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213961 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CHECK AMOUNT: $183.97 �? CARMEL, INDIANA 46032 PROCESSING CENTER «o� PO BOX 856680 CHECK NUMBER: 213961 LOUISVILLE KY 40285-6680 CHECK DATE: 10/23/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4238900 02I011782108 17 . 06 02I0117821082 2200 4239099 02I012004852 24 . 53 02I0120048525 1125 4350900 02I012009535 4 . 61 02I0120095351 1091 4350900 02I012120276 86 . 52 02I012120766 1205 4239099 02I012177619 17 . 06 02I0121776199 2201 4238900 02JO11925282 34 . 19 02JO119252823 n service.icemountainwater.com D D ®B D 1/ © #215 6661 DIXIE HWY,SUITE 4 09/01/12-09/30/12 0210120095351 0 LOUISVILLE KY 40258 C D ADDRESS SERVICE REQUESTED THU NOCT 16 0120095351 FRI- 99010111 I I l l 9� 11��8 MIJ WED- DEC 19 WED- JAN 23 CARMEL CLAY PARKS AND REC DEPT. o(I T 0 9 2012 Customer Service: 1-800-472-9888 AUDREY KOSTRZEWA Did you forget about us? Kindly pay upon receipt. 1411 E 116TH ST A Remember,past due accounts are subject to a late fee. CARMEL IN 46032-3455 - - �- Your prompt payment is appreciated. For your 'IIII'll�'I��III1�'11111! !IIII�III"I��II�IIII"II�II�'�II�I'll' convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. Save'now.throu rh �u " m -mat 8 Z'_0 Wans-At ses fk `� u cah ` flO ,':6fARIZONA�Arn-old9 Palmer ..-Calylf, 1=800{72=988 < or`` logonto servlce:icemouritainwater:com to,add to:,yours,next-de`livery! �. " . w.-1#?�., .. " zrr"rk. b...»4,ea. r?` r{ u; `/,•; r' »'�Yyi.y"�,.(yt�, „x 1 •, '; ,:j ..... .✓ _ .gr -m:' P _ Aa,,. :.9 +� y ' 'zZ #- Y✓r`Ji .1'w,'b,F'+°,:iU� ^n:5s�%�a�'.'� a"�Ki3'.PJ.`.: aA .^ fry=-�i 4fJyrz,.q' S -.,"P' .rs' ,r.` S J..s! .".$,.'f3•}�`a."'"' _•P- 6 ^;+. ."ry L 't _.-, ._ :fµi .:, _Nye:' �-,(1 .Y,'4sYxv^..;,y; .''.v���. .''?_.' .'.;l.�1:,�m• �_ �ild,- <y°W+'?�t .v�;n x ...Yl'." .,F?'TM_ °ry e S_:�•w�n"a�."r- ".hrb,0°...' ^ _.z:t��r:✓.Px'n°4, .1 — ' ACCOUNT . ACTIVITY For uestions or a re ort on water ualit and information,call 1-800-472-9888 or visit service.icemountainwater.com. Delivery address: P CARMEL CLAY PARKS AND REC DEPT.,1427 E 116TH ST,CARMEL IN 46032 PREVIOUS BALANCE 58.59 9/20 0794969832 4 5 GAL ICE MOUNTAIN DIRK W/HANDLE 15.96 3 9 OZ PLASTIC CUP 50C/SLV 9.87 BOTTLE DEPOSIT: 4 CHARGED, 10 CREDITED -36.00 9/30 0797471240 1 OIL/FUEL SURCHARGE 2.80 13305190 RENT 11.98 Purchase Y�awt. TOTAL Dpscriptid- 63.20 P.O.# P or F _-- Line Descr`: Purchaser Date Approval Date ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 58.59 - 0.00 + 4.61 = 63.20 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 1-800472-9888 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 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. 1.34567890 i Your Account Number You do not have to pay the disputed amount while it is being t DOINIOD.00100100 ' e investigated.During the investigation,we cannot report your account i 123456789 y ! as delinquent or take any action to collect the amount in question. rNR-aT R° MON-oCT 39 Watch here for a wEo-NOV x' l GENERAL INFORMATION nE-DEC'R personalized account 1.Payments received after the billing INVOICE date will appear on Important n-9888 Ytn B( ) PP If,fl•di1a f16dgltA.dtnblNb�dtttl.6•Jidatl a'mmer s�°.,-Row � it message your next invoice.Past due invoices(not paid within 30 days of news and T,�anR you for usM9lre MOUnuI^P•°a billing ate may be assessed a late fee as allowed b law not to X123 Mai ,na.erw=e.. l g ) Y Y offers z3 Mains, exceed$20 per month.Additionally,third party collection/attomey Ej„,Snt, a•„�1"'n"1'a"b"e!'wb�("a - ^^-""e'-,�,1, } expenses may be assessed at a rate not to exceed 100%of the '-$"':'�'" �1 ray unpaid balance or the maximum allowed by law. ,rauaiu,'re: "' „•"e� =s;,`• Y Y 2.Each returned check is subject to a service charge subject to the �m1P`"8' "°'`'•' -' ' �'• J [g J maximum check return charge allowable in your Slate. 1.�ye,.r": -- 4�; •' �; Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity amount has been since your ACCOUrnArnvlTr ACTIVITY. 4. Equipment replacement costs will be charged for bottles lost, O<In<NA�re„ onnDce 113 Mm St'—C'y'S e00000 „� 4 paid in full to last invoice stolen,damaged or not returned. <,nw•,eaa•u 4415 t avoid late fees 5.In accordance with NWNA's Terms and Conditions("T&C"),your oa 3, 06,898 s Ganoo a a sar"R9 °`" sow ,,, 3naes,+++4 R<MO„r,1z�n3WiDep .__ z96 .l Monthly Oil Equipment Lease and/or Service Agreement account may be o,,, 3vees14w s k<MU•mamsGalgelwn','—`" "" O9/,1 R FuN 3urc6aye, s�tw i3 subject to minimum monthly purchases and/or early cancellation 311 51N 3,526388„ ,if"<���.tj1�? y- 1 Surcharge,e,Fuel fees.(A complete version of the current T&C may be viewed on the o9nx 'R6+p697 p r. r 57" Surcharge or Delivery website listed below)Upon service discontinuation,rent for the rorAE - _ --_-- E€ Fee(see#6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued 0"""""°° - °YTM 51 0 E Information") 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or y - ACCOUNT SUMMAR Delivery Fee as described in your T&C. Only one of these fees Payment stub =F•°e -_ PAyrN1S AMOUNT will apply to each account. The fee that applies to your account __ _.��,,,,�,a.. AccouNT NUMBER ooA/w sr ao � is stated on the front of the invoice.For further information please 1730567890 RnuNG DATE MT.ENCLOSED INVOICE NUMBER 0, DA visit the website listed below or contact our customer service 1234567890 �i center, P J 0420096307 04282712619 000391049 2004 1B 7. As a food product, bottled water is subject to the rules and Amount due regulations promulgated by the Federal-Food and Drug pnnD9e 1, Administration(FDA). ICE MWNTNN N'A omm CA�M1 5100000 8.Your first invoice indicates the products delivered on your first .or.�""°"`"'""' .5. Submit your delivery, oR<DS7oMeRSEwKE`""'-800•'7` payment b this ry along with any applicable bottle'and account deposits, t..tat•a•m.••m.aG,.u..6a..u.Ma.la.,a D•R�^e5itle ~: dal Y redemption fees,and any dispenser charges.All future invoices mo°.ns�w�DaRe9�,u<aD:,SrexN6e --. will reflect charges for water delivered and dispenser rental,•bottle- x"10°wRrREE6 _ 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 11/06 service.icemountainwater.com service.icemountainwater.com �. m #215 6661 DIXIE HWY,SUITE 4 09/01/12-09/30/12 0210121202766 0 . LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED ® ® e OCT II IIII III IIIIIIIIIIIIIIII18III _ FRI- NOV 16 0121202766 FRI- NOV 16 T� - r , WED- DEC 19 ` WED- JAN 23 CITY OF CARMEL PARKS DEPARTMENT OCT 0 9 2012 Customer Service: 1-800-472-9888 MANDY SPADY Did you forget about us? Kindly pay upon receipt. 1411 E 116TH ST - CARMEL IN 46032-3455 Remember,past due accounts are subject to a late fee. Your prompt payment is appreciated. For your IIIII"'�Illlill�lllll�ll����lll�l���l�llll��llll�ll'11'1111"�1' convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. Save::now th�rou h�10/31'!12<on ses�of�TRADEWINDS�Cans�At 'iist�2,casesfor$13� ourca iniz and match' .o .. �._g ...: . 1, a:. _ _ Y ate- :a -•a�;�+ ^;s- _...-o .�`z•, ...�« t,��;,�� - from a vaciety.of.refreshiii§'flavors Offer.,,indlud"es..,cases-of�ARIZONA Arnold$Palmer.f,Call�l','— ;472=9888�orT , "'� r. ' a'"„€": �e'S 'x�r:.i.:. �,. _ e -:%,,.�'�4�''�.., ;�• flog onto s ervice ,cemo, untairiwateur..:.mc.r o m»e t�o^�:^�a'dtlnr�toT:y', o.hu'.°.r.�3n._errz.f. de^1�lv°_ery�! r =74 _ 1 >�`-_ g,� _:��� sv,«a� e��;�.z,«brt,��r';_`gym :,,>: ',6' •:��` 4✓.':., ^�'"�'�:,' �' �tip»z_ '' . :.s° o 'i:•�S° '1'-'-.,:Y x�'ht.-`.. S»���•>�,., ,.at:F z� .,�za�..:;;,..,�,Y _ -�n��^,.." gY ��^ {^l..-...�,�"�"*�'�` ....^p; �x, �a �b _ .:;%+:.Z._f' -:yiGw.: .zi" �' S' �i . Ra.:.'.i• 9R� �:•t�3r�eSe,,,�,- d'Mrc' .c^a^P M'r�. �W.s ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. Delivery address: CITY OF CARMEL PARKS DEPT/MONON CENTER,1235 CENTRAL PARK DR EAST,CARMEL IN 46032 PREVIOUS BALANCE 72.51 9/07 0793717372 9 5 GAL ICE MOUNTAIN DIRK W/HANDLE 35.91 BOTTLE DEPOSIT: 9 CHARGED, 7 CREDITED 12.00 9/20 0794969881 3 9 OZ PLASTIC CUP 50C/SLV 9.87 5 5 GAL ICE MOUNTAIN DRK-W/HANDLE 19.95 BOTTLE DEPOSIT:`'5 CHARGED,-,5 CREDITED, ` , .00 9/30 0797486552 1 OIL/FUEL SURCHARGE' Purchase, 2.80 13384429 RENT 'Description nt Irf � 5.99 PorF # TOTAL P..O. 159.03 ` l 09 i 3501 as _. Line escr Purchaser Date Approval Date ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 72.51 - 0.00 + 86.52 159.03 BILLING RIGHTS SUMMARY YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL,OR FOR 1. Please remember payment is due by the"pay by"date noted to ensure the smoothest service. A REPORT ON WATER QUALITY AND INFORMATION, PLEASE 2• Remember,if you are renting equipment,your equipment rental is charged one month in advance.That means CALL 1-800-472-9888 OR WRITE US AT: your first invoice will include a pro-rated fee for the current month,plus the next month's rental. ICE MOUNTAIN SPRING WATER CO. 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. #216 If you prefer,you can pay your bill online at service.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 11 we Y v®I C E 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. '' s tz34567890 Your Account Number You do not have to pay the disputed amount while it is being / ooualD.-o.toolDo investigated.During the investigation,we cannot report your account r ` as delinquent or take any action to collect the amount in question. HP-oC a 23456799 MDN-oa� j Watch here for a yh0.NW 2+ GENERAL INFORMATION nE-DEL+6 personalized account 1.Payments received after the billing INVOICE date will a on Important - 80.+72-she Ym n8( ) PPS iitlbW6«dUt1.N.t1ddG c.:c9mn s°"`<: „a, message your next invoice.Past due invoices(not paid within 30 days of news and !�8"ta 81 D"` T W k�,�.^9"`M°"° p-d billing date)may be assessed a late fee as allowed by law not to offers "3 M exceed$20 per month.Additionally,third party Cj,M�•st," expenses ----•�;..'T may be assessed at a rate not to exceed 100%of the unpaid balance or the maximum allowed by law. : Ag :s � r nom"°�°,°hh?' " R '; Pay electronically 2.Each returned check is subject to a service charge subject to the maximum check return charge allowable in your State. .,,. - ...__ n,<, ,,,,,oP<,� '`• Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity amount has been - ACTIVITY. since your pccouNrACrrvnr Ptltlreu p,,,,Dce123Na�nsff a c1ty,sur oo0 o paid in full t0 4. Equipment replacement costs will be charged for bottles lost, last invoice D<'"" "" I stolen,damaged or not returned. 4145 avoid late fees q,,nent-TwnkYau �� 1 5.In accordance with NWNA's Terms and Conditions("T&C"),your oan, m+� s scaw•Na�^•'sv�m •' Lease and/or Service Agreement account may be n+ n7ees,4444 sw�o<w*? ?� Equipment gree Y vea+44 s w,A g Monthly 011 subject to minimum monthly purchases and/or early cancellation m ' s S' •t''>t` Surcharge,Fuel fees.(A complete version of the currentT&C may be viewed on the Surcharge or Delivery website listed below)Upon service discontinuation,rent for the D*A _ - - — I Fee(see#6 under Leased Equipment is charged through the end of the billing cycle L4General in which service is discontinued. 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or ,,,,,,� euAa - ;� , _ Information") 99 Delivery ee as described in our T&C. On one of these fees Payment stub ACCOUrrr IUMMAm •c-EO. .• ______ erY Y IY y o.— -- PAr Tars AMOUNT t4 PAY BY will apply to each account The fee that applies to your account _"_ ,.�,�^w,^°"•' AccouNr NUM°o` �ro0too 5j0 is stated on the front of the invoice.For further information please 1134567090 61WNG DATE .ENCLosw CE NUMBER Wl00�00 visit the website listed below or contact our customer service u34567990 Center P py2..9630T .42627126]9 000391..9 2004 16 7.As a food product, bottled water is subject to the rules and + Amount due regulations promulgated by the Federal Food and Drug p1n— 4. Administration(FDA). �cE',,oUWMNwAME OMP,� �3 lis`�oo o< dN� Submit your 8.Your first invoice indicates the products delivered on your first E4�LUO,-600.7z-� delivery,along with any applicable bottle and account deposits, Lyu,,,,,a„da..lt.ta,d..A►td.d,a sa« payment by this redemption fees,and any dispenser charges.All future invoices n5gi0pP.,,,.�o•P•. date will reflect charges for water delivered and dispenser rental,bottle s,6N0PwPP•rEA 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 Nestld Waters North America Inc. Form No.NW 709 11/06 Q 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 1013112 210120095351 Drinking water& cooler-Maint $ 4.61 10/3/12., 210121202766 Dtinking water_& cooler-MCC $ 86.52 Total $ 91.13 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$ $ 91.13 ON ACCOUNT OF APPROPRIATION FOR 101 General & 109 - Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept,# 1125 0 210120095351 4350900 $ 4.61 1 hereby certify that the attached invoice(s), or 1091 210121202766 4350900 $ 86.52 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-Oct 2012 � gnu� Signature $ 91.13 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund service.icemountainwater.com WORM #215 6661 DIXIE HWY,SUITE 4 09/13/12- 10/12/12 02JO119252823 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED II I II I I"I�'II I��I I I I I I I� �I I� THE- DEC 01 0119252823 TUE- DEC 04 MON- JAN 07 WED- FEB 06 CITY OF CARMEL STREET DEPARTMENT Customer Service: 1-800-472-9888 BONNIE CALLAHAN Pay your bill online at:service.icemountainwater.com or 3400 W 131ST ST by phone at: 1-800-472-9888.It's free! CARMEL IN 46074-8267 Be,read" forallthis earsceleb ations Now lirougti.12/31'/�12,;en'o savings,tin cases"df�AGQUA'PANNA; I- S PELLEGRINO�SAN=PEL EGRINO SRARKLINGTRUIT BEVERAGES�A-PERRIER�Ca11 13y8DQ_-4.7 9888.oraog' . dntoaervtce:icemountainwater,:com fo order today!-• '.��` - &'.��".�� ;'e` ....�.y'C ,.a'°O, ry;. '..�` eL-'.°;es%*'° r$� s,f ',T..'•F'"�_ _ -'�= "n:.! �' �'.s ° r __�_— LL.. �" ,r ��S- °s;•.".Pg;ya�` ,F�i;,,��" .�.,•.W..ce;:' z ,-b•�"'"r° ':::,....�M?��. '.� ,'�,':"°.' ,.r.°���"<.. _ '-',.3 ",y s•`.,a ,�^ .,�a a a""�9'`s � } .,,8,'cli` i'.s* -'�;,. � _ ;�' ��' 'tea"`.`• ��� ,Y���:"$', `.-�r�•.t,�°, ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. Delivery address: CITY OF CARMEL STREET DEPARTMENT,3400 W.131ST ST,CARMEL IN 46032 PREVIOUS BALANCE 78.70 10/07 553001 PAYMENT-THANK YOU -78.70 10/04 0796899169 5 5 GAL ICE MOUNTAIN DIRK W/HANDLE 17.45 5 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT - 30.00 5 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -30.00 3 9 OZ PLASTIC CUP 50C/SLV 9.87 10/12 0799815733 1 OIL/FUEL SURCHARGE 2.88 J3476667 RENT 3.99 TOTAL 34.19 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT" Subject to terms on reverse side. 78.70 — 78.70 + 34.19 = 34.19 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 1. Please remember payment is due by the"pay by"date noted to ensure the smoothest service. A REPORT ON WATER QUALITY AND INFORMATION,PLEASE 2. Remember,if you are renting equipment,your equipment rental is charged one month in advance.That means CALL 1-800-472-9888 OR WRITE US AT: your first invoice will include a pro-rated fee for the current month,plus the next month's rental. ICE MOUNTAIN SPRING WATER CO. 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. #216 If you prefer,you can pay your bill online at service.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. F 3M 1234567890 You do not have to pay the disputed amount while it is being 1 00100100-00100100 Your Account Number investigated.During the investigation,we cannot report your account 9 tY 123456789 as delinquent or take any action to collect the amount in question. MoN-oa]9 Watch here for a WElYNW 1\ GENERAL INFORMATION IDE-DEE,e personalized account 1.Payments received after the billing INVOICE date will appear on Important 0.0 IU"U4d@tlu llgaLlUL«dUU.di„Udall Customer 5ermce'1-800472-9888 Ym g( ) PP Maumm�9ed— message your next invoice.Pas[due invoices(not paid within 30 days of news and rnaekyw�lpfOd"9"` billing date)may be assessed a late fee as allowed by law not to offers �rzi 6 SL '"n'ervlC... exceed$20 per month.Additionally,third party collection/attomey expenses may be assessed at a rate not to exceed 100%of the unpaid balance or the maximum allowed by law. Pay electronically Y..ar,.°,. TomaaageY94`. maYpubm!tm+Y:'at° ,,nuch3niki.mwe�;,_., � 2.Each returned check is subject to a service charge subject to the ' °" maximum check return charge allowable in our State. � Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity amount has been ACTIVITY. since your ACC U T ACT1V1n '' 123 Mamsmaei.on.5taa 00000 aid in full to 4. Equipment replacement costs will be charged for bottles lost, aces en Addre:: ionn0ce. ��� 11 P last invoice stolen,damaged or not returned. ae w,eaia a 245 avoid late fees gymmt-ThankYw 5000 5.In accordance with NWNA's Tetras and Conditions("T&C"),your vent .... n,:,Hat"rs svrm9wamr odo Itl 317e84414 51 5 Ice MauntainSGal pepos�t 296 Equipment Lease and/or Service Agreement account may be 1„ 3nee6144" 5 ,ceMO�nta,nSCaI—% _ 199 Monthly Oil subject to minimum monthly purchases and/or early cancellation a9n, 3nee51.,44 weiwrmayerte�. `73i 1�•,il �,,, 3,e"6ee1t A� ..,tic=_t.,.•.•, Surcharge,Fuel fees.(A complete version of the current T&C may be viewed on the 09117 166111 w Surcharge or Detivery website listed below)Upon service discontinuation,rent for the TOTAL k 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 ,eE wK --�_�.�"�' ,Ha I Information") Delivery ee as described in our T&C. On one of these fees Payment stub ACCOUNT SUMMARY _ae" pe _ __ cry y Only y e,c __ PAY�, PAY THIS AMOUNT will apply to each account. The fee that applies to your account ___..... on ^N AccouNT NUMBER 1740 is stated on the front of the invoice.For further information please 1234567890 Bw a GATE ENCLOSED visit the website listed below or contact our customer service W",„ 117810 00100100 1"3456]890 center. 1B 7. As a food product, bottled water is subject to the rules and 0420096307 04282712619 000391049 2004 Amount due regulations promulgated by the Federal Food and Drug lonnlm Administra[ion(FDA). IcEMou uNa•wA” C1'ys�ies�Woo i Submit your 8.Your first invoice indicates the products delivered on your first °mod o,EUnOMF0.sEBVKEC" ''e° 729W delivery,along with any applicable bottle and account deposits, dL„U.ba"U.FULU it ' sae j payment by this redemption fees,and any dispenser charges.All future invoices n6p„oeu9M,moevd` �'"•A�wa' ___. date will reflect charges for water delivered and dispenser rental,bottle yoHUVweveFEA ---- - 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 11/08 �r service.icemountainwater.com VOUCHER NO. WARRANT NO. Ice Mountain ALLOWED 20 IN SUM OF $ P. O. Box 856680 Louisville, KY 40285-6680 $34.19 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 1 02JO119252823 1 42-389.001 $34.19 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 F nday, October 19, 2012 l Street Commiss r G 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)) 10/16/12 02JO119252823 $34.19 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.icemountainwater.com FEW ii64rGaingue® 0 m #215 6661 DIXIE HWY,SUITE 4 09/01/12-09/30/12 0210120048525 p LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED GI I�I�I�II sl I�II�I III �I I�91� �I9 THE- 01 0120048525 DEC TUE- DEC 04 MON- JAN 07 WED- FEB 06 CITY OF CARMEL DEPT OF ENGINEERING Customer Service: 1-800-472-9888 LISA SCOTT OR JUDY STOHLER Did you forget about us? Kindly pay upon receipt. 1 CIVIC SQ Remember,past due accounts are subject to a late fee. CARMEL IN 46032-2584 Your prompt payment is appreciated. For your IIII��"IIII'I�IIIII'I�IIIII'III'I'llll�l�llllll�l�l'I'�'II'lll'! convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. r..,;_?"°^ '.d�''.''•,'-,"'`'. ri. '""_."''`_-.-.°s ;M-,� w -'`°xxia,. *.` '. 7av now throe h1Y0/3;;1'/12=°on cases�of T!tDEWINDS.CansQf'tast 2aca"sesgfor=$13 '�ou"can miz and match '7';7 ` , c :, « y �a..varlety=ofarefreshmg flavors:Offer lncltatlesecases-.of;ARIZO.N%A Arnoltl>Palmer: Ca111 800=472-988P8%or'; V onto3service.Item"ountainwateraom;to add,to your,',nextdetivery! a F . --.a" rz = WIMP,' ..w �s. m. °,. .� .+„ »..,'�"Sa„—.•:. ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. Delivery address: CITY OF CARMEL,1 CIVIC SQ, CITY ENGINEERING DEPT,CARMEL IN 46032 PREVIOUS BALANCE 38.29 9/05 0792339566 4 5 GAL ICE MOUNTAIN DIRK W/HANDLE 13.96 4 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00 2 9 OZ PLASTIC CUP 50C/SLV_ 6.58 4 5 GALLON ICE MOUNTAIN DEPOSIT RETURN �� �1)��1?y� .00 9/30 13288980 RENT �Gj� �$ys 3.99 TOTAL 1 � S?�O�t��'(? � 62.82 co ® �1NEcrz p ACCOUNT-SUMMARY- —PREVIOUS-BALANCE—PAYMENT?ADJUSTMENT” -CURRENT—ACTIVITY—PAY—THIS—AMOUNT-1 Subject to terms on reverse side. 38.29 — 0.00 �- 24.53 = 62.82 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. 6661 DIXIE HWY.,SUITE 4 If you prefer,you can pay your bill online at service.icemountainwater.com 666] 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 ®� 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. 234567890 I Your Account Number You do not have to pay the disputed amount while it is being r 00100100-00100100 investigated.During the investigation,we cannot report your account I as delinquent or take any action to collect the amount in question. TIR"aT a 123156789 i NON DO 29 Watch here for a yJ 1U 21 GENERAL INFORMATION NE--1c'a personalized account 1.Payments received after the billing(INVOICE)date will appear on Important $00 72-'8" message q,pay@;.96dgIN:�t1t1.61&6dltgatldVlddp c��sm""�mamv.^^�"" your next invoice.Past due invoices(not paid within 30 days of news and TM kY"1ulU billing date)may be assessed a late fee as allowed by law not to Offers 123 Mmn exceed$20 per month.Additionally,third party collectionlattomey c ,slate 00000 d4"a.lna6.641+ba»a. expenses may be assessed at a rate not to exceed 100%of the is ourebCf + -.> f unpaid balance or the maximum allowed by law. .sy,,Ta �i� ,y,�Er> aw "'�"°"??COA="'9 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 ,' .--"wr •„�„•,„,,,,,.....�a f}'0"'".•a+ri.,•..., I ACTIVITY. _y�•° amount has been since our ACCOUHrArnvn'' 4. Equipment replacement costs will he charged for bottles lost, y naa,�+">ha0ce.1 3nw^sve�.cnsw"ppp00 n99 paid in full to P last invoice Do-q stolen,damaged or not returned. I Th nkyw sum I avoid late fees „P„n 5.In accordance with NWNA's Terms and Conditions("T&C"),your mr3, 861898 s s W�IMNaWnISP�MWzM -soap Ili 31IB8s14aM ke klp4ntain9Gal Depc+M1 I.9fi Equipment Lease and/or Service Agreement account may be 3,]eas„+a• s swlRa,�m` n99 I Monthly Oil o9n, 3nessaw r.rei �na.9•;) I)`}'"'f #} t.*. subject to minimum monthly purchases and/or early cancellation „2 3,82638811 �„ Ir]�tl,f.:. '.ecb."–' I Surcharge,Fuel fees.(A complete version of the current T&C may be viewed on the 091'2 166`aa'] ,FS` s] 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 e "General in which service is discontinued. 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or •,�„o„.N]aa« Information”) Nf SUMMARY ,199 Delivery Fee as described in your T&C. Only one of these tees Payment stub pCCOU --____------pqY B--- RA�nRs AMouNr will apply to each account. The fee that applies to your account ,�.�..a�wu P'�'^°""'u• ACCOUNT__R w nao is stated on the front of the invoice.For further information please 1DLCE NU98 gIWNG DATE ENCLOSED INVOICE NOMBER visit the website listed below or contact our customer service 123.1567e90 ao1o0/00 1 center. P subject 04282712619 000391049 2004 16 7. As a food product, bottled water is subject to the rules and � Amount due regulations promulgated by the Federal Food and Drug J.N O« Administration(FDA). IGEMOUNUUNwArEN COM 123 W."St dN®N��^ Submit your 8.Your first invoice indicates the products delivered on your first FoRSroMFRSE,r]KE� delivery,along with any applicable bottle and account deposits, <U t.wtt�,lt.w"u•uu�w•�a _ payment by this redemption fees,and any dispenser charges.All future invoices I.aaa"aJa.•d N,sOPar,,,,,a,aew4•�o^"�""s'"` R�.pmEwOn"�"" _ ..____.S 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. ©2005 Ice Mountain Spring Water Company,a Division of Nestl6 Waters North America Inc. Form No.NW cos 11/08 Sservice.icemountainwater.com 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. POB 856680 Terms Louisville, KY 40285-6680 Date Due Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s) Amount 10/3/2012 0210 water cooler $ 24.53 Total $ 24.53 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. Ice Mountain ALLOWED 20 POB 856680 IN SUM OF $ Louisville, KY 40285-6680 $ 24.53 ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT# I hereby certify that the attached invoice(s), or 0 0210 2200-4239099 24.53 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 &4AZ10/22/2012 Signature City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund service.icemountainwater.com ®® #215 6661 DIXIE HWY,SUITE 4 09/01/12-09/30/12 0210117821082 p LOUISVILLE KY 40258 g ® o ADDRESS SERVICE REQUESTED MON- OCT 15 0117821082 �I II II I N II I�D I I I I��I I I I B �I 98 �I� MON- DEC 12 THU- DEC 13 WED- JAN 16 Customer Service: 1-800-472-9888 CITY OF CARMEL STREET DEPATMENT Pay your bill online at:service.icemountainwater.com or 3400 W 131ST ST by phone at:1-800-472-9888.It's free! CARMEL IN 46074-8267 ���11�1�1'�'�tlll�l�l�thhll'�11'��tl�llll'I�+III����I�IIII'll�l .,6`.'. -^`?�e�•,. '---r.:._rn`, (^ '�.rr� •'"'" � _ u'�y;::t. Save now';throughl0/31/�12on cases ofTRAp.EUVINDS;Cans:bAt just2cases�for•.'$>1y3you can mixand"inatch from`a:varlet :ofefreshin° flavors: Offernclud es:casesaofARIZONAArriold Palmer: Call1:=8007:2=9888or g;`. -=.0. 9 7 :ft to =onto,service-_fe4 6untain_wate�:cotn yto=add to-your nexf'deliveryl - _ wry5� - .`'r✓'s _ •�.,r �-.: _ z "°.' :-r' `�.�._ 'tea a:- .x..",x�„,.,' ~� '°'r'"'°"� � ,-:„'i� ,.r ^{ 'Fe- � ,., p•*4q..'�N '1� r,;.r•s n p .E y r`. J°°^ t.r ".Sw�Y e. ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. ® s o ®05 1 NAME, Delivery address: CITY OF CARMEL STREET DEPARTMENT,3400 W 131TH ST,CARMEL IN 46074 PREVIOUS BALANCE 37.60 9/23 487242 PAYMENT-THANK YOU -37.60 9/14 0793805326 1 9 OZ PLASTIC CUP 50C/SLV 3.29 2 5 GAL ICE MOUNTAIN DRK-W/HANDLE_ 6.98 2 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 12.00 2 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -12.00 r 9/30 0797449329 1 OIL/FUEL SURCHARGE 2.80 13274624 RENT 3.99 TOTAL 17.06 r , ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side I� 37.60 — 37.60 17.06 = 17.06 BILLING RIGHTS SUMMARY YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL,OR FOR 1. Please remember payment is due by the"pay by"date noted to ensure the smoothest service. A REPORT ON WATER QUALITY AND INFORMATION, PLEASE 2. Remember,if you are renting equipment,your equipment rental is charged one month in advance.That means CALL 1-800-472-9888 OR WRITE US AT: your fast 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 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 errur. You are obligated to the arts of our bill that are not in question. — !f g Pal P Y 3234567890 You do not have to pay the disputed amount while it is being / aotool00-00100l00 I Your Account Number investigated.During the investigation,we cannot report your account 23456]89 as delinquent or take any action to collect the amount in question. THR-00 w Mo MN 19 Watch here for a wEn-NOY 3, GENERAL INFORMATION UE-DEC,0 personalized account 1.Payments received after the billing(INVOICE)date will appear on Important ,$oo-.n-9880 o a�n.at ants»aaa»a»naaa mmv x^M P�" ( message your nett invoice.Past due invoices(not paid within 30 days of news and ❑„aR Y°u m.usl J" billing date)may be assessed a late fee as allowed by law not to offers i123 M-R s ana ervl¢s exceed$20 per month.Additionally,third party collection/attorney °tY'Sta@ a000a H»t,»66tt�4»H expenses may be assessed at a rate not to exceed 100%of the -'t,'. =:" unpaid balance or the maximum allowed by law. _¢ ivR�Aasen�, 3„3,R� °ot0" Pa electronically 2.Each returned check is subject to a service charge subject to the '-,:,-":;.-•�:°1°';at`� e,s°Tet*""a"""�'7- „-. -'"' " i maximum check return c e allowable in your State. , : `•'::';-.aAl Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity ""�'�.'�:___ = ..� ate^••°"'°°"� ACTIVITY. since your AccourrACtrmY amount has been • 1Z3 Main 5treeC CIry.State 00000' paid in full to 4. Equipment replacement costs will be charged for bottles lost p odl»an�dreu'°""o°` 99 stolen,damaged or not returned last invoice p,�,lo,,,aala"�• 4145 avoid late fees 5.In accordance with NWNA's Terms and Conditions Y ("T&C"), our °v3+ 46,0.90 9 Wa[a so.°" s SGall°n Natur4 Equipment Lease and/or Service Agreement account be v„ n7a6s,4^44 5 ImM°a"ml"sGalDep�Rt_- -_ 196 L guipm Agreem may O I„ 31"!08514444 I¢Mq,O,a�n5GalRewm' 11.99 Monthly Oil subject to minimum monthly purchases and/or early cancellation ml 3nees4444 welw,mare•:• t_+`. -- .I Surcharge,Fuel 089/,3 3183638811 Rent fees.(A complete version of the current T&C may be viewed on the 9n3 ,su4R493 '- - 574° Surcharge or Delivery website listed below)Upon service discontinuation;rent for the i Fee(3¢e#6 under Leased Equipment is charged through the end of the biIIing cycle "General in which service is discontinued. "0.0.0.4*4cnrm _ .A.,».:.s7�T i 6.You will be charged monthly Oil Surcharge,Fuel Surcharge or MEV�o°3wA»cE_°"""'"/ 5,a4s».+° 1740. — Information') arged Y � � SUMMARY „99 Delivery Fee Fee as described in our T&C. O one of these fees Payment stub ACCOUOrr ,,,w»�4.»0• —"______--------- ouNr efY Y �Y aY ---- pnY in,s AM pAY/o will apply to each account The fee that applies to your accotmt ___"_°��� w�w+mm`• Accourrt NUMBER aa/oo/o0 5] ' 3 234567890 ,ENCLOSED I is stated on the from of the invoice.For further information please INVOICE NumeeR 'R NG GATE visit the websi[e fisted below or contact our customer service oo/GOloo j 12CE NU 90 center. 7. As a food product. bottled water is subject to the rules and a42aa96307 94262712619 aao391aV9 29114 16 t Amount due regulations promulgated by the Federal Food and Drug I°h"D°4 Administration(FDA). ICE Mouwi Nw4n`COMPANY '23 Main St N� C"Y.s.. ppp00 Submit your S.Your first invoice indicates the products delivered on your first •oM�d FORNS*DMF.RSE""'�`A"1-800,32-9880 I delivery,along with any applicable bottle and account deposits, t p"ua»6»►kt,4a»H I payment by this redemption fees,and any dispenser charges.All future invoices date will reflect charges for water delivered and dispenser rental,bottle vGryypOPf4�P4V1 _ - 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 $17.06 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 1 0210117821082 1 42-389.001 $17.06 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 � r Thursday, October 18, 2012 Street Commissioner JLr E:CL v•Jnuiiw_�a ,••• 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)) 10/03/12 0210117821082 $17.06 hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accordance vith IC 5-11-10-1.6 20 Clerk-Treasurer 0 service.icemountainwater.com o #215 6661 DIXIE HWY,SUITE 4 09/01/12-09/30/12 0210121776199 p LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED - --"- THU- NOV 01 0121776199 9I��U M I NII I Il�a�I III 11 f I I NO II DID TUN DEC 04 MON- JAN 07 WED- FEB 06 CITY OF CARMEL HUMAN RESOURCES Customer Service: 1-800-472-9888 JIM SPELLBRING Pay your bill online at:service.icemountainwater.com or 1 CIVIC SQ by phone at: 1-800-472-9888.It's free! CARMEL IN 46032-2584 II�Il�lll'lllllllll'll'11111'1'1111'111'11"IIIIIIIIII"II'lll�ll =J. _ 4, „ . Save now through 10/31/12 on.cases of TRADEWINDS Cans:At just.2 cases for.$13, you can mix and match from a variety of refreshing flavors: Offer includes cases of ARIZONA Arnold Palmer. CallA-800-472-9888 or- log onto-service.icemountainwafer.com to add,to your next delivery! p, j - ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. Delivery address: CITY OF CARMEL,1 CIVIC SQ, HUMAN RESOURCE DEPT,CARMEL IN 46032 PREVIOUS BALANCE 13.57 9/23 487241 PAYMENT-THANK YOU -13.57 9/05 0792339608 2 5 GAL ICE MOUNTAIN DIRK W/HANDLE 6.98 1 9 OZ PLASTIC CUP 50C/SLV 3.29 BOTTLE DEPOSIT: 2 CHARGED, 2 CREDITED .00 9/30 0797495116 1 OIUFUEL SURCHARGE 2.80 13280106 RENT 3.99 TOTAL 17.06 p Q D OCT 2 2 2012 By ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT- Subiect to terms on reverse side. 13.57 — 13.57 + 17.06 = 17.06 �-_ - - BILLING RIGHTS SUMMARY YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL,OR FOR 1. Please remember payment is due by the"pay by"date noted to ensure the smoothest service. A REPORT ON WATER QUALITY AND INFORMATION,PLEASE 2, Remember,if you are renting equipment,your equipment rental is charged one month in advance.That means CALL 1-800-472-9888 OR WRITE US AT: your first invoice will include a pro-rated fee for the current month,plus the next month's rental. ICE MOUNTAIN SPRING WATER CO. 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. #216 If you prefer,you can pay your bill online at service.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 p p�p® sent you the lust bill on which the error or problem appeared.You can SAMPLE E I N V`/O I C E 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. ra90 lase z You do not have to pay the disputed amount while it is being oolooloo-00/00100 l �i Your Account Number investigated.During the investigation,we cannot report your account 1z3+s0 as delinquent or take any action to collect the amount in question. "nw-cc w � �00N Watch here for a GENERAL INFORMATION TM DEC Is personalized account 1.Payments received after the billing(INVOICE)date will appear on Important �,y c,,,,,,,,., 0o-O2-988° our next invoice.Past due invoices not d within 30 message Y ( pat days of news and 6l1 billing date)may be assessed a late fee as allowed by law not to offers 123"1 St exceed$20 per month.Additionally,third party collection/attomey p 5W. 000aU expenses may be assessed at a rate not to exceed 100%of the unpaid balance or the maximum allowed by law. ----' ,,,,,;n<tu,..�'ri �„°,,,�,�wr+�"oCp1y"9 Pay electronically To Me'.a�lro� fin,rOY W,m^` tkmdnaxhfrli%PmoRt 2.Each returned check is subject to a service charge subject to the maximum check return charge allowable in your State. #{9` -"' _ - - `` -" Make sure this 3. All bottle and equipment ment deposits are shown as CURRENT Activity ACTIVITY. since your ACCOUMACT1VfTY _ •"; - .,-. - - c stu.00wo amount has been 4. Equipment replacement costs will be charged for bottles lost, Ad&—>w>"�"""""s°"` paid in full to glen ge last invoice pe°"'�� avoid late fees stolen,damaged or not returned. R 50.0 5.In accordance with N WNA's Terms and Conditions("T&C'),your mn, �'� s sNmdso.�9'N'm -50°0 rlreas,w" sr.0 O.vmn _�" x9s Equipment Lease and/or Service Agreement account may be „ 31' 91 { Monthly Oil subject to minimum monthly purchases and/or early cancellation �� r„g51 x.. rt s_w Surcharge, Fuel fees.(A complete version of the current T&C maybe viewed on the Surcharge or Delivery website listed below Upon service discontinuation,rent for the - ) Po Fee(see#6 under Leased 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 ,,,„O,,,w,u+� ss �• Information”) 99 Delivery Fee as described in you T&C. On one of these tees Payment stub Account wrA _ ro ty Y es--^c..a+rcc PAY 11511 AM00NT will apply to each account. The fee that applies to your account _ °" ���---"--wwn AccouMNU"'eu' ppY BY 57.40 m o.ua�u+me 12N1 is stated on the front of the invoice.For further information please VM 00 1N,�,Ct,Ax,SBEA ewNC wtr .uqa 09rD � visit the website listed below or contact our customer service 00twt00 1 rN56)890 center. 7.As a food product, bottled water is subject to the rules and 0420096307 04282112.19 000391049 2aa4 18 i Amount due regulations promulgated by the Federal Food and Drug a.o- Administration(FDA). d „w,m";, ctr.st��t`apppOD I Submit your 8.Your first invoice indicates the products delivered on your first • SrA,y,aao472-9eN1 delivery,along with any applicable bottle and account deposits, to„t.rtau:a w" erg, payment by this redemption fees,and any dispenser charges.All future invoices 6m,1wa,�..rc.• ” "' ,�,,,o..o+AOn^^^ySde 0 Aat.m�M date will reflect charges for water delivered and dispenser rental,bottle yr„mwnrwm•AY� _ -- -—--- - - deposits and credits plus charges for arry 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 cos 11/08 service.icemountainwater.com VOUCHER NO. WARRANT NO. ALLOWED 20 Ice Mountain IN SUM OF $ PO Box 856680 Louisville, KY 40258 $17.06 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1205 0210121776199 42-390.99 $17.06 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 Mo�fnday, October 22, 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)) 10/03/12 0210121776199 $17.06 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