157973 04/01/2008 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1
ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CHECK AMOUNT: $27.97
I CARMEL, INDIANA 46032 PROCESSING CENTER
o
PO BOX 856680 CHECK NUMBER: 157973
LOUISVILLE KY 40285 -6680
CHECK DATE: 4/1/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESC RIPTION
902 4239099 4 08BO12022391 27.97 OTHER MISCELLANOUS
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720106
�wm 2/29/08 0813012U2239 1
#215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258
service.icemountain.com
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THU- MAY 15
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CARMEL REDEVELOPMENT COMMISION Customer Service: 1- 800 472 -9888
SHERRY MIELKE
111 W MAIN ST STE 140 Did you forget about us? Kindly pay upon receipt.
CARMEL IN 46032 -1905 Remember, past due accounts are subject to a late
I I III II I II I III II I fee. Your prompt payment is appreciated. For your
convenience, pay online:
icemountainwater.com /service. If payment has been
made, we thank you.
Happy Yea Start=your`2008 o #fWlth a spectalmlx anri match offerncases�ot our 70QmLSportB ttles anif ,r
Half I_itersl t_oa�on
WW service lcertountainwater com or�call 8110 472 9888 Otfe expires 2129108 a
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ACCOU ACTIVITY Pay your bill online at: service.icemountain.com or by phone at: 1 -800- 472 -9888. It's free!
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e ivery address: CARMEL REDEVELOPMEN I COMMISIUN, 11 T S I h 140, CARMEL IN 46032
PREVIOUS BALANCE 22.46
2/15 0551074917 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
2128 0553656315 1 LATE FEE 15.00
2/29 0554002733 1 OIL SURCHARGE 2.00
B5419312 RENT 3.99
TOTAL 50.43
A[:l: Ui) Rl l SUMMARY
°°E EA LAN I CE i':, 1 iY1l ivilvi 1UJTIYICiJ 1 CURRENT AC; T iVi T FAY T HIS A
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ubject to teens on reverse side. 22.46 .00 T 27.97 50.43
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 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 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
eve 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.
You are obligated to pay the parts of your bill that are not in question. �C 1�I� tza ASeae9 0 Your Account Number
AdOtlxr'rA1t�' oolool00
You do not have to pay the disputed amount while it is bring W Irt t��.S
investigated. During the investigation, we cannot report your account 123a5678
M Ha OR
as delinquent or lake any action to collect the amount in yucstiun. oN.ocr z9 Watch here for a
wLo- NOV
GENERAL INFORMATION lmportan>i personalized account
Mw"e. s ,.e90 <n.
1. payments are due upon receipt of invoice and should be mailed by p It „ttl ttt, dtlN ++'t „k1 Mwma° p,na�nr message
news and
the PAY BY date indicated on the invoice. s i a,em
offers ,28 Masi
2. Payrucnts received billing (INVOICE) tLtc will appear on cy.srnR
your next invoice.I tot I•aa. lk tl IL.LEk „I !Ill t.,n
3. Past due invoices (not paid within 30 days of billing date) maybe Pa electronicall
assessed a late fee as allowed by law not to exceed $20 per month. y
Additionally, third Y p y
y party collccuon /attorne expenses m be
assessed at a rate no[ to exceed 100 of the unpaid balance or the Make sure this
maximum allowable by law. Activity
AC CO UNT your v'TM l Main SUe<t Cn y,s amount has been
4. It is understood and agreed that each returned check is subject to a pg00° 99 paid in Full to
Y •U. n poe, l2 1199
service charge. The amount of this service charge is equivalent to last invoice eli+re�Y�tl'esr Joh a,AS avoid late fees
the maximum check return charge allowable in your Slate. p';,menr�TMnYTpu soon
p8111 48,x9 5 WI1on Wtu,al5prin4'Nate, .50 W
5. All bottle and equipment deposits are sfiuw❑ as CURRENT
11,9. Month/ oil surchar e
ACTIVITY. o n, weas+�^ s 'ice Maun,a�nssaia y g
n mes,4
x9, o�i suRn.ree
C. Equipment. replacement costs will be charged for battles lost. °sir 31l' 2.00 o up to 2.00 per
stolen, damaged or not returned. 09f 31 'sbpg97 se.a+ month in any month
7. In accordance with NWNA's Toms and Conditions "T &C your during which the
Equipment Lease and/or Service Agreement, account may be a: wrs monthly average price
subject to minimum monthly purchases and/or early cancellation e9V10Ey eYX.' iAY T
m c °Me »••R' se�"
99^ 9 b per barrel of oil is
fees. (A complete version of the T &C may be viewed on the e .,>7°uruuN
s.e
wcbsitc listed below. Upon on service discontinuation, rent for Payments,tub n e.a crOo"`, AMOUNT
UNT b reaterthan $50.00,
p,,,r..a�— PAY BY 'E
Leased Equipment is charged through the end or the billing cycle .w• A"a"TNUMSES 56. 0 as determined by the
p 1 A D
in which service is discontinued. E AU Biui New York Mercantile
INVOI CE NUMBER 00/99!°9 il
MT. ENCLOSE
R. Asa food product, bottled water is subject to the rules and Izenssoe Exchange
regulations promulgated by the Federal Food and Drug 19 00o39r °r9 2004
642 gn96307 au2B27126 ra
Administration (FDA). For further information, contact Ice Amount due
Mountain Spring Water Company or Nestle Waters North America Ionnv«
Inc. at the address shown above- iCE MO �NTP,�N `WATER COMPANN Gry, 51a,e 1 °0°W
9. Your first invoice includes the products delivered on your first Submit your
deliver along with any applicable bottle and account deposes, °R EVS.DMPR,LRyIrEVµLla� -.9aa„ a ment b. this
e .n tin e•,<,ys„
redemption fees, and any dispenser charges. All future invoices t,,, m, t ,d ..ut.,,aaaa „tin YSLee. 0 date y
will reflect charges far water delivered and dispenser rental,
bottle deposits and crcdie_s 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 509 09107
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
Tre Mow- 1 4. Purchase Order No.
lQo fox 43sColo Yo Terms
L&L "x l(c ky (fvZ 8S 66 Sa Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s)) n 1 Q
3Is O� 0 9 B0( OY 3Sx Wa tr
el. Ier 2 1
i
Total 2 `t 7
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
Zce IN SUM OF
35 6
Leov,,v, lle, k Y C4GZ Srs 042
Z7 7
ON ACCOUNT OF APPROPRIATION FOR
�'oZ� �lZ3�o94
Board Members
D PT°# INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
q&Z o %8&(z a-zz3,,2 1 4231*11 27. 17 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
3 20 G
Slgnatur
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund