08 7220327048 TRU- AUG 06 FRI- SEP 04 Access your delivery calendar at TUE- OCT 06 service.icemountainwater.com CITY OF CARMEL OFFICE OF THE CLERK TREASURER Customer Service: 1-800-472-9888 ANN DAVIS For your convenience,you can pay your bill online.It's 1 CIVIC SQ fast and easyl CARMEL IN 46032-2584 �rr ugust,Jc ,'Mouantam Is cfianging the name of Its serv►ce We re becoming Read+Refresh bar Nestle w hat we cariserve�youabetter It s�the wine greatservlce you love, alongwrth some clew features�rfoimoreIrtY rs wc.' --- Y'ia c c c lav*`ic.'v'nrcYrlia�truiTi±'tLi@�rvC�"'—'f�r^G`�i��r'— r r � v '7 ,;, yea Y� ACCOUNT ACTIVITY For questions or a report.on water quality and information,call 1.800-472-9888 or visit service.icemountainwater.com. ; B` Delivery address: CITY OF CARMEL,1 CIVIC SQ, CLERK TREASURER OFFICE,CARMEL IN 46032 PREVIOUS BALANCE 14.72 6/28 056434 PAYMENT-THANK YOU -14.72 6/09 0941701484 3 5 GAL ICE MOUNTAIN DIRK W/HANDLE 10.47 3 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00 1 9 OZ PLASTIC CUP 50C/SLV 3.29 2 5 GALLON ICE MOUNTAIN DEPOSIT RETURN .00 6/30 0946858529 1 DELIVERY FEE - 3.95 F8685438 RENT 3.99 TOTAL 21.70 ACCOUNT SUMMARI PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Q Subject to terms on reverse side. 14.72 — 14.72 + 21.70 = 21.70 BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL,OR FOR YOI7R INVOICE-4 WAYS TO HELP US SERVE YOU BETTER A REPORT ON WATER QUALITY AND INFORMATION,PLEASE l• Please remember a CALL 1-800-472-9888 OR WRITE US AT: payment is due by the"pay by"date noted to ensure the smoothest service. 2. Remember,if you are renting equipment,your equipment rental is charged one month in advance.That means 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 DIXIE HWY.,SUITE 4 3• Kindly fill in the amount enclosed include your account number on your check, and do not send cash. LOUISVILLE,KY 40258 If you prefer,you can pay your bill online at service.icemountainwater.com If ou. 4. Never hesitate to call us with comments,questions,or concerns, Y .think your bill is wrong,or ifyou need more information about a transaction on yo 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 � P give us the f0llowing information: L E INVOICE N VO I C C • Your name,address,telephone and account numbers, as G • The dollar amount of the suspected error. bate range of this invoice • Describe the error and explain ifyou can,why You believe there is an error. You are obligated to pay the parts of yow 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 Account Number E t GENERAL'NFORMATION THR-a oa 123456789 1,Payments received after the billing(INVOICE)date will appear on Important MON-OR 29 Your next invoice.Past due invoices(not paid within 30 days of news and TUE.Nov 2+ Watch here for a billing date)may be assessed a late fee as allowed by law not to TUE.DEC+e exceed S20•permonth.Additional),-thirdrney– I!d ii1 Ilhdil(rtwf(tLWtiL�rNIt1.,Xllttaapl cef 1 gO 471.9BSB i personalized account offers 23M°Oe51 ThanEyoubrusinglceM...Wnpodum message expenses may be assessed at a rate not to�ceedcl00%to[he –"Cyst p00°° a eae neea. i unpaid balance or the maximum allowed by law 4 n t R m rq,at,u^�n,d.'Lut a a;N 2.Each returned check is subject to a service charge subject to the _ " maximum check return charge allowable in your State, # 7 �� A � ^ � s � �° Pay electronically 3. All bottle and equipment deposits are shown as CURRENT 9n I e� ACTIVITY Activity 1 4. Equipment replacement costs will be charged for bottles lost since our Make Sure this y stolen,d ACCOUNT Acnvm ^• '° .. r damaged or not returned. last invoicez3 MatnsR ee ahswle 00000 amount has been S.In accordance with NWNA's Te oeu�rAamea::John Doe, paid in full to Tins and Conditions("T&C"),your PreriousBalance ,awl ; Equipment Lease and/or Service Agreement account Pa ent-ThankYou p 0 avoid late fees subject to minimum may be 0fl 3' 1898 '"'n"' o b monthly purchases and/or e m 3178851M44 5 5pd"'Wae fees.(AcompleteversionofthecurrentT&Cmaybe viewed lontthe n 3,82.aaa s I�Maen I scloeP�lt 09/11 31780514660 5 Ice Mol 09/12 3182638811 1 Renon l+SurzR 9 „y�. i Monthly Oil website listed below)Upon service discontinuation,rent for the °9/12 1664049 Leased E a a Surcharge, Equipment is charged through the end of the billing cycle1 ge,Fuel in which service is discontinued. TOTAL Surcharge or Delivery 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or Fee(see#6 under Delivery Fee as described in H6 AM°4N "General Your T&C. Only one of these fees TM�/^°1°n'"'""}o°R _ y Willapply to ea Pfl meat stu vBmous6nuNa_PA ,x >auoc Each account. The fee that a y b ACCOUNT SUMMARY M .i6e. Information') is stated on the front of the invoice. applies to your account visit the Forfurtherinfo "a.a. a" R•^"'^ — ------------- mn�� --- e website listed below or contact information ----O UN bmcW win N pM= ACCOUNT NUMBER PAY BY PAY THIS AMOUNT ow c t 000000 'pOIX center, customer service 7234567890 7. As a food product, bottled water is subject to the rules and NOIC 567890 R 81wfoolooNG MT.ENCLOSED 1234567890 00/00!00 regulations promulgated by the Federal Food and Drug Administration(FDA). 0420096307 042a2712619 000391049 2004 L8 8.Your first invoice indicates the products delivered on your first Amount due delivery,along with any applicable bottle and account deposits, "sno°e ICE MOUNTAIN WATER COMPANY 123 W.5[ redemption fees,and an p b d ' °00 0 ^ 123 W. 0°000 y dispenser charges.All future invoices will reflect charges for water delivered and dispenser rental,bottle t"dat„J�.N•.n1L,,.iG.JIa.Gt t"&4Lt'd«.tb. TOR CUsrOMERwmacAul-soo+77'vseB Subm►t your deposits and credits plus charges for any additional products 51GNUp IOflfPEE AU60PAY1S pP.ep"iretlOn Re,erse SWe ❑RA MyCfaMes OnR SMe. { payment by this ordered by you. Deliveries are made every three or four weeks,fordate a total of 16-17 deliveries per year.You will only receive invoices two deliveries, m.- l2 times per year,so approximately 5 of those invoices will reflect ©2008 Ice Mountain Spring Water Com service.icemountainwater.com pany,a Division of Nestle Waters North America Inc. NW 709 02/14 I Prescribed by State Board of Accounts City;For n 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, n mber of hours, rate per hour, number of units, price per unit, etc. Payee + ' w�V✓4 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) i Total hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor- dance with IC 5-11-10- 6. 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF $ ON ACCOUNT OF APPROPRIATION FOR 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 �a the materials or services itemized thereon for which charge is made were ordered and received except i 1 20 y Signature i Title Cost distribution ledger classification if claim paid motor vehicle highway fund