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167092 12/17/2008 CITY OF CARMEL INDIANA— VENDOR: 051125 Page 1 of t L, ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CHECK AMOUNT: $111.57 CARMEL, INDIANA 46032 PROCESSING CENTER PO BOX 856680 CHECK NUMBER: 167092 LOUISVILLE KY 40285 -6680 CHECK DATE: 12/17/2008 D EPARTMENT ACCOUNT PO NUMBER IN VOICE NU MBE R AMOUNT DESCRIPTION 2201 4238900 08KO11782108 44.66 OTHER MAINT SUPPLIES 1205 4239099 08KO12004852 24.4.3 OTHER MISCELLANOUS 1125 4353099 08KO12009535 5.67 OTHER RENTAL LEASES 902 4239099 .08K012022391 13.19 OTHER MISCELLANOUS 1047 4353099, 08KO12120276 3.95 OTHER RENTAL LEASES 1701 4239099 08K722032704 19.67 OTHER MISCELLANOUS a rv� 0 720106 a 11/01/08 11/30/08 08KO121202766 #215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 service.icemountain.com WED- DEC 17 0121202766 III IIII I III' III I IIIII I II I III III' III II I IIII II THU- JAN 22 MON- FEB 23 #BWNNWYR MON- MAR 23 #0400001212027662# CITY OF CARMEL PARKS DEPARTMEN Customer Service: 1- 800 472 -9888 MANDY SPADY 1411 E 116TH ST Did you forget about us? Kindly pay upon receipt. CARMEL IN 46032 -3455 Remember, past due accounts are subject to a late fee. Your prompt payment is appreciated. For your convenience, pay online: icemountainwater.com/service. If payment has been made, we thank you. Special delivery just in time for the holidays!` For a limited time you can save $5 on a case of,Sparkling', beverages and et a "$5'Starbucks.card`when`you order two bags of Starbucks coffee. Log onto 9 9 I service.icemountainwater com mcall 800472 -9888. Expires 1 2/31/08 ACCOUNT ACTIVITY Pay your bill online at: service.icemountain.com or by phone at: 1- 800- 472 -9888. It free! 0 ME Delivery address: CITY OF CARMEL PARKS DEPT/MONO, 1235 CENTRAL PARK DR EAST, CARMEL IN 46032 PREVIOUS BALANCE 31.94 11/14 0593278856 3 5 GAL ICE MOUNTAIN DRK W /HANDLE 11.97 1 9 OZ PLASTIC UP 50C /SLEEVE 2.99 BOTTLE DEPOSIT: 3 DELIVERED, 6 RETURNED 18.00 11/30 0596546762 1 OIL /FUEL SURCHARGE 2.00 K6735709 RENT 4.99 TOTAL 35.89 N ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT CU ENT CTIVITY PAY THIS AMOUNT �ubiect to terms on reverse side. 31.94 .00 3.95 35.89 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 INFORNIATION, P LEASE 2, Remember, if you are renting equipment, your equipment rental is charged one month in advance. That means CALL I- 800 472-9988 OR WRITE. USA`: your first invoice will include a pro -rated fee for the current month, plus the next month's rental. ICE NR)UNTAIN SPRING NVNI'ER 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 IIWY., SUITF 4 LOUISVILLE, KY 40258 4. Never hesitate to call us with comments, questions, or concerns. If you think your hill is wrong. or if you need more information about a transaction on your bill, write us on it separate sheet of paper. We hear from you in writing filter ter than thirty t30) days after an SAMPLE INVOICE sent you the first bill on which the he error or problem appeared. )oil can telephone us, but doing so will not preserve your rights. In your letter. give us the following infem,alion: 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 pans 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 Oolootoo oatomoo investigated. During the investigation, we cannot report your account as delinquent or take any action to collect the amount in question, r "R ocr w hz3as67Rv MoN OC rr Watch here for a wEO Nov :1 GENERAL INFORMATION TOE- DEC IS personalized account Inn 1111.1till message Imp ortant LII,,.III,.111" 11111.1, .nln,AI,.11,1,111 nom. se gppAl29aeR 1. Payments received after the billing (INVOICE) date will appear on P Ma, ^1,I ^vim" your next invoice. Past due invoices (not paid within 30 days of news and ton "o« ;^e "t R+' °I<. billing (late) may be assessed a late fee as allowed by law not to offers 123 Mai "St exceed S20 per month. Additionally, third party collection /attorney c r. stare 00000 1.., IIIJ•,1..IIL.,,,I1,.,,11.,A1 „I,II „1,,1,1,1.1,.1., expenses may be assessed at a rate not to exceed 100% of the unpaid balance or the maximum allowed by law.' ,MC^” ^1Jmo'wn�""'^"'°"'„<ie vP ar Wit. Payclectronically 2. Each returned check is subject to a service charge subject to the uml<ac <^"'a'"'C°"` Iauw,ANyd "apC1'' ""a mu<n.mommore aekvek .,+a<'hanwrw nnaxinlu n check return charge allowable in Your State Make Sure this 3. All bottle and equipment deposits are shown as CURRENT Activity ACTIVITY. m amount has been A Since your ACCOUNt ACTNITY 0000° z3 Ma s aid in full to l 4. Equipment replacement costs will be charged for bottles lost, cenre.r6aa I o« Ci,y,5te1 ,s p l ast invoice stolen, damaged or not returned. P,evnusBaWtu< soon avoid late fees Parm<m Tna^ 1vw 5. In accordance with NWNA's Terms and Conditions (`•T &C•'), your 1BBe sca,lP "Nat��a so .5om 317 5 5 Ice Maunta�nSGal[MPait 2% Equipment Lease and/or Service Agreement account may be o E, +Bes It <M ^tai ^sOaIR n1. Monthly Oil ova IDees,+w+ IReoi s�,ma,Be subject to minimwn monthly purchases and/or early cancellation Surcharge, Fuel �I1T 7 g I ees. (A complete version ofthe current T &C only be viewed on the oo ^r 5 Surcharge or Delivery wcbsite listed below) Upon service discontinuation, rent for the To,AL Fee (see #6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued uB T NTAC"w^ NT C Information 6. )Toil will be charged a monthly Oil Surcharge, Fuel Surcharge or r""q Dclivcry Fee as described in your T &C. Only one of these fees Payment stub ACC Ug SUMMARY u.• ••,•,.•..o�or.. o.c •a"ae „or. PAY TNIS AMOUNT will apply to each account. The fee that applies to your account w ,,,,�m.mn ywv v ACCougr NUMBER PAY BV ST 4 �l� is state the front of the invoice. For further information please 1OICEN690 B,LLINO DALE T, ENCLOSED INVOICE NUMBER �I)n1W visit the websile listed below or contact our customer service r13+s6789 center. 16 7. As a food product- bottled water is subject to the rules and 0420096307 04262712619 000391 Zpp° Amount due regulations promulgated by the Federal Food and Drug 1 o n"DO< AdulinislrattOn(FDA). 'Cr MOUNTAIN WATER COMPANY ,20Ma "SI City, State D0000 Submit your 8. )'our first invoice indicates the products delivered on your first ,DPLDSTDMERSERYICE�Y a.�. zPB6B a meat by this delivent along with any applicable bottle and account deposits n,... u.,,u,.lal h P "t Myc,,,,,,,,,o„PA•" 1.,. ma,,, L. redemption fees, and any dispenser charges. All future Invoices date will reflect charges for water delivered and dispenser rental, bottle s l�+uProB BLe j jO° 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. Q 2008 Ice Mountain Spring Water Company, a Division of Nestl6 Waters North America Inc. Form No. NW 709 5 /08 Sl— 720106 vo I I "Ai A W r 11/01/08 11/30/08 08KO120095351 #215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 e a e service.icemountain.com WED- DEC 17 0120095351 III llil ICI I ill �1 I� I Illl Illl! IIII 111 II lI Ill ll THU- JAN 22 MON- FEB 23 #BWNNWYR MON- MAR 23 #0400001200953515# CARMEL CLAY PARKS AND REC DEPT AUDREY KOSTRZEWA Customer Service: 1 -800 -472 -9888 1411 E 116TH ST Did you forget about us? Kindly pay upon receipt. CARMEL IN 46032 -3455 Remember, past due accounts are subject to a late I I I II I I I I I oi I I I I I III I I fee. Your prompt payment is appreciated. For your convenience, pay online: icemountainwater.comiservice. If payment has been made, we thank you. N n4' b:. 4.� P •,a 4 M$ Specta deltvrytust Intl�mefgr tfyeholday'sI For a IltTittec ttmeyou can save$5an a case of Sparklrng beverages and get a $5 ca d en youforcier two bags of StArbilcks Log =onto �servlt;e Icemountalnwater com or�'ca(I 8©0472 988 Ex /08 s..� csp� ACCOUNT ACTIVITY Pay your bill online at: service. icemountain.com or by phone at: 1- 800- 472 -9888. it's free! Delivery address: P CARMEL CLAY PARKS AND REC DE, 1427 E 116TH ST, CARMEL IN 46032 PREVIOUS BALANCE 55.73 11/14 0593278807 2 5 GAL ICE MOUNTAIN DRK W /HANDLE 7.98 1 9 OZ PLASTIC UP 50C /SLEEVE 2.99 BOTTLE DEPOSIT: 2 DELIVERED, 5 RETURNED -18.00 11/30 05966/0121 1 OIL /FUEL SURCHARGE 2.72 K6660483 RENT 9.98 TOTAL ��C 61.40 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENTIADJUSTMENT+ C RENT A TIVITY PAY THIS AMOUNT �uhiact to twrms nn ravnmp airla 55.73 .00 5.67 61.40 BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER IN CASE OF ERRORS OR QUESTIONS ABORT YOUR HELL, 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 INFORS9ATION. PLEASE 2. Remember, if you are renting equipment, your equipment rental is charged one month in advance. That means CALL 1 800 472 98HH 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. P216 If you prefer, you can pay your bill online at service.icemountain.com. 6661 DIXIE HWY., SUITE 4 LOUISVILLF., KY 40258 4. Never hesitate to call us with comments, questions, or concerns. If you think your hill 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 days aficr we SAMPLE I NVOICE sent you the first bill on ,which the error or problem app ppcared.lbu can telephone us, but doing so will not preserve your rights. In your letter, give us the following infortna ion: Your none. address, telephone and account 11um6crs. Date range of this invoice The dollar amount of the suspected error. Describe the error and explain if you cwt. why you believe there is an error. You arc a not have to pup the hurts of your bill that are not in question. f h za°s67E90 Your Account Number You do not have to gray the disputed amount u -bile it is being 1 ootaoloo. investigated During the investigation. wo cannot report your account I 123456799 as delinquent or take any action to collect the amount in question. re9 °a Mot+. ar z4 Watch here for a GENERAL INFORMATION NeV u o +e personalized account 1, payments received alter the billing FIN'VOICL) date will appear on Important 11a1,,,la„ 111. �IIIILL ,.IIILhIIII,,,aaa „11,.11.1 crammer semMOV ^e ^v.� °88 message your next invoice. Past duc invoices (not paid wnhin 30 days of news and n u« �n„ ^aa.` billing ate may be assessed a late fee as allowed by law not to g Y o ffers I C i 5 s ocv u3e 11 11 at exceed $20 per month. Additionally, third party collwtton /attorney I„ ta,,,�n WAA,a..I! expenses may be unpard hTlanee or t•hc ssessed at a late maximum ullowcd lawcced 100 °T of the Pav electronically 2. Each returned check is subject to a Service charge subject to Tire ntaximunt check return charge allowable to your Sune. K Make sum this 3. All bottle and equipment deposits arc shown as CURRENT Activity amount has been ACTIVITYr since our nccoutur ncrivtT+' re Mao srre. 3 clivs y R� on^ paid in full to 4. Equipment replacement corns will be charged for bottles lost, last invoice e D�r,Kryaaa "si stolen, danta ed or not returned. n ,soon" aaas avoid late fees g v' so.oa 5. In accordance with NWNA 'sTcrms and Conditions ("T&C"),your oerrl �'R'a s s�'aib ^aa °�a +sP'' "y ware -50,00 11, 3119e9!° nta+nS GaI D ?Posit Equipntcnt Lease and /or Service Agreement account may be D rnsssam,+ s ^sue +l>em�^ n99 Monthly Oil subject 3 bject to minimum ntnnthly purchases and /or early cancellation a saes,+ Surcharge, Fuel R "j''9e fees. (A complete version of the carrenn T &C may be viewed on the o9� .H n,+s Surcharge or Delivery website listed below) Upon service discontinuation, rent for the rornc Fee (see #b under Leased Equipment is charged throngh the end of the billing cycle "General in which service is discontinued. „n.orva*MrM -r v6yiN15' Information 6i You will be charged a monthly Oil Surcharge, Fuel Surcharge. or Delivery Ice as described in your T &C. Only one of these fees f ayment stn ll ACCOUNT SUMMApY 11 eA�rftIS AMeUNT will apply to each account. The fee that applies to youraccount ti• w„p, a� r wr �C,UUWNUMBER aver sz'° eta W is stated on the From of the invoice. For further inlor out ion please u3°sma9° eacmc WE Mr. Enzroseo INVOKE 1MEER visit the web_aite listed below or contact our customer service I2xs 013CWN center. 7. As a food preduct, bottled water is subject to the rules and pp696uo o°znav> 42 ooD39xou ap94 t Amount due regukations promulgated by the Federal Food and Drug t ^nno� Administration(PDA). Icr ouurnr+wnTER Cor.'eANr 51 oa©oD w �•s Submit vour 8. Your first invoice indicates the products delivered on your first r roscu „aMERSU"”` °C""1- 80° redem tion with any applicable bottle and account deposits, a Y g .,at,,,,n,.,n,a,na,,.l,laa,a,.n payment by this a ae. Q os °r w 9 n nom... s. date p and any dispenser charges. All future invoices L3 will reflect charges for water delivered and dispenser rental, bottle 3cr,urrosrs,ew,w.r�e "u ^�9� deposits and credits plus charges for any additional products ordered by you. Dciiveries 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 709 5108 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 Date Due Louisville, KY 40285 -6680 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1213108 08KO121202766 Water cooler rental Monon Center Nov'08 3.95 1213108 08KO120095351 Water cooler rental Maintenance Dept. Nov'08 5.67 Total 9.62 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 9.62 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 08KO121202766 4353099 3.95 i hereby certify that the attached invoice(s), or 1125 08KO120095351 4353099 5.67 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 11 -Dec 2008 Signature 9.62 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund gk Egli, 11/01/08 11/30/08 08KO117821082 #215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 e a service. icemountai n. com II MCN- DEC 22 0117821082 TUE- JAN 27 WED- FEB 25 THLI- MAR 26 #BWNNWYR #0400001178210823# Customer Service: 1 800 472 9888 CITY OF CARMEL STREET DEPATMEN 3400 W 131ST ST YOUR ACCOUNT IS PAST DUE and is subject to WESTFIELD IN 46074 -8267 additional late fees. Water delivery service may be interrupted. Please make your payment today. For 1 11 1 11 111 111 1 11 11 111 1 1 11 111 111 1111 IF your convenience, pay online: icemountainwater.com/service. If payment has been made, we thank _you. Special delivery dust �n Elms r7 w for the hol tlayst, For a limtfed ou can,Sav on a e of- 4, berre� ages and ge a $5 Starbucks card .v�hen you order two:bags_ of Startsucks co es Lei o *o servfce!tcemountafnwater com ca11800 472`9888 Expires 12 b S i �°`k+. a• <'r r*'. rR r .jai d` R✓M� �,4"'`� *&a ACCOUNT ACTIVITY Pay your bill online at: service. icemountain.com or by phone at: 1-800-472-9888. It's free! e e� Delivery address: CITY OF CARMEL STREET OEPARTME, 3400 W 131TH ST, WESTFIELD IN 46074 PREVIOUS BALANCE 77.71 11/19 0594118382 1 9 OZ PLASTIC UP 5OC /SLEEVE 2.99 4 5 GAL ICE MOUNTAIN DRK W /HANDLE 13.96 4 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 24.00 3 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -18.00 i1129 0596045849 1 LATE FEE 15.00 11130 0596495515 1 OILIFUEL SURCHARGE 2.72 K6635716 RENT 3.99 TOTAL 122.37 QQ ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT CURRENT ACTIVITY PAY .THIS AMOUNT c�ubiect to terms on reverse side. 77.71 .00 44.fi6 1 BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER INCASE OF ERRORS OR QUES'rIONS AROUr YOUR BILL, OR FOR I Please remember payment is due by the "pay by" date noted to ensure the smoothest service. A REPOKI ON WATER QuAL[TY AND INFORMATION, PLEASE 2. Remember, if you are renting equipment, your equipment rental is charged one month in advance. That means CALL i -800- 472 -9868 OR WRITE US AT: your first invoice will include a pro -rated fee for the current month, plus the next month's rental. ICE AJOUNTAIN SPRING 1 ,W]'ER 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.icemountain.com. 6661 DIXIE 1 MY., SUITE 4 LOUISVILLE, KY 40258 4. Never hesitate to call us with comments, questions, or concerns. If you think your bill is wrong, or i1'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 INVOIC 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 ttnme, address, telephone and account numbers. Date range of this invoice The dollar amount of the suspected error. Describe the error and explain if you call, why you believe there is an error, You are obligated to pay the parts of your bill that are not in yucstinn- u34s878 Your Account Number You do not have to pay the disputed tnnount while it is being f omaoloo oolooloo investigated. During the investigation, we cannot report your account r 12345678? as delinquent or take any action to collect the amount in question. Tao MoN.ar 19 Watch here for a wrn -Nov GENERAL INFORMATION nE -nEC personalized account I aw" -Yeas L payments ments received d after the billing (INVOICE) (late will appear on mall„ uL, to „ptud.,.Im,tanrnnt,at,JLLtn cun�e�s n. message your next invoice. Past due invoices (not paid within 30 days of' news and Tnant. y °m. "Y 1r.M� "Wnp bi ng date) may be assessed a late fee as allowed by law not to offers �iz3M n e xceed $20 per month. Additionally, third party collecounlattorney °1r'sa wood I. JILL.. t.. IVL... dt ....VL.,kL,ItIJ..JLI.L.t�1t cxpcnscs may be assessed at a rue not to exceed 100% or the w ,,races unpaid balance or the maximum altered by law. p�v ,w �w w a° "o a Pay electronically 2. Each returned check is subject l0 a service charge subject to the maximum check return charge allowable in your State. Make Surf this 3. All bottle and equip de deposits are shown as CURRENT Activity -i8 n R y 1 amount has been ACTIVITY. since your AeCOUFTArnvm paid to Tull to 4. Equipment replacement costs will be charged for bottles lost, last invoice v e stolen• damaged or riot rctunted. p'�' so.00 avoid late fe "erne "I .rN _soar 5. In accordance with N WNA's Terns and Conditions "T &C your ram u,ie�e s s edu "Nr °'also "y z96 q,n rnaesl <aw me MOO ",a�nswioep"s�1 Equipment Lease anctlor Service Agreement account may be s 1wM �Aer 1,99 Monthly Oil e, Fuel subject to miuinunn monthly purchases and/or early cancellation 09 Surchar g 091,] !4r>7p49] 5]TO lets. (A complete version ofthc carremT &C may be viewed on the Ar Surcharge Or Delivery website listed below) Upon service discontinuation, rent for the TornE Fee (see #6 under Loused Equipment is charged through the end of the billing cycle "General in which service N discontinued. �Nr 6. You will be charged a monthly oil Surcharge. Fuel Surcharge or Information Delivery Pee as described in our TKC. Only one of these fees Pa yment stub Accour+r A son4µaY nu y t� PAY TN SAMOUNI will apply to each account. The fee that applies to your account AccoaHr NULriva rnv sv srm e 3456r890 Wl'� is _vtated on 12 fu the front of the invoice. For further information please nuwc ono MT NUOSeo E 1NYOIGE NO U" OO1�I6U visit the wcbsile listed below or contact 0121 custower service utaseraYo center. >.e 7. As a food product. bowled water is subjecl to the rules and v4 mseaz7aastg u °eavti °Yn zany Amount due regulations pronudgmed by the Federal Food and Drug I "n "roc. Administration (1 w wnrcN�o6ivnNVrc cwM�a' "5t00000 R. Your first invoice indtcutes the products delivered on your first Sfw[rf Submit your oti roMr N AW- "a$ p ayment by this debvery, along w,dr aov applicable bottle and account deposits tt ^'ll P.1 ^,,,g•,o "A=.�,us^^ redemption fees- and any dispenser charges. All future invoices "�IYIL,I "'I't'I'LJ�JI „t. dal will reflect charges for water delivered and dispenser rental, bottle El rw "c deposits and credits plus charges for any additional products ordered by you. Deliveries are triads every three or four weeks, for u total of 16 -17 deliveries per year. You will only receive invoices l2 times per year, so approximately 5 of those invoices will reflect two deliveries. 0 2008 Ice Mountain Spring Water Company, a Division of Nestle Waters North America Inc. Form No. NW 709 5 /08 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)) 12/03/08 apiK0117821082 $44.66 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. ALLOWED 20 Ice Mountain IN SUM OF P. O. Box 856680 Louisville, KY 40285 -6680 $44.66 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member! 2201 apiK0117821082 42- 389.00 $44.66 I 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 Friday, December 12, 2008 Street Cqwwissioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund 720106 H v 11/01/08 11/30108 08KO120223912 #215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 P g service. icemountain.com MON- DEC 15 0120223912 IIIIIIIIIIIIIIIIIIIIIIII III IIIIIIIIIIIIIIIII TH JAN 20 THU- FEB 19 #BWNNWYR THU- MAR 19 #0400001202239129# CARMEL REDEVELOPMENT COMMISION Customer Service: 1 -800- 472 -9888 SHERRY MIELKE 111 W MAIN ST STE 140 Did you forget about us? Kindly pay upon receipt. CARMEL IN 46032 -1905 Remember, past due accounts are subject to a late III oil 1111111111111I11I11 111181111111 fee. Your prompt payment is appreciated. For your convenience, pay online: icemountainwater.comiservice. If payment has been made, we thank you. 1 y Special dell�ery ft3rtheholltlaysFori� hmltetltlme you can save$5 on acase of Sparkling �:ser beveraaesantlget a$SStarbuckscard� whenyou order two bags;of Starbucks caffeeLog, onta 4: ip viceceltlounta�nwater comor g CRJ..i "9:'3 ACCOUNT ACTIVITY Pay your bill online at: service. icemountain.com or by phone at: 1 -804- 472 -9888. It free! Sam �Q Delivery address: CARMEL REDEVELOPMENT COMMISION, 111 W MAIN ST STE 140, CARMEL IN 46032 PREVIOUS BALANCE 23.35 11109 026544 PAYMENT -THANK YOU -6.99 11/12 0592791743 1 5 GALLON ICE MOUNTAIN DEPOSIT RETURN =6.09— 1 5 GAL ICE MOUNTAIN DRK W /HANDLE 3.49 1 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT �__6 1 9 OZ PLASTIC UP 50C /SLEEVE 2.99 11/30 0596338764 1 OIL /FUEL SURCHARGE 2.72 K6701846 RENT 3.99 TOTAL 29.55 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT+ C RRENT ACTIVITY a PAY THIS AMOUNT i �hiar -t M tarrrLC nn rwvarsa siria 23.35 m 6.99 13.19 J 29.55 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, [`LrASE 2. Remember, if you are renting equipment, your equipment rental is charged one month in advance. That means cAl_f 1- 800-472-9888 OR watTE us AT: your first invoice will include a pro -rated fee for the current month, plus the next month's rental. ICE NIOUNTAIN SPRING WATER CO. 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. 11216 If you prefer, you can pay your bill online at service.icemountain.com. 6661 DIXIE H WY., SUIT E 4 LOUISVII,EF, KY 40258 4. Never hesitate to call us with comments, questions, or concerns. If you think your bill is wrong, or if you need mare information about a transaction on your bill, write us on a separate sheet of paper. We must hear from you in writing no liter than thirty (30) days after we SAMPLE sent you the first bill on which the e error or proble appeared. You can tclephonc us, but doing so will not preserve your rights. In your letter, give us the following information: Your name, address, telephone and account number. Date range of this invoice The dollar amount of the suspected error. Describe the crag and explain if you can, why you believe there is an error. You arc obligated to pay the parts of yon r bill that are not in question. I23a5e7e91 Your Account Number You do not have to pay the disputed amount while it is being I o01001oo- oniftoo invesii�amied. During the investigation, we cannot report your account 1234567ae as delinquent or take any action to collect the amount in question. Watch here for a GENERAL INFORMATION wro- Lar orc personalized account. I. Payments received after the billing (INVOICE) date will appear on Important Jill i ll I ll c"nome� sem`pi 8p0 y nma•„nndaat,,,,lau,at,ataatl LFVn4foruvin9lceModnralnP •o6ucP message our next invoicc, Past due invoices (not paid within 30 days of news and YOU billing deist nary be assessed a late fee as allowed by tau• not to offers I ii; Mam sc .r.e aerw.e.. exceed 520 per month. Additionally, third p ❑ry.stare �p arty collecuonlatlurney t to t p„ n .tar. I .a t t t t expenses may be r sesscd at a rate not to exceed I00!66 of the unpaid balance or the maximum allowed by law. n am"�'°"' °h am""yp ixiP 4 "r Pay electronically �swt l° T gnY nY theCYYa+ dudi:md utl, 2. Each returned check is subject to a service charge subject to the p maximum check return charge allowable in your State. �i e Make sure this 3. All bottle and equipment deposits arc shown as CURRENT Activity amount has been ACTIVITY. Since Our ACCOUNT ACTIwn' eysta�e Y oo. 13M sire 4a paid in full to 4. Equipment replacement costs will be charged for bottles lost, last invoice �n"isen Aaa _i,,94 745 avoid late fees stolen, damaged or returrned. Saw Paymen�TlWnk YOu 5. In accordance with NWNA's Tcrms and Conditions "T &C" ynur oarei a, eea pan "n N "119 "Q 4040 9111 31 rfle5,a+4b Ice MOUnrain S Gal Equipment ].case and /or Service Agreement account may be o rvaas,a.a. s ua.,no ,144 Monthly Oil subject to minimmn monthly purchases and/or early cancellation g0e`s Surcharg Fuel o4nz nee„ Ban fees. (A complete version ofthe currentT &C may be viewed on the o4�' a Surcharge or Deliver website listed below) Upon service discontinuation, rem for the roans Fee (see #6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discoid n Lied. 6.l'ou will be charged a monthly Oil Surcharge, I uel Surcharge or ]nformation ACCOUNT SVMMAkY cr. taus 11 cr Deliver, Fee as described it wuf I &C, Only one of th ese fees Payment stn/) "o�.rnm PAV Tm15 AMOUNT will apply to each account The fee that to applies your account _______�y ;,w ,„„f,�,f AcCOUNTNUMBrx eArAY 5740 e.,,o.....ti..o.o 1111. o0 00 is stated on the front ofthc invoicc. For further information please tz3nse�a4o A��nNCo., Mc eNaoseo INVOICE NUM6EA t'I511 111C N'CI75nC listed bclOty or contact Our CUSIOnICr service 1i3. 56t690 m1001. center. 7. As a food product, bottled water is subject to the rules and 042009L307 0A2A2712b19 009391049 2 Amount due regulations promulgated by the Federal Food and Drug i oce Adntinisiration(FDA). ouNrAiNwATra wnfaANV sores GWoo S. Your first invoice indicates the products delivered on your firs) •o Sub mrt your u ro. cusTOMEa sEmicc Liu 1 e.�1z 9axe delivery, along wnh any applicable bottle and account deposit%. 1-1111 111. 6 11 1 it 11.,at,.lat,....l..l,l,.l..tl d. M "4e,o" H„ sa. date paym b} this redemption fees. and any dispenser charges. All future invoices will reflect charges for water delivered and dispenser retire[. bottle s�a+vrrq "1�E40 deposits and credits plus charges for any additional products ordered by you. Deliveries arc made every three or four weeks, for a total of 10 -17 deliveries pct Year. You will only receive invoices 12 tones 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. low 709 5108 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. m Payee f tYl a Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) �I� ��0$ ASK ©12ozz iz .{.tea 0<4 v Total I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6. 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF 1'0. YD)( ON ACCOUNT OF APPROPRIATION FOR Board Members Pots or INVOICE NO. ACCT /TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 90z Qgeo iz onjf/i 4 l�310f9 13 -19 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 20 O� Cost distribution ledger classification if Titl claim paid motor vehicle highway fund I 720106 g G 0 11/01/08 11/30/08 08KO120048525 l #215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 service.icemountain.com MON- DEC 15 0120048525 III IIII III IIIIIIIIII III II IIIIIIIIII IIIIIIIII T- JAN 20 THUHU- FEB 19 #BWNNWYR THU- MAR 19 #0400001200485252# CITY OF CARMEL DEPT OF ENGINEE Customer Service: 1- 800 472 -9888 LISA SCOTT OR JUDY STOHLER 1 CIVIC SQ Did you forget about us? Kindly pay upon receipt. CARMEL IN 46032 -2584 Remember, past due accounts are subject to a late fee. Your prompt payment is appreciated. For your convenience, pay online: icemountainwater.com/service. If payment has been made, we thank you. Special delivery just in time for the holidays! For a limited, time you can save $5 on a case of,"Sparkling beverages and get a $5 Starbucks.card'when.you order two bags of Starbucks coffee. Log onto I j service icemountainwater corn or c all 800- 472 9888... Expire 12 /31/08. ACCOUNT ACTIVITY Pay your bill online at: service. icemountain.com or by phone at: 1- 800- 472 -9888. It's free! Delivery address: CITY OF CARMEL TOWN HALL ENGIN, 1 CIVIC SQ, CARMEL IN 46032 PREVIOUS BALANCE 24.93 11/12 0592791727 5 5 GAL ICE MOUNTAIN DRK W /HANDLE 17.45 5 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00 5 5 GALLON ICE MOUNTAIN DEPOSIT RETURN .00 1 9 OZ PLASTIC UP 50C /SLEEVE 6 -7 8 9 10 2.99 11/30 K6646717 RENT �j� 3.99 TOTAL RECEIVED 49.36 DEC WMEL CITY ENGINEER bZ £ZZ ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTME CURRIENT ACTIVI Y PAY THIS AM r, ubiect to terms on reverse side. 24.93 .00 24.43 I BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER IN CAST: 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 -9889 OR WRITE US M': your first invoice will include a pro -rated fee for the current month, plus the next month's rental. ICE.,NIOUNTAIN SPRING \NATER CO. 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. 9216 If you prefer, you can pay your bill online at service. icemountain.coin. 6661 DIXIE, tlW)'., SUITL 4 LOUISVILLE. KY 40255 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 it separate sheet of paper. We must hear from you in writing no later than thirty (30) days after We SAM INVOIC V I 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 its the following information: Your name. addr:ss. 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. a 4567890 Your Aceou nt Number You do not have to pay the disputed amount while it is being 00100100- 0010 ot investigmcd. During the investigation, we cannot report your account Iz 34s6789 as delinquent or take any action to collect the amount in question. Mow. DCT 19 Watch here for a GENERAL INFORMATION WED NDV TDE DEC la personalized account I. Payments received after the billing (INVOICE) (tale will appear on Important IIII 111„ III „111111..Illl,l,llll,,,llla „a „16.111 a +,9me. s'- eoo.n�Bee message your next invoice. fast due invoices (not paid within 30 days of news and m4n E y n4l ^r4+ +•Mpi hilliug (tate) may be assessed a late fee as allowed h law not to °rte «ke Y y offers i`z", y collection /attorney o.y, sla +B �pp exceed S20 per month. Additionally, third party IL...IL.,II „1,,,1,661 „La expenses may be assessed at it rate not to exceed 100% of the unpaid balance or the maximum allowed by law. I mmana94r9° ra< co4, 4am, ann,a «m9ne :.mwy;�w„r "y Pay electronically a oaun ;uM moa+.mucM1m 2. Each returned check is sub to a service charge sub: ect to the s9�k� «N adieM,.orM from ourwlaevaeiely A maximum check reatrn charge allowable in your State. Make sure this 3. All bottle and equipment deposits arc shown as CURRENT Activih'� .ea amount has been ACTIVITI'. since your AccoUNr ACTIVITY r o +r s�a�e 8800 4. equipment replacement costs will be charged for bottles lost, D irrrvAaar mnnEr«.1 3- s a,_ss paid in full to last invoice stolen, damaged or not returned. „w,n ^,Batt ^Le ='s avoid late fees 5. In accordance with NN'NA's Terms and Conditions &C" your wvn w,e9B Par^ r° so.oa 5 Gallen Nerural 59�� ^9 Wa,e� .5000 Ill ;IJBBSIb14a 5 „eMwnuinS WIUe9^+i' 296 Equipment Lase amVor Service Agreement account may be ;uses, s 4eM °„man seal eel4�n n.99 Monthly Oil ;IZaes+4a^^ 99n1 s wets w�mr9e subject to minimum 1110111111V purchases and/or early cancellation w ;,BZ6;eeu rte Surcharge, FUCI fees. (A complete version of the Corr: nt TRC may be viewed on the o9nz ,e6aa9J sJ<9 Surcharge or Delivery wcbsitc listed below) Upon service discontinuation, rent for the Tout 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 Deliver Fec as described in yourT&-C. Only one of these fees Pa yment stub ACCOUNT SUMMARY e r ^Y 99 Delivery y PAY THIS AMOVNT PAY BY "ill appl\' each account. T he fcc (hat applies to your account :era r ru^+u ^r°"^^"" ACCOUNT NUMBER 00 5) ,AT. ENCLOSED is started on the front oflh: invoice ,234567690 For further information please INVO1cS67590 9 6'LUNGDATL visit the wcbsitc listed below or contact our customer service 1 2 14 567 896 oDlooroo center. ve 7. As a food product, bottled water is subject to the rules and 0420096307 04262712619 000391049 zaD4 Amount due regulations promulgated by the Federal Food and Drug I D« Administration(FDAI. ICEMOUMAIN WATE0. OM V«ANY C ,yMaes,'01 w4 Iawu Submit your S. four First invoice indicates the pro ct n dus delivered o your firs) iD'"•” sTOMrBSEAY-0°°`rze DB D delivery, along with any applicable bottle and accoum deposits. L.. ul, 6..1.. n1,.,..n,...0 „86,68 „I „a.l.ta.a,.n ayment by this (ti �4•. ^,<sU.. redemption fees, and any dispenser charges. All future invoices a.n� b q9d' ^r date will reflect charges for water delivered and dispenser rental, bottle s,r,,,,yroBrBrEwr ^n• ^5 deposits and credits plus for any additional products ordered by you. Deliveries amntade every three or four Weeks, for it 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 709 5/08 S.— Prescribed i State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER 4 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. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) $24.43 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 VOUCHER NO. WARRANT NO. 1 �8 ALLOWED 20 f'ce Mountain IN SUM OF Fl; -O. Box 856680 Louisville, KY 40285 -6680 $24.43 ON ACCOUNT OF APPROPRIATION FOR GENERAL FUND 1205 Administration Board Members D INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 1205 08 43 materials or services itemized thereon for which charge is made were ordered and received except 20 Sign 4re Title Cost distribution ledger classification if claim paid motor vehicle highway fund t w o 720106 MON 11/01/08 -11/30/08 08K7220327048 #215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 service. icemountain.com dl MON- DEC 15 7220327048 IIII1HICIIM III III 0MICIHIII IIIMIIMH THE- JAN 20 THU- FEB 19 #BWNNWYR THU- MAR 19 #0400072203270488# CITY OF CARMEL OFFICE OF THE C ANN DAVIS Customer Service: 1 800 472 9888 1 CIVIC so Thank you for choosing Ice Mountain Home Office CARMEL IN 46032 -2584 Delivery! We value your business. Special delivery just in time for the holidays! For a limited time you can save $5 on a case of Sparkling beverages and get a $5 Starbucks card when you order two bags of Starbucks coffee. Log onto j service.icemountainwater.com or, call 800 -472 9888. Expires 12/31/08. {I+ w..s'.(v.0. ..a..... an v..- ._a+...a v ....v ......c..:...+.... ..w-- .:.r.r cw. -_.c. ACCOUNT ACTIVITY Pay your bill online at: service.1cemountain.com or by phone at: 1-800-472-9888. Its tree! Delivery address: CITY OF CARMEL OFFICE OF CLERK, 1 CIVIC SQ, CARMEL IN 46032 PREVIOUS BALANCE 10.28 11121 094808 PAYMENT -THANK YOU -10.28 11/12 0592791875 2 5 GALLON ICE MOUNTAIN DEPOSIT RETURN .00 2 5 GAL ICE MOUNTAIN DRK W /HANDLE 6.98 2 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00 2 9 OZ PLASTIC UP 50C /SLEEVE 5.98 11/30 0596405647 1 OIL /FUEL SURCHARGE 2.72 K6672710 RENT 3.99 TOTAL 19,67 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT CURRENT AC'T7VITY PAY THIS AMOUNT to terms on reverse side. 10.28 10.28 19.67 19.67 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 -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 DtOUNTAIN SPRIN(: NVATER CO. 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. ,9216 If you prefer, you can pay your bill online at service.icemountain.com. 6661 INXIF MY, 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 thiny (30) days after we SAM I NVOIC E sent you the first bill on which the error or problem appeared. )'oil 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. toil arc obligated to pay the parts of your bill that are not in question. 1234567 Your Account Number You do not have to pay the disputed amount while it is being oOlooloo- ooloow investigated. During the investigation, we cannot report your account 1z3 +sa as delinquent or take any action to collect the am 1N ount in question. R oa 0a MDN a, 79 Watch here for a GENERAL INFORMATION IB 10 personalized account 1. payments received after the hitting (INVOICE) date will appear on 11,11.,111,.111,Alllll Important message 1111 .1,1111,•,.IIIII,.11„11.1.111 I<M Mw n a� Your next invoice. Past due invoices (not paid within 30 (lays of news and lo"nD". T °a "u:,n.•.��� billing Elate) may be assessed a late fee as allowed by law not to offers Iz3 D 7 mom exceed S20 per month. Additionally, third party collection /attorney o1r's`a,e 11.,,11 „IAI expenses may may be assessed at a rate not to exceed 100"/ of the unpaid balance or the maximum allowed by law, Pay electronically 2. Each returned check is subject to a service charge subject to the deiroeaes.aan ntaxinuun check return charge allowable in your State. Make sure this 1 All bottle and equipment deposits are shown as CURRENT Activity amount has been ACI'IVITI'. since your ACC 3 n s „M cgs,mnooODO aid in full to 4. Equipment re Iaccnlent costs will be charged for houles lost, y •Dd;w<n Aae�ns Inn Do tau P P last invoice 4A, avoid late fees stolen, damaged or not returned. ew; °`R' "�w s000 5. In accordance with NWNA's Terms and Conditions "TIC your o9m �iB s SawllonNam•a15Vrin9waw� s000 BnI 3o9esaaa' m +M"oma;nseal Deoo:O x.va Equipment Lease and /or Service Agreement account may be ,n 3neesloaaa s nwinscalR•,•,^ n?v Monthly Oil Subject to minimum monthly purchases and /or early cancellation 09 jp8N5I�" F��`„"�s�`ti Surchar e, Fuel osnl �lexnteell s _a g fees. (A complete version ofthe current T &C may be viewed on the Surcharge or Delivery websitc listed below) Upon service discontinuation, rent for the '0t Fee (see #6 under )_cased Equipment is charged through the end of the billing cycle "General in which service is discontinued. ­_117T_ 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or Information Delivery Fee as described in y our T &C. Only one of these fees Payment stub ACCOUNT SUMMARY .p Y..Pa IRIS AMOUNT PAY BY PAY will apph to each account. The fee that applies l0 your account wn,u+wr'"• ACCOUM NUMBER SOD is stated on the front of the invoice. For further information please 1234567898 BIn3NL DALE Mt. ENCEOSED INVOICE NUMBER visit the websitc listed below or contact our customer service vi 'm DDIBDIDB center. le 7. As a food product, bottled water is subject to the rules and DV20o963D7 0.2.2 712619 000391UV9 zoo4 Amount due regulations promulgated by the Federal Food and Drug Administration (FDA). ICE MOUNTAIN WATER COMPANY 123 Main S, M• K. Your first invoice indicates the products delivered on your fort clt,,S ,e Submit vour EoRCUStDME.zE�lcrcwlBOO"t' deliver}'. along with any applicable bottle and account deposits, lal „I blaa..l „n p ayment bV this 1,., l.,,u.,,,, ❑Pa.a.n,�� "9n�, Rr.n.4« date redemption fees, and any dispenser charges. All future invoices date Bpwie will reflect charges for water delivered and dispenser rental, bottle sR„oP•aI,REa w,oPa 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. )on 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 s /oa r 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. CO P ayes_ Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) f Total I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6. 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. r ALLOWED 20 Ca. MGM" SUM OF v ON ACCOUNT OF APPROPRIATION FOR �wg MW W L Board Members Po# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 03 V- p bill(s) is (are) true and correct and that the 6-347 materials or services itemized thereon for which charge is made were ordered and received except Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund