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177253 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 357977 Page 1 of 1 ONE CIVIC SQUARE ICE MOUNTAIN CARMEL, INDIANA 46032 P o BOX 856680 CHECK AMOUNT: $147.61 M1�sn day? LOUISVILLE KY 40285 -6680 CHECK NUMBER: 177253 CHECK DATE: 9/15/2009 DE PARTMENT ACC OUNT PO NUM BER INV OICE NUMBER AMOUNT DE SCRIPTIO N 2201 4238900 19HO11782108 (38.03 OTHER MAINT SUPPLIES 1125 4353099 19HO12009535 X41.02 OTHER RENTAL LEASES 1047 4353099 19HOl2120276 /26.92 OTHER RENTAL LEASES 1205 4239099 19HO12177619 /22.57 OTHER MISCELLANOUS 1701 4239099 19H722032704 /19.07 OTHER MISCELLANOUS Y Il 7 0 720806 0 8/01/09 8/31/09 C 19HO121202766 #215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258' service.icemountain.com g a FRI- SEP OV 11 0121202766 III IMIN ICIIM110W0 III IHIII H IN I N MON 12 TUE- NOV 10 #BWNNVVYR FRI- DEC 11 #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 -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. 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 new, lower prices._ 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 PARKS DEPT/MONO, 1235 CENTRAL PARK DR EAST, CARMEL IN 46032 PREVIOUS BALANCE 74.82 8/09 499191 PAYMENT -THANK YOU -37.91 8/12 0633256771 5 5 GAL ICE MOUNTAIN DRK W /HANDLE 19.95 2 9 OZ PLASTIC UP 50C /SLEEVE 5.98 BOTTLE DEPOSIT: 5 CHARGED, 6 CREDITED -6.00 8/31 0637638321 1 OIL /FUEL SURCHARGE 2.00 H8021136 RENT 4.99 TOTAL 63.83 i SEP 0 8 2009 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT C RENT AC VITY PAY THIS AMOUNT �ubject to terms on reverse side. 74.82 37.91 0 63.83 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 I- 800- 472 -9988 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 NVV7'F,R 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.. SUIT[ 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 most hear from you in writing Inver than thirty (30) days after we SAMPLE IN OiCE 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. 123456789 Your Account Number You do not have to pay the disputed amount while it is being 0010 o100 0 0 1 00100 investigated. During the investigation, we cannot report your account as delinquent or take any action to collect the amount in question. TNR T o4 o 123456]89 M ON -oc �9 Watch here for a GENERAL INFORMATION wE6NOV rur. o6c IR p ersonalized account I. Payments received after the billing (INVOICE) date will appear on Important II,II,III• III „IIII61„IIII,I1111,.11111 „11,.11,1,111 eoslomel semce 4r2 -9888 message your next invoice. Past clue invoices (not paid within 30 days of news and I n o« T ^Er«,o< "a,gme M ^,aI ^R a a•rvua. billing date) may be assessed a late fee as allowed by law not to offers 123M ^sI exceed S20 per month. Additionally, third party collection /attorney ocr,slale 100 L, III „.,dl,,.,u. „1 „dddA..l„ expenses may be assessed at a rate not to exceed 100% of the unpaid balance or the maximum allowed by law. T 99r om. YaJU anx <y�a� acw4^t wla9s, m 4x8^ Pay electronically ^am9rn mo”' mo 2. Each returned check is subject to a service charge subject to the maximum check return charge allowable in your State. I Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity amount has been ACTIVITY. Since your A CCOUNT Arnv 1 n' 11 4. Equipment replacement costs will be charge(] for bottles lost, ue,KYAaa,es »6 ^uoe.123M s `C'ty pppDO paid in full to last invoice avoid late fees stolen, damaged or not returned. 5. In accordance with NWNA's Terms and Conditions 50 'T &C your p8131 86,698 s varm` -66 5Ga11on Na,u1a150rin9water 50 91„ ]1]8651444^ Ice MOUma.. seal OeW +i, 2W Equipment Lease and /or Service Agreement account may be m66s44a4 s ^„�^swiRewm u99 Monthly Oil 09111 31)865 0.en 1 SU c"a�9e subject to minimum monthly purchases and/or early cancellation 6368„ Surcharge, Fuel p91,I lle fees. (A complete version of the current T &C may be viewed on the 09112 '66"° S 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. <?N' a�T^ 57A0 Info 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or Deliver Fee as described in ourT &C. Only one of these fees Pa yment stub AccourtTSU Aav MM Delivery y pAY THIS AMOUNT will apply to each account. The fee that applies to your account ACCOUM NUMBER �l�ioo EN 12345 6)8 MT. ENCLOSED m is staled on the front of the invoice. For further infotation please ICE NUMBER 6BUr+co4rL INVO I OOIWIOD visit the websitc listed below or contact our customer service 34 7890 center. 7. As a food product, bottled water is subject to the rules and 0420096307 04282712619 000391049 2004 1 Amount due regulations promulgated by the Federal Food and Drug p„ ooe Administration (FDA). Submit vour Ice MOUN,AIN wnrrRoMANr as smee S. Your first invoice indicates the products delivered on your first „1:w,,.,,N wRC S,OMERSEWI<E<ALL1- 66�9119g88 P ayment by this delivery, along with any applicable bottle and account deposits, 1,.,Illlu.LJII,,,,IL,..IL ,,11.,1,11.,1.,,1,1,1.1,.1,.11 ,x5 4m <N ^9n „s<64•. redemption fees. and any dispenser charges. All future i nvoices date sq ^4RRro� M 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 gIB� 720806 WH OM G 8/01/09 8/31 109 F19HO120095351 #215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 service. icemountain.com o MON- SEP 28 0120095351 NOV III IM IN IIIIHINN TUE- 27 WED- N NOV 25 #BVVNNWYR TUE- DEC 29 #0400001200953515# CARMEL CLAY PARKS AND REC DEPT Customer Service: 1- 800 472 -9888 AUDREY KOSTRZEVVA 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 refilled on average 35 times before being recycled? Thank you for helping the environment! j y ACCOUNT ACTIVITY Pay your bill online at: service.icemountain.com or by phone at: 1- 800 472 -9888. Its free! Delivery address: P CARMEL CLAY PARKS AND REC DE, 1427 E 116TH ST, CARMEL IN 46032 PREVIOUS BALANCE 118.77 8/09 499192 PAYMENT -THANK YOU -60.90 8/27 0636020042 5 5 GAL ICE MOUNTAIN DRK W /HANDLE 19.95 3 9 OZ PLASTIC UP 50C /SLEEVE 8.97 BOTTLE DEPOSIT: 5 CHARGED, 5 CREDITED .00 8/31 0637622416 1 OIL /FUEL SURCHARGE 2.12 H7947881 RENT 9.98 TOTAL 98.89 SEP p 8 2009 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT C ENT ACT VITY m PAY THIS AMOUNT to terms on reverse side. 118.77 60.90 41.02 98.89 BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL, OR FOR I. Please remember payment is due by the "pay by" date noted to ensure the smoothest service. A REPORT ON WATER QUALITY AND INFORMATION. PLEASE 2_ Remember, if you are renting equipment, your equipment rental is charged one month in advance. That means CALL 1- 800 472 -9888 OR WRITE US AT: your first invoice will include a pro -rated fee for the current month, plus the next month's rental. ICE MOUNTAIN SPRING WATER CO. 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. #216 If you prefer, you can pay your bill online at service.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 sent you the first bill on which the error or problem appeared. You can SAMPLE INVOICE telephone us, but doing so will not preserve your rights. In your letter, give us the following information: Your name, address. telephone and account numbers. Date range of this invoice The dollar amount of the suspected error. Describe the error and explain if you can. why you believe there is an error. You are obligated to pay the parts of your bill that are not in question. t23 as57a9 0 You do not have to pay the disputed amount while it is being 00/0 ;00 Your Account Number investigated. During the investigation, we cannot report your account as delinquent or take any action to collect the amount in question. rHa ocr Iz3asere MON Do 19 Watch here for a GENERAL INFORMATION WED NOV 21 ToE -oEC 'R personalized account I. Payments received after the billing (INVOICE) date will appear on Important .,soo azz 9Ras p c^al� s message your next invoice. Past due invoices (not paid within 30 days of news and 11'11 "viii" 111" IIIILL.IIIhI,1111,,,11111 „11,.11AA11 Thank Y^ufw uHn9 ke Mwnlaln praduas lohn Doe ,na ,arvma. billing date) may be assessed a late fee as allowed by law not to offers 123Ma1ns1 exceed $20 per month. Additionally, third party collection /attorney oeY,sale 000°° L. IIII,.L,111,.IL-AIna „1,,1,1,1.1 „L,I expenses may be assessed at a rate not to exceed 100% of the unpaid balance or the maximum allowed by law. t Y 4” T' °a°^"' Pay electronically 2. Each returned check is subject to a service charge subject to the �':..„�wW,"B`. ,;e<vaw� ^b`" maximum check return charge allowable In your State Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity ACTIVITY „I amount has been since your ACCOUNT ACT' m oo 4. Equipment replacement costs will be charged for bottles lost, I invoi •cell�ervAaa,e :s. J^n ^0o"•'z3Ma� ^s paid in full t0 invoice stolen, damaged or not returned. T &C), y our P,eo; ^�•oala 9: avoid late Tees 5. In accordance with NWNA's Terms and Conditions oe13, au,e9e s seannn r+a�a swI ^9 so 9111 J170801a4aa Ite Mountain seal DeWa” i96 Equipment Lease and/or Service Agreement account may be o 1 317. i CeM ^^nla; ^scalRe, n.99 Monthly Oil subject to minimum month) p urchases and/or earl cancellation o9n, Jv „els�,ma j y p y X11 „oi6�0„ Re Surcharge, Fuel fees. (A complete version of the current T &C may be viewed on the o9nz 'map°” 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 c pR. „T.<rM 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or 9 information Y Deliver Fee as described in Y Y our T &C. Only one of these fees Pay ment stub ACCOUNT SUMMARY CE o� PAY THIS AMOUM BY will apple to each account. The fee that applies to your account n m a ,n„m,rnnw+P•m• AccouNrr+umeEn PAY 5 140 is stated on the front of the invoice. For further information please J123456 azR9° eR.uNCOATE MT ENaosro INVOICE NUMBER 10„100 visit the website listed below or contact our customer service 12345e7890 center. T As a food product, bottled water is subject to the rules and 0920096307 042E2712619 0003910V9 z009 1 Amount due regulations promulgated by the Federal Food and Drug p o« Administration (FDA). ICE MOUNTAIN WATER COM K•>N� y a [s` o „w•• Submit your S. Your first invoice indicates the products delivered on your first rpR UMensEmlcE CA LL wo '.9a� delivery, along with any applicable bottle and account deposits, C psT ^a�a,usaa. payment by this date L..IIL1...1.,111.....IL.. .11.,,11 „1,11 „1,,,1,1.1.1 "111 $i0.. van A^y redemption fees, and any dispenser charges. All future Invoices PA., sI ^vPa•9al.aa will reflect charges for water delivered and dispenser rental. bottle o °,oR,asEAOro deposits and credits plus charges for any additional products ordered by you. Deliveries arc made every three or four weeks, for a total of 16 -17 deliveries per year. You will only receive invoices 12 times per year, so approximately 5 of those invoices will reflect two deliveries. Q 2008 Ice Mountain Spring Water Company, a Division of Nestl6 Waters North America Inc. Form No. NW 709 5/08 ,.ter ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. 051125 Ice Mountain Terms P O Box 856680 Date Due Louisville, KY 40285 -6680 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/3/09 19HO121202766 Water cooler rental Monon Center 26.92 9/3/09 19HO120095351 Water cooler rental Maintenance Dept 41.02 Total 67.94 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 ,20_ Clerk- Treasurer Voucher No. Warrant No. 051125 Ice Mountain Allowed 20 P O Box 856680 Louisville, KY 40285 -6680 In Sum of$ 67.94 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund 104 Program Fund PO# or INVOICE NO. ACCT #1TITLE AMOUNT Board Members Dept 1047 19HO121202766 4353099 26.92 1 hereby certify that the attached invoice(s), or 1125 19HO120095351 4353099 41.02 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 -Sep 2009 Signature 67.94 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund 0 720806 ®s 0 8/01/09 8/31/09 19HO117821082 #215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 service.icemountain.com g THU- SEP 10 0117821082 IIII IIII I II III III FRI- OCT III III I III IN II II III II MO N- NOV NOV 09 09 THU- DEC 10 #BWNNWYR #0400001178210823# Customer Service: 1- 800 -472 -9888 CITY OF CARMEL STREET DEPATMEN 3400 W 131 ST ST Thank you for choosing Ice Mountain Home Office WESTFIELD IN 46074 -8267 Delivery! We value your business. Have you gotten your SAVINGS ADVANTAGE? Put two or more cases of Ice Mountain 1/2 Liter in your'My f Regular Order' and pay just $4.99 case DELIVERED! Call 800- 472 -9888 or visit wwwAcemountain.com to take a dvantage o f the ne low ACCOU ACTIVITY Pay your bill online at: service. icemounta!n.com or by phone at: 1 -800- 472 -9888. It's free! Delivery address: CITY OF CARMEL STREET DEPARTME, 3400 W 131TH ST, WESTFIELD IN 46074 PREVIOUS BALANCE 69.82 8/09 499190 PAYMENT -THANK YOU -37.91 8/30 612156 PAYMENT -THANK YOU -31.91 8/11 0632840252 4 9 OZ PLASTIC UP 50C /SLEEVE 11.96 4 5 GAL ICE MOUNTAIN DIRK W /HANDLE 13.96 4 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 24.00 3 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -18.00 8/31 0637569344 1 OIL /FUEL SURCHARGE 2.12 H7923947 RENT 3.99 TOTAL 38.03 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT CURRENT ACTIVITY a PAY THIS AMOUNT �bject to terms on reverse side. 69.82 69.82 38.03 38.03 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 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 WA'T'ER 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 HWY, SUITE 4 LOUISVILLE, KY 40258 4. Never hesitate to call us with comments, questions, or concerns. If you think your bill is wrong, or if you need more information about a transaction on your bill, write us on a separate sheet of paper. We must hear from you in writing later than thirty (30) days after we SAMPLE INVOICE sent you the first bill on which the he error or problem appeared. You can telephone us, but doing so will not preserve your rights. In your letter, 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. iz3 Your Account Number You do not have to pay the disputed amount while it is being o- tool-- ooltwlo investigated. During the investigation, we cannot report your account 1.2345789 as delinquent or take any action to collect the amount in question. "R -acT Q rnoN -«T 29 Watch here for a GENERAL INFORMATION TuE DEc 3, T�E. personalized account I. Payments received after the billing (INVOICE) date will appear on Important till w m rent tmtmt rent „p „itd,pl Cus�«�n smRe�' .9888 your next invoice. Past due invoices (not paid within 30 days of news and pre^ TMa ^ti<c3,",,,,g,c•M ^•a ^c•°a °c`* message billing date) may be assessed a late fee as allowed by law not to offers ,z3M =TMs' exceed S20 per month. Additionally, third party collection /attorney °re's`ale 0000- 16.,.11 „AI „I,n „I „L,II expenses may be assessed at a rate not to exceed 100% of the �daYam9� 4 p 1 y 1o9o„ °o 9e” Pay electronically unpaid balance or the maximum allowed by law. B ^m,,aYW' 2 To m,^a�ya.aa 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 e amount has been ACTIVITY. since your AccouNr c y ,5u,z -oo 4. Equipment replacement costs will be charged for bottles lost, last invoice oei yAdd °n ^poe,lz3 Mai ^s 1 1.99 paid in full to stolen, damaged or not returned. Baia ^ce s000 avoid late fees Payment- iM1anEYOU -5 -B0 5. In accordance with NWNA's Terms and Conditions "T &C your oen, a61e9e 5 scan ^Nam,aiso,i ^suave' ,n ,veev meN ^,ai n5-e1DeVOS" x9fi Monthly Oil Equipment Lease and/or Service Agreement account may be 31IBBS B ,,,BBS4a ^sRem 1199 09111 A444 fuel5urcaar9e wl subject to minimum monthly purchases and/or early cancellation 31BZ63BBn RQ^ Surcharge, Fuel fees. (A complete version ofthe currentT &C may be viewed on the 09nr 'x'10°9' s,.w Surcharge or Delivery website listed below) Upon service discontinuation, rent for the ToTAE Fee (see #6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. L coMw* "mYB+ s; <u f 6. You will be charged a monthly Oil Surcharge. Fuel Surcharge or In f ormation") Delive Fee as described in ourT &C. Only one of these fees Pa y ment stub ACCOUMso MARY ..a ry NT PAY TNIS AMOU will apply to each account. The fee that applies to your account ,,,a, „•r•^ ACCOUM NUMBER PAY BY 51q0 is stated on the front of the invoice. For further information please Iz3 +5789- BaU G TE MT. ENCLOSED INVOICE NUMBER WIOOIW visit the website listed below or contact our customer service ,23457 center. 7. As a food product, bottled water is subject to the rules and 0420096307 042,2712619 000391049 zoa9 16 Amount due regulations promulgated by the Federal Food and Drug Administration (FDA). 0000° CE�4 O� gyN�WAIIECoo"A ,..r 23 Main 4 Submit your 8. Your first invoice indicates the products delivered on your first e vBaB delivery, along with any applicable bottle and account deposits. y, 'ppCOnOME nsERmrECqu ayment b this i nvoices ,41x. n,,,nrocN^<,no..uw,u w• date redemption fees and any dispenser charges. All future Invoices 0RI t .,5y- ,Rrow,•eo 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. 0 2008 Ice Mountain Spring Water Company, a Division of Nestl6 Waters North America Inc. f=orm No. h1W 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)) 09/03/09 19H0117821082 $38.03 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 $38.03 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 19HO117821082 42- 389.00 $38.03 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 Thursday! E(epJ dic r 10, 2009 G Street Commissione r st mrjl V\1111.1 141 Title Cost distribution ledger classification if claim paid motor vehicle highway fund I 720806 o 8/01 /09 8/31 /09 191-17220327048 #215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 service.icemountain.com WED- SEP RI- 16 7220327048 IIIIM11INIM III III �NICIN1HINM11HIM F I 15 NOV NV 13 #BWNNWYR WED- DEC 16 #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. Have you gotten your SAVINGS ADVANTAGE? Put two or more cases of Ice Mountain 172 Liter in your 'My j Regular Order' and pay just $4.99 /case -DELIVERED! Call 800- 472 -9888 or visit www.icemountain.com to take _,adva-ntage of the,new, lower prices a 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 OFFICE OF CLERK, 1 CIVIC SQ, CARMEL IN 46032 PREVIOUS BALANCE 31.92 8/09 499187 PAYMENT -THANK YOU -15.96 8/30 612154 PAYMENT -THANK YOU -15.96 8/17 0633874573 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 2 9 OZ PLASTIC UP 50C /SLEEVE 5.98 8/31 0637619545 1 OIL /FUEL SURCHARGE 2.12 H7959767 RENT 3.99 TOTAL 19.07 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT CURRENT ACTIVITY m PAY THIS AMOUNT to terms on reverse side. 31.92 m 31.92 19.07 19.07 BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER IN CASE OF ERRORS OR QUESTIONS A130UT 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 -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 MOUNTAIN 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 UWY., 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 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 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. 123456289 Your Account Number You do not have to pay the disputed amount while it is being 00/00100 0011 o investigated. During the investigation, we cannot report your account 123456 as delinquent or take any action to collect the amount in question. THB-oR as MDN DO 29 Watch here for a WED N01 21 GENERAL INFORMATION ,I DEC rDE ec ,e p ersonalized account I. Payments received after the billing (INVOICE) date will appear on Important 5e"` 6° °'72.9668 message your next invoice. Past due invoices (not paid within 30 days of news and II,II,„ III. III�All161 ,��I111,1A111��„IIIII „11 „IIAAII 'Nm ra for uv1 MOUnU,n billing date) may be assessed a late fee as allowed by law not to Offers I i i3 Mce st m exceed S20 per month. Additionally, third party collection /attorney ocr, scat< D°000 11,,11 „III „1 „n expenses may be unpaid balance or the max allowed byol exceed 100% of the ^yc l„,�aaYP n�9�+EV Pay electronicall T Oa9 v cheCkY^E ccoimt bal8ncc,i¢+t<"'Y Ne 9 2. Each returned check is subject to a service charge subject to thee�ni maximum check return charge allowable in your State Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity amount has been ACTIVITY. since your AccourrrArnvm aces <a-EDD o” ,23M s 99 paid in full to last 4. Equipment replacement costs will be charged for bottles lost, invoice cee.e,rAaa, stolen, damaged or not returned P °u soon avoid late fees 5. ht accordance with NWNA's Terms and Conditions T &C your p0j11 46,698 Parm ^f wa,<� .som 5 SGall°n Natural SPa ^9 3nees, umscalD <PO:^ 396 Monthly Oil Equipment Lease and /or Service Agreement account may be n2665, 5 a msw e« °m o 09l„ L28894444 S Fuel SUrcnar9< subject to minimum monthly purchases and /or early cancellation 3,6za366n Surcharge, Fuel fees. (A complete version of the current T &C may be viewed on the 09�,= '�ip49' e< szm 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. AB NPArn.9TY 17. 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or g 9 lnformatto M 57 n Delivery Fee as described in ourT &C. Only one of these fees Payment stub ACC OUNT5UMMAll ..o y y PAY THIS AMOUNT will apple to each account. The fee that applies to your account fw,,, a,•�•. wM,auw.^ m ACCOU w w s m NUMBER Is st ated on the front of the invoice. For further infotation please ,234562890 BILUNG DATE MT. ENCLOSED INVOICE NUM” Opfp0100 visit the website listed below u14 sEl" or contact our customer service a center. l 7. As a food product, bottled water is subject to the rules and °,2°°9630 °4 2 6213 2619 O °°391U49 2pp4 Amount due regulations promulgated by the Federal Food and Drug w E° Administration (FDA). ,cE MOUNTAIN wnrE com ANrrc c,y Miai 8. Your first invoice indicates the products delivered on your first Submit your delivery, along with any applicable bottle and account deposns, L..ut.l, cusTDMEe5E69, E A L, 609.2 =0888 payment by this redemption fees, and any dispenser charges. All future invoices ^e•. «,u ^rT6,�9.,a,Pr.,•: date srx, uP roe EeEE AuroPAV 9 v^�j1ee 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 e /08 S 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 1 I Y I W► l Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) ol�r .a s 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 (�Q g jdl A .IN SUM OF F06,,)K s ,j ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or m cq IU7 bill(s) is (are) true and correct and that the `lay -Eg materials or services itemized thereon for which charge is made were ordered and received except Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund I 720806 0 8/01/09 8/31/09 19HO121776199 #215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 service.icemountain.com 6 WED- SEP 16 0121776199 11111111 IN IN I I IN 111111111 IN 111111111 NOV 1 FRI 3 RI- NOV 13 #BWNNWYR WED- DEC 16 #0400001217761992# CITY OF CARMEL HUMAN RESOURCES Customer Service: 1- 800 472 -9888 SHELLY LINGELBAUGH 1 CIVIC SCI Thank you for choosing Ice Mountain Home Office CARMEL IN 46032 -2584 Delivery! We value your business. Have you gotten your SAVINGS ADVANTAGE? Put two or more cases of Ice Mountain 1/2 Liter in your'My .i Regular Order' and pay just $4.99 case DELIVERED! Call 800- 472- 9888•or visit Wwrw. d4mo' untain.com to take �ad_v_antage of IowerQrices. o .w 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 HUMAN RESOtJRCFC Cn.,I A •oul eouawV LIVON sialeM 911SON 10 uo!S!A!Q a AuedwoC jaleM 6uudS u!elunoytl aol 800Z OO 90/9 60Z MN 'oN wod s3113.1113p o "I WL1,11 1_q,jo S xpIp.uuaojdde os'jr.3613d sawn Z I Q31onu1 31111311 nluo III noA'�e1ri gad s1u1•v�ap LI Jo Ie1a e jg sjoom 1110110 131111 rija%a opeul 31t s3u3• !I14 not 6q pojoplo stonpwd Ieuoulppl' bur 1qJ s3Sletla snld stlp la pr. susod3p 3ptoq 'Irwa lasuad, Ip pue p313n113p KIM' X01 s3' mya U3pa� Ill.++ I a��ms� s3310nui qq Am! annnJ IIV so5jugl nsuadslp riue pue 's3a� uondwopal ,n.NU�o w,mo,uan�nn- AVaom<aau •111 1 I <susoda u 11I11J pue 3ploq 3Igr.3gdde, ur. ,m fIuole XJ3AIpap Jaep wro w w a c pl l ,p. p lrr'IP n a ca eil nn allonul 15!11 Ino. H 1. BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER N 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 DIOUNTAIN SPRING NNIXI'ER 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, KN 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 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 arc obligated to pay the parts of your bill that are not in question. 128456789 Your Account Number You do not have to pay the disputed amount while it is being 00,00,00- 00,0°,10 investigated. During the investigation. we cannot report your account 12345678 as delinquent or take any action to collect the amount in question. HB. 0 °g MO,OCT Watch here for a GENERAL INFORMATION WED NO 2l V Tl,E -DEC 18 personalized account I. Payments received after the billing (INVOICE) date will appear on Important Il,tt, tut „tlt•tlnt.l..Ilu•hntl^ ^1111, "11 "II'tAU c°,l°mel u^" 800 z.eeae message your next invoice. Past due invoices (not paid within 30 days of news and rnanxr��' Mw °lal °P °o °.h billing date may he assessed a late fee as allowed by law not to ervke 6 Y offers Iz3Mamn exceed S20 per month. Additionally, third party collection /attorney 010tale 0 expenses may be assessed at a rate not to exceed 100% of the oy ea ri'to-esewel »re unpaid balance or the maximum allowed by law. mpaxY°° v s^° an k3 9 '".;u"W @.'"'t°N"`eaa0m9 Pay electronically 2. Each returned check is subject to a service charge subject to the a °m our wldeva rtY w eswx' maximum check return charge allowable in your State. Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activth' lj °m° amount has been ACTIVITY. since your ACCOUNT ACnvITM ;Iysule 00000 ui ment replacement costs will be charged for bottles lost. paid In full to 4. E 9 P P g' last invoice Y 199 stolen, damaged or not returned. PfeYi sBZ T I n oFY Sam avoid late fees 5. In accordance with NWNA's Tenus and Conditions °T &C). your 0e 50.0° 2,% 9I,1 3,)8�5144at 5 I<e M°untainS WlDep�'l Equipment Lease and /or Service Agreement account may be ,ll nveasaaa„ s me M° °°,ai nsWlBe< n.as Monthly Oil 8 ,111 "'mss'"" F °els °1° `9e subject to minimum monthly purchases and /or early cancellation Surcharge, Fuel oana B,ezwaen Bent fees. (A complete version ofthe current may be viewed on the 011 ""p09 siw 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 ,ALT "IS,wwN* °uT^ 6. You will be charged it monthly Oil Surcharge. Fuel Surcharge or AC SUMMARY Information Delivery Fee as described in y our T &C- Only one of these fees Payment stub e pAY TNIS AMOUNT will apph to each account. 'Fire fee that applies to your account n, �,pmK^`.., 00,00 pa ACCOUNT NUMBER 5111 is stated on the front of the invoice. For further information please ,a INVOICE ,,,e NU LM Mr. ENCEOSrD FIBE0. BILLING DAfF visit the lvebsite listed below or contact our customer service lz.asezeee e0)D0JW center. pr U4z009630i a42C2T12619 a00391049 2004 19 7. As a food roduct. bottled water Is subject to the rules and Amount due regulations promulgated by the Federal Food and Drug I hn0« Administration (FDA). ICE MOUNTAIN WATER COMPPNY 123 Main St ,n olv.state 00000 Submit Four 01 ....,.tea rsu I.BOP4I I.veB9 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)) 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 NQ. WARRANT NO. IIJJ 971470 ALLOWED 20 ,Ice Mountain IN SUM OF P.O. Box 856680 Louisville, KY 4028b-G680 ON ACCOUNT OF APPROPRIATION FOR GENERAL FUND 1205 Administration Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or ,5'7 bill(s) is (are) true and correct and that the 1205 19H012177619 390 -99 $25-32 materials or services itemized thereon for which charge is made were ordered and received except 20 .Sign Title Cost distribution ledger classification if claim paid motor vehicle highway fund