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Home My WebLink About203890 11/21/2011 f CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CARMEL, INDIANA 46032 PROCESSING CENTER CHECK AMOUNT: $155.01 PO BOX 856680 CHECK NUMBER: 203890 LOUISVILLE KY 40285 -6680 CHECK DATE: 11/21/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4238900 01JO11782108 35.04 01JO117821082 2200 4239099 01JO12004852 10.97 01JO120048525 1125 4350900 01JO12009535 41.54 01JO120095351 1091 4350900 01JO12120276 49.86 01JO121202766 1205 4353099 01JO12177619 13.61 01JO121776199 920 4239099 01JO12220610 3.99 01JO122206105 service.icemountainwater.com 9D 215 6661 DIXIE HWY, SUITE 4 10/01/11 10/31/11 01 J0121776199 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED TUE- NOV 22 0121776199 TUE- DEC 06 THU- JAN 05 MON- FEB 06 CITY OF CARMEL HUMAN RESOURCES Customer Service: 1- 800 472 -9888 JIM SPELLBRING Thank you for choosing Ice Mountain Home Office 1 CIVIC SQ Delivery! We value your business. CARMEL IN 46032 -2584 w,..,�. �..+��A�,r.� +:s."$� %^pt ��§`^�.��':.3;.e��re� �t°¢4 @'.�:A..*.,.�ss._;�°, ��i�ad ".P &�i,�:a "v_.�Y.AE:r�d�" "3.�.45d�'�dR': aB"z:sa;3�e?�. Plow's the perfect time to tr�your San PellegrinoaSparkling 1= ruit�Beverages -the appeal of�a sparkling jgice and the indulgence of a premium soda. Available in Lemon and�Orarige. Enjoy $3 off per case. Call 1 800 °72 =9888 to add to your next orcJer! Exp. 1�2 1�31�11�1� ACCOUNT ACTIVITY Pay your bill online at: service. icemountainwater.com or by phone at: 1 -800-472-9888. It's free! B+ D Delivery address: CITY OF CARMEL, 1 CIVIC SQ, HUMAN RESOURCE DEPT, CARMEL IN 46032 PREVIOUS BALANCE 9.66 10/28 717345 PAYMENT -THANK YOU -9.66 10/24 0746735034 2 5 GAL ICE MOUNTAIN DIRK W /HANDLE 6.98 BOTTLE DEPOSIT: 2 CHARGED,- 2,CREDITED, .00 10/31 0748830155 1 OIL/FUEL SURCHARGE 2.64 J1594869 RENT 3.99 TOTAL 13.61 D Nu 21 2011 By ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 9.66 9.66 13.61 13.61 �.i YM 3'w'°'t mow!# BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL, OR FOR I Please remember payment is due by the "pay by" date noted to ensure the smoothest service. A REPORT ON WATER QUALITY AND INFORMATION, PLEASE 2 Remember, if you are renting equipment, your equipment rental is charged one month in advance. That means CALL 1 800 472.9888 OR WRITE US AT: your first invoice will include a pro rated fee for the current month, plus the next month's rental. ICE 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.icemountainwater.com 6661 DIXIE HWY., SUITE 4 LOUISVILLE, KY 40258 4. Never hesitate to call us with comments, questions, or concerns. If you think your bill is wrong, or if you need more information about a transaction on your bill, write 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 SAMPLE INVOICE telephone us, but doing so will not preserve your rights. In your letter, give us the following information: Your name, address, telephone and account numbers. Date range of this invoice The dollar amount of the suspected error. Describe the error and explain if you can, why you believe there is an error. You are obligated to pay the parts of your bill that are not in question. ,234567890 Your Account Number You do not have to pay the disputed amount while it is being r 00100100 00100100 r investigated. During the investigation, we cannot report your account Tz3456 as delinquent or take any action to collect the amount in question. ma ocr oa MDN -«T 29 Watch here for a WED NOV 2 GENERAL INFORMATION DEC 15 personalized account 1. Payments received after the billing INVOICE date will appear on Important Ym g PP Ivry„, 1{ i «atidtnbt��nna.�ahanp+��nttdaW c °,t«^•rs MOY ^u 00 a °1 0 message your next invoice. Past due invoices (not paid within 30 days of news and TNa^EY^"' 9 billing date) may be assessed a late fee as allowed by law not to offers 123 Mce St ^a aery °e3 exceed $20 per month. Additionally, third party collection/attomey cn state° i'dad.•d aL dl ab «il::4a t 61+! ta.a expenses may be assessed at a rate not to exceed 100% of the unpaid balance or the maximum allowed by law. r6 I Pay electronically ro y e rnEYi 2. Each returned check is subject to a service charge subject to the maximum check return charge allowable in your State. Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity amount has been ACTIVITY. since you A ccour+rArnwTY on c 5 uooao aid in full to MainStreeL Y tote ,9 4. Equipment replacement costs will be charged for bottles lost, 0,1Y YAdd'Q5 °n ^D°e. P last invoice stolen, damaged or not returned. Pre °a�� ^te 4 °s avoid late fees Pavmmt manxr so.00 5. In accordance with NWNA's Terms and Conditions "T &C your pBA, s Gallon Natural5p 9Water 000 Equipment Lease and/or Service A greement account m be 315 "`M n5G DeP^ Monthly Oil g Y m 3veesa444 s its M ^u ^swi y 091,1 3,IBBS, 4444 Fuel Surc °arge subject to minimum monthly purchases and/or early cancellation 2 3,a:6 Be ^t Surcharge, Fuel fees. (A complete version of the current T &C may be viewed on the s Surcharge or Delivery website listed below) Upon service discontinuation, rent for the oTAt Fee (see #6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. t°PatM NT o H Information 11 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or Deliver ee as described in our T &C. On one of these fees Pa ment stub ACC 'IT NT SUMMABY ry Y V Y x°r c. a PAY BY PAY THIS WO A UNT will apply to each account. The fee that applies to your account mwN n UNT NUMBE0. o j town 00 ,23 is stated on the front of the invoice. For further information please Nvoic 4561890 E oola0 NUMeEP BIWNC DATE N,T. ENCLOSED visit the website listed below or contact our customer service p p j ppj00 ,234567 center. la 7. As a food product, bottled water is subject to the rules and 0420096307 04262712619 000391049 2004 Amount due regulations promulgated by the Federal Food and Drug n ^Doe Administration (FDA). M•p bMnueN W R �C OMPANY CtY 5ia1PS`OOoo0 Submit your 8. Your first invoice indicates the products delivered on your first n Eoxru sTOME. :Emke<"` delivery, along with any applicable bottle and account deposits, payment by this I.d ➢MJda6.� IL 14'EI La L 6L4t,d�t sa. redemption fees, and any dispenser. charges. All future invoices m Pev °�rt4o• date will reflect charges for water delivered and dispenser rental, bottle s,GNwvoBTnee deposits and credits plus charges for any additional products ordered by you. Deliveries are made eygry three or four weeks, for a total of 16 -17 deliveries per year. You will only receive invoices 12 times per year, so approximately 5 of those invoices will reflect two deliveries. 2008 Ice Mountain Spring Water Company, a Division of Nestle Waters North America Inc. Form No. NW 709 t v08 service. icemountainwater.com 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)) 11/22/11 01 JO121776199 $13.61 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 Ice Mountain IN SUM OF PO Box 856680 Louisville, KY 40258 $13.61 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1205 01J0121776199 43- 530.99 $13.61 I 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 Wednesday, November 16, 2011 Director, Administration Title Cost distribution ledger classification if claim paid motor vehicle highway fund service.icemoentainwater.com 215 6661 DIXIE HWY SUITE 4 10/01/11 10/31/11 01JO122206105 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED MORNHIM II 1H 1111 fl I� I H �I� MOIV DEC 14 0122206105 TUE- DEC 06 THU- JAN 05 MON- FEB 06 CITY OF CARMEL ENGINEERING /1ST AVE Customer Service: 1- 800 472 -9888 KATIE NEVILLE Thank you for choosing Ice Mountain Home Office 1 CIVIC SQ Delivery! We value your business. CARMEL IN 46032 -2584 N iNow 's the„ perfect timeto try our San Pellegrino SparklingFr =uit Beverages: the appealof a sparkling juice and r, t mdulgenceof a premiumsoda..Avallablein Lemon�aniiOrange. En�oy$3 offper case Ca111= 800 -472 -9888' to add_oyourneXt order! Exp. 12t31�11 tt ACCOUNT ACTIVITY Pay your bill online at: service. icemountai nwater.com or by phone at: 1 -800-472-9888. It's free! Delivery address: CITY OF CARMEL ENGINEERING, 130 1ST AVE SW, CARMEL IN 46032 PREVIOUS BALANCE 28.79 10/28 717346 PAYMENT -THANK YOU -14.65 10/28 717347 PAYMENT -THANK YOU -10.15 10/31 J1592523 RENT 3.99 TOTAL 7.98 5� 78g-70 u► ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ ADJUSTMENT CURRENT`ACTIVITYY� L VP�THIS AMOUNT Subject to terms on reverse side. 28.79 24.80 3.99_ 7.98 BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL, OR FOR 1. Please remember payment is due by the "pay by" date noted to ensure the smoothest service. A REPORT ON WATER QUALITY AND INFORMATION, PLEASE 2. Remember, if you are renting equipment, your equipment rental is charged one month in advance. That means CALL 1 800 9888 OR WRITE US AT: your first invoice will include a pro rated fee for the current month, plus the next month's rental. ICE 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.icemountainwater.com 6661 DIXIE HWY., SUITE 4 LOUISVILLE, KY 40258 4. Never hesitate to call us with comments, questions, or concerns. If you think your bill is wrong, or if you need more information about a transaction on your bill, write us on a separate sheet of paper. We must hear from you in writing no later than thirty (30) days after we S AM PLE IN sent you the first bill on which the error or problem appeared. You can telephone us, but doing so will not preserve your rights. In your letter, give us the following information: Your name, address, telephone and account numbers. Date range of this invoice The dollar amount of the suspected error. Describe the error and explain if you can, why you believe there is an error. You are obligated to pay the parts of your bill that are not in question. *ate" 1z34s67 F.P. Your Account Number You do not have to pay the disputed amount while it is being I 00/00100 001 investigated. During the investigation, we cannot report your account ?t as delinquent or take any action to collect the amount in question. HR 00 a 123456 MDN -x 29 Watch here for a GENERAL INFORMATION W 6NDV 21 1DE -DEC ,B personalized account 1. Payments received after the billing (INVOICE) date will appear on Important VL[M.1Uaa4d !1141 »AIt41;i06adilp�hl»I1ddM c xMM °unu00 P raa "ae message your next invoice. Past due invoices (not paid within 30 days of news and TnanEywF °r °•'^a billing date) may be assessed a late fee as allowed by law not to offers iii St ane..m=a.. c 00000 exceed $20 per month. Additionally, third party collection/ attorney y s re I dat d •ay n a„dt „Lit u Mutt d "a expenses may be assessed at a rate not to exceed 100% of the unpaid balance or the maximum allowed by law.. Pay electronically 2. Each returned check is subject to a service charge subject to the, aa an«w%4 "°E; maximum check return charge allowable in your State. m Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity ACTIVITY. amount has been since your ACCOUNTAa 4. Equipment replacement costs will be charged for bottles lost pe;, Addresr, ohnDoe.R3ManStreet GtyState00000 paid in full to last invoice stolen, damaged or not returned. 42 5 avoid late fees Payment TlankYO SO W 5. In accordance with NWNA's Terms and Conditions "T &C your 0a 3, 46,B9B Gan °n Narvral SP ^9ry e s0o0 ui ment Lease and/or Service Agreement account may be IceM ^N� ^sGaID w• i� 9 P g Y 3 m 1 5 j 6 k M sw;e Monthly Oil E t7Ba5,a name subject to minimum monthly purchases and/or early cancellation wnn 3 3,B263BB„ Rams ±j„ Surcharge, Fuel fees. (A complete version of the current T &C may be viewed on the 09n2 '�jp 51 AO Surcharge or Delivery website listed below) Upon service discontinuation, rent for the TOTAL Fee (see #6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or ACCOUNT SUMMARY ar. So Information") 99 Delivery Fee as described in your T &C. Only one of these fees Payment stub .e =e IS rnY T AMOUNT will apply to each account. The fee that applies to your account „b,,,,,m Snw w,^•^` ACCOUNT NUMBER PAY BY l W OOt000 is stated on the front of the invoice. For further information please 1 234561890 BIDING DATE MT. ENCLOSED E BE oo/w10 I1J901C NUMR visit the website listed below or contact our customer service 3456789 center. 200° 16 7. As a food product, bottled water is subject to the rules and B42DO96107 09282712619 000391099 Amount due regulations promulgated by the Federal Food and Drug I ^hn DOe Administration (FDA). IeE MOUNrNNwATExo °M„°, 00000 8. Your first invoice indicates the products delivered on your first 0 �d ^N ppStm oERSFNICEULLI- 804472 -9888 Submit your delivery, along with any applicable bottle and account deposits, 9u.du.�a64a1 :R „µ.ttd,.a payment by this t.aaa d Co ^pre,. "5;ae. date redemption fees, and any dispenser charges. All future invoices w ^uPI�9 "jre°On will reflect charges for water delivered and dispenser rental, bottle :,GN0PF0RFRFEAm 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 reflect two deliveries. 2008 Ice Mountain Spring Water Company, a Division of Nestle Waters North America Inc. Form No. NW 709 11/08 service. icemountainwater.com 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 lee Mountain Direct Purchase Order No. NA PO Box 856680 Terms Louisville, KY 40258 -6680 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 11/06/11 01JO122206105 Keystone Reconstruction Project $3.99 Miscellaneous Project.07 -08 Total $3.99 I hereby certify that the attached invoice(s), or bills(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6. 20 Clerk- Treasurer VOUCHER N0, WARRANT NO. Ice Mountain Direct ALLOWED 20 PO Box 856680 IN THE SUM OF Louisville, KY 40258 -6680 3.99 PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members DEPT.# NA 01JO122206105 4239099 $3.99 NA I hereby certify that the attched 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 21 -Nov 20 11 Total $3.99 Signatur Cost distribution ledger classification if City En claim paid motor vehicle highway fund Title service.icemountainwater.com 215 6661 DIXIE HWY, SUITE 4 10/01/11 10/31/11 01JO120095351 0 LOUISVILLE KY 40258 0 B e ADDRESS SERVICE REQUESTED Em WED- 16 0120095351 DEC WED- DEC 21 MON- JAN 23 R WED- FEB 22 q Customer Service: 1 800 472 9888 CARMEL CLAY PARKS AND REC DEPT. Co� 1 AUDREY KOSTRZEWA 1 Credit Balance No payment required. Thank you! 1411 E 116TH ST CARMEL IN 46032 -3455 ��es a�� °S� „av",., ,K .a:�,,� 2°a �T'a,.��.s�.9?�'s °`�e §e a��e�s°`� .:°aa��'" a ve;`'��:�� c aa¢,.�a` r '�ae s�✓�° Nows the perfeet�time to try our San Pellegrino Sparkling Fruit Beverages the appeal of a sparkling juic and the indulgence of a premium soda. Available in f_emon and Orange. Enjoy $3 off per case. Gall 1 800 =4872 =9888 to a tl toffiyour "next order! Exp. 1 >2%316111 ACCOUNT ACTIVITY Pay your bill online at: service.icemountainwater.com or by phone at:1 -800 -472 -9888. It's free! B 8 b 8 Mull Delivery address: P CARMEL CLAY PARKS AND REC DEPT., 1427 E 116TH ST, CARMEL IN 46032 PREVIOUS BALANCE 1 67.18 10/09 610095 PAYMENT -THANK YOU Cam}. 2 2I(o2 123.04 10/18 0745836841 5 5 GAL ICE MOUNTAIN DIRK W /HANDLE �l(� ��,55 19.95 3 90Z PLASTIC UP 50C /SLEEVE 8.97 BOTTLE DEPOSIT: 5 CHARGED ,5 CREDITED aPPAApd .00 10/31 0748882297 1 OIL/FUEL SURCHARGE r. G2 2.64 J1616682 RENT 9.98 TOTAL Purchase n �Q�`1�1 T -14.32 Descriptio s P 0 W �01 r Budget Line Descr CUA-V savors 6#U Ct Purchaser Date Approval Date ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ ADJUSTMENT CURRENT ACTIVITY NO PAYMENT DUE Subject to terms on reverse side. 67.18 123.04 41.54 -14.32 A BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL, OR FOR I Please remember payment is due by the "pay by" date noted to ensure the smoothest service. A REPORT ON WATER QUALITY AND INFORMATION, PLEASE 2, Remember, if you are renting equipment, your equipment rental is charged one month in advance. That means CALL 1- 800472 -9888 OR WRITE US AT: your first invoice will include a pro -rated fee for the current month, plus the next month's rental. ICE 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.icemountainwater.com 6661 DIXIE HWY., SUITE 4 LOUISVILLE, KY 40258 4. Never hesitate to call us with comments, questions, or concerns. If you think your bill is wrong, or if you need more information about a transaction on your bill, write us on a separate sheet of paper. We must hear from you in writing no later than thirty (30) days after we SA IN VOICE sent you the first bill on which the error or problem appeared. You can telephone us, but doing so will not preserve your rights. In your letter, give us the following information: Your name, address, telephone and account numbers. Date range of this invoice The dollar amount of the suspected error. Describe the error and explain if you can, why you believe there is an error. You are obligated to a the arts of our bill that are not in q uestion. g p ay P Y q 90 You do not have to pay the disputed amount while it is being I oow 12345678 oioo.00to9ro9 Your Account Number investigated. During the investigation, we cannot report your account trig 1234567 e t as delinquent or take any action to collect the amount in question. Hn -00 MDN CG` 39 i Watch here for a NOV GENERAL INFORMATION WEP ruE OIL 71 IB personalized account 1. Payments received after the billing (INVOICE) date will appear on Important C Smce. g1 ;d(t141mII1hIdgU "ntFIN��M�'HddR e1800A]2 -9888 message your next invoice. Past due invoices (not paid within 30 days of news and It "a nEY °r billing date) may be assessed a late fee as allowed by law not to offers 123 WIN S i exceed $20 per month. Additionally, third party colleetion/anomey j expenses may be assessed at a rate not to exceed 100% of the unpaid balance or the maximum allowed by law. T r a Pay electronically 2. Each returned check is subject to a service charge subject to the a maximum check return charge allowable in your State. Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity Y. ACTIVITY amount has been ACTIVITY your ACCOUNT eet OH, Stam 00000 4. Equipment replacement costs will be charged for bottles lost, last invoice op1Verypdefe S. o '9 paid in full to stolen, damaged or not returned. Pie °4aB lame 4741 avoid late fees 5. In accordance with NWNA's Terms and Conditions T &C" our fi,999 Payment ThankY om ,f y 5 SGallon NawraIS p 9 -50.00 j 1 31780514aaa I<e MOUn6G IDepo 195 Equipment Lease and/or Service Agreement account may be 3 neas,u S sG IR 11.99 Monthly Oil subject to minimum monthly purchases and/or early cancellation g Surchar e, Fuel fees. (A complete version of the current T &C may be viewed on the Surcharge or Delivery website listed below) Upon service discontinuation, rent for the O AE Fee (see #6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or _O Information Delive Fee as described in our T &C. Onl one of these fees Pe ment Stub ACCOUNT SUMMARY 99 ry y y y PAY BY PAYTHISAMOUNT will apply to each account. The fee that applies to your account m ACCOUNT NUMBER 57. is stated on the front of the invoice. For further information please 1 67890 BIwNC DATE MT. ENCLOSED BE visit the website listed below or contact our customer service M ,SS789U 17345678 center. 7. As a food product, bottled water is subject to the rules and 0420096307 D42827 2611 000391949 Zoo" 1B Amount due regulations promulgated by the Federal Food and Drug pn DO Administration (FDA). ce MOUN aN wArEN °•MPmr" M s� e 0000 8. Your first invoice indicates the products delivered on your first "1 E Aa 800-0 79 6 Submit your delivery, along with any applicable bottle and account deposits, a ment b this redemption fees, and any Y P enser charges. redem dis ud ®'wd „ac «dL.du.d 6a .h "hh o rDM date y g All future invoices 9• "p Bea�,�6�Re�.,,ese will reflect charges for water delivered and dispenser rental, bottle SIGN �noPAY,sl 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 reflect two deliveries. 2008 Ice Mountain Spring Water Company, a Division of Nestle Waters North America Inc. Form No. NW 709 1 1/08 service.icemountainwater.com t, ��4 ^,v �'s w e; f: ,n x r�S.�t, *aT ��N ks�' q'': -rte a. 6�, x. �y �z ?-ar r, �t�. ..�.a *r4ir. ��!�a�� z.eR„• k`��?k>�+�1�� "*�S emu:- F_......,.. a -s 9"n �:�.5' _...r service.icemountainwater.com IF 215 6661 DIXIE HWY, SUITE 4 10/01/11 10/31/11 01J0121202766 LOUISVILLE KY 40258 g ADDRESS SERVICE REQUESTED e WED- DEC 21 �p 0121202766 WED- DEC 21 o W/ 6 WEED- FEB 22 CITY OF CARMEL PARKS DEPARTMENT ,u NOV 0 7 2011 Customer Service: 1 800 472 9888 MANDY SPADY YOUR ACCOUNT IS PAST DUE and is subject to 1411 E 116TH ST additional late fees. Water delivery service may be CARMEL IN 46032 -3455 D interrupted. Please make your payment today. For your III'll' 11111" 1111111' I' �IIII 'll'I'll'lllll "'I�III'I convenience, pay online: service.icemountainwater.com. If payment has been made, we thank you. Now's the perfect timerto try our San Pell gnno Sparkling Fruit Beverages -the appeal of a sparkling�u�ce andK the Indulgence of a pre'm in soda AvallabI in Lemon and Orange Enjoy $3 off per case. Call s= 800 472 =9888 h n e ACCOUNT ACTIVITY Pay your bill online at: service.icemountainwater.com or by phone at:1 -800 -472 -9888. It's free! mom Delivery address: CITY OF CARMEL PARKS DEPT /MONON CENTER, 1235 CENTRAL PARK DR EAST, CARMEL IN 46032 PREVIOUS BALANCE LOGS 0. PPLan-cl 1- 117.72 Wvc�r�rjj ac�'`t 10/18 0745836890 1 .5 L NATURAL SPRING WATER ICE MTN L- alt 5.99 3 9 OZ PLASTIC UP 50C /SLEEVE Vv LU 5.97 9 5 GAL ICE MOUNTAIN DRK W /HANDLE_ �y� 35.91 BOTTLE DEPOSIT: 9 CHARGED, 1,0 CREDITED, 1 wCuVe{t p -6.00 "Purchase I 11 I 10/25 0748124526 1 LATE FEE 15.00 Description w MC_C. 10/31 0749018867 1 OIUFUEL SURCHARGE P'O. l 2.00 J1697004 RENT P or F 5.99 G� 149f. 43509oo TOTAL a 182.58 Purchaser Date Approval Date PAY O VO/ lq ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT ADJUSTMENT CURRENT ACTI�/ITY PAY THIS AMOUNT 1 Subject to terms on reverse side. 117.72 0.00 ��'ds..►R..� 182.58 BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL, OR FOR l Please remember payment is due by the "pay by" date noted to ensure the smoothest service. A REPORT ON WATER QUALITY AND INFORMATION, PLEASE 2. Remember, if you are renting equipment, your equipment rental is charged one month in advance. That means CALL 1 -800- 472 -9888 OR WRITE US AT: your first invoice Will include a pro -rated fee for the current month, plus the next month's rental. ICE 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.icemountainwater.com 6661 DIXIE HWY., SUITE 4 LOUISVILLE, KY 40258 4. Never hesitate to call us with comments, questions, or concerns. If you think your bill is wrong, or if you need more information about a transaction on your bill, write us on a separate sheet of paper. We must hear from you in writing later than thirty (30) days after we SAMPLE INVOICE sent you the first bill on which the he error or problem appeared. You can telephone us, but doing so will not preserve your rights. In your letter, 11 give us the following information: Your name, address, telephone and account numbers. Date range of this invoice The dollar amount of the suspected error. Describe the error and explain if you can, why you believe there is an error. You are obligated to pay the parts of your bill that are not in question. You do not have to pay the disputed amount while it is being t 00100100-0o100IO0 123456789 1 Your Account Number investigated. During the investigation, we cannot report your account 123456789 as delinquent or take any action to collect the amount in question. TIB ocr a MUN -UR 29 Watch here for a wEo- NOV 7, GENERAL INFORMATION TME Mc 1. personalized account 1 g 72- °BBB 1. Payments received after the billing (INVOICE) date will appear on I m p ortant ItflNdtt „gLdUll I�tIP I INL:;•IN8 "NddN c8<' "mg s°^"" message your next invoice. Past due invoices (not paid within 30 days of news and 3 "E I sg billing date) may be assessed a late fee as allowed by law not to offers 23 M 11 s' e M I exceed $20 per month. Additionally, third party collection/attorney qty,stee Woo m tp "tf kp „u.t4,ushlaa rtk...� 1 "dpA "dN expenses may be assessed at a rate not to exceed 100% of the unpaid balance or the maximum allowed by law. y >r Pay electronically 2. Each returned check is subject to a service charge subject to the maximum check return charge allowable in your State. a 1 Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity ACTIVITY. since your AccouNT AOTrvm�• amount has been ui ment replacement costs will be charged for bottles lost, Add 1 "n "oce. ^s teelOry s,a'e000BB 4. E paid in full to 9 P P g Dervery n s9 last invoice stolen, damaged or not returned. °,Baw 2e5 avoid late fees y B Nri60"Nw %o 5. In accordance with N Equipment Terms and Conditions T &C" our pB/3, 463896 I ui ment Lease and/or Service A greement account may be s o v° q P g Y r„ 2809 6 M 9 B E I Monthly Oil 09„ subject to minimum monthly purchases and/or early cancellation o9n2 3 8 6 8 8„ se Is ,�1 1 Surcharge, Fuel fees. (A complete version of the current T &C may be viewed on the oil a Surcharge or Delivery website listed below) Upon service discontinuation, rent for the ToTAi Fee (See #6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. NB A< 1 .Ar,NI. s, 4n 's€ ....EM 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or .IAN 88 Information Delive ry Fee as described in your T&C. Onl y y one of these fees Payment stub ACCOUNTSUMMABV U pey THIS AMON PAY BY will apply to each account. The fee that applies to your account �a,�;,� n m,�,°°-on^^"" ACCOUMNUMBER w szw is stated on the front of the invoice. For further information please 1234562890 6wNG DATE MT. ENCLOSED INVOICE NUMBE0. ON00100 visit the website listed below or contact our customer service 123 4s67 690 center. product, D4aD0963e7 a426271261.9 000391049 2OD4 16 7. As a food roduct, bottled water is sub to the rules and Amount due regulations promulgated by the Federal Food and Drug s oh o« Administration (FDA). IUE FOUNTAIN WATER COMPANY 123 Main S' S. Your first invoice indicates the products delivered on your first Submit your 00. CUSTOMfB SEBVKE GLL,.B99- 02-98 p ayment b this delivery, along with any applicable bottle and account deposits, °e ,.�,us,B•. redemption fees, and any dispenser charges. All future invoices I "aal.a" dtMit 11 a 8 "4 8• 6 J�o•BM-K Si date y will reflect charges for water delivered and dispenser rental, bottle aEE4Ir0pAS�sg•op 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 reflect two deliveries. 2008 Ice Mountain Spring Water Company, a Division of Nestl6 Waters North America Inc. Form No. NW 709 11/08 O service. icemountainwater.com 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. 051125 Ice Mountain Terms P.O. Box 856680 Louisville, KY 40285 -6680 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 11/3/11 01JO120095351 Drinking water cooler- Maint 41.54 11/3/11 0110121202766 Drinking water cooler- MCC 49.86 Total 91.40 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. 051125 Ice Mountain Allowed 20 P.O. Box 856680 Louisville, KY 40285 -6680 In Sum of 91.40 ON ACCOUNT OF APPROPRIATION FOR 101 General 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 01JO120095351 4350900 41.54 1 hereby certify that the attached invoice(s), or 1091 0110121202766 4350900 49.86 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 17 -Nov 2011 Signature 91.40 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund service.icemountainwater.com o 215 6661 DIXIE HWY, SUITE 4 10/01/11 10/31/11 01JO120048525 p LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII TUE- 22 0120048525 DEC TUE- DEC 06 THU- JAN 05 MON- FEB 06 CITY OF CARMEL DEPT OF ENGINEERING Customer Service: 1 472 9888 LISA SCOTT OR JUDY STOHLER Thank you for choosing Ice Mountain Home Office 1 CIVIC SQ Delivery! We value your business. CARMEL IN 46032 -2584 I1�" II� I' I II ^;i..°' ga. u an w •`ea ,.x+"."3. a; .�v,... >a`"�t; -:�w ;:,?s;. Now'sthe perfect time `to try our SansRellegrino Spa�klingyFruit Beverages- the =appeal. of a sparking�uice arid;' the, indulgence of a premium soda. A�ailable�in Lemon and grez En�oy$3 off per case. Ca111= 80072 -9$88 t ar3dtoyaur r�xt crlerl `Exli.123 «1l1;1 a q ACCOUNT ACTIVITY Pay your bill online at: service.icemountainwater.com or by phone at: 1 -800-472-9888. It's free! Delivery address: CITY OF CARMEL, 1 CIVIC SO, CITY ENGINEERING DEPT, CARMEL IN 46032 PREVIOUS BALANCE 24.43 10/28 717349 PAYMENT -THANK YOU -24.43 10/24 0746734920 2 5 GAL ICE MOUNTAIN DIRK W /HANDLE 6.98 2 5 GALLON ICE MOUNTAIN „BOTTLE.DEPOSIT y 00 2 5 GALLON ICE MOUNTAIN 1 .00 10/31 J16 02255 RENT 3.99 f 9011160L MN 'ON wJo OU BOIJ2U1 WOO'JammuielunowaoreolA18s I d 4uoN sJaleM aµsaN fo uo..n t `AuedwoO Jalem 6uudS u!elunow aol 8002 OO 'sauan!lap oMl WUai 11!M SaaIOAUI asoyl Jo S Aplaumidde os `lead jad sau p Z SaaIOAT aAlaaal wo w/A nok uuaA jad SOUOAn3D I -o 1 rn 11 o BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL, OR FOR I. Please remember payment is due by the "pay by" date noted to ensure the smoothest service. A REPORT ON WATER QUALITY AND INFORMATION, PLEASE 2. Remember, if you are renting equipment, your equipment rental is charged one month in advance. That means CALL 1- 800-472-9888 OR WRITE Us AT: your first invoice will include a pro -rated fee for the current month, plus the next month's rental. ICE MOUNTAIN SPRING WATER CO. 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. 6661 DIXIE HWY., SUITE 4 If you prefer, you can pay your bill online at service.icemountainwater.com 6661 LOUISVILLE, KY 40258 4. Never hesitate to call us with comments, questions, or concerns. If you think your bill is wrong, or if you need more information about a transaction on your bill, write 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 SAMPLE INVOICE telephone us, but doing so will not preserve your rights. In your letter, give us the following information: Your name, address, telephone and account numbers. Date range of this invoice The dollar amount of the suspected error. Describe the error and explain if you can, why you believe there is an error. You are obligated to pay the parts of your bill that are not in question. You do not have to pay the disputed amount while it is being 00100100- 00100100 123456 Your Account Number investigated. During the investigation, we cannot report your account P lag i 1z3as6]s as delinquent or take any action to collect the amount in question. TNB aE t 00 25 1 Watch here for a WED -N(N 21 GENERAL INFORMATION DE -DEC 10 personalized account 1. Payments received after the billing (INVOICE) date will appear on Important IM�„, 1pnp1�dI114M�111641Uk °1L1N "N.+tiidd Curtw"et 5 BDD-a] message your next invoice. Past due invoices (not paid within 30 days of news and ma n EY°ulnt P billing date) may be assessed a late fee as allowed by law not to offers �i i3 s, "a aemeea. ermonth.Additional) third party collection/anorne cry "st "e 0000D exceed $20 P Y, P Y Y C 'a St, te� expenses may be assessed at a rate not to exceed 100% of the unpaid balance or the maximum allowed by law. „+Y° >'�+°"'"``t' Pay electronically 2. Each returned check is subject to a service charge subject to the maximum check return charge allowable in our State. g Y Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity Y. amount has been ACTIVITY. your ACC M ,,.99 Stare l 4. Equipment replacement costs will be charged for bottles lost, ce l;,,e, y Aaatees. "°O4 123 Main Street Oty, aid in full to P last invoice stolen, damaged or not returned. Wer; :BalaMe BAS avoid late fees Payment Thank YOU 50.0" 5. In accordance with NWNA's Terms and Conditions "T &C your Darn am09B s Soa ,w nNat °talsP""9 -50M Itl 31]8951 Maa ce MOUntan5Dal DZpos' Equipment Lease and/or Service Agreement account may be 3ne9s,+aa+ s eMOO "sw 2 1 I Monthly Oil subject to minimum monthly purchases and/or early cancellation p 185 15 u I r s Surcharg Fuel 09112 310363 3 F fees. (A complete version of the current T &C maybe viewed on the o9n: 166"°p91 sz40 Surcharge or Delivery website listed below) Upon service discontinuation, rent for the roTAE Fee (S¢¢ #6 Under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or ma Information') Delivery ee as described in our T &C. Only one of these fees P stub AccouNr suMM"ar 99 rY Y Y ap account PAY BY apply PP lie t Y p "�,we.°°.�"� A<COUNT NUMBEB W W 00 5].40 will a is stated on the front of the invoice. For further information please 123as6789. BIEUNC DATE MT. ENCLOSED �NypICE NUMBER visit the the website listed below or contact our customer service 123456]89 center, 7. AS a food product, bottled water IS subject IO the rules and 0y20096307 042✓!2]12619 ❑00391 2 Amount due regulations promulgated by the Federal Food and Drug Administration (FDA). ICE MoUNTNNWATERCo N A'Y K 123 Main" W Oty.st- Submit your 8. Your First invoice indicates the products delivered on your first pOBCURDMEBSERVICECA "100„'980 delivery, along with any applicable bottle and account deposits, at. »,tL.t1.6G "t° "61,44AA payment by this redemption fees, and any dispenser charges. All future invoices t S0 °.amcna°9eao "x�e"area_ date �wNUOCOarBeenuroPA +�.�g 0P"`° will reflect charges for water delivered and dispenser rental, bottle deposits and credits plus charges for any additional products —A—A 4....v... nPG.,o.;o° —4. o..o 16— fn t f 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. 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)) 11/03/11 011 Rent and Service October $10.97 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Ir_p Mountain IN SUM OF P.O. Box 856680 Louisville, KY 40285 -6680 $10.97 ON ACCOUNT OF APPROPRIATION FOR Department of Engineering Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the na materials or services itemized thereon for A nt 0120048525 which charge is made were ordered and received except 20 1 Sig ature Cost distribution ledger classification if Title claim paid motor vehicle highway fund service. icemountainwater.com D o 215 6661 DIXIE HWY, SUITE 4 p LOUISVILLE KY 40258 10/01/11 10/31/11 01J0117821082 g ADDRESS SERVICE REQUESTED TUE- NOV 15 �I��I��II��I 111T 1111 ��I�� N THU- DEC 15 0117821082 TUE- JAN 17 WED- FEB 15 Customer Service: 1 800 472 9888 CITY OF CARMEL STREET DEPATMENT Thank you for choosing Ice Mountain Home Office 3400 W 131 ST ST Delivery! We value your business. CARMEL IN 46074 -8267 Now's „theperfect tlmeao try ou .San Pellegrrno$parkingFrult Beverages the appeal. of a sparkhing Hulce °and' the indulgence of a premium soda: °Avallable m Lemon',and Orange. Enjoy "'$3 off per case Call 1-800472 to add to your�nextorderlEX Aw 1 Ir ACCOUNT ACTIVITY Pay your bill online at: service. icemou ntainwater.com or by phone at: 1 -800-472-9888. It's free! Ilk Delivery address: CITY OF CARMEL STREET DEPARTMENT, 3400 W 131TH ST, CARMEL IN 46074 PREVIOUS BALANCE 51.55 10/28 717344 PAYMENT -THANK YOU -51.55 10/17 0745528513 2 9 OZ PLASTIC UP 50C /SLEEVE 3.98 7 5 GAL ICE MOUNTAIN DRK_W /HANDLE 24.43 7 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 42.00 7 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -42.00 10/31 0748876083 1 OIL /FUEL SURCHARGE.'' 2.64 J1590484 RENT 3.99 TOTAL 35.04 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 51.55 51.55 35.04 35.04 BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL, OR FOR 1. Please remember payment is due by the "pay by" date noted to ensure the smoothest service. A REPORT ON WATER QUALITY AND INFORMATION, PLEASE 2. Remember, if you are renting equipment, your equipment rental is charged one month in advance. That means CALL 1- 800472 -9888 OR WRITE US AT: your first invoice will include a pro -rated fee for the current month, plus the next month's rental. ICE 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.ieemountainwater.com 6661 DIXIE HWY., SUITE 4 LOUISVILLE, KY 40258 4. Never hesitate to call us with comments, questions, or concerns. If you think your bill is wrong, or if you need more information about a transaction on your bill, write us on a separate sheet of paper. We must hear from you in writing no later than thirty (30) days after we SAMPLE INVOICE sent you the first bill on which the error or problem appeared. You can telephone us, but doing so will not preserve your rights. In your letter, give us the following information: Your name, address, telephone and account numbers. Date range of this invoice The dollar amount of the suspected error. Describe the error and explain if you can, why you believe there is an error. You are obligated to pay the parts of your bill that are not in question. You do not have to pay the disputed amount while it is being 00100/00- 00/00100 1234567690 Your Account Number investigated. During the investigation, we cannot report your account 12345678 as delinquent or take any action to collect the amount in question. TNB ocr oa MON -«T r9 Watch here for a WE6 N09 Z, GENERAL INFORMATION DE -DEC' personalized account I Bo o z.9BeB 1. Payments received after the billing (INVOICE) date will appear on I0/ P I I ILaa, m» ai�utl4L .�t111'4N4 °'IFitl.11��tldda c.stome s"�"` your next invoice. Past due invoices (not paid within 30 days of news and Tn.nE aea aaln9" message [ono ooe .na ,e„a.e.. billing date) may be assessed a late fee as allowed by law not to offers 1z3 Mae i exceed $20 p er month. Additionally, third a atrstate ao00o P Y p arty collection/attome Y J1,...14.d1.4tl 1.4441.J.p Y, expenses may be assessed at a rate not to exceed 100% of the :.aa,. s unpaid balance or the maximum allowed by law.'" afimw�r�^'A"` Pay electronically 4ou sa"31y mOrt. 2. Each returned check is subject to a service charge subject to the maximum check return charge allowable in your Stale. u 3. All bottle and equipment deposits are shown as CURRENT Activity �wu„.. -tea Make sure this amount has been ACTIVITY. since your A CCOUNT ACTIVITY 00000 ,l3MainSVeet OoeC ,5tate 4. Equipment replacement costs will be charged for bottles lost, last invoice a 0,1,Md" u .n.99 P aid in full t0 stolen, damaged or not returned. +L +s f avoid late fees payment ThankYau 3D.BO I 5. In accordance with NWNA's Terms and Conditions "T &C your +0'a 3GalbnNamral5Dnn9W 1 -so.0o Ill 31)805,4M+ 6 Equipment Lease and/or Service Agreement account may be nvees,as4+ 5 i ,,.99 Monthly Oil .1, 317866 3 subject to minimum month) urchases and/or earl cancellation °`'s rcna r 1 Y P Y a fees. (A complete version of the current T &C may be viewed on the 3,676 s6” Bent t..,. 3,.w Surcharge, Fuel o9 "r "b' Surcharge or Delivery website listed below) Upon service discontinuation, rent for the TOTAr Fee (s¢¢ #6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. eo.asN3 +0'^^'Y `aYTM" siw 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge m aO Information NT SUMMARY ACCOU Delivery Fee as described in your T &C. Only one of these fees Payment stub a. e .eo. K• Bp AMOUNT will apply to each account. The fee that applies to your account ,d,�,m�,t�Y�;P ACCOUNrNUM5'a 00 5j0 00 00 oB is stated on the front of the invoice. For further information please 23+561898 BIWNGDA E T ENCLOSED ,NyO,CE NUMBER 001001W visit the website listed below or contact our customer service 12us6rs90 center. 7. As a food product, bottled water is subject to the rules and 0420096307 04262712619 000391049 Zoo4 16 Amount due regulations promulgated by the Federal Food and Drug enn o"e Administration (FDA). ICE MOU aea„e MAIN WATE0.rOMA c 121 S' e Submit your 8. Your first invoice indicates the products delivered on your firs[ EDN COSfoMrB SEM'RE CALL' -006V3 -9888 delivery, along with any applicable bottle and account deposits, payment by this 6Ja4 .J.m...n. "d4,Jl.4a.4.4444a.a n`am on Bea�,ezae. redemption fees, and any dispenser charges. All future invoices s�GNOP oBVBEEamoaAnSm0o9 .Ba�•00^9a.e�.e date will reflect charges for water delivered and dispenser rental, 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 reflect two deliveries. 2008 Ice Mountain Spring Water Company, a Division of Nestl6 Waters North America Inc. Form No. NW 709 11/08 service. icemountainwater.com 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)) 11/22/11 01 JO 117821082 $35.04 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. WA NO. ALLOWED 20 Ice Mountain IN SUM OF P. O. Box 856680 Louisville, KY 40285 -6680 $35.04 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member 2201 01JO117821082 42- 389.00 $35.04 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 a /�Thursday Nov'ember 17, 2011 Street Commission er JIIGGi vv Title Cost distribution ledger classification if claim paid motor vehicle highway fund