176623 09/01/2009 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1
F, ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CHECK AMOUNT: $51.44
CARMEL, INDIANA 46032 PROCESSING CENTER
*r a� PO BOX 856680 CHECK NUMBER: 176623
LOUISVILLE KY 40285 -6680
CHECK DATE: 9/1/2009
DEPARTMENT ACCO P NU MBER INV NUMBER AMOUNT DESCRIPTION
902 4239099 09HO12022391 15.48 OTHER MISCELLANOUS
902 4239099 09HO12197559 35.96 OTHER MISCELLANOUS
B 720806
7/01/09 7/31/09 091 10121975593
#215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258
service. icemountain.com
88 II II iiii ff ii MON- AUG 17 0121975593
WED- SEP 16
THU- OCT 15
#BVVNNWYR FRI- NOV 13
#0400001219755935#
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 fate
fee. Your prompt payment is appreciated. For your
convenience, pay online:
icemountainwater.com/service. If payment has been
made, we thank you.
Introducing NEW NESTEA LEMONADE flavored tea sticks For limited tune, take $2 off ea ch box of Lemonade,
3
Citrus Tea, Mixed Berry, Summer`Peach or Tanger['ne Tea; r =ticks you buy.` Call or go online to add to your order.
Offer ends August--'3 2009
F
�w
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 24.66
7117 0629712027 2 5 GAL ICE MOUNTAIN DRK W /HANDLE 11.98
2 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 12.00
1 9 OZ PLASTIC UP 5OC /SLEEVE 2.99
7/31 0633057534 1 OIL /FUEL SURCHARGE 2.00
G7844575 RENT 6.99
SALES TAX
TOTAL 61.32
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT I
24.66 .00 3546 61.32
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 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 he 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. 1234567 Your Account Number
You do not have to pay the disputed amount while it is being 00100100 001001
investigated. During the investigation, we cannot report your account R I aR tT
1 23456 789
as delinquent or take any action to collect the amount in question.
MDN 9 Watch here for a
GENERAL INFORMATION wED Nov
3uR -DEC ,B p ersonalized account
I. Payments received after the billing (INVOICE) date will appear on Important
II.11,�,IIL. IIL. 111111.„ Ilil ,I,IIII,.,�IIIII..II'.II�IAII Custom., message
s Boo -a7z -9888
your next invoice: Pao due invoices (not paid within 36 days of news ,nay
Mountain P�^a
billing date) may be assessed a late fee as allowed by law not to offers 173Ma oa.em
exceed $20 per month. Additionally, third party collection /attorney cty state
l Ail t.A „III,,, a a a l 11, L, I I 16,1 „II
expenses may be assessed at a rate not to exceed 100% of the-
unpaid balance or the maximum allowed by law. aro t.aavro g" i a ww�'�t""' 9 Pay electronically
2. Each returned check is subject to a service charge subject to the T i et^p .111
maximum check return charge allowable in your State. Make sure this
3. All bottle and equipment deposits are shown as CURRENT Activity
ACTIVITY. cr Crtysate000°0
sinee amount has been
your ACCOUNTA Ma;nSneet „99
4. Equipment replacement costs will be charged for bottles lost, last invoice •Deu�enAame 1 l 1199 paid in full to
stolen, damaged or not returned. P,ed P�,Baiante 424s avoid late fees
5. In accordance with NWNNs Terms and Conditions T &C Y our Parme Ovate, uw
Oel3, 461 R98 S SGallonN tual5prin9 5
911, 3L,88S14 Ice Mountain SGal Depoalt
Equipment Lease and /or Service Agreement account may be ,eev444^ s �teMnnnlaB.scai6et ^m ,1.99 Monthly Oil
°9/11 3L188S Fue�6urcftarge
subject to minimum monthly purchases and/or early cancellation inn 318,636.1 Rent Surcharge, Fuel
fees. (A complete version of the current T &C may be viewed on the ovu 1 5230
Surcharge or Delivery
website listed below) Upon service discontinuation, rent for the 3orAL Fee (see 96 under
Leased Equipment is charged through the end of the billing cycle "General
in which service is discontinued. .,.,LN, "IS sa6° f
6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or ,,w, In ormation
Delivery Fee as described in Y y
our T &C. Only one of these fees Pay ment stub AccouNT suMMARY E.°
a° �.s.- +e�er•s x°,o °,c PAY BY PAY THISAMOU
will apply to each account. The fee that applies to your account „,d,� ACCOUNT NUMBER s, 1 456789° poj o01� 4°
MT ENCLOSED
23
is stated on the front of the invoice. For further information please INVO�cE NUMBER 5111, DA3E
visit the website listed below or contact our customer service 1z34 s67890 o010010°
center.
7. As a food product, bottled water is subject to the rules and 0420096307 0 712619 000391049 004
x Amount due
regulations promulgated by the Federal Food and Drug i& n Doe
Administration (FDA). ,crMOUNrAiNwnrE6co PU+ 123Ma 5 t o
8. Your first invoice indicates the products delivered on your first •�^U°^ Submit your
delivery, along with any applicable bottle and account deposits. uoRCUSroMo ICE`ALL' 800"p29088 payment by this
1...IIL1...L.IIL,.,II, .,.11,,,11 „IAI „I,,,I,I,I,I,d,al „see. Pnn<A ^rcm^9•* ^R.. =ne Sme.
redemption fees, and any dispenser charges. All future invoices a P R.9 ^R... date
will reflect charges for water delivered and dispenser rental. bottle
6w "rEa�oPAr
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 s /oa
D 720806
7/01/09 7/31/09 09HO120223912
#215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 1 4411 0411
service. icemountain.com
MON- AUG 17 0120223912
III ON ICI I CIO IN H II IN IN IN I IN H I ifli M WED- SET 1
THU- OCT 15 5
#BWNNWYR FRI- NOV 13
#0400001202239129#
CARMEL REDEVELOPMENT COMMISION Customer Service: 1- 800 472 -9888
SHERRY MIELKE
111 W MAIN ST STE 140 Thank you for choosing Ice Mountain Home Office
CARMEL IN 46032 -1905 Delivery! We value your business.
a:.
Introducing NEW NESTEA LEMONADE flavored tea sticks! For a limited time, take $2 off each box of Lemonade,
Citrus Tea, Mixed Berry, Summer Peach or Tangerine'Tea sticks you buy.. Call or go online to add to your order.
Offer ends Au gust 31, 2009.
1 k
ACCOUNT ACTIVITY Pay your bill online at: service.icemountain.com or by phone at: 1 -800- 472 -9888. Its free!
s, am mil. e
Delivery address: CARMEL REDEVELOPMENT COMMISION, 111 W MAIN ST STE 140, CARMEL IN 46032
PREVIOUS BALANCE 3.99
7/17 0629711839 1 5 GAL ICE MOUNTAIN DRK W /HANDLE 3.49
1 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 6.00
7/31 0633161609 1 OIL /FUEL SURCHARGE 2.00
G7844414 RENT 3.99
TOTAL 19.47
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT
3.99 .00 15.48 19.47
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 wATF'R 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 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 you in writing later than thirty (all) days after we SAMPLE INVOICE
sent you the e fir bill on which the he error or problem appeared.l'ou 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, why you believe there is
an error.
You are obligated to pay the parts of your bill that are not in question. 1234567490 Your Account Number
You do not have to pay the disputed amount while it is being oolooloD ool
investigated. During the investigation. we cannot report your account 1238
as delinquent or take any action to collect the amount in question. THR .00T a z
MONocT :9 Watch here for a
GENERAL INFORMATION TI
.0 -EC DEE lB personalized account
I. Payments received after the billing (INVOICE) date will appear on Important
s g
u. n.,, nt,. m„ nnl,I,,,tm,t,ua,,,,IUn,al,.udau r ^m elser;te:, Bw V�2.9BB mea e
Your next invoice. Past (Inc invoices (not paid within 30 days of news and T kY
billing date) may be assessed a late fee as allowed by law not to offers I 1zJ M =gin zl
,na s •M.e..
exceed S20 per month. Additionally, third party collection /attorney atYState wow
t,I,I,a „u
expenses may be assessed at a rate not to exceed 100% of the it 11
aa� p electronically
unpaid balance or the maximum allowed by law. ,a +��ko„uy Pay, S
2. Each returned check is subject to a service charge subject to the ser_ ^atCZB
i aetwedes,mve 1. w;ae.�M+v w
maximum check return charge allowable in your State. 7 Make sure this
3. All bottle and equipment deposits are shown as CURRENT Activity t• �,•,�n_ amount has been
ACTIVITY. since your ACCOUNT ACTIVITY aww
4. Equipment replacement costs will be charged for bottles lost. oel;,R,YAed1p5S etr.nale paid in full to
last invoic e
stolen, damaged or not returned. R,e�;o ^,Balance s avoid late fees
5. In accordance with NWNA I &C y our w+Be
'sTerms and Conditions ^e 9 5'Yment- S0 X00
GallonN ual50rin9�e1e'
Ill 3..=,a4da Ice MOUntainSGal Dep^sit 2.%
Equipment Lease and /or Service Agreement account may be 3Tress,4aa4 s ICeM a ;nsGalRetum u.99 Monthly Oil
p9l,l l,]BBSIaa� RenlSU,c^a,9e
Surcharge, Fuel
subject to minimum monthly purchases and /or early cancellation w ns363BBN
fees. (A complete version of the current T &C may be viewed on the w1,3 S1w Surcharge or Delivery
wcbsitc listed below) Upon service discontinuation, rent for the TDTAE 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
Deliver Fee as described in our T &C. Only one of these fees Payment stub ACCOUNT SUMMARY .agg s9
y our 00••.are PAY THIS AMOUNT
ACCOUNT 001
will apply to each account. The fee that applies to your account M s ao
,2}456)8 T'ENCEOSED
is stated on the front ofthe invoice. For further information please BI
INVOICE NUMBER LLING DATE
visit the Tvebsite listed below or contact our customer service wlwloD
32}456)89
center, V2009630] OV282i12619 000391049 2004 16
a 7. As food product bottled hater is sub ect to the rules and Amount due
regulations promulgated by the Federal Food and Drug Innn DOe
Administration (FDA). 121 Malt n
ICE MOUNTAIN WATER COMPANY Submit your
xnR w„ an w OtY,State wDOD
8. Your first Invoice Indicates the products delivered on your first S ERYICECAUI BB�+ 9 B°
delivery, along with any applicable bottle and account deposits, D xcusTOMER p ayment by this
II „•,it 11.a,a,. —,1I I... o ^nrv:,:<sm R,, u O R se•. date
redemption fees, and any dispenser charges. All future invoices ^Raw•sgnuRR�^I�
will reflect charges for water delivered and dispenser rental. bottle De oR
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 relect
two deliveries.
2008 Ice Mountain Spring Water Company, a Division of Nestle Waters North America Inc. Form No. NW 709 5/08
V�
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
e P ayii��, C� kte- Purchase Order No.
Terms
len'l tl1/i SL S' 66ffO Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7 13/0 9 35
Total yy
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
P" c�
VaUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
"7y
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
c /a2 09fi`orzl97SS 13 y23gv95 35: bill(s) is (are) true and correct and that the
2. Of le)12022 39 12 15-4e materials or services itemized thereon for
which charge is made were ordered and
received except
��20�4
y
Signature
Director of 8
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund