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HomeMy WebLinkAbout206282 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CHECK AMOUNT: $165.79 CARMEL, INDIANA 46032 PROCESSING CENTER oN a PO BOX 856680 CHECK NUMBER: 206282 LOUISVILLE KY 40285 -6680 CHECK DATE: 2114/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4238900 02AO11782108 4.14 02AO117821082 2200 4239099 02AO12004852 20.44 OlAO120048525 1125 4350900 02AO12009535 41.58 02AO120095351 1091 4350900 02AO12120276 68.84 02AO12120766 1205 4353099 02AO12177619 10.16 02AO121776199 920 4239099 02AO12220610 3.99 02AO122206105 1701 4239099 12A722032704 16.64 12A7220327048 service. icemountainwater.com 215 6661 DIXIE HWY, SUITE 4 01/01/12 01131!12 02A0117821082 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED WED FEB 15 0117821082 FRI- MAR 16 TUE- APR 17 WED- MAY 16 Customer Service: 1 800 472 9888 CITY OF CARMEL STREET DEPATMENT Thank you for choosing Ice Mountain Home Office 3400 W 131 ST ST Delivery! We value your business. CARMEL IN 46074 -8267 •e. w, a ::ter a i IMPORTANT' ue to ri ,ng cos #s; effective February 20'11?01�2 wlit be prlce ©r select as„ y u ....M n s der- ar. .f^ g r pr idulcts and"a 20 cent increase L r month! -fuel surchar., a rates For details lease o Ito seruce +�emcrt�rzta +a +er c^ m ca11�1a800 -472 °8°�g x y a•' °cF m„�` �"x 3�' 'tea r. ACCOUNT ACTIVITY Pay your bill online at: service.icemountainwater.com or by phone at:1 -800 -472 -9888. It's free! Delivery address: CITY OF CARMEL STREET DEPARTMENT, 3400 W 131TH ST, CARMEL IN 46074 PREVIOUS BALANCE 3.99 1129 194958 PAYMENT -THANK YOU -3.99 1117 0758195077 2 9 OZ PLASTIC UP 50CISLEEVE 5.98 1 5 GAL ICE MOUNTAIN DRK.WIHANDLE__......_.. 149 1 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 6.00 3 5 GALLON ICE)MOUNTAIN DEPOSIT RETURN -18.00 1131 0761572353 1 OIL /FUEL SURCHARGE 2.68 A2042716 RENT V 3.99 r.. TOTAL 4.14 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT! ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 3.99 3.99 4.14 4.14 BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL, OR FOR 1. Please remember payment is due by the "pay by" date noted to ensure the smoothest. service. A REPORT ON WATER QUALITY AND INFORMATION, PLEASE 2. Remember, if you are renting equipment, your equipment rental is charged one month in advance. That means CALL I 800 9888 OR WRITE Us AT: your first invoice will include a pro rated fee for the current month, plus the next month's rental. ICE MOUNTAIN SPRING WATER CO. 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. 4216 If you prefer, you can pay your bill online at service.icemountainwater.com 6661 DIXIE HWY., SUITE 4 LOUISVILLE, KY 40258 4. Never hesitate to call us with comments, questions, or concerns. If you think your bill is wrong, or if you need more information about a transaction on your bill, write us on a separate sheet of paper. We must hear from you in writing no later than thirty (30) days after we SAMPLE INVOICE sent you the first bill on which the error or problem appeared. You can telephone us, but doing so will not preserve your rights. In your letter, give us the following information: Your name, address, telephone and account numbers. Date range of this invoice The dollar amount of the suspected error. Describe the error and explain if you can, why you believe there is an error. You are obligated to pay the parts of your bill that are not in question. xsse s90 Your Account Number You do not have to pay the disputed amount while it is being 1 00l°°l Wool investigated. During the investigation, we cannot report your account zsas6TS9 as delinquent or take any action to collect the amount in question. mF o a Mod/ 0r Z Watch here for a GENERAL INFORMATION wraN� nc� ore personalized account 1. Payments received after the billing (INVOICE) date will appear on Important 1!,! l: dltl:& GdI11IdnJI11 .LIg6;.AaF1�4L�tl3dtl Cmtome, i<MMOUnPe°" message your next invoice. Past due invoices (not. paid within 30 days of news and billing ate m be assessed a late fee as allowed b law not to g Y Y offers ,zTMa exceed $20 per month. Additionally, third party co€lectionlauorney °p 5151 N I ap L,t ^tl!. d! fil.Ltl L LL4 fi a expenses may be assessed at a rate not to exceed 100% of the a n*^s'g w unpaid balance or the maximum avowed bylaw, i�, 0 Pay electronically 2. Each returned check is subject to a service charge subject to the maximum check return charge allowable in your State. °°5 u" Make surf this 3. All bottle and equipment deposits are shown as CURRENT Activity amount has been ACTIVITY. since your aaournnrnviT °i 0009 1 mn o rzT Mz s 0- paid in full t0 last invoice 4. Equipment replacement costs will be charged for bonles lost, ce 11�„ stolen, damaged or not returned. F Aw,e,• ^ee avoid late fees Paymenl.T"ankYW 50.09 5. In accordance with N WNA's Terms and Conditions "T &C" your OB T, ,A,eve ww Na,ua X rt+ ce v°„nutns cal ceF"• zss Equipment Lease and/or Service Agreement account may be r „acs s kemaMa,es n, ?v Monthly Oil ozm zneamaw s �„ei s<,a•tse f� l d, r +.x subject to minimum monthly purchases and /or early cancellation mn: Y +t, 9 Surcharge, Fuel fees. (A complete version ofthe currentT &C may be viewed on the 9s +�z t Surcharge or Delivery website listed below) Upon service discontinuation, rent for the Ai Fee (see #6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. "A 6. You will be char a month) y our Y r *M•"'r" n 5 1 Information") Y Oil Surchar g e, Fuel Surcharge or Deliver Fee as described in ourT &C. Only one of these fees Pa ment stub Acrou+TSUMMAav .e..°.. PAV PV FAY TH45 AMOUNT will apply to each account. The fee that applies to your account a P eccou NuMeta 00 o is stated on the front of the invoice. For further information please n' 12 ;g56j890 awNG nAre MT. ENUOSao INVOICE NLJ.W 00109100 visit the website listed below or contact our customer service center. 7. As a food product, bottled water is subject to the rules and o420096307 0'282712.. oao391av 2009 is Amount due regulations promulgated by the Federal Food and Drug "nn o°e Administration (FDA). ^Tt y5;;, 8. Your first invoice indicates the products delivered on our first Submit your P Y dNr m,M a :rA�ceuu,aoe.,T.9aaa delivery, along with any applicable bottle and account deposits, P' ay v p pn fleVP,,,,;ae" ment by this l.. an, l ;.a,.n6..aL <aL..n.La..L <LUe.awo redemption fees, and any dispenser charges. Ail future invoices pb�" eTaAUrw ^rk„g ^o,� „�.eao "ee.<�.era 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. 2008 Ice Mountain Spring Water Company, a Division of Nestle Waters North America Inc. Form No. NW 709 11108 service. icemountainwater.com VOUCHER NO. WARRANT NO. ALLOWED 20 Ice Mountain IN SUM OF P. O. Box 856680 Louisville, KY 40285 -6680 $4.14 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# 1 Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 2201 02AO117821082 42- 389.00 $4.14 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 nesda -,;Februar 08; 0201 "2 f` i r� om C» 1iSAecper Street'Cmissioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 02/02/12 02AO1 1 7821 082 $4.14 1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 20 Clerk- Treasurer service.icemountainwateccom 215 6661 DIXIE HWY, SUITE 4 01/01/12 01/31/12 02AO120095351 AN IN T-W LOUISVILLE KY 40258 e ADDRESS SERVICE REQUESTED WED- FEB 22 0120095351 THU- MAR 22 MON- APR 23 TUE- MAY 22 CARMEL CLAY PARKS AND REC DEPT. Customer Service: 1- 800 472 -9888 AUDREY KOSTRZEWA Thank you for choosing Ice Mountain Home Office 1411 E 116TH ST Delivery! We value your business. CARMEL IN 46032 -3455 �IIIIIII�I' I"' I�' I�' I�I�1i���1 ala lw IM, RTANT Due$to rising costs; effectl�e February 2a 2012 thereawlll be a price increase on select 4 i prdducts and a 20 cent Increase In our monthly feet surcharge rates Fardetalls please go to serv"ICP ttverr+�+tit talttWi3ter co ry f mlprIgInates br,call'1'800�7g 9888 Zx i a r ACCOUNT ACTIVITY Pay your bill online at: service.icemountainwater.com or by phone at:1 -800- 472 -9888. It's free! v__ P Delivery address: P CARMEL CLAY PARKS AND REC DEPT., 1427 E 116TH ST, CARMEL IN 46032 PREVIOUS BALANCE 37.51 1129 194964 PAYMENT -THANK YOU -37.51 1123 0759260508 5 5 GAL ICE MOUNTAIN DIRK W /HANDLE 19.95 3 9 OZ PLASTIC UP 50C /SLEEVE 8.97 BOTTLE DEPOSIT: 5 CHARGED, 5 CREDITED .00 1/31 0761578640 1 O!UFUEL SUR FEB 0 7 2012 2.68 A2069004 RENT 9.98 r TOTAL Purc}�ase 41.58 IDescriptidn ;t' l Y1 1,�Y0rr�3��C LY !14_Y1 ki P r E 3 �l 9 L I 0 1 D L L C @t r i� 11 I S Ce L ine Desc, ��1 I 1,�1 Purchaser Date Approval Date ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 37.51 37.51 41.58 41.58 BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL, OR FOR I Please remember payment is due by the "pay by" date noted to ensure the smoothest service. A REPORT ON WATER QUALITY AND INFORMATION, PLEASE 2. Remember, if you are renting equipment, your equipment rental is charged one month in advance. That means CALL 1 800 472 9888 OR WRITE US AT; your first invoice will include a pro rated fee for the Current month plus the next month's rental. ICE MOUNTAIN SPRING WATER CO. 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. #216 If you prefer, you can pay your bill online at service. icemountainwater.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 SA MPLE INVO 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. 23.5a,e90 1 Your You do not have to pay the disputed amount while it is being oo tootoo.00tooroo investigated. During the investigation, we cannot report your account as delinquent or take any action to collect the amount in question. n<R ca a u3assra9 Mae O0 r9 Watch here for a wEO Nw ri GENERAL INFORMATION nr nZ I personalized account 1. Payments received after the billing (INVOICE) date will appear on Important r I 91mM°nnu�nP'°dtln' lL n:, mantialu�a:naLt „8 „iwau your next invoice. Past due invoices (not paid within 30 days of news and mn1rW message billing date) may be assessed a late fee as allowed by law not to offers 123 M-11 sI t exceed $20 per month. Additionally, third party collection attorney c+y s a �°D t as +.a6gL aL rL,.u.wn L 6LLta n i expenses may be assessed at a rate not to exceed 100% of the unpaid balance or the maximum allowed by law. t aq r o e 9 Pay electronically T „H^;9QY` Yrn,c�itct�a ^w,i ,rtu,c� 2. Each returned cheek is subject to a service charge subject to the maximum check return charge allowable in our State. g Y Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity m ACTIVITY, w_ Ma amount has been since our Accouryrncnvov 4. Equipment replacement costs will be charged for bottles lost, last invoice ery6aa °n oo I:aMa s cros paid in full to stolen, damaged or not returned. aa•�e +z +s avoid late fees Ray�Mmank va SO.W 1 5. In accordance with NWNA's Terms and Conditions "T &C your oen w s seaiw^Haw *aisP�nsW .sa.m o Mw ^ui s ca o 9^• z.sa Equipment Lease and/or Service Agreement account may be sna6s,+++ s ^seaias Tr n.99 Monthly Oil sub to minimum monthly P Y p urchases and/or earl cancellation g Surchar e, Fuel m aze3ae„ xem tit r f -x..„j s,.+a fees. (A complete version of the currentT &C maybe viewed on the o9nr 'e"+°+ CF fj Surcharge or Delivery website listed below) Upon service discontinuation, rent for the aRA Fee (see #6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. m 1 6. You will be charged all g or ed a month] Oil Surcharge, Fuel Surcharge PP +MFH Pw TMEM nA� Information") n?9 TT Deliver ee as described in ourT &C. Only ne of these fees Pa ouNSSUMMA"v p Yt_" aa ry escri y our Pay stub Acc pAV THIS W UHT I will apply to each account. The fee that applies to your account aw "a-- x�cn n Nurnera vnrer is stated on the front of the invoice. For further information please u z3es6 ago awNC h T, RHUOSeo INJOIGE NU M6E0. V151t the web site listed below or contact our customer service ,rsls57e9 I center. 7. As a food product, bottled water is subject to the rates and D420,16107 04262732619 000391 20 1 Amount due regulations promulgated by the Federal Food and Drug pull oRx Administration (FDA). ice MOUN,'UN wueaoMRAm ,za M•� ^sI a�a+� c 00000 8. Your first invoice indicates the products delivered on your first Submit your delivery, along with any applicable bottle and account deposits, roR CHSroMrp 6 E""" a ment b y date this L;apa..a.aL�aL _d° w redemption fees, and any dispenser charges. All future invoices Q,wH R SFµ o ^sR aa�r A 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 re Elect two deliveries. 2008 Ice Mountain Spring Water Company, a Division of Nestl6 Waters North America Inc. Form No. NW cos 11108 t� service.icemountainwater.com service, icemountainwater.com r 215 6661 DIXIE HWY, SUITE 4 01/01/12 01/31/12 02AO121202766 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED WED FEB 22 0121202766 THU- MAR 22 MON- APR 23 TUE- MAY 22 ajraj CITY OF CARMEL PARKS DEPARTMENT Customer Service: 1- 800 472 -9888 MANDY SPADY Thank you for choosing Ice Mountain Home Office 1411 E 116TH ST Delivery! We value your business. CARMEL IN 46032 -3455 III "IlIIIIIl�IIIIl III II II' I"' I' ll'llllll'llll'I'lI�IlII�lIlil� u:i-.. Z t e a a Wa�c as xa !Illfl!?ORTANT Du_e to rising costs effectl�e February 20j�Z 12; there well be:a price Increase on selec products, and a 20 ce ncrease� n our monthly fuel s`urcharge rates�For details; please go X a g= s ervlce IcernountamWater o cc 1111IJ lc ngu dates r call -8Q0 -472 9888 3 r�' 3 m ACCOUNT ACTIVITY Pay your bill online at: service.icemountainwater.com or by phone at:1- 800472 -9888. It's free! Delivery address: CITY OF CARMEL PARKS DEPTIMONON CENTER, 1235 CENTRAL PARK DR EAST, CARMEL IN 46032 PREVIOUS BALANCE 64.85 1/29 194963 PAYMENT -THANK YOU -64.85 1/24 0759260540 2 .5 L NATURAL SPRING WATER ICE MTN r =�I 1' 11.98 3 9 OZ PLASTIC UP 50CISLEEVE- 8.97 10 5 GAL ICE MOUNTAIN'DRK W /HANDLE 39.90 BOTTLE DEPOSIT: 10 CHARGED;,10 CREDITED FEB 1 .00 j r 1 t' 1/31 0761707009 1 OIL /FUEL SURCHARGE i 2.00 A2144210 RENT 5.99 Purcha 11'iCC, _m TOTAL JD63cription I INKING �ZY. 68.84 Pro P or f p Line De-.r Purchaser_ Date .Approval Date ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT I ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT S Subject to terms on reverse side. 64.85 64.85 68.84 68.84 BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER IN CASE OF ERRORS OR QUESTIONS A13OUT 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- 800472 -9888 OR WRITE US AT: your first invoice will include a pro -rated fee for the current month, plus the next month's rental. ICE MOUNTAIN SPRING WATER CO. 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. #216 If you prefer, you can pay your bill online at service.icemountainwater.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 SA IN VOICE V 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. Zyasara90 Your Account Number You do not have to pay the disputed amount while it is being t 00,00100 001aw o investigated. During the investigation, we cannot report your account ,23656]119 as delinquent or take any action to collect the amount in question. Mo „ter Watch here for a GENERAL INFORMATION °r wEo- -Cr' Important nE” personalized account 1. Payments received after the billing (INVOICE) date will appear on P Custem+ stt'i aoo -arx -vase t'tni.t�tli6'��Itmdti; your next invoice. Past due invoices (not paid within 30 days of news and the ^'!t! x.nkyo e. ""a message billing date) may be assessed a late fee as allowed by law not to offers 1 1 73w s exceed $20 per month. Additionally, third party collectionlattomey un sa+ expenses maybe assessed at a rate not to exceed 100% of the a {wmer� unpaid balance or the maximum allowed by law. a 7 Pay electronically 2. Each returned check is subject to a service charge subject to the s> t''""- a t flY t maximum check return charge allowable in your State. Make Sure this 3. All bottle and equipment deposits are shown as CURRENT Activity x a- k• •^m amount has been ACTIVITY. since your A ccourrrarnv' s_ ooaoo 4. Equipment replacement costs will be charged for bottles lost, last invoice paid in full to stolen, damaged or not returned. avoid late fees ,},y,xYw StlAa 5. In accordance with NWNAs Terms and Conditions "T &C your a fi189B S ypp X. sw ment Lease and/or Service Agreement account 640 E ui rment aot ma 9 P g Y be ll, 31 -!0851 F7S Surchar 5 IeeMOUnWneG°1a 1 .93 Monthly Oil wr"wv+ fpY p f 7T# o9 a Fuel subject to minimum monthly purchases and/or early cancellation g fees. (A complete version of the current T &C maybe viewed on the 1 fi 6 0 9 Surcharge or Delivery website listed below) Upon service discontinuation, rent for the mw Fee (see #6 under Leased Equipment is charged through the end of the billing cycle TM15 0 "General in which service is discontinued. AO *TMa" nw 1 Information 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or rY Y y w_" Delivery Fee as described in our T &C. Only one of these fees Payment stub ACC0oW SUMMARY M 4AY M43 AMOUNT will apply to each account. The fee that applies to your account mo w w ACCOUNUMBFA' YAr BY is stated on the front of the invoice. For further information please zsse avo 91� p 7E ENClO5E E NUMeEA visit the website listed below or contact our customer service ,NVOIL N;001W ,z3+smava center. P subject 04262732619 000391049 2U64 111 7. As a food product, bottled water is subject to the rules and Amount due regulations promulgated by the Federal Food and Drug ,13M 113 o� S, Administration (FDA). ICE ,.,,uNwnrsacNMVA"" m” c1q,s�,+ 00000 Submit your S. Your first invoice indicates the produce delivered on your first F wxcu3yoMEV 3Eav,cE.w delivery, ry, 0100 B with any applicable bottle and account dep n„bar..wuu:aa sa<. %1 ",Arera�,«�e�s� a payment by this redemption fees, and any dispenser charges. All future invoices L] r iOP «E nu,avw„aaA^•� zl 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. 2008 Ice Mountain Spring Water Company, a Division of Nestl6 Waters North America Inc. Form No, NW 709 1 1108 service. icemountainwater.com 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 212112 02AO120095351 Drinking wafter cooler- Maint 41.58 212!12 02AO121202766 Drinking water cooler- MCC 68.84 Total 110.42 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. I 051125 Ice Mountain Allowed 20 P.O. Box 856680 Louisville, KY 40285 -6680 In Sum of$ 110.42 ON ACCOUNT OF APPROPRIATION FOR 101 General 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1 125 02A012009535i 4350900 41.58 1 hereby certify that the attached invoice(s), or 1091 02A0121202766 4350900 68.84 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 9 -Feb 2012 Signature 110.42 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund service. ice mountainwater.com J 215 6661 DIXIE HWY, SUITE 4 01/01/12 01/31/12 02AO121776199 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED MON- FEB 06 IIIIIIIIIIIIII IIIIIIIIIIIIIIIII S�v 0121776199 WEED- MAR 07 THU- APR 05 MON- MAY 07 CITY OF CARMEL HUMAN RESOURCES Customer Service: 1- 800 472 -9888 JIM SPELLBRING Thank you for choosing Ice Mountain Home Office 1 CIVIC SQ Delivery? We value your business. CARMEL IN 46032 -2584 IIL�II���III�I��I 'llllll�lll�lllllllllll IMPORTANT Dueto�rising cots effecttVeFebruary 202092 these wlllbea �ri'ce Incase on select oducts and a 20�cen`t tncrease .1 i'h.du� Mdhthl j 'fuel surchar, s e'rates details lease o to g service Icetlto ;com lprtcingup�dates o r call 1 800 -472 9886 jJ Y ACCOUNT ACTIVITY Pay your bill online at: service. icemountainwater.com or by phone at: 1 -800-472-9888. It's free! 0 0EM U A Delivery address: CITY OF CARMEL, 1 CIVIC SO, HUMAN RESOURCE DEPT, CARMEL IN 46032 PREVIOUS BALANCE 17.06 1/29 194962 PAYMENT -THANK YOU -17.06 1105 0756838363 1 5 GAL ICE MOUNTAIN DRK WIHANDLE 3.49 BOTTLE DEPOSIT: 1 CHARGED,,_ 1_CREDITED .00 1131 0761528249 1 OIUFUEL SURCHARGE. 2.68 A2047823 RENT 3.99 TOTAL 10.16 a FEB 13 2012 By ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT I ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 17.06 17.06 10.16 10.16 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- 806 472 -9889 OR WRITE US AT: your first invoice will include a pro -rated fee for the current month, plus the next month's rental. ICE MOUNTAIN SPRING WATER CO. 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. 4216 If you prefer, you can pay your bill online at service. icemountainwater.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 SA I 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. r34s6ra90 your Account Number You do not. have to pay the disputed amount while it is being f o01o0100- omooloo investigated. During the investigation, we cannot report your account 123456789 as delinquent or take any action to collect the amount in question. TM9 oR w Watch here for a GENERAL INFORMATION nr otc+9 personalized account 1. Payments received after the billing (INVOICE) date will appear on Important wP? .ditiaaa6;ang.A•,paap c „ome•5= Me "u� o�u999 message your next invoice. Past due invoices (not paid within 30 days of news and ro,••1rW' billing date) may be assessed a late fee as allowed by law not to offers iii M, •ndun, exceed S20 per month. Additionally, third party cotlection/anorney c y s,oe 1 Jadi.dxla• a "d4dlel•a b LAt•t.d _a expenses may be assessed at a rate not to exceed 140% of the ".re,.rnxw6 4r unpaid balance or the maximum allowed by law. en re!5+"'v Pay electronically rnu""'o' s d,a,�cxrm.•o� R„nt ^4 1 Each returned check is subject to a service charge subject to the maximum check return charge allowable in your State. µy Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity ��K�•k amount has been ACTIVITY. since your ACCOUMACrNI Y s9 aid in full to 4. Eq uipment re replacement costs will be cha for bottles lost, UpmryAaerce p P last invoice stolen, damaged or not returned. w�• .ro" e000 avoid late tees 5. In accordance with NWNA's Terms and Conditions "T &C your Equipment Lease and/or Service Agreement account may be ,,,9es,«4 s k s sa Monthly Oil Surcharge, Fuel subject to minimum monthly purchases and/or early cancellation "7685 s N:u`na9•j"#° S1 Pa1''t" �tla, mnl 3+9i63es n tt,fl.rPO g fees. (A complete version ofthe currentT &C may be viewed on the t b61p16 t r ;�y,/ 8 Surcharge or Delivery website listed below) Upon service discontinuation, rent for the m•r Fee (see 96 under Leased Equipment is charged through the end of the billing cycle J "General in which service is discontinued. ed a month/ Oil Surcharge, Fuel Surcharge or d cr r9. cnrm M•M +`""""'s b TM —a Information 6. You will be charged Y g g Fee as described in our T &C. Only one of these fees P stub ACCUUNTSlIMM c_• rY Y Y y enr lax ,„aour4r Delivery will apply to each account. The fee that applies to our account w; AaouarH,wl r4vev nw Nw ,]3456799 T. i is stated on the front of the invoice. For further information please r.cLolu- p.pp,cL NUrA9r4 9auNC Onrt visit the website listed below or contact our customer service ,z3,9a,990 0°tooIN t center. 7. As a food product, bottled water is subject to the rules and 042009s309 a4282'12L39 oBU391049 2994 Amount due regulations promulgated by the Federal Food and Drug a ^oo< Administration (FDA). 1c, .".N WAn '�ry s�a�e s` eoo 00 8. Your first invoice indicates the products delivered on your first a* tl 2ggBe Submit your delivery, along with any applicable bottle and account deposits, w9cus oµ69srwrc payment by this cm4.•a.o19•at. tt"u cn,�t..l u' ,u�. c2�•�^9..• redemption fees, and any dispenser charges. All future invoices �9rur mo usn nUC9n „e.eo 9=.. 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. 2008 Ice Mountain Spring Water Company, a Division of Nestle Waters North America Inc. Form No. NW 709 woe lS service. icemountainwater.com VOUCHER NO. WARRANT NO. ALLOWED 20 Ice Mountain IN SUM OF PO Box 856680 Louisville, KY 40258 $10.16 ON ACCOUNT OF APPROPRIATION FOR Administration Department (ti' Ciejc6r t0' PO# I Dept. INVOICE NO. I ACCT #!TITLE AMOUNT Board Members 1205 02A0121776199 43- 530.99 $10.16 I 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 Monday, February 13, 2012 Director, Administration Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 02/02/12 02AO121776199 $10.16 I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IG 5- 11- 10 -1.6 20 Clerk- Treasurer service.icemountainwater.com oil 215 6661 DIXIE, HWY, SUITE 4 01/01/12 01131112 02A0120048525 0 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED MOD- FEB 0124048525 07 WED- MAR O7 THU- APR 05 MON- MAY 07 CITY OF CARMEL DEPT OF ENGINEERING Customer Service: 1- 800 472 -9888 LISA SCOTT OR JUDY STOHLER Thank you for choosing Ice Mountain Home Office 1 CIVIC SQ Delivery! We value your business. CARMEL IN 46032 -2584 'lll'illl" Ill 'IIli 11111'IIIIII 1 z`�`:::a� IMPORTANT Due to;rising costs,e"ffective February20; 2012there will bea price increase on select products; and a 2© cenui icreas our m'anthly4fue! °s arpharge� rates r�e�r'detalls, please go #o` semce tcemourita nwster corn /prle�nauidates or ca111= $00-472 9880 ACCOUNT ACTIVITY Pay your bill online at: service.icemountainwater.com or by phone at: 1- 800 472 -9888. It's free! name e Delivery address: CITY OF CARMEL, 1 CIVIC SO, CITY ENGINEERING DEPT, CARMEL IN 46032 PREVIOUS BALANCE 7.48 1129 194961 PAYMENT -THANK YOU -7.48 1105 0756838314 3 5 GAL ICE MOUNTAIN DIRK W /HANDLE 6789 10.47 3 5 GALLON ICE MOUNTAIN BQTTLE ..DEPOSIT O 00 3 5 GALLON ICE MOUNTAIN DEPOSIT RETURN y .00 2 9 OZ PLASTIC UP. /SLEEVE 5.98 1131 A2055660 RENT t� E` 1 iE 3.99 TOTAL M 20.44 r f ACM ENGINEER 1 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 7.48 7.48 20.44 20.44 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- 800472 -4888 OR WRITE US AT: your first invoice will include a pro -rated fee for the current month, plus the next month 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. #2l6 If you prefer, you can pay your bill online at service.icemountainwater.com 6661 DIXIE HWY, SUITE 4 LOUISVILLE, KY 40258 4. Never hesitate to call us with comments, questions, or concerns. If you think your bill is wrong, or if you need more information about a transaction on your bill, write us on a separate sheet of paper. We must hear from you in writing no later than thirty (30) days after we sent you the first bill on which the error or problem appeared. You can SAMPLE INVOICE telephone us, but doing so will not preserve your rights. In your letter, give us the following information: Your name, address, telephone and account numbers. Date range of this invoice The dollar amount of the suspected error, Describe the error and explain if you can, why you believe there is an error. You are obligated to pay the parts of your bill that are not in question. on y3 +967.98 Your Account Number You do not have to pay the disputed amount while it is being t aoto0loo- ool investigated. During the investigation, we cannot report your account a9ase7e9 as delinquent or take any action to collect the amount in question, Watch here for a GENERAL INFORMATION wE4 Mc 31 Nr 0EC lR personalized account I. Payments received after the billing (INVOICE) date will appear on Important t �ttittl .ai��nruL•tludd�ti�a CurtomerSeMMWlnu�4'°rtun+ a message your next invoice. Past due invoices (not paid within 30 days of news and 6 Oce ,an�•rt� billing date) may be assessed a late fee as allowed by taw not to offers Cry 5 ute 06000 exceed $24 per month. Additionally, third party collection /atto ney h: rat n...uu.,n.t °•yaltft expenses may be assessed at a rate not to exceed 100% of the- s--�"` bPr unpaid balance or f y, y p ire maximum allowed by law. ;u xaiaarr" "'i Pay electronically 2. Each returned check is subject to a service charge subject to the�"�i"j"`da'A' maximum check return charge allowable in your State. 9 eer"s4�A.,6 LL g„ I Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity amount has been ACTIVITY. since your ACCOnNrAcnVRY wmHS ,on600a 2r M,�nse4eeEaas� ppp00 Irso paid in full to 4. Equipment replacement costs will be charged for bottles lost, last invoi a n .u.99 ce i stolen, damaged or not returned. p wP.s +M• +2's avoid late fees Paym• ^t Tt,an4YW W 50.06 5. In accordance with NWNA'.s Terms and Conditions "T &C your X31 -e9s s can6n n a,v, x�s4 "s s66o j !11 3119861++M r kx Mwnu Equipment Lease and/or Service Agreement account may be 6ssu+ s R <MP ^6 n sc:,n Y rt n.w Monthly Oil subject to minimum month] p urchases and/or earl cancellation o ;;a� 4 f 1 y P Y n2 r636Rn awl 1> -�G .�'g I Surcharge, Fuel 9 fees. (A complete version of the currentT &C maybe viewed on the A Surcharge or Delivery website listed below) Upon service discontinuation, rent for the E't Fee (see #6 under Leased Equipment is charged through the end of the billing cycle M 9�H "General in which service is discontinued. l.��srM1. sr� •6.,,,s s o Information 6. You will be charged a monthly Oil Surcharge;'Fuel.Surcharge trrl `M 9 6 .YM ,99ee ^R Deliver ee as described in ourT &C.r'bnl'�o a of these s' "Pa fee ment stub ACCOUNTSUM le 1 ry Y ,Y J PAY THIS AMOUNT will apply to each account. The fee�yyt_ pplies to your account .tee s ,�Pm^m' f ACCpUMNVMBE0. s,.+6 is stated on the front of the invoice. �ohfurther information please 231 679" gR3,INC oArE Mr. ENaoseo It INVOICE NUMBED 0000106 visit the website listed below or4 our customer service 12}g1673,0 ur i center. I 18 7. As a food product, bottled wa 3 g s subject to the rules and p2e0g6307 o,26271 61`1 000391049 2-4 j Amount due regulations promulgated by Federal Food and Drug Pn on6 Administration (FDA). rnovNrA+N wrtE I c si, e oo666 ��t���,,,���ttt��� ti w 6 Submit your 8. Your first invoice indicates the p 4&ts delivered on your first oRrusroMrnsrm9c delivery, along with any applicab u nle and account deposits, i payment by this L dOL,lwiLL t1 60 4LLL1 i`C Q Pmw redemption fees, and any dispense �4,��i�,PPi�es. Al] future invoices date flv6A P 6•w1 4n6 will reflect charges for water delivcre�•@nd'tti,5penser rental, bottic deposiLS and credits plus charges for s$dditignal products star; ordered by you. Deliveries are made every thCpuFpH!eeks a total of 16 -17 deliveries per year. You will only r ce`'e'tve'itn�oices U2 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 1 1108 S r service. icemountainwater.com o Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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.O. Purchase Order No. OX Terms Louisville, KY 40285 -6680 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 02/02/12 02A Rent and Service January $20.44 CCn t. Total i 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 Jrrp Mniintain IN SUM OF P.O. Box 856680 Louisville, KY 40285 -6680 $20.44 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 na materials or services itemized thereon for A cnt 0120048525 which charge is made were ordered and received except 2 3 2 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund service.icemountainwater.com 11101111 D 215 6661 DIXIE HWY, SUITE 4 01/01/12 01!31112 02A0122206105 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED MOD- FEB 06 0122206105 WED- MAR 07 THU- APR 05 VON- MAY 07 CITY OF CARMEL ENGINEERING /1ST AVE Customer Service: 1 -800- 472 -9888 KATIE NEVILLE Thank you for choosing Ice Mountain Home Office 1 CIVIC SQ Delivery! We value your business. CARMEL IN 46032 -2584 111111 11 1 [Jill IIIr11IIJ11111111111 111111111l'll'llllll'll'lll11l °fi f' u.,n. S�tartthe, year off rlghtwth,avarlety of�zero calarte beverages :For��a Iimlted trne enJoy�up toti$2 off per on"our =700rmLSport B ottI6S. j7raaewlnas UnsWeet Tea; Ice Mounta, Sparkling Waters;nand Perrier l roducts Ca111� 805329888 Off ®rex es 2129112 g a k r L3 t 1 jr r. zt a, +r .A s. y'f. �J hM ACCOUNT ACTIVITY Pay your bill online at: service.icemountainwater.com or by phone at:1 -800- 472 -9888. It's free! Delivery address: CITY OF CARMEL ENGINEERING, 130 1ST AVE SW, CARMEL IN 46032 PREVIOUS BALANCE 3.99 1129 194960 PAYMENT -THANK YOU -3.99 1131 A2045103 RENT 8 9 10777 3.99 TOTAL �ry 3.99 d)� VcLR ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 3.99 3.99 3.99 3.99 BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR HILL, 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- 800472 -9888 OR WRITE US AT: your first invoice will include a pro -rated fee for the current month, plus the next month's rental. ICE MOUNTAIN SPRING WATER CO. 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. 6216 6661 DIXIE HWY., SUITE 0. If you prefer, you can pay your bill online at service.icemountainwater.com 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 INVO N 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 pans of your bill that are not in question. Sz3+s6res4 Your Account Number You do not have to pay the disputed amount while it is being t 00100100- 0010 investigated. During the investigation, we cannot report your account i za +s6rev as delinquent or take any action to collect the amount in question. i mowocr z9 -•r Watch here for a wEo- NdJ n GENERAL INFORMATION of 4EC,a personalized account L Payments received after the billing INVOICE date will appear on Important eoo+zz9eae Ym g PP p,A :�ti1.4FNt1W t1IL1,1it ►3;ai19.tL,{ladq L9„>e� xm�e message your next invoice. Past due invoices (not paid within 30 days of news and TM.4x y ymeMw4w•v.od g billing ate m be assessed a late fee as allowed b law not to onn o« .nd 1� 1 S Y Y offers ,HM° sT cl y sta,e 44444 exceed $20 per month. Addumnaklg thud party collection /attorney u ,Jaa,.a.aL ai -b i i,tt,t J °a! expenses may be assessed at a rate not to exceed 100% of the 2. Each returned check eis maximum to a subject to thet��'A "P� I Pay electronically 6. a.ntcns.'Yw�P E�'rAetA.� w maximum check return charge allowable in your State. x Make sure this 3. All bottle and equipment deposits are shown'as CURRENT Activity ACTIVITY. amount has been since your Accou+rna,vrr P ui ment replacement costs will be charged for bottles lost, MI Aecre,. ,on ^oce. 'zsma s erosu'e pppp0 paid in full to 4. E q P P g n.99 last invoice aid late fees stolen, damaged or not returned- ai a :<s avd P,eAO "5 PaYment.Il+xnkYw 5400 5. In accordance with NWNA's Terms and Conditions "T &C your oar3, ,6,898 5 scaPa•wt ",a, s n9w s4m n 3,'rms �po"nu Equipment Lease and/or Service Agreement account maybe nlaesrn"+ s ,amc "4vamsc>B,P Monthly Oil subject to minimum monthly purchases and/or early cancellation �p°a s r "�s i jt Y Surchar e, Fuel H16388„ Pen, ,r,.r. g fees- (A complete version of the current T &C may be viewed on the �?6 %mil Sri Surcharge or Delivery websile listed below) Upon service discontinuation, rent for the roUl Fee (see #6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. RI9m P^ TM n•4 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or 4U *a. "i'; L" ""S;w Information Delivery ee as described in our T &C. Only one or these fees Payment stub Accou+ suMMnav 9 K•.o" s.a• rY Y Y Y RAY THlS AMOUN will apply to each account, The fee that applies to your account .n swc ems mw w t. pccouNr "MBER N 900 .4 is stated on the front of the invoice- For further information please 1234$61894 6uulvC "An Mr. roccosro IrNO,G[wmsR WIW104 visit the website listed below or contact our customer service z +800 center. 7. As a food product, bottled water is subject to the rules and, 0420x96307 042,2712619 00034,x49 2004 16 Amount due regulations promulgated by the Federal Food and Drug' 4n4 o� Administration (FDA):' IcEouHru wTta•,`°M.^+".1,•. c; y S, S. Your first invoice indicates the products delivered on your first •4 9s Submit your OP C45T4MEM SnNKf rALL 1�894< delivery, along with "any applicable bottle and account by deposits, p ayment a ment this IPJffi1 „Ja1t4.JL a4 ghGa "t•.Lt an^, d• i redemption fees, and any, dispenser charges. All future invoices date will reflect charges for water.delivered and dispenser rental, bottle deposits and credits plus cha ges "ffor 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 11108 service. ice mountainwater.com Ole— 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 Direct Purchase Order No. NA PO Box 856680 Terms Louisville, KY 40258 -6680 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 02/06/12 02AO122206105 Keystone Reconstruction Project $3.99 Miscellaneous Project 07 -08 is Total $3.99 I hereby certify that the attached invoice(s), or bills(s), is (are) true and correct and I have audited same in'ar-cordance with IC 5- 11- 10 -1.6. 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. Ice Mountain Direct ALLOWED 20 PO Box 856680 IN THE SUM OF Louisville, KY 40258 -6680 46/' 3.99 PdX YtA��btx Kb� tl�Rjk crl1 *■10XE TXI73fLIT)♦ PO# or INVOICE NO. ACCT /TITLE AMOUNT Board Members DEPT.# NA 02AO122206105 4239099 $3.99 NA I hereby certify that the attched 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 13 -Feb 20 12 Total $3.99 Signatur Cost distribution ledger classification if Cit En claim paid motor vehicle highway fund Title service.icemountainwater.com ILT 4 ril I "I.' A 215 6661 DIXIE HWY, SUITE 4 01/01/12 01/31/12 12A7220327048 M ME W/ LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED 9 e MON- FEB 06 7220327048 WED- MAR 07 THU- APR 05 MON- MAY 07 CITY OF CARMEL OFFICE OF THE CLERK TREASURER Customer Service: 1- 800 472 -9888 ANN DAVIS Thank you for choosing Ice Mountain Home Office 1 CIVIC SCI CARMEL IN 46032 -2584 Delivery! We value your business. IMPORTA Due to �sing costseffectroe February 20, 2012therewlll be °a price increase on select n and a 20 cent Increase i 1 n our mon #h fuel surcharge gates For details; ptease go_to cer o talnwater �orrilpnc�naupdates or call' x00�472 988$ n ACCOUNT ACTIVITY Pay your bill online at: service. icemou ntai nwater.com or by phone at:1 -800 -472 -9888. It's free! 10 _w D elivery address: CITY OF CAHMEL, 1 UVIU 6U, ULLKK TREASURER OFFICE, CARMEL IN 46032 PREVIOUS BALANCE 3.99 1129 194959 PAYMENT -THANK YOU -3.99 1105 0756838496 1 9 OZ PLASTIC UP 50C /SLEEVE 2.99 2 5 GAL ICE MOUNTAIN DIRK WMANDLE 6.98 2 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00 2 5 GALLON IC&MOUNTAIN.,DEPOSIT RETURN .00 1/31 0761698257 1 OIL/FUEL SURCHARGE 2.68 A2081086 RENT 3.99 TOTAL 16.64 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 3.99 3.99 16.64 16.64' 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 -900- 472 -9888 OR WRITE Us AT: your first invoice will include a pro -rated fee for the current month, plus the next month's rental. ICE MOUNTAIN SPRING WATER CO. 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. 0216 If you prefer, you can pay your bill online at service.icemountainwater.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 IN VOIC 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. t3 +sa7e your Account Number You do not have to pay the disputed amount while it is being t uoi0woo 0or0oroo investigated. During the investigation, we cannot report your account as delinquent or take any action to collect the amount in question. THR o w x0 +sa a9 c 79 Watch here for a GENERAL INFORMATION NOV T1 NE 0rC 1R j $00 I 12-98H personalized account n, naun.nl;anmtanl t, @�ivluu; n;,tiiin annme•sp 1 I. Payments received otter the billing (INVOICE) date will appear on P MWn,.; ^P1m�. your next invoice. Past due invoices (not paid within 30 days of news and nanR °elnr °e1n9 message billing date) may be assessed a late fee as allowed by law not to offers 123Mli� S andfeM< Cf Y 5u1c exceed $20 per month. Additionally, third party collection/attorney ,aaa.a.a+, dt. „iu,it.;tp ta6ua,i;a. ..1 expenses may be assessed at a rate not to exceed 100% of the p�tn unpaid balance or the maximum allowed by law. f w z0u rgt,„ s Pay electronically 2. Each returned check is subject to a service charge subject to the Fn^3t t axh h r maximum check return charge allowable in your State. Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity amount has been ACTIVITY. since your ACCouNTACTEVnry 17 0.ddei5'. tol DOe. 123 Main SneeL WOW 4. Equipment replacement costs will be charged for bottles lost, last invoice ce o"'s ,e paid in full to stolen, damaged or not returned. a�;n� :Ra1•nee en+S avoid late fees Paymem 7U+ ^RY° 5UA0 5. In accordance with NWNA's Terms and Conditions "T &C your oR+n Rn1RSe s seaRon xawMl sR g w sa0a -IIt 317RR$ ke Ma+Man DeW i 196 Equipment Lease and/or Service Agreement account may be Ranw+ s IeeMmnn msralR r' l 0.49 Monthly 0i1 subject to minimum monthly purchases and/or early cancellation 09 31B� E"°I 1 r g X117 rI �r at i' 47.00 S urchar g e, Fuel fees. (A complete version of the current T &C may be viewed on the oanz i s Surcharge or Delivery website listed below) Upon service discontinuation, rent for the Fee (see #5 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. s m 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or ".,nv,�l.H<E eM HEMrw+*a 1 fe^ siw 1 Information") Deliver Y y our Y Y Fee as described in our T &C Only one of these fees Payment stub ACCOU suMMxav Fe Y 99 W e'c PAY THIS AMOUNT will apply to each account. The fee that applies to your account w R9 1J' ncmuNT NuMREn My ev 57. is stated on the front Of the invoice. For further information please n ,n +sa7a90 Rw G DA MT. ENCwsrD I-o'CE NVMEr, OOIOpI°° visit the website listed below or contact our customer service 1 23+567R90 center. 7. As a food product, bottled water is subject to the rules and 012009630? 042e27z26t9 000391 20 Amount due regulations promulgated by the Federal Food and Drug -Doe Administration (FDA). ;eE ouNruN WA TER eornP AN'! rc 1c Ys lneslpDO o 8. Your first invoice indicates the products delivered on your first avl Submit your OR CUETOMEA 3tNiCEULL1e�72.9JRR delivery, along with any applicable bottle and account deposits, �aipiNg4 is /060 „6.tt.6td 0 O w vae. P ayment by this redemption fees, and any dispenser charges. All future invoices M sp° P Rro "n�o• date will reflect charges for water delivered and dispenser rental, bottle De,vR deposits and credits plus charges for any additional produce 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 700 11108 service. icemountainwater.com Sr Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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. /+r P;ayiee 7�n Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Total I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6. 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF So ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or D PT. INVOICE NO. ACCT #ITITLE AMOUNT I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the L rjp materials or services itemized thereon for which charge is made were ordered and received except 20 y w Signature Title Cost distribution ledger classification it claim paid motor vehicle highway fund