165275 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1
ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER
CARMEL, INDIANA 46032 PROCESSING CENTER CHECK AMOUNT: $24.73
2 PO BOX 856680
CHECK NUMBER: 165275
LOUISVILLE KY 40285 -6680
CHECK DATE: 10/2912008
DE PARTMENT ACCOU PO NUMBER IN NUMBER AMOUNT DESCRIPTION
2201 4238900 17.74 0870119252823
902 4239099 6.99 081012022391.2
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B� 720106
a 09/13/08 10/12/08 08JO119252823
#215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 g
service. icemou ntai n.com
II p WED- NOV 12 0119252823
I�I III �I II �I I�I IEI II I III'll I IIII II II III MON- DEC 15
TUE- JAN 20
#BWNNWYR THU- FEB 19
#0400001192528234#
CITY OF CARMEL STREET DEPARTME Customer Service: 1- 800 -472 -9888
BONNIE CALLAHAN
3400 W 131ST ST Thank you for choosing Ice Mountain Home Office
WESTFIELD IN 46074 -8267 Delivery! We value your business.
I, L�LII�rIIrr�Irrrl�L�ll�rl���l�l�ll ,�l,�rIIL�J9r���ll��l
1=ar a lirnite time Drily au can get 2 mor Fnare Of oi>I on the -go21/2 Llter >$p battle or dust 6
,F c `u,.'cr I, ate"ry'k.f`
k ontservRSe ecerr�auntalrc'•. a *er ca*:i cr call '8t�0 472;9088frer expiresfaveniber 28,;2008
ACCOUNT ACTIVITY Pay your bill online at: service. icemountain.corn or by phone at: 1- 800 -472 -9888. Its free!
ANNE 6
Delivery address: CITY OF CARMEL STREET DEPARTME, 2 CIVIC SQ, CARMEL IN 46032
PREVIOUS BALANCE 87.39
9/19 741306 PAYMENT -THANK YOU -57.03
10/10 863062 PAYMENT -THANK YOU -30.36
9/15 0583612064 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
5 5 GALLON 'ICE MOUNTAIN DEPOSIT RETURN -30.00
10/12 0589479575 1 OIL /FUEL SURCHARGE 2.80
J6525575 RENT 3.99
TOTAL. 17.74
ACCOUNT SUMMARY I PREVIOUS BALANCE m PAYMENTIADJUSTMEN7 CURRENT ACTIVITY PAY—THIS—AMOUNT
to terms on reverse side. I 87.39 87.39 17 m° 17.74
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 Clue by the "pay by" date noted to ensure the smoothest service.
A REPORT ON WATER QUALITY AND INFORMATION, PLEASL 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 NIOUNTAIN SPRING WAFER 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 DIXIE HWY., SUITE 4
LOUISVILLE, KY 40258 4. Never hesitate to call us with comments, questions, or concerns.
If you think your bill is wrong, or if you need more information about
a transaction on your bill, write us on a separate sheet of paper. We
must hear from you in writing no later than thirty (30) days after we
sent you the first bill an which the error or problan 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 Cxplain if you can, wby you believe there is
an error.
You are obligated to pay the parts of your bill nt are not in question. lasasa7 Your Account Number
1'ou do not have to pay the disputed amo while it is being t oolooloo- oorool
investigated. During the investigation, we cannot report your account r
123456
as delinquent or take any action to collect the amount in question. *oR-OCiO
noN -oa Watch here for a
wEO -N°c?
GENERAL INFORMATION UE personalized account
I. Payments received after the billing (INVOICE) date will appear on Important
u.u.,dn.du „pate „atna,tnt.,,,ntn.at „ltaan asepm.,xrv�ce. veoo Pgud
your next invoice. Past due invoices (not paid within 30 days of news and m. °Brp-' ""s message
billing be assessed a late fee as allowed b y a
g dute) ma law not !o offers w3 ,23 si Ma1 ^s
exceed 520 per month. Additionally, third party collection /attorney c°r's,a,e wood
LIIIJ I III,,,II, .II „II I11 I II1I I II to
unpaid balance or the nr x all law, exceed I00 of the uW T i oar ^'9- u '1 Pay electronically
2. Each returned check is subject to a service charge sub to the
J 6' J'
maximum check return charge allowable in your State. Make sure this
3. All bottle and equipment deposits are shown as CURRENT Activity amount has been
ACTIVITY, since your AccauNTArnvm
last invoic u3M 5"" o pp u.99 paid in full to
4. Equipment replacement costs will he charged for battles lost, e oeBK naa�ess'pn _n,vs
stolen, damaged or not returned. g °p,eaianpe a avoid late fees
eavm• n Erou so.oa
5. In accordance with NWNA's Tertns and Cmxditions "T &C your oet3, °A eve s saano ^Na,p,ais°
9
Equipment. Lease and /or Service Agreement account Monthly Oil may be o 3neesa<^^ s Mein, nsca�B°wm �.9v
ect to minimum monthly purchases andlor early cancellation
Surcharge, Fuel
subject y P o5.ns a�s=e3een
fees, (A complete version ofthe currenlT &C may be viewed on the e. span Surcharge or Delivery
wchsite listed below) Upon service discominulnion, rent for the TO Fee (see #G under
Leased Equiputont is charged through the end of the billing cycle "General
MGM
in which service is discontinued. O.,MUa B.
6. You will be charged a monthly pit Surcharge, 1 "ucl Surcharge or r o w ,,,.aE _oA. `N'5740 roy� Information
Delivery Fee as d y' ---_f
S
escribed in yourT &C. Only are of these fees Payment stub ACCOUNT SUMMAar .e9°
PAY THIS AMOUNT
VAr By
will apply to each account. The fee that applies to your account w rtum.a'nra'B ACCOUNT NUMIER
MT.fNCEn
15 slated O11 the front of the mva tCC. For fllrllleC information please 12345a,69e ,NVOiCE Nu MBL0. BALLING URTE
visit the website listed below or contact our customer service la4sa,avo lormloo
center.
7, As a food product, bottled water is subject to the rules and nvzoosr.aov 0116,7126 s ooea9sou� toes 1 Amount due
regulations promulgated by the Federal Food and Drug t n ^e-
Administradon (FDA). S
,z3 l ion
ICE MOUMAIN wATEB eQM',�,,.rcANYM C „y, tale o100o Submit •our
N. Your first invoice indicates the products delivered on your first i9rv"'°"a"�`•������ J
°1 ,oMtBTEBy� "`"`E soo .r l,98BB p ayment by this
delivery, ❑lung with any applicable Bottle and account deposits. .•xsb•
nl, n,.l,n,a. r rM 9 �e date
redemption fees, any invoices dispenser c harges. All future ioices a rg
.ill reflect charges for water delivered and dispenser rental, hurtle
.�sa
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 s of those invoices will reflect
two dcliverics-
0C 2008 Ice Mountain Spring Water Company, a Division of Nestle Waters North America Inc. Form No. NW 709 5ro8
VOUCHER NO. WARRANT NO.
ALLOWED 20
Ice Mountain
IN SUM OF
P. O. Box 856680
Louisville, ICY 40285 -6680
$1
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Member;
2201 piJ0119252823 42- 389.00 $17.74 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursd y, O t er 23, 2008
Street Commis o r
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form N). 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))
10/15/08 piJ0119252823 $17.74
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
720106
e
9/01/08 9/30/08 0810120223912
#215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 1 gal
service. icemou ntai n.com
0120223912
11111111111111 IN 111111111
#BWNNWYR
#0400001202239129#
CARMEL REDEVELOPMENT COMMISION Customer Service: 1- 800 472 -9888
SHERRY MIELKE
111 W MAIN ST STE 140 YOUR ACCOUNT IS PAST DUE and is subject to
CARMEL IN 46032 -1905 additional late fees. Water delivery service may be
interrupted. Please make your payment today. For
your convenience, pay online:
icemountainwater.com/service. If payment has been
made, we thank you.
Enjoy speclal savings!,Order 2 :cases of our mostpopular °on the go sizes forjusf $12! Choose from our half liter`
r bottles, Aquapodbottles or Nestle Pure Lifel Splash flavors. Offer- expires 10/145/08. Log onto;
Seivtce tcemountainwater com or call 800-4
r
t A c.. a5.`.+w...rrV✓1.C4'k4_. ,A, w' '3y.., °.a w..F.. ......u��.
ACCOUNT ACTIVITY Pay your bill online at: service.icemountain.com or by phone at: 1- 800- 472 -9888. It's free!
Delivery address: CARMEL REDEVELOPMENT COMMISION, 111 W MAIN ST STE 140, CARMEL IN 46032
PREVIOUS BALANCE 68.82
9/19 741307 PAYMENT -THANK YOU -6.90
9/15 0583612122 2 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -12.00
9/25 0586480352 1 LATE FEE 15.00
9/30 I6415146 RENT 3.99
TOTAL 68.91
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT+ CURRENT ACTIVITY PAY THIS AMOUNT
1%.__�ubiect to terms on reverse side. 68.82 6.90 6.99 68.91
BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER
w
IN CASE or ERRORS OR QUESTIONS AUOUI YOUR BHA_, OR FOR 1. Please remember payment is due by the "pay by" date noted to ensure the smoothest service.
A REPORT ON WAFER QU,v_rn' AND INFORMNI ION. PLEASE 2. Remember, if you are renting equipment, your equipment rental is charged one month in advance. That means
CAI_ 1 -800- 472 -9888 OR wRrrr_ US AI: 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.
112 If you prefer, you can pay your bill online at service.icemountain.com.
6661 DIXIE HWY- SUITE 4
LOUISVII_LI;. KY 40258 4. Never hesitate to call us with comments, questions, or concerns.
If you think your bill is wrong. or iryou need more information about
a transaction on your bill, write its on it separate sheet of paper. We
must hear front VOL] in writing no later than thirty (30) days after we
sent you the first hill on which the error or problem appeared. You can SAMPLE INVOICE
telephone us, but doing so will not preserve your rights. In your letter.
give its 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.
)'oil are obligated to pay the parts of your bill that arc not in question. 1234$678 Your Account Number
You do not have to pay the disputed amount while it is being 00/00100 00100100
investigated. During the investigation, e•e cannot report your account
l 123 4567 89
as delinquent or lake any action to collect the amount in question. T "R.00T
MDN.aT 79 Watch here for a
GENERAL INFORMATION �o.DK IB personalized account
1. Pavments received after the billing (INVOICE) date Lvill appear on Important 2.9e X98 message
II.11 III III.• IIIII. 1 IIII 1.1111.•••IIIII.,II,11,1,111 c'.IOm1�s<<Mw' ^w w
your next invoice. fast (file invoices (nut paid wahln 30 days of' news and n.. "Er��
a
hitting date) may he assessed a IatL. feL. as allowed by law not to n
S per month. Additionally, i n Mam sc
'I<YS,eI� 00000
cxcecd S2mlonall third Inv collvetionfanornev
w, I„ I• nln.•.
expenses may be assessed al it rate not to exceed 100%, of the
.un paid a
is axi nccmtu ll ow e db c law.
2 suh:ecttothe Y,, ;,,,e;�xo�Ywc�•��3'0���,�a6�n�m Pay electronically
J b I Ilomo,,, wla9wmcr R' l
eHaoll
maximum check return charge allowable In your Stale. wB Make sure this
3. All bottle zinc] equipment deposits are shown as CURRENT Activity K w Jp0 amount has been
ACTIVITY. since your ACCOUNT ACTIVITY P
4. Equipment replacement costs will be charged for bottles lost. IxnwlYAa "0« Iz3Mans'HL paid in full to
last invoice
stolen. damaged or not returned. p,�,: I so °o avoid late fees
5. In accordance with NWNA's"fernls and Conditions ("T&C your 0Bn1 �a1B °B
sc m�Ha ,ISO�'� ^9wale' 50 00
9/11 311RBSIe rein SGal De„°.'I 7.9a
Equipment Lease and/or Service Agreement account may be n 3171IM -4 5 ��umswlRewm ne9 Monthly Oil
n7eesl.waa ne MS ,.wine
suhjccT to mininmm monthly purchases and /or early cancellation 31Bx63een Su rcharge, FU¢I
fees. (A complete version of the current I ACC may he viewed on the o9n7 www90 SZ4°
Surcharge or Delivery
websitc listed below) Upon service discontinuation, rent for the FOUL Fee (see #6 under
Leased Equipment is charged through the end of the hitting cycle "General
in which service is discontinued.
"EH Information
6. fail will be charged a monthly Oil Surcharge, Fuel Surcharge or w""` 9 e
DC'tl 1'erV F1'L• its ll'$L'rlbCd in your ail C. Only UUC of Ihl'sC fCCti Payment stub ACCOUNT $UMMARV 99 pAy THIS AMOUNT
ea•+...- e•"n"',ro. __....,c.ao +•cauou..• PAY BY
will apply to each account. The Ice Thal i1ppI1C� lu p'()llr aCCL7ll f1l .„nn p+P+>+^• "I ACCOUNT NUMBER OO W DD 52^0
is stated loll the Front of the invoice. For further infortttatnnt please w •.a 1234567890 BILLING DATE MT.ENCLOSED
INVOICF. NUMBER
visit the websitc listed below or contact our customer service 1x3se7B90 pp W/W
center. 18
7. As a food product, bottled water is stjhject to the roles and 0,2009630'7 04262'712619 0003910'19 z0a4 Amount due
regulations promulgated by the Federal Food and Drug ]ono
Administration ICE MOUNTNN WATEP CO pANYn Cy$LateSI
l OOOW Sub
8. Your first invoice indicates the products delivered on vour first
dcl u nit you h
r
DR B,TOMERSLwrtfEALl aoB +7 2.9aM a yment b t
redem ption n•crv. ;hung 3vuh am applicable Irate and aaccount ledeposits. P A cN^9 .,o„Rr
fees. and :illy dispenser charges. All future invoices 6.. n1. 1... 1.. n1•••• II •,..IL•.n..lal•A,.a,61a•.1 „a vas date
I p K �sK.Hw1oR EPfE. °,wAY,sw ^unP^IW� ^lo ^R�...•
will reflect charges for water delivered and dispenser rental. bottle
deposits and credits plus charges for any additional products
ordered b_v vou. Deliveries are made every three or four weeks. for
n total of I6 -17 lclivcries per year. foil will only receive invoices
12 tinges per year, so appruxinlately 5 of thosc invoices will reflect
two del ivcrics.
2008 Ice Mountain Spring Water Company, a Division of Nestle Waters North America Inc. Form No. NW 709 s /oa
la MOUNTAly
#2115 5 ICE MOUNTAIN'
6661 Dixie Hwy, Suite; 4
Louisville, KY 40258
10/07/08
Account. No.: 0120223912
Carmel Hedevelopment Conttuision
Sherry khelke
111 W Main St: Sec: 140
Carmel, IN 46032 -1905 Ice Mountain
#216
6661 Dixie Hwy, Suite 4
Louisville, KY 4028
Dear C:u•taael Redevelopment Coniiiiision:
Thank you for costa ding trs regarding tire late fee charged to your accotua Per your recfuest we laave
reversed the charge for you as a one-time recogn.it:ion crf how urarch we va.Iue yom- patronage.
Our 1 terins stage: 'Terrus'are dare upon receipt of invoice. However, payment shotrlcl be nuttled
by the PAY BY date. Past due invoices (not. paid within 30 days of invoice date) tuay he assessed a late
fee not to exceed $20 per month." Please refer to the back of your m nattily invoice to see our policy
regarding on -time payment and late payment fees.
As Iaart of our wrtunicrr►ent: to providing you with superior 1- wodttcts aaad services, we are happy to offer
you the option of betting up automatic payments. it's easy! You ca.11 either rettirn t:he attached
atithorizat.iorr font below or go online to heap service.icernou.ntatin.cona first tivae users will need
their account m.imber, delivery address phone number and zip code. Once you are signed in, simply
select: "My Billing This way yogi can avoid any more late fees and you can even ma.n age your account
onLne!
Sincerely
Ice Moit:ntain Spring Water Company Customer Service Department
BIL,L,ING OPTIONS: (Please select one)
Auto Dehit Checking/Saviugs Auto Debi(- Credit Card
(Please Attach Voided Check)
Type (circle one) Amts Visa XIC:
Name;
Card Number
Financial Institution
Exp. Date CID No.
Account No. (the three -digit rude on Lack of card)
Name on Card
Routing No. (if different than w:c(junt)
Card Billing Address
Customer Nuutbcr: 0 "120223912
By selecting one of the it tn-e options, and signing below Customer
Ice Mountain Spring Water Company authorizes Company to automatically withdraw pa.yutcnt
P.O. 13ox 856680 on a recurring basis for service provided. Above options can be
Louisville, KY 40285 -6680 discontinued at any time upon receipt of Customer's written request.
Signature
I (QGS1 3 )40:'1'010:003919:001: 1000:0828 LPER1140 Rev. 04/ 12J05 PEIIII409
Prescriled 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
ice Purchase Order No.
PO A e BSl0�8D o c,r v Y Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s)) q
t®/y /08 081 b 12oz1 f +Z N
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
I CE I N SUM OF
Pb Q
ON ACCOUNT OF APPROPRIATION FOR
�toz�' yZ3��'t9
Board Members
PO# or
DEPT. INVOICE NO. ACCT /TITLE AMOUNT I hereby certify that the attached invoice(s), or
9e7 6 S10 Z0z 3s,t tfmoj y 99 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
20c
Sig ature
p ec4 N f,^AACR
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund