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180452 12/16/2009 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER o CARMEL, INDIANA 46032 PROCESSING CENTER CHECK AMOUNT: $213.20 PO BOX 856680 CHECK NUMBER: 180452 LOUISVILLE KY 40285 -6680 CHECK DATE: 12/16/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4238900 09KO11782108 35.56 OTHER MAINT SUPPLIES 2200 4239099 09KO12004852 17.45 OTHER MISCELLANOUS 902 4239099 09KO12022391 18.63 OTHER MISCELLANOUS 1205 4239099 09KO12177619 18.63 OTHER MISCELLANOUS 902 4239099 09KO12197559 12.83 OTHER MISCELLANOUS ;701 4239099 09K722032704 16.12 OTHER MISCELLANOUS 1125 4353099 19HO12009535 34.08 OTHER RENTAL LEASES 1047 4353099 19HO12120276 59.90 OTHER RENTAL LEASES service. icemountain.com #215 6661 DIXIE HWY, SUITE 4 o a o 0 LOUISVILLE KY 40258 11/01/09 11/30/09 09K012 (/z ADDRESS SERVICE REQUESTED FRI- DEC 11 0121202766 IIIllllllllllll "III IIIIIIIIII I'll ll WED- JAN 13 FRI- FEB 12 #BWNNWYR MON- MAR 15 #0400001212027662# CITY OF CARMEL PARKS DEPARTMEN MANDY SPADY Customer Service: 1- 800 472 -9888 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 I 1 11 11 1 1 I I I I III III fee. Your prompt payment is appreciated. For your convenience, pay online: icemountainwater.com/service. If payment has been made, we thank you. Did you know our 3 and 5 gallon bottles are cleaned and refilled on average 35 times before being turned over to a recycling company? Each year, we recycle approximately 900,000 of our 3 and 5 gallon bottles, helping to keep X1.6 million Ibs of plastic out of landfills. ACCOUNT ACTIVITY Pay your bill online at: service. icemountain.com or by phone at: 1- 800 472 -9888. Its free! D I W p I g c. Delivery address: CITY OF CARMEL PARKS DEPT /MONO, 1235 CENTRAL PARK DR EAST, CARMEL IN 46032 PREVIOUS BALANCE 22.90 11/10 0646590901 8 5 GAL ICE MOUNTAIN DRK W /HANDLE 31.92 1 9 OZ PLASTIC UP 5OC /SLEEVE 2.99 BOTTLE DEPOSIT: 8 CHARGED, 5 CREDITED 18.00 11/30 0650903529 1 OIL /FUEL SURCHARGE 2.00 K8448993 RENT Purchase _D IHV-11.1CC, 4 TOTAL Descriptio f�C 82.80 9 1009 PorF P.O G.L. L 1 100' l00 X35- t Bud 16� Dh h P/vtf f Line Descr Purchaser Date Approval Date ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT CURRENT ACTIVITY m PAY THIS AMOUNT ��ubject to terms on reverse side. 22.90 .00 +_59;90 82.80 BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER IN CASE 01' 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 QUALfrY AND INFORNIATION, 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 WRrrE US AT: your first invoice will include a pro -rated fee for the current month, plus the next month's rental. ICE itIOUNTAIN SPRING NNATER CO. 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. ?x216 If you prefer, you can pay your bill online at service.icemountain.com. 6661 DIXIL• 1IN 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 its 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. 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. Your Account Number You do not have to pay the disputed amount while it is being 00100100 .o0l00100 investigated. During the investigation, we cannot report your account 123456 as delinquent or take any action to collect the amount in question. T rtx -GCr MoH OCT z Watch here for a GENERAL INFORMATION wEo- HDY ZI TDE DEE 1x personalized account I. Pavments received after the billing (INVOICE) date will appear on Important u n nl„ nl,. nnl „11,alaan C'r to�e9S1aM9unu01np9du60 message your next invoice. Past due invoices (not paid within 30 days of news and TM1•nEy"" billing ate may be assessed a late fee as allowed b law not to exceed $20 per Y Offers 1 23 Ma^ r month. Additionally, third party collection /attorney o"", ate a000 o L,IIL1...1.• III. IL. IL IL LIL,1 „A.I,II "p-, ,Tray b, asw.+cd aL a sale noL to exceed Ii10 of the unpaid balance or the maximum allowed by law. r y ,la r �x«vuu a°'"a °r Pay electronically 2. Each returned check Is subject to a service charge subject to the Y""" ^m 1 awnw tae�mdnvory maximum check return charge allowable in your State. 6 K Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity 1 n9� A ACTIVITY. amount has been since your ACCOUNT ACTIVITY 4. Equipment replacement costs will be charged for bottles lost, last invoice D rye A dd w. �nnDO 'i3M 1 ^s0"e c s j 00 paid in full to stolen, damaged or not returned. P,e�m9re 4z <s avoid late fees Pavmem wde soon 5. In accordance with NW NA's Tetnls and Conditions (••T &C), your 9ea1 efila9a S 5G 11. "at9Naw� ^9 so.00 9111 Jx8&IM44 Ice Mountain 5 Gal DeW*it 296 Equipment Lease and/or Service Agreement account may be r 3 31 „e0s1 4a44 s a; "sealxe,9m n99 Monthly Oil 9 31"I0x5 S tue15u1cM1e�ge subject to minimum monthly hly purchases and/or early cancellation 0 r12 IIII.Tsx,1 xe Surcharge, Fuel fees. (A complete version of the current T &C may be viewed on the 09nz Z- sja0 Surcharge or Delivery mebsite listed below) Upon service discontinuation, rent for the TDrAL Fee (see #6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. Information 6. You will be charged a monthly Oil Surcharge. Fuel Surcharge or 99 Delivery Fee as described in your T &C. Only one of these fees Payment stub ACCOUNT SUMMARY eo•ac.w PAY RY PAY THIS AMOUNT will apply to each account. The fee that applies to your account COUNT NUMBER AC wr^•^' sz.o ••..•�M Un u.> 234&fi1890 OO /DO OO is St ated on 1 M .ENCLOSED the front of the invoice. For further information please INVOICE NUMBER BILLING DATE visit the wchsite listed below or contact our customer service 4 5 7890 wrool center. t 7. As a food product, bottled water -is subject to the ,rules aad_ •N 0,20096307 092&2712619 000391099 zoor 16 Amount due regulations promulgated by the Federal Food and Drug Inn^ AdI ministration (FDA). MOUNTAINWATE C�xe ANY 123MainSt ICE S ubmit n w,Av C,tYSt,te mit vo r S. )'our first invoice indicates the products delivered out your first Liclivery, applicable posits._.._ lox cussoMEnseRVlceuu,.a9^.az -9BBx along lash any a Iicabte�bonle•and�accoum -de p ayment this 1.,. u1, 1... 1.. a,u „I,l,laa,a,al "3„e x....us;d. date redemption fees. and any dispenser charges. All future Invoices ^uP9.9w'� will reflect charges for water delivered and,dispenser rental, bottle sK I,P to arxeE.o deposits and credits plus charges for any additional products ordered by you. Deliveries are made every -three or four weeks, fq 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 809 service. icemountain.com service. icemountain.com 0 #215 6661 DIXIE HWY, SUITE 4 ®0 .0 LOUISVILLE KY 40258 (tiC ADDRESS SERVICE REQUESTED C 29 0120U953 III Ii�I III 111111111 IN IN 11111111111111111 FRI- JAN 29 MON- MAR 01 #BVVNNVVYR TUE- MAR 30 #0400001200953515# CARMEL CLAY PARKS AND REC DEPT AUDREY KOSTRZEWA Customer Service: 1 800 472 9888 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. Did you knoW our 3 and 5 gallon bottles are cleaned and refilled on average 35times before being turned over'to a recycling company? Each year, we recycle approximately 900,000 of our 3 and 5 gallon bottles, helping to keep 1.6 million lbs of plastic out of landfills. ACCOUNT ACTIVITY PREVIOUS BALANCE 21.10 11/25 0649471125 4 5 GAL ICE MOUNTAIN DRK W /HANDLE 15.96 2 9 OZ PLASTIC UP 50C /SLEEVE 5.98 BOTTLE DEPOSIT: 4 CHARGED, 4 CREDITED .00 11/30 0650979941 1 OIL /FUEL SURCHARGE 2.16 K8379850 RENT 9.98 TOTAL C 55.18 Purchases+ �I Iii Ci IN U J D escription GCHQ 6/1 /—I N i a P.O.0 P or F Bud e4 Une�escr (,110 hilwd p..c'.��P�� Purchaser Date Approval Date ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 21.10 .00 x34.08 55.18 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 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. ICE 1v10UNTAIN 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 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 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 NVOICE 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. 12345678 Your Account Number You do not have to pay the disputed amount while it is being I 00100100 0011 00100, investigated. During the investigation. we cannot report your account a 1234 as delinquent or take any action to collect the amount in question. Watch here for a GENERAL INFORMATION WED N ]1 Y TAE DEC 1R personalized account I. Payments received after the billing (INVOICE) date will appear on Important an0^'a semce.,- sao- +]z -9aB message II.11..,111�111 „11111,1 „IIllallll "•,11111 „11 „11,1,111 Thant r 0 ^10. u>t"91ee Mw"ul"products your next invoice. Past due invoices (nor paid within 30 days of news and john Doe and seMc<s. billing date) may be assessed a late fee as allowed by tatty not to offers 0,Se exceed $20 per month. Additionally, third party collection /attorney a,ysca,e W0W 111,. .IL...11,, I a „I,,,bl,la „I „I expenses ,nary be assessed at a rate not to exceed 1110"/0 of the <ar .1 unp balance or the maximum allowed by law. Pay electronically i 0alv9emo0 T ^a rn.marn<I 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 de ment equipment ui P p ooits are shown as CURRENT Activity ACTIVITY. since your A ¢ouNrAcuVITY amount has been ^^��M uJMai ^sheep °ar.5�ipppp40 4. Equipment replacement costs will be charged for bottles lost, •Denvelynaa.eu. Jon^ 99 paid in full to last invoice «<9 avoid late fees S damaged or not returned. Payment -r,unk YOU SOW 5. In accordance with NWNA's Temts and Conditions "T &C your a61e9s s scan0 "NavOni saa "ewa`p -5om 9 /,1 JIi8051aAa Mountain seal Deposi 29b Equipment Lease and/or Service Agreement account may be 5 s 3veasAna^ 'ieMOO ",ai ^scai ne,01^ n?9 Monthly Oil Wm r eis��ma'9e subject to minimum monthly purchases and/or early cancellation Jr]eenaaaA Surcharg Fuel W.,: �IR]63RR11 g fees. (A complete version of the current T &C may be viewed on the Wnt Boas, swa Surcharge or Delivery website listed beloly) Upon service discontinuation, rent for the TOTAL Fee (see #6 under Leased Equipment is charged through the end of the billing cycle "General Surcharge Information in which service is discontinued I ,O,.T "�T�Y^1' s 6. You will be charged a monthly Oil Surcharge, Fuel Surcha e or 9 99 Delivery Fee as described in vour T &C. Only one of these fees Payment stub AC NT SUMMARY ..a.,e.. PAT BY PAY THIS AMOUNT will apple to each account. The fee that applies to your account -m•.M> AccouKrNUMBER W W W 5Z +0 234 is stated on the front of the invoice. For further information please a 1 i" I, s e90 BuJNC °ATE MT.ENCEOSED visit the website listed below or contact our customer service INV pvj00100 a 508" fi]890 center. 7. As a food product. bottled water Is subject to the rules and 0420096307 04282112619 000391099 2009 Amount due regulations promulgated by the Federal Food and Drug o:- t (FDA). pe ^D'« nlllll tilral1011 OUNTAIN `HATER COM1IMNY ,2JMain S, IoU NTAtNWATt R r t' enr.sw,e W0W Ad Submit Your 8. Your first invoice indicates the products delivered on vo first roRNSTOMEgSE +meR M1e delivery, along with any applicable bottle and account deposits, Q payment b 3 this ��I: 11. 1. ..1:,tt1"IL�;IIS.11.J.11.1w�A,t 1 mn" redemption fees. and any dispenser charges. All future invoices SI�OPy Fw �.r,v9 ^^PRe9w'•a °K51°` Qb^ date will reflect charges for water delivered and dispenser rental, bottle ;'t ..i deposits and credits plus charges for any additional products y•>- ordered by you. Deliveries are made every three or four weeks. for F _.,.eM._.�.a..�w...�... '±ry f 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 V y t ^r i.- a_,.>> two deliveries. 2008 Ice Mountain Spring Water Company, a Division of Nestl6 Waters North America Inc. Form No. NW aos Q service. icemountain.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 Date Due Louisville, KY 40285 -6680 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/3/09 19H0121202766 Water cooler rental Monon Center 59.90 9/3/09 19HO120095351 Water cooler rental Maintenance Dept 34.08 Total 93.98 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 20_ Clerk- Treasurer Voucher No. Warrant No. 051125 Ice Mountain Allowed 20 P O Box 856680 Louisville, KY 40285 -6680 In Sum of 93.98 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 19HO121202766 4353099 59.90 1 hereby certify that the attached invoice(s), or 1125 19HO120095351 4353099 34.08 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 10 -Dec 2009 PVI�4h" Zm o/t Signature 93.98 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund service. icemountain.com #215 6661 DIXIE HWY, SUITE 4 0 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED III Ilil l IN IN I I IN I1 I1 ID IN III 1I I loll 9I 3�� l� WED- DEC 16 0121776199 TUE- JAN 19 )Z-5 THU- FEB 18 #BWNNWYR THU- MAR 18 #0400001217761992# CITY OF CARMEL HUMAN RESOURCES SHELLY LINGELBAUGH Customer Service: 1 800 472 -9888 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. you know our !-a d- 5 gallon.botties are cleaned and refilled on average 35 times before being tinned over to a recycling company? Each year, we recycle approximately 900,000 of our 3 and 5 gallon bottles, helping to keep 1.6 million Ibs of plastic out of landfills. ACCOUNT ACTIVITY ray your13111 online at. CUM ce.1cemountIgIn.corn or by ptlonu at. moo-vi Rb qjg PREVIOUS BALANCE 22.40 11/13 0647402841 1 9 OZ PLASTIC UP 5OC /SLEEVE 2.99 1 5 GAL ICE MOUNTAIN DRK W /HANDLE 3.49 BOTTLE DEPOSIT: 1 CHARGED, 0 CREDITED 6.00 11/29 0650381593 1 LATE FEE 15.00 11/30 0650998396 1 OIL /FUEL SURCHARGE 2.16 K8357188 RENT 3.99 TOTAL D a 56.03 DEC 14 2009 By ACCOUNT SUMMARY I PREVIOUS BALANCE m PAYMENT /ADJUSTMENT CURRENT ACTIVITY a RAY THIS AMOUNT aubject to terms on reverse side. l 22.40 .00 33.63 56.03 BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER IN CASE OF ERRORS OR QUESTIONS ABOUTYOUR 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 -900- 472 -9999 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 NVATER 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 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 pans of your bill that are not in question. 1z34s6799 Your Account Number )'oil do not have to pay the disputed amount while it is being 00/0°100.00/0010 investigated. During the investigation, we cannot report your account 1 345678 as delinquent or take any action to collect the amount in question. ,AON.00T Watch here for a GENERAL INFORMATION WED N� TAE -DEC 19 personalized account I. Payments received after the billing (INVOICE) date will appear on Important t- 800 -aJ -988 P ast 1111, nIIL�lII„ IIIIIA.,. IIII�I'IIII ,�.�IIIII,�II..ILI Cuswmer Serri<e: �III i ,ew,nuln P•Odum message Your next Invoice. I ast due invoices (not paid within 30 days of news and manEY0 ^ru I hn D ,ne ,erweel. billing date) may be assessed a late fee as allowed by law not to offers 1,, -ins D EE M exceed $20 per month. Additionally, third party collection /attorney 1 L 1 113 d1e l, A 11 L n.1 11 hdl la a ,,..11.,,11 expenses may may be assessed at a rate not to exceed 100% of the 2. L "acted balance leek is maximum allowed by service law chargc subject to the n am me r �RL a�� Pay electronically a �rvH�es.mder sl maximwn check return charge allowable in your Slate. aw Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity amount has been ACTIVITY. Since your ACCOUNTACTIVm 4. Equipment replacement costs will be charged for bottles lost. last invo rceB.,e,yAames 1 paid in full to ice �uM• stolen. damaged or not returned. a 5. In accordance with NWNA's Terms and Conditions ("T &C), your earn 461999 s avoid late fees 911 329951 „e M n„numsw�Rewm M"„^„mswiceo�n Monthly Oil Equipment Lease and/or Service Agreement account may be 0 B ve9slawa s �Ce 99 subject to minimum monthly purchases and/or early cancellation 0911 31 X51 Surcharge, Fuel 09112 318263981/ en 57A fees. (A complete version of the current T &C may be viewed on the 09 106ap4BT 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 MwN in which service is discontinued. 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or W "99 s Information y Dclivery Fee as described in our T &C. Only one of these fees Payment stub ACCOUNT SUM MARY •oy F ou u� PPY PAY THIS AMOUNT will apply to each account. The fee that applies to your account a ACCOUNT NUMBER BY 57. ,n9.w 1 1111089 0 MT. ENCLOSED is stated on the front of the invoice. For further information please ,Wo;CE NUMBER BILLING DATE visit the website listed below or contact our customer service 1234567890 00100100 center. 7. As s food product, bottled water is subject to the rules and 192009L307 01262712619 DDD3voR 200° 1 Amount due regulations promulgated by the Federal Rood and Drug ph,— Administration (FDA). icE MOuNrAINwATER 1.900.)2 -9988 COM K. ys"te o S. Your first invoice Indicates the 11 „h till J..11 e p roductsdelivered on your first Submit your ,O0. CUSTOME0. SERVICE CALL delivery, along with any applicable bottle and account deposits. „•s;4•. p ayment by this redemption fees. and any dispenser char All future invoices L•. IIL1.., L. IIL.• •.11,.ILAL.1,.., Pam aro ma9n0 "xe.e date will reflect charges for water delivered and dispenser rental, bottle s�eH uv 1 09 snLe a.,sg" w 9.9,.n^ 0” 9... 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 809 service. icemountain.com press" 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 Ice Mountain Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 12/02/09 09KO121776199 Water Service 18.63 Total $18.63 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 �CHER NO ?2/14/09 WARRANT NO. ALLOWED 20 /Ice Mountain IN SUM OF PO Box 856680 Louisville, K 40285 $18.63 ON ACCOUNT OF APPROPRIATION FOR General Fund 1205 Gener 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 09KO121776199 3C- 9(3 $18.63 materials or services itemized thereon for which charge is made were ordered and received except 20 9 i n t u r Title Cost distribution ledger classification if claim paid motor vehicle highway fund service. icemountain.com o #215 6661 DIXIE HWY, SUITE 4 N a p LOUISVILLE KY 40258 11/01/09 11/30/09 09KO120048525 ADDRESS SERVICE REQUESTED s WED- DEC 16 0120048525 IIII III 1 IN II 1 II III II III 1111 III II 11111 II TUE- JAN 19 THU- FEB 18 #BWNNWYR THU- MAR 18 #0400001200485252# CITY OF CARMEL DEPT OF ENGINEE LISA SCOTT OR JUDY STOHLER Customer Service: 1 800 472 9888 I CIVIC S N 46032 2584 Did you forget about us? Kindly pay upon receipt. 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. Dld you know our 3 and 5 gallon bottles are cleaned and refilled on average 35 times.before being turned over to j a recycling company? Each year, we recycle approximately 900,000 of our 3 and 5 gallon bottles, helping to keep 1.6 million Ibs of plastic out of landfills i ACCOUNT ACTIVITY Pay your bill online at: service. icemountain.com or by phone at: 1-800-472-9888. It's free! HERMIEMIRM1 a Delivery address: CITY OF CARMEL TOWN HALL ENGIN, 1 CIVIC SO, CARMEL IN 46032 PREVIOUS BALANCE 74.33 11/06 984431 PAYMENT -THANK YOU -24.43 11/18 KA1160822 LATE FEE -15.00 11/13 0647402650 3 5 GAL ICE MOUNTAIN DRK W /HANDLE 10.47 3 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00 3 5 GALLON ICE MOUNTAIN DEPOSIT RETURN .00 1 9 OZ PLASTIC UP 50C /SLEEVE 2.99 11/29 0650383292 1 LATE FEE 15.00 F 7 8 9 7 11/30 K8364826 RENT n, 7 3.99 TOTAL �j 67.35 f DEC Cn w V w G7 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT CURRENTEACiTIVITY PAY THIS AMOUNT ubject to terms on reverse side. 74.33 39.43 32.45 67.35 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. t A REPORT O' 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 47_ -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 SPRINC wATER CO. 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. 11216 If you prefer, you can pay your bill online at service.icemountain.com. 6661 DIXIE II 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 must hear from you in writing no later than thirty (30) days after we SAM I NVOICE 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. Live 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. 1234567890 Yom' Account Number You do not have to pay the disputed amount while it is being t 00100100- 0 0 00 0° investigated. During the investigation. we cannot report your account 12345 as delinquent or take any action to collect the amount in question. T "9 aT IN MOH CCT 19 Watch here for a GENERAL INFORMATION WE N r aE °L1 personalized account I. Payments received after the billing (INVOICE) date will appear on Important n, n,., ul„ nl,. uu61 ,,,nn,l,un,,,,llln „R „11,IAIt °ml�Sl Mwlnu�produRB your next Invoice. Past due invoices (not pawl within 30 days of news and Tn.nLr��nr message billing date m be assessed a late fee as allowed b law not to 1123 11 b Y Y Offers 123 Mai^ st 00000 exceed S20 per month. Additionally, third party collection /attorney Crty,State L,III,LI „III,.. „n 11 11111 .I...1III I II expenses may be assessed at a rate not to exceed 100% of the .taus, unpaid balance or the maximum allowed by law. r o,�` yo x°^" Pay electronically 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. amount has been since your Aaou +TArnv1TM 4. Equipment replacement last inv costs will be charged for bottles lost, ice rcer, „e,yAddre,= bitnoce.'zJMaio n.� paid in full to o stolen, damaged or not returned. p1Pri °,ea�a ^te 45 avoid late fees 5. In accordance with M1'NA's Terms and Conditions TRC your mn� 189e Sarmem TnanLVw so oo canno Namrai sv�m9wa soon 9111 J�780S1 i Mountain 5 �alceP Equipment Lease aldJor Service Agreement account may be o 1 3vseslaaaa s nra insGalPetum Monthly Oil ovn� Jneesl<+ s Frei s�,<wr9e subject to minimum monthly purchases and/or early cancellation o9/ Surcharge, Fuel fees. (A complete version of the current TSC may be viewed on the 0927 'x' 5140 Surcharge or Delivery wcbsitc 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 it monthly Oil Surcharge, Fuel Surcharge or v�,< Information Deliver Fee as described to our TRC. Only one of these fees Pa stub ACCOUNT SUMMARY 99 ou Delivery y 3 PO THIS AMOUNT will apply to each account. The fee that applies to your account P°+^° 1 ACCOUN'"La"a PAY BY szn0 113456]8 pJT. ENCLOSED is stated on the front of the invoice. For further information please ,Nvo,CE Al NUM &RUNG DATE visit 1234 7890 e 3vebsite listed below or contact our customer service o /p center. 7. As a food product, bottled water is subject to the rules and °42°°96307 ❑92&2712619 °0°3 2 1 Amount due regulations promulgated by the Federal Food and Drug 191n— Administration (FDA). ,CE MouNI wATEN CO pANr s st `d1eDo"Do S. Yo first invoice indicates the products delivered on VOUr first •o-^v°^ Submit pour ur delivery, along with any applicable bottle and account deposits, 1 .•dn.I,..bdn,,,.a1,,.,U.,,n „1,11 „A.1.61.I.n oAOOSTOML9sEA ,CELALt,- eoo.n -9ae° a menuby' this redemption fees, and any dispenser charges. All future invoices Q$1 v °toA q,EAU,vr „y, ^0p0<9w�o "`s'° e., ^r�s.< „<sa< 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 Bos service. icemountain.com 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 Ice Mountain 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)) 12/04/09 09 -K Rent and Service November, 2009 $17.45 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 Mountain IN SUM OF P.O. Box 856680 Louisville, KY 40285 -6680 $17.45 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 materials or services itemized thereon for which charge is made were ordered and received except �T4 20 Signature Cif Enn�r1Q�.✓ Title Cost distribution ledger classification if claim paid motor vehicle highway fund si S service.icemountain.com o #215 6661 DIXIE HWY, SUITE 4 9 p LOUISVILLE KY 40258 11/01/09 11/30/09 09KO117821082 ADDRESS SERVICE REQUESTED e THU- DEC 10 0117821082 III IIII IIII II III III I III III I IIII III II II I IIII TUE- JAN 12 THU- FEB 11 FRI- MAR 12 #BWNNWYR #0400001178210823# CITY OF CARMEL STREET DEPATMEN Customer Service: 1 800 472 -9888 3400 W 131ST ST Did you forget about us? Kindly pay upon receipt. WESTFIELD IN 46074 -8267 Remember, past due accounts are subject to a late fee. Your prompt payment is appreciated. For your II �I ��I�� I III I II I� ICI I �I�II I convenience, pay online: icemountainwater.com /service. If payment has been made, we thank you. F g now our 3 and 5 gallon bottles are cleaned and refilled on average 35 times before being turned over to company? Each year, We recycle approximately 900,000 of our 3 and 5 gallon bottles, helping to keep Ibs of plastic ou of lan dfills. ACCOUNT ACTIVITY Pay your bill online at: service.icemountain.com or by phone at: 1 -800- 472 -9888. It's free! LVA Delivery address: CITY OF CARMEL STREET DEPARTME, 3400 W 131TH ST, WESTFIELD IN 46674 PREVIOUS BALANCE 32.07 11/09 0646465336 4 9 OZ PLASTIC UP 5OC /SLEEVE 11.96 5 5 GAL ICE MOUNTAIN DRK W /HANDLE 17.45 5 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 30.00 5 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -30.00 11/30 0650845068 1 OIL /FUEL SURCHARGE 2.16 K8352362 RENT 3.99 TOTAL 67.63 ACCOUNT SUMMARY I PREVIOUS BALANCE PAYMENT /ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT to terms on reverse side. 32.07 .00 35.56 67.63 BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER I IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL, OR FOR t. 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 FIWY.. 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 no later than thirty (30) days after we SAM I NVOICE 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. 0 123 4567899 Your Account Number You do not have to pay the disputed amount while it is being wooloo- owooloo investigated. During the investigation, we cannot report your account as delinquent or take any action to collect the amount in question. THH -DCT 04 123456789 MON.00r 29 Watch here for a GENERAL INFORMATION T N TDE -DEC ,e personalized account I. Pavments received after the billing (INVOICE) date will appear on Important se,„<e�.l "988 pp u. n,,, nl„ m„ nnl .t,,,un,t,lm,,,,tlltt.,u „u,lau c ^,<9� Mw ^<a np<odu<n message your next invoice. Past due invoices (not paid within 30 days of news and T kY_ °^g l e e billing date) may be assessed a laic fee as allowed by law not to offers �c 11-M Bt a a ae rma, on, sca,e o9DO9 exceed S20 per month. Additionally, third parry collection /attorney I tn, t.,. tp,a, expenses may be assessed at a rate t ex ceed 100% of the .,.u,ddi unpaid balance or the maximum allowed by law ^Y .daYa ^g'"��"b Q,�w. te Pay electronically 2. Each returned check is subject to a service charge subject to the maximum check return charge allowable in your State. aawene+.wan Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity L__ amount has been ACTIVITY. since our ACCOUNracrrvm woNa y Add ^Dpe.'23M'i ^s«ee,.O ooDe9 „99 paid in full to 4. Equipment replacement costs will be charged for bottles lost, •Denwery -4299 last invoice a a ^a EV avoid late fees stolen, damaged or not returned. aavine ma ^w sou 5. In accordance with NWNA's Terms and Conditions "TRC), your oer3, a6,e9e sGan9 ^Nam�ai zp a ^9Wa,e sow 9111 317095 S Ice M^untain5Gal DeWS'� Equipment Lease and/or Service Agreement account may be 3"""4<^4 s ,CeM ^,ai ^sGain•1 n99 Monthly Oil ovn 3vaes,4a4^ s qe^ w,<na�9e subject to minimum monthly purchases and /or early cancellation �n7 3,a263ee„ Surcharge, Fuel 7u fees. (A complete version of the current TfiC maybe viewed on the ^9��2 66°0°01 Surcharge or Delivery websitc listed below) Upon service discontinuation, rent for the roTAE Fee (see #6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. "`n" T 8 Information") 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or Ywv g g•MeM Deliver s•a•« Fee as described in our T &C. Only one of these fees Payment stub ACCOUNT SUMMARY .c. c a .m Delivery y y ppY TN,S AMOUNT will apply to each account. The fee that applies to your account M,,,,, „.,�,a. wrm•^< ACCOUNT NUM"" ouw w s, 4o is stated on the front of the invoice. For further information please 12 OICE 34567890 WWNG DATE MT, ENCLOSED NV WtWtW I NUMBED visit the websitc listed below or contact our customer service ,234567 center. 7. As a food product, bottled water is subject to the rules and 0420096397 ..2629).2639 00039v9V9 2009 16 Amount due regulations promulgated by the Federal Food and Drug ^n ^Dce Administration (FDA). ,ct MOUNT „,NwnrEx oMIAANY �y$td1es`aaow Submit your a,;,a,aN .,M H. Your first invoice indicates the products delivered on your first E o"CUOoMERSE"VKEVALE,-e^^"i` delivery, along with any applicable bottle and account deposits, ae payment by this uu..i.n,a,.,M,i,i,a,at S e<a�YEe. n p,,,, redemption fees, and any dispenser charges. All future invoices date will reflect charges for water delivered and dispenser rental, bottle s,4NO "rpeGPEE•NT 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 809 Q service. icemountain.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)) 12/04/09 09KO117821082 $35.56 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 N ALLOWED 20 Ice Mountain IN SUM OF P. O. Box 856680 Louisville, KY 40285 -6680 $35.56 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Member: 2201 09KO117821082 42- 389.00 $35.56 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 l Friday Decetfiber 11, 200E !i Street CommissioI6E �t-ref-t c- ffi Cost distribution ledger classification if claim paid motor vehicle highway fund I I service.icemountain.com o #215 6661 DIXIE HWY, SUITE 4 0 e p LOUISVILLE KY 40258 11/01/09 11/30/09 09K7220327048 ADDRESS SERVICE REQUESTED WED- DEC 16 7220327048 III III III III III 111111111 IN 1111111111111 N TUE- JAN 19 THU- FEB 18 #BWNNWYR THU- MAR 18 #0400072203270488# CITY OF CARMEL OFFICE OF THE C Customer Service: 1- 800 472 -9888 ANN DAVIS 1 CIVIC SQ Thank you for choosing Ice Mountain Home Office CARMEL IN 46032 -2584 Delivery! We value your business. I' 'lllllllllll'll l l 11 III' l l l ll'lll�� l l llll l ll llll l l'I'll Did you know our 3 and 5 gallon bottles are cleaned and refilled on average 35 times before being turned over to a recycling company? Each year, we recycle approximately 900,000 of our 3 and 5 gallon bottles, helping to keep 1.6 millio lbs of pla stic out of landfills. s I i ACCOUNT ACTIVITY Pay your bill online at: service. icemountain.com or by phone at: 1- 800- 472 -9888. It's free! Delivery address: CITY OF CARMEL OFFICE OF CLERK, 1 CIVIC SQ, CARMEL IN 46032 PREVIOUS BALANCE 12.63 11120 061177 PAYMENT -THANK YOU -12.63 11/13 0647403021 2 5 GAL ICE MOUNTAIN DRK W /HANDLE 6.98 2 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00 2 5 GALLON ICE MOUNTAIN DEPOSIT RETURN .00 1 9 OZ PLASTIC UP 50C /SLEEVE 2.99 11/30 0650961303 1 OIL /FUEL SURCHARGE 2.16 K8392391 RENT 3.99 TOTAL 16.12 ACCOUNT SUMMARY PREVIOUS BALANCE o PAYMENT /ADJUSTMENT CU ENT CTIVITY m PAY THIS AMOUNT Subject to terms on reverse side. 12.63 12.63 16-13 16.12 BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER IN CASE OF ERRORS OR QUESTIONS AROU'r YOUR RILL. 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 mean j6 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. 9216 If you prefer, you can pay your bill online at service.icemountain.com. 6661 DIXIE IIWY.. 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 its 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, by you believe there is an error. )'on are obligated to pay the parts of your bill that are not in question. 234561990 Your Account Number You do not have to pay the disputed amount while it is being ooloolDO- oorootao investigated. During the investigation, we cannot report your account 1234567 as delinquent or take any action to collect the amount in question. Tea a T MONOCT 39 Watch here for a ]t TOE DEC GENERAL INFORMATION WED DEC tB personalized account 1. Payments received after the billing (INVOICE) date will appear on Important n9BaB II,11,,,IIL, III„ 111 „p „p,L111 cmtoMe<se,h P•°a° message your next Invoice. Past due invoices (not paid within 30 days of news and m. °Er °"A john Dce antl ueN billing date) may be assessed a late fee as allowed by law not to offers o"'s' s exceed S20 per month. Additionally, third party collection/attorney Y S1a1e ,0,, 0 IIL.,, ,11,,,,„I,0 „I,,,I,I,I,L.L, expenses may be assessed at a rate not to exceed 100% of the unpaid balance or the maximum allowed by law. T Nom r x n� aM wo,ene�W»° +°a Pay electronically 2. Each returned check is subject to a service charge subject to the�� a t ntaxunum check return charge allowable in your State. g t R Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity ,,,,v._... amount has been ACTIVITY. since your ACCOUNT ARIy1TY 4. Equipment replacement costs will be charged for bottles lost, last invo Der e, vAdd, e: .�i °1 'r3M41 "su�t.c� "0°°°° paid in full to ice P,� o,B stolen, damaged or not returned. 42.45 avoid late fees T a "EYw so.ao 5. In accordance with NWNA'sTerms and Conditions our oenl 46 ts9a PaYme W e TRC" s° y s sGall°n Natu,al �ing �sOAo 9111 3I]8851M44 Ice M°u"tain s Gal De0°s�t 396 Equipment Lease and /or Service Agreement account may be BnBBV44 I,em ",a; "s6alPCt n99 Monthly 0i1 wee sm,n4,ye subject to minimum monthly purchases and/or early cancellation ��ex63aeN Su[Cha[ge, Fuel fees. (A complete version ofthe current TRC may be viewed on the a +u v?° 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 P4 .,N�t4M°or^ in which service is discontinued. <o..un 4�;,A"^ 5 7 4B 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or ,4w. "g Information Deliver Fee as described in our TRC. Only one of these fees Payment stub ACCOUNT so AM 9 Y Y Y will apple m each account. The fee that applies to your account pp pe Yo'oF .nm p+PM^` AOCOUNr NUMBER PAY By PAY TS) <U MOUN o,,,.,,w„,� •n° 00/00/0 is stated on the front of the invoice. For further information please 12 }4561890 BIWNOp TE MT.ENCEOSEO INVOICE NUMBER pplp0i00 visit the website listed below or contact our customer service 1234561 center. 18 7. As a food product, bottled water is subject to the rules and 042009630? 04262712619 000391049 2004 Amount due regulations promulgated by the Federal Food and Drug 1 0h Doe Administration (FDA). ICE MOUNTAIN WPTE�R OMPANY 123 Main st .m.�+"` City,state 00000 Submit Your 8. Your first invoice indicates the products delivered on your first ,D payment by this delivery, along with any applicable bottle and account deposits, 1,..IILh,.I„IIh...IL...IL,,11 „1,11 „1,,,610,6.1.,11 s'1ae. P redemption fees, and any dispenser charges. All future invoices date �4+ NPF° BrRi +w, °,p „s�, ^D,ae^^'�^” 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 809 Q service. icemountain.com Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL i 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 lX Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Total 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. ALLOWED 20 IN SUM OF ON ACCOUNT OF APPROPRIATION FOR k Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or p�tC fib. Z bill(s) is (are) true and correct and that the g materials or services itemized thereon for which charge is made were ordered and received except 20 k Cost distribution ledger classification if Title claim paid motor vehicle highway fund service.icemountain.com #215 6661 DIXIE HWY, SUITE 4 0 LOUISVILLE KY 40258 11/01/09 11/30/09 09KO120223912 ADDRESS SERVICE REQUESTED WED- DEC 16 0120223912 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII TUE- JAN 19 THU- FEB 18 #BWNNWYR THU- MAR 18 #0400001202239129# CARMEL REDEVELOPMENT COMMISION SHERRY MIELKE Customer Service: 1 800 472 9888 111 W MAIN ST STE 140 YOUR ACCOUNT IS PAST DUE and is subject to CARMEL IN 46032 -1905 additional late fees. Water delivery service may be I1 I I I. l i l l l n i l n i i l I n n I l n interrupted. Please make your payment today. For your convenience, pay online: icemountainwater.com/service. If payment has been made, we thank you. Did you know our 3 and 5 gallon bottles are cleaned and refilled on average 35 times before being turned over to I a recycling company? Each year, we recycle approximately 900,000 of our 3 and 5 gallon bottles, helping to keep 1.6 million Ibs of plastic out of landfills c�. -r 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 41.58 11/13 0647402684 1 5 GAL ICE MOUNTAIN DRK W /HANDLE 3.49 1 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 6.00 1 9 OZ PLASTIC UP 50C /SLEEVE 2.99 11/29 0650378672 1 LATE FEE 15.00 11/30 0650994072 1 OIL /FUEL SURCHARGE 2.16 K8418300 RENT 3.99 TOTAL 75.21 3 Q ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT �tihiad to term re s on varse side 41 .00 3 75.21 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 WAFER 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. ICE U70UNTAIN SPRING WATER CO. 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. 4216 If you prefer, you can pay your bill online at service.icemountain.com. 6661 DIXIE IiWY.. 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 INVO 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. 1234567 90 Your Account Number You do not have to pay the disputed amount while it is being t 00100100 0 0 1 0010, investigated During the investigation, we cannot report your account as delinquent or take any action to collect the amount in question. mR ,CT oa 23456]8 MOrr OC T z9 Watch here for a GENERAL INFORMATION rvE, H,Y r, TUE ,rE'a personalized account I. Pavments received after the billing (INVOICE) date will appear on Important n n du,. m, auua CunomerSe"^MOUn8a01nPr auae message your next Invoice. Past due Invoices (not paid within 30 days of news and ma ^R yo „,Rr �,IRy john Doe aRa xrvm. billing date) may be assessed a late fee as allowed by law not to offers I23Ma acv since 00000 exceed $20 per month Additionally, third party collection/attorney it it I lilt "I "II expenses may be assessed at a rate not to exceed 100% of the unpaid balance or the maximum allowed by law- tiara s"`"'a,rvf19 .4 Pay electronically subject to a service charge subject to the a b{r.COOnYml�o 2. Each returned check Is sub thetKSC �"a"""I''"''� J b g J t� a., d�es.«d vsr«n a4 WO,rem+vocwod as �t' maximum check return charge allowable in your State. Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity nr as amount has been ACTIVITY. since our AC COUNT ACTIVITY 4. Equipment re replacement costs will be charged for bottles lost, y $R.�,�Aaaress, 1 „poe.,z3Mamsveecocyscace 0000° 99 paid in full to p g last invoice °e r a stolen, damaged or not returned. ,�,ioe,aaia T. a avoid late fees PaYmen, -TM1ank YOU 50 5. In accordance with NWNA's Terms and Conditions "T &C your oar nele9e s a a nonNam aizP�m 9w 9m snaasaaa, s ReMo� ^,a�nscaioePO=�c 0. a Monthly Oil Equipment Lease and/or Service Agreement account may be o I 3neasl4w s MR nncamseai Rec�,^ „v9 S anaesna4a s subject to minimum monthly purchases and/or early cancellation 0911 a,a a3REl, E�eiz har9e Surcharge, Fuel fees. (A complete version of the current TRC may be viewed on the o n 1 97 nen. 57.40 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 c uRUrR ACrn�TM w ,TMeN 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or ,Re�oU :RAW+ Ce_PA.M.N.ePgv .f 47 "I s740 Information 99 Delivery Fee as described In your T &C. Only one of these fees Payment stub ACCOUNT aUMMAR PAY BY PAY THIS AMOUNT will apply to each account. The fee that applies to your account �,o,•�,,,,,,„, „yW��r ACCOUNT NUMBER p00000 5740 is stated on the front of the invoice. For further information please ,zR4se]s An, MT.ENaosr, IM'OICEIJUMR 00100100 visit the website listed below or contact our customer service c234sc1s9 center. 20,963,1 042,,2]12619 „0391,49 20114 18 7. As a food product bottled water is sub ect to the rules and Amount due reeulations promulgated by the Federal Food and Drug IonO,oe Administration (FDA), coMPA Iz3 Mal sc 'OOUONTAIN WATER Cty. SCZte 00000 Submit your S. Your first invoice indicates the products delivered on your first „�R w.,�U ^rtM1 �N�1nL delivery, along with any applicable bottle and account deposits, cORCUSTOMEaseRwcec ^«'-a°°” "-9seR payment by this Rn ^,Anr�b ^9e A. =vae redemption fees, and arty dispenser charges. All future invoices I.,dn,t,,,1 „a1,,,..u.•u••,it to 1 IIII I I u4tle date ReEAO TUPAY,5 9nuPRea•�� U n Rre 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 809 service. icemountain.com I!I service.icemountain.com o #215 6661 DIXIE HWY, SUITE 4 ®0 p LOUISVILLE KY 40258 11/01/09 11/30/09 09KO121975593 ADDRESS SERVICE REQUESTED 91 1 DEC 16 0121975593 ��IIII�IIIIIIII�I��III 11111IN111111111111 TUE- JAN 19 THU- FEB 18 #BWNNWYR THU- MAR 18 #0400001219755935# CARMEL REDEVELOPMENT COMMISION SHERRY MIELKE Customer Service: 1 800 472 9888 111 W MAIN ST STE 140 YOUR ACCOUNT IS PAST DUE and is subject to CARMEL IN 46032 -1905 additional late fees. Water delivery service may be III I 11 Ilr �Illi I II I ,,,1� interrupted. Please make your payment today. For your convenience, pay online: icemountainwater.com/service. If payment has been made, we thank you. Frecy c�ling w our 3 and 5 gallon bottles are cleaned and refilled on average 35 times before being turned over to company? Each year, we recycle app roximately 900,000 of our 3 and 5 gallon bottles, helping to keep bs of pla out of landfills. ACCOUNT ACTIVITY Pay your bill online at: service. icemountain.com or by phone at: 1 -800- 472 -9888. It's free! D elivery a ress: PREVIOUS BALANCE 54.01 11/13 0647402890 1 5 GAL ICE MOUNTAIN DRK W /HANDLE 5.99 1 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 6.00 1 9 OZ PLASTIC UP 50C /SLEEVE 2.99 2 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -12.00 11/29 0650377922 1 LATE FEE 15.00 11/30 0651029084 1 OIL /FUEL SURCHARGE 2.16 K8418451 RENT 6.99 SALES TAX .70 TOTAL 81.84 I2 -�3 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT �ubiect to terms on reverse side. 1 54.01 .00 27, 83 81.84 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 -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 NIOUNTAIN 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 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 t must 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: 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. 1234567990 Your Account Number You do not have to pay the disputed amount while it is being oaootoo- ootooro investigated. During the investigation, we cannot report your account P as delinquent or take any action to collect the amount in question. TN9 on a 123456 WIN oO 39 Watch here for a GENERAL INFORMATION wEo- NG9 o_ oEC ,0 personalized account I. Payments received after the billing (INVOICI date will appear on Important n.n,•.m•,m. rant ,,,nu,t,tn1,,,,111a „tI „tt•I•tu c „om�,seMa:,.9oo- In.999 mesa g e your next Invoice. I ast clue Invoices (not paid within 30 days of news and rna ^EY«�IOf °'jig "Prod °n` billing state) may be assessed a late fee as allowed by law not to offers "M n I s� exceed $20 per month. Additionally, third party collection /attorney an, sail 00000 L. III, 11 Ii a a „Iu•I•I•I•I•InII expenses may be assessed at a rate not to exceed 100% of the unpaid balance or the maximum allowed by law. i r ^YW Y a,>�a E„ Y,.991^t^� j Pay electronically 2. Each returned check is subject to a service charge subject to the ,e,m<ekal^^'. (om°�"�Ot aoaucw� "a mmrmnmo,el maximum check return charge allowable in your State. s Make sure this 3. All bottle and equipment de deposits are shown as CURRENT Activity P amount has been ACTIVITY. since your ACCOUNrACTIwIN cYSi e 4. Equipment replacement costs will be charged for bottles lost. OerAenAda'H*' m °pe'1� }Ma s n.� paid in full e last invoice stolen, damaged or not returned. P re� i ou59 Than4YOU 12.45 avoid late fees 5. In accordance with NWNA's Terms and Conditions T &C your 09r 46,09e Parma -so oo 5 sGallon Natural SPrin9water 9rn }n�sj6°g4 s Moral =msGaloeP°'�` Monthly Oil Equipment Lease and /or Service Agreement account may be 0 }Haas, ,Ce M "tam sGal9et ❑.99 09111 3,]0051 Mao ee ^15ur<^ar9e subject to minimum monthly purchases and /or early cancellation 09na gi b }een Surcharge, Fuel z ,bn+w9T sew fees. (A complete version of the current T &C may be viewed on the 041, Surcharge or Delivery 3vebsite listed below) Upon service discontinuation, rent for the roTAL Fee (see #6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. ..a m PAa' {M1S 1 I f t 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or N ^99 n orma ion UMM 9 Delivery Fee as described in y our J T &C. Only one of these fees Pa Stub AcCOUMS ARY =••a PAY TNIS AMOUNT PAY BY will apph• to each account. The fee that applies to your account „„�,a,P•� ACCOUMNUMSrR �I� 51- is stated on the front of the invoice. For further information please 0E ^u•„�.m" ,23 as°'g90 BIwNG OArE MT. ENCLOSED NUM visit the websitc listed below or contact our customer service 3 4 67890 Wt00t00 center. 1 E 7. As a food product. bottled water is subject to the rules and 0,20046 o42e2py2619 ❑0039>'oV9 zoo9 Amount due regulations promulgated by the Federal Food and Drug t ^ooe Administration (FDA). IcE MOUNraN wnreR oM ANr iYMaa�es'oww o w•.N Submit your S. Your first invoice indicates the products delivered on your first EaBC ,SE99ICECAUI "g88 delivery. along with any applicable bottle and account deposits. payment by this L.. ut, t.•• i. nt n.•. at u..tat,a•,aaaa•a• P.,�, osr M,<I��^^a<.e,KSa. redemption fees. and any dispenser charges. All future invoices Sn�oP O date will reflect charges for water delivered and dispenser rental, bottle S�wvPr PPP EA deposits and credits plus charges for any additional products ordered by you. Deliveries are made every three or four weeks, for a total of I6 -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 809 S service. icemountain.com 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. 566 Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) ///0//0 9 0 S0f20223 X12 Al 0M019 i 9 75 q 3 �(/.J�o. l 2.? 3 4 t Total _31Z 4 16 l 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 Y Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF �O 6 (�e Z d 0,'s ,1 Ll X02 s= 6 G (�>c ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 9a 2 0 MCI 2 -231 l2 1. bill(s) is (are) true and correct and that the yc 2 0 jKp /2 o7s5 3 /203 materials or services itemized thereon for which charge is made were ordered and received except Sign re Director of Operations Cost distribution ledger classification if Title claim paid motor vehicle highway fund