177066 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 051125* Page 1 of 1
ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CHECK AMOUNT: $46.05
CARMEL, INDIANA 46032 PROCESSING CENTER
M ..oN cad PO BOX 856680 CHECK NUMBER: 177066
LOUISVILLE KY 40285 -6680
CHECK DATE: 9/1512009
DE PARTMENT ACCOUNT PO NUMBE INVOICE NUMBER AMOUNT D
902 4355100 19HO12022391 3.99 PROMOTIONAL FUNDS
902 4355100 19HO12197559 42.06 PROMOTIONAL FUNDS
B 720806
8/01/09 8/31/09 19HO120223912
#215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258
service.icemountain.com 0
WED- SEP 16 0120223912
111 llll Ill I'll Il II III III I III llll 11 111 FRI- 15
NOV
FRI- NOV 13
#BWNNWYR WED-DEC 16
#0400001202239129#
CARMEL REDEVELOPMENT COMMISION Customer Service: 1- 800 472 -9888
SHERRY MIELKE
111 W MAIN ST STE 140 Did you forget about us? Kindly pay upon receipt.
CARMEL IN 46032 -1905 Remember, past due accounts are subject to a late
fee. Your prompt payment is appreciated. For your
convenience, pay online:
icemountainwater.com /service. If payment has been
made, we thank you.
Fdva ntage gotten your SAVINGS ADVANTAGE? Put two ormore cases of Ice Mountain 1/2 Liter in your'My
rder' and pay just $4.99/ case DELIVERED! Call 800- 472 -9888 or visit www.icemountain.com to take
of the new, l ower prices_
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 19.47
8/31 H7988077 RENT 3.99
TOTAL 23.46
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT CURRENT ACTIVITY o PAY THIS AMOUNT
r, to terms on reverse side. 19.47 .00 3.99 23.46
BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER
IN CASE 01 ERRORS OR QUESTIONS ABOUT YOUR HILL, 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. DIOUNTMN SPRING RSYTER 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
must hear from you in writing no later than thirty (30) days after we SAMPLE INVOICE
sent you the first bill on which the error or problem appeared. You can
telephone us, but doing so will not preserve your rights. In your letter.
give us the following information:
Your name, address, telephone and account numbers. Date range of this invoice
The dollar amount of the suspected error.
Describe the error and explain if you can, why you believe there is
an error.
You are obligated to pay the parts of your bill that are not in question. n o 23ase7R90 Your Account Number
You do not have to pay the disputed amount while it is being a 001001oo- omooloo
investigated. During the investigation, we cannot report your account
2345
as delinqucm or take any action to collect the amount in in question. ra ocr o4
MDN -oCT 79 Watch here for a
GENERAL INFORMATION wE� NDY 71
rGE -oEE'a personalized account
I. Payments received after the billing (INVOICE) date will appear on Important
II�II„ VIII. X111, �IIIIIA• I III I ,III
your next invoice. Past due invoices (not paid within 30 days of news and T L�.�IIIII.�II .II. 1 111 e
Cu +tome. x <e t.aoo <7z
messa "E
you 3or 4+irg Ice MountaM proa4<ts g
billing date) may be assessed a late fee as allowed by law not to. offers
exceed S20 per month. Additionally, third party collection /attorney ol 0000D
1_111.1 L.111
expenses may be assessed at a rate not to exceed 100% of the
n slmeWl"9 ry,tuuse
unpaid balance or the maximum allowed by law. m �me.a?r ^g �a,rcmla yleww4l Pay electronically
I' r 1aalasewonw co m.yww�menr "am6m,m4c
2. Each returned check is subject to a service charge subject to the aNn�y„65, «a6rir p4rWWCV6mM1Y9fTxadW
maximum check return charge allowable in your State. y .x Make sure this
3. All bottle and equipment deposits are shown as CURRENT Activity �,..M...a^ ��ama.6
ACTIVITY. since your AccouNTACTw'ry amount has been
173
4. Equipment replacement costs will be charged for bottles lost, last invoice cer r n D"e Ma. "s c;ty staleooR6o "gg p aid in full to
stolen, damaged or not returned. v.e✓� "a °r avoid late fees
vavme ma ^I,vw soa
5. In accordance with NWNA's Terms and Conditions "TRC your oev31 a6 896 sGano "Nawrais�� ^9'H °1p1 s000
9111 317885 5 Ice Mountain SGal p 996
Equipment Lease and /or Service Agreement account may be t 3 176an4xal s <em "ta; n.99 Monthly Oil
1 31)685'°°°° qe^I SurcNrge
subject to minimum monthly purchases and/or early cancellation p Surcharge, Fuel
fees. (A complete version of the current TRC may be viewed on the o9 'm 5
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.
ACCOUNT SUMMARY cuuv..
6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or Information
as g 9
Delivery Fee as described in your TRC. Only one of These fees Payment stub P ,y T HIS AMOUNT
a,a
will a ap to �-wwY^•^' PAY By
PP Ir to each account. The fee that pp o your account e•• m+^^^n ACCWMN890 w 'N 57 4 0
is stated on the front of the invoice. For further information please 1734567UM gItDNI, DATE MT. ENaosro
ITNOICE
visit the website listed below or contact our customer service 1z3s 6700 67690 ooIppj00
center. P sub 04262712619 000391049 2004 1E
7. Asa food roduct, bottled water is sub�ect to the rules and Amount due
regulations promulgated by the Federal Food and Drug 1 "no DOe
Administration (FDA), IcE MOUNTaN wnTERoMANY aystates ooDOo
8. Your first invoice indicates the products delivered on your first •o^^�°^ Submit your
delivery, along with any applicable bottle and account deposits. date
,ohmSTOMrR5c6v'c6c "M100- „7.9666 payment by this
L.. wa.,, L an. ...,u,.,,u„a1 „1,n,a,,,laaa,a•,I ix5de
redemption fees, and any dispenser charges. All future invoices ^u ^6^'
will reflect charges for water delivered and dispenser rental, bottle S,r„w1N6rR +rwT
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
I
s 720806
0 8/01/09 8/31/09 19HO121975593
#215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258
service.icemountain.com
WED- SEP 16 0121975593
III RE I IN 11111 11111111 IN III IN 1//111111 THU- OCT 15
FRI- NOV 13
#BWNNWYR WED- DEC 16
#0400001219755935#
c CARMEL REDEVELOPMENT COMMISION Customer Service: 1- 800 472 -9888
SHERRY MIELKE
111 W MAIN ST STE 140 Did you forget about us? Kindly pay upon receipt.
CARMEL IN 46032 -1905 Remember, past due accounts are subject to a late
fee. Your prompt payment is appreciated. For your
convenience, pay online:
icemountainwater.com /service. If payment has been
made, we thank you.
Have you gotten your SAVINGS ADVANTAGE? Put two or more cases -of Ice Mountain 1/2 Liter in your'My
Regular Order' and pay just $4.99 case DELIVERED! Call 800 472 -9888 or visit www.icemountain.com to take
advantage .of -the. ne"w,- IOWer,pr ceS....
ACCOUNT ACTIVITY Pay your bill online at: service.icemountain.com or by phone at: 1 -800- 472 -9888. It's free!
Delivery address: CARMEL REDEVELOPMENT COMMISION, 30 W MAIN ST STE 220, CARMEL IN 46032
PREVIOUS BALANCE 61.32
8/13 532931 PAYMENT -THANK YOU -24.66
8/17 0633874474 4 5 GAL ICE MOUNTAIN DRK W /HANDLE 23.96
4 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 24.00
1 9 OZ PLASTIC UP 50C /SLEEVE 2.99
3 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -18.00
8/31 0637550625 1 OIL /FUEL SURCHARGE 2.12
H7988235 RENT 6.99
SALES TAX .70
TOTAL 79.42
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT
_SzF�ubiect to terms on reverse side. 61.32 24.66 42.76 79.42
BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER
IN CASE OF ERRORS OR QUESTIONS ABOUTYOUR 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 SPRING NVXfER 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 1IWY.. 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 infonnation about
a transaction on your bill, write us on a separate sheet of paper. We
must hear from you in writing error than thirty days after SAMPLE �AV" =E
sent you the first bill on which the he appeared, error or problem Not] o can an
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. why you believe there is
an error.
You are obligated to pay the parts of your bill that are not in question. I 234567990 Your Account Number
You do not have to pay the disputed amount while it is being 00100/00- 0
investigated. During the investigation. we cannot report your account
tza4se]s
as delinquent or take any action to collect the amount in question. T NR ocT oe
M ON -oET Watch here for a
GENERAL INFORMATION TUE DEC
T11E 0E< a personalized account
I. Payments received after the billing (INVOICE) date will appear on Important n n nt n1 pent lmllm uw ^u"0'1'1u cU.l °m«sem aoo 4]z 9RRa message
your next invoice. Past clue invoices (not paid within 30 days of news and
billing date may be assessed a late fee as allowed by law offers not to ,In ^a a<nlaa.
M n
Ctrs'— 00000
exceed S20 per month. Additionally, third party collection /attorney
expenses may be assessed at a rate not to exceed 100% of the aaro g nLa;mdrt+ ^c y aL Pa electronicall
unpaid balance or the maximum allowed by law. T maOaR<YP",M a Alam� uo mea+a Y Y
2. Each returned check is subject to a service charge subject to the
ma)(imunT check return charge allowable in your State. Make sure this
3. All bottle and equipment deposits are shown as CURRENT Activity amount has been
ACTIVITY. since your ACCOUNT ACTIVITY
4. Equipment replacement costs will be charged for bottles lost. Olin <nAam< paid in full to
last invoice 199
stolen, damaged or not returned. 4a °s avoid late fees
5. In accordance with NWNA's Terms and Conditions °T &C'). your oa,a, ,a,e�
1 TI]Basl May S SGallo ^N u SO ^9 wa
S0.
Ice Mounw;n s Gal DeW*i, '.96
Equipment Lease and /or Service Agreement account may be mean a ceM °U"umsealRe,Rm 9 Monthly Oil
a,]sas�aaw
o9m I wN S „na,q<
subject to minimum monthly purchases and /or early cancellation X112 e,936Tee,c R Surcharge, Fuel
Ices. (A complete version of the current T&C may be viewed on the Uvu �ab Surcharge or Delivery
websitc 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.
Information
6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or 99
Deliver F describ in our T &C. Only one of these fees Payment stub ACCOUNT SUMMARY 99
Delivery as scr y our
�,,..n••ere o- .°ro. •.c.EO. PAY THIS AMOUNT
will apply to each account. The fee that applies to your account p,- f,,,,„ �„�.o•r^� ACCOUNT NUMBEB PAY BY s o
aolooloR
,1}956189 MT. ENCLOSED
is stated on the front of the invoice. For further information please INVOicENUMaER RILLINGDATE
visit the websitc listed below or contact our customer service oo/ROroo
,])456]8
Centel'. 18
7. As a food product, bottled water is subject to the rules and 00.20096301 ORe82T 12619 0003`+10 200° Amount due
regulations promulgated by the Federal Food and Drug 1° O«
Administration (FDA). ICEMOUNTAIN WATERCOMPANY c"5t xteS`WoO
Submit your
S. Your first invoice Indicates the products delivered on your first Pop CU STOMER STR_, CA, 8 121888
delivery, along with any applicable bottle and account deposits, aLI,at o e...�sa. payment by this
L, ,,,.n.,al,.I,n,r,,,1,t,6L.L,n A, ^,Anr�N
redemption fees, and any dispenser charges. All future Invoices UPIORreEE,a„o, „V9 ^U,Rro.I,.eO ^ate` 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
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
Q1,
Prescribed byState 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
-4 C C-7 Purchase Order No.
t'
566 RQ Terms
La Uisvi /�p, KY Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6 /3iy0/2/5 2112 �G
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
i
lr IN SUM OF
i4� -7.S
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or DEPT INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or
2.. 1�1 3.95' bill(s) is (are) true and correct and that the
I gffa /z ass g3 42 .VG materials or services itemized thereon for
which charge is made were ordered and
received except
9 -�y 20 0
Si nature
Director of Operations
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund