HomeMy WebLinkAbout173874 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1
ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER
i, CARMEL, INDIANA 46032 PROCESSING CENTER CHECK AMOUNT: $202.36
PO BOX 856680
CHECK NUMBER: 173874
LOUISVILLE KY 40285 -6680
CHECK DATE: 6/24/2009
DEPARTMENT ACCOUNT PO NUMBER I NVOI CE N UMBER AMOUNT DE SCRIPTION
2201 4238900 09EO11782108 11.60 OTHER MAINT SUPPLIES
2200 4239099 09EO12004852 30.41 OTHER MISCELLANOUS
1125 4353099 09EO12009535 30.93 OTHER RENTAL LEASES
902 4348500 09EO12022391 15.48 WATER SEWER
1047 4353099 09EO12120276 28.91 OTHER RENTAL LEASES
1205 4239099 09EO12177619 16.45 OTHER MISCELLANOUS
902 4348500 09EO12197559 36.65 WATER SEWER
2201 4238900 09FO11925282 31.93 OTHER MAINT SUPPLIES
o
720806
0 5/01/09 5/31/09 09EO120223912
#215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258
service. icemountain.com
WED- JUN 17 0120223912
III IM IN I M IN H II IN IN I N MIN M I I HIN FRO- JUL 17
MON- AUG 17
#BWNNWYR WED- SEP 16
#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.
E i l
ngs Advantage! Ice Mountain Direct now delivers more savings than ever. Ice Mountain half Efi�ercases as $4.99 /case. Yes! As low as $4.99 a.case DELIVERED! Call 800- 472 -9888 or visit
inwat /s ervice to take advantage of,our new lower prices
o
ACCOUNT ACTIVITY Pay y our bill online at: service.icemountain.com or by phone at: 1 -800- 472 -9888. It free!
Delivery address: CARMEL REDEVELOPMENT COMMISION, 111 W MAIN ST STE 140, CARMEL IN 46032
PREVIOUS BALANCE 33.93
5/11 022125 PAYMENT -THANK YOU -27.96
5/18 0620668301 1 5 GAL ICE MOUNTAIN DRK W /HANDLE 3.49
1 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 6.00
5/31 0623764487 1 OIL /FUEL SURCHARGE 2.00
E7562482 RENT 3.99
TOTAL 21.45
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 I- 800 472 -9888 OR WRI'T'E US NI: your first invoice will include a pro -rated fee for the current month, plus the next month's rental.
ICI'. MOUNTAIN SPRING YVATER CO. 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash.
fl716 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.
Ifyou 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 m or proble appeared. You can
telephone us. but doing so will nol preserve your rights. In your letter,
Live us the following information:
Your name. address. telephone and account numbers. Date range of this invoice
"file 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. 1234567890 Your Account Number
You do not have to pay the disputed amount while it is being 00,100,00 00100100
investigated During the Investigation. we cannot report your account
123456
as delinquent or take any action to collect the amount in question. THR -oa a
MoHOCT 29 Watch here for a
GENERAL INFORMATION WEO HU
TUE 9 =1
-oEr ,B personalized account
I. Payments received after the billing (INVOICE) date will appear on Important till III„ IIL�IIIILL ..Illhl,la „a „a,1,p1 Cusmmtt5ervicc1.e00A72 9888
your next invoice. Past due invoices (not paid within 30 days of news and ll 3 n• nRyoulor°.,"9�'•"'°” °I "P'°a message
billing date) may be assessed a late fee as allowed by lag not to offers
t
exceed S20 per month. Additionally. third party collection /aunrnev ctrstate 00000
expenses may be assessed at a rate not to exceed 100% of the
F y «o "y;,�,a,y ^,�9h:vv y^°m' ^s Pa electronicall
Un balance or rile maxunum allowed b law. Y
r� Tamwxral� yq ca^a *va+'aaou" N
2. Each returned check is subject to a service charge subject to the
J g J dekxaeF^'�hdm wlvr,aetarletYP'P`
maximum check return charge allowable in your State..,, Make sure this
3. All bottle and equipment de deposits are shown as CURRENT Activity
P Y amount has been
ACTIVITY. since your ACCOUM ACTiV1TY cRysute 00000 paid in full t0
4. Equipment replacement costs will be charged for bottles lost, O -.T Aame I O0e IZ3 Me s
last invoice
stolen. damaged or not returned. avoid late fees
5. In accordance with NWNA's m T &C Terms and Conditions your oal3, 46Ie9e P °ym ^t ^„r 5000
scan ^Ham�al s"a ^9wat .woo
Il, 317085M444 S Mp,nuin SGal DeP^ait 796
Equipment Lease and /or Service Agreement account may be 3oean4^44 s IReM "ta; ^sOaIR =t^m ,,.99 Monthl Oil
09111 3�7685 S geHtsutcN�R
subject to minimum monthly monthly purchases and /or early cancellation 3,BZ63een Surcharge, Fuel
fees. (A complete version of the current T &C nlav be viewed on the 09' 16"pe97 snap Surcharge or Deliver]
website listed below) Upon service discontinuation, rent for the 'r- Fee (see #6 Under
Lcascd Equipment is charged through the end of the billing cycle "General
in which service is discontinued. +y
6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or Information
a^'""cF 9 s^6 ,•et
99
Delivery Fee as described in your TRC. Onh' one of these fees Payment Stub ACCOUNT SUMMARY -o =a •=°•_a PAY PAY THIS AMOUNT
will apph to each account. The fee that applies to your account A[CACCOUNT NUMBER BY szm
00100 a
is stated on the front of the invoice. For further information please ,,,56761- BRONC
m I
O.E MT. ENCEOSeo
NVOICE NUMBE0. o G
visit the website listed below or contact our customer service 123456789
Cl' ;I P I 042CO96307 042" 12619 ODU391UV9 2004 LE
7- Asa food roduct. bottled water is subject to the rules and Amount due
regulations promulgated by the Federal Food and Drug la
Administration ICE MOUNTAIN WATER ^OMPAN "yStateStUD,,I
OO A Submit your
8. Your first invoice indicates the products delivered on your first along, 1oBCOS TOMEBSERwcECUU eo0+ 12PBBB
yg with any applicable bottle and account deposits, w.
delivery. ,aI ❑P ^,6mcsa^9•.P ^P..•,u p b this
redemption fees, and any dispenser charges. All future invoices ^P y 4 P R•9 bP
will reflect charges for water delivered and dispenser rental, bottle sIC „„P' PtB
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.
rn Mil hill, S /OR
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720806
0 aQ
5/01/09 5/31/09 09EO121975593
#215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258
service.icemou ntai n.com
WED- JUN 17 0121975593
11111111 IN 11111111 MO
1111 IN 1111111111111111 JUL 17
N- AUG 17
#BWNNWYR WED- SEP 16
#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 late
fee. Your prompt payment is appreciated. For your
convenience, pay online:
icemountainwater.com/service. If payment has been
made, we thank you.
NEW Savings Advantagel Ice Mountain Direct now delivers more savings than ever. Ice Mountain half liter cases
foras low as $4.99 /case. Yes! As low as $4.99.a case DELIVERED! Call .800-472-9888 or visit
IceMountainwater.com /ser
ur new lower prices vice to take advantayeof o
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 39.90
5/18 0620668483 3 5 GAL ICE MOUNTAIN DRK W /HANDLE 17.97
3 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 18.00
1 9 OZ PLASTIC UP 50C /SLEEVE 2.99
2 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -12.00
5/31 0623657863 1 OIL /FUEL SURCHARGE 2.00
E7562648 RENT 6.99
SALES TAX .70
TOTAL 76.55
w
BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER
IN CASE OF 1 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 INFORmAriON, 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 NI: your first invoice will include a pro -rated fee for the current month, plus the next month's rental.
ICE MOUNTAIN SPRING %VXFER 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
most hear from you in writing no later than thing days after we SAMPLE I N 'H =E
s n
.sent you the first bill o which tire app e error or problem appeared. You can
telephone us. but doing so will not preserve your rights. In your letter.
Live 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. �23as 7890 Your Account Number
You do not have to pay the disputed amount while it is being ooiooloo- omootoo
investigated. During the investigation, we cannot report your account
mz3aseze
as delinquent or take any action to collect the amount in question. TNR aT Oa
.ON OCT 19 Watch here for a
NOV GENERAL INFORMATION WED OE
T- DEC Dec IS personalized account
I. Payments received after the billing (INVOICE) date will appear on Im mesa e
Customer Sem <e� 1'800'171 -988
1111.„ III. 111��111111,.. IIII,I,IIII,.,IIIII,AI „Il,lall ThanE YOUm.vs;nyl<e MWnuln woaveu l;
your next invoice. Past due invo (not paid within 30 days of news and
billing ate m be assessed a late fee as allowed b law not to Inn ^D« .an•1a
g Y Y offers c'<v.Ma�e sSDOOOo
u l n .,1
exceed S20 per month. Additionally. third party collection /attorney
I m n1 u a
expenses may be assessed at a rate not to exceed 100% of the n4»mdv`ss°'�' sy- o-use+2e�.e.v
unpaid balance or the maximum allowed by law. a r a Ya^g a,an„mfiou^�, earewr'^P< Pay electronically
t ro9e Y
2. Each returned check is subject to a service charge subject to the
maximum check return charge allowable in our State.
t Y Make sure this
3. All bottle and equipment deposits are shown as CURRENT Activity
ACTIVITY. since your ACCOUNT ACTIVITY g— amount has been
4. Equipment replacement costs will be charged for bottles lost. Del;ven Address'. 3nnn o°e.
u3 Ma1 ^S` e, 511 osD"D n.99 paid in full to
last invoice
damaged or not returned. s avoid late fees
stolen, dama
b c�rmem monl.vov wo,e� soao
5. In accordance with NWNA's Terns and Conditions ("T &C your OBO, x61090 5 :Gallon NamraI5W1 ^9 '50.00
11 317R8s1am4 Ice M^untein 5 Gal Den^s�� 390
Equipment Lease and /or Service Agreement account may be Monthly Oil
09111 317805 5 uel5u�<M
subject to minimum monthly purchases and/or early cancellation 3,63fi3R8„ ee 57w Surcharge, Fuel
fees. (A complete version of the current T &C may be viewed on the 391
Surcharge or Delivery
wcbsite listed below) Upon service discontinuation, rent for the TDTAL Fee (see #6 under
Leased Equipment is charged t the end of the billing cycle "General
in which service is discontinued. Ns Information
6. You will be charged a monthly Oil Surcharge. Fuel Surcharge or^'
Delivery Pcc as described in your T &C. Only one of these fees Payment Stub ACCOUNT SUMMARY 99
oos +••s are+o�x ^zo c.EO.,ca.
PA, BY PAY T 57.4D
Th A MOUNT
will apply tam each account. e fee that applies to your account „m.�m ACCOUNT NUMBER o018 8W s�ao
°e'er "M ^�•Mm 890
is stated on the from of the invoice. For further inform 1131S w14
union please ,WOICENUMSEA BGDATE MT. ENCLOSED
visit the wcbsite listed below or contact our customer service 134 ppjp
156789
CLsICr. 20096307 04282712619 000391049 2004 18
7. Asa food product bottled water is sub ect to the rules and Amount due
regulations promulgated by the Federal Food and Drug Innn DOe
Administration (FDA) oDDO Submit your
ICE MOUMAJN WATER COMPANY ,33 Main St
8. Your first invoice indicates the products delivered on y ORTDSTDMERSLR91<ECA` our first iD1"�°" Am cassEa`e o WDO Pr ,.ROw7z
e
p ayment b this
delivery, along with any applicable bottle and account deposits.
1...111,1,,,1, III,. al,.11.,,n,a,a „1, „I,Ia,I,A•al usa•. Pnm
redemption fees, and any dispenser charges. All future invoices 051+° P °P1REE.°TaPaasq ^oPP•9w,� °n
Cl 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.
Prescrid 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
L o�i`s
c' Z/G'Z�S= G6 �O Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
lJ l,0 30 �0 2 �i' 1 for 9� C'4QC 3� �•s
Total2
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. `3
20
Clerk- Treasurer
VOUCHER'NO. WARRANT NO.
ALLOWED 20
IN SUM OF
�D o X 8 SE �0
sip /3
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or
D PT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
613o)„ 1/3Yk5scO /S Y9 bill(s) is (are) true and correct and that the
5��2 60 309,2- 2 /3 9�'Soo 3� �s" materials or services itemized thereon for
which charge is made were ordered and
received except
2220C'�
Sign re
Directo of Operations
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
720806
5/01/09 5/31/09 09EO121776199
#215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 e
service.icemountai n.com
WED- JUN 17 0121776199
III IMIMMIN�IMINMIIN HIM MIN MO
IN JUL 17
N- AUG 17
#BWNNWYR WED- SEP 16
#0400001217761992#
CITY OF CARMEL HUMAN RESOURCES Customer Service: 1- 800 472 -9888
SHELLY LINGELBAUGH
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.
i NEW Savings Advantage! Ice Mountain Direct now delivers more savings than ever. Ice Mountain half lit]cases for as !oW as $4.99 /case. Yes! As low as $4.99 a case DELIVERED! Call800 472 -9888 or visit
IceMountainvirater.com /service to take advantage of_our new_lower prices.
ACCOUNT ACTIVITY Pay your bill online at: service.icemountain.com or by phone at: 1- 800- 472 -9888. Its free!
Delivery address: CITY OF CARMEL HUMAN RESOURCES, 1 CIVIC SQUARE, CARMEL IN 46032
PREVIOUS BALANCE 13.53
5/18 0620668442 2 5 GAL ICE MOUNTAIN DRK W /HANDLE 6.98
1 9 OZ PLASTIC UP 5OC /SLEEVE 2.99
BOTTLE DEPOSIT: 2 DELIVERED, 2 RETURNED .00
5/31 0623601085 1 OIL /FUEL SURCHARGE 2.00
E7497944 RENT 3.99
SALES TAX .49
TOTAL 29.98
ACCOUNT SUMMARY I PREVIOUS BALANCE a PAYMENT /ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT
r Q r 'tI4�ubject to terms on reverse side. l 13 .53 .00 16.45 29.98
BILLING RIGHTS SUMMARY J IV-
YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER
IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR 131L L. OR FOR I Please remember payment is due by the "pay by" date noted to ensure the smoothest service.
A REPORT ON WATER QUALITY AND INFORMATION, PLEASE 2. Remember, if you are renting equipment, your equipment rental is charged one month in advance. That means
CALL I -800 -472 -9888 OR WRITE US AT: your first invoice will include a pro -rated fee for the current month, plus the next month's rental.
ICE INtOUNTAIN SPRING YiM'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. 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 thirtv (30) days after we SAMPLE 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:
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. 1 234567119 0 Your Account Number
You do not have to pay the disputed amount while it is being 00100/00 00100100
investigated. Lifting the investigation. we cannot report your account 12345678
as delinquent or take any action to collect the amount in question. rNe OCT Q
moNoa 29 Watch here for a
GENERAL INFORMATION 'LE N D CC 21
UE- ,e personalized account
I. Payments received after the billing (INVOICE) date will appear on Important it' In-111. ���1111.111t1" "11111 "11 °0'1'1u cm14m°Feerv_I 600.412 9"5
message
Your next invoice. Past due invoices (not paid within 30 days of news and manL Y ou m, 4an9
billing date) stay be assessed a late fee as allowed by lave not to Offers Iiz3n sI ana L,Y�a*
exceed S20 per month. Additionally third party collection /attontev LhhL
c y .5,4ce 00000
6,IIL,...It IL,,It,1," „L „A.•11
expenses may be assessed at a rate not to exceed 100% of the
unpaid balance or the maximum allowed by law.
nY me Pay electronically
T nana9CY °myo„ran tllttkY ,acs ,d much. 4cM1 maN
2. Each returned check is subject to a service charge subject to the rnxt�0”' ..,.ride+a^nY�pOa""`0
maximum check return charge allowable to your State. 1 Make sure this
3. All bottle and equipment do deposits are shown as CURRENT Activi
p Y ue amount has been
ACTIVITY. since your ACCOUNT ACTIVITY 2
--s 3 etns,a,e ao00o
IN 9 aid in full to
4. Equipment replacement costs will be charged for bottles lost, cer r Aaerem .4211 p
last invoice
stolen, dam 50
aged or not returned. P,e„w.6am ^a 47, <s avoid late fees
5. In accordance with NWNA's Tetras an Y
d Conditions T &C' our Den, X1898 varmen. w
Rwnk YOU
s s6aia ^rrowa�sP ^9 -8000
Equipment Lease and/or Service Agreement account may be 9 B ,Jees4 I N „„,amswiDewa"
g Y n, 3+Jees,44an s ITemwnlamsea�PeL4,n ?9 Monthly Oil
091,1 3,J0e5144M Fuel SU,cM1a
subject to minimum monthly purchases and /or early cancellation 09112 319263ee Bent Surcharge, Fuel
fees. IA complete version of the current T &C may be viewed on the X112 17.. Surcharge or Delivery
wcbsite 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
PAY A.IwN*
in which service is discontinued. Tma 5j40 Info rmation
6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or
DUlivery Fee as described in your T &C. Oniv one of these fees Pay ment stub ACCOVNTSUMMARY °"`s" 9
^rx+ PAY T
S1 AMOUNT will app apply to each account. The fee that applies to your account 1234567 ACC OUNT NUMUR 00 00 00
sz4o
yw,
•x• I „d,xe mwn ••0`
is stated on the front of the invoice. For further information please ENVOI 5678 BE0. TI, MT. ENCLOSED
DATE
visit the wcbsite listed below or contact our customer service 001°0100
,23456)8
CCIIICr. P U42OU96307 04262712619 "003910"9 2004 16
7. Asa food p bottled water is sub to the rules and Amount due
regulations promulgated by the Federal Food and Drug 14M1n Dx
A dministration (FDA). ICTMOUN m,1— Submit your
TNN WATEROMPNYM 123Md1n $t
S. Your first invoice indicates the products delivered on your first
a d, 00000
IDAr „9TDMLe3T.-cALL a 9 o -,22.988° p ayment by this
dcliv it 11 ,.u,.6u.d
crv, along with any applicable bottle acid account deposits. 9
1,.. Px�,Axy<I� ^9wo °e.r<.K
redemption fees, and any dispenser charges. All future invoices date ^PF4c AmovAnswx 0P8�x ^.a
will reflect charges for water delivered and dispenser rental, bottle SwN,�P
deposits and credits plus charges for any additional products
ordered by you. Deliveries are made every three or four weeks, for
a total of 16 -17 deliveries per year. You will only receive invoices
12 times per year, so approximately 5 of those invoices will reflect
two deliveries.
2008 Ice Mountain Spring Water Company, a Division of Nestle Waters North America Inc. Form No. Nw 709 5 /08
Qk
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
Ice Mountain Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
$16.45
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 1\110. NO.
ALLOWED 20
ce ountain
IN SUM OF
`P.O. Box 856680
$16.45
ON ACCOUNT OF APPROPRIATION FOR
GENERAL FUND
1205 Administration
Board Members
PO# or
DEPT INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
12 0E 09EO12177619 390 -99 $16.4gnaterials or services itemized thereon for
which charge is made were ordered and
received except
20
Si W
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
r`
0 720806
0 R
05/13/09 6/12/09 09FO119252823
#215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 B e
service. icemou ntai n.com
FRI- JUL 17 0119252823
III IIII II II II I6I III of II9II �IIIB I I �DI�I MON- AUG 17
WED- SEP 16
#BWNNVVYR THU- OCT 15
#0400001192528234#
CITY OF CARMEL STREET DEPARTME Customer Service: 1- 800 472 -9888
BONNIE CALLAHAN
3400 W 131ST ST Thank you for choosing Ice Mountain Home Office
WESTFIELD IN 46074 -8267 Delivery! We value your business.
II' lull' 11II111I111�1�11II1IIIIIIIIIIIIIIIIIIIIIIIIIIIIII 'll�
NEW Savings Advantage! Ice Mountain Direct now delivers more savings than ever. Ice Mountain half lite]case
for as low as $4.95 /case. Yes! As low as $4.99 acase DELIVERED! Call. 800-472 -9888 or visit
�rCt71j1J
ACCOU ACTIVITY Pa your bill online at: service.icemountain.com or!?Y ehone at: 1- 800 472 -9888. Its freel
Delivery address: CITY OF CARMEL STREET DEPARTME, 2 CIVIC SQ, CARMEL IN 46032
PREVIOUS BALANCE 25.93
6/07 170710 PAYMENT -THANK YOU -25.93
5/18 0620668202 4 5 GAL ICE MOUNTAIN DRK W /HANDLE 13.96
4 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 24.00
3 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -18.00
2 9 OZ PLASTIC UP 50C /SLEEVE 5.98
6/12 0625907092 1 OIL /FUEL SURCHARGE 2.00
F7670668 RENT 3.99
TOTAL 31.93
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT
—Sub ect to terms on reverse side. 25.93 25.93 31.93 31.93
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 NF: your first invoice will include a pro -rated fee for the current month, plus the next month's rental.
ICE DIOUNTAIN SPRING Wid'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 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 it separate sheet of paper. We
must hear from you in writing h error than thirty (30) days after we SAMPLE INVOICE
sent you the first bill on which th e 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, why you believe there is
an error.
You are obligated to pay the parts of your bill that are not in question. tz3gse16EO Your Account Number
)'on do not have to pay the disputed amount while it is being 0001100/00 001100/100
investigated During the Investigation, we cannot report your account r
as delinquent or take anv action to collect the amount in question. THB OCT 12345678E
mo,.00r 19 Watch here for a
GENERAL INFORMATION WED.N -c1,
ruE --EC ,B personalized account
I. Pavinenls received after the billing (INVOICE) date will appear on Important 11�IL��IILJII „IIIILL• 1111 .1,1111,.•IIIIIdL.11,1,111 Crammer servir =t_SW 119811 message
your next invoice. Past due invoices (not paid within 30 days of news and 1h,nFYe "mr
hilling date) may be assessed a late fee as allowed by law not to offers 123Mli St ",e ..rm.,.
CitY,State 0000
execed S20 per month Additionally third party collection /anornev
1...I111,..1.. III,.. Il „I,,,I,Ia,I,.L•
expenses may be assessed at a rate not to exceed 100% of the
aaY
unpaid balance or the maximum allowed by law. Y ��^p"Y°"`
Pay electronically
To mara9e YOtirac ptm Y ndrttkY° Mmuch.much rtarel
2. Each returned check is subject to it 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
.H amount has been
ACTIVITY.
since your ACCOUNTAam o r s -000
4. Equipment replacement costs will be charged for bottles lost, last invoice �Den.e�rAdd- n ^n0op3'3"'a� °s paid in full to
stolen, damaged or not returned. peev;ou56aWnce ^2 avoid late fees
Parmem ma4EVO” 5 -a
5. In accordance with NWNA's Terms and Conditions "T &C your ab�898 s�ano ^H am�aiwa�9war er -som
9111 5laaaa 5
Equipment Lease and /or Service Agreement account may be >nees,aaaa s 'ire Mo„o a'msc," n.a Monthly Oil
-9111 3118851Maa fuel5urctdr9e
subject to minimum monthly purchases and /or early cancellation a nezb388„ Pe Surcharge, Fuel
fees. (A complete version of the current T &C m be viewed on the ant star
F Y b °Db 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 ueaeHV Aram
6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or Information
Delivery CJCr n your e FCC 81 described i T &C Only on or these tees Payme stub ACCOUNT SUMMARY a
Y pAV BY PAY THIS AMOUNT
will apph to each account. The fee that applies to your account w�- ACCOUNT NUMBER 52a-
123g5fi189- MT U.C1.1EO
is stated on the front of the invoice. For further information please eauNC D6rE
visit the websitc listed below or contact our customer service INVaicE a.
1234 56 0
CCItICI'. p sub 04262712619 0391 -49 200V 16
7. Asa food p bottled water is sub�ect to the rules and Amount due
regulations promulgated by the Federal Food and Drug eon "o«
Administration (FDA).
ICEMWNTAIN R COMDANY 123 Mam t Submit your
S. Your first invoice indicates the products delivered on your first YdATE eC- noME85EA4�<EULLI eao =9aee
delivery. along w Ill[ 111 with any applicable bottle and account deposits, p ayment y this
1.•. III, 1... L111••. rl ..,ll,,,a,aal r :4tle. pn�r nnvcw�9no�B...�,. s'�a..
redemption fees. and any dispenser charges. All future Invoices .s4,.�pe.�„���o date
will reflect charges for water delivered and dispenser rental. bottle $1GN pr Br L ^U1O..
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 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))
06/16/09 poF0119252823 $31.93
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 r`
VOU CHER NO. WARRANT NO.
ALLOWED 20
Ice Mountain
IN SUM OF
P. O. Box 856680
Louisville, KY 40285 -6680
$31.93
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
2201 poF0119252823 42- 389.00 $31.93 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
F "`d py, June 19, 2009
1
Street Com i loner
Street =7,Woner
'istribution ledger classification if
id motor vehicle highway fund
720806 __s 4_
0 5/01/09 5/31/09 09EO117821082
#215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 a _..k
service.icemountain.com e
THU- JUN 11 0117821082
III IIII IIII I II III III I III III I II IIIII II I M MI MON- JUL 13
TUE- AUG 11
THU- SEP 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.
NEW Savings Advantage! Ice Mountain Direct now delivers more savings than ever. Ice Mountain half liter cases
for as tow as $4.99 /case. Yesl As love as $4.99 a case DELIVERED! Call 800- 472 -9888 or visit'
IceMountainwater.com /service to take advantag of our new lower pr ices
o
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 STREET DEPARTME, 3400 W 131TH ST, WESTFIELD IN 46074
PREVIOUS BALANCE -21.77
5/07 0619458367 4 5 GAL ICE MOUNTAIN DRK W /HANDLE 13.96
4 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 24.00
4 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -24.00
1 9 OZ PLASTIC UP 5OC /SLEEVE 2.99
5/12 0619737257 4 9 OZ PLASTIC UP 50C /SLEEVE 11.96
3 5 GAL ICE MOUNTAIN DRK W /HANDLE 10.47
3 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 18.00
10 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -30.00
5/31 0623678901 1 OIL /FUEL SURCHARGE 2.00
E7493495 RENT 3.99
TOTAL 11.60
ACCOUNT SUMMARY PREVIOUS 21.77 .00 BALANCE o PAYMENT /ADJUSTMENT CURRENT ACTIVITY o PAY THIS AMOUNT
�bject to terms on reverse side. I 33.37 m 11.60
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 WA'I'ER 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 AI: your first invoice will include a pro -rated fee for the current month, plus the next month's rental.
ICE MOUNTAIN SPRIN(: WATER CO. 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash.
1!216 If you prefer, you can pay your bill online at service.icemountain.com.
6661 DIXIE 11WY., 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, why you believe there is
an error.
You are obligated to pay the parts of your bill that are not in question. 1z34sb7a Your Account Number
You do not have to pay the disputed amount while it is being j oolooloo ootootoo
investigated During the investigation, we cannot report your account
as delinquent or take any action to collect the amount in question. r,.a -oa oa
1234567
MDN OCT r9 Watch here for a
wED Nov z1
GENERAL INFORMATION NE -DEC ,e personalized account
I. Pavments received alter the billing (INVOICE) date will appear on Important
n. n.,, m., n6. uwa ,.,uu,l,ua,,,,ttttt „n,.n,t,to ��,1am. sa0000 ues message
your next invoice. Past due invoices (not paid within 30 days of news and
billing date) may be assessed a late fee as allowed by law not to offers 1 12111
aye u,+k•
exceed :520 per month. Additionally. ally, third parr u
y collecun /att C'AY.5tate WON
orney 01A. "I" pit,,,,, a, ,.,li.,ui,li,t„tdJd•'t ^t
expenses may be assessed at a rate not to exceed 100'% of the �m�•�
unpaid balance or the maxinunn allowed by law. Pay electronicalh'
2 Each returned check is subject to a service charge subject to the
aelwrnBS.o Je trompw Aaewam
maximum check return charge allowable in your State. Make sure this
3. All bottle and equipment deposits are shown as CURRENT Activity
ACTIVITY. prnviTY amount has been
since your pccouNT s ,a1Y.5tateoe000 paid in full to
4. Equipment replacement costs will be charged for bottles lost, last Im'OiCe cerwen Aaareu Joh we .1,.99
stolen, damaged or not returned. p 42 avoid late fees
5. In accordance with NWNA's Terms and Conditions ("T &C" your Den, ass9e s S �o N,al5pd�9w41p1so.aD
9111 J1>a951 b1M Ice Mountain 5 r+ al DePOVt I.96
Equipment Lease and/or Service Agreement account may be 3 nea51v a s umsw�aewm ,1.99 Monthly Oil
sub to minimum month) p urchases and/or earl cancellation o9n1 31 °eMS "`""'e
y p y 01 o Surcharge, Fuel
fees. (A complete version of the current T &C may be viewed on the 0, __97
Surcharge or Delivery
website listed below) Upon service cliscontinuation, rent for the TOTAL Fee (see #6 under
1 -eased Equipment is charged through the end of the billing cycle "General
in which service is discontinued. o „4RNm 5
n
6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or 9 ti„ Information
MM 99
Delivery Fee as described in your T &C. Only one of these fees Payment stub ACCOUNT SU ARY BY vAY mis AMOUNT
pAY
will apply to each account. The fee that applies to your account W ti a,,,,��.a�wW p•>m•^` ACCOUNrNU
is stated on the front of the invoice. For further information please 123 4se7e90 BiLU G DATE MT. ENaoseD
INVOICE NUMBER O jww
visit the +website listed below or contact our customer service 1234567e9
center. 18
7. As a food product, bottled water is subject to the rules and 0920096301 04262712619 000391099 woo° Amount due
regulations promulgated by the Federal Food and Drug 0a
Administration (FDA). ,za Nam st
iCE MOUNrA�N WATEP COMPANY Submit your
of ne.ne w.,m rvu
K. lour first invoice indicates the products delivered on your first Oty -s Le o0wo cDSTOMEnseev�cECUU.eoo4, =9e%a
delivery, along with any applicable bottle and w 1 account deposits, p ayment b this
.,.,,n,,..u. „6 a t
redemption L .I a E3 date
fees, and any dispenser charges. All future
invoices
will reflect charges for water delivered and dispenser rental, bottle s,�,,,, °,p9,aECw *oo• +I
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 vear. You will only receive invoices
12 times per yeast 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 cos sios
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))
06/03/09 09EO117821082 $11.60
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
$11.60
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PU# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board MemberE
2201 09EO117821082 42- 389.00 $11.60 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
T ursd June 18, 2009
Street Eom'missioner
:I
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
B 720806
5/01/09 5/31/09 09EO120048525
#215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 e
service. icemou ntain.com
WED- JUN 17 0120048525
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII JUL 17
MO
N- AUG 17
#BWNNWYR WED- SEP 16
#0400001200485252#
CITY OF CARMEL DEPT OF ENGINEE Customer Service: 1- 800 472 -9888
LISA SCOTT OR JUDY STOHLER
1 CIVIC SO Did you forget about us? Kindly pay upon receipt.
CARMEL IN 46032 -2584 Remember, past due accounts are subject to a late
fee. Your prompt payment is appreciated. For your
convenience, pay online:
icemountainwater.com /service. If payment has been
made, we thank you.
F�NEW gs Advantage! Ice Mountain Direct now delivers more savings than ever. Ice Mountain half lite]cases
as $4.99 /case. Yes! As l ow as $4.99 a case DELIVERED! Call 800- 472 -9888 or visit
nwater..com /_service to_take advantage.of our 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 TOWN HALL ENGIN, 1 CIVIC SQ, CARMEL IN 46032
PREVIOUS BALANCE 17.45
5/18 0620668277 4 5 GAL ICE MOUNTAIN DRK W /HANDLE 13.96
4 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00
4 5 GALLON ICE MOUNTAIN DEPOSIT RETURN .00
2 9 OZ PLASTIC UP 50C /SLEEVE 1r) y 5.98
5/29 0623050705 1 5 GAL ICE MOUNTAIN DRK W /HANDLE J .00
2 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT S .00
2 5 GALLON ICE MOUNTAIN DEPOSIT RETURN .00
1 9 OZ PLASTIC UP 50C /SLEEVE a 2.99
1 5 GAL ICE MOUNTAIN DRK W /HANDLE e ��a 3.49
5/31 E7505065 RENT 3.99
TOTAL c�'
1V 47.86
ACCOUNT SUMMARY I PREVIOUS BALANCE PAYMENT /ADJUSTMENT CURRENT ACTIVITY m PAY THIS AMOUNT
r $�Zgubject to terms on reverse side. 17.45 e .00 30.41 m 47.86
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 DIOUNTMN 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 DIXIL HWY., SUITE 4
LOUISVILLE, KY 40255 4. Never hesitate to call us with comments, questions, or concerns.
Ifvou 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. F1
tens[ hear from you in writing later than l (30) days after we SAMPLE INVOICE
sent you the first bill on which the he error or problem appeared. tibu 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
Tile
e 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. 1234s67a90 Your Account Number
You do not have to pay the disputed amount while it is being 0100 /00- 00100)000
investigated. During the investigation, we cannot report your account
2345678
as delinquent or take any action to collect the amount in question. TMR -00 o+
M ON riM Watch here for a
GENERAL INFORMATION WED. T 2t
t,E- DEC DEE la personalized account
I. Payments received after the billing INVOICE) a ppear on INVOICE date will a Important 11'11,11 111,1111„ 111. 6., tttt,t,tttt,,,,ttttt c,,,t0me<see�] -0J2 "9888 message
your next invoice. Past due invoices (not paid within 30 days of news and n, ^LYppl ^spy ^9 "`Mp" ^p.9ep�t, g
billin dine) may be assessed a late fee as allowed b law not to 1121
b Y offers ,23 0 st
Cxcffd y Stn per month. Additionally. third party collection /attorne oty. state 00000
a l,,,.u,,,u,.1al „1,,,1,1,18 ^I
expenses may be assessed at a rate not to exceed 100% of the
unpaid balance or the maximum allowed by law. T j1d1ro m Y v Ip«•.4^' evk t^xa^'^ Pay electronically
2. Each returned check Is subject to a service charge subject to the
P d 4�n
maximum check return charge allowable in your State. I V Make sure this
3. All bottle and equipment deposits are shown as CURRENT Activity
amount has been
ACTIVITY.
since your ACCOUNT ACTIVIT ,Mai ^sueel C""' a ODOR ,9 aid in full to
4. Equipment replacement costs will be charged for bottles lost. last invoice cer rAaaes3, ton Dce p
stolen, damaged or not rcmrncd ea a "te avoid late fees
g Yment- TlanFrop 50.00
5. In accordance with NWNA's Terms and Conditions "T &C your oem 45IS9s 5 s0anp "Natw aisri "9w sow
9111 31 Ite Mountain S gal Deposit 395
Equipment Lease and /or Service Agreement account may be ,n885I ]88514444 4+ s "seaiRetpm ,s9 Monthlv Oil
09111 )1]805, 4444 S Pen l 5u�c5ar9e
subject to minimum monthly purchases and/or early cancellation 0 910 3tR263een Surcharge, Fuel
fees. (A complete version of the current T &C may be viewed on the o9n2 15640+97 n. Surcharge or Delivery
website listed below) Upon service discontinuation, rent for the TOTAL Fee (see #6 under
Leased Equipment is charged through the end of the billing cycle "General
in which service is discontinued
6. You will be charged a monthly Oil Surcharge. Fuel Surcharge or Information")
99 s'4"
Delivery Fee as described 111 your T &C. Only one of these fees Payment stub ACCOUNT SUMMARY cl.c^ ppy THIS AMOUNT
will apply to each account. The fee that applies to your account ^J ACCOUNT NUMBER PAY BY 11
o1w D0
is stated on the front of the invoice. For further information please 1234567890 BtLNNG DATE MT ENCLOSED
INVOKE NUMBER w1wim
\'1511 the \4'fbS1tC IISICd below or COnlaCl our customer service 323 +56
center. p sub Dy2A2"112619 DD0391ay 2009 1e
7. As a food p bottled water is subject to the rules and Amount due
regulations promulgated by the Federal Food and Drug
Administration (FDA). ICE MO UNTAIN WPTE0. Co" "`y_ u3Mam 1 1
A"
Nate wxm
S. four first invoice indicates the products delivered on your first City'stale 000D' Submit your ipp0Un0MLRSEmTrc•LLtaou ]aebe
delivery, along with any applicable bottle and account deposits. ,,,e,o^ a meet by this
1 m. 1... 1. au,,. 3,�. "r�N date
redemption fees, and any dispenser charges. All future Invoices
will reflect charges for water delivered and dispenser rental, bottle s u ero °ERl
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 tinges 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
5
PrescriPied by Stale Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Ice Mountain Payee
P.U. BOX 8b6680 Purchase Order No.
Terms
Louisville, KY 40285 -6680
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
06/03/09 09EO120048525 Rent and Service -May, 2009 $30.41
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 M011:1111tahl IN SUM OF
P.O. Box 856680
Louisville, KY 40285 -6680
$30.41
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
n/a 9EO120048525 NG 4239099 30.41 materials or services itemized thereon for
A cnt 0120048525 which charge is made were ordered and
received except
lob 22- 20
Signature
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund
L7 720806
5/01/09 5/31/09 09EO120095351
#215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 O g
service.icemountain.com
IVION- JUN 29 JUL 29 0120095351
WED
III 1111111 IIII II II I IIII IIII I II IIIII II I IIII II T THU- AUG 27
AN 0 q
#0400001200953515# ?40 9
N SEP 28
CARMEL CLAY PARKS AND REC DEPT Customer Service: 1 800 472 9888
AUDREY KOSTRZEWA
1411 E 116TH ST Did you forget about us? Kindly pay upon receipt.
CARMEL IN 46032 -3455 Remember, past due accounts are subject to a late
fee. Your prompt payment is appreciated. For your
convenience, pay online:
icemountainwater.com /service. If payment has been
made, we thank you.
F NEW gs Advantage! Ice Mount ain Direct now delivers more savings than ever. Ice Mountain half liter cases
as $4.99 /case. Yes! As low as $4.99 a case DELIVERED! Call 800 -472 -9888 or visit
nwater _com service.to- take_advantage.of_ourA new_lower „Iprices.,
ACCOUNT ACTIVITY Pay your bill online at: service.icemountain.com or by phone at: 1- 800 472 -9888. It's free!
Delivery address: P CARMEL CLAY PARKS AND REC DE, 1427 E 116TH ST, CARMEL IN 46032
PREVIOUS BALANCE 43.89
5/11 022124 PAYMENT -THANK YOU -16.95
5/29 0622473148 4 5 GAL ICE MOUNTAIN DRK W /HANDLE 15.96
1 9 OZ PLASTIC UP 5OC /SLEEVE 2.99
BOTTLE DEPOSIT: 4 DELIVERED, 4 RETURNED .00
5/31 0623728995 1 OIL /FUEL SURCHARGE 2.00
E7519665 RENT 9.98
TOTAL 57.87
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT RRENT A TIVITY PAY THIS AMOUNT
!n twrms nn re�arsa silo
43.89 m 16.95 30.93 57.87
�hiart
BILLING RIGHTS SUMMARY
YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETiER
IN CASE OF ERRORS OR QUESTIONS AuoU r 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 NNATER CO. 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash.
it216 If you prefer, you can pay your bill online at service. icemountain.coin.
6661 DIXIE IlWY., SUITE 4
LOUISVILLE, KY 40255 4. Never hesitate to call us with comments, questions, or concerns.
If you think your bill is wrong. or if you need more information about
a transaction on your bill, write us on a separate sheet of paper. We
must hear from you in writing later than thirty (30) days after We SAMPLE IN VOICE
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. lz3ns6]B9 Your Account Number
You do not have to pay the disputed amount while it is being ooloolDO oolDOIDD
investigated. During the investigation, we cannot report your account
as delinquent or take any action to collect the amount in question.
TNR oa a
123456
MON 00 29 Watch here for a
GENERAL INFORMATION WED N OV ]i
TDE. D EC C IB p ersonalized account
I. Payments received after the billing (INVOICE) date will appear on Important
C
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your next invoice. Past due invoices not aid within 30 clays of news and y n
billing date) may be assessed a late fee as allowed by law not to OffCl'S "I main s, ane s CeS.
exceed S20 per month. Additionally, third party collectionlanornev C'`y's`a`e 00000
11.,1.1„1 .aeaa b a
expenses may be assessed at it rate not to exceed 100'x, of the
unpaid balance or the maximum allowed by law. Pay electronicalIN
2. Each returned check is subject to a service charge subject to the
J g J t.
maximum check return charge allowable in your State. 9aa6 Make sure this
3. All bottle and equipment deposits are shown as CURRENT Activity amount has been
ACTIVITY, since your ACCOUN'
4. Equipment replacement costs will be charged for bottles lost. last invo
•0dAde w ^nDO 123"�io5c� paid in full to
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stolen, dam <s aged or not returned. P �,Baian+e avoid late fees
paymem TnanEr^^ wa,e som
5. In accordance with NWNA's Terms and Conditions "T &C'�), your 0eiv �'B s scan ^nNa, ^wisp n9 s0m
9111 31]BBS1Ma1 Ice Mountein s cal p 296
Equipment Lease and/or Service Agreement account may be 3vBBSac+1 s n,ainsGalRewm n 99 Monthly Oil
subject to minimum monthly purchases and/or early Surchar g e, Fuel
cancellation 0v�� 3 naes Ea els ^,ma�9=
fees. (A complete version of the current T &C may be viewed on the 09 18610"' s]w Surcharge or Delivery
website listed below) Upon service discontinuation, rent for the ToIAE Fee (see #6 under
Leased Equipment is charged through the end of the billing cycle "General
in which service is discontinued.
6. )on will be charged a monthly Oil Surcharge, Fuel Surcharge or B Information
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Delivery Fee as described In your T&C. Only one of these fees Payment stub ACCOU.NT SUMxMARY 99
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will apply to each account. The fee that applies to your account e GCDUr+r NUMSCa per BY 11A ooIM 00
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Is st ated on the front ofthe invoice. For further information please nM+nm ,NyO10E NUMBE0. ROBNG DATE
visit the w'ebsite listed below or contact our customer service ppjp I
123156]
ce prod 04200963a'1 04282712619 000391049 2004 16
Z As a food roduct, bottled hater is sub to the rules and Amount due
regulations promulgated by the Federal Food and Drug 1 pnnD«
Administration (FDA). ICE MOUNTAIN`A'ATE p y our N'. 5t S` 000 00
R. Your first invoice indicates the p roducts delivered on our first N w "mw Submit your
ORCU STOMEBSERYKECAEELBOO,] =9Bp0 p ayment by this
delivery, along with any applicable bottle and account deposes,
i nvoices e.^ r,nv�w^9e: o„R..w date
redemption fees. and any dispenser charges. All future umvolccs' NU 1onn.I S9 °upnrow °n "py 5i°
will reflect charges for hater delivered and dispenser rental, bottle 0—u""""
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. Nvv 709 8108
720806
Offo
5/01/09 5/31/09 T 09EO121202766
#215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258
service.icemou ntai n.com
FRI- JUN 12 0121202766
III I'll I Illl III I IIIII I ll III Illll Il 111 l�l TUE- JUL 14 AUG 12
#BWNNWYR WED- SEP 11
#0400001212027662# JUIV 0 8 2009
CITY OF CARMEL PARKS DEPARTMEN Customer Service: 1- 800 472 -9888
MANDY SPADY
1411 E 116TH ST you forget about us? Kindly pay upon receipt.
CARMEL IN 46032 -3455 J 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.
NEW Savings Advantage! Ice mountain Direct now delivers more savings than ever. Ice Mountain half lit]cases for as low as $4.99 /case. Yesl As low as $4.99 a case DELIVERED! Call 800 -412 -9888 or visit
ice Mo untain water.com /ser vice to take adv antage of our new lower prices
ACCOU 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 PARKS DEPT/MONO, 1235 CENTRAL PARK DR EAST, CARMEL IN 46032
PREVIOUS BALANCE 115.78
5/11 022123 PAYMENT -THANK YOU -57.88
5/13 0619864317 6 5 GAL ICE MOUNTAIN DRK W /HANDLE 23.94
2 9 OZ PLASTIC UP 50C /SLEEVE 5.98
BOTTLE DEPOSIT: 6 DELIVERED, 7 RETURNED -6.00
5/31 0623744968 1 OIL /FUEL SURCHARGE .00
E7592785 RENT 4.99
TOTAL 86.81
591
I PREVIOUS BALANCE PAYMENT /ADJUSTMENT CU NT A VITY PAY THIS AMOUNT
115.78 0 57.88 28 .91 86.81
BILLING RIGHTS SUMMARY YOUR INVOICE 4 W t I
OU 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 RIiPORT ON WATER QUALI'T'Y 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 A
your first invoice will include a pro -rated fee for the current month, plus the next month's rental.
ICE 1I0UNTAIN SPRING wnTER 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 IIP 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 e
mull hear from you in writing error than thing (30) da after SAMPLE I N H I CE
sent you the first bill on which the he error or problem appeared. You can an
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. 12345 Y our Account Number
You do not have to pay the disputed amount while it is being 00I0pjp 00100100
investigated. During the investigation, we cannot report your account
as delinquent or lake any action to collect the amount in question. THR -OCI oa 123456789
MoN 00 99 Watch here for a
woo- NDV
GENERAL INFORMATION DE -DE G'B An.gasB personalized account
I. Pavments received after the billing (INVOICE) date will appear on Important IILdILlllllI^ ,1111,1,IIIL „IIIII.AI,.ILI,III eunomet xrvm =t- eoo messa e
your next invoice. past due invoices (not paid within 30 days of news and II, 11
I g
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billin b date
m be assessed a late fee as allowed b y law not to OffCCS t Sl
ce n0
S.”
exceed S20 per month. Additionally, third party collection /attorney c r. stale
1.,111 I1 ,.II „LI1„1,,,1,61,1 „1,11
expenses may be assessed at a rate not to exceed 100% of the m:rsat
unpaid balance or the maximum allowed by law. 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 I —A
ACTIVITY. since your ACCOUNT Ac” try amount has been
IzBN n5ueel.Gry,Sw "°°pp0 11.9 aid In full 10
4. Equipment replacement costs w last invoice ill be charged for bottles lost. oer p1ygdd q,,qq p
stolen, damaged or not returned. p, ".,8^kY 1241 avoid late fees
5. In accordance with NWNA'sT'enn T &C your 361090 5
s and Conditions var,rem -5.w
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4e rn w nvmsealceP °s Monthl Oil
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sub subject to minimum monthly purchases and/or earl cancellation 09111 3'�eas'g E 154' sA
1 P Y BIe�" Rent s ao Surcharge, Fuel
fees. (A complete version of the current T &C may be viewed on the X11 Surcharge or Delivery
website listed below) Upon service discontinuation, rent for the TOTAL Fee (see #6 under
Leased Equipment is charged through the end of the billing cycle "General
in which service is discontinued.
6. You will be charged it monthly Oil Surcharge. Fuel Surcharge Or
Information
WAN 9
99
Delivery Fee as described in y our T &C. Only one of these fees Payment stub ACCOUNT SUMMARY
PAY BY PAY TNIS At -NOUN
will apply to each account. The fee that applies to your account .aN,aP•,^ ACCOUNTNUMBFA 17.. 0 W W
is stated on the front of the invoice. For further information please I NC z3as67890 u DA3E o. ENaosED
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visit the website listed below or contact I
ct our customer service ,i34567990 CE NUMBE OBIBBIBB
center. 2009630T OV262?1261I 000391049 2004 16
a 7. As food prod bottled water is sub ect to the rules and Amount due
regulations promulgated by the Federal Food and Drug' I "nnD "e
Administration (FDA). I ,MOUNTAINwATE <°M rysia� oao°° Submit your
8. Your first invoice indicates the products delivered on your first voB :TO�ERSERYI <E <ALE'"60O"'9BBB p ayment by this
delivery, alone with any applicable bottle and account deposits,
o pw.,.a, b q no" .n
L,. w, L m,,,..n,,..u,,,n „LU „I,,,I,taa, t„
redemption fees, fees, and any dispenser charges. All future invoices A 8 S yn up date
B.,ale
will reflect charges for water delivered and dispenser rental. bottle
S ,�NBpIOBEBEE
deposits and credits plus charges for any additional products
ordered b 'on. Deliveries are made every Ihice or four weeks, for
a total of 16-17 deliveries per vear. 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. A,, ",A,' `,/n
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
Louisville, KY 40285 -6680
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
6/3/09 09EO120095351 Water cooler lease 30.93
6/3/09 09EO121202766 Water cooler lease 28.91
Total 59.84
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
59.84
ON ACCOUNT OF APPROPRIATION FOR
101 General 104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 09EO120095351 4353099 30.93 1 hereby certify that the attached invoice(s), or
1047 09EO121202766 4353099 28.91 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
18 -Jun 2009
Signature
59.84 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund