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158445 04/15/2008 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CHECK AMOUNT: $208.61 CARMEL, INDIANA 46032 PROCESSING CENTER PO BOX 856680 CHECK NUMBER: 158445 LOUISVILLE KY 40285 -66 80 CHECK DATE: 4/15/2008 .�w DEPARTMENT ACCOU PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION =201 4238900 08CO11782108 55.94 OTHER MAINT SUPPLIES 2201 4238900 080011925282 29.16 OTHER MAINT SUPPLIES 2200 4239099 080012004852 36.99 OTHER MISCELLANOUS 1125 4353099 .080012009535 36.63 OTHER RENTAL LEASES Q47 4350900 OBC0.12120276 23.35 OTHER CONT SERVICES I 01 4239099 OBC722032704 26.54 OTHER MISCELLANOUS i 720106 W ICE MOUNTAIN® 8 O 3/01!08 3/31/ 0800120048525 #215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 service.icem ou n tain.com IIBB ii ee WED- APR 16 0120048525 THU- MAY 15 MON- JUN 16 #BWNNWYR WED- JUL 16 #0400001200485252# CITY OF CARMEL DEPT OF ENG!NEE Customer Service: 1 -800- 472 -9888 LISA SCOTT OR JUDY STOHLER 1 CIVIC SO Thank you for choosing Ice Mountain Home Office CARMEL IN 46032 Delivery! We value your business. Go Paperless Switch °to e-bl16 today'and receive a FREE case ;of our new 1!2 Liter Eco -Shape bottles on a r the' IS s e D, for d lI a speccialk$5 sd lei §s,whe►� order Perrier or HalfRint R i uvww serrrlce Icemountalnwater coH "9bth offerxpire 4130108. 3 ACCOUNT ACTIVITY Pay your bill online at: service.icemountain.com or by phone at: 1-800-472-9888. Its free! w x 1 11 Delivery address: CITY OF CARMEL TOWN HALL ENGIN, 1 CIVIC SQ, CARMEL IN 46032 PREVIOUS BALANCE 56.53 3/09 631945 PAYMENT THANK YOU -31.60 3130 748083 PAYMENT -THANK YOU -24.93 3/18 0556036457 8 5 GAL ICE ±MOUNTAIN DRK W /HANDLE 27.92 8 5 GALLON ICE MOUNTAINi80TTLE DEPOSIT .00 7 5 GALLON ICE MOUNTAIN DEPOSIT RETURN 5ro789 JQ .00 2 9 OZ PLASTIC UP 50C /SLEEVE j, 5.08 3/31 C5503894 RENT �a� 3.99 try TOTAL t '�'p 36.99 APR 20M _T EL Fl\10111 E V1 �OV 9�S��Z EZ ZZ�2oti� ACCOUNT SUMMARY PREVIOUS BALANCE i PAYMENTIADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT �bject to terms on reverse side. 56.53 56.53 36 36.99 .99 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. tN 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 R 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. 9216 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. Desenbe the error and explain if you can. why you believe there is an error. You arc obligated to pay the parts of your bill that are not in question. molwPo 12W6 Your Account Number You do not have to pay the disputed amount while it is being ICE MOUNTANIf omlouloo- investigated. During the investigation, we cannot report your account 123 <5e78 as delinquent or take any action to collect the amount in question. TjBpPN z9 %Natch here for a YyED -NOV 2 GENERAL INFORMATION Important news and q,a„ all„ a aE °Fc's personalized account jZ 988R 1. Payments are clue upon receipt of invoice and should be mailed by LIM1 .1,,alt,l,pa "talc..IL message lnP>°a °n the PAY BY date indicated on the invoice. vffe rs 1 Payment, rccelved otter billing (INVOICE) date will appear on aly,sale vour next invoice.�� s Fsa1 3. Past due invoices {not paid within 30 days of billing dale} may be assessed a late fee as a Pa electronically xAe a:v" 9 allowed b law not to exceed S20 per month. t ^'9 tm. 9 Y P �ae<+wmw+nwnmm.wde �aaoamn nnl°ra Additionally. third party collection /attorney expenses may be assessed at a rate not to exceed 100% of the unpaid balance or the Make sure this w a^° maximum allowable by law. Activity auk amount has been AccouN Acnvl since our TM 4. If is understood and agreed that each returned check is subject to a y 12r Mams..a« ens "moo°o� 91 n¢I y Aad esv lab D 199 P aid in full to service charge. The amount of this service charge is equivalent to last invoice sedl 4zo-5 avoid late fees the maximum check return charge allowable in your State. pa 11,enymv sp 5. All bottle and equipment deposits arc shown as CURRENT os ablm9a s so, °'als P,�ngwaa+ so-w 9 111 r ,�M nsea Monthly oil surcharge t11 ]+ies5laaa< S Meun+ainSGal Aewm ACTIVITY, na%es „s<, s 0911+ 611 SUnha.9e 6. Equipment replacement costs will be churgcd for bottles lost, U9,ll 3+a163ae+' 0 up 10 $2.00 per p9 stolen, damaged or not returned. o 9 a month in any month 7. In accordance with NWNA's Terms and Conditions "T &C your JeTAL during which the Equipment Lease and /or Service Agreement, account may be rx A Mo°�T monthly average price subject to minimum monthly purchases and/or early cancellation vv"arNTA�M^' «EMm° vu ,.9MEN I gTMaM b per barrel of oil is fees. (A complete version of the T &C may be viewed on the •m`_°"-` SU MMARY websne listed below.) Upon service discontinuation, rent for Payment stub AccouNT en� greater than $50.00, PAY 9Y PAY THIS AMOV NT Leased Equipment is charged through the end of the billing cycle N �e„,a,,;,, Pn^-"` ACCOUNrNUMRER 00 IpO saae as determined by the in which service is discontinued. °9G aw cnnrE MT.rxaosea New York Mercantile INVOICE NaMnEA OOIO°1VV 8. As a food product, bowled water is subject to the rules and y zraserR9° Exchange regulations promulgated (FDA), by the Federal Food and Drug 282-2611 pppj91 °49 2604 1� Amount due Administration For further information, contact lee Mountain Spring Water Company or Nestle Waters North America "n 6ae Inc. ;it the address shown above. ICE MOVNrAw ware CaMPANV w3 MCxces�ommmm aN w ten• n1x 9. Your first invoice includes the products delivered on your first Submit your ,�.,9z 9eM delivery, along with any applicable bottle and account deposits, uon fees, and any dispenser charges. AIL II eon cunoM[A :ER Vicauu payment by this redemp L., IIIJ. �a�alV .�.��lL...a,..ILdJt.J., Pamnwcn >�ano °i• future invoices LldJ.,I date will reflect charges for water delivered and dispenser rental, []sw 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 renect two deliveries. 2007 Ice Mountain Spring Water Company, a Division of Nestld Waters North America Inc. Form No. NW 509 09/07 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 P.O. Box 856680 Purchase Order No. Terms Louisville, KY 40285 -6680 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 4/3/08 OBC0120048525 Rent and Service March, 2008 $36.99 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 VO NO, WARRANT NO. ALLOWED 20 Ila®a" IN SUM OF P.O. Box 856680 Louisville, KY 40285 -6680 $36.99 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 Na 08T0120048525 EN 4239099 materials or services itemized thereon for Accnt 120048525 which charge is made were ordered and received except 200 S' n re y Title Cost distribution ledger classification if claim paid motor vehicle highway fund 720106 MOUNTo „v 3101108 3131/08 08C7220327048 1 #215 6664 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 service.icemountain.com II EE p g II �7 WED- APR 16 7220327048 THU- MAY 15 MON- JUN 16 #BWNNWYR WED- JUL 16 #0400072203270488# CITY OF CARMEL OFFICE OF THE C Customer Service: 1 -800- 472 -9888 ANN DAMS 1 CIVIC SQ 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.comiservice. If payment has been made, we thank you. G6iPaOfI6.q S4nrltch billing to ay and az ERE E case,of oiar ne�v l/2 Llter Eco ad? Sh 9 ottles yo�u nexttid eryt Also vtslt the wel? for a -$5 savings when order, Perrlergar Half Plnt at p °j vim servtcertcen auntalnwater� Bo #h offers ex Ire 413 ACCOUNT ACTIVITY Pay your bill online at. service.icemountain.com or by phone at: 1-800-472-9888. It's free! 0. HI 0 g 0 Delivery address: OFFICE OF THE CLERK TREASURER, 1 CIVIC SQ, CARMEL IN 46032 PREVIOUS BALANCE 108.69 3/09 631948 PAYMENT THANK YOU -21.57 3130 748086 PAYMENT -THANK YOU -29.16 3/23 CA0528448 BOTTLE DEPOSIT ADJ -18.00 3118 0556036440 3 5 GAL ICE'MOUNTAIN DRK,W(HANDLE 10.47 3 5 GALLON ICE MOUNTAIN` DEPOSIT 18.00 3 5 GALLON ICE,MOUNTAIN DEPOSIT RETURN -18.00 2 9 OZ PLASTIG'�UP 50C/SLEEVE 5.08 3/24 0557757689 1 LATE FEE �5-00 3/31 0558863957 1 OIL SURCHARGE 2.00 C5529254 RENT 8.99 TOTAL 81.50 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENTIADJUSTMENTA CURRENT ACTIVITY PAY THIS AMOUNT �bject to terms on reverse side. 108.69 68.73 �r 41.54 81.50 BILLING RIGHTS SUMMARY FOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER 1. Please remember payment is due by the "pay by" date noted to ensure the smoothest service. 1N CASE OF ERRORS OR QUESTIONS A1301JT YOUR BILL, SEND 2. Remember, if you are renting equipment, your equipment rental is charged one month in advance. That means ALL CORRESPONDENCE TO your first invoice will include a pro -rated fee for the current month, plus the next month's rental. ICE MOUNTAIN SPRING WATER CO. 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. #216 If you prefer, you can pay your bill online at service.icemountain.com. 6661 DIXIE HWY., SUITE 4 4. Never hesitate to call us with comments, questions, or concerns. LOUISVILLE, KY 4025$ 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 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 file 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. 1 You are obligated to pay the parts of your bill that are not in question. DW oleo 123456 Your Account Number pay n g JCtil� oo,oafoo You do not have to t the d is pu ted amowtt while it is bein MOUNTA investigated. During the investigation. we cannot report your account t lid THR oa 123456759 as delinquent or take any action to collect the amount in question. MoNocr z9 Watch here for a wen. hov 71 GENERAL INFORMATION Important "E. Mr 5s personalized account I. PaY'InCntS arc rhuc upon receipt of in•oice and should be mailed by t1IG., tll .dn „Illa.t..,llila,aa,,,af1a „11 „11.1.111 cua«n?gsla MO�ne� 5 message n and rnan�r� the PAY 13Y date indicated on the invoice. who 0 .na 2. Payments received after billing (INVOICE) date will appear on Offers oars s'� your next invoice I��A1L!„ t flu 11 .1... 11.1 It i 1111 alt 3. Past due invoices (not paid within 30 days of billing date) may be R aw R rwnen yk u� y uown+ny R Pay electronically assessed a laic fee as Alowed by law not to exceed $20 per month. To>naN3� M �,v r<ndNn' ,n Additionally, third party collection /attorney expenses may be as•eii°`” too4�t1 assessed at a rate not to exceed 100% of the unpaid balance or the a a ,v.« Make sure this Activity amount has been maximum allowable by law. w a rc••^^° since our ACCOU TACrmty a,e0— 4_ h is understood and agreed that each returned check is subject to a y gnaare, u n 0 1v M nsc,erc c ,r n9q paid in full to service charge. The amount of this service charge is equivalent to last invoice cis r.ew,o�,Ra,anee avoid late fees the maximum check return charge allowable in your State. carmcm.ma„lmo so,00 5. All bottle and equipment a q ui n p de osits are shown as CURRENT oae5 6 ,Rgs cauo�xa'a,alma "9"5ie` uoo gilt 11 ]fe51n°4a Re MouT'ain Seal Oef>RS" l� ti]e5si s ,ce Mo�nunSGaI ReSR.n i' Monthly Oil surcharge ACT a o9nl r 5t4 60 onsmma�9` of up to $2.00 per 6. Equipment replacement costs will be charged for bottles lost, V nse5W" aen' s <a stolen, damaged or not returned. 09° 91 month in any month 7. In accordance with NWNA's Terms and Conditions "T&C your ruTAl during which the Equipment Lease and/or Service Agreement, account may be vvM monthly average price subject to minimum monthly purchases and/or early cancellation fees. (A complete version of the TRC may be viewed on the MI�wSSMEM 5., per barrel of oil is R'"" -REVM 'SSS +�a� greater than $50.00, w'eb51tC fisted below.) Upon service dl$et)5lflnllahnl. rent IOr Payment stub ACCOnNUMMAR'w�... <now,'cc ypuF1 RAY Th45 AMOUNT i ment is charged thro the end of the billi c ycle AeeouNrr+uMera r "e i ssw q n g g e y as determined by the Leased E q uipment in which service is discontinued vsa NVOICE r b um euuNCOATE MT eNClosEo New York Mercantile I 11l9e .1.rw R. Asa food product, bottled water is subject to the rules and iz 3 4s67ega Exchange regulations promulgated by the Fcderal Food and Drug O,ao0963oT ❑,t 6e71eb19 0003910'V9 eon to Administration (FDA). For further information, contact Ice Amount due Mountain Spring Water Company or Nestle Waters North America �nnntice No. at the address shown above. Ice MOUnnASN wares coNSVnNS �ry site oaow Q_ lour first invoice includes the products delivered on your first .oM,M Submit your 40R CNSTOMER SEPVCC CALL 1.RW- 4]Z -ceBR re r dem redemption fees, J char es. All futmeinvoies payment by this along Y'nl deposits. P g invoices a,.,taaa,a.' ..EU. .un will reflect charges for water delivered and dispenser rectal, dva, IRE' w ,oRx,� 5q R R�R� �4o�Rne date 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, sn 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 509 09/07 0- 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. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 7aa 3A 70 r 74, SV N f.% T LS 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 ZOV ON ACCOUNT OF APPROPRIATION FOR /o i A� 7A 3 70 VY Board Members PO# or INVOICE NO. ACCT# /TITLE AMOUNT DEPT. k hereby certify that the attached invoice(s), or 1 OTC 7 as U 3 �'O ,9 1 bill (;s) is (are) true and correct and that the 3 7 8 materials or services itemized thereon for which charge is made were ordered and received except El l q 4V 20(' Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund .r 720106 J1/r \�_7'I I 7 S j'I� ❑p� J JJ rr y tt t'ryIr ..,.,.e... ,..w.,...,....:..,.,,,.. 3 /01/08 3131/08 08CO 120095351 #215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 service.icemountain.com g MTER Mg. FRI- APR 18 0120095351 III If01 IN I III 11111111 MH 1111111 HIM N I I HIN MOD- MAY 19 WED- JUN 18 #BWNNVVYR FRI- JUL 18 #0400001200953515# CITY OF CARMEL PARKS DEPARTMEN 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. 'Go Paperfessr� Swltch.ta,e= bllltng today and .receive a PREE case ofpur neW1 /2Llter coShape bottlesN'ons,,� „mss �your�next dehveryl Also vlslt th web,for a sp c savings when�you order FPerrier or HF 1 Plant at 5 Www service Icemoun alnwater cord B_oin offers expire x /30/08 ;{�r.'R�?'�"'�i.1� in x,� t�y 6 •w T",,, uSY: ;'�r�' 8� °T 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 1161 H ST, CARMEL IN 46032 PREVIOUS BALANCE 41.64 3130 748085 PAYMENT -THANK YOU 26.64 3111 CA0519086 LATE FEE -15.00 3/20 0556367605 4 5 GAL ICE; MOUNTAIN DRK,W /HANDLE 15.96 1 9 OZ PLASTIC UP 50C /SLEEVE 2.69 BOTTLE DEPOSIT 4 DELIVERED, 3 RETURNED 6.00 3/31 0559111307 1 OIL SURCHARGE`;. 2.00 05517314 RENT 9.98 TOTAL 36.63 A PR 7 2008 ACCOUNT SUMMARY I PREVIOUS BALANCE PAYMENT /AOJUSTMENT� CURRENT ACTIVITY PAY THIS AMOUNT 0 0 1;iOtibject to terms on reverse side. 41.64 41.64 36.63 36.63 11200mamrTwe —7- BILLING RIGHTS SUNTMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER a L Please remember payment is due by the "pay by" date noted to ensure the smoothest service. N CASE OF ERRORS OR QUESTION'S ABOUT YOUR BILL. SEND 2. Remember, if you are renting equipment, your equipment rental is charged one month in advance. That means Al CORRESPONDENCE TO: your first invoice will include a pro -rated fee for the current month, plus the next month's rental. WE 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 Wp;TilC sheet of paper, We MIDST hear Cro VOL] in writing no later than thirty (30) clays 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. ht 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. You are obligated to pay the parts of ,your bill that are not in question. ea DN011 t. 1234567690 Your Account Number You do not have to pay the disputed amount while it is being ICE MOUMAK rowa investigated. During the investigation, we cannot report your account tiox ,2395 trtia .ocr w as delinquent or take any action to collect the amount in question, uoNorT x9 Watch here for a WfO NOV 21 GENERAL INFORMATION 1 mporta nt e°° Nf ofc `a personalized account 9s9 1. Payments arc due upon receipt of invoice and should be mailed by news and 11,11 „dn,A6.In4A,..ttnd,nN „dntt,.ILAJ o Nm1n91aM "�m•;rr ^d °nt message nook Y° the PAY 13Y date indicated on the invoice- IahnD- offers to Mom S 2. Payments received after billing (INVOICE) date will appear on cnysta(= OW00 your next im'oice, 1... 111. L�J„ tl1,,, .Ih�,AI•,.11.,611 „L „1,6aL.1.�1 u 3- Past due Invoices (not paid within 30 days of billing (late) may be Pay electronically assessed a late fee as Alowed by law not to exceed S20 per month. ,acael�> N ,y `,u, Additionally, at a r third ry hird par collectionlattorucy expenses may be eu ^�6 vn�w e not to exceed t00% of the unpaid balance or the p Make sure this maximum allowable by law. Activity amount has been a0000p 4. it is understood and agreed that each returuc(1 check is subj since ACCOUNT ACTIvITY r C ,y late ect to a Y real s9 paid in full to �Il�,yptldtess. IoM Oo, -t 1.99 service charge. The amounr of this service charge is equivalent m last invoice ,As avoid Tate fees Balance the maximum check return charge allowable in your State. p eYmem- ?nanxrnN s000 5. All bottle and a ui recut do osits arc shown as CURRENT N6f31 °51e96 s lb „N a ,"alsv IneY+a` q P P n 6va9st a+ s 1Lewo mamscame n m ACTIVITY. o »r�514d u Mo°n;ns�INRUm 1199 Monthly oil surcharge 69111 r, Yaes+aws pet �SUlcna 6. Equipment replacement costs will be charged for bottles lost, a9 „x nerareall s649 of up to $2.00 per stolen, damaged or not returned. an 16bi0 month in any month 7. In accordance with NWNA's Terms and Conditions "T C"), your W during which the Equipment Lcase and/or Service Agreement, account may be monthly average price subject to minimum monthly purchases and/or early cancellation MM a fees. (A complete version of the T&C may be viewed on 01e ao °s° „99 a per barrel of oil is 99 WCb51IC IISICd below.) Upon SCrrICC d15CO11nnllil110n, rent for Payment stub ACCOUNT SUMMARY tr gpreater than 0l], pqY BY PAY TN,S gMOUNT Leased Equipment is charged through the end of the billing cycle, erWp+rK^ ACcourrrNUMe[R �bn4, as determined by the in which Service is discontinued. 123a5a1e9° H1'n.e AT[ MT.6NUOSto New York Mercantile INVO;Cf 6... W MW H. As a food product, bottled water is subject to the rules and Exchange regulations pro railg Ted by the Federal F ood and Drug UN20e9630T a4282712b19 6OU391049 'r" SR Amount due Administration istration (FDA For further information, contact Ice Mountain Spring Water Company car Nestle Waters North America t "nnoce Inc. at the address shown above. ,[f MOUNraN WAT4R LOMPANY Cf;y`StateS`OMUN Submit your 9, Your includes the products delivered. on your first- •ork'm NNew,w,Na,�n a„no In gpp- aYt -98aE YOncUS roMrns(RY "q"' (Ichver along with any applicable bottle and account deposits. this n ,"9�o "�.�usw� p ayment pt' fees, and any dispenser charges. Alt Cimlrc invoices ItI, I,,, t„ al. a,.,dL.,u,a,n,a „ad,61..b,t1 K date will reflect charges for water delivered and dispenser rental, s`r Y a bottle deposits and credits plus charges forany additional products ordered by you. Deliveries are trade every three or four weeks_ for a total of 16 -17 deliveries per year. You will only receive invoices t i 12 times per year, so approximately 5 of those invoices will reflect. I— deliveries. 2007 Ice Mountain Spring Water Company, a Division of Nestle Waters North America Inc. Form No. NW 509 09/07 720106 ICE MOUNTAINO 3 /0110$ 3 31 8 08COi 1 2 66 PUNMEEZ #215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 service.icemountain.com e 11 ff ee II I AA tt FRI- APR 18 0121202766 MOD- MAY 19 WED- JUN 18 #BWNNWYR FRI- JUL 18 #0400001212027662# CARMEL PARKS DEPARTMENT 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 r ll rr ll r„ r ��I rrr l r l rr ll rr l� r r r rr l I rrrr ll rrr r rr l fee. Your prompt payment is appreciated. For your convenience, pay online: icemountainwater.com/service. If payment has been made, we thank you. Go Pap rless :Switch to &billing totlay,antl,receiv a FREE ease of our new 112 Liter�Eco Shap bottl son yourp net# tlehvelryAiso, vlsthe web�for a special$5 saufngwhen you ortler Perrier or HalfPrnt at t y www service Iceun #alnwate[ comBothaffers expire 4/3048 f�"� m r,2 d Ni ^�4 4%u'd'� ACCOUNT ACTIVITY Pay your bill online at: service.icemountain.com or by phone at: 1 -800- 472 -9888. It's free! Ue every address: CARMEL MO R, 1235 CENTRAL RK DR EAST, CARMEL IN 46032 PREVIOUS BALANCE 69.97 3/20 0556367720 1 5 GAL ICE MOUNTAIN DRK W /HANDLE 3.99 1 5 GAL ICE MOUNTAIN DRK,W /HANDLE .00 2 9 OZ PLASTIC UP 50CfSLEEVE 5.38 1 .5 L NATURAL SPRING WATER -ICE MTN 6.99 BOTTLE DEPOSIT: 2 DELIVERED, 2 RETURNED .00 3/31 0559034624 1 OIL SURCHARGE 2.00 C5590656 RENT 4.99 TOTAL D yy 93.32 r"+ 7 ED APR 7 2008 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT CURRENT ACTIVITY 4 PAY THIS AMOUNT �bject to terms on reverse side- 69 -97 .00 23.35 93.32 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 ABOUT YOUR BELL, SEND 2. Remember, if you are renting equipment, your equipment rental is charged one month in advance. That means. ALI, CORRFSPDNDENCL 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 its 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. Yon can telephone us, but doing so will riot 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. by you believe there is an error. You are obligated to pay the parts of your bill that Lire riot in question. �7T 1234567890 Your Account Number �OU I�t.�H coloalco golooloo You do not have to pay the disputed amount while it is being Investigated. During the investigation, we cannot report your account 113456789 as delinquent or take any action to collect the amount in question. moN 0 1, x 9 Watch here for a GENERAL INFORMATION Important °r 1a personalized account sent <e: vaoo -+n -gees I. Payments are due upon receipt of invoice and should be mailed by news and u.n,.. tit, ttl. �nflt ntt td tn ,ann .,tl.atd.m c' +`«^er91<,Ma.umv^^v message rna °a rya or "a" the PAY BY date indicated on the invoice. rob °o°e ^a,e�s•• s 2. payments received a ^s1 fter billing (INVOICE) date will appear on offers 01' cn,� 0°°° your next invoice. 3. Past due invoices (not paid within 30 days of billing date) may be Pay electronically assessed a late fee as allowed by law not to exceed $20 per month. a mPd9 w Addnionall third party colicQuon /attorney expenses may be assessed at a rate not to exceed 100% of the unpaid balance or the Make sure this Activity maximum allowable by law. amount has been 'Our ACCOUNT Aenvi" sinc 4. It is understood and agreed that each returned check is subject to a as ,vM ms °c C`0 fjppp9 n9s aid in full to service charge. The amount of this service charge is equivalent to last invoice pe "`y N e. X99 P avoid late fees the maximum check return charge allowable in your State. pa131 C°r e9a S SGallon Na +oral SP ^n9 water .SO.W S. All bottle and equipment deposits arc shown as CURRENT 9j1 a ❑easwc+^ keMn ma msea�ocP�^ ACTIVITY. 1 Bnees+ad+< s ,�M ^Pnwmsealnemr� us, Monthly oil surcharge 311ees+aaen 6. Equipment replacement costs will be charged for bottles lost. n e763ae11 of up to $2.00 per stolen, damaged or not returned. °911= 1 6 month in any month T ht accordance with NWNA's Terns and Conditions "T &C your during which the Equipment Lease and/or Service Agreement, account may be P a y ment stub ACCOUNTSUMMAAY monthly average price subject to minimum monthly purchases and/or early cancellation M.r^"TM sb°" fees. (A complete version of the T &C may be nu viewed on the aa..g ,99 1 per barrel of oil is .EY^ realer than $50.00, website listed below.) Upon service discontinuation- rent for Pa PAV rNis AMOUNT Y by Leased Equipment is charged through the end of the billing cycle �0,a:M*, w+°•^'xAn- ACCouw"UM °E °f �rooroo as determined by the m whi $CrVICe I5 dISGOnt10UCd. 128a5e169 Mt. r•.Na °aE° New York Mercantile +N4DICE NJMBE0. 1 BILLING pAtt R. As a food product, bottled water is subject to the rules and 1 =rnse7avo I �lppJ00 Exchange regulations promulgated by the Federal Food and Drug 9 oon39so,9 zoo, 1.6 Administration (FDA). For further information, contact Ice 9,2009630 ny26z71z6 Amount due Mountain Spring Water Company or NcstlL Waters North America IPnno« Inc. at the address shown above. IcrM OUNrAiNw ^rea 'a +000 Submit your 9. Your first invoice includes the prodgets.delivered on your first °nw b this delivery. along with any a lioltic and account deposits, a v g di ❑,.I ^,Any w. °n t..an,t.,,l,. a „rat ..L..Lt,t.LL,l�to^Bra,�s� payment Y redemption fees. and any dispenser charges. All future invoice,, t r date will reflect charges for water delivered and dispenser rental, Q "r"p ppgfAr w °.,s; °a °PBS bottle deposits and credits plus charges for any additional products ordered by yeu. 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 ddiverics. y 2007 Ice Mountain Spring Water Company, a Division of Nestle Waters North America Inc. Form No. NW 509 09/07 o'er 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 Louisvilie, KY 40285 -6680 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3131108 0800120095351 Drinking Water- Maintenance 36.63 3131/08 0800121202766 Drinking Water Monon Center 23.35 Total 59.98 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. 51125 Ice Mountain Allowed 20 P 0 Box 856680 Louisvilie, KY 40285 -6680 In Sum of 59.98 ON ACCOUNT OF APPROPRIATION FOR 101 General PO# or INVOICE NO. ACCT #1TITL AMOUNT Board Members Dept 1125 80012009535 4353099 36.63 k hereby certify that the attached invoice(s), or 1047 8C012120276 4350900 23.35 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 14 -Mar 2008 Sign re 59.98 Business Services Manager Cost distribution ledger classification if Title claim paid motor vehicle highway fund 720106 h ftoums 02/13/08 3/12/08 R 08C0119252823 #215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 service.icemountain.com e 0119252823 #BWNNWYR #0400001192528234# CARMEL STREET DEPT Customer Service: 1 -800- 472 -9888 BONNIE 3400 W 131ST ST Thank you for choosing Ice Mountain Home Office WESTFIELD IN 46074 -8267 Delivery! We value your business. �C01 i COR CORY COPY COP�YECOPYbC0PY COPY COI?,YY CO ?Y'COPI(; COPY COPY�COP�Y M At 4 �.p, �"'.ya °a, ,r a k" s- 2 "0+�`- a ,w 4 rcs ACCOUNT ACTIVITY Pay your bill online at: service.icemountain.com or by phone at: 1 -800 -472 -9888. It's free! Delivery address: CARMEL ST. DEP., 2 CIVIC SQ, CARMEL IN 46032 PREVIOUS BALANCE 61.31 2/22 534427 PAYMENT- THANK.YOU -32.15 2/15 0551074487 2 5 GAL ICE+MOUNTAIN DRK.W /.HANDLE 15.18 2 5 GALLON ICE MOUNTAIN;'BOTTLE DEPOSIT 12.00 1 9 OZ PLASTIC UP 500 /SLEEVE w 2.99 2 5 GALLON ICE MOUNTAIN`.DEPOSIT RETURN -12.00 3112 0556215242 1 OIL SURCHARGE 2.00 C5527121 RENT 8.99 TOTAL 58.32 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENTIADJUSTMENT+ CURRENT ACTIVITY PAY THIS AMOUNT 111-� bject to terms on reverse side. 61_31 32.15 29.16 58.32 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 QUESTIONS ABOUT YOUR BILL, SEND 2. Remember, if you we 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 cgsh. #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 (tear from you in writing no later alum 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 as 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 or your bill that are not in question, �ns� p0l �j90 123 Your Account Number You do not have to pay the disputed amount while it is being la MOUNNN oarpolup Y- investigated. During the investigation, we cannot report your account 1 123456799 6p ar as delinquent or take any action to collect the amount in question. morrar a9 Watch hem for a weo. rvov n GENERAL INFORMATION ar °EC +a personalized account I mporta nt p0 eta Rt g0orn -vase I. Payments are due upon receipt of invoice and should be mailed by news and p,p, „nl "la ,dml,l "'1111 'ttllt" "11111 "tl"Il'lAlt rna "Ero9v, =�^K sm M a "p w message 1 "r °94917 the PAY BY date indicated on the invoice. Offers ph D sd ,na 96749+ 2. Payments received after billing (INVOICE) date will appear on ci,s— °4°°° L..1161 I III 6 ..H..AI VIV V ktlk i.Jl Your next invoice. w ce r ueae stm. 3 past due invoiECS (not paid within 30 days of billing (late) may be .Pay electronically assessed a late fee as allowed by law not to exceed $20 per month. T nF�° Wamm rw iY um'm a Additionalty, third party collecuorvanorney expenses may be 6 assessed at a rate not to exceed 100% of 1110 unpaid balance or the Make sure this Activit Y maximum allowable by law. K.,.> amount has been our ACC UNS ACt119TY t Ctl .SU,e 00ua0 4. It is understood and agreed that each returned check is sub ect to a since Y aid in full to s e. The amount of this service char is to last char e a iice cervewAaa P g g y avoid late fees p,¢vous 9919476 the maximum check 7011174 charge allowable in your State p, rhantrPU sop OBIn. g6189B SGallan Nacuial 5- All bottle and equipment deposits are shown as CURRENT rnees,uw s ,ns0aiuev°=t= :m tlreaswa^^ a ;PSCai9e =gym n Mon oil surcharge ACTIVITI'. o9nl ngp�3 �ods�rcna.9e 6. Equipment replacement costs will be charged far battles loll, 094: �eaaoa9�i" 9641 sea, of up to $2.,00 per stolen, damaged or not returned. 911 month in any month 7. In accordance with NWNA's Terms and Conditions TS U your TOiA` during which the Equipment Lease andlor Service Agreement, account may be ry p p, a monthly average price subject to minimum monthly purchases and/or early cancellation I „ng MrN' o =o �a "a per barrel of oil is fees. (A complete version of the T &C may be viewed on the :,'g" waadM wcbsite listed below. U pon service discontinuation. rent for Payment stub ACCOUW SuIWARV ro" r g reater than $50.00, 1 P y cAY rN,S AMOUNr g Leased Equipment is charged through the end of the billing cycle ',.,,:«+p4" Accour+ruuMeex ze as determined by the in which service is discontinued. :3g561890 pitUNnoArE mr ENaosru New York Mercantile NUMaE3 00IOO1p0 S. As a food product, bottled water is subject to 1110 rules and 'u',, 1a90 Exchange regulations promulgated by the Federal Food and Drug p19 ➢0039164`1 zo04 i2 Administration (FDA For further information. contact Ice 420fl96307 ❑4262 Amount due Mountain Spring Water Company or Nest1E "aters North America ph, ooe I ic. at the address shown above. ICE MOUNTAINW r"'COMP" City $1aLes' �a 9. Your nt invoice voece ciudes the products delivered on your first Submit your a "CUVOMEx scmiceu E= a 296 9 delivery, along with any applicable bottle and account deposits, avment b this peon fees, and any dispenser charges. All future invoices t,., tad.,. I.. 1n..,. 1L ..al.,.n.a.n.�t.,,l,l,l,l..t.�n rust•. date p �w sp�wa• will reflect charges for water delivered and dispenser rental, bottle deposits and credits plus charges for any additional products ordered by you Deliveries are I nine 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 ofthose invoices will reflect two deliveries, Q 2007 Ice Mountain Spring Water Company, a Division of Nestle Waters North America Inc. Form No. NW 509 09107 Cr V_ ICE MOUNTAIN 720106 guyeze MI SIM 3/01/08 3/31/08 08CO117821082 #215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 service.icemountain.com WED- APR 23 0117821082 III IIII IIII II III III I III III I I IIIIII II IIII I II THU- MAY 22 MON- JUN 23 WED- JUL 23 #BWNNWYR #0400001178210823# Customer Service: 1- 800 472 -9888 CARMEL ST. DEP. 3400 W 131 ST ST Did you forget about us? Kindly pay upon receipt. WESTFIELD IN 46074 -8267 Remember, past due accounts are subject to a late I rrr '�I�Il� fee. Your prompt payment is appreciated. For your convenience, pay online: icemountainwater.com /service. If payment has been made, we thank you. At Ice Mountain we greatly your business. Unfortunately, due to rising costs of raw materials, We must take a nominal price.increase_ in'.order to continue to provide you the quality products you've come to expect. I Thank,you for_vour__contlnued�lovalty ACCOUNT ACTIVITY Pay your bill online at: service. icemountain.com or by phone at: 1- 800 -472 -9888. It's free! Delivery address: CARMEL ST. DEP., 3400 W 131TH ST, WESTFIELD IN 46074 PREVIOUS BALANCE 96.86 3/09 631946 PAYMENT -THANK YOU -46.92 3/30 748084 PAYMENT -THANK YOU -34.94 3/24 0557754991 1 LATE FEE 15.00 3/25 0557101284 2 9 OZ PLASTIC UP 5OC /SLEEVE 5.98 3 5 GAL ICE MOUNTAIN DRK W /HANDLE 23.97 3 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 18.00 3 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -18.00 3/31 0558972360 1 OIL SURCHARGE 2.00 C5492979 RENT 8.99 TOTAL 70.94 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT �bject to terms on reverse side. 96.86 81.86 55.94 70.94 BILLING RIGHTS SUMMARY FOUR 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 QUESTIONS ABOUT YOUR BILL. SEND 2. Remember, if you are rf Sting 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 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 VOL] can, why you believe there is an error. You are obligated to pay the pans of your bill that are not in question. 4 121as07s9° Your Account Number IC E I� ►�U�H o You do not have to pay the disputed amount while it is being r olootoo ootooloo investigated. During the investigation, we cannot report your account 171456789 iHP -OC1 as delinquent or take any action to collect the amount in question. MDH -oa 19 Watch here for a wcD -Nov 1' GENERAL INFORMATION Important ➢E. DEC III .ew -s personalized account 1. Payments are (Inc upon receipt of invoice and should be mailed by Il ,p,,,ln „IIL,IIIII,I,,,an,l,nn„ ^III „II "11'1'111 c —I-1 k^ "a ns ,z yeas message news and IDoy ^4 the PAY BY date indicated on the invoice. omDO° Ma••^* offers 123 Mah 51 2. Payments received aficr billing (INVOICE) date will appear on ory.srale Your next Illvolce. 6aII, L, I„ II111,. .II,..II.,I,II,A.,a,l,l,l l ..l.� 3. fast due invoices (not paid within 30 days of billing (late) may be T "vw,ac<"ms 4 �y law not to exceed S20 er month. ammtsm ^ca.le+le4ww"'4 Pay electronically assessed a late fee as allowed by P 4G"TOU"no w;�'.ee�rdaNaa,mm4rn,m "snlranq Additionally third party collection /attorney expenses may be da�..prds" assessed at a rate not to exceed 100% of the unpaid balance or the Make sure this maximum allowable by law. Activity 4 b m� amount has been 4. It is understood and agreed that each returned check is subject to a since your ACCOUNT ACTIVITY tr0 G y s Ie OoOaB p aid In full to service charge. The amount of this service charge is equivalent to last invoice ai Pre b4 avoid late fees the maximum check return charge allowable in your State. sw o�n a s�^9wa a sB.oB OBI11 161898 5. All bottle and equipment deposits are shown as CURRENT' Bnaeslu++ s MW ^seaiDePOS” 1m ACTIVITY. n ILILL, a s "sG lw 1 IIn9 Monthly oil surcharge �i1$o' u 6. Equipment replacement costs will be charged for bottles lost, Onn1 B e1weB1' of P to $2.00 P er stolen, damaged or not returned. p 911 1W.9 month in any month 7. In accordance with NWNA'sTerms and Conditions "T &C your TDTAE during which the Equipment Lease and /or Service Agreement, account may be M monthly average price subject to minimum monthly purchases and /or early cancellation L wBEM A.,H1s s6aa per barrel of oil is fees. (A complete version of the T &C may be viewed on the ..sY1ov sw•. ACCOUNT SUMMARY .o greater than $50.00, webs'ite listed below.) Upon service discontinuation, rent for Payment stub wao.c BY Ppy TN11 AMOUN T PAY as determined by the Leased Equipment is charged through the end of the billing cycle N ACC OUM NUMBER WI6a "V 564'1 113 BILL DATE MT. ENCEOSED a� n which service is discontinued INVOICE sfi7e90 New York Mercantile 089- ING WaKIoD H. Asa food product, bottled water is subject to the rules and 1a34 Exchange regulations promulgated by the Federal Food and Drug Administration (FDA). For further information, contact Ice 0420096307 04262712619 0003910 2 °04 16 Amount due Mountain Spring Water Company or Nestle Waters North America t O n "ate I llc, at the address shown above. ICEMOUNrNN WATE0.COMPANY c „y State w H Submit your 9. lour first invoice includes the products delivered an your first •Di�� cusroMEB a RV1Te cALL' -9° delivery, along with any applicable bottle and account deposits, a ment b this redemption fees. and any dispenser charges. All future invoices 1.,, Ina.. d.. n6,.,. 0n xs>e.. C] NI^ A ^vrti gK",,,,,.,,.,sa•� date y will reflect charges for water delivered and dispenser rental. sr,N w r oP rPa ,4nOV6n sy^ w Pnw bottle deposits and credits plus charges for any additional products ordered by you. Deliveries are made every three or four weeks, for it 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 509 09/07 Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) CITY OF CARMEL y 6 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. hn Payee L L,7, Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Total 1 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 ON ACCOUNT OF APPROPRIATION FOR Board Members Po# or INVOICE NO. ACCT #/TITLE AMOUNT .DEPT. I hereby certify that the attached invoice(s), or 08C 4t t q L.52 3 3 7A I (P bill(s) is (are) true and correct and that the C0I1,1800 38� 5 5 ,�r materials or services itemized thereon for which charge is made were ordered and received except APR 1. 2008 20 a Si gna �Y Cost distribution ledger classification if Title claim paid motor vehicle highway fund