192649 12/10/2010 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1
ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER
y CARMEL, INDIANA 46032 PROCESSING CENTER CHECK AMOUNT: $87.06
PO BOX 856680 CHECK NUMBER: 192649
LOUISVILLE KY 40285 -6680
CHECK DATE: 12/10/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4350900 OOK012120276 64.86 OOK0121202766
1125 4350900 OOK120095351 22.20 OOK0120095351
AIR "�A service.icemountainwater.com HIMME IT
215 6661 DIXIE HWY, SUITE 4 11/01/10 11/30/10 OOK0120095351
EW LOUISVILLE KY 40258
ADDRESS SERVICE REQUESTED
6i 01 II I I �0 I I I��1�1 II I I I I it �I I I III N 0 0120095351
FRI AN 21
FRI- FEB 18
MON- MAR 21
CARMEL CLAY PARKS AND REC DEPT. Customer Service: 1- 800 -472 -9888
AUDREY KOSTRZEWA 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
convenience, pay online: icemountainwater.comiservice.
If payment has been made, we thank you.
k
At ^fceMountairtfrDlrect we arecomtinitted to proVIidtngy ou with the best products a services :,Please
be`advlsed that your`next.ln will ref{ect a nominal price ad�ustment of %your office arid'coffee
products. Ippank you for your understanding
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tt.
ACCOUNT ACTIVITY Pay your bill online at: service.icemountainwater.com or by phone at:1- 800 -472 -9888. It's free!
B goo I A MOM
1 g
e every address:
PREVIOUS BALANCE 11.23
11/17 0698910031 4 5 GAL ICE MOUNTAIN DIRK W/HANDLE 15.96
2 9 OZ PLASTIC UP 5OC /SLEEVE 5.98
BOTTLE DEPOSIT: 4 CHARGED, 6 CREDITED -12.00
11130 0701705998 1 OIL/FUEL SURCHARGE 2.28
K0039669 RENT r s 9.98
r',
y z r f r
Purchase TOTAL i
r ;r 33.43
Description n
1 PorF at
P.O. DEC D
G.L.
Budget Y- ��o
Line Descr oo,.u.....
0000.
Purchaser Date
Approval Date
0 eat fa•S.ry
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT
Subject to terms on reverse side. 11.23 0.00 22.20 33.43
01611
with vo law. SWUNWAKAWNRINWAN
BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER
IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL, OR FOR I 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, if you are renting equipment, your equipment rental is charged one month in advance. That means
CALL 1 -800- 472.9898 OR WRITE US AT: your first invoice will include a pro -rated fee for the current month, 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,
4216 If you prefer, you can pay your bill online at service. icemountainwater.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 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 SAMPLE INVOICE
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. 1234567890 Your Account Number
You do not have to pay the disputed amount while it is being r polaolao- oolool
investigated. During the investigation, we cannot report your account
as delinquent or take any action to collect the amount in question. 2'456789
Moo -oU ]9 Watch here for a
wfd NUV ]t
GENERAL INFORMATION L9BH8 personalized account
1. Payments received after the billing INVOICE date will a ear en Important
Ym g( PP ILtl., t6ultYNtI1ILl "ilLt,111U:,alltl.JlatlJatl a.a yM<Mw„�IxadN•M message
your next invoice. Past due invoices (not paid within 30 days of news and
billing date) may be assessed a late fee as allowed by law not to offers ,21 M''"
exceed S20 per month. Additionally, third party collection/attomey ens a000a
t ,,,tga „a a6 ai ',it LA 4 dut.ha.d
expenses may be assessed at a rule not to exceed 100% of the
unpaid balance or the maximum allowed by law. Pay electronically
iatil'dTd kq YaA¢1951t11dm�Nfklf -'x�, 3
2. Each returned check is subject to a service charge subject to the 2'�
nr IZt
maximum check return charge allowable in our State.
g Y Make sure this
3. All bottle and equipment deposits are shown as CURRENT Activity amount has been
ACTIVITY
since your ACCOUNTArnVITY 00. paid in full to
4. Equipment replacement costs will be charged for bottles lost, last invoice �I,�"Ada m wn
stolen, damaged or not returned RAM ,�1• ro avoid late fees
5_ In accordance with NWNA'sTerms and Conditions "T &C your
(ll „78051a<4< ke Mdmun5Wl P� "'n' ].9fi
Equipment Lease and/or Service Agreement account may be eneHS s yGalPx n.99 y Monthly Oil
run+ zneasl4<sn s�I"1Ow�rcnam•F t
subject to minimum monthly purchases. and/or early cancellation wn] „A161AS„ 4 r. t6 er Surcharge, Fuel
fees. (A complete version of the currentT &C may be viewed on the Surcharge or Delivery
ry
website listed below) Upon service discominuatim, rent for the rOTAt F¢¢ (s¢¢ 96 under
Leased Equipment is charged through the end of the billing cycle "Gen¢ral
in which service is discontinued. �*n sio
ar�9 +Mt +t N Information
6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or AMOU
I• n99
Delive Pay
Fee as described in our T &C. Only one of these fees stub ACCOUhTSOM.. •..o.
fY Y S p10 PAY THIS NT
o ,p, oar Hr sl.w 3
will apply to each account. The fee that applies to your account ecourr Hu m.. Y
Er+aosea
is stated on the front of the invoice. For further information please ENU al uNO GATE r.
INVOICE NUTAHEP w1WIoo
visit the website listed below or contact our customer service ,]34s61H
center.
7. As a food product, bottled water is subject to the rules and 042o1[46307 04 2 0 211 2 619 111391 2069 16 Amount due
regulations promulgated by the Federal Food and Drug I^nn ou<
Administration (FDA). ,cr lM°uNruu wAh M '0,vSu
B. Your First invoice indicates the products delivered on your first Submit your
delivery, along with any applicable bottle and account deposits, P w HC9 °MTHTfm9 E a ment b this
t:an,t.,a.ni« at,..t6 u.6ol,u.w6t,+;aap' Msa. d,kl.<�Y�f•• <9n�A<.�,e1M<. 1 Y Y
redemption fees, and any dispenser charges. All future Invoices u n. o,^M date
will reflect charges for water delivered and dispenser rental, bottle <foA•.•.A
deposits and credits plus charges for any additional products
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'
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 70911108
O service. icemountainwater.com
J i W SS..,. ..a.` &a. c:. -:w." .rya �Av: ro.?'2it .4is .ra, -5 .1 1 4 I �I n J
service.icemountainwater.com
215 6661 DIXIE HWY, SUITE 4 11/01/10 11/30/10 OOK0121202766
LOUISVILLE KY 40258
8 B e
ADDRESS SERVICE REQUESTED
F I RI- JAN 21 0121202766
FRI- FEB 18
MON- MAR 21
CITY OF CARMEL PARKS DEPARTMENT 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
convenience, pay online: icemountainwater.com /service.
If payment has been made, we thank you.
At,lce`Mauntatn Dlreet we arm commlltteaAo proyiaing OU with the ve best4products ana. services s.Ple-
be 'ad isetl that`your next�Involcegwill.ceflectla nominal' price adjustment for some 0 ur office. anti coffees g
*products: Thalnk youAfor yotirL understanding
V o
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ACCOUNT ACTIVITY Pay your bill online at: service. icemountain nvater.com or by phone at: 1 -800-472-9888. It's free!
a b e
Delivery address: CITY OF CARMEL PARKS DEPTIMONON CENTER, 1235 CENTRAL PARK DR EAST, CARMEL IN 46032
PREVIOUS BALANCE 64.86
11117 0698910080 9 5 GAL ICE MOUNTAIN DIRK W /HANDLE 35.91
3 9 OZ PLASTIC UP 50C /SLEEVE 8.97
1 .5 L NATURAL SPRING WATER ICE.MTN 5.99
BOTTLE DEPOSIT: 9,CHARGED, 8 CREDITED 6.00
11130 0701600074 1 OIUFUEL SURCHARGE 2.00
K0111456 RENT 5.99
TOTAL 129.72
Purchase {J
Description
P.O.# PorF DEC 0 8 2010
G.L.
Budget f J�UA'/ L CY+irw ��o
Ling Descr
Purchaser Date
n Date
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT I ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT
Subject to terms on reverse side. 64,86 0.00 64.86 129.72
BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER
IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL, OR FOR I 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, if you are renting equipment, your equipment rental is charged one month in advance. That means
CALL 1 -900-472 -9888 OR WRITE US AT: your first invoice will include a pro -rated fee for the current month, 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.
4216 If you prefer, you can pay your bill online at service.icemountainwater.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 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 SAMPLE INVOICE
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. 173ase Your Account Number
You do not have to pay the disputed amount while it is being 1 00100100 00100100
investigated. During the investigation, we cannot report your account
123456
as delinquent or take any action to collect the amount in question.
MDNoa ]N Watch here for a
GENERAL INFORMATION personalized account
L Pa WED'NOV 31
n F DfC 6 ments received after the billing INVOICE date will a ear on Important
Y PP B, OdJP. 8lidpil ,L.fiii[kdaL.dlltnll„II,Idli enaame, son "e''BOO +]z vase mCSSB e
your next invoice. Past due invoices (not paid within 30 days of news and
TFanh Yva for using I[e MaunLln ProEUtl° g
billing date) may be assessed a late fee as allowed by law not to offers
r
covs,ace 0000D
exceed S 20 per month. Additionally, third party collection /attorney
expenses may be assessed at a rate not to exceed 100% of the
P Pay electronically
unpaid balance or the maximum allowed by law.
2. Each returned check is subject to a service charge subject to the
maximum check return charge allowable in your State. Make sure this
3. All bottle and equipment deposits are shown as CURRENT Activity amount has been
ACTIVITY. since y our accout+T nnrvm M C„ s oo6aa
4. Equipment replacement costs will be charged for bottles lost, �,,7 a oOe 'x3Ma:. s r� ,a,° '1`q paid In full t0
last invoice
stolen, damaged or not returned- avoid late fees
5. In accordance with N1VNA's Terms and Conditions "T &C your ,M696 s s wa,c[ so o
l 31 ]Btl5i Mountain 5Gal a'P^E'E 296
Equipment Lease and/or Service Agreement account may be n n „76as, w s I¢MUU „sval6e,un n.vP Monthly Oil
ovm l wel w.maye
subject to minimum monthly purchases and/or early cancellation rn�5id4''
6s na 316 6,66,; 6. Surcharge, Fuel
fees. (A complete version of the currentT &C maybe viewed on the o9 „T 166 91 Surcharge or Delivery
website listed below) Upon service discontinuation, rent for the ToT^r Fee (see #6 under
Leased Equipment is charged through the end of the billing cycle "General
in which service is discontinued
6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or M C ^Y.a,N w *MF"'+ s7w Information
Delivery
Fee as described in our T &C. Only one of these tees P a y ment stub nccor+rsuMMaaY o. c[Neu•M
rY Y Y ACCOUNT
f PPY BY PPY THIS NMOUNT
will apply to each account. The fee that applies to your account a AccOUHT T,UM.S 00100 57M is stated on the front of the invoice. For further information please contact
a6 ase76v° 61W" D"I MT. ckCUO5
NVoef NUMBr6 mouloo
visit the websitc listed below or
contact our customer service ,nas676vo
center.
2pp4 ss
7. As a food product, bottled water is subject to the rules and e,,G.96407 oraeara96b9 ouD39iae9 Amount due
regulations promulgated by the Federal Food and Drug im,nov
Administration (FDA). ICE MO ONU;N wnscn coMrnur ca s�a�e
8- Your first invoice indicates the products delivered on your first La 6Ll.LJ,Jt [DPwr *aME65rmKtC ^u' BO6 sees Submit your
delivery, along with any applicable bottle and account deposits, p ayment b this
r dad.. d.. aL ,..dL...tL.u.L., p y
redemption fees, and any dispenser charges. All future invoices date 6 p.,,�D °"5i
will reflect charges for water delivered and dispenser rental, bottle sc”
deposits and credits plus charges for any additional products
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
12 times per year, so approximately 5 of those invoices will reflect
Iwo deliveries.
0_228 fee Ni6uniain Spring Water Company, a DPvisiort al Nestle Waters North America Inc. Form No. NW cos 11108
ervice icemountainwater.com
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
12!3110 K0120095351 Drinking water cooler Maint 22.20
1213110 K012120766 Drinking water cooler MCC 64.86
Total 87.06
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
87.06
ON ACCOUNT OF APPROPRIATION FOR
101 General 109 Monon Center
PO# or INVOICE NO. ACCT #ITITLE AMOUNT Board Members
Dept
1125 K0120095351 4350900 22.20 1 hereby certify that the attached invoice(s), or
1091 K012120766 4350900 64.86 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
9 -Dec 2010
Signature
87.06 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund