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187642 07/20/2010 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER PROCESSING CENTER CHECK AMOUNT: $28.27 CARMEL, INDIANA 46032 PO BOX 856680 CHECK NUMBER: 187642 LOUISVILLE KY 40285 -6680 CHECK DATE: 7/20/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 902 4239099 0OF012022391 Z 3.99 OTHER MISCELLANOUS 902 4239099 0OF0121975593 24.28 OTHER MISCELLANOUS serviceJcemountainwater.com 215 6661 DIXIE HWY, SUITE 4 06/01/10 06/30/10 0QF0121975593 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED iI I �I I !II II III �I I III I I I I 1 II III TUE- JUL 27 0121975593 WED- AUG 25 FRI- SEP 24 MON- OCT 25 CARMEL REDEVELOPMENT COMMISION SUITE 220 Customer Service: 1 800 472 9888 DON CLEVELAND Thank you for choosing Ice Mountain Home Office 30 W MAIN STREET Deliveryl We value your business. CARMEL IN 46032 -1938 III' i ll l��� l le ����I ��IIIIIIIIII�I�IIIIIII 'I�I'I "'llllll� Ya y �g Get ArlZona Delivered and, SA1lI- TAdd great to "sting ArlZoria iced Tea to your next orsi r Choase from �rrl6r Tea, Green Tea, ©Iet�Greeti Tea, �►rnold Palmer and Sweet Tea available °ink 5 oz can's an ,j Calf;or go onlrn adcfto your sm- aa -..�.a a.: -'T' e9q Es u r�. a� 'va5> �+Y" •`�b'°°�9+ 6 6fi W5v #ate cug' .��e° p ACCOUNT ACTIVITY Pay your bill online at: service. icemou ntainwater.com or by phone at: 1 -800- 472 -9888. It's free! MEMO= Delivery address: CARMEL REDEVELOPMENT COMMISION, 30 W MAIN ST STE 220, CARMEL IN 46032 PREVIOUS BALANCE 60.97 6127 170101 PAYMENT -THANK YOU -6.78 7/02 196674 PAYMENT -THANK YOU -54.19 6125 0678627431 2 5 GAL ICE MOUNTAIN DRK W /HANDLE 11.98 2 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 12.00 1 9 OZ PLASTIC UP 5OC /SLEEVE 2.99 2 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -12.00 6/30 0680299104 1 OIUFUEL SURCHARGE 2.32 F9377534 RENT 6.99 TOTAL 24.28 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT lc Subject to terms on reverse side. 60.97 60.97 24.28 X 24 2. BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP 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. A REPORT ON WATER QUALITY AND INFORMATION, PLEASE 2, Remember, I f you are renting equipment, your equipment rental is charged one month in advance. That means CALL 1 -800- 472 -9888 OR WRITE US AT your first invoice will include a pro -rated fee for the current mouth, plus the next month's rental, ICE MOUNTAIN SPRING WATER CO. 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. #216 If you prefer, you can pay your bill online at service.icemountain.com. 6661 DIXIE HWY., SUITE 4 LOUISVILLE, KY 40258 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 SAMPL I NVOICE sent you the first bill on which the error or problem appeared. You can telephone us, but doing so will not preserve your rights. In your letter. give us the following information: Your name, address, telephone and account numbers. Date range Of this invoice The dollar amount of the suspected error. 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. ,aaase�a9 four Account Number do not have to pay the disputed amount while it is being f mea0o 0alo0100 investigated. During the investigation, we cannot report your account 123 56789 as delinquent or take any action to collect the amount in question. Mo -ar �9 Watch here for a WEO -NOV ll GENERAL INFORMATION T11 -oEC1B personalized account 1. Payments received after the billing (INVOICE) date will appear on Important tlEulllLt ,rtlild,ltlk ^,NIA•'�ifl��A C^s ^mk. se�l�n raa <rz yae a,� „,III t M^un,el ^PoGO•i. message your next invoice. Past due invoices (not paid within 30 days of news and TXenkY°uln ^9 billing date) may be assessed a late fee as allowed by law not to offers 12,M St o,vSul, ono"° exceed $20 per month Additionally, third party colleotoolatlorney L.la 1 I nt.. 31 11... fl. 60..L,.6661.d a expenses may be assessed at a rate t exceed 100% of the unpaid balance or the maximum allowed by law. .`ya t, °N Pay electronically r Y°' wnmaxa aancR 2. Each returned check is subject to a service charge subject to the maximum check return charge allowable in your State. Make sure this 3. All bottle and equipment de deposits are shown as CURRENT Activity P amount has been ACTIVITY. since your Ace Ur•nAalvnv 4. Equipment replacement costs will be charged for bottles lost, last invoice cei Ynaa,�, ,on n0^e,,]lM s „o paid in full to stolen, damaged or not returned. P ,es ^e. "s avoid late fees paymen,Thank YOU $OW 5. In accordance with NWNA's Terms and Conditions "T &C'), youi s ui ment Lease and/or Service Agreement account may be nrs2s <aw E 'cc°�1 ^Srzl°.w q P g Y r 6 z >,fl. Monthl Oil Surchar subject to minimum monthly purchases and/or early cancellation ovrn 3, rees,aAC° E�ei s ",ena�9° g o9A j a b flan e, Fuel fees. (A complete version orthe current T &C may be viewed on the 1 h`'ipa 97 Surcharge or Delivery' website listed below) Upon service discontinuation, rent for the turn, Fee (see #6 under Leased Equipment is charged through the end of the billing cycle IT "General in which service is discontinued. 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or��� •.LXr, Informa(ion Deliver Fee as described in our T &C. Only one of these fees Payment SUMMAav '"`p1O0o• e. ynJ Y Y ment stub ACCOUNT —J_ RAV TMT AMO°NT vAY Br will apply to each account. The fee that applies to your account 4 is stated on the front of the invoice. For further information please O ,c ,i. v0 a" ooro re MT. rNa°sr° �NVE. I visit the website listed below or contact our customer service 113 16 70d 7eso WNWI. center. P 1 0420096207 OA222712619 Ueaa9tin49 2604 l2 7. As a food product, bottled water is subject m the rules and Amount due regulations promulgated by the Federal Food and Drug inn ^oce Administration (FDA). Ice MOUNIaiX wATrR C�„oMn,,,vN lr �z i Le s mgOUO Submit your 8. Your first invoice indicates the products delivered on your first jprv1 xscRVKr un,sro.az.ys"a delivery, along with any applicable bottle and account deposits, °ROUST °ME a ment b y this �9n p p.uwx Sid=. 1 aa,�,,,t ^a6 66.,6 „66cta ,<sa• redemption fees, and any dispenser charges. All future invoices date uoro °vReca uou ^dOn1""•' will reflect charges for water delivered and dispenser rental, bottle deposits and credits plus charges for any additional products ordered by you. Deliveries are made every three or four weeks, for a total of I6 -17 deliveries per year. You will only receive invoices 12 times per year, so approximately 5 of those invoices will reflect two deliveries. 2008 Ice Mountain Spring Water Company, a Division of Nestle Waters North America Inc. Form No. NW 709 1 1 10a servica.inprnountain.com service.icemountainwater.com i MIA "�A 215 6661 DIXIE HWY, SUITE 4 06I01110 06130/10 OOF0120223912 LOUISVILLE KY 40258 6 a a ADDRESS SERVICE REQUESTED IIIII�II�III�1 I'I�� IIIII1I' �I' T AUG 17 0120223912 7HU- SEP 16 FRI- OCT 15 CARMEL REDEVELOPMENT COMMISION Customer Service: 1- 800 472 -9888 DON CLEVELAND Thank you for choosing Ice Mountain Home Office 30 W MAIN ST STE 220 Delivery! We value your business. CARMEL IN 46032 -1938 I1' 111' 1' 1111 ti -mow e R �`an Get AnZona Deliverer!:- antl SAVEIAdd g�attasting A IcedrtTea your nextuorder Choose from g Lemon 'fea; Csreen�Tea Dlet Green Tea, Arnold Palme1171 vreet Teazvailalale_:it 11 5 oz cans and 1 gallon jugs ,Gall "orAgo oKi�ne t y o atld =to 0 ord ur eir ACCOUNT ACTIVITY Pay your bill online at: service.icemountainwater.com or by phone at:1- 800 472 -9888. It's free! Delivery address: CARMEL REDEVELOPMENT COMMISION, 111 W MAIN ST STE 140, CARMEL IN 46032 PREVIOUS BALANCE 7.2.5 6127 170102 PAYMENT -THANK YOU -3.99 7102 196673 PAYMENT -THANK YOU 1�2 30 1 -3.26 6/30 F9377364 RENT 3.99 TOTAL 3.99 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ ADJUSTMENT CURRENT ACTIVITY PAY TH c� Subject to terms on reverse side. 7.25 7.25 3.99 3.99 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 L O�.s� Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 6130 /O 6 12.O2239/ Total 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 V,, UCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF I �ox S.5 �a 2 2 ON ACCOUNT OF APPROPRIATION FOR Pay from Cash 9 d 2 i y2 -3 909 Board Members Po# or INVOICE b NO. ACCT #!TITLE AMOUNT ere certify that the attached invoices or DEPT. I her Y invoice s) X02 0 Otv123q�2 1239,9 9 3.99 bill(s) is (are) true and correct and that the g02 0 y239a9-P 2 -2�' materials or services itemized thereon for which charge is made were ordered and received except 7 7- 1 3 20 �o �7 gnature Director of Rerlavpl�pmen Title Cost distribution ledger classification if claim paid motor vehicle highway fund