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Home My WebLink About166255 11/24/2008 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER s CARMEL, INDIANA 46032 PROCESSING CENTER CHECK AMOUNT: $192.71 PO BOX 856680 CHECK NUMBER: 166255 LOUISVILLE KY 40285 -6680 CHECK DATE: 11/24/2008 DEPARTMENT ACCOUNT PO NUMBER INV OICE NUMBER AM DESC 2201 4238900 08JO11782108 32.71 OTHER MAINT SUPPLIES 2201 4238900 08KO11925282 24.14 OTHER MAINT SUPPLIES 2200 4239099 8JO120048525 24.93 OTHER MISCELLANOUS 1125 4353099 8JO120095351 55.73 OTHER RENTAL LEASES 302- 4239099 8JO120222917 23.26 OTHER MISCELLANOUS 3.1047 4353099 8JO121202766 31.94 OTHER RENTAL LEASES A 720106 NM 10/01/08 10/31/08 08JO121202766 #215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 e service.icemountain.com FRI- NOV 14 0121202766 III IIII I IN III 1111111111111111 IN II II III II WED- DEC 17 THU- JAN 22 #BWNNWYR MON- FEB 23 #0400001212027662# CITY OF CARMEL PARKS DEPARTMEN Customer Service: 1- 800 -472 -9888 MANDY SPADY 1411 E 116TH ST Thank you for choosing Ice Mountain Home Office CARMEL IN 46032 -3455 Deliveryl We value your business. For a limited time only, you can get-2 or more cases of our on- the-go V2 Liter Spring bottles for just $6 each. Log onto service.icemountainwater.com or call 800-472-9888. Offer expires November 28, 2008. ACCOUNT ACTIVITY Pay your bill online at: service.icemountain.com or by phone at: 1-800-472-4888. It free! Delivery address: CITY OF CARMEL PARKS DEPT/MONO, 1235 CENTRAL PARK DR EAST, CARMEL IN 46032 PREVIOUS BALANCE 63.86 10/24 940111 PAYMENT -THANK YOU -38.92 940114 PAYMENT -THANK YOU -24.94 10/16 0588799569 4 5 GAL ICE MOUNTAIN DRK W /HANDLE 15.96 1 9 OZ PLASTIC UP 50C /SLEEVE 2.99 BOTTLE DEPOSIT: 4 DELIVERED, 3 RETURNED 6.00 10/31 0592323786 1 OIL /FUEL SURCHARGE 2.00 J6591928 RENT 4.99 TOTAL d 31.94 i o4� �l 3 3 oq�P 1��► I n9 WaI e�' 4- Cel er- �1n ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT N;�biect to terms on reverse side. 63.86 63.86 31.94 31.94 BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BiTTER 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 ,INIOUNI'AIN 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 IIWY_ 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 oil a sep arate sheet of paper. we INV OI C E must hear from you in writing no later than thirty (30) days after we M �G 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 all error. You are obligated to pay the parts of your bill that are not in question. 12345678 Your Account Number You do not have to pay the disputed amount while It 1s being 00100100 00100100 y investigated During the investigation, we cannot report your account 12s<ss2ev as delinquent or take any action to collect the amount in question. "x OCT o+ W, OCT 99 Watch here for a GENERAL INFORMATION T,' DEC Mc1 n le l- coo <nses personalized account IIIil ll „II I. Payments received after the billing (INVOICE) date will appear on Important messag your next invoice. due invoices (not paid within 30 days of news and II. 11. IIIIIIIIIII, I...IIII,I.IIII,.,."1.111 Cusomer m.nLyael°• °iln91 °eMpO "^'°d g billing date) may be assessed a late fee as allowed by law not to offers 1 123li SI .na ,a,acea. exceed S20 per month. Additionally, third party collection /attorney olv,swle o� L, IIIA„ 1„ IIh.. ..11��„Ih,,a,d,ll „1,,,I,hIa�A., expenses may be assessed at a rate not to exceed 100% of the unpaid balance or the maximum allowed by law. I o��'�'^"y°”' °P" i Pav electronically ,p,mwmtom. YUU Unchec Y �uctxand mvcfi.much ma,el 2. Each returned check is subject to a service charge subject to theme "1�`°;r,a,xre,anPP,..uPwe•�yP/n maximum check return charge allowable in your State. Make Surf this 3. All bottle and equipment deposits are shown as CURRENT Activity M w a amount has been ACTIVITY. since your AccouNTncrip1TY City s pp 00 paid in full to bhn D« 113 Main 51 wte „99 4. Equipment replacement costs will be charged for bottles lost, Der eypaa 9q I invoice ,,Bala avoid late fees stolen, damaged or not returned q,ewi vavme^ "Than "rou so.00 5. In accordance with NWNA's Terms and Conditions "TCC" your oat„ ,ble9e s scal4m Naw�auP�ln9wa' .m.00 1 3170651aaN Ice MOUntainSGal DePOait ]96 Equipment Lease and /or Service Agreement account may be 766s,+a. n scalaerem 1,99 Monthly Oil 3 pglll S Re ISurcl,a9e Subject to minimum monthly purchases and/or early cancellation qq „e:a366u 176651aaaa Surcharge, Fuel fees. (A complete version of the current TSC may be viewed on the ant 'A`''pg7 s,w Surcharge or Delivery website listed below) Upon service discontinuation, rent for the TOTAL Fee (see #6 under Leased Equipment is charged through the end of the billing cycle "C eneral t service n which s rvlc 1s discontinued. A s w 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or 7 D qq M information Deliver Fee as described in vour TSC. Only one of these fees P ayment stub ACCOUNT SUMMARY e. a Y Y PAY 8T PAY TNIS AMOUNT will apply to each account The fee that applies to your account -�,ro n�- ',n„�,.�P�7�w+^""` ACCOUNT NUMB" 90 00 MT E N CLOSED NV is stated on the front of the invoice. For further information please UCEW MBER e t „NC DAT 1234 NU pp visit the website listed below or contact our customer service 123 +567890 100100 center. 1.6 7. As a food product, bottled water Is subject to the rules and 042009630"1 04262�L2619 000391049 2004 Amount due regulations promulgated by the Federal'' Food and Or loon D« Administration (FDA). IcE MOUNTA1=42=c MAM;,. 123 sia�es'"I 8. Your first invoice indicates the products delivered on your first aa,,.Ma,h..a1 Submit your l.a96..ne e delivery, along with any applicable bottle and account deposits, wBC :TOMEBaEeYIa payment by this L.. n.a,l 1 +mE P sa•. redemption fees, and any dispenser charges. All future invoices date «pYS q oea ,^�..eone• »'ws"e will reflect charges for water delivered and dispenser rental, bottle Q w eEPerB E a0 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 Nestl6 Waters North America Inc. Form No. NW 709 5 /08 IWO, 720106 10/01/08 -10/31/08 08JO120095351 #215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 0 service. icemou ntain.com FRI- NOV 14 0120095351 III 1001 INIMIHMIMW1011HIIHNMII00101 WED -DEC 17 THU- JAN 22 #BWNNVVYR MON- FEB 23 #0400001200953515# CARMEL CLAY PARKS AND REC DEPT Customer Service: 1- 800 472 -9888 AUDREY KOSTRZEVVA 1411 E 116TH ST Thank you for choosing Ice Mountain Home Office CARMEL IN 46032 -3455 Deliveryl We value your business. o limited time only, you can get "2' more cases of our on- the-go 1/2 Liter „Spring bottles for just $6 each. Log j onto service. ICemountalnwater call 800472-9888. Offer expires November 28,2008. i 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 26.80 10/24 940113 PAYMENT -THANK YOU -26.80 10/16 0588799502 4 5 GAL ICE MOUNTAIN DRK W /HANDLE 15.96 1 9 OZ PLASTIC UP 50C /SLEEVE 2.99 BOTTLE DEPOSIT: 4 DELIVERED, 0 RETURNED 24.00 10/31 0592398820 1 OIL /FUEL SURCHARGE 2.80 J6515256 RENT J� 9.98 TOTAL 55.73 I Ol �35�0� 0� -��e►- ren IMES I IA i r�1 wAet 1 Cooper ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT CURRENT ACTIVITY a PAY THIS AMOUNT $�hlect to terms on reverse side. 26.8 26.80 55.73 m 55.73 BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER IN CASE OF ERRORS OR QUESTIONS Af3ou YOUR nl Lt.. OR FOR 1. Please remember payment is due by the "pay by" date noted to ensure the smoothest service. A REPORT ON WarER QUALITY AND INFORMATION. PLEASE, 2. Remember, if you are renting equipment, your equipment rental is charged one month in advance. That means CALL 1- -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 MOUNTA SPRING NA•I'ER CO. 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. 112 16 If you prefer, you can pay your bill online at service.icemountain.com. 6661 DIXIE IIWY., SUITE 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 its on a separate sheet of paper. N'e 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 its the following information: four name, address, telephone and account numbers. Date range of this invoice The dollar an2ount of the suspected error. Describe the error and explain if you can. why you believe there is an error. You are obligated to pav the parts of your bill that are not in question. ~r 123+5621190 Your Account Number You do not have to pay the disputed amount while it is being 001oo'0oiWNW investigated. During the investigation, we cannot report your account 123456 as delinquent or take any action to collect the amount in question. THR .OcT w M ,.w 29 Watch here for a vy-WI 1, GENERAL INFORMATION TUE -DEC' personalized account I. Pavmenls received afierthe billing (INVOIC'E) date will appearon Important Invoice. invoices R`I11o0.7296ae messa 1; e aamne+ ser 11.11 „JII „pl„ VIII ,L „IlpatllL.,II11La1•Ilalll Tn,nR ya ulo. uJn9,ca MOUnuln Produce your next volce. Past due invoices (not paiLl within 30 days of news and loan Dce ,ne urvlc billing date) may he assessed a late fee as allowed by law not to offers wM =pox exceed S20 per month. Additionally, third party collection /attorney o`vsjdte ooao6 Lnll61.•I„III,....II 11.,,11 „Lll a l l l l ,.l n ll expenses may be assessed at a rate not to exceed 100% of the unpaid balance or the maximum allowed by law. ro i r 9 6 �wm'�„" e eww^ uxum "R Pay electronically 2 To'I,C1u^,am <9m. mY Un tlmAoduca ;arW nwcn.mucnrmrcl Each returned check is subject to a service charge subject to the trem w. ";aewanro+w maximum check return charge allowable m aaA9rrea.ania� your State. Make sure this 3. All bottle zinc] equipment deposits arc shown as CURRENT Activity a.••��rMr amount has been ACTIVITY since your ACC ACTIVITY -a aLrsu,e oo00^ M s „99 aid in full to last invo i 4. Equipment replacement costs will be charged for bottles lost, 12er ,,Adds a L p c¢ o Th,ak so.� stolen, damaged or not returned. avoid late fees prey, 5. In accordance with NWNA'sTcrms and Conditions "T&C your mrn wle9e sc imnL g YW w -sow Ice Mountain Seal pe,pall 2.96 Equipment Lease and /or Service Agreement account may he 9,11 )1760.514444 p766SI4an4 s ,ce MOUnul Rewm „?s Monthly Oil o9n, 317116514+ 5 Eucl sp�<nar9e subject to minimum monthly purchases and/or early cancellation 3,11x,36en xnL Surcharge, Fuel fees. (A complete version of the current TKC only be viewed on the oIli 2 1664°^97 5 o Surcharge or Delivery websitc listed below) Upon service discontinuation, rent for the ToTAL Fee (see #6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued uAMN74<m+TM p ""i74o 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or Information n" Deliver' Pee as described in yourTRC. Only one of these fees Payment stub ACCOUNT SUMMARY pAY THIS AMOUNT PAY BY will apph• to each account The fee that applies to your account „,,;,,:4m,w wL^ AGCOUr+*NUMeEn 1". is stated on the front of the invoice. For further information please 1234567690 B1 00 O P TS ENCLOSED 1NV010E NUMBER a visit the wcbsitc listed below or contact our customer service lwtw 12345 center. 16 7. As a food product, bottled water is subject to the rules and 0920096307 04262712619 000391049 200" Amount due regulations protnulgatcd by the Federal Food and Drug 1.1,, 10E Admuustrmo❑ (FDA). MOUNTNN WATER COMPANY 123 Main St cay,same 00000 Submit your S. Your first invoice indicates the products delivered on your our first delivery, along with an o6 cunoME65LRYICE CAM NM-a7 =96M payment by this y applicable bottle and account L Il,,,,ll.,,a „60 „1, „LLI,I,a porn Aer<6•^9•'Onfl °.,KSa•- date redemption fees, and any dispenser charges. Alf future invoices �1,�,,,w,oAraEE,4,LOpA sanu,n.aw•^on "e' 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 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 Nestl6 Waters North America Inc. Form No. NW 709 5 /08 ACCOUNTS PAYABLE VOUCHER ti 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 1115108 08J0121202766 Water cooler rental Monon Center 31.94 1115108 08JO120095351 Water cooler rental -Maintenance Dept. 55.73 Total 87.67 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 87.67 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund 104 Program Fund PO# or INVOICE NO. ACCT #1TITLE AMOUNT Board Members Dept 1047 08JO121202766 4353099 31.94 1 hereby certify that the attached invoice(s), or 1125 08J0120095351 4353099 55.73 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 17 -Nov 2008 Signature 87.67 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund AI MIA "M 720106 e Lswillomm P 10/01/08 10/31/08 08JO120048525 #215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 service.icemou ntai n.com WED- NOV 12 0120048525 III I�lI ICI I III II 1(I'll II II'l) I'lll II II'�I II MON- DEC 15 "so TUE- JAN 20 Wo #BWNNWYR THU- FEB 19 #0400001200485252# CITY OF CARMEL DEPT OF ENGINEE Customer Se r��n✓99 rvice: 1 800 472 9888 LISA SCOTT OR JUDY STOHLER -a 1 CIVIC SQ Thank you for choosing Ice (Mountain Ho eM& ice c CARMEL IN 46032 -2584 Deliveryl We value your business. V" �JV� Fora limi #ed time only, you can- get or more cases of our on- the -go 1/2 Liter Spring bottles for just $6 each Log 1 1 01:6 service lceinountainwater.com'or call 800-472-9888. Offer expires November 28, 2008. ACCOUNT ACTIVITY Pay your bill online at: service. icemountain.com or by phone at: 1- 800 472 -9888. It's free! Wvlrei Delivery address: CITY OF CARMEL TOWN HALL ENGIN, 1 CIVIC SQ, CARMEL IN 46032 PREVIOUS BALANCE 20.94 10/24 940109 PAYMENT -THANK YOU -20.94 10/14 0588326587 6 5 GAL ICE MOUNTAIN DRK W /HANDLE 20.94 6 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00 6 5 GALLON ICE MOUNTAIN DEPOSIT RETURN .00 10/31 J6500962 RENT 3.99 TOTAL 24.93 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT 1 to terms on reverse side- 20.94 20.94 24.93 24.93 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. r 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 19888 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 N'A7'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 IMIY., 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. 1 IZ34567890 Your Account Number You do not have to pay the disputed amount while it is being 00loo /oo-Colo0100 investigated. During the investigation, we cannot report your account 123456 as delinquent or take any action to collect the amount in question. Tea 00 Wo CC, 19 Watch here for a GENERAL INFORMATION EE- NOV x NE -DEC 10 p ersonalized account I. Payments received after the billing (INVOICE) date will appear on Important IIII�III• IIIIIIILI„ IIIII ,1111,.allll.11,llllll Customer servke:lsOD- 4)39888 I Mwnmmrma +4u 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 1123,i SL exceed S20 per month. Additionally third party collection /attornev ol 000 i "'S' L-III I1 II,,,a „I,n „I,,,a,1,61,adl unpaid balance or the assessed r exceed I allowedbv la 100% of the mmanagerrW..aamla ^v1 a r LS gna� mdr� b Pay electronically 2. Each returned check Is subject to a service charge subject to the 54„,4«,L.m9n omRmn a^^ aaoa ate na4. I y y Ye rirs.mam+lwnwl 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. AQ'�TM r-n since your ACCOUN Ens�1epppOD paid in full to 4. Equipment replacement costs will be charged for bottles lost, D r Address s ,r. last invoice 45 stolen, damaged or not returned. Pm a ,8alana avoid late fees PaY^'ent -ThanF YOU 50 5. In accordance with NWNA'sTerms and Conditions "T &C your m,n w169e s sGan9^wmlaisP�� ^91V „e' Ill 31,89514444 k< DePmn 5 1.96 Equipment Lease and /or Service Agreement account may be MPUntainS Gal m 3ve8s1.+44 3 „eMn"n.4;nsGala.l.m 11.99 Monthly Oil mill >I7ees1 s r„ei 5�1<lum subject to minimum monthly purchases and/or early cancellation mllx 31P7 WO Qe Surcharge, Fuel fees. (A complete version of the current T &C may be viewed on the mnx +6648497 sn.6 Surcharge or Delivery website listed below) Upon service discontinuation, rent for the rolAL Fee (see #6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. Information 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or m ACCOUNT SUMMARY 55 Delivery Fee as described in yourT &C. Only one of these fees Payment stub „�..o.¢r. PAy TNISAMOUNT 1 PP Y w 4 w„^• ^•r PAY aY will a pply TW to each account. s74o The Ice that applies to our account AccoUNr NUMSER is stated on the front of the invoice. For further information please 1x34567890 MLUr4GDATE MT. ENCLOSED 'wo'cENUM0E0. OOIWjw visit the website listed below or contact our customer service 12 1AS67890 center. 7. As a food product, bottled water Is subject to the rules and D,200963GI 09262"112619 000391099 2009 18 Amount due regulations promulgated by the Federal Food and Drug hint Administration (FDA). KE MoUNTa wArEN DM k• Cly slme GGD� 1t S. Your first invoice indicates the products delivered on your first Submit your rG E�D3TGME "3LRY "AL ,66..4,1.9eee this delivery. along with any applicable bottle and account deposits, p ayment b y ann�A^rc^• ^9. o^ A a ,aa<. redemption fees, and any dispenser charges. All future invoices L „IIIA „a„ 111 „,d1,dL,l1 „L11 „L,ad,66,1 „n w ,,,am. date s will reflect charges for water delivered and dispenser rental, bottle 0 sw.IwlGA rPE1 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 Nestl6 Waters North America Inc. Form No. NW 709 5/09 Prescribed by Slate Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 7995) 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. OX Terms Louisville, KY 40285 -6680 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)). 1115/08 08JO120048525 Rent and Service October, 2008 $24.93 Accnt 12004852 i 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. ti ALLOWED 20 IN SUM OF P.O. Box 856680 Louisville, KY 40285 -6680 $24.93 ON ACCOUNT OF APPROPRIATION FOR Department of Engineering Board Members' PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice or bill(s) is (are) true and correct and that the n/a 1 8JO120048525 NG 4239099 24.93 materials or services itemized thereon for A cnt 0120048525 which charge is made were ordered and received except i Y OV �`i' 20 Cj Signature Cost distribution ledger classification if TI e claim paid motor vehicle highway fund r: e 720105 "A� A 0 EMPly/ 10/01/08 10/31/08 08JO120223912 #215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 service. icemou ntai n.com I l WED- NOV 12 0120223912 III I'II III I �Ii III I� II ICI II' III IIII tI Il IIII TUE- DEC 15 TUE- JAN 20 #BWNNWYR THU- FEB 19 #0400001202239129# CARMEL REDEVELOPMENT COMMISION Customer Service: 1 -800- 472 -9888 SHERRY MIELKE 111 W MAIN ST STE 140 Thank you for choosing Ice Mountain Home Office CARMEL IN 46032 -1905 Delivery! We value your business. �For• limited tlmeronly,,yoU anyget 2 or rnare of our on the= go�i /2 liter Spring bottles for �usta$6 each Log �ontcseruice icemountairiwater comor:call 800 472 9888 Offer explires November 28 2008 x L at M I 4-4- i b M� 774 n ACCOUNT ACTIVITY Pay your bill online at: service. leemountain.com or by phone at: 1-800-472-9888. Its free! Delivery address: CARMEL REDEVELOPMENT COMMISION, 111 W MAIN ST STE 140, CARMEL IN 46032 PREVIOUS BALANCE 68.91 10110 863063 PAYMENT -THANK YOU -23.82 10/06 JA0731629 LATE FEE -45.00 10/14 0588326603 2 5 GALLON ICE MOUNTAIN DEPOSIT.RETURN -12.00 3 5 GAL ICE MOUNTAIN DRK W /HANDLE 10.47 3 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 18.00 10/31 0592078984 1 OIL /FUELSURCHARGE 2.80 J6557505 RENT" 3.99 TOTAL 23.35 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT+1 CURRENT ACTIVITY PAY THIS AMOUNT. $W'; ubiect to terms on reverse side. 68.91 68.82 23.26 23.35 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 MOUNTAIN SPRING WR`I'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. I1WY., SUITE 4 LOUISVILLI:. KY 40258 4. Never hesitate to call us with comments, questions, or concerns. Ifyou think yourbill is wrong, or if you need more information about a transaction on your bill. write us on it separate shed of paper. We p �p must hear from y ou in writing no later than thirty (30) days a lter we JICE sent you the first bill on which the error or proble appeared. You can SAM PLE I N VO ICE telephone us, but doing so will not preserve your rights. In your letter, give its the following information: Your name, address, telephone and account numbers. Date range of this invoice The dollaramount of the suspected err Describe the error and explain if you can, why you believe there is an error. You arc obligated to pay the parts of your bill that are not in question. 123a5e7e Your Account Number You do not have to pay the disputed amount while it is being I ovlooroo oaootw investigated. During the investigation, we cannot report your account 2;656789 as delinquent or take any action to collect the amount in question. ,aa_ocso 1 moa -«1 ,9 Watch here for a GENERAL INFORMATION WGo- ,aE -oec+" personalized account 1. Payments received after the billing (INVOICE) date will appear on Important your next invoice. Past due invoices (nut paid within 30 days of news and II,II,,,III,. III„ IIIII, I, 1111 ,1JI11,� „11111�,I1,.11.1,111 rn.nrr vGa< ,.anys +ce 1MOUmP^a""`' message billing date) may be assessed a late fee as allowed by law not to offers l iiim� s' exceed $26 per month. Additionally, third party collection /attorney °ty'Sta1e 000vv --expenses way -he issessed a t exceed 100% of the unpanl balance or the m n ax urn allowcdby law Pay electronically 2. Each retuned check Is subject to a service charge subject to the ceder maximum check return charge allowable in your Stale. Make sure this 3. At[ bottle and equipment deposits are shown as CURRENT Activity amount has been wo P ACTIVITY. since our ACCOONTAC7. ,00ysGa� =pppOD Y a phno o",,,,M s r99 paid in full to 4. Equipment replacement costs will be charged for bottles lost, last invoicC o";rvcrAd' °'n99 stolen, damaged or not returned. PKm" ^Ce s000 avoid late fees W m T &C your 5. In accordance with NNA's Terms and Conditions oe n 6,a9a P sow sG moun .1�s� o vosa zvt 9m 3„e85,4,a< Equipment Lease and /or Service Agreement m t account may be aneesGx�G+ s m PE,��^ ,�99 Monthly Oil m m Gvel Surtharg+ subject to minimmm monthly purchases and/or early cancellation Surcharge, Fuel fees. IA complete version of the current T &C may be viewed on the v9;,� 'x° Surcharge or Delivery wchsite listed below) Upon service discontinuation, rent for the Fee (see #6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. "ot E 6. You will be chargers a momhly Oil Surcharge, Fuel Surcharge or Information s "aM_'^_"" Deliver Pa stub ACCOUNT SUMMAPY E. me Delivery Fee as described 1n y our T &C. Only one of these fees Pay ment e, c PAY BY PAY YHGS AMOVNT will apply to each account. The fee that applies to your account -„m,.w 'wm,wfnf> Accou*rrN"Met:B aroo 0o s is stated on the front of the invoice. For further information please aasa,e90 rtru,cr,,E T. eNUOSeo ,NVOICE N7W visit the N'Cb51tC IlSled below or contact our customer service ,zras61fls center- 1a p I 04200`1630"1 042'2'126}9 a003`<104F 2064 Amount due 7. As a food roduet, bottled water is subect to the rules and rcgulatinns promulgated by the Federal Food and Drug I a� Adwinistration (FDA). ic E ouNrn+N Wa^ra cO„"" 'c",sa�es�o00oo Submit your R. Your first urvo7ec indicates the products delivered on your first .mrr w+., am.n snaa delivery, along with any applicable bottle and account deposits, OR cusrornen scx payment by this ul, Jt.,IJI,J „a,laJ,a, redemption fees, and any dispenser charges. All furore invoices �p „sg.0 date will reflect charges for water delivered and dispenser rental, bottle "uor "1 "a "v, deposits trod credits plus clwrges for any additional products ordered by you. Deliveries arc 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 delivenus. 2008 Ice Mountain Spring Water Company, a Division of Nest16 Waters North America Inc. Form No. NW 709 5 108 r>V_ PresOWd 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. �o a gS7oto 80 Lev rs►., l fa,K y Terms 4r'Z8S Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) t► b4 trd1 6zz7+ ►r p 23. Total 23. Z (v 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. /�l ALLOWED 20 Po 80V 'lee IN SUM OF �.��v�p�D L durfyr(L¢ �r ON ACCOUNT OF APPROPRIATION FOR 402 �a3�e�g Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or ?a LJ 3�01 23. 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 L1 Xi 206g Signat re fl�nrc�o� o-� rnpnC2 Cost distribution ledger classification if Title claim paid motor vehicle highway fund 0 720106 10/13/08 11/12/08 08KO119252823 #215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 service.icemountain.com MON- DEC 15 0119252823 III 1111111111 IN 111111111111 THE- JAN 20 THU- FEB 19 #BWNNWYR THU- MAR 19 #0400001192528234# CITY OF CARMEL STREET DEPARTME Customer Service: 1 -800- 472 -9888 BONNIE CALLAHAN 3400 W 131ST ST Thank you for choosing Ice Mountain Home Office WESTFIELD IN 46074 -8267 Delivery! We value your business. IIIIIIIIIIIIIIIAM111111111111111��u��u��n� Special delivery just instime for -the holidays!, For a limited time you can save $5 on a case of Sparkling beverages and, get a, Starbucks card when you order two bags of Starbucks coffee. Log onto serv icemountainw or call 800 -472 79888. Expires 12131%08. o 1 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 STREET DEPARTME, 2 CIVIC SQ, CARMEL IN 46032 PREVIOUS BALANCE 17.74 11/09 026543 PAYMENT -THANK YOU -17.74 10/14 0588326538 4 5 GAL ICE MOUNTAIN DRK W /HANDLE 13.96 4 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 24.00 1 9 OZ PLASTIC UP 50C /SLEEVE 2.99 4 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -24.00 11/12 0592791677 1 5 GAL ICE MOUNTAIN DRK W /HANDLE 3.49 1 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 6.00 1 9 OZ PLASTIC UP 50C /SLEEVE 2.99 2 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -12.00 0594282592 1 OIL /FUEL SURCHARGE 2.72 K6670523 RENT 3.99 TOTAL 24.14 MENT /ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT 17.74 24.14 24.14 BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER IN CASE OP ERRORS OR QUEST ION'S 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 INFORMA'T'ION. 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 Al': your first invoice will include a pro -rated fee for the current month, plus the next month's rental. ICE NIOUNTAIN SIRING N1'A'ITR 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.. 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 oil your bill, write us on a separate sheet of paper. We must hear from you in writing no later than thin)' (30) days after we SAM I NVOI CE .sent you the first hill on which the error or problem n appeared. You ca 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. r.- Iz3ess�aeo Your Account Number You do not have to pay the disputed amount while it is being O Otootoo.0 0 tO ND O investigated. During the investigation, we cannot report your account as delinquent or take any action to collect the amount in question. p.00T 04 tzlnse�Bs O CT 29 Watch here for a GENERAL INFORMATION N ER DEC U 10 E� DEC p ersonalized account I. Pavnlen s ts received after the hitting (INVOICE) date will appear on Important messag IIAI., V III., tII ,.IIIILI. 111661aI.,.,1111t „II „11,1,111 c nom l y1 Mw l nu� p ^eu 088 t your next invoice. Past due invoices (no( paid within all days of news and hitting date) may be assessed a late fee as allowed by law not to offers 1 ii3 M s' exceed $20 per month. Additionally, third pony collection /attorney c ^ys,a1° 00000 expenses may be assessed at a rate not to exceed 100% of the q„LN:Y we evle at unpaid balance or the maximmm allowed be law. y r rw "ao^1 Pay electronically T�mcucemo° ^uu,.tom.r a I,KEywdactxaM o ,,,m „&—N 2. Each returned check Is subject to a service charge subject to the °moo ,wlaoro� M^'w tlelM'e maximum check return charge allowable in your State. Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity a.a• amount has been ACTIVITY. Dam• since y our ACCOUNT ACTIVITY Cr$' 4. Equipment replacement costs will be charged for boules lost. cerl^ewAaa,e 11.99 paid In full to last invoice stolen, damaged or not returned. °s avoid late fee's wrme TtbnEr^° soon 5. In accordance with NWNA'sTemts and Conditions "TfiC" your oem sOan^^Nawolspa ^owale� .5000 911, 3„BBS, S0alorop,, Equipment Lease and /or Service Agreement account urn' be n, Bv005, +4++ 5 tale• I 9 Monthly Oil 091„ 1,T0851aaW s �i w,�rta,x subject to minimum monthly purchases and/or early cancellation o9nx 3,eze3BBn Surcharge, FUCI fees. (A complete version of the Current TfiC may be viewed on the DA, '6,97 sz,0 Surcharge or Delivery website listed below) Upon service discontinuation, rent fix the TOTAL Fee (see #6 under Leased Equipment is charged through the end of the hitting cycle "General in which service is discontinued. e..,Nls f t ion N I n orma 6. )on will be charged a monthly Oil Surcharge, Fuel Surch q M arge or 9 a•' ACCOUNT$UMMA0.Y--- o, ^.u• 9•^u., DCIIVCEV Fee as described In )'Our ILL t)Il 11111• I of these fees Payment Stub pAY TM1S AMOUNT sans. o•e.,or^ will apply to each account. The fee that applies to your account •w �,A rye^^"'^' AeeouNr NUMInn 00100 0o s'ao is stated Oil the front of the invoice. For further information please ,23�56I890 BILLING DATE MT. ENCLOSED INVOICE NUMBEP ool00loo visit the website listed below or cornet our customer service 1z3a$sT09 ccntcr. se 7. As a food product, bottled water is subject to the rules and 0420096307 04282712619 000391049 zo04 Amount due regulations promulgated by the Federal Food and Drug pn00« Administration (FDA). 123 Main St ICE MOUNL�N WPTE�COMPANy CM1y,$tele 00000 Submit your wn•n nMrr2•Irc S. four first invoice indicates the products delivered on your first :,OM1A5Lm pa by this delivery, along with any applicable bottle and account its, 1,.. ul, i.,, 1., Ia...,n,.,.n.,d6da6d,.,66M „1.,n tadcntpliun Ices. and any dispenser charges. All future invoices BL T 9no a. date will reflect charges for water delivered and dispenser rental, bottle s�4 o >1oA' 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. B Q 2008 Ice Mountain Spring Water Company, a Division of Nestl6 Waters North F It Sw 720106 1 0 10/01/08 10/31/08 08JO117821082 #215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258' service. icemountain.com WED- NOV 19 0117821082 III I III III III I IN II IIII 1 II TUE- DEC 22 UE- JAN 27 WED- FEB 25 #BWNNWYR #0400001178210823# Customer Service: 1- 800 472 -9888 CITY OF CARMEL STREET DEPATMEN 3400 W 131ST ST Did you forget about us? Kindly pay upon receipt. WESTFIELD IN 46074 -8267 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. For a limited time only; y6u can get 2 or more cases of our on- the -go 1/2 Liter Spring bottles for just $6 each.. og onto service.icemountainwater.com or call 800-472-9888. Offer expires November 28; 2008. j ACCOU ACTIVITY Pay your bill online at: service. icemoun tai n.com or by phone at: 1- 800- 472 -9888. It's free! D elivery address: PREVIOUS BALANCE 55.92 10/24 940112 PAYMENT -THANK YOU -25.92 10/21 0589626654 4 9 OZ PLASTIC UP 5OC /SLEEVE 1.96 i 1 5 GAL ICE MOUNTAIN DRK W /HANDLE 00 5 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT N 30.00 5 5 GALLON ICE MOUNTAIN DEPOSIT RETURN 30.00. 4 5 GAL ICE MOUNTAIN DRK W /HANDLE \V/ 13.9 10/29 0591640305 1 LATE FEE v 15.00 10/31 0592263255 1 OIL /FUEL SURCHARGE 2.80 J6489614 RENT iy' 3.99 6614982 RENT FREE TOTAL 77.71 t• F. EVIOUS BALANCE PAYMENT /ADJUSTMENT CURRENACTIVITY PAY THIS AMOUNT I 55.92 25.92 47.71 ;I, a I 77.71 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, if you are renting equipment, your equipment rental is charged one month in advance. That means CALL I -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 ;MOUNTAIN SPRING Ri1TF,R 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 IMY., 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 atler we SAM 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 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. lou are obligated to pay the parts of your bill that arc not in question. 1214567890 Your Account Number You do not have to pay the disputed amount while it is being 00100t00.D0100100 investigated. During the investigation, we cannot report your account A as delinquent or take any action to collect the amount in question. TNO aT oa tz34s67R9 .D w 29 Watch here for a GENERAL INFORMATION WED. DEC 2I wED Wv 21 p ersonalized account 18 I. Payments received after the billing (INVOICE) dale will appear on Important n,n „dn,.m„ not ,t,,,aa,t,tnt,,,,htttt „a „uaan c'a«^e� Mw„a,B.w^^vm0 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 I su ooao0 exceed S20 per month. Additionally, third party collccuonlau oust`` or °ey L.. nbh... t. dn,.. .a6.,,n.,dl „I,n „I,,,I,I,Id,a•.n expenses balance or the maximum allowed b at a rate not to by 100'% of the m gr umeaarm "ca ,,cn<wwutuDC”" e Pay electronically unpaid hurec�emwma �<q. vvu ca ^dttta my m,muc"mad 2. Each returned check is subject to a service charge subject to the calrvt,�AOq�tmmw,.+Id9ra,Mtr w maximum check return charge allowable in your State. �1 w. Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity aea+ ,,,,,,,,,.w amount has been ACTIVITY. since your ACCOUNT ACTIVITY bn^ 13�mst—vc rs pp 00°o N.99 paid in full to 4. Equipment replacement costs will be charge(] for bottles lost, last invoice Add'. stolen, damaged or not returned. p,e+wv *�inaorTw so_m avoid late fees 5. In accordance with NWNA's Terns and Conditions TSC” your D13, .6,090 s s6u t Nawtals°� ^9W +a' -soon 1 111 11]Nt o— 5 Ice Mpumain5 GaI DeW+�t 96 Equipment Lease and/or Service Agreement account may be 3n60s +a•+ I,e��.t ^SealRewm 1,99 Monthly Oil subject to minimum monthly purchases and /or early cancellation p 911 ;OMS pv Surchar e, Fuel 991ti ',816300It 5— fees. (A complete version of the current TF.0 may be viewed on the 99 fi61049J Surcharge or Delivery website listed below) Upon service discontinuation. rent for the rout Fee (see #6 under Leased E=quipment is charged through the end of the billing cycle "General in which service is discontinued. ...M I 5 0 Information 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or 9w 99 3 ACCOUNT SUMMARY Dclivery Fee as described in ,your Si <0 TRC. Only one of these fees Payment stub P, ,i, AMOUNT pqV BV will apply to each account. The fee that applies to your account BER ACCOUNT o0 py�1+^' NUM is stated on the front of the invoice. For further information please 123456]090 BI00 DATE MT. ENCLOSED IWO,'NUMOEA WI DA visit the website listed below or contact our customer service 12345678 center. 7. As a food product, bottled water Is subject to the rules and 0420096307 0`1262712619 0003910 V9 1 2009 Amount due regulations promulgated by the Federal Food and Drug pI o— Administration (FDA). I CEMOUNTAINWA TE h I PAD' rc, 01y15teeSt00000 Submit your pM,1on q NnJe W S. Your first invoice Indicates the products delivered on your first aoACis roMeASEAVIe6otLlOw on -9B°0 ay °meat this delivery, along with any applicable bottle and account deposits, L. an, u.a.u„6„hdaa,.6,n ,v5,�. p,�, q�,U•�9�o�p.K,,.Sb.. date redemption fee, and any dispenser charges. All future Invoices w OO A«w top..n sw,up0ro.I d01— will reflect charges for water delivered and dispenser rental, bottle 5 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. VOUCHER NO. WARRAN NO. ALLOWED 20 Ice Mountain IN SUM OF P. O. Box 856680 Louisville, KY 40285 -6680 $71.55 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# l Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 08JO117821082 42- 389.00 ,71 1 hereby certify that the attached invoice(s), or 2201 08KO119252823 42- 389.00 $24.14 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 Thursday, November 20, 2008 Street CoMissioner 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)) 11/05/08 08JO117821082 $47.41 11/14/08 08KO119252823 $24.14 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 -1.8 20 Clerk- Treasurer