164281 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: 051 125 Page 1 of 1
ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER
CARMEL, INDIANA 46032 PROCESSING CENTER CHECK AMOUNT: $54.18
PO BOX 856680
LOUISVILLE KY 40285 -6680 CHECK NUMBER: 164281
CHECK DATE: 9/30/2008
DEP ARTMENT ACC OUNT PO NU MBER INVOICE NUMBER AMO DESC RIPTION
902 4239099 T 08HO12022391 23.82 OTHER MISCELLANOUS,
2201 4238900 081011925282 30.36.OTHER MAINT SUPPLIES
y
1 4. 720106
08/13/08 9/12/08 0810119252823
#215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258
service.icemountain.com
0119252823
IIIIIII
#BWNNWYR
#0400001192528234#
CITY OF CARMEL STREET DEPARTME Customer Service: 1- 800 472 -9888
BONNIE CALLAHAN
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.
F Enjoy cial savingsWrder 2 cas es of our most popular on the go sizes for just $12! Choose from our half liter
quapod bottles or Nestle Pure Life Splash flavors. Offer expires 10/15/08. Log onto
emountainwater or call 800-472-9888.
ACCOUNT ACTIVITY Pay your bill online at: service.icemountain.com or by phone at: 1- 800- 472 -9888. It's free!
mg
Delivery address: CITY OF CARMEL STREET DEPARTME, 2 CIVIC SQ, CARMEL IN 46032
PREVIOUS BALANCE 101.80
8/22 583752 PAYMENT -THANK YOU -44.77
8/14 0578678377 5 5 GAL ICE MOUNTAIN DRK W /HANDLE 17.45
5 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 30.00
4 9 OZ PLASTIC UP 50C /SLEEVE 11.96
6 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -36.00
9/12 0584744197 1 OIL /FUEL SURCHARGE 2.96
I6382712 RENT 3,99
TOTAL 87.39
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT +CURRENT ACTIVITY PAY THIS AMOUNT f
O to terms on reverse side. 101.80 44.77 30.36 87.39
R
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 1 -800- 472 -9988 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 NNIN ER CO. 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash.
#216 If you prefer, you can pay your bill online at service.icemountain.com.
6661 DIXIE IIWY.. 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 its on it separate sheet of paper. We
must hear from you in writing later than thirty (30) days :doer we SAMPLE INVOICE
scot you the first bill on which the he error or problem appeared. )on cull
telephone us. bill doing so will not preserve your rights. In your letter,
give us the following information:
lour mane, 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 ,Z34se7e90 Your Account Number
)'oil do not have to pay the disputed amount while it is being f 0010010 00,11,
sr "TI3'F' n'^'l '1
investigated. During the investigation, we cannot report your account Ems{
r� 1]345
its delinquent or take any action to collect the amount in question. TNB 00
MANOR 19 Watch here for a
GENERAL INFORMATION m-r1c 11
,DE.DEG 19 personalized account
mMae:1$�°�
L Paymcro received after the billing (INVOICE) date will appear on I tt, n,,.ut.. Ili, duu ,I,,,IN. 1±
t.tttt,,,,ptp,dLata,tlt c^n«M* mCSSa e
Your next invoice. Past due invoices (not paid within 30 days of news and ^d "y °1np
,nd uM�es.
billing daoeay be assessed a laic fee a� allowed by law not to 1^hn Da
offers 1
exceed S20 per month. Additionally, third arty collection /attorney cjnstd1e 00000
IL „II „1 ,16,11,1,1,1,1.,11
expenses may be assessed at a rate not to exceed 100% of the ^n ppij1e n .,.,eY,eOS'e
unpaid balance or the maximum allowed by law. T^ o „aYY�a'��d Yu 'm I "aw^'^9 Pay electronically
2. Each returned check is subject to a service charge subject to the adl�,adw1,^^101,"{d°w' °+rww f s
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 Aeeourrr AamrY cars a OD
y •Delive,yAddrta. n D «.133Ma s paid In full to
last invoice
4. Equipment replacement costs will be charged for bottles lost. avoid late fees
stolen, damaged or not returned. P soot
PaY "rod ^I YOU w
5. In accordance with NWNA's Terms and Conditions ("TIC your oeln ,n1e9e s swlbnNaw.aiswm9M'dte' B.
111 3110051,,,, keMwnlain seal Deposit
Equipment Lease and /or Service Agreement account may be n199v„°a s M^unuipswlpnuln u.99 Monthly Oil
09111 111095 I B U e19u.c u.ge
subject to minimum monthly purchases and /or early cancellation Surcharg Fuel
w 3 ,e1eu911
fees. (A complete version of the current T &C may be viewed on the Surcharge or Delivery
website listed below) Upon service discontinuation, rent for the ,out Fee (see #6 under
Leased Equipment is charged through the end of the billing cycle "General
in which service is discontinued. sl+a
6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or ,,,p„ .u _.'9.�„dl Information
Deliver Fee as described in ourT&C. Only one of these fees Pa yment stub ACCOUNT SUMMARY 9sW
Y Y I PAY THIS AMOUNT
Pnv BY
will apply to each account. '1'hc fee that applies t0 your aCCOUIII „a,wu^Mm r°^ ACCOUNT NUMBER will m00 sz,a
is st ated on the front of the invoice. For further information please 12NSble NUMBE0. 9D 91WNG DATE MT. ENCLOSED
INVOICE
visit the websitc listed below or contact our customer service Is3se799a M/Wim
center.
p f 261
0420046307 a4292719 0003911149 2004 1
7. Asa food pr bottled water is subj to the rules and Amount due
regulations promulgated by the Federal Food and Drug J.-Due
Administration (FDA). aysiaie D�°
8. )'our first invoice indicates the products delivered on your first •oM,�dwukr,... C Submit your
<EYE'.99LL :.9999 L. nt p ayment by this
delivery, along with any applicable bottle and account deposits, I ut. t ^�,,.vcn.•n^ ^'^'s'd`
,n,,,,u.,,u „I,u,.t,.,hl.t,6d,al ,e.
redemption fees, and any dispenser charges. All future invoices vP �FP1F,.,DOPaY,vmUp9.9W"da� date
will reflect charges for water delivered and dispenser rental, bottle
deposits and credits plus charges 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 deliveries.
2008 Ice Mountain Spring Water Company, a Division of Nestl6 Waters North America Inc. Form No. NW 709 5 /08
VOUCHER NO. WARRANT NO.
ALLOWED 20
Ice Mountain
IN SUM OF
P. O. Box 856680
Louisville, KY 40285 -6680
$30.36
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# /Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 0810119252823 42- 389.00 $30.36 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
Monday, September 29, 2008
Street C
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))
09/16/08 0810119252823 $30.36
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
V1, "a "AA 720106
ao e
8/01/08 8/31/08 08HO120223912
#215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258
service. icemountain.com
MON- SEP 15 0120223912
III� TUE- 14
NOV
WED- NOV 12
#BWNNWYR MON- DEC 15
#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
I�I��I interrupted. Please make your payment today. For
your convenience, pay online:
icemountainwater.com /service. If payment has been
made, we thank you.
Enjoy special savings! Order 2'cases of our most popular on the go sizes for just $12! Choose from our half liter
1 bottles, Aquapod bottles or Nestle Pure Life Splash flavors. Offer expires 10/15/08. Log onto I
serviceicemountainwater.com or,.c 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: CARMEL REDEVELOPMENT COMMISION, 111 W MAIN ST STE 140, CARMEL IN 46032
PREVIOUS BALANCE 53.13
8/10 511180 PAYMENT -THANK YOU -16.23
8/14 0578678443 2 5 GAL ICE MOUNTAIN DRK W /HANDLE 6.98
2 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 12.00
2 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -12.00
1 9 OZ PLASTIC UP 50C /SLEEVE 2.99
8/25 0581619343 1 LATE FEE 4.5�
8/31 0582435814 1 OIL /FUEL SURCHARGE 2.96
H6272581 RENT 3.99
TOTAL 668 -AP
92 z
�S o
ACCOUNT SUMMARY PKEVIOU'� L UE PAYMENT /ADJUSTMENT C 1'�fCTI t PAY THIS AMOUNT
I 53.13 16.23 31.92 68.82
ihiect to terms on reverse sirla
BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER t
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 QUAI -11 Y AND INFORMNI 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 AT: your first invoice will include a pro -rated fee for the current month, plus the next month's rental.
ICE bIOUNTAIN SPRING NVNI'ER CO. 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash.
#216 If you prefer, you can pay your bill online at service.icemountain.com.
6661 DIXIE IiWY_ 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 us on a separate sheet of paper. We
must hear from you in writing no later than thirty (30) days after we
sent you the first bill on which the error or problem appeared. You can
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 ports of your bill that are not in question. f 1234567890 Your Account Number
You do not have to pay the disputed amount while it is being 00100100 00100100
investigated During the investigation, we cannot report your account 123456
as delinquent or tike any action to collect the amount in question. THg oa o4
MOH -«T :9 Watch here for a
wcD Nov
GENERAL INFORMATION TUE DEC ,9 personalized account
II.II,,,IIL, III,, 11111 ,I..,IIII.I,IIII,,,,IIIII „II „161,111 rvice: l- 800.812.
I. Payments received titer the billing (INVOICE') date will appear on important ^91,gMWm41 ^P,^du
your next invoice. Past due invoices (not paid within 30 days of news and Tn.gEr corona Se message
billing (late) may be assessed a late ice as allowed by law not to offers iii s, "a ,ervlae
exceed S20 per month. Additionally, third party collection /auorney C S 000
ity St,A„ III „•Il,,.11,,,a „1,11 „1,,,I,LId „1.,II
expenses may be assessed at a rate not to exceed 100% of the
unpaid 6alanc6 or the inaxinutm allowed by law. m l,,..+ aaYm^ I 9 nt Pay electronically
2. Each returned check is subject to a service charge subject to the
Jella^ie,,uNa fium wrwldevanetY
maximum check return charge allowable in your State. .i Make sure this
3. All bottle and equipment deposits are shown as CURRENT Activity ,,,,,,.k•.�ML^ amount has been
ACTIVITY.
since your ACCOUNTACTNITY L99
4. Equipment replacement costs will be charged for bottles lost, od6� ,YAaam+,�- bnnOpe "'1'� "s „re,•c Y pp ,qg paid in full to
last invoice
stolen, damaged or not retued. P,e.iou,gaNrce sum avoid late fees
rn
5. In accordance with NWNA's Terms and Conditions "T &C your �n 461898 s scail9�Nawsl so,� ^9waa s0.rn
e,Teeslsw4 as MOU ^m;esea, z96
Equipment Lease and/or Service Agreement account may be 11 8 ❑ges4+4+ s MW ^M;n50a,ge,,,,^ „&9 Monthly Oil
09,0 ees,4A 5 w^i s
subject to minimum monthly purchases and/or early cancellation 09 112 31T 3 g =6,gg„ „9e nw Surcharge, Fuel
Fees. (A complete version ofthe current T &C may be viewed on the o 166 Surcharge or Delivery
website listed below) Upon service discontinuation, rent for the ,oTAL Fee (see #6 under
Leased Equipment is charged through the end of the billing cycle "General
in which service is discontinued. Aam s o Information")
6. Y'ou will be charged a monthly Oil Surcharge, Fucl Surcharge or BY
Fee as described in our T &C. Only one of these fees Pavment stub ACCOUNT
SUMMARY
Deliv o gF.qu
y y p PAY THIS AMOUNT
P" will apply to each account The fee that applies to your account 2b M�.�.k,«fo• ACCOUNT 7 9. D0 sz.o
is stated on the front of the invoice. For further inform NVO,C
I E
ation please o' 1890 BILLING DATE MT. ENCLOSED
visit the wCb511C listed below Or contact our customer service =}456)890 67890 pp100100
center.
7. As a food product, bottled water is subject to the rules and 0420096307 04282712619 000391049 200° 1 Amount due
regulations promulgated by the Federal Food and Drug i9 nA D9e
Admin istration (FDA). City. ate ICE M OUNTAINWATEP COMPANY 125 S,St10.. Submit your
.OnA N•,rt wnm,.�„„e"+rv•a,�
S. Your first invoice indicates the products delivered on your first ,ogcusloMfgstamcfwETwO.'2'9B °8
delivery, along with any applicable bottle and account deposits, ayment b this
P,�.,Am c..^9rvo„a.••,,sH.
redemption fees, and any dispenser charges. All future invoices 1... 1166„ 6. In,, ..al..,,n,,,11,a,11.d „aaa,l,.l,.n ,<aa.. date
will reflect charges for water delivered and dispenser rental, bottle
slcH w EogfeEt w ,ogAn. sq ^uPe• a
deposits and credits plus charges for any additional products
ordered by you. Deliveries are made every three or four weeks, for
a total of 16 -17 deliveries per year. You will only receive invoices
12 times per year, so approximately 5 of those invoices will renect
two deliveries.
Q 2008 Ice Mountain Spring Water Company, a Division of Nestl6 Waters North America Inc. Form No. NW 709 eios
r,�
09125108 15:56:17 EDT FAX ON OEMANO 00# Page 2 of 2 #491635 0
ICEMOUNT
215 6661 Dixie Hwy Suite 4 7 2 O 1 0 6 ACCOUNT NUMBER PAY THIS AMOUNT PAY BY
Louisville, KY 40258 0120223912 53. 13 08122
FOR CUSTOMER SERVICE CALL INVOICE NUMBER INVOICE DATE AMT. ENCLOSED
800 472 -9888 0860120223912 07/31/08
PAYMENT ADDRESS: BILLING ADDRESS:
Processing Center CARMEL REDEVELOPMENT COMMISION
P.O. BOX 856680 111 W MAIN ST STE 140
Louisville, KY 40285 -6680
CARMEL, IN 46032
ADDRESS CHANGES:
Check Banc and Print Address Change
On Reverse Side Of This Stub
Detach This Stub And Return With Your Payment
FOR CUSTOMER SERVICE CALL ACCOUNT
ICE MOUNTAR 800- 472 -9888 ACTIVITY
DATE REFERENCE NO. QTY. DESCRIPTION AMOUNT
PREVIOUS BALANCE 44.20
07/11 346728 PAYMENT -THANK YOU -12.97
07/16 0574218540 1 5 GAL ICE MOUNTAIN DIRK W/HANDLE 3.49—
07/16 0574218640 1 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 6.00
07/16 0574218640 2 5 GALLON ICE MOUNTAIN DEPOSIT RETURN 12.00"
07/16 0574218640 1 9 OZ PLASTIC UP 50C /SLEEVE 2,54-
07/25 0576554859 1 LATE FEE 15.00
07/31 0577498140 1 OIL /FUEL SURCHARGE 2. 88
07/31 G6127537 RENT 3. 99'�
TOTAL 53.13
ACCOUNT SUMMARY
PREVIOUS BALANCE PAYMENT CREDIT CURRENT ACTIVITY PAY THIS AMOUNT
44. 20 12. 97 21. 90 53. 13
Visit our website to learn how to beat the heat with delicious iced
coffee recipes from Starbucks. For a limited time, save $3 when you
go online and add a ilb bag of coffee to your order. Offer expires
8/15/08. Log onto service.icemountainwater.cont to order today!
DELIVERY ADDRESS: UPCOMING DELIVERIES ACCOUNT NUMBER PURCHASE ORDER
72 *01 *06
CARMEL REDEVELOPMENT COMMISION TUE OCT 14 0120223912
111 W MAIN ST STE 140 WED —NOV 12
M o N —DEC 15 INVOICE NUMBER INVOICE DATE
CARMEL, IN 46032 08GO120223912 07/31/08
A
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
PO B" Terms
Lo"tJ"` 1�1 Ic 40Z WT (04f0 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
9/y °g ogHoaazzsa� 2 d `7D dS
n
t�
Total 70 0'—
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in a ordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOI'CHER NO. WARRANT NO.
ALLOWED 20
'ce 6�..� IN SUM OF
Po box YS66-60
4021r (!a$O
ON ACCOUNT OF APPROPRIATION FOR
�bz� t235o9q
Board Members
PO# or
DEPT INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or
Z oBNort Sr (4 231°94 •'�o._oS bill(s) is (are) true and correct and that the
a3- materials or services itemized thereon for
which charge is made were ordered and
received except
ignatur
o �r�ti�cc
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund