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169010 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CARMEL, INDIANA 46032 PROCESSING CENTER CHECK AMOUNT: $188.84 PO BOX 856680 o CHECK NUMBER: 169010 LOUISVILLE KY 40285 -6680 CHECK DATE: 211712009 DEPARTMENT ACC OUNT P O NUMBER IN VOICE NUMBER AMOUNT DESCRIPTION 2201 4238900 0117821082 40.17 OTHER MAINT SUPPLIES 2200 4239099 0120048525 k23.93 OTHER MISCELLANOUS 1125 4353099 0120095351. 37.15 OTHER RENTAL LEASES 902 4348500 0120223912 23.28 WATER SEWER 1047 4353099 0121202766 4.91 OTHER RENTAL LEASES X205 4239099 0121776199 16.69 OTHER MISCELLANOUS 1701 4239099 7220327048 112.71 OTHER MISCELLANOUS 720106 L 1/01/09 1/31/09 09AO120095351 #215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40256 service.icemountain.com 0 e MON- FEB 23 0120095351 III IIIIIII III IIIIIIIIIIIIII III II IIII MON- MAR 23 TUE- APR 21 #BWNNWYR WED- MAY 20 #0400001200953515# CARMEL CLAY PARKS AND REC DEPT 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. Enjoy special savings! Save $3 /case on 700ml- Sport Top Bottles. Also; add a little flavor to your delivery, save $21box on Nestea Flavored Tea Sticks. Offer limited to 6 of each per delivery, expires 2/27/09. More info. go to service. icemountainwater.com or call 800 472 -9 888 e I i ACCOUNT ACTIVITY Pay your bill online at: service. icemountain.com or by phone at: 1- 800- 472 -9888. Its freeP Delivery address: P CARMEL CLAY PARKS AND REC DE, 1427 E 116TH ST, CARMEL IN 46032 PREVIOUS BALANCE 31.45 1/22 0602986879 4 5 GAL ICE MOUNTAIN DRK W /HANDLE 15.96 3 9 OZ PLASTIC UP 50C /SLEEVE 8.97 BOTTLE DEPOSIT: 4 DELIVERED, 4 RETURNED .00 1/31 0605414648 1 OIL /FUEL SURCHARGE 2.24 A6950236 RENT 9.98 TOTAL 68.60 ACCOUNT SUMMARY PREVIOUS BALANCE PAYlVIENT!AD.lUST RENT CURRENT- -.^.�TIVITY PAY THIS AMOUNT �ubject to terms on reverse side. I 31.45 .00 37.15 2 68.60 BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER IN CASE OF ERRORS OR QUE'S'TIONS 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 4729888 OR WRITE US Al first invoice will include a pro -rated fee for the current month, plus the next month's rental. ICE (MOUNTAIN SPRINC 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 IIWY., SUITE 4 LOUISVILLE. KY 40255 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 (3 days after w SAMPLE INVOICE sent you the first bill on which the he a p p eared. error or problem prtred. You ca n 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. -a )'oil are obligated to pay the parts of your bill that are not in question. 3z 34se]69 0 Your Account Number You do not have to pay the disputed amount while it is being t E0100100 00,00,10 investigated During the investigation, we cannot report your account 2 3456]89 as delinquent or take any action to collect the amount in question. reR oc, 04 WED 29 Watch here for a GENERAL INFORMATION WED N1Y 21 r "E -1EC 1e personalized account 1. Payments received after the billing (INVOICE) date will appear on Important 9809 n, n„ du, au„ uuta ,,,nll,l,ua,,,,lllll „II „u•I,w c +1� message your next invoice. Past due invoices (not paid within 30 days of news and Thank you3oru ^9kaMwn °I ^pr"du billing date) may be assessed a late fee as allowed by law not to offers CID M-11 s ntl servkn. exceed S20 per month. Additionally, third party collection/attorney c "y's`a`e 00000 b „AI.,1I J expenses may be assessed at a rate not to exceed 100% of the unpaid balance or the maximum allowed by law. Pay electronically n�ldvt^Bp^ 2. Each returned check Is subject to a service charge subject to the rte. om.v ,�pl} v ar°a:rKS;.wtle tr^mp9 .A.ae•aMma`w maximum check return charge allowable in your State- Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity ACTIVITY. J., m„,,,„ amount has been since your ACCOUNT A�r1y S C y5u a 000 4. Equipment re replacement costs will be charged for bottles lost. n r yAaaea +�mnn0pe 123 paid in full to p g last invoice "99 stolen, damaged or not returned. o,9alana 4 avoid late fees y our 5. In accordance with NWNA's Terms and Conditions T &C” aarm• 1-1 1p p,ing a 1-1 08131 46,898 5 SGallon 1 31)805'4444 Ice Mountain 5 Gal Deposit 2.96 Equipment Lease and/or Service Agreement account may be 91 3 „e9514+44 s ICBM ^sG,IRe 11.99 Monthly Oil 09111 31,80514444 Fuel6u�<hal9e subject to minimum monthly purchases and/or early cancellation rte Surcharge, Fuel 09112 31PJ63891, fees. (A complete version of the current TRC may be viewed on the ov,] 166 51 a0 Surcharge or Delivery websitc listed below) Upon service discontinuation. rent for the rorAE Fee (see #6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. "T TM" "5;40 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or Information L qq 99 Delivery Fee as described in your TfiC. Only one of these fees Payment stu ACCOUNT SUMMARY .mu m•o°u ppy THIT AMOUm n .r. mill apply to each account. The fee that applies to your account mow n -�i� AC COUNT NUMBER 'Ay Rx 00 5'. 90100 is stated on the front of the invoice. For further information please 133456)890 .1, -DATE MT. ENCIOSEo tovOICE NUMBER OO,WIW visit the website listed below or contact -our customer service 1]3456]890 CCIttCr. 19 000391019 210' 16 7. Asa food product bottled water is subject to thC�..�u 042009631] 09262]126 es and Amount due regulations promulgated lIy 'the Fedcral Food and Drug 1 hn— Administration (FDA). 123 Maln st 0. ICE MOUNTAIN WATER COMPANY e 00000 •pa:,;mdNneewrteo NOn S. Your first invo i ndicates the products delivered on your first Submit your wR<onoMER SEm,a uu,9o^.,Ja99a delivery, along with any applicable bottle and account deposits, P y a ment by this redemption fees. and any dispenser charges. All future invoices date yGn, Op FOR FPEE U1rOPne'Sy "URettu 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 Nestle Waters North America Inc. Form No. NW 709 5/08 d �iuii'[1w 9r�1�H�i alaia0279;� #215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 service.icemountain.com M MON- FEB 23 0121202766 III IIII I IIII III I IIIII I� III IIII III II III II II MON- MAR 23 TUE- APR 21 #BWNNWYR WED-MAY 20 #0400001212027662# CITY OF CARMEL PARKS DEPARTMEN Customer Service: 1- 800 472 -9888 MANDY SPADY 1411 E 116TH ST Did you forget about us? Kindly pay upon receipt. CARMEL IN 46032 -3456 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. Enjoy special savings? Save $3 /case on 700mL Sport Top Bottles. Also, add a little flavor to your delivery, save $2/box on Nestea Flavored Tea Sticks. Offer limited to 6 of each per delivery, expires 2/27/09. More info. go to service.icemountafn ter,.q or call _8iDW2z! 8W8.. ACCOUNT ACTIVITY Pay your bill online at: service. icemountain.com or by phone at: 1-800-472-9888. It's free! Delivery address: C!*Y OF CARMEL PARKS DEPT/MONO, 1235 CENTRAL PARK DR EAST, CARMEL IN 46032 PREVIOUS BALANCE 42.91 1/22 0602986929 6 5 GAL ICE MOUNTAIN DRK W /HANDLE 23.94 2 9 OZ PLASTIC UP 5OC /SLEEVE 5.98 BOTTLE DEPOSIT: 6 DELIVERED, 6 RETURNE .00 1/31 0605431485 1 OIL /FUEL SURCHARGE .00 A7022238 RENT 4.99 TOTAL /c 77.82 ACCOUNT SUMMARY BALANCE FAYMENT /ADJUSTMENT+ CURRENT ACTIVITY PAY THIS AMOUNT 11TSi ihiant to farms nn ravama c,HA r .00 34. 77.82 BILLING RIGHTS SUMMARY YOUR INVOICE 4 NAYS TO HELP US SERVE YOU BETTER INCASE 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 I -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. ICI: MOUNTAIN SPRINC 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 KIWI'.. SUITE 4 LOUISVILLE, KY 40253 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 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 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 all error. You are obligated to pay the parts ofyour bill that are not in question. nz3as67R9 Your Account Number You do not have to pay the disputed amount while it is being f oot00100- 0 investigated Durin the investigation. we cannot report your account 1 34567 as delinquent or take any action to collect the amount in question. c, 29 Watch here for a GENERAL INFORMATION TCE DEC w DEC 10. personalized account I. payments received after the billing (INVOICE) date will appear on Important n. 11., du„ nl „nN.l „ata,l,aa,,,,ala „II „a,l,pl c0 >10mnse "ia:l.elw an9aR MW ^1 .1 ,.oaR•1. message your next invoice. past due invoices (not paid within 30 days of news and m, ^RYW +pfo billing date) may he assessed it late fee as allowed by law not to offers 323 r. +am sE exceed S20 per month. Additionally, third party collection /attorney ci,,s to 00000 n,,,al.,el „I expenses may be assessed at a rate not to exceed 100% of the :e usnle sa unpaid balance or the maximum allowed by law. ,°y, a y�,a Pay electronically 2. Each returned check is subject to a service charge subject to the fta a o 9dx`s nd a, nnaximunn check return charge allowable in your State. I "R Make sure this 3. All bottle and i a u ment deposits are shown as CURRENT Activit q E E paid in full to Aa-.-- Nr �,e R •m amount has been ACTIVITY. since 'our ouArnvlry 0°°° y mn p u?9 4. Equipment replacement costs will be charged for bottles lost, o r�rvAaa 123 S1,ec1 un.vale -1245 last im'oice stolen, damaged or not returned m0saa "Me az4s avoid late fees VaYme^t- TM1ankYw 50.00 5. In accordance with NWNA's Terms and Conditions "T &C). your oar31 a6,R9R 5 scauo�l+a,V,al soa ^9 wd1ef s0.m III 31788514--4 Ice Mountain SGal pep95n Equipment Lease and /or Service Agreement account may be 3178851 s amsealRewlo ,1.99 Monthly Oil subject to minimum monthly purchases and /or early cancellation o3m 111mll 44° IF s«w p9112 318163No Qp01 Surchar g e, Fuel fees. (A complete version of the current T &C may be viewed on the 09n2 'gyp 7 s>.4o 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. ,A,-1sAM0o1.T Information 6. You will be charged a monthh• Oil Surcharge. Fuel Surcharge or °A1"" 9 a Delivery Fee as described in your T &C. Only one of these fees Payment stub ACCOUM SUMMARY yK99W RAY will apph• to each account. The fee that applies to vour account eccouNr NuMRuR PAY RV Te'sO MOUNT 3,4M n °M1+ aoloolDR is stated on the front of the invoice. For further information please u34s67R90 RRUI4c DATE Mr. ENaoseo INVOICE NUMBER wJw1w visit the website listed below or contact our customer service 1235679 center. 16 7. As a food product. bottled water is subject to the, rules and 0420096301 0428 2112619 000391049 2004 Amount due regulations promulgated by the Federal Food and Drug roM1 Doe Su Administration (FDA). ICEMOUNTAIN WATER COnIRANV 123 Main St y' w c1Y.s1a1e 00000 t your 8. Your first invoice indicates the products delivered on your first C.cusTOMER5ERVICE CALL 3- 800471 -980.8 delivery, along with any applicable bottle and account,.deposits, payment by this L,. „a.,nh.,.,n,,.,u, „weal „t.,aa,la,a„a ,usa. RnmA�YCm�9no °*`w•. redemption fees, and any dispenser charges. All future invoices ,REE,as,o°,rsg„u,RroO�.�o�R�,. date will reflect charges for water delivered and dispenser rental. bottle sue 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 5/08 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms 051125 Ice Mountain P.O. box 856680 Louisville, KY 40285 -6680 Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 37.15 2/4/09 09AO120095351 Water cooler lease 34.91 2/4/09 09A0121202766 Water cooler lease Total 72.06 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 72.06 ON ACCOUNT OF APPROPRIATION FOR 101 General 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 09AO120095351 4353099 37.15 1 hereby certify that the attached invoice(s), or 1047 09AO121202766 4353099 34.91 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 13 -Feb 2009 Signature 72.06 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund a 720106 1 R R 1/01/09 1/31/09 09AO120223912 #215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 e service. icemo u ntai n.com THU- FEB 19 0120223912 III IIII III I III II II III III I IIII III II IIII I II THU- MAR 19 FRI- APR 17 #BVVNNWYR MON- MAY 18 #0400001202239129# CARMEL REDEVELOPMENT COMMISION Customer Service: 1- 800 472 -9888 SHERRY MIELKE 111 W MAIN ST STE 140 Thank you for choosing Ice Mountain Home Office CARMEL IN 46032 -1905 Delivery! We value your business. Enjoy special savingsl Save $3 /case on 700mL Sport Top Bottles. Also, add a little flavor to your delivery, save $2/ ox ors Nestea Flavored Tea Sticks. Offer limited to 6 of each per delivery, expires 2/27/09. More info. go to service.icemountainwat__er.com or,ca11800- 2- 9888._ ACCOUNT ACTIVITY Pay your bill online at: service.icemountain.com or by phone at: 1 -800- 472 -9888. Its free! Delivery address: CARMEL REDEVELOPMENT COMMISION, 111 W MAIN ST STE 140, CARMEL IN 46032 PREVIOUS BALANCE -2.91 1120 0602577504 3 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -18.00 4 5 GAL ICE MOUNTAIN DRK W /HANDLE 13.96 4 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 24.00 1/31 0605451822 1 OIL /FUEL SURCHARGE 2.24 A6989490 RENT 3.99 TOTAL 23.28 I ACCOUNT SUMMARY I PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT �blect to terms on reverse side. 2.91 .00 T 26.19 23.28 BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER IN CAST: 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- 472 -9888 OR WRITE US Ar: your first invoice will include a pro -rated fee for the current month, plus the next month's rental. ICE MOUNTAIN SPRING NA•I'ER CO. 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. U216 If you prefer, you can pay your bill online at service.icemountain.com. 6661 DIXIE I1WY.. 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 SAM I NVOIC E 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 or 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. 3z 3asb�s 90 Your Account Number You do not have to pay the disputed amount while it is being 00100100 00100100 investigated. During the investigation, we cannot report your account 133456 as delinquent or take any action to collect the amount in question. P 00 oa .ON DET 29 Watch here for a GENERAL INFORMATION wED.NDYZI T1E personalized account I. Payments received after the billing (INVOICE) date will appear on Important ILIh�•IIL. 116• IIIILI „,IIII•hIIIL•,•IIIIhAI•d66p1 cunana Semen v epp.4)D9888 message your next invoice Past due invoices (not paid within 30 days of news and m I,y— ui 1 Ne Mnunum P•oa billing date) may be assessed a late fee as allowed by law not to offers 1 123 M-1 s, na aemm. exceed S20 per month. Additionally, third party collection /attorney chr's"te 000w I. IIII•. 1. .III•.••11.,.IItl,•I,II „I. „1,1,1.1 „1 „11 expenses may be assessed at a rate not to exceed 100% of the unpaid balance or the maximum allowed by law. r T o��, 6 Y °n•a�r E 'su�„` r Pay eleetronicall)' pm. Y"0 can dlec S ntl much. m;rth et 2. Each returned check is subject to a service charge subject to the se mo4 r- wmewraa�"` maximum check return charge allowable in your State. Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity 1 "d r ACl' since our ACCOUNT ACTNnY P amount has been Gry.Rate Oppp 4. Equipment replacement costs will be charged for bottles lost. last invoice Y n i ,Aaa,ess )ohnDU.,z3M 6 IT99 paid In full t0 stolen, damaged or not returned. Prevl” ,6alanee 5 avoid late fees Pavme ^e Thanxmu son 5. In accordance with NWNA's Terms and Conditions "T &C your obm 46,e9e sGalwn Naw,al sP n9 Wa,° -50M 91,1 31I005 5 4e Mountain SGal OePmle Equipment Lease and /or Service Agreement account may be r„ 3 lee M9"n,a;nswlae,"m „99 Monthly Oil 11 31TBP51aam 5 Penl SUicha�9e Subject to minimum monthly purchases and /or early cancellation pg„ 2 31PZ63PPn Surcharge, Fuel fees. (A complete version of the current T &C may be viewed on the 0v.: S Surcharge or Delivery website listed below) Upon service discontinuation, rent for the TorAE 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 ,,w, 9s 1 Information Deliver Fee as described ill our T &C. Only one of these fees Pay ment stub ACCOUNT SUMMARY W Y Y our o,c- ea +�e PAY T57, AMOUNT u PAY BY Twill apply to each account. The fee that applies to your account •e•K AccWw NUMBE0. s� is stated on the front oflhe invoice. For further information please •••pi11N� 1234567890 g,�NGIDATE MT. ENclosEo INyO NUM6E0. visit th IC, WI00100 e website listed below or contact our customer service ,23456)8 center. P I 0420096307 04282712619 000391049 2114 3e 7. As a food p bottled water is sub to the rules and Amount due regulations promulgated by the Federal Food and Drug oh Administration (FDA). ICE MOUNTAIN WAtE P K. Y '1 1` G1DW Submit VOUr R. Your first invoice indicates the products delivered on your first ""e delivery, along with any applicable bottle and account deposits. "`mT OME0.5EPY¢E �A °0°" 29sa a ment by this redemption fees, and any dispenser charges. All future invoices 6,•nt.6..t.•al•••••n ^•.11.,11 I11.,1�..hLIA.,1.,11 ❑,,,,,`a.n, mnge*°^�",•x P Y °n M•x�• date will reflect charges for water delivered and dispenser rental. bottle sl °P 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 deliverics. 2008 Ice Mountain Spring Water Company, a Division of Nestle Waters North America Inc. Form No. NW 709 5/08 Se 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. /�y ,L Payee Purchase Order No. Terms �-U Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 0 9 0,0 0,2� t;7- Total .2 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 `fo2�S -C,��a 2 ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or c IO 2 o9l9G /2o2.�5( y3��soG 23.28 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 �b 3� 2004 Signature c Cost distribution ledger classification if Title claim paid motor vehicle highway fund D 720106 ®0 1/01/09 1/31/09 09A0120048525 #215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 service.icemountain.com THU- FEB 19 0120048525 III IIII III I IIII II II III II III II III II II THU- MAR 19 FRI- APR 17 #BWNNWYR MON- MAY 18 #0400001200485252# CITY OF CARMEL DEPT OF ENGINEE Customer Service: 1- 800 472 -9888 LISA SCOTT OR JUDY STOHLER 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.com /service. If payment has been made, we thank you. Enjoy special savings! Save $3 /case on 700mL Sport Top Bottles. Also, add a little flavor to your delivery, save $2/box on Nestea Flavored Tea Sticks. Offer limited to 6 of each per delivery, expires 2/27/09. More info. go to service.icemountainwater.com or call 800 -472 -9888. 0 A ACTIVITY Pay your bill online at: service. icemountain.com or by phone at: 1 -800- 472 -9888. Its free! Delivery address: CITY OF CARMEL TOWN RTLL ENGIN, 1 6032 PREVIOUS BALANCE 21.44 1120 0602577488 4 5 GAL ICE MOUNTAIN DRK W /HANDLE 13.96 4 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00 4 5 GALLON ICE MOUNTAIN DEPOSIT RETURN .00 2 9 OZ PLASTIC UP 50C /SLEEVE ��273�4 5.98 1/31 A6937104 RENT 3.99 TOTAL 45.37 G� *W�0 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT CURRENT— ACTI1;ITY PAY THIS AMOUNT �ubject to terms on reverse side. 21.44 .00 v 3.93 45.37 BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR 131LI_ 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 INFORS'IATION. PLEASE 2. Remember, if you are renting equipment, your equipment rental is charged one month in advance. That means CALL 1 -800- 472 -9889 OR WRITE US AT: your first invoice will include a pro -rated fee for the current month, plus the next month's rental. ICE,1IOUNTAIN 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 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 its on a separate sheet of paper. We mist hear from you in writing error 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. give us the following information: four 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. a 5. Your Account Number You do not have to pay the disputed amount while it is being 00100100 Wool, investigated. During the investigation. we cannot report your account as delinquent or take any action to collect the amount in question. mR .11 a Tz14 M oN -ter ,9 Watch here for a GENERAL INFORMATION WE NDY DEE IB personalized account L Payments received after the billing (INVOICE) date will appear on Important 11.11 IIL, IIL. 3- Boo <n -9808 ,,..,,llll,l,llll,,,,lrp „11 „161,111 a ^nomn xNia: your next invoice. Past due invoices (not paid within 30 days of news and IIIII�I ire Mammi ^P message billing ate) be assessed a late fee as allowed b law not to 1 Doe 'w S m Y offers 123 ,sMZm exceed $20 per month. Additionally, third party collection /attorney cicy.slace o0oro I „III1.A, 111,,,,, 11. IIAI.I.IL,I.,lilt .A.,II expenses may be assessed at a rate unpaid balance or the maximum allowed no by la ,ccetl 100% of the Pay electronically toma^a9e YO' tart d+� c Pmwtl Each returned check is subject to a service charge subject to the y¢rvReiEemw en­ Gant wk va.�Ydwoduusanf ach maximum check return charge allowable in your State. u Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity ACTIVITY. aE amount has been your ce T ACTIVITY 4. Equipment replacement costs will be charged for bottles lost, last im'oi •Dei ;ae,ynaa,e i "R ^123Mai "s veel.e�aslaleolwOD pald In full to stolen, damaged or not returned. P,eww� :Rasa ^ce <S avoid late fees Payment -Thank YOU SO W 5. In accordance with NWNA's Terms and Conditions "T &C your oei3, 9E,e9s s G a u ^Naw�aiso +i ^9Waw 9111 311805 8 IU MOO^1a1 ^SGaI DepMR 196 Equipment Lease and/or Service Agreement account may be 113 3r1s5s1au4 s Re MOP ^vamsGaiRel4m n 99 Monthly Oil O9n3 3i108s 1., s a 111 subject to minimum monthly purchases and/or early cancellation p9112 31e20.1 Surcharge, Fuel fees. (A complete version of the current T &C may be viewed on the o9n, 1�ao°" s Surcharge or Delivery website listed below) Upon service discontinuation. rent for the 10- 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 m Information monthly Oil Surcharge. Fuel Surcharge or rm4 EA 1A•I 99 Delivery Fce as described in your T&C. Only one of these fees Payment stub ACCOUNT SUMMARY PAY THIS AMOUNT oa+•x• -o•• o. xo�oe o ica .au. PAY BY 51M1O N'tll apply to each account. The fee that applies to your account 00 m ,n w P ACCOUNT NUMBER 00 356 E is st ated on the front of the invoice. For further information please ,3 INVOICE 1890 NUMRER BIW MT. NCLOSED NG DATE visit the website listed below or contact our customer service ID3s6169U 001°°1°° center. 7. As a food product, bottled water is subject to the rules and 0420096307 04202'112619 000391099 zoD4 1 Amount due regulations promulgated by the Federal Food and Drug 1 ^n ^Doe Administration (FDA). 3z3 Mai ^sE ICE M�OUNTPIN WATER COMPANY S. Your first invoice indicates the products delivered on your first a.+•44`Ntl"`"°'""'�` alr.aaEe ol300o Submit your delivery, along with any applicable bottle and accoufit /deposits, E oRCUooMERSERVI CEC AEE'- v a°°"' a m ent by this uM. ❑P,I,AYEry "9 I.�.IILI.�.11��.�it 11 .11"I ,,6I,1,1a,ll redemption fees. and any dispenser charges. All future date mvolces AYIR9 ^uPR.9W. will reflect charges for water delivered and dispenser rental, bottle SR,+RPr ^REREEAD* 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 5/08 Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Ice Mountain, Payee Purchase Order No. OX Terms Louisville, KY 40285 -6680 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 02/04/09 09AO12004852E Rent and Service, January 2009 $23.93 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 Ice Maiintan IN SUM OF P.O. Box 856680 Louisville, KY 40285 -6680 $2 3.93 ON ACCOUNT OF APPROPRIATION FOR Department of Engineering Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the n/a 9A0120048525 NG 4239099 materials or services Itemized thereon for A cnt 0120048525 which charge is made were ordered and received except �l 09 20 Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund A AI "Aill 1 1 T 720106 ME—z" 1/01/09 1/31/09 09AO 117821082 #215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 g 0 service. icemou ntain.com WED- FEB 25 0117821082 IIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII FRI- MAR 26 FRI- APR 24 TUE- MAY 26 #BWNNWYR #0400001178210823# Customer Service: 1- 800 472 -9888 CITY OF CARMEL STREET DEPATMEN 3400 W 131ST ST YOUR ACCOUNT IS PAST DUE and is subject to WESTFIELD IN 46074 -8267 additional late fees. Water delivery service may be interrupted. Please make your payment today. For your convenience, pay online: icemountainwater.com/service. If payment has been made, we thank you. 1 Enjoy special savings! Save $3 /case on 700mL Sport Top Bottles. Also, add a little flavor to your delivery, save j $2 /box on Nestea Flavored Tea Sticks. Offer limited to 6 of each per delivery, expires 2/27/09. More info. go to i service. icemou in or call 800 -472 -9 888. ACCOUNT ACTIVITY Pay your bill online at: service.icemountain.com or by phone at: 1-800-472-9888. It's free! D Delivery address: CITY OF CARMEL STREET DEPARTME, 3400 W 131TH ST, WESTFIELD IN 46074 PREVIOUS BALANCE 79.97 1/27 0603713579 4 9 OZ PLASTIC UP 50C /SLEEVE 11.96 2 5 GAL ICE MOUNTAIN DIRK W /HANDLE 6.98 2 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 12.00 2 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -12.00 1/29 0604869248 1 LATE FEE 15.00 1/31 0605363340 1 OIL /FUEL SURCHARGE 2.24 A6925003 RENT 3.99 TOTAL 120.14 Q ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT r, biect to terms on reverse side. 79.97 v .00 40.17 120.14 BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER INCASE 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 QUALrrY AND INFORMATION, PLEASE 2. Remember, if you are renting equipment, your equipment rental is charged one month in advance. That means CALL I -800-472 -9888 OR WRI rE US AT: your first invoice will include a pro -rated fee for the current month, plus the next month's rental. ICE 11OUNTAIN SPRING NXfER 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 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 its on a separate sheet of paper. We must hear from you in writing no later than thirty (30) days after we SAMPLE I NVOICE sent you the first bill on which th ry e 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. 1z34s67B Your Account Number You do not have to pay the disputed amount while it is being 00 /00 /00- 00100 investigated. During the investigation, we cannot report your account as delinquent or take any action to collect the amount in question. TNR on u3as67B9 MON 00 39 Watch here for a GENERAL INFORMATION TO, NOY UE DE 1B p ersonalized account 1. Payments received after the billing (INVOICE) date will appear on Important Customs Service: l -8W 472 99B Nat an„ m,.nm,t Mo m .n,md your next invoice. Past due invoices (not paid within 30 days of news and n,nLr °ru "y message Ionn Doe billing date) may be assessed it late fee as allowed by law not to offers lu Man s, Wow exceed S20 per month. Additionally. third party collection /attorney c „ys:ale expenses may be assessed at a rate not to exceed 100% of the unpaid balance or the maximum allowed by law. 4 T .ka �dw°��o`""'"� Pay electronically 9 dm 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, ACTIVITY, since your ACCOUNTACri amount has been 4. Equipment re replacement costs will be charged for bottles lost. •Dei „e, Adore++ don ^D°e .'2'Ma` "sl�e.l. "r s pvv0p0 paid In full to P b last invoice stolen, damaged or not returned. p,er;n °,Baia ^<e 4 245 avoid late fees RaY^`e "Tl,a ^4YOU SO.W 5. In accordance with NWNA's Terms and Conditions ("T &C your BB13i 4Eie9B 5 5ca n o nNa, u a� 5 M 1 ^•Y' -50 Equipment Lease and/or Service Agreement account may be 5�l us�9 Monthly Oil g Y a 1i� 3,7ees,4ae4 5 3,7BBS'aa44 s subject to minimum month/ p urchases and/or earl cancellation o9ni F�eis I y p y o 3 1B 263- 1 Surcharge, Fuel fees. (A complete version of the current T &C may be viewed on the 9 113 16640° 57 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 Inf ormation .,,e0 e0 .L 6. You will be charged a monthly Oil Surcharge. Fuel Surcharge or .N r Delivery Fee as described in your T &C. Only one of these fees Payment stub AC BY SUMMARY FO•rcE•WM* will apply to each account. The f that applies to your account m., v«r wrm•^ NUMBS PAY T "i 57 e rtu 1 23 4 567 890 MT.ENCLOSE is stated on the front of the invoice. For further information please R.NOICE NUMBE0. BILnNG OPTE visit the website listed below or contact our customer service 1234567 W/w/ center. 7. As a food product, bottled water is subject to the rules and x,20096307 0uzez73a p n 910 200s 1 Amount due regulations promulgated by the Federal Food and Drug IOnno« Administration (FDA). i CEMOUNTAINWA TERCOM ANy „Y ate 0ooee St ^.+Jn� a New w•,m N°M S. Your first invo indicates' the products delivered on your first .cU,T E. SnMC"""'.eW 4 '7seea Submit your delivery, along with any applicable bottle and account deposits, EO a'ment by this I .nt,t „an,. t u „1,,,1,1x,1 s,d. 4,; ",A "Y<6•�9rvo "R...,xs;de redemption fees, and any dispenser charges. All future invoices date ❑OPfOP EEAU TUR.. .sg "u9 B•9 "•4O 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 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. 2008 Ice Mountain Spring Water Company, a Division of Nestle Waters North America Inc. Form No. NW 709 5 /08 Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 02/04/09 09AO117821082 $40.17 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. Ice Mountain ALLOWED 20 IN SUM OF P. O. Box 856680 Louisville, KY 40285 -6680 $40.17 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 09AO117821082 42 389.00 $40.17 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 v Frida i l Yj 1 StA�'r6' rnmisslon'er Title Cost distribution ledger classification if claim paid motor vehicle highway fund 720106 MEMO A 99A ©11779199 #215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 service:icemountain.com THU- FEB 19 0121776199 III I�il I IIII IIII I II II II III III �I III'I II THU- MAR 19 FRI- APR 17 #BWNNWYR MON- MAY 18 #0400001217761992# CITY OF CARMEL HUMAN RESOURCES Customer Service: 1- 800 472 -9888 SHELLY LINGELBAQGH 1 CIVIC SO 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.com/service. If payment has been made, we thank you. Enjoy special savingsl Save $3 /case on 700mL Sport. Top Bottles. Also, add'a little flavor to your delivery, save $2/box on Nestea Flavored Tea.Stick.s.. -Offer limited to_6 of each. per delivery, expires 2/27/09. Mlore info. gQ to i service.icemountairmwater.com or call 800- 472 9888. 1 ACCOUNT ACTIVITY Pay your bill online at: service.icemountain.com or by phone at: 1 -800- 472 -9888. Its free! Delivery address: CITY OF CARMEL HUMAN RESOURCES, 1 CIVIC SQUARE, CARMEL IN 46032 PREVIOUS BALANCE 53.43 1/20 0602577611 2 5 GAL ICE MOUNTAIN DRK W /HANDLE 6.98 1 9 OZ PLASTIC UP 50C /SLEEVE 2.99 BOTTLE DEPOSIT: 2 DELIVERED, 2 RETURNED .00 1/31 0605290766 1 OIL /FUEL SURCHARGE 2.24 A6929868 RENT 3.99 SALES TAX .49 TOTAL 70.12 I ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT �blect to terms on reverse side. 53.43 .00 16.69 70.12 BILLING RIGHTS SUMMARY YOUR INVOICE 4 NVAYS 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.icemountain.com. 6661 DIXIE IVA Y. 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 hear from you in writing he later than thirty (30) days after we sent 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 pans of your bill that are not in question. I234s Y b7890 ooloDloo ootooloo Your Account Number You do not have to pay the disputed amount while it is being 1 investigated During the investigation. we cannot report your account z a� 1y345 6789 as delinquent or take any action to collect the amount in question. THB pI MDN -W r9 Watch here for a GENERAL INFORMATION WED NDY TuE- DEr IB personalized account I. Payments received after the billing (INVOICE) date will appear on Important your next invoice. fast due invoices (not paid within 30 days of news and ILn,.,in,Jlt^ hill •I• ^Int,l,Wl•„dull•n•Il•fllt Tn>^wr u °'"e message I., osN9lae billing-date) may be assessed a late fee as allowed by law not to offers I i2, Mam -d ..rMe.. exceed S20 per month. Additionally, third party collection /attorney cansLace L,Aaa I III II•, ,IL,,ti i it 1 1111 I At ses may unpa the m��mumallow 'edtbyle4ceed 100% of the may. rm;p,owis y� j Pay electronically 2. Each returned check is subject to a service charge subject to the 3�t`mY,7ew�r�a� nwU+. maximum check return charge allowable in your State. I s Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity °m ><,�c amount has been ACTIVITY. since your ACCOUNT ACTIVITY 4. Equipment replacement costs will be charged for bottles lost, D ,y nae D°°,a}3M s L C'ysLaLe paid in full to last invoice stolen, damaged or not returned prey; °usBala <e sou avoid late fees 5. In accordance with NIAINA's Terms and Conditions T &C" your oal8, au,aae s Sayme "kY 50a eau Nawral svd ^gware� sb 9111 31)BBSI iceMOUTa� "SGa1Dep °sit 1119 Monthly Oil Equipment Lease and /or Service Agreement account may be I 3neas,a4 s 1Ce M ",a; sGai eevum °9111 3spee5sM1� Guel SUicM1a�ge subject to minimum monthly purchases and/or early cancellation 8ze3aa Surcharge, Fuel osnz 31 w fees. (A complete version of the current T &C maybe viewed on the ovlz ,�+aP' 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 YY Informatto n" M Delive Fee as described in our T &C. Onl one of these fees Payment stub A¢ouursUMMARY a" e e° ry y y Y PAY THIS AMOUNT PAY BY will apply to each account. The fee that applies to your account e.�a, „,M,«�w>'� ACCOUNT NUMB” 00IOOIOO s Is stated on the front of the invoice. For further information please I1S n� 123456)890 BILUNG DATE MT. ENCLOSED INVOICG. NUMBER pploLIM visit the website listed below or contact our customer service 1, center. 7. As a food product, bottled water is subject to the rules and 04200 p42B27126y9 ooD39>.Dp 2 °09 Amount due regulations promulgated by the Federal Food and Drug I o n Administration (FDA). Ice M0 UNTAIN.91E MO-1— olys�aces`Now a o Submit your 8. Your first invoice indicates the products delivered on your first GDa cozTDMeR Seml«�ALL 1 e oo anAeee delivery, along with any applicable bottle and account deposits, n,d 1 11. 1 till ,a•� date payment by this s,ae. ❑P��r >�Yaa�9�0�ee�e,KS,e. w. eu...,, u.,. u. redemption fees, and any dispenser charges. All future invoices 1 m0 "Op Pro will reflect charges for water delivered and dispenser rental, bottle swH0eE08GP�A 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. 0 2008 Ice Mountain Spring Water Company, a Division of Nestle Waters North America Inc. Form No. NW 709 5/08 Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee I Mountain Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 02/04/09 09A0121776 Water Coolei RU-11tdi $16.6U 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 NOb NO. ALLOWED 20 Ice Mountain IN SUM OF P.O. Box 856680 LeuisviII KY 4028b-6680 $16.69 ON ACCOUNT OF APPROPRIATION FOR GENERALFUND 1205 Administration Board Members PO# or DEPT INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 1205 9A0121776199 390-99 69 materials or services itemized thereon for which charge is made were ordered and received except 20 Sign to Title Cost distribution ledger classification if claim paid motor vehicle highway fund 720106 0 19 1 110 0 0 W W 1� 1/01/09 -1/31/09 09A7220327048 #215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 Q MUM I service. i9emountain.com THU- FEB 19 7220327048 IIII I!i lil I I "III III I III �I III III II Ili !I II THU- MAR 19 FRI- APR 17 #BVVNNVVYR MON- MAY 18 #0400072203270488# CITY OF CARMEL OFFICE OF THE C Customer Service: 1- 800 472 -9888 ANN DAVIS 1 CIVIC SO 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.com/service. If payment has been made, we thank you. Enjoy special savings! Save $3 /case on 700mL Sport Top Bottles. Also, add a little flavor to your delivery, save $2/box'on Nestea Flavored Tea StickS. Offer limited to 6 of each per delivery, expires 2/27/09. More info. go to cArvirp.ic?fnnrJr4amvuatpr r -om.or call 80Q972 988$, ACCOUNT ACTIVITY Pay your bill online at: service.icemountain.com or by phone at: 1- 800- 472 -9888. It free! Delivery address: CITY OF CARMEL OFFICE OF CLERK, 1 CIVIC SQ, CARMEL IN 46032 PREVIOUS BALANCE 12.99 1/20 0602577652 1 5 GALLON ICE MOUNTAIN DEPOSIT RETURN .00 1 5 GAL ICE MOUNTAIN DRK W /HANDLE 3.49 1 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00 1 9 OZ PLASTIC UP 50C /SLEEVE 2.99 1/31 0605412279 1 OIL /FUEL SURCHARGE 2.24 A6961808 RENT 3.99 TOTAL 25.70 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT CU NT �AC'rIVITY PAY THIS AMOUNT hi—t M forme mvnren cirfa 12.99 .00 12.71) 25.70 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 -9889 OR WRITE US AT: your first invoice will include a pro -rated fee for the current month, plus the next month's rental. ICE LNIOUNTMN SPRING %IIA 'ER CO. 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. 8216 If you prefer, you can pay your bill online at service. icemountain.com. 6661 DIXIE II WY. 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 its on a separate sheet of paper. We must hear from you in writing later than thing days we SAMPLE '1� H ®N�.0 sent you the first bill on which the he app You 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.' y am You are obligated to pay the pans of your hill that are not in question. 1 234s67R90 Your Account Number You do not have to pay the disputed amount while it is being oolooloo.00tooloo investigated During the investigation, we cannot report your account tf'r+� 2 }4 as delinquent or take any action to collect the amount in question. OCT MON OCT 29 Watch here for a WED NOY 71 GENERAL INFORMATION NE-DEC personalized account 80° '7 29888 I. Payments received after the billing (INVOICE) d I message ate will appear on P Mpen,a� ^v^auQi IL11 ••,116.111.11111,I••Allhhllll„ „11111 „11 „a,l,lp cmL9ma xma: your next invoice. Past (Inc invoices (not paid within 30 days of news and rna billing date) may be assessed a late fee as allowed by law not to offers I izimce sL exceed S20 per month. Additionally, third party eollection/attornev c lD 1..•111.1 III II .11•„11 I II 1 I 1111 I .I unpaid balance or the maximum allowed t by law. 100% of the 1___...., ^CC "T a "'J 14 "`dne�xronMA°" Lhau 1e ,Vii y Pa electronicall 7 i xrACe w,vride �etyd adaits, ,d much. muff m9 Each returned check is subject to a service charge subject to the v* aem,eacs. nutxnnum check return charge allowable in your State. Make sure this y 3. All bottle and equipment deposits are shown as CURRENT Activity ACTIVITY. amount has been since our ACCOUNTACSMT „99 paid in full to 4. Equipment replacement costs will be charged for bottles lost. Y Der„e JO °pe121M 5 "`L C "v,z�1e° last invoice stolen, damaged or not returned. l ast soon avoid late fees payment TNn4Y°u 5. In accordance with NWNA'sTemTs and Conditions "TSC L your X 73, 4M89e sca 4 n nNa, °�a;sw�^9"'a x g1 mees,44aa s iCeM °nw�nsGa�Dep°*" Equipment Lease and /or Service Agreement account may be Monthly Oil 3nees iCeM °n�an,swiRe, 1,99 p9 3,7885,444n 5 Ren l 5uichar9e subject to minimum monthly purchases and/or early cancellation Surcharg e, Fuel fees. (A complete version of the current T&C may be viewed on the n2 e97 s 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 ('ry'^ 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or 9 g s Information ACCOUNT SUMMARY Delivery Fee a Pay ment described in vourTSC. Only one of these fees Pa ment stub pAY TNIb AMOUNT ppY BY will apply to each account. The fee that applies to your account ootDe N is stated on the front of the invoice. For further inform ation please ^'n4 "ue 123456]890 BILLING DATE MT. ENCLOSED ,NVOICE NUMBER 4D visit the websitc listed below or contact our customer service 1zaa67898 001 1w center. 7. As a food product, bottled water Is subject to the rules and 04200963a7 04262712619 000391099 2009 Amount due regulations promulgated by the Federal Food and Drug phn— Administration (FDA). ,CE MOUNTAIN WATER COM`%' L 128Ma1n St Cary. State WOO Submit your 9. Your fist invoice indicates the products delivered on your first •DiN OMLR S ERm<E <ALL e w129BBB DR<D :T p ayment h this delivery, along with any applicable bottle and account deposits. 1... „1.0•.1,,.1,1,1,1 „1.,n gp1O °r,,,,•s„e. P a Y Y redemption fees. and any dispenser charges. All future invoices a aO °Rr. date sK u p T DR,RLEAU<O°Ars' 9 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 Nestle Waters North America Inc. Form No. Nw 709 5/08 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) pr bill(s)) 5 /a,7/ 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 1 IN SUM OF ON ACCOUNT OF APPROPRIATION FOR k b qq Aa UQ-b Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 7�033 f I bill(s) is (are) true and correct and that the `1 materials or services itemized thereon for which charge is made were ordered and received except f 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund