The URL can be used to link to this page

164762 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1 q 0 ti, ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CHECK AMOUNT: $147.96 CARMEL, INDIANA 46032 PROCESSING CENTER PO BOX 856680 CHECK NUMBER: 164762 LOUISVILLE KY 40285 -6680 CHECK DATE: 10/16/2008 DEPARTMENT ACCOUNT �PO NUMBER INV OICE N AMOUNT DESCRIPTION 1047 4353099 08HO12120276 38..92 OTHER RENTAL LEASES 2200 4239099` 081012004852 ;20.94 OTHER MISCELLANOC7S .1125 4353099 08I012009535 26.80 OTHER RENTAL &:..LEASES,' 1047` 4353099: 081012120276 24.94 OTHER RENTAL LEASES 2201 423&900 081017821082 25.92 OTHER MAINZ' SUPPLIES 1701: 4239499 087722032704 10.44 OTHER MISCELLANOUS Vllil i ..e- 111 o 0 720106 9/01/08 9/30/08 0810120048525 9 #215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 service.icemountain.com 0120048525 III IIII III IIIIIII I IIIIIII I 'II II III) IIII IIII #BWNNWYR #0400001200485252# CITY OF CARMEL DEPT OF ENGINEE LISA SCOTT OR JUDY STOHLER Customer Service: 1 800 472 9888 1 CIVIC SQ Thank you for choosing Ice Mountain Home Office CARMEL IN 46032 -2584 Delivery! We value your business. Enjoy special sa "wings! Order 2µcases our,most popular on g izes for just $12! Choose from our half liter s e, ttles; Aquapod- bottles or Nestle Pure Life Splash' flavors. Offer expires ,10 /15/08. Log onto rv icemountainwat com or�call 800 472 9888 -4 c .s-.— t w_,.1 -.✓w, �ai-'"" 'F +...a�...- 9..� kw- i��..' w-".+;S�s `a'�-" a _...::'�....N...., �+1..;,.. .,T' ACCOUNT ACTIVITY Pay your bill online at: service. icemountain.com or by phone at: 1-800- 472 -9888. It's free! _w._ 0 Delivery address: CITY OF CARMEL TOWN HALL ENGIN, 1 CIVIC SQ, CARMEL IN 46032 PREVIOUS BALANCE 60.42 9/07 669003 PAYMENT -THANK YOU -26.52 9/30 795704 PAYMENT -THANK YOU -33.90 9/15 0583612106 4 5 GAL ICE MOUNTAIN DRK W /HANDLE 13.96 4 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00 4 5 GALLON ICE MOUNTAIN DEPOSIT RETURN .00 1 9 OZ PLASTIC UP 50C /SLEEVE 2.99 9/30 I6357689 RENT 3.99 TOTAL 20.94 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT �ubiect to terms on reverse side. 60.42 m 60.42 20.94 20.94 BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER IN CASF of ERRORS OR QUESTIONS AuoUT )'OUR III LL, OR FOR I. Please remember payment is due by the "pay by" date noted to ensure the smoothest service. A REPORT ON WNIT QUALITY AND INFORMAr1ON. PLEASE 2. Remember, if you are renting equipment, your equipment rental is charged one month in advance. That meaA CALL. I-800-472-988S OR wRrf F US AI': your first invoice will include a pro -rated fee for the current month, plus the next month's rental. ICE d1OUNTAIN SPRING wilTER 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. 0661 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 ifyou need more information about a transaction on your bill, write its on a separate sheet of paper. We must hear from you in writing error than thirty (30) clays after we SAMPLE I N VOICE sent you the first bill on which the he error or problem appeared. You eon 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. )'oil are obligated to pay the parts of your bill that are not in question. 1234567890 Your Account Number )'oil do not have to pay the disputed amount while it is being t 00100100- 00100Iw investigated. During the investigation, we cannot report your account 1234567 as delinquent or take any action to collect the amount in question. T -a` Q ,,OP. OCT 79 Watch here for a GENERAL INFORMATION wE0 NOV 2+ "1 11 personalised account I. Pavntents received after the billing (INVOICE) date will Appear on Important n,n..,nt „nt„ urea „au1,l,mt,,,,ttut „lt „n,t,ttt c� +,o,,,�,s<,„<e.,. -9BeB messy e vour next invoice Past due invoices (not paid within 30 days of news and g billing (late) may he assessed a late fee as allowed by law not to offers u3Mamn 0000(1 exceed 5211 per month. r \ddiuonally, third party collccu p,r,sa+< onlauorncy 6 ILL.. LIII. ILIL1.ILd1I"1.L1.1L.L.II expenses may be assessed at it rate not to exceed loll o of the c 7 unpaid balance or the maximum allowed by law. i a«a°" "'apr�� mio+ni9nc auwm6a� "'t""r"" Pay electronically 2. Each returned check is subject to a service charge .subject to the n,aximunl check return charge allowable in your State. Make sure this ,w e 3. All bottle andi equipment deposits are shown as CURRENT activity a r amount has been ACTIVITY. SInCC our A coONT pCm4n r M s c ,vs+a+<o00a0 x, Y .99 aid in full to 4. Equipment replacement costs will be charged for bottles lost, last invoice r,' P, wn "t>a 199 p stolen. damaged or not returned. p,�i +Bay 02 avoid late fees 5. In accordance with N)4NA's Terms and Conditions ("f &C" ,your -0. 5 Lr sam s cdu." 11 3�7005 M"unuins W�peW+ Equipment 1_ease and /or Service Agreement account may be meav4.w s "MOU "umsGa�Be ,+w Monthly Oil subject to minimum monthly purchases and /or early cancellation 09 „7 3iB269BBU a 5740 Surcharge, Fuel fees. (A complete version of the current'I'&C may be viewed on the B9t12 'x°'" Surcharge or Deliver) website listed below) Upon service discontinuation, real for the roof Fee (see #6 under Leascd Equipment is charged through the end of the billing cycle "General in which service is discontinued. 7 s w� ••em 57 Information 6. You will be charged it monthly Oil Surcharge. Fuel Surcharge or Delivery Fee as described in yourT €C. Only tune of ACCOUNT summ"', 99 these fees Payment stub A pr ,N6 WOUN ppV BY will apply to each account. The fee than applies to your account w ,r„ m e ,,,u yw•wv^"'" pecouNr NUMBER 57w 00 00 00 is stated on the front of the invoice. For further information please +2 34 56 7 990 BLLLING DAE MT. ENCLOSED ��,1yp,CE NUMBER WID°DA visit the website listed below or contact our customer service ,z34s67a center. 16 7. As a food product, bottled water is subject to the odes and (1920096307 04,6,712619 000391099 200° Amount due regulations promulgated by the Federal Food and Drug Administration (FDA ICE MOUNTAIN WPILR COMp4N 1 Cl E ry,sule 00000 Submit your .a +�4^ N...ti wn.,. x. K. )'our first invoice indicates the products delivered on your first tl o9 p b cu5roMERSE "79p°° delivery, along with any applicable bottle and account deposits, ,a+Bn«� 1...111.1 601..., tl....IL.,11.,611,.1,,,661,1 „Lae 0 o. ",.mE6. date y this redemption fees, and any dispenser charges. All future invoices "ovB•9� °pn 1 X will reflect charges for water delivered and dispenser rental, bottle sm„wva�EnEE w,o ".r deposits and credits plus charges for any additional products ordered by vou. Deliveries are made every three of four weeks, for a total of 16 -17 deliveries per year. You will only receive invoices 12 limes 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' day, number of hours, rate per hour, number of units, price per unit, etc. Payee Ice Mountpin 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)) 1013108 0810120048525 Rent and Service September, 2008 $20.94 ccn 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 Ice Me -nt;lin IN SUM OF P.O. Box 856680 Louisville, KY 40285 -6680 $20.94 ON ACCOUNT OF APPROPRIATION FOR Department of Engineering Board Members PO# DEPT. INVOICE NO ACCT /TITLE AMOUNT I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the n/a 810120048525 ENG4239099 0.94 materials or services itemized thereon for Accrit0120048525 which charge is made were ordered and received except l /e 11 3 200 Sin re Cost distribution ledger classification if Title claim paid motor vehicle highway fund 720106 9/01/08 9/30/08 0817220327048 #215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 service. icemoun tai n.com 7220327048 IIII III III I III III III I II III III II IIII II II I IIII #BWNNWYR #0400072203270488# CITY OF CARMEL OFFICE OF THE C Customer Service: 1- 800 472 -9888 ANN DAVIS 1 CIVIC SQ Thank you for choosing Ice Mountain Home Office CARMEL IN 46032 -2584 Delivery! We value your business. Enjoy special savings! Order'2 cases of our most popular on the go sizes for quasi Choose ,from our half liter bottles, Aquapod or Nestle Pure Life "Splash flavors Offer expires 10/15/08. Log onto m c 11800.- 472 -9888. ntalnwater com or ca 5 ACCOUNT ACTIVITY Pay your bill online at: service. icemoun tai n.com or by phone at: 1-800-472-9888. Its free! Delivery address: CITY OF CARMEL OFFICE OF CLERK, 1 CIVIC SQ, CARMEL IN 46032 PREVIOUS BALANCE 20.30 9/07 669004 PAYMENT -THANK YOU -10.36 9/30 795702 PAYMENT -THANK YOU -9.94 9/15 0583612288 1 5 GALLON ICE MOUNTAIN DEPOSIT RETURN .00 1 5 GAL ICE MOUNTAIN DRK W /HANDLE 3.49 1 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00 9/30 0587193921 1 OIL /FUEL SURCHARGE 2.96 I6384984 RENT 3.99 TOTAL 10.44 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT CURpl5hT PAY THIS AMOUNT 'S;Z�biect to terms on reverse side. 20.30 20.30 L 10.44 10.44 I BILLING RIGHTS SUMMARY t YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER IN CASE: OF ERRORS OR QUESTIONS ABOUT YOUR BILL. OR 1 1. Please remember payment is due by the "pay by" date noted to ensure the smoothest service. A REI'ORF 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 -9889 OR WRITE US A'r: your first invoice will include a pro -rated fee for the current month, plus the next month's rental. ICE DIOUNTAIN SPRING WATER CO. 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. 0216 If you prefer, you can pay your bill online at service.icemountain.com. 6661 DIXIE 1 WY., 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. We hear from you in writing later Than thing (30) days alter we sent SAMPLE INVOICE sent you the first bill on which the he error or problem appeared, )oil 'o ca telephone us, but doing so will not preserve your rights. In your letter, give its the following information: lour 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. ,z34se]690 Your Account Number You do not have to pay the disputed amount while it is being 001oo16o 00100166 investigated. During the Investigation, we cannot report your account 12345 as delinquent or take any action to collect the amount in question. Mo x119 Watch here for a GENERAL INFORMATION T 4E11 N EC 1 iUf -0EC 19 personalized account I. Payments received after the billing (INVOICE) date will appear on Important ne969 ul.. uh .uu,h l n „Il,l,ul ^m., 5 "M e 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 1 123 Main St roo 1•a.4a,. exceed S20 per month. Additionally, third party collection /attorne}, aas141e 606ao 6 „111.1..IIII.. all ....11 expenses 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 nmoan 6 1 tram w,ww6. ^.�1r�moa.aN. �1m.cn.M ^c dNeAimM maxunum check return charge allowable in your State. Make sure this m w. 3. All bottle and equipment deposit are shown as CURRENT Activity amount has been ACTIVITY. A Ivity since your AccouNr p aid in full to last invoice 4. Equipment replacement costs will be charged for bottles lost. cel Aaa,e 66 O ,23 Main St,nl.0 YS le OW6 ,9 =1 Y e1 e5 avoid late fees stolen, damaged or not returned. 9,r o ^11 s6m 461890 VaY^'^ntlTank OU We1e1 5000 5. In accordance with NWNA's Terms and Conditions ("TIC your 1.96 69n, scalw ^Nat ^.ms" ^9 1,]805 5 I<eMwnta�n Sral OeD° Equipment Lease and /or Service Agreement account truly be 6 31]9a bj cart), s, <eMmnufnsf.a�Belum rev Monthly Oil suect to minimum monthly purchases and /or cancellation 09n, 3v99s r ^1 Surchar Fuel J pg,il 31916308„ Bem 0 E fees. (A complete version of the current TIC may be viewed on the j0d9] Surcharge or Delivery websitc listed below) Upon service discontinuation, rcnl for the TOTAL 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 Deliver Fee as described in ourTlC. Only one of these fees Payment stub AxxouN3suMMAav <4 y PAY li"' AMOUNT will apply to each account. The f ee that IIpp11 e'S IO V011r aCCOUIIt ACCOUM NUMBER 9AV BY 57°0 is stated on the front of the invoice. For further information please m 4 X230 91w o lE 0 INV 1234567890 visit the wehsite listed below or contact our customer service 1z3as6]990 00100160 center. 9 2009 16 7. Asa Rood product, bottled water is subject to the rules and 042aa963o2 09262712619 0u1391U9 Amount due regulations promulgated by the Federal Food and Drug 1 nnoa,e Administration (t DA). ICE. MOUNINN WA,f0. COM�ANl C�xy.sue1e0i00000 Submit your a ate H. Your first invoice indicates the products delivered on _your first ,09<o51oMf9ww'�l` "'�BOO� "1�98M p ayment by this deliverv, along with any applicable bottle and account deposits, L..111.L,.I,.III „11,,,11 „1,11 „1,,,1,1,1,1 „I „11 4a. C},e ",<N��n "5 date redemption fees, and any dispenser charges. All future invoices w 4Y,5o ^v ^9. will reflect charges for water delivered anti dispenser rental, bottle 0 Suor69,9f9wx deposits and credits plus charges for any additional products ordered by you. Deliveries are manic 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 Nestle Waters North America Inc. Form No. NW 709 5/08 Q 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 l l l t/1�� Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 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 Lo mss• l� 6 ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or o$1. to bill(s) is (are) true and correct and that the 1 materials or services itemized thereon for which charge is made were ordered and received except 20 Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund t w o 720106 8/01/08 8/31/08 08HO121202766 #215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 service. icemountain.com 1 WED- SEP 17 0121202766 III IIII I IIII III I VIII II I III III IIII II III v FRI 1 NOV 14 #BWNNWYR SEP 1 QZOO� WED-DEC 17 #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 I I I II II I I II I III I I II II II I fee. Your prompt payment is appreciated. For your convenience, pay online: icemountainwater.com/service. If payment has been made, we thank you. Enjoy special savings! Order 2 cases "of bur most popular on the go sizes for just $12! Choose from our half liter bottles, Aquapod bottles or Nestle Pure Life Splash flavors. Offer expires 10/15/08. Log onto j service. icemountainwater.com or c all 800- 472 -9888. 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 PARKS DEPT /MONO, 1235 CENTRAL PARK DR EAST, CARMEL IN 46032 PREVIOUS BALANCE 53.29 8/10 511183 PAYMENT -THANK YOU -17.66 8/05 0577478969 1 5 GAL ICE MOUNTAIN DRK W /HANDLE .00 BOTTLE DEPOSIT: 1 DELIVERED, O RETURNED 6.00 8/18 0579414772 5 5 GAL ICE MOUNTAIN DRK W /HANDLE 19.95 2 9 OZ PLASTIC UP 50C /SLEEVE 5.98 BOTTLE DEPOSIT: 5 DELIVERED, 5 RETURNED .00 8/31 05826742 1 RENT FUEL SURCHARGE C J 4.99 TOTAL P.O.0 P or F 74.55 aL0 y 35,�OR 9 RFC1F1TVFD Bud SEP 2 5 2008 —JL�9 oa% BY: Dat ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT �bject to terms on reverse side. 53.29 17.66 38.92 74.55 BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YG BE4TER 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 1-800-472-9888 OR WRrrE US AT: your first invoice will include a pro -rated fee for the current month, plus the next month's rental. ICE DIOUNTAIN 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 on a separate sheet of paper. We must hear from you in writing no later than thirty (30) days after we SAMPLE I N V OIC E Y�9� ®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 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. I z;se78go Your Account Number You do not have to pay the disputed amount while it 1s being ooldwloo oolootoo investigated. During the investigation, we cannot report your account r 173/5678 as delinquent or take any action to collect the amount in question. *eft 00 w MON-00 39 Watch here for a GENERAL INFORMATION W NOV 1, N E E� DEC iR personalized account I. Payments received after the billing (INVOICE) date will appear on Important 1611.. IILIII„ IIIII, I ,,,Ilp,lapl,m11111-.11..IL1,111 a:mme, xn44e: 1 Boo <7z� message your next invoice. Past due invoices (not paid within 30 days of news and m.nErnvlm °"n 9a e MWnabvrwn' billing date) may be assessed a late fee as allowed by law not to offers i �zim i 51 •na+erv4e' exceed $20 per month. Additionally, third party collection /attorney o 1113 III, L.. InIIL, „IL ll It L ,,,II,,,a „I,a „1,,,I,I,I,LaA expenses may be assessed in .a rate not to exceed 100% of the unpaid balance or the maximum allowed by law. mmana "za ,,�;n Pay electronicalh q em"untati<om. YOU Can<f 1i a ml much.mucF m"'N 2. Each returned check is subject to a service charge subject to the 3ervNe;e 1u W ,.„w.vaMlr d"u•,r,gNn maxinuun check return charge allowable in your State. Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity u mm°- amount has been ACTIVITY. since your AccouNrArnv Ty eoogoo 4. Equipment replacement costs will be charged for bottles lost. last invo Wl Aaamsa, bnno°e.' c Ys �i.nq paid in full to ice stolen, damaged or not returned P,er;ou,ea�MeYOV avoid late fees 5. In accordance with N WNA's Terms and Conditions "T &C•), your 0e,,, 4e,e9e z S ;bn'Naturalzpingwaler -'Dw q,n mees,w41 s meMn4 nw;nzcaioevp 5 L9° Equipment Lease and/or Service Agreement account may be maes,.,u z Mn4 "um seat Rewm 99 Monthly Oil 0911, S�r8 Fue15ur<M�9 subject to minimum monthly purchases and/or early cancellation l,Rgy,gR,� Rem z Surcharge, Fuel fees. (A complete version of the current T &C may be viewed on [tic Surcharge or Delivery website listed below) Upon service discontinuation, rent for the To l., Fee (see #C under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. ,,,,,.N,.�+^' 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or SUMM Y ACCOUNT qq w.. Information AR Delivery Fee as described in your T &C. Only one of these fees Payment stub ".a. PAr TNO AMOUNT PAY BY 5]40 will each account. The fee that applies to your account w, �,�;,„,.o.�.«�,a•P•'^•'" ACCOUNT NUMBER Nr is stated ted m on the front of the invoice. For further infomlation please C f. 123 No F Bwl+c wrE MT. ENCLOSED 567 90 ER ODJW/ 0 visit the websitc listed below or contact our customer service ,z31sn]s90 center. 7. As a food product, bottled water is subject to the rules and rtsatd;o 0420096307 04282'12619 000391049 2004 1 Amount due regulations promulgated by the Federal Food and Drug Innn— Administration (FDA). y'li$Y�(jiYsl'•'!! KE MOUNTNN WATERC"10MANe•. c,y5late ucl$ as Submit your 8. Your firs( invoice indicates the D�j�' uets .t deli on vnur tint run cosr°MER SFRVrcE wt,-eo9.Ilwea e delivery, along with any applicabletboitl d e- and aeaeunbdapw:itsee. s.•............a...... S paymen t by this O PnM. "Y�a."9••°^"•.•.,<sa. L. ul. 1.. u..ld6d,.,61,61.a.,u �.•N redemption fees, and any dispenser charges. All future Invoices date �sr4lwwxruEeo ,oParng "4vee9pbeO will reflect charges for water deliuerul .and.dispensemretaal,.bntlm•. deposits and credits plus charges for any additional products ordered by you, Deliveries are made every threSIrfgur�wce r rta ur a total of 16 -17 deliveries per year. You will only receive invoices 12 times per year, so approximately 5 yf (�o$c :i'n`voipcy„vj�ga Zr hrE•�altAS� two deliveries. 0 2008 Ice Mountain Spring Water Company, a Division of Nestle Waters North America Inc. Form No. NW 709 5/08 1 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. 051125 Ice Mountain Terms P.O. box 856680 Louisville, KY 40285 -6680 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/4/08 08HO121202766 Water cooler lease 38.92 Total 38.92 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. 051125 Ice Mountain Allowed 20 P.O. box 856680 Louisville, KY 40285 -6680 In Sum of 38.92 t ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 08HO121202766 4353099 38.92 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 1 -Oct 2008 Signature 38.92 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund 720106 9/01/08 9/30/08 0810117821082 #215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 service.icemountain.com 0117821082 III IIII IIII II III III I III 1111111 IN 111111111 #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 460748267 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. Enjoy special savings! -0rder 2 cases of our most popular on the go sizes for just $121 Choose from our half liter battles, Aquapco bo alles or 1<'estle Pure Life Splash flavors. Offer. expiies 10/15/08. onto service icemou ntainwater.com or call 800- 472 9888._ ACCOUNT ACTIVITY Pay your bill online A service. icemountain.com or by phone at: 1-800-472-9888. It tree! MIMI Delivery address: CITY OF CARMEL STREET DEPARTME, 3400 W 131TH ST, WESTFIELD IN 46074 PREVIOUS BALANCE 122.88 9/07 669005 PAYMENT -THANK YOU -54.48 9/30 795703 PAYMENT -THANK YOU -38.40 9/22 0584896914 1 9 OZ PLASTIC UP 50C /SLEEVE 2.99 2 5 GAL ICE MOUNTAIN DRK W /HANDLE 6.98 2 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 12.00 3 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -18.00 9/25 0586481905 1 LATE FEE 15.00 9/30 0587298860 1 OIL /FUEL SURCHARGE 2.96 I6346016 RENT 3.99 TOTAL 55.92 ACCOUNT SUMMARY PREVIOUS BALANCE PAYiVIENT /AUJUS T MENT CURRENT ACTIVITY PAY THIS AMOUNT II. �biect to terms on reverse side. 122.88 v 92.88 25.92 55.92 BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER IN CASE OF ERRORS OR QUESTIONS A60UT 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 WATER CO. 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. #216 If you prefer, you can pay your bill online at service.icemountain.com. 6661 DIXIE HWY., SUITE 4 LOUISVILLE, KY 40258 4. Never hesitate to call us with comments, questions, or concerns. If you think your bill is wrong, or 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 SAM ®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 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. 1z345678 Your Account Number You do not have to pay the disputed amount while it is being 00101 oD- DDlo0lo0 investigated. During the investigation, we cannot report your account 123456 as delinquent or take any action to collect the amount in question. WN.00 79 Watch here for a GENERAL INFORMATION WED 7. ro M W E c B p ersonalized account e I. Payments received after the billing (INVOICE) date will appear on Important BB n n nt„ nt „nnla „tt „u.I,w lN uM�APg°auB message vour next Invoice. Past due invoices (not paid within 30 days of news and m °.EY °'u billing date) ma be assessed a late fee as allowed by law not to I Do` na,•rwt b Y offers ,z3 Mam exceed S20 per month. Additionally, third party collection /attorney otv,sw, 00000 expenses may be assessed at a rate 6An .,.,A. u u d .lLA „A,6M „1 „11 l exceed 1(10% of the unpaid balance or the maximum allowed by lati Imc.aa9amslwsr °,s"°•` g °at Pay electronically T�maM9a Y°°f a<c pm, YOnun V,°ekyw' ace m�NmmN 2. Each returned check is subject to a service charge sub to the ,W "w 9au<,xa J b 1 aun*k �adm +,«nw,aaaa•aaMVwa 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 our ACCOUNT ACTI VITY �y5, ^DBBpp 4. Equipment replacement costs will be charged for bottles lost, y alp Aaamll ^D°`' "'""ins paid in full to last invoice Y stolen, damaged or not returned, wrluulX ;w�.Ynu sow avoid late fees 5. In accordance with NWNA's Terms and Conditions "T &C your B B,3, a5te9e y4aiWnNa,uwlsMn9'Na1B1 .mm l,l 111805 5 nta�n5GalDM Equipment Lease and /or Service Agreement account may be measaw+ s w n seaiB.g4gn 1,99 Monthly O11 o9n 317BBS,++X4 s 1 ais��wgB^ subject to minimum monthly purchases and /or early cancellation X91,7 3 ,B 36 ,BBn Surcharge, Fuel fees. (A complete version of the current T &C may be viewed on the B9�,= ,ABXB497 n. Surcharge or Delivery websitc listed below) Upon service discontinuation, rent for the ro TAE Fee (see #6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. u aalXTACgNmY silo` 6. You will be charged a monthly Oil Surcharge. Fuel Surcharge or w .n[ _�•...XT Information') Fee as described our T &C. Only one of these fees P stub SUMMARY Deliver Y F d ibd i Y P ACCOUNT PAY THIS AMOUNT PAY BY Frill apply to each account. The fee that applies to your account ___sw ..w '^+°"P'"'""` ACCOUNT N UMBER sz4o 00 is stated on the front of the invoice. For further information please ,2]456]890 W. ENCLOSED DATE INVOICE NUMBER BB +BpIBD visit the websitc listed below or contact our customer service 3=3.567 center. 7. Asa food product, bottled water is subject to the rules and ()4200963 ""'712619 000391049 10" 1 Amount due regulations promulgated by the Federal Food and Drug I nnn DOe Administrati FDA). iCEMOVMNNw Submit [ny state your invoiinvoice S. lour first invoice indicates the products delivered on your first i0 "X•"`wX...� a.[ STO�E. sEBVICEwL, B^9 7 :.9wB p ayment by this delivery, along with any applicable bottle and account deposits. L „AAA1.1.31 mc..n7••n "P sN•. ebae date redemption fees, and any dispenser charges. All future invoices ❑slc4, aEE ra nav °uP °�g• 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 SIB. VOUCHER NO.. WARRANT NO. ALLOWED 20 Ice Mountain IN SUM OF P. O. Box 856680 Louisville, KY 40285 -6680 $25.92 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# I Dept, INVOICE NO. ACCT #ITITLE AMOUNT Board Members 2201 081017821082 42- 389.00 $25.92 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 Friday, October 10, 2008 Street Co issioner 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)) 10/03/08 081017821082 $25.92 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 A 720106 9/01/08 9/30/08 0810121202766 #215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 service. icemountain.com Rug al-11 0121202766 11111111IN III 1111111111111111IN111111111 OC T g y 7DW #000 2027662# 12 I ®2008 400 CITY OF CARMEL PARKS DEPARTMEN Customer Service: 1- 800 472 -9888 MANDY SPADY 1411 E 116TH ST you forget about us? Kindly pay upon receipt. CARMEL IN 46032 -3455 Remember, past due accounts are subject to a late II II II II I III I II II I fee. Your prompt payment is appreciated. For your ��r n nn� inin nn�iirinu nr convenience, pay online: icemountainwater.com/service. If payment has been made, we thank you. End boy speclaF avmgs!, Order 2 cases of our,most popular on the go si es for just $12! Choose from our half,lifer s ttles, ua „d bottles or Nestle Pure Life S a lsh flavors Offer exp 10/15/08.'.L onto i bo Aq po p p ervlce icemountalnwater com or call800 472 9888 f ACCOUNT ACTIVITY Pay your bill online at: service. icemoun tai n.com or by phone at: 1 -800- 472 -9888. It's free! Delivery address: CITY OF CARMEL PARKS DEPT /MONO, 1235 CENTRAL PARK DR EAST, CARMEL IN 46032 PREVIOUS BALANCE 74.55 9/19 741308 PAYMENT -THANK YOU -35.63 9/17 0584076988 3 5 GAL ICE MOUNTAIN ORK W /HANDLE 11.97 2 9 OZ PLASTIC UP 50C /SLEEVE 5.98 BOTTLE DEPOSIT: 3 DELIVERED, 3 RETURNED .00 9/30 0587359563 1 OIL /FUEL SURCHARGE 2.00 I6447775 RENT Purchaw Descriptl A I 1,.,, /c 1cr '_Ren,�I 4.99 olo V V 1DV li,l J TOTAL P.O. a N A P or F 63.86 G.LA 1oL41 y Bud (�L er re, M I f 11° Purchas®r Dane Approv Date ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT CURCTIVITY PAY THIS AMOUNT biect to terms on reverse side- 74.55 35 .63 24.94 63.86 BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOr BETTER' IN CASE OF ERRORS OR QUESTIONS AHOU r YOUR HILL. OR FOR I Please remember payment is due by the "pay by" date noted to ensure the smoothest service. A RFPORT ON WNI ER QUALIFY AND INFORMAr1oN. PLEASE 2. Remember, if you are renting equipment, your equipment rental is charged one month in advance. That means CALL- 1- 800 -472 -9998 OR WRITE US A't': your first invoice will include a pro -rated fee for the current month, plus the next month's rental. ICE MOUNTAIN SPRINC %VXI'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 DIME 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 it transaction on your bill, write us on a separate sheet of paper. We must hear emirs a y bill in writing no error than thirty (30) days after we SAM PLE INVOICE sent 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. ,zsas67B Your Account Number You do not have to pay the disputed amount while it is being Oofooloo ao /0010 investigated. During the investigation, we cannot report your account 12345678 as delinquent or take any action to collect the amount in question. n1R m, MON. aI 79 Watch here for a GENERAL INFORMATION WEUNOV 71 TaE- oEC 1° personalized account 1. Payments received after the billing (INVOICE) (late will appear on Message Important M�n.I P 11,11,,,IIL1111,11111,I.. 1111 .IIIII,.IIIII „II,.11.1,111 eu.m ,le�9sl.. Baa <7z�9e your next invoice. Past due invoices plot paid within 30 days of news and rnan °roil billin date) nun be assessed a late fee as allowed b law (lot m Inhno� n a.arvl a 6 Y offers 123 S�a1es'oaooO exceed S20 per month. Additionally, third party collection /anorney I..IIII.,.I „III,,. II. „11,,,11 „I,II „I,,,I,I,I,I,.I a expenses nay be assessed ill a one not to exceed 100% of the yani h4Hlnplrbga'tooutea yto-unawel unpaid balance or the nnasinuun allowed by law. 9 1n a rW i dC naKa •ra” "'b°w°"' "a`wywtnrr�^ny Pa)' electronically is mm+dF YOUr ac<ounc 2. Each returned check is subject to a service charge subject to the M «tea^ "'`waew"elv�w�UC1 *end"' moan maximum cheek return charge allowable in your State I• sa. Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity i .w+ r amount has been ACTIVITY since our ACCOUNT ARIVITY P wh a>« 1zi s ctr�s area Y 99 paid in full to 4. Equipment replacement costs will be charged for bottles lost, last invoice r eel "e1Y AddfeY 1199 stolen, damaged or not returned. """p saoo avoid late fees 5. In accordance with NWNA's Terms and Conditions "T &C" your 0001 x61090 s P S a d no„wl °tai soin9w "e' 5 0 9111 ;l]Bes1+a+ ain 5441 U°WSi 396 Equipment Lease and/or Service Agreement account may be I mea5l.w. i Mo n,�,m5mlaew�" 11.94 Monthly Oil 11 1 aw+ Fu•M .object to minimum monthly purchases and /or early cancellation o9 „z ;170BS SUr —V ;1816 ;8011 Rent Surcharge, Fuel fees. (A complete version of the currentT& may be viewed on rile o9n, 1 97 57b Surcharge or Delivery websitc listed below) Upon service discontinuation, rent for the tolAE FCC (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, Pu Information el Surcharge or 4d g' 9 ,.,n.• Delivery Fee as described in your T W M C. On one of these fees Payment Stub ACCOUNT SUMARY U a•• MAR _•c ra•ic•.au.r• PAV AMOUNT PAV BY will apply to each account. The fee that applies to your account i1 brt� �•�rw M, ACCOUNT NUM'"R 0, s <O account. is stated on the front of the invoice. For further information please ,za +967890 ORUrIaYATE MT.'ENaoseO ,_OICE NUMBER WIOaIaa visit ale websrte listed below or contact our customer service IT;450B center. 262'712619 0003910V9 200V 16 7. As it food product, bottled water Is subject to the rules and 0420096307 O Amount due regulations promulgated by the fP d' MF —F) g n ohn— Administration (FDA). v \Z -U V IC�MOUNTNN In wPTE0. COMMANY 1ty,itdtes�aOOao Submit your v a wnm S. Your flat invoice indicate., (lie products delivered on your win rst this f0R CUSIOMIP SEMkF GEl1.A,p.+77.9Be6 delivery. along with any applicable bonne and a_ ccount deposits. t 1- 111,l..d.an,,.,.n,,..n.,d1.�6a „6,.61.1.1 „Lan P „n1 "^y N ��„•,,,s,,, payment redemption fees, and any dispenser charges. A uture urvoces a date will reflect charges for water delivered and dispenser rental, bottle deposits all(] credits plus charges Glf°' 9r1�•.faHitFQrI�Y'}7roi1,1CR'+e ordered by you. Deliveries arc made every three oefour•weeks, for a total of 16 -17 deliveries per year. 12 times per year- so approximately 5 of those invoices:%vill reflect two deliveries. 2008 Ice Mountain Spring Water Company, a Division of Nestle Waters North America Inc. Form No. NW 709 5/08 SIr— 720106 t 9/01/08 9/30/08 0810120095351 #215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 service.!cemou n tai n.com 0120095351 1111111111111111 IN IN 11 11 IN II 11111 II #BWNNWYR #0400001200953515# QCs CARMEL CLAY PARKS AND REC DEPT OCT I ®?008 Customer Service: 1- 800 472 -9888 AUDREY KOSTRZEWA 1411 E 116TH ST Thank you for choosing Ice Mountain Home Office CARMEL IN 46032 -3455 Delivery! We value your business. Enjoy special savingstyOrtler 2 cases?of our most popular on the'go sies for just $12! .Choose from our half Ilter bottles, Aquapod bottles or Nestle Pure Life ;Splash flavors `Offer expires 10/15/08. Loo onto- service Icemountalnwater com or ca11800 472 9888: _kx'd". v`..`•.+hY.. R M K 'h �..N++ wL. ...v -n._r wc�6 ACCOUNT ACTIVITY Pay your bill online at: service. icemountain.com or by phone at: 1 -800- 472 -9888. Its free! Delivery address: P CARMEL CLAY PARKS AND REC DE, 1427 E 116TH ST, CARMEL IN 46032 PREVIOUS BALANCE 96.35 9/07 669006 PAYMENT -THANK YOU -99.43 9/17 0584076939 5 5 GAL ICE MOUNTAIN DIRK W /HANDLE 19.95 1 9 OZ PLASTIC UP 50C /SLEEVE 2.99 BOTTLE DEPOSIT: 5 DELIVERED, 6 RETURNED -6.00 9/30 058 7434812 1 OIL /FUEL SURCHARGE Pur I 'n 2.96 /63 I6372246 RENT 9.98 TOTAL P.G. a A P or F 26.80 Bud Urte C her C_mia I ZLL s f> ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT CU CTIVITY PAY THIS AMOUNT �ublect to terms on reverse side. 96.35 99.43 .88 _80 BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE 1 '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 WNITR QUALITY AND INFORbt.ATION, PLEASE 2. Remember, if you are renting equipment, your equipment rental is charged one month in advance. That means CALL 1 800 472 -')888 OR WRITE US Al*: your first invoice will include a pro rated fee for the current month, plus the nest month's rental. ICE dNWNTIOIN SPRING %VXI'ER CO. 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. ;1216 If you prefer, you can pay your bill online at smice.icemountain.com. 6661 DIXIE HWY. SUITL4 LOUISVILLE, KY 40258 4. Never hesitate to call us with comments, questions, or concerns. If you think your bill is wrong. or if need more information about a transaction on vour bill, write its on a separate sheet of paper. We must (tear from you in writing no later than thirty (311) days after we SAM I NVOIC E .cent you the firs'( bill on which the error or problem appeared lie u can 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. You are obligated to ry O b p. the p arts of your bill that are not ill q uestion. .3s67e9 Your A Number You do not have to pay the disputed amount while it is being 1 ootool� oulooloo investigated. During the investigation, we cannot report your account 123456 as delinquent or take any action to collect the amount in question. T "R OCT a Wit OCT 29 Watch here for a wcD wov x, GENERAL INFORMATION nE .DEC ,B personalized account I. Pa vntcnts received afier the billing (INVOIC) date will appear on Important E message i nvo i ces IIAL,• III•. III• atilt, I,., IIIL1•IIII•••.IIIII••IL.II•L111 C' +to iln9 �e�Mwo,w 2'908 your nest invoice. pas( due invoices (not paid within 30 days of news and ma "R>be billing ate) nmv be assessed a late fee as allowed by law not to g offers laysceP s`00000 exceed S20 per month. Additionally. third pang collection /auornev L.111,1.1,. III•. 11 .,.Al.al•.LII,•I•.•I,LII,La -_H.— Unpai balance m' t assessed lit it he maxinuum all by law. MUM, of thr rumelr.e°r«� NWMamu4• a aY k ^ate w you, x e• a Pay electronically 2. Each returned check is subject to a service charge suhiect to the maximum check return charge allowable in your State. Make sure this w. nM 3. All bottle and equipment deposits are shown as CURRENT Activity amount has been ACTIVITY. since •our AccouNTA rnv1TY 99 paid in full to m 4. Equipment Ieplaceent costs will be charged for bottles lost. invo i ce celry <rAaa 113 1da z1�cc,asl e000c stolen, damaged or not rcu last u'ncd. r,«aagrYOe e000 avoid late fees 5. h 1 1 accordance with NWNA's Terns and Conditions "T &C° your .sow .36,890 m-1— Ne, IC.i DeNOai, 1, 117085,aaW I<e 6Gal .96 Equipment Lease and/or Scrl•ice Agreement account may be meBSU"e^ s M "smlRel os Monthly Oil ,1 6 IFueI9u1c6a�ge subject to minimum m 091 11)0051"84 monthly purchases and /or early cancellation o9 11s26roeen aM, Surcharge, FOCI fees. (A complete version of the current l &C may be viewed on the .1 16e+w9' s' 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 cvcle "General in which service is discontinued. ",.rnel o "`TN Sio R� Information 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or °"u" 99 y sw" Deliver Fee as described in _vour T &C. Only one of these fees Payment stub ACCOUNT SUMMARY 99 p1 „•.n.ar. •..oro......._<. <o. �a.ou PAY AM BY A TNIS OUNT ACCOUNT NUMBER P Y will apply to each account. Th 57'a e fee that applies to your account ��,3�M P^"°” oB o0 00 is stated on the front of the invoice. further information please lzlas67a90 eauNC OATS MTENaosaD INyO,c, NUMBER GOIBBIBB visit the website listed below or contact our customer service 1z34567 center. v p4282�12619 000391049 21100. la 7. Asa food product, bottled water .s to ales and O a_.;";� 042aD96309 Amount due regulations promulgated by Food and Drug R�a� 1.1" Da Adminl,tratloit (I'DA). `99 ICE MODMNN w'ATEN COA,PANY YM[a e BBD o a "w4w.,M w, Submit your 8. Your first Invoice indicates the products delivered on your first roR CUnoMCR S Em9cE CAU L eon -9aeb delivery, along with any appl+asW ter .,,,..�.e nt is avme I,.. Ina,. a,. nl,. •.al•.•al „al,a,ll,a,.aaaa,•I "II P.. date rcdcnlplmn Ices, and any dispenser charges. All future invoices F R w ,ovan sq•oo pe Will reflect charges for ware "c ar ds ct s' nC Itled l :R «u deposits and credits plus charges for any additional products orderedbyyou. Dcliycrics:l r °.�;R2`R.1 a total of I6 -17 deliveries per year. )'oil will ly receive invoices �q 12 times per year, so approsimntel� -�•oF hos��i wvtrimwwiflvoflec� <Y` two deliveries. 2008 Ice Mountain Spring Water Company, a Division of Nestl6 Waters North America Inc. Form No. NW 709 5 108 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 10/3/08 0810121202766 Water cooler rental Monon Center 24.94 10/3/08 0810120095351 Water cooler rental Maintenance Dept. 26.80 Total 51.74 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 Voucher No. Warrant No. 051125 Ice Mountain Allowed 20 P O Box 856680 Louisville, KY 40285 -6680 In Sum of 51.74 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund 104 Program Fund PO# or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members Dept 1047 0810121202766 4353099 24.94 1 hereby certify that the attached invoice(s), or 1125 0810120095351 4353099 26.80 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 13 -Oct 2008 Signature 51.74 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund