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218092 03/13/2013
CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1 `;. ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CARMEL, INDIANA 46032 PROCESSING CENTER CHECK AMOUNT: $30.54 PO BOX 856680 CHECK NUMBER: 218092 LOUISVILLE KY 40285-6680 CHECK DATE: 3/13/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1801 4350900 30 . 54 03BO121975593 service.icemountainwater.com . g U #215 6661 DIXIE HWY,SUITE 4 p LOUISVILLE KY 40258 02/01/13-02/28/13 0360121975593 ADDRESS SERVICE REQUESTED g TUE- MAR 12 0121975593 THU- APR 11 II��I 0�1 011 [II III LI 19111119 fl X19 FRI- MAY 10 TUE- JUN 11 CARMEL REDEVELOPMENT COMMISION DON CLEVELAND Customer Service: 1-800-472-9888 30 W MAIN STREET Did you forget about us? Kindly pay upon receipt. SUITE 220 Remember,past due accounts are subject to a late fee. CARMEL IN 46032-1938 Your prompt payment is appreciated. For your 111'IIIII�'I'III"I"I�Illllii�lll�lll'lllll�l�l�'�'ll�l'llll���� convenience,pay online:service.icemou ntainwater.com. If payment has been made,we thank you. °_,� >":r �'a.axas"°'. ;��� °;•..::�<��`i�;;g:,,.'.� .°. .. :. . ,.� ,� •A,-,,�;:,y.: ..»,�v,:�.... �e 'rF,k`a���- :°` �, rlfNe are;,now;proudato offer NES fEA products!;Forma3l�m�ted t+Ame,save$1�oW evvMestea 1&0-Gans and�1/2 .A liter bottles�Uisit servlcelcemountalnwater com oraca11180,0-472 9888 to-.add-toyour nextortler!�Offer euplres °x im:affi°` `l- .✓.z�y�"°u".*� ,�,x .Y"„-s*;,,e: � .fax t;`d:�ffi�3 'Z."' '':7��, s ` ,�. f„ ® �+°� ire a: d' °r,.as ,✓• .. ' ,..� ».:�<:r.✓" "z^ .�'o%'..�°1.'..�` .^Ss' `." ?, rYs,`.�.', "' .a'..?" �'°., s ,as`8�.P �+" .r�»,f' ,.� s'�' o''s�:'�s ,�` _:.�. 4" %�., "°" �_ m°r ^<:'f�".9i� ��. ;Y.�,�;.;�'�"..f� .�.5.,�.dr�'.�`�"" `' '�'j���';5';"..J�9, �' ✓.,�`:'.� £:���°i-T'�,r«Y"° �r",°®P�. y, ' .•�. :�;�,% F.. �s�7� .�' � .,c3" i°.'' �"�.�s°yA,�a���.e"�, ° ��F"=�d'p,:�s' '�.. a A'Y `c� srl,�: ,�"° ;JS.�"P::Ys�%° x'�,x .s,'J„:.�" ,r ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1.800-472-9888 or visit service.icemountainwater.com. Delivery address: CARMEL REDEVELOPMENT COMMISSION,30 W MAIN ST STE 220,CARMEL IN 46032 PREVIOUS BALANCE 30.54 2/08 0814918728 2 5 GAL ICE MOUNTAIN DIRK W/HANDLE 13.38 2 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 12.00 2 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -12.00 1 9 OZ PLASTIC CUP 50C/SLV 3.29 2/28 0820065530 1 OIL/FUEL SURCHARGE 2.88 B4142425 RENT 10.99 TOTAL 61.08 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS Ann Subject to terms on reverse side. 3 54 0.00 + 30.54 = 61.0 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 ��� INVOICE CV° 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. ' 323456]890 Your Account Number You do not have to pay the disputed amount while it is being 00/00100-00100100 investigated.During the investigation,we cannot report your account E `123456]89 as delinquent or take any action to collect the amount in question. 1HR-oo w MON-Oa 19 Watch here for a GENERAL INFORMATION WED DEC 21 _ nE-0EC,9 personalized account 1.Payments received after the billing INVOICE date will appear on Important ]]-9888 Y g( ) PPe ILtl«,Nt^tlLdlObL"1Nddab.dtlq.Wndd{I a"none.se message your next invoice.Past due invoices(not paid within 30 days of news and ^a^EYR I^••'^9'" ion^-ce ,^d xrke. billing date)may be assessed a late fee as allowed by law not to Offers 123M,mSt exceed$20 per month.Additionally,third orysMee 00000 P Y party t.dna.d.� ,a,,,,a,,,n.LaRb.Lb6rd..a expenses may be assessed at a rate not to exceed 100%of the aid balance or the maximum allowed --•;'"'""' & R�,' � :+v�* `"°? °`•`" �dr'R+�"�D1"'"a,.''': '�` Pa electronically P Y law. Y Y unpaid b 2.Each returned check is subject to a service charge subject to the -. , , 3 "'^a"`"!"'X�"anelotc 'Rfi• ' ': =.r;e;;'. <�:;,'-I maximum check return charge allowable in your State. �^` SaS ;^>•ai�;;',;';: __ '"'' 0.,e.•+ i Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity - �"' ^x0.'°"`"'°°°"''� ACTIVITY. �+^^°^�•x""'�""'°•"�-'��p amount has been since your ACCOUNTACTw 123 Myn5creet.C"'S."0� aid in full to 4. Equipment replacement costs will be charged for bottles lost, last invoice -ee�en Add,- J DOQ xxxx P stolen,damaged or not returned. p,�wusBa�a^10. xxxx avoid late fees Raym=^'-m,nxv^e xxxx 5.In accordance with NWNA's Terms and Conditions("T&C"),your 00.13, a6169fi s s°an^^Nalo,aisv^^9wa"' --_ +%" /Il 31]09616RN keMwncainS Wl EePOSIt - %X%% Equipment Lease and/or Service Agreement account may be /„ 3v0051MM s laMOe^,,,^scaiRnem %xxx Monthly 0i1 subject to minimum monthly purchases and/or early cancellation 3 � "ef9` - Surcharge,Fuel fees.(A complete version of the current T&C may be viewed on the Surcharge or Delivery website listed below)Upon service discontinuation,rent for the T AE Fee(see#6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. y ORREN*AR^^^ 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or MAA� x wN -", '"" _ Information") Deliver Fee as described in our T&C. Only one of these fees Payment stub Accour+TSUm o L-E0. •" --____ Y Y Y Y , - -- ----AMOUNT will apply to each account The fee that applies to our account ^• __-------- Accou n NumBER 9AV I xxxx PP Y PP y ---- 9,6,w.a— 00100100 is stated on the front of the invoice.For further information please 1234 56]890 B1LE,NG DATE T ENCLOSE- 1NVOICENUMBER X100100 visit the website listed below or contact our customer service 323as6]a90 center. 7. As a food product, bottled water 1s subject to the rules and p420096301 04182112619 000391049 2pp9 ' Amount due regulations promulgated by the Federal Food and Drug J.h^Dee Administration(FDA). icEMWMAIN wATe coMP^ c2 S`owo Submit your 8.Your first invoice indicates the products delivered on your first EORCUSTOMERSEw�ECAE,_''900-"''088 delivery,along with any applicable bottle and account deposits, payment by this WdOd.d"nl".^ib.,dL.;ti.Ln"b.bbbad"q �e ❑�n�,c��es0in�,e sw. redemption fees,and any dispenser charges.All future invoices date a„REEAUro,A"s,9"°,R`°"^e°On"`�"` will reflect charges for water delivered and dispenser rental,bottle 51N0eF 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 08112 service.icemountainwater.com Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Forth 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. / Payee T C e 'OU/7 r111`n D 1'r e Purchase Order No. PO & f 56 O Terms Lo,d 5Vd l.eff '102 d 5 — Wd 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 accor- dance with IC 5-11-10-1.6. 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. 1 ALLOWED 20 IN SUM OF $ � (l D o x 956 680 z. Louis�il`l�e� l<Y X02 S- (6�0 $ ON ACCOUNT OF APPROPRIATION FOR IROf/�350`�00 Board Members PO#or INVOICE NO. ACCT#!TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), _03802A75513 ��5 (� 5� 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 20% gnature Executive Director Title Cost distribution ledger classification if Carmel Redevelopment Commission claim paid motor vehicle highway fund