156638 02/21/2008 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1
ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER
CARMEL, INDIANA 46032 Pr�oca= ssiNGCENrErz CHECK AMOUNT: $12.66
Po Box 856680 CHECK NUMBER: 156638
LOUISVILLE KY 40285 -6660
CHECK DATE: 2/21/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4353099 08AO12009535 12.66 OTHER RENTAL LEASES
I
�y.
kR MOUNTo" 720106 r,_ _w
1/31108 08A0120095351
@9%
#215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258_ Al
sor vice. icemountain.com
I M II E WED- FEB 20 0120095351
III IM III I III H NI11111 HII I IMHNIHMI THU- MAR 20
FRI- APR 18
#BWNNVVYR MON MAY 19
#0400001200953515#
CITY OF CARMEL PARKS DEPARTMEN Customer Service. 1 -800- 472 -9888
AUDREY KOSTRZEWA
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
fee. Your prompt payment is appreciated. For your
convenience, pay online:
icemountainwater.com/service. If payment has been
made, we thank you.
p d lappy CderYearl Sfart our 2aQ8off wltspclal mmmmm XRand matchwoffer on,cases. ofour 7pOmL Sport Bot #lesssssand
Haft itersRog onta'www sermce rcemountalnwa #er com or call 00� 472 9888 .Offer`exres 2!29108
a J t a r x a q �"'u n I s r y t^
4 �t."';`"�",...,. ";`u.`"°'aY- e w._va;'°�,�.
ACCOUNT ACTIVITY Pay your bill online at: service.Eoemountain.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 58.66
1/28 382929 PAYMENT- THANK'YOU -45.32
1 18 0546973231 1 5 GAL ICE IMOUNTAIN DRKI wHANDLE F,
I ZD 3 .00
1 9 OZ PLASTIC UP 50C /SLEEVE 2.69
BOTTLE DEPOSIT: 2 DELIVERED, 3 RETURNE F 2008 -6.00
1/24 0548389949 1 LATE FEE 15.00
1131 0549712313 1 OIL SURCHAR 2.00
A5238473 RENT I 9.98
TOTAL 41.00
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENTIADJUSTMENT+ CURRENT ACTIVITY PAY THIS AMOUNT
�biect to terms on reverse side. 58.66 45.32 27.66 41.00
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
1f 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) (lay's after
we sent you the first bill on which the error or problem appeared. You
can tclephonc us, but doing so will not pmscrvc your rights. In your
letter, give as the following information:
Elate range of this invoice
Your name, address, telephone and account numbers.
The dollar amount of the suspected error.
Describe the error and explain ifyou can, why you believe there is
an error.
You arc obligated to a olllovlvG vvlooloo the arts of our bill that are not in question- f r z3 as67a9 0 Your Account Number
�p
You do not to pay the disputed amount while it is being ICE Mourrr�r�
investigated. During the investigation, we cannot report your account I Fria 123456 89
as delinquent or lake any action to collect the amount it) question. Yt ter
Watch here for a
WE4 N0 21
GENERAL INFORMATION NE EG l6 personalized account
Important c�. s• "P1' "800- message
I. Pay cut,, arc tlua upon receipt of invoice and sh ould be mailed by news and 1616.. 111., 111.,[ IIiIL�dtE66t66 „.ikVa.�IV „6,k,11V Tna.L V ^�tpf °al "e MO��
the PAY BY date indicated on lire invoice.
Maln St
2. Payments received after bid offers 12r
billing {INVOICE) date will appear on cl,y, 1t �p
your next invoices d,..61,W..hat
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 S20 per month.
smue.,neica'e a@lY atmua.an G
Additionally, third party collection /attorney expenses may be
assessed at a rate not to exceed 100% of the unpaid balance or the p Make Sure thin
Activity
maximum allowable by law. M� amount has been
ITY OUr pccouNl'Arnv
since
4. It is understood and agreed that each returned check is subject to u s y ,n9 Ma os++t Cle85u p°p00 u99 aid in full to
service charge. The amount of this service charge is equivalent to last in p vela LAI avoid late fees
the maximum check return charge allowable in your State. finuv
{19!51 a9,998 SGallon Na[v�al Sptin9Wate+ 5000
S. All bottle and equipment deposits are shown as CURRENT
ACTIVITY }t,995�4"a t,?9 Monthly oil surcharge
Ile Noo�m�n sGalnnoro
wm 1nU ou s
6. Equipment replacement costs will be charged for bottles lost, v sni ner�M" A,,,, Of up t0 $2.00 per
stolen, damaged or not returned. lerr+a9, 56aa y
month in an month
7. In accordance with NWNA'sTerms and Conditions "T &C°'), your TOTAL during which the
Equipment Lease and/or Service Agreement, account may be pu.+ monthly average price
subject to minimum monthly purchases and/or curly cancellation s°"
fees. (A complete version of the T &C may be viewed on the MARY e�T +gu�""'S�am�
49
per barrel of oil is
pCCEruNTSUMM reater than $50.00,
nw wa •n m EO
wcbsitc listed below.) Upon service discontinuation, rent for Payment stub cAYrms nMOUNT g
Leased Equipment 15 charged through the end of the billing cycle r°"P�"""� ACCOUNrNUM6ER PA BY s6�1^ as determined by the
e
pe OOIeO
In which service It discontinued, {,,o569890 81cu C,ATE MT. ENCLOSED New York Mercantile
,N VOICE NIM9EF
S. As a food product, bottled water is subject to the rules and ,2)45699 Exchange
regulations pror igated by the Federal Food and Drug avv391aV 2pp4 16
Administration (FDA). For further information, contact Ice 61agp963 134eazvsz Amount due
Mountain Spring Water Company or Nestle Waters North America”
Inc. at the address shown above. IcEMOVrNp�NwaTEecoMrnN; >?ys�ates`„�v
9. Your first Invoice includes the pmducts delivered on your first .pM•�«a"""'°'" Snbmit your
redemption fees, and any dispenser charges. All future d ep os its, son evs•oMen sEmncc esu l- "p88a payment by this
dchvery, along with any applicable bottle and account d�p
E „aaaa 6.n P
L��61,1,,.1 „III” ,ao °awn,. s. m date
rl swx aEe Wroc•vlz9n upw'
will reflect charges for water delivered and dispenser rental, ,J
bottle deposits and credits plus charges for any additional products
ordered by you. Deliveries are made cvcry three or four weeks, for
a total of I6 -17 dclivereS per year. 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 Nestle Waters North America Inc. Form No. NW 509 09107
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 0 Box 856680 Date Due
Louisville, KY 40285 -6680
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/5108 08AO120095351 Drinking Water Service 27.66
Total 27.66
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 O Box 856680
Louisville, KY 40285 -6680
In Sum of
-S'1~
o
ON ACCOUNT OF APPROPRIATION FOR
101 General
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 08AO120095351 4353099 I hereby certify that the attached invoice(s), or
1c7 t2 6 bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
18 -Feb 2008
SignAtureP
27.66 Business Services Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund