HomeMy WebLinkAbout160915 06/25/2008 �.f CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1
li r ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER
CARMEL, INDIANA 46032 PROCESSING CENTER CHECK AMOUNT: $220.81
PO BOX 856680 CHECK NUMBER: 160915
LOUISVILLE KY 40285 -6680
CHECK DATE: 6/25/2008
DEPARTMENT ACCOU PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 08EO11782108 54.91 OTHER MAINT SUPPLIES
22 4239099 08EO12004852 60.53 OTHER MISCELLANOUS
02 4239099 08E017022791 12.97 OTHER MISCELLANOUS
2201 4238900 08FO11925282 27.44 OTHER MAINT SUPPLIES
1125 4353099 120095351 43.31 OTHER RENTAL LEASES
1047 4239099 121202766 21.65 OTHER MISCELLANOUS
i
i
I
720106
ICE MOU;NTAI
5/01/08 5/31/08 08E0121209766
#215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258
service.icemountain.com
WED- JUN 18 0121202766
11111111 IN III 11111111111111111111111111111 MC JUL 18
ON- AUG 18
#BWNNWYR WED- SEP 17
#0400001212027662#
CARMEL PARKS DEPARTMENT Customer Service: 1- 800 472 -9888
MANDY SPADY
1411 E 116TH ST Thank you for choosing Ice Mountain Home Office
CARMEL IN 46032 -3455 Delivery! We value your business.
I.I..I.1LAIu►,I1111111111 111 111,1111111111111111111111111.1
Enjoy special 'savings! Order 2 cases of our 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 6 /30/08. Log onto
servi ra-, icemountainwater .comorcall_800A.72- 9£388.
ACCOUNT ACTIVITY Pay your bill online at: service.!cemountain.com or by phone at: 1 -800- 472 -9888. It free!
Delivery address: CARMEL PARKS DEPT /MONON CENTER, 1235 CENTRAL PARK DR EAST, CARMEL IN 46032
PREVIOUS BALANCE 17.66
5/28 089916 PAYMENT -THANK YOU -17.66
5/19 0565649886 3 5 GAL ICE MOUNTAIN DRK W /HANDLE 11.97
1 9 OZ PLASTIC UP 50C /SLEEVE 2.69
BOTTLE DEPOSIT: 3 DELIVERED, 3 RETURNED .00
5/31 0568236830 1 OIL SURCHARGE 2.00
E5871265 RENT 4.99
TOTAL 21.65
CEIVED
F E_
9 2008
►U BY:
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT
�"iect to terms on reverse side. 17.66 17.66 21.65 21.65
BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER
I. Please remember payment is due by the "pay by" date noted to ensure the smoothest service.
IN CASE or ERRORS OR QUESTIONS ABOUT YOUR BILL. SEND 2. Remember, if you are renting equipment, your equipment rental is charged one month in advance. That means
ALL CORRESPONDENCE TO: 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 4. Never hesitate to call us with comments, questions, or concerns.
LOUISVILLE, KY 40258
If you think your bill is wrong, or if you need more infom3ation about
a transaction on your bill, write us on it separate sheet of paper.
We nnlst hear from you in writing no later than thirty (30) clays alter
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:
Date range of this invoice
Your name, address, telephone and account numbers.
The dollar amount of the suspected error.
Describe the error and explain if you can, why you believe there is
an error.
90
You are obligated to pay the parts of your bill that are not in question. oolootoD Dolootoo_tt IM11. Your Account Number
You d
o not have to pay the disputed amount while it is being ICE MOUNW t
investigated. During the investigation, we cannot report your account 123+567
TNB oR o+
as delinquent or take any action to collect the t((((ooth in question. Watch here for a
WED NOV J1
GENERAL INFORMATION Important nE DEC IB personalized account
I. Pavments are due upon receipt of invoice and should be mailed by g,p,,,pl,,ul„NU,t.,du cmimm�
t�t'lln t s<^^rA °unemw� message
news and TunE'.I. Ml
the PAY BY date indicated on the invoice. offers hi3M s, ,ne.aD+=•*
2. Pavments received after billing (INVOICE) date will appear oil at 0000
your next invoice.
1 Past due invoices (not paid within 30 days of billing date) may he Pay electronically
assessed a late fee as allowed by law not to exceed S20 per month. io m��sm Y XCa sPe<Er oe���n m� °x; ,��n mad
Additionally, third party collection /attorney expenses may be .,�I6�.,wa m ^°,aP:r Prm
assessed in rate not to exceed 100'/ of the unpaid balance or the Make sure this
maximum allowable by law amount has been
sine'
evour AccouNrArnvlTV
4. It is understood and agreed that each returned check is subject to a ,n rn.�ns L c Y s au"O0 aid in full to
service char The amount of this service charge is equivalent to last invoice °""`ryAddi p
rt, b 9 aawMe sow avoid late fees
the maximum check return charge allowable in your State. gym em T^
ui ment deposits are shown as CURRENT x6,0'5
BBnI s SGallon Nagural SOri�gWa -s9.
5. All bottle and c
q P P n, meeslmu ucM °main scalce�9 soo
ACTIVITY. BB5" 1 e M^ aln6ealeer 99 Monthly oil surcharge
0911r 31J005 s Oil SUgcM�9�
6. Equipment replacement costs will be charged for bottles lost, o9nx nBm3ean of up to $5.00 per
s9?•
stolen, damaged or not returned.
o9tlJ month in any month
7. In accordance with NWNA'sTerms and Conditions "TCC your TOTAL during which the
Equipment Lease and /or Service Agreement, account may be monthly average price
subject to minimum monthly purchases and/or early cancellation R`. s'
T per barrel of oil is
Ices. (A complete version of the TCC may be viewed on the 99
website listed below.) Upon service discontinuation, rent for Payment stub ACCOUmsuMMABY o. a g reater than $50.00,
PAY BY PAY TNIS AMOUNT
Leased Equipment is charged through the end of the billing cycle -,k- ,,,o,a",„, ACCWMNUMBER W S W s9a as determined by the
in which service is discontin ,S NUMBER
,23 "567890 BILLING DATE MT.ENCEo'E° New York Mercantile
F. Asa food product, bottled water is subject to the rules and ,73.567 pojo Exchange
regulations promulgated by the Fcderll Fool and Drug 3B
Administration (FDA). For information, contact Ice 0420096307 0V2B2"712619 00 °391099 a0 °9
Amount due
Mountain Spring Water Company or Nestle Waters North America I u1n
Inc. at the address shown above. IcE MOUNruN w "rEN„°^" si S, 00000
a ,„„wWm Submit your
9. Your first invoice includes the products delivered on your first ,DB E06. _.11.x' LE 11'Bw °BBB
deliverv, along with any applicable bottle and account deposits. p b' this
surcharges. relenlption ices, and any dispenser charges. All future IL aat „6,adaa.a.�t P^a,MY g„a,Bra,x,le•. date
invoices will reflect charges for water delivered and dispenser
s c °P roB rice AuroPAn sya BP B•
rental bottle deposits. surcharges, 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.
QQ 2007 Ice Mountain Spring Water Company, a Division of Nestle Waters North America Inc. Form No. NW 609 02/08
c�
i
720106
LE MOUNTAIN"
5/01/08 5/31/08 08E0120095351
#215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258
service.icemountain.com
WED- JUN 18 0120095351
111 111111 IN 11111 H N I HN INI I N HIN M I INN FRI- JUL 18
MON- AUG 18
#BWNNWYR gg��gg�� ,IC,.. WED- SEP 17
dZ.
#0400001200953515# C W E)
CITY OF CARMEL PARKS DEPARTMEN Customer Service: 1- 800 472 -9888
AUDREY KOSTRZEWA JUN 0 9 2008
'1411 E 116TH ST Thank you for choosing Ice Mountain Home Office
CARMEL IN 46032 -3455 j Delivery! We value your business.
I 'Enjoy ial savings! Order 2 cases of our most popular on the go sizes for Just $12! Choose from our half liter
bottles, Aquapod bottles or Nestle Pure Life Splash flavors. Offer expires 6/30/08. Log onto
serv_.ice.icemountainwate_r. com_cir_call -840 -4.72- 988$
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 PARKS DEPARTMENT, 1427 E 116TH ST, CARMEL IN 46032
PREVIOUS BALANCE 26.64
5/28 089914 PAYMENT -THANK YOU -26.64
5/19 0565649605 5 5 GAL ICE MOUNTAIN DIRK W /HANDLE 19.95
2 9 OZ PLASTIC UP 50C /SLEEVE 5.38
BOTTLE DEPOSIT: 5 DELIVERED, 4 RETURNED 6.00
5/31 0568311450 1 OIL SURCHARGE 2.00
E5802554 RENT 9.98
TOTAL 123-31
3�3og9
AM
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT
0 to terms on reverse side. 26.64 26.64 43.31 43.31
BILLING RIGHTS SUMMARY FOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER
I. Please remember payment is due by the "pay by" date noted to ensure the smoothest 'Service.
IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL, SEND 2. Remember, if you are renting equipment, your equipment rental is charged one month in advance. That means
ALL CORRESPONDENCEIO: 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 4. Never hesitate to call us with comments, questions, or concerns.
LOUISVILLE, KY 40258
If you think your bill is wrong, or if you need more information about
a transaction on your bill, write us on it separate sheet of paper.
We must hear from you in writing no later than thirty (30) days after
we 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:
Date range of this invoice
Your name, address, telephone and account numbers.
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. �rr�� �t0ot00.00100100 123+56799 Your Account Number
You do not have to pay the disputed amount while it is being lei. MOUNTAK
investigated. During the investigation• we cannot report your account oa 1x3 ^56789
TNP OCT
as delinquent or take any action to collect the amount in question. MON 9C 79 Watch here for a
WED. N9V 31
GENERAL INFORMATION 1 mporta nt UE -oC personalized account
I. Payments are due upon receipt of invoice and should be mailed by n. n,,, at. ttt „alna��auLLnn „tltp „a „n.l,m clw °,�resN.MOU ^w P.� message
news and
the PAY BY date indicated on the invoice. offers J.h.D ;P S,
2. Payments received after billing (INVOICE) date will appear on a,r,slaee 00000
your next invoice. b.. laa., a„ nL,. .al.11 „Al,a,n,a,,,l,l,bban
1 fast clue invoices (not paid within 30 days of billing date) may be am .my� g nc moN��R ,�a Pay electronically
assessed a late fee as allowed by law not to exceed S20 per month.
nKe3a°P9w,uw <om m kc
Additionally, third party collection /attorney expenses may be
assessed at a rate not to exceed 100% of the unpaid balance or the aoo-• Make sure this
Activity amount has been
maximum allowable by law. w
since your a 5 eYSueo
4. It Is understood and agreed that each returned check is subj AccouNTACrtvrtv
ect to a n n0o9, 1D Ma” p aid in full to
service charge. The amount of this service charge is cc uivalent to last invoice e'"" y
6 9]?s avoid late fees
�riou Paian« s
the maximum check return charge allowable in your State. ..w r�^` vne soon
5. All bottle and equipment de deposits are shown as CURRENT wn, w,Ia96 s IGaIb ^w,9�al swl^9
P Ill 31]805 Mounta�n3Gal Cepoii 566
883 s Mo na; nscaisn 99 Monthly oil surcharge
ACTIV o9 /1 maesl9 u s `9.Im,9` of up to $5.00 per
6. Equipment replacement costs will be charged for bottles lost, 6911 318163
o9.n: 166969 month in an month
stolen, damaged or not returned. y
7. In accordance with N WNA's Terms and Conditions ('•T&C•'), your TOTA` during which the
Equipment Lease and/or Service Agreement, account may be monthly average price
subject to minimum monthly purchases and/or early cancellation
nt stub AccouNT per barrel of oil is
fees. (A complete version of tire suMMA9Y
e TSC may be viewed on the ..M
Paym 9.45 g reater than $50.00,
websiie listed below.) Upon service discontinuation, rent for P S PAY TNIS AMOUNT
pAY BY
a MU r°"'o'+' ACCOUM N 59.a
Leased Equipment is charged through the end of the billing cycle -�w,�,��9,."." 1 7 3 +36]39 890 pp 0°°° MT. ENCLOSED as determined by the
in Inch .Service is discontinued. IINOICENUMBER WaINGW New York Mercantile
S. As a food product, bottled water is subject to the odes and 1734567890 00/oolw Exchange
regulations promulgated by the Federal Food and Drug
Administration (FDA). For further information, contact Ice 0,20096307 99292712619 000391099 290 1 Amount due
Mountain Spring Water Company or Nestle Waters North America i oN "0«
Inc. at the address shown above. ,G MOUNrA1NwaE M A;r 122 Mtd1es`o00oo Submit your
9. lour first invoice includes the products delivered on your first
delivery, :long with anv applicable bottle and account deposits, Eo PCOS *oMEPSePY,cr<r.36,�6^O'- °B8° payment by this
surcharges, redemption fees, and any dispenser charges. All luture 6��IIla,.A.. III bl,t t. 1,. date
invoices will reflect charges for water delivered and dispenser
sr,N w IaPrPEE w ,^vn si9„0PP•9 "�.eo" a.+.n• sx
rental bottle deposits, surcharges, 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.
2007 Ice Mountain Spring Water Company, a Division of Nestl6 Waters North America Inc. Form No. NW 609 02/08
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.
51125 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
614108 120095351 Drinking Water maintenance 43.31
614108 121202766 D rinking Water Monon 21.65
Total 64.96
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with EC 5- 11- 10 -1.6
.20
Clerk- Treasurer
Voucher No. Warrant No.
51125 Ice Mountain Allowed 20
P O Box 856680
Louisville, KY 40285 -6680
In Sum of
64.96
ON ACCOUNT OF APPROPRIATION FOR
101 General 104 Program
PO# or INVOICE NO. ACCT #ITITL AMOUNT Board Members
Dept ept
1125 120095351 4353099 43.31 I hereby certify that the attached invoice or
1047 121202766 -4W99 21.65 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
20 -Jun 2008
Signature
64.96 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I 720105
ICE MOUNTAIN" e
L FUND 5/01/08 5131108 08E0120048525
#215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258
servi ce. icemountai n.com
N I MON- JUN 16 0120048525
III III I !III II II III II III IIIII III' III WED- JUL 16
THU- AUG 14
#BWNNWYR MON- SEP 15
#0400001200485252#
CITY OF CARMEL DEPT OF ENGINEE Customer Service: 1 -800- 472 -9888
LISA SCOTT OR JUDY STOHLER
1 CIVIC sa Did you forget about us? Kindly pay upon receipt.
CARMEL IN 46032 -2584 Remember, past due accounts are subject to a late
fee. Your prompt payment is appreciated. For your
convenience, pay online:
icemountainwater.conVservice. If payment has been
made, we thank you.
j y pep yr q s ,ofpour?most popular on the go sues for lust $i2 Choose�fro►n our�K f Ilter
En a s ial sauln sfOrder 2 cases
p
bottles, •aquapod;bottles or f`lestfe ?tlreLlfe Splashaladors Offer expire$�6 /30!08 Log #onto`
s VICe �rtzmc unt��nwafer �nni r�r ral! 0 472 9
L
a� g �x
ACCOUNT ACTIVITY Pay your bill online at: service.icemountain.com or by phone at: 1 800 472 9888. It's free!
I
Delivery address: CITY OF CARMEL TOWN HALL ENGIN, 1 CIVIC SQ, CARMEL IN 46032
PREVIOUS BALANCE 21.44
5115 0561555160 6 B OTTLE CRA7 E___ 5 01 e- 4 1 /N e_ C-�c�! 37.50
4 5 GAL ICE MOUNTAIN DRK W/RANDLE 13.96
4 5 GALLON ICE MOUNTAIN,BOTTLE DEPOSIT .00
5 5 GALLON ICS MOUNTAIN DEPOSIT RETURN '0 ��1 .00
2 9 OZ PLASTIC UP 5OC1SLEEVE 2 5.08
5131 E5789943 RENT 3.99
TOTAL 1 81.97
7-1, VV
6 3
V
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENTIADJUSTMENT+ CURRENT ACTIVITY PAY THIS AMOUNT
21 A4 .00 60.53 81.97
biect to terms on reverse side-
BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER
L Please remember payment is due by the "pay by" date noted to ensure the smoothest service.
IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL, SEND 2. Remember, if you are renting equipment, your equipment rental is charged one month in advance. That means
ALL CORRESPONDENCE 10: 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 4. Never hesitate to call us with comments, questions, or concerns.
LOUISVILLE, KY 40258
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.
Date range of this invoice
Your name, address, telephmre and account numbers.
The dollar amount of the suspectcd error.
Describe the error and explain i f you can, why you believe there is
an error,
You arc oblig;ned to pay the parts ofyour bill that are not in question. t23a557090 Your Account Number
You do not have to pay the disputed amount while it is being ja M ouMAN aorooloo 00!00100
investigated. During the investigation, we cannot report your aeeelllll !"n'S 14 1 2 31517 8 9
oR Ya Watch here for a
as delinquent or take any action to collect the amount in question. Mor+ 79
woo- aov i+
GENERAL INFORMATION Important raE -oE personalized account
I. Payments are due apon receipt of invoice and should be mailed by II,II,,,IIL. III „IIIILI���IIII�I ,1111, „d1111 „IL,aa,lll aM °me, s"m+^e message
news and n,.tYo ^9
the PAY BY date indicated on the invoice, offers iz owsr asz=•
2, Payments received after billing (INVOICE) date will appear on cny.nare YYOoO
your next lnvmce. t., nla„ 1 117 II .IL,.II I II I 1 111 I.a
3. Past due Invoices (not paid +vithin 30 days of billing date) may be �rohcitmeM g} °m..
law not to exceed S20 per month. r s y u�c r au 9 tl t Ytim Pay electronically
assessed a late fee as allowed by P
Kelcgmnuma edu4tvt a
Additionally, third party collection /attorney expenses may be u re+�91d Make sure this
assessed a a rate not to exceed 100% of the unpaid balance or the ,.,,o., 9w
Activit maxi nu n allowable by law. 7V TY r amount has been
PCr
4, It is understood and agreed that each returned check is subject since your ACCOUNT
y
bject to a nea,es ,on "w z3 Ma �se1e<t ors ,e aooY g paid in full to
ceu "ery
service charge The amoum of this service charge is equivalent to last invoice avoid late fees
the maximum check return charge allowable irl our State. PfeVI wnxY soon
b y sa�almn1wa,Y.a�soa "9 wnece .was
5. All bottle and equipment de deposits are shown as CURRENT 08 3; g1B90 Soo
P 1+iess+a4M s eMw °,a;Nsca ceva�+
u99 Month/ oil surcha
ACTIVITY. „lxeslaaw s M ,,,,+,mscaina Y surcar g
Y9 1 0081 n oasY°na of up t0 $5.00 per
5. Equipment replacement cow 1 0 s will be charged for bottles lost, z w"M sga
stolen, damaged or not returned, p p091 month in any month
our o during which the
7. In accordance with N WNA's Terms and Conditions "T CC your
Equipment Lease and /or Service Agreement, account may be monthly average price
subject to minimum monthly purchases and/or early cancellation YTt,^59M per barrel Of oil is
Y5 a +��N<E N�rM[Ml�gg�iMeNT •t, cU fx159 v
fees, fA complete version or the T &C may be viewed on the r�NO u sue"`"°
Y .99
websitc listed below.) Upon service disco ACCOUNT sUMMAN
discontinuation, rent for Payment stub o, =z rAY rrsa AmouuT g reater than $50.00,
VAY BV
Leased Equipment is charged through the end of the billing cycle b,:� "mm� o'+'"` AccoulftNoASEx ��1�
117 which service is discommucd. 1234567990 as determined by the 01WNG DA E Mr.mtlOSEO New York Mercantile
IN`70�CE 19100. 9Y
8. As a food product, bottled water is subject to the odes and 001001
14se7svo Exchange
regulations promulgated by tire Federal Food and Drug 000391049 2004 >s
Administration (FDA). For further information, contact Ice 04200 307 142122/22619 Amount due
Mountain Spring Willer Company or Nestle Waters North America I°m 09"
lac. at address shown above, ice mo uNrn�N wntes ce "P'; +cir sm0s`�� vour
9. dQivcrl invoice includes the
ally applicable bottle and delivered on
nt deposits.
Al eposits. e t�,lll "Y pay v, along with ally ottnd accucposlt
oA �Yl roMEArrw 1 l rr A 7291 a ment by this
J,11 „II,I,LI,a��ll e
snrcharg I y -p� g ,L „nl,,,,,a,,,, mY °eYa.. ❑.N "+.M..,�rs.S,Y date
invoices will reflect ch:uges for water delivered and dispenser L7 sue+
N=nu Ha lo.... sg°
rental bottle deposits, surcharges, and credits plus charges for any
additional products ordered by you. Deliveries are made every
three or four weeks, fora total of I6 -17 deliveries per year. You will
only receive invoices 12 times per, year, so approximately 5 of those
invoices will collect two deliveries.
0 2007 Ice Mountain Spring Water Company, a Division of Nestle Waters North America Inc. Form No. NW 609 02/08
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Ice Mountain Payee
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))
6/4/08 08EO120048525 Rent and Service -May, 2008
Total
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Ina "aFllEaira IN SUM OF
P.O. Box 856680
Louisville, KY 40285 -6680
$60.53
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(s), or
bill(s) is (are) true and correct and that the
n/a 0 EO120048525 E NG 4239099 $130.53 materials or services itemized thereon for
A nt 0120048525 which charge is made were ordered and
received except
200/
C-2 ignature
Af 71'1—�
Cost distribution ledger classification if Titl
claim paid motor vehicle highway fund
1
ICE MOUNTAIN 20106
O=Qmmo BUM 5/01/08 5/31/08 08E0120223912
#215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258
service. icemountain.com
MON- JUN 16 0120223912
III IIII III I III II II III III I II IIIII II I I IIIII WED- JUL 16
THU- AUG 14
#BWNNVVYR MON- SEP 15
#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.
j Enjoy special savings! Order 2 cases of our most popular on the go sizes for just $12! Choose from our half liter
j bottles, Aquapod bottles or Nestle Pure Life Splash flavors. Offer expires 6/30/08. Log onto
ser_ vice. icemountainwater .com -or call -800, 9888.
a
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 28.48
5/28 089915 PAYMENT -THANK YOU -15.51
089917 PAYMENT -THANK YOU -12.97
5/15 0564971943 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
5/25 0567016696 1 LATE FEE 15.00
5/31 0567990882 1 OIL SURCHARGE 2.00
E5840221 RENT 3.99
TOTAL 27.97
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT
lqksmbject to terms on reverse side. 28.48 28.48 27.97 27.97
BILLING RIGHTS SUMMARY
YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER
1. Please remember payment is due by the "pay by" date noted to ensure the smoothest service.
IN CASE OF ERRORS OR QUEs ABOUT YOUR BILL. SEND 2. Remember, if you arc renting equipment, your equipment rental is charged one month in advance. That means
At.[, CORRPSPONDENCE To: 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 4. Never hesitate to call us with comments, questions, or concerns.
LOUISVILLE, KY 40258
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:
Date range of this invoice
Your name, address, telephone and account numbers.
The dollar amount of the suspected error.
Describe the error and explain if you can, why you believe there is
alt error-
You are obligated to pay the parts of your bill that arc not in question. 123 45678 90 Your Account Number
oD19DIa oDtool
lot do not have to pay the disputed amount while it is being ICE M oUNTAK
investigated. During the investigation, we cannot report your account f+ 123A56
�HP.� M
as delinquent or take any action to collect the amount in question. oN�aT =9 Watch here for a
wcD Nw =I
GENERAL INFORMATION 0E -DEC 19 personalized account
Important 79888
message
P P 7 news and nabs, n6 N •nmd•,aul,l,uu „,•unl „n,al•I•III IDanE You la u9ke ce'. 1.BW
I. Payments are due upon receipt of invoice and should be malted h
the PAY 13Y date indicated on the invoice.
o iono O� ,na,°ma*
ffers 123 M-M
2. Pavincnts received after billing (INVOICE) date will appear on "Y's
your next invoice. L III•I•.•1•IAa•6al
3. Past due Invoices (not paid within 30 days of billing date) may be nme.aaraN9 MG ed�+r rW �x 9 m +^9 Pay electronically
assessed a late fee as allowed by law not to exceed S20 per month. T "`a vw nntm' +°"fCp nmae
Additionally, third party collection /attorney expenses may be oma wae.alnrd'" "jnd n
assessed at a rate not to exceed 100% of the unpaid balance or the Make sure this
maximum allowable by law. Activity mw,•n._....� mow- amount has been
4. It is understood and agreed that each returned check is subject to a since your ACCOUNT ACTIVmv f etrsate aooe0 P
1o•9.<ry Ada'M� b6n 0v`,,nM 5 11.99 aid in full to
service charge. The amount of this service charge is equivalent to last invoice
Pte .B ,aMe avoid late fees
the maximum check return charge allowable in your State. „o-Tlan \Yw 50,M ui equipment deposits are shown as CURRENT p 0131 n610 5
S Callan Natural 5P6,g eater
5. All bottle and a .SD.DD
y P P 9111 117005 uMOUntain oRPO SOD
ACTIVITY. ru meeslsaAa s I rno °rum seal newm n.99 Monthly oil surcharge
Iroll1 ]179951Maa od Su -W
6. Equipment replacement costs will be charged for bottles lost. m me7fi38611 Pe of up to $5,00 per
99
11= 1660 w 59K month in any
stolen, damaged or not returned. 99 month
7. In accordance with NWNAs Terms and Conditions TKC" your MIA, during which the
Equipment Lease and /or Service Agreement, account may be monthly average price
subject to minimum n3onthly purchases and /or early cancellation
fees. (A complete version of the T&C may be viewed on the M per barrel of Oil is
websne listed below.) Upon service discontinuation, rent for Payment stub ACCOUNTSUMMABY PAY BY PAY TSI AMOUNT g reater than $50.00,
"G S
w as determined by the
[.eased Equipment Is charged through the end of the billing cycle ____��w��,�,W„w.nw wr^^" AccouNr NUrABEB
Ill which service is di scontinued. 9Aa
,234567890 BILLING DATE MT. ENCLOSED New York Mercantile
INVOICE NUMBER
R. As a food product, bolded water is subject to the rules and 1x3+5679 00 Exchange
regulations promulgated by the Federal Food and Drug 18
Administration (FDA). For further information, contact Ice 0420096307 04292012619 000391049 20 Amount due
Mountain Spring Water Company or Nestle Waters North America 191n DM
[tic. at the address shown above. ICEMOUMNw WATER�C•D=Y. 0,Y.S to `w"D Submit your
b redemp y' PP p- w„mr
9. d alonh tfees,t product
applicable dispenser charg i y our first deposits, 1•••111 EonwsrDMER :EImcECA.E1aoo- "9°8B
Elclivcrv. along with 9n u licablc bottle and acco Elc oosts, V this
p ayment b
I ^tl vnnA "r cn,woD"u.wvsu.. P
date
invoices will reflect charges for water delivered and dispenser ❑"uP,o R[E AmoPal
"4P 9W•�D R� 5N
rental bottle deposits, surcharges, 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. )'Pit will
only receive invoices 12 times per year. u3 approximately 5 ofthose
invoices will rellect two deliveries.
C 2007 Ice Mountain Spring Water Company, a Division of Nestle Waters North America Inc. Form No. NW 609 02/08
Prest;ribed 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
�Ce lo Purchase Order No.
PO /90x �S(Q�e �a Terms
C bu„v, R k Y 4fo28s 66 90 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
oBE10 f70773i It O Z7. S
y
i
F
1.
v
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in ac
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VO:JCHER NO. WARRANT NO.
ALLOWED 20
T<< 1"16&,
IN SUM OF
Ro
90x (VW/80 C (iv,J /lc K
0 2 ?S /(Q $U
/a_q7
ON ACCOUNT OF APPROPRIATION FOR
1 0 2 /'4739oetet
Board Members
PO# or D PT. INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or
9 °2 BEOi s, 4Z39oy 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
�D 3 20 Q
Pf 1A
Si
d0r7 rl an.
le
Cost distribution ledger classification if
claim paid motor vehicle highway fund
720106
#215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40256
service. icemoun tai n.com
WED- JUL 16 0119252823
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII THU- AUG 14
MON- SEP 15
#BWNNWYR TUE- OCT 14
#0400001192528234#
CARMEL STREET DEPT 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.
rj service.icemountainwatencorn joy special savings! Order 2 cases of our most popular on the go sizes for just $12! Choose from our half liter
ttles, Aquapod bottles or Nestle Pure Life Splash flavors. Offer expires 6/30/08. Log onto
or call 800=4472 =9888.
ACCOUNT ACTIVITY ay your bill on fine at: service. icemoun tai n.com or by phone at: its tree!
D elivery a ress:
PREVIOUS BALANCE 45.35
6/08 151764 PAYMENT -THANK YOU -45.35
5/15 0564971703 3 5 GAL ICE MOUNTAIN DRK W /HANDLE 10.47
3 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 18.00
2 9 OZ PLASTIC UP 5OC /SLEEVE 5.98
3 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -18.00
6/12 0570405266 1 OIL SURCHARGE 2.00
F5954404 RENT 8.99
TOTAL 27.44
ACCOUNT SU1:iIV ARY PREVIOUS BALANCE. PAYMENT /ADJUSTMENT CURRENT_ ACTIVITY- __„__PAY THIS AMOUNT__
0 2� &bject to terms on reverse side. 45.35 45.35 27.44 27.44
BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER
I Please remember payment is due by the "pay by" date noted to ensure the smoothest service.
IN CASE OF ERRORS OR QUESTIONS A13OUT YOUR BILL. SEND 2. Remember, if you are renting equipment, your equipment rental is charged one month in advance. That means
ALI_ CORRESPONDENCE TO: 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 4. Never hesitate to call us with comments, questions, or concerns.
LOUISVILLE, KY 40258
If you think your bill is wrong, or if you need more information about
a transaction on your bill, write us oat a separate sheet of paper.
NIC 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:
Date range of this invoice
Your name, address, telephone and account numbers.
The dollar amount of the suspected error.
Describe the error and explain if you can. why you believe there is
an error.
parts of your bill that are not in question. M5 Your Account Number
You are obligated to pay the pa
p. p g ICE MOUNTAIy pp,DDIOO- DU1001 0
You Jo not have to 9y the dis amount while it is bein
investigated. During the investigation, we cannot report your account tHR 123156789
-DLT 04
as delinquent or take any action to collect the amount in question. nwN OCT 119 Watch here for a
WED NOV 31
GENERAL INFORMATION Important message °E. DE 10 personalized account
I. Payments ;ire due upon receipt of invoice and should be Mailed by news and ILIL., 111 „pl„ 11111. 1. ..1111,1,1111,...IIIIL.IL,ILWII 7nenEr ua udn9SmeIMm+1..1�^
the PAY BY date indicated on the invoice. I9nn D« ,na tervrcet
sa
2. Payments received after billing 123 Main ling (INVOICE) Elate will appear on olrslal< 000BD
your next Invoice. 1...IILL..L. III.. ...Iln..11nal.a.n.ana.1.66.1.1
.RSrao-nse „.6,n<
3. Past due invoices (nut paid within 30 Jays of billing (late) may be vmana0< r9m�iWnlamlva<. mramsnti M1^avI�Grc,.�,,,,��,wx9.„Ine Pay electronically
assessed a late fee as allowed by law not to exceed 20 per month. I 5r,r¢<aamo4 ^pbient rw ran U.<av ac�nW�e mu<n.m99nna,<I
Additionally. third party collection /auorncy expenses may be aa 6<a<t.o-ae'ri 0 apeJ 9ra
assessed at a rate not to exceed 100 of the unpaid balance or the o a Make sure this
Activity a amount has been
our t33Hain5l,e<t P
maximum allowable by law. since AccouNrAalwn P
4. It is understood and agreed thin each returned check is sub to a your n.99 aid in full to
•DeaneryPddmis: bnnDoe IY�
service charge. The amount of this service charge is equivalent to last invoice ,ras avoid late fees
P' S
ow maximum check return charge allowable in your State. so o0
00111 e61B98 SGaIIw�Natu,al S01� ^9'Na3e, .50.00
5. All bottle and equipment deposits are sho"n as CURRENT 3170BS M9umam 5 Gam<0ota soo
ACTIVITY. n1 mBBS1..aa 0 ceMnunu;nSGaIROmm 11.99 Monthly oil surcharge
s
o9m 317BB5'a+� onsm�na of u t0 $5.00 p
6. Equipment replacement costs will be charged for bottles lost, 09nz 310:Ble P P
stolen, damaged or not returned a "7 11 month month in any month
7. In accordance with NVVNA:9 Terms and Conditions T &C•'), your during which the
Equipment Lease and /or Service Agreement, account may be TH1taMaHa monthly average price
subject to minimum monthly purchases and /or early cancellation
Ices. (A complete version of the T 'C may be viewed on the per barrel of oil is
1/a+ 99 •••rM s.c1•.
\vebsite listed below'.) Upon service disco rent for Payment stub ACCOUNTSUMMAR, g reater than $50.00,
c PAY 0Y PAY THIS AMOUM
Leased Equipment is charged through the end of the billing cycle µ��,„,,,,,„N,a.P•�^•^' ACCOUNTNUMBFR 00 w W s9 a, as determined by the
1234567 Ma. ENCLOSED New York Mercantile
Ill which sCfVICC IS discontinued. IwoCE NUMBER BILLING DALE
S. As a food product, bottled water is subject to the rules and 12"' 7191) ppjo Exchange
regulations promulgated by the Federal Food and Drug
Administration (FDA). For further information. contact Ice 0,,20096307 04262712619 000391049 2D D4 16 Amount due
Mountain Spring Water Company or Nestle Waters North America Innn D«
Inc. at the address shown above. Ic ,0UNr,14WAT1RCOMPP,•,A"„. Cny Sta e o000o
9. Your first invoice includes the products delivered on your first "°"„N.,aw•^^ eo9.7z9e00 Submit your
delivery, along Leith any applicable bottle and account deposits, wR C USroME0 5 E GE payment by this
surcharges, redemption lees, and any dispenser charges. All future It 11 Pnn a.,<w.r,�"•'°g3'a•. date
1cN uP .oP I REE .urawr sn� u P P•9w.w o., P«•
invoices will reflect charges for water delivered and dispenser ❑t
rental bottle deposits, surcharges, and credits plus charges for any
additional products ordered by you. Deliveries are made every
three or four weeks, for a toad of I6 -17 deliveries per. ycar. You will
only receive invoices 12 times per year, so approximately 5 of those
invoices will reflect two deliveries.
0 2007 Ice Mountain Spring Water Company, a Division of Nestl6 Waters North America Inc. Form No. NW 609 02/08
VOUCHER NO. WARRANT NO.
ALLOWED 20
Ice. Mountain
IN SUM OF
P.10. Box 856680
Louisville, KY 40285 -6680
$27.44
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
2201 08FO119252823 42- 389.00 $27.44 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
Thursday, June 19, 2008
Street CUmissioner
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))
06/14/08 08FO119252823 $27.44
l 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
ICE MOCINTAIN® 20106
5/01/08 5/31/08 08EO117821082
#215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258
service.1cemountain.com g
MON- JUN 23 0117821082
WED- JUL 23
THU- AUG 21
MON- SEP 22
#BWNNWYR
#0400001178210823# Customer Service: 1 800 472 9888
CARMEL ST. DEP.
3400 W 131 ST ST YOUR ACCOUNT IS PAST DUE and is subject to
WESTFIELD IN 46074 -8267 additional late fees. Water delivery service may be
IIIIIIIIIIIIIIIIIIIIII still 11 interrupted. Please make your payment today. For
your convenience, pay online:
icemountainwater.com/service. If payment has been
made, we thank you.
I Enjoy special savings! Order 2 cases of our most popular on the go sizes for just $12!. Choose from our half liter
I bottles, Aquapod bottles or Nestle Pure Life Splash flavors. Offer expires 6/30/08. Log onto
1 service. icemountainwater.com or call 800-472-9888.
w�
ACCOUNT ACTIVITY Pay your bill online at: service.icemountain.com or by phone at: 1- 800- 472 -9888. It free!
Delivery address: CARMEL ST. DEP., 3400 W 131TH ST, WESTFIELD IN 46074
PREVIOUS BALANCE 72.92
5/22 0566242392 4 9 OZ PLASTIC UP 5OC /SLEEVE 11.96
4 5 GAL ICE MOUNTAIN DRK W /HANDLE 31.96
4 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 24.00
4 5 GALLON ICE MOUNTAIN DEPOSIT RETURN
5/25 0567020235 1 LATE FEE 15.00
5/31 0568175863 1 OIL SURCHARGE 2.00
E5778109 RENT 8.99
TOTAL 142.83
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT
r Q r 1k@bbject to terms on reverse side. 72.92 .00 69.91 142.83
BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER
I. Please remember payment is due by the "pay by" date noted to ensure the smoothest service.
IN CASH 01' ERRORS OR QUESTIONS ABOUT YOUR BILL. SEND 2. Remember, if you are renting equipment, your equipment rental is charged one month in advance. That means
ALL CORRESPONDENCE: TO: your first invoice will include a pro -rated fee for the current month, plus the next month's rental.
ICE MOUNTAIN SPRING NYATER 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 4. Never hesitate to call us with comments, questions, or concerns.
LOUISVILLE, KY 40258
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 must hear from you in writing no later than thirty (30) (lays 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. lu your
letter, give us the following information:
Date range of this invoice
lour name, address, telephone and account numbers.
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. 1234567890 Your Account Number
ICE MOl1NTAIN' oo1oo 00100 1
)'on (lo not have to pay the disputed amount while it is being rt�
investigated. During the investigation, we cannot report your account !ie'9 N pC oa 123456789
p
as dCllilglll'I11 or take any action t0 COIICCI dnl' ilI1lUUllt 111 gnCx11U11. MON GCT 79 Watch here for a
µE6 NOY 7+
GENERAL INFORMATION ne Important ws and DE- DEC personalized account
I. Pavntents are (Inc upon receipt of invoice and should be mailed b}' 11.11.. III„ 111„ 11111. h��IIII,hIIIh.,IIIII „a„Ila,lli cu^°mn s =mM +^6 "0�u ae message
,+,.�L Y usi�la=
the PAY BY date indicated on the invoice. Ionoo« a,.rvr•=..
offers 1 n 5, l sd
received 2. Payments received after hitting (INVOICE) date will appear on 0+45+8 000
your next invoice. 1,1161..L,IIL„ih,,,ll „.11„181 „I,,,LI,IaA• J
P Y S Y Pay electronicall
3. Past due invoices not aid within 3U da of billin date ma be
assessed a late fee as allowed by law not to exceed S20 per month.
Additionally, third party collection /attorney expenses may be
assessed at a rate not to exceed 100% of the Unpaid balance or the Activity 3 r Make sure this
maximum allowable by law. since you
amount has been
r pCCOUNTACTNITV 99
4. It is understood and agreed that each returned check is subject to a Y >on °13ce Ma 5 L c n s I S Ao
service charge. The annount of this service charge is equivalent to last invoice p e 1 N°° paid in full to
42” 99
az
p avoid late fees
the maximum check return charge allowable in your State.
APm .6+P9a scan°°Nam sP�� ^9 soro
5. All bottle and equipment deposits are shown as CURRENT 3veas4++' s o=pal+ 9W
ACTIVITY. u =MO +.99 Monthly oil surcharge
A9n, 3na6s� p of up to $5.00 per
6. Equipment replacement costs will be charged for bottles lost, o9n. 3 +87 3 5949
stolen, damaged or not returned. p 91° month in any month
7. In accordance with NWNA's Terms and Conditions "T &C" your TOt "L during which the
Equipment Lease and/or Service Agreement, account may be monthly average price
subject to minimum monthly purchases and /or early cancellation
fees. to complete version of the T &C may be viewed on the N"° ,AN per barrel of oil is
website listed below.) Upon service discontinuation, rent for Payment stub ACCOUNT SUMM ,a .w u reater than $50.00,
PAY BY PAY THIS AMOUNT b
Leased Equipment is charged through the end of die billing cycle ,1m:dM,mM Acc[NINENUMBER o A,BY 1944 as determined by the
1.34567P90 New York Mercantile
MT.ENCLOSEO
in w111C II service is discontinu 1..40100 NUMPE0. BILLING GATE
R. As a food product, bottled water is subject to the rules and 1 ...56]896 ppjo Exchange
regulations promulgated by the Federal Food and Drug 200°
16
Administration (FDA). For further information, contact Ice 0420096307 0'1262712619 000391049 Amount due
Mountain Spring Water Company of Nestle Waters North America ph ^o«
Inc. at the address shown above. ICE MOUNTNN WATFp COMPANY CItY $w S`°0°^6
��w.
9. lour first Invoice includes the products delivered on your firs[ a Submit your
delivery. along with any applicable bottle and account deposits, roecusTOMLPSLAVI <ECALUAAO.77 9PPA payment by this
surcharges. redemption fees, and any dispenser charges. All f it d
future It l.n,n °I P.�MMTc~'^9°o°rr�K :a` date
sr4avrloPrPLL..norPn sp„4P =•a�hi°o„n�•sa,
invoices will reflect charges for water delivered and dispenser
rental bottle deposits, surcharges, 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.
2007 Ice Mountain Spring Water Company, a Division of Nestle Waters North America Inc. Form No. Nw 609 02/08
r
VOUCHER NO. WARRANT NO.
ALLOWED 20
Ice Mountain
IN SUM OF
P. O. Box 856680
Louisville, KY 40285 -6680
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO #1 Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 08EO117821082 42- 389.00 I hereby certify that the attached invoice(s), or
�J�i✓�� 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
Thursday, June 19, 2008
Street CA&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 showy 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))
06/04/08 08EO1 1 782 1 082 $69.91
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
r