171881 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1
0 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CHECK AMOUNT: $125.73
CARMEL, INDIANA 46032 PROCESSING CENTER
PO BOX 856680 CHECK NUMBER: 171881
LOUISVILLE KY 40285 -6680
CHECK DATE: 4/29/2009
DEPARTMENT ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4353099 09CO12009535 X6.95 OTHER RENTAL LEASES
902 4239099 09CO12022391 /27.96 OTHER MISCELLANOUS
1047 4353099 09CO12120276 ./57.88 OTHER RENTAL LEASES
„2201 4238900 09D011925282 _,.,2 OTHER MAINT SUPPLIES
c<-
i
j 0 720806
03/13/09 4/12/09 09DO119252823
#215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 e 9 U J6 Ell
service.icemountai n.com
MON- MAY 18 0119252823
III IIII II II II II III III II I IIIIII �I III II I I� III WED- JUN 17
FRI- JUL 17
#BWNNWYR MON- AUG 17
#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.
STOCK UP SAVE on a variety of Ice Mountain Direct products! Take an additional $3 off on Half Pint, 700mL, 1
Liter, Aqua Pod, Perrier 1/2 Liter plastic.and San Pellegrino Sparkling Fruit. beverages. Limit 6 discounted cases,
per delivery. Call 800 -472 -9888 or go online. TODAY!
1
ACCOUNT ACTIVITY Pay your bill online at: service.icemountain.com or by phone at: 1- 800 472 -9888. It's free!
Delivery address: CITY OF CARMEL STREET DEPARTME, 2 CIVIC SQ, CARMEL IN 46032
PREVIOUS BALANCE 32.50
3/22 752501 PAYMENT -THANK YOU -19.53
4/12 864509 PAYMENT -THANK YOU -12.97
3/19 0611709338 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 50C /SLEEVE 2.99
4/12 0616665592 1 OIL /FUEL SURCHARGE 2. Or
D7390070 RENT 3/
TOTAL
0
o
4
ACCOUNT SUMMARY PREVIOUS BALANCE o PAYMENT /ADJUSTMENT. CURRENT ACTIVITY PAY THIS
32.50 32.50 22 22.94
�ubject to terms on reverse side.
BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU B
IN CASE OF ERRORS OR QUESTIONS Al3OU r 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 WRITE US AT your first invoice will include a pro -rated fee for the current month, plus the next month's rental.
ICE MOUN'T'AIN SPRING N%,VI'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.
0661 DIXIE IIRY., 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 error than thirty (30) days after we SAMPLE INVOICE
sent you the first bill on which the he error or problem appeared. You can
telephone us. but doing so will not preserve your rights. In your letter,
give us the following information:
Your name, address. telephone and account numbers. Date range of this invoice
The dollar amount of the suspected error.
Describe the error and explain if you can. why you believe there is
an error.
You arc obligated to pay the parts of your bill that are not in question, rt 123 456]890 Your Account Number
You do not have to pay the disputed amount while it is being t o D,wo,- 001 00100
ioesogated. Durin the investigation. we cannot report your account
3456]
as delinquent or take any action to collect the amount in question. TER DO 29
2
M -0 29 Watch here for a
GENERAL INFORMATION WED rc
TuE -DEC ,e personalized account
I. Pavntents received after the billing (INVOICE) (late will appear on Important n, tl,,,ut..Itt., "11111 "tl "tt'htu a+[om =,seM�e. <n9888 messa e
your nest invoice. past due invoices (not paid within 30 days of news and —k Y 991a<�Are' ""pynO10 p'9e�m g
ioh^ o« .m .-ma
billing d:uc) maV be assessed n late fee IS allowed by law not to offers ,z3M mS1
0000°
exceed S20 per month. Additionally. third party collecuonlan aty.s[a[e onte)' t...ut at.,.u.ddr•a.
expenses may be assessed at a rate not to exceed 100% of the
unpaid balance or the maximum allowed by law. v „>cea n^ u rrewY�'� ^9 Pay electronically
2. Bach returned check is subject to a service charge subject to the ro a9a[my.a "am °u+' ^tee
maximum check return charge allowable in your State. ,j Make sure this
3. All bottle and equipment deposits are shown as CURRENT Activitv
ACTIVITY. amount has been
since our AccouNTAC —r
4. Equipment replacement costs will be charged for bottles lost. y Detrmnnm�eas ^nOOe'z3M s .o[YSa[ewo0o 11.99 paid in full to
last invoice 9
stolen, damaged or not returned. p,e�ia�.OalaMe 4z. s avoid late fees
Ravm�mma ^F YO. wa[e� soeoe
5. In accordance with NWNA's Terms and Conditions ('TRC your 461898
9/11 3[]8851a S Ice MOUn[ainSGal Deposit 296
Equipment Lease and/or Service Agreement account may be o r n]BBV4a44 s ^tai ^sear n.99 Monthly Oil
s
1
subject to minimum m 091[ 3us6s[4444
monthly purchases and /or early cancellation 3[826388N Re Guer Surc6a�9e Surcharge, Fuel
fees. (A complete version of the currentTRC may be viewed on the e9 1664pa01 574 Surcharge or Delivery
websitc listed below) Upon service discontinuation, rent for the ToTnL 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 n o Information')
MFVIOUS IUUN _TnrM 99 u�em^o^�'""'�__
Dellver_v Fee as described in your TRC. Only one of these fees Pavment stub ACCOUNT SUMMARY 99
iW'I�'
pAy TNIS AMOUl'a
will apph to each account. The fee that applies to your accou mN>�w,�M' ACCOUNT NUMBER w/. a sJ 30
nx6aNM 1234 67990 MT. ENC
is stated on the front of the invoice. For further information please 1NyC, NUMBER BILLING DATE
visit the website listed below or contact our customer service w/w /oo
center. enter. 16
7. As a food product, bottled water is subject to the rules and 0920096307 04282712619 p003910�� 2009 Amount due
regulations promulgated by the Federal Food and Drug J
Si
Administration (FDA). o 00000
St
Submit your
ICF MOUNTPrN WATEN COA1pPNY
when oM'V"`"`
Your first i nvoice indicates the produce delivered on y it U..1 a,rar t i
our first 6„1TOMLRTLRV,rLT.LL[.eoo4J2 -988”
delivery, along with any applicable bottle and account deposits. payment by this
dcmption
«,.rte s
1..,„ P0R pnx[.xy«.�9.,o�e
e fees, and any dispenser charges'. All f date
urore invoices 1 tR E
II reflect charges for water delivered and dispenser rental. bottle swR
aosits and
1 credits plus charges for any additional products
red by vou. Deliveries are made every three or four weeks, for
of 16 -17 deliveries per year. You will only receive invoices
's per year. so appioximateey 5 of those invoices will reflect
+cries.
Ice Mountain Spring Water Company, a Division of Nestle Waters North America Inc. Form No. NW 709 sioa
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))
04/15/09 0940119252823 $22.94
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 Na WARRANT NO.
ALLOWED 20
Ice Mountain
IN SUM OF
P. O. Box 856680
Louisville, KY 40285 -6680
$22.9
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 0940119252823 42 389.00 $22.94 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
Wed epday it 22, 2009
Street CommissiVn
ilu lC7rlC�f"
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
D 720106
o 3/01/09 3/31/09 09CO121202766
#215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258
service.!cemountain.com
TUE- APR 14 0121202766
111 1111111 IN III1110118111 III 1111111 M 111191 WED- MAY 13
FRI- JUN 12
#BWNNWYR TUE- JUL 14
#0400001212027662#
CITY OF CARMEL PARKS DEPARTMEN Customer Service: 1- 800 472 -9888
MANDY SPADY
1411 E 116TH ST Thank you for choosing Ice Mountain Home Office
CARMEL IN 46032 -3455 Delivery! We value your business.
STOCK UP SAVE on a variety of Ice Mountain Direct products! Take an additional $3 off on Half Pint, 700mL,1
Liter, Aqua Pod, Perrier 1/2 Liter plastic and San Pellegrino Sparkling fruit beverages. Limit 6 discounted cases
per del ivery. Call 800 -472 -9 888 or go online TO DAY!
ACCOUNT ACTIVITY Pay your bill online at: service. icemoun tai n.com or by phone at: 1-800-472-9888. Its free!
UV
Delivery address: CITY OF CARMEL PARKS DEPT/MONO, 1235 CENTRAL PARK DR EAST, CARMEL IN 46032
PREVIOUS BALANCE 102.78
3/08 668964 PAYMENT -THANK YOU -34.91
4/01 806132 PAYMENT -THANK YOU -67.87
3/23 0612340307 8 5 GAL ICE MOUNTAIN DRK W /HANDLE 31.92
3 9 OZ PLASTIC UP 50C /SLEEVE 8.97
BOTTLE DEPOSIT: 8 DELIVERED, 6 RETURNED 12.00
3/31 0614582138 1 OIL /FUEL SURCHARGE 00
C7307650 RENT 4.99
TOTAL 0 13 3 9 7 13 57.88
APR 1 0 1009
By.__
ACCOUNT SUMMARY F'KC41%jUG BALANCE PAYMENT/AC"U'ST ME p C..N IYT e�wvTldi m PAY THIS AMOUNT
1 �biect to terms on reverse side- 102.78 e 102.78 57.88 J 57.88
BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER`
IN CAST: OP 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 INFORMAf10N. PLEASE 2 Remember, if are renting e q uip ment, our eq uipment rental is charg one month in advance. That means
CALL 1-800-472-9888 OR WRITE US AT: you g y our p
your first invoice will include apro -rated fee for the current month, plus the next month's rental.
ICE,NIOUNTAINSPRINGRAPERCO. 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 DIXIF. 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
muse hear from you in writing error than thirty (30) days after SIM P LG INVOICE
sent w
you the first bill oil 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 mnnbeis. 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.
1'on are obligated to pay the parts of your bill that are not in question. ,23ase]a90 Your Account Number
)'on do not have to pav the disputed amount while it is being 00100100 ool oot oo
investigated. During the investigation, we cannot report your account Iz3456
as delinquent or take any action to collect the amount in question. 9a -ocT oa
Moe Watch here for a
GENERAL INFORNIATION WEa MSC
TaE. oEC personalized account
I. Pavnrents received after the bitting (INVOICE) date will appear on Important
II•II,•• III•. III•• IIIILL,• IIII .1.1111•••.IIIII.�II.,II,I.III Customer sema:l- aoor]z 988
message
your next invoice. Past due invoices (not paid within 30 d t.
(lays of nwS and -41-1
4ayNeMa ^ta, ^p<4a <n
hitting g date) may be assessed a late fee as allowed b y law not to offers 123 ,z3 M M ^er rl I
an s[
exceed $20 per month. Additionally, third party collection /attorney a[y.stall 00000
1.••1111•.1•• III•,.., 11 .•.•II II•.1•I6A.•,I,Ia,6A••
expenscs may be assessed at a rate not to exceed 100% of the
unpaid balance or the maximum allowed by law. drt Zn „,�•[esew+w °P`°m"9 Pay electronically
2. Each returned check is subject to a service charge subject to the t iom ""`U'•_
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 ACCOUNT Aatvm v W` s c in full to
ss to D^e O oo000 pal 4. Equipment replacement costs will be charged for bottles lost, last invoice 133 Mam „9
Orr vAaa n.9
4z4s ur
stolen, damaged or not returned °re+, ^4,e4ia ^<e so avoid late fees
S mamr^
5. In accordance with NWNA's Terms and Conditions "TCC" your 0 898 �4 ^Ra[4lai sWi,gMa -s000
get, 3, I0051YW4 Ice M^un[ainSGalce�sil 190
Equipment Lease and /or Service Agreement account may be r „]else <aa•+ s <eMO9 ^1a; ^sGa�Re1^I^ n99 Monthly Oil
},]BBS 5 fuel surcMrge
subject to minimum monthly purchases and/or early cancellation o„ sIW3W' fle^ Surcharge, Fuel
fees. (A complete version of the current TSC may be viewed on the o9nz ,ua.9] s
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 hitting cycle "General
in w tier l\ di Information
ACCOUNp1eUMMAR V- _n•c..o•. cc you _r.__ (T "FM c °Pµ3M'v PAY THISA�
6. You u wil cha rged it Mo l be charged a monthl Oil Surcharge, Fuel Surcharge or w.N 99 s il
Delivery Pee as described in our T &C Onh• one of these fees Payment stub MOUNT
will apph• to each account. The fee that applies to your account w.74�,�ro, ^m.aN,�•w,^^• ACCOUNT NUMBER s]. o
wlootoo
is stated on the front of the invoice. For further information please lz3se]s9° CDATE MT INC to.TO
,NVO,GE NUMBER
visit the wcbsite listed below or contact our customer service ,]3 110e90 MINtw
center. 2004 1✓1
7. As a food product, bottled water is subject to the rules and 0420096307 0421271261'9 00 03910 ,,9 20 04 due
regulations promulgated by the Federal Food and Drug i&A
Administratlofl'DA). ,CE MOUNTAINW'ATERCOMAN�
12, y state S1
ll WON Submit your
i nvoice aD�nYa•d Nnne Wm NUN
S. Y m
our first vee indicates the products delivered on your first oMTn con cusl sTm,ce cnu noo.]17n n
delivery along w IL •••11 ti o ^n....T,4.
with any applicable bottle and account deposits. n p ay ment by this
L.•Illa.,.I•• III,.•.•.II•.1.11•A• „L1,1,1,.6•n 1..Siee.
redemption fees. and any dispenser charges. All future invoices date A oA.. M^,leeo ^R..e
will reflect charges for later delivered and dispenser rental, bottle s+0°
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 wilt reflect
two deliveries.
yy 2008 Ice Mountain Spring Water Company, a Division of Nestle Waters North America Inc. Form No. NW 709 5/08
v''_ I
720106
90 71 MaEa e
3/01/09 3/31/09 09CO120095351
#215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258 e
service.icemountain.com
WED- APR 29 0120095351
MAY 29
MO
N- JUN 29
#BWNNWYR WED- JUL 29
#0400001200953515#
CARMEL CLAY PARKS AND REC DEPT Customer Service: 1- 800 472 -9888
AUDREY KOSTRZEWA
1411 E 116TH ST Thank you for choosing Ice Mountain Home Office
CARMEL IN 46032 -3455 Delivery! We value your business.
STOCK UP &SAVE on a variety of Ice, Mountain Direct products! Take an additional $3 off on Half Pint, 700mL,1
Liter, Aqua Pod, Perrier 1/2 Liter plastic and San Pellegrino Sparkling Fruit beverages. Limit 6 discounted cases
per delivery. Call 800-4 -9888 or go online TODAY 1
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 60.18
3/08 668963 PAYMENT -THANK YOU -37.15
4/01 806131 PAYMENT -THANK YOU -23.03
3/23 0612340257 2 5 GAL ICE MOUNTAIN.DRK W /HANDLE 7.98
1 9 OZ PLASTIC UP 50C /SLEEVE 2.99
BOTTLE DEPOSIT: 2 DELIVERED, 3 RETURNED -6.00
3/31 0614564219 1 OIL /FUEL SURCHARGE 2.00
C7237524 RENT n VM M 9.98
TOTAL U V� 1J 16.95
APR I 0 1009
BY........................
A CCOUNT SUMMARY I PREVIOUS BALANCE PAYMENTIAD3USTMENT CURfjri�iT AYTI.'ITY PAY THIS AMOUNT
uhiect to terms nn reverse silo 60.18 60.1 16.95, j 16.95
BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOC BETT9R
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 DtOUNTAIN SPRING WATER CO. 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash.
#3216 If you prefer, you can pay your bill online at service.icemountain.com.
6661 DIXIE HWY., SUITE 4
LOUISVILLE. KY 40258 4. Never hesitate to call us with comments, questions, or concerns.
If you think your bill is wrong. or if you need more information about
a transaction on your bill. write us on a separate sheet of paper. We
must hear from you in writing no later than thirty (30) days after we SAMPLE I NVOICE
sent you the first bill on which the error or problem appeared. You can
telephone us. but doing so will riot 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. oolooloo 123 45e7990 Your Account Number
n Pt P g
You do riot have to ry the disputed amount while it is being
t ooloolDO
investigated. During the investigation. we cannot report your account
as delinquent or take any action to collect the amount in question. TeR -DCr
R 12345
MON OCT 29 Watch here for a
GENERAL INFORMATION TUE rypy31
ue -Dec 18 ersonalized account
I, Payments received after the billing (INVOICE) date will appear on Important °a, °me, 1 so9 4729 P
us,., nl,. w, .nwa,,,Im,I,ml,,,,ttltt „u,dld,m seNl�e message
your next Invoice. Past due invoices (not paid within 30 days of news and Tnan4r °el•
billing date) may be assessed a late fee as allowed by law not to offers X 123 Ma s,
d
exceed $20 per month. Additionally, third party collection /attorney cxr,nace°
I m n, It
expenses may be assessed at a rate not to exceed 100% of the
unpaid balance or the maxunum allowed by law.
Payelectroniaatly
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 amount has been
ACTIVITY.
since OUr ACCOUNT ACTIVITY
y e ,z3Ma;nsveeeocrsca,e l9v
4. Equipment replacement costs will be charged for bottles lost, paid in full to
D aaa,e bnn on, 9e
last invoice '91
stolen, damaged or not returned. Pre.I °,Rala avoid late fees
Parn'e monk von so o°
5. In accordance with NWNA'sTenns and Conditions "T &C your oan, 46890. s t a ll °nNa1 °misp� 9w a 19f
91,1 31]0.851 b144 ce M°untainSGal Deposit 296
Equipment Lease and/or Service Agreement account may be 5neas144 ,eeMn °n�amsGalRe1 1189 Monthly Oil
subject to minimum monthly purchases and /or early cancellation o9n1 mee5,44 fte^,5 w�na<9< g
Surchar e, Fuel
fees. (A complete version of the current T &C may be viewed on the ov1= �rj049 s�no Surcharge or Delivery,
website listed below) Upon service discontinuation, rent for the Fee (see #6 under
Leased Equipment is charged through the end of the billing cycle "General
in which service is discontinued. "a'" <o
Information
6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or
Deliver Fee as described in your T &C. Only one of these fees Pay stub ACCOUNT SUMMARY °x
Delivery y PAY THIS AMOUNT
aa�s +e�x -aro +a x o o s PAY
will apple to each account The fee that applies to your account ,�n,1x7,�art �,m r«^wma ACC
12345 NUMB BY
ER 010 r9
is stated on the front of the invoice. For further information please ,234s67s9d BaUNG AT
MT ENa °sro
INVOICE NUMBER
visit the website listed below or contact our customer service 1234567996 Wilo °loo
center.
7. As a food product, bottled water is subject to the rules and 0420096307 04282712619 000391045 2004 15
Amount due
regulations promulgated by the Federal Food and Drug Innn Dne
Administration (FDA). invoiinvoice Ice MOUNTAIN wATtR ,ny 12
IC siare
o„,�al NU9.w1m u
S. Your first invoice indicates the products delivered on your first 1 -0� "'-9fiB0 Su bmit mit y
I dcliverv, along with any applicable bottle and account deposits, fO0.COnoMrRSERYICrcAr
date
I„ au, Ial d „aa.Ia,a „n Payment by this
redemption fees, and any dispenser charges. All future invoices FREE9 mpe6Y,9g"1 Pa< 9
will reflect charges for water delivered and dispenser rental, bottle 51GN9PrDa
deposits and credits Plus charges for any additional products
ordered by _you. Deliveries are made every three or four weeks, for
a total of I6 -17 deliveries per year. You will only receive invoices
12 times per year, so approximately 5 of those invoices will reflect
two deliveries.
2008 Ice Mountain Spring Water Company, a Division of Nestl6 Waters North America Inc. Form No. NW 709 5/08
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.
Terms
051125 Ice Mountain
Date Due
P O Box 856680
Louisville, KY 40285 -6680
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
57.88
413/09 0900121202766 Water cooler rental Monon Center Mar'09 16.95
4/3/09 09CO120095351 Water cooler rental Maintenance Dept. Mar
'09
Total 74.83
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
74.83
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund 104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 09CO121202766 4353099 57.88. 1 hereby certify that the attached invoice(s), or
1125 09CO120095351 4353099 16.95 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
22 -Apr 2009
Signature
74.83 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
720106
t w o 3/01/09 3/31 /09 09CO120223912
#215 6661 DIXIE HWY, SUITE 4 LOUISVILLE KY 40258
service.icemountai n.com
FRI- APR 17 0120223912
III I��I I9I 9I� III II IDI III I I B�III� I I� OIDI MON- MAY 18
WED- JUN 17
#BWNNWYR FRI- JUL 17
#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.
STOCK UP &SAVE on a variety of Ice Mtitintain Direct protlucts! Take ar additional $3 off on Half Pint, 700mL, 1,
Liter, Aqua Pod, Perrier 1/7 Liter plastic and San Pellegrino Sparkling Fruit, beverages. Limit 6 discounted.cases
per delivery:. Call 800-472 -9888 or go;onllne TODAY!
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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, 111 W MAIN ST STE 140, CARMEL IN 46032
PREVIOUS BALANCE 48.33
3/08 668965 PAYMENT -THANK YOU -23.28
3/20 748532 PAYMENT -THANK YOU -25.05
3/19 0611709403 2 5 GAL ICE MOUNTAIN ORK W /HANDLE 6.96
2 5 GALLON ICE.MOUNTAIN BOTTLE DEPOSIT 12.00
1 9 OZ PLASTIC UP 50C /SLEEVE 2.99
3/31 0614604007 1 OIL /FUEL SURCHARGE 2.00
C7276998 RENT 3.99
TOTAL 27.96
ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJ T li/ v1EN T CURRENT ACTIVi T Y PAY THIS AMOUNT
�ubiect to terms on reverse side 48.33 48.33 27.96 27.96 I
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 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.
11216 If you prefer, you can pay your bill online at service.icemountain.com.
6661 DIXIE HWY. SUITE 4
LOUISVILLE, KY 40258 4. Never hesitate to call us with comments, questions, or concerns.
If you think your bill is wrong, or if you need more information about
a transaction on your bill, write us on a separate sheet of paper. We
must hear from you in writing no later than thirty (30) days after we SAMPLE 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. 1 3456789 Your Account Number
You do not have to pay the disputed amount while it Is being ool oot
investigated. During the urveshgation. we cannot report your account i o
123456
as delinquent or take any action to collect the amount in question.
"0N -oa :9 Watch here for a
GENERAL INFORMATION WED NpV Z1
WED o o� ,B personalized account
L billing P Past aunts received after the INVOI date will appear on Important
n.n,,,m,.nt„ nut, l .,,uu,l,uu,,,,ttltl „II „Il,l,ill c ".�ome,se�,=e.,- ao9P.oe�ea. message
our next Invoice. due Invoices not aid within 30 days of news and m."RY usml T MOUn
phn Dce and serAc
billing date) may be assessed a late fee as allowed by law not to offers ,23MawS
exceed 820 per month. Additionally, third party collection /attorney c,W1staie 000�
expenses may be assessed at a rate not to exceed 100% of the ou ,ewacs�za
2.
unpaid re balance I c k maximum
to to we be c Pay electronically
charge subject to the ioR,oW dsxx
mdwod
maximum check return charge allowable in your State. ,.a,. Make Sure this
3. All bottle and equipment depos4 are shown is CURRENT Activity amount has been
ACTIVITY. t ail^
since your ACCOVNTACrIVITV paid in full to
last i vo 4. Equipment replacement costs will be charged for bottles lost, cea�enA�' ess. I "D"`,123Ma�^s,<ee,.ow's."00 1199
stolen, damaged or not returned v ewe °o a Tn��kmU eo.� avoid late fees
5. In accordance with N W NA's Terms and Conditions y our T &C" as,ese s ParmeA` ware= som
p n Tnees,maa Beano ^u'�^ =ate i�o v^sa zse
Equipment Lease and/or Service Agreement account may be 8 „acs <4 s IQ'MO mamseaiRea N99 Monthly Oil
subject to minimum monthly purchases and/or early cancellation 09 8'7 3,8� 1.4 88P4444 q a
Surcharge, Fuel
113 5]d0
fees. (.A complete version of the current T &C may be viewed on the 0 ,IZ 1 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. Information
6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or 9
Delivcry Fee as described in your T&.C. Only one of these fees Payment stub ACCOUNT SUMMARV e9
PAY BY PAY TNIS AMOUNT
will apph m each acc The fee that applies to your account ewm N oolDo/ zw
ACCOUNT NUMBER
Is slated on the front of the Invoice. For further Information please 2 34 5 67 890 gIWNG DATE Mr. ENCtosEO
INVOICE NUMBER 00100100
visit the websitc listed below or contact our customer service 1 r56789
center. 18
7. As a food product, bottled water is subject to the rules and p42ppg6307 o406za1a619 0003910 an04 Amount due
regulations promulgated by the Federal Food and Drug Io n ^Doe
Administration (FDA). ICEMOUNTAIN WATFR OMPANV CYMtates`00000
w.,. Submit your
K Your first invoice indicates the products delivered on your first roR wsTOMCR SERVICe "'BD 9880
delivery. along with any applicable bottle and account deposits, payment by this
i m L ,a.,nt„ ..01 s,d. P.; ^vin, ^9e,o ^R.�e„es date
redemption fees, and any dispenser charges. All future Invoices ,oP "n�R ^uPeroLea
will reflect charges for water delivered and dispenser rental. bottle G 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
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
T 7 h Z Purchase Order No.
6,5 Terms
Y 1 6 1 Z S Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3
3109 ()SC01202239 1 2
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. A 20
Clerk- Treasurer e
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
2 9c
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
�r0 2
67�C012v2239/ 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
206
Signat
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund