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HomeMy WebLinkAbout219361 04/24/2013 w. CITY OF CARMEL, INDIANA VENDOR 051125 Page 1 of 1 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CARMEL, INDIANA 46032 PROCESSING CENTER CHECK AMOUNT: $214.73 PO 90x esfifiao CHECK NUMBER: 219361 LOUISVILLE KY 402856680 CHECK DATE: 412 412 01 3 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4350900 72 . 62 0300121202766 1125 4350900 35 . 39 0300120095351 1205 4353099 3 . 99 0300121776199 2200 4239099 21 . 24 0300120048525 2201 4238900 23 . 92 13CO117821082 1801 4350900 030012197559 43 . 92 03CO121975593 1701 4239099 130722032704 13 . 65 13C7220327048 AMMIld service.icemountainwater.corn 0 0 O #215 6661 DIXIE HWY,SUITE 4 03/01/13-03/31/13 1300117821082 AWIffiTWIF LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED O • THU- APR 16 0117821082 FRI- MAY 17 TUE- JUN 18 THU- JUL 18 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 Spring into refreshing savings. For a limited time, enjoy up to $2 off per case on NESTEA, S.PELLEGRINO, i SAN PELLEGRINO SPARKLING FRUIT BEVERAGES &ACQUA PANNA. Visit service.icemountainwater.com or call 1-800-472-9888 to�add to your next order. Expires 4/30113 1 S ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472.9888 or visit service.icemountainwater.com. a o 0 0 • Delivery address: CITY OF CARMEL STREET DEPARTMENT,3400 W 131TH ST,CARMEL IN 46074 PREVIOUS BALANCE 7556 3/10 393686 PAYMENT-THANK YOU -2063 4/02 516766 PAYMENT-THANK YOU -5493 3/19 0821460128 3 5 GAL ICE MOUNTAIN DIRK W/HANDLE 1047 3 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 1800 3 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -18.00 2 9 OZ PLASTIC CUP 50C/SLV 658 3/31 0824195192 1 OIL/FUEL SURCHARGE 2.88 C4222470 RENT 3.99 TOTAL 23.92 BILLING RIGHTS SUMMARY YOUR INVOICE-4WAYS TO HELP US SERVE YOU BETTER IN CASE OF ERRORS OR QUESTIONS AMOUR YOUR BILL,OR FOR I. Please remember payment is due by the"pay by'*date noted to ensure the smoothest service. A REPORT ON WAU:R QUALITY AND IN6ORMATION, PLEASE I Remember,If you are renting equipment,your equipment rental is charged one month In advance That means CALL I-800472-9888 oR WRITE US AT your firs)Invoice will Include a pro-r:dcd 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 yon prefer,you can pay your bill online at ser,iee.icemountainwater.com 6661 DIXIE H W Y,SUITE 4 LOUISVILLE,KY 40258 4 Never hesitate to call us with comments,questions,or concerns If you think your bill is wrong,or if you need more information about a transaeuon on your hill,write us on a separate sheet of paper We mutmrthe myouiowhingnelamrihantbieyap pearedYouUm SAMPLE INVOICE srnt you the first hill on which the error or problem appeared You can telephone s,but doing so will not preserve your rights In your fact. give us the following mf rmavon' • Your name,address,telephone and account numbers Dale range of this invoice • The dollar amount of the suspected error. • Describe the error and explain ifynu tin,why yeu Mbee there is an error You are obligated to pay the parts ofyour bill that are not in question wiwim iossarava Your Account Number al You do not he to pay the disputed amount while it is bang sans'.. im atigetd.During the ins estigatmn,we cannot report your account piss as delinquent or take any action to collect the amount an question. Watch here for a GENERAL INFORMATION :° aaa.a wa personalised account I.Payments received after the billing(INVOICE)date will appemon Important _. � R yya cw^«•s.�•' message your next invoice.Past due invoices(not paid within 30 days of news and Y-dirt+ ATM,^••,•a""°" °"m billing date)may be assessed a laic fee as allowed by law not m offers iiiicv,s' exceed S20 per month.Additionally.third parry collecuoulatmmey ppp0: .�'-cu-sit A unpus i be assessed it a rate not In excecn HVI.of the ai balance id balan a or the maximum allowed h law. ^_^''^ °`a Pay electronically 2 Each returned check is subject m a service charge subject to the �.vv�'• zM,a 1 °.w• u.ew ,,,,•s,...n..iM maximum check return charge allowable in State „µ„u„semo.w I a.aars`•°" B your Make sure this 3 All bottle and equipment deposits arc shown v CURREN'1 Activity' ,^ •-^!"``� - amount has been Aquip ant since your eeeouen scrrvira mw..w.•e<^s'"i ppp0° paid in full to 4 Equipment damaged ged o not r costs will b+ ch.ugeJ for boulrs lost, last invoice °' � avoid late fee, stolen,damaged or not resumed. n.w•s+•^•ro., 5 In accordance with NANA''S Terms and Conditions("T&C•'),your ^° sn.�'•i^'SO"""' Equipment Lease and/or Service Agreement account may M tl :w, i .. eu. •^ Monthly Oil subject to minimum monthly purchases and/or early cancellation 'mw,o "'" Surcharge,Fuel fees(A complete vcDwm fthe current T&C may be viewed on the Z yowo °' Surcharge or Delivery w At listed below)Upon service diaontinuation,not for the raw Fee(see#6 under Leased Equipment is charged through the end of the billing cycle 'General in which service is discontinued _ _ -- ^`"^,.,"1 6.You will he charged a month) Ud Surcharge, " - Information") arg y rge,Fuel Surcharge or ee as dexnbed in T&C. On of fee, Payment stub •ccou'a yiviasa s .a. uroa•n ry Your Only one o _ „ ..a will apply to each account. The fee that applies to your account ------ --- is stated on the front of the invoice For further information please '"rLOSm list the w'ebsne fisted blow or contact our customer service iw11 miw.au a..xv J as . p subject ...an,vam.11. a....... ss onm,m.s zoo. ve ]. As a fuoJ radon, bowled water is s h rct m the rules soil Amount due regulations promulgated by the Federal Food and Drug as„o,. Administration(FDA). n+aiwi ,w,m",^,"r°:,-"`".:- r.i.•n�a 8.Your first invoice indicates the products delivered on you first •� '"^ Submit Your N.mii.* a w.l+"0••"°'° payment by this delivery, nfee with any applicable chine and account deposits, q.lLL 'a date redemption fees,and any dispenser charges All future mvoues � .ww"A^°°""^�° � will rellect charges for water delivered and dispenser rental,bmtic deposits and credits plus charges for any additional products orderedbyyou Delivenes arc made every three or four weals,for a teal of 16-17 deliveries per year You will only receive invoices 12 times per year,so approvmmely 5 of those invoices will reflect two deliveries. Prescnbed by State Board of Accounts City Form No 201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 04/12/13 13CO117821082 $23.92 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. _ ALLOWED 20 Ice Mountain IN SUM OF $ P. O. Box 856680 Louisville, KY 40285-6680 $2392 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 113CO117821082 I 42-389.001 $23.92 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 Fri April 19, 2013 Street Commilslzner Street 6emmissiener Title Cost distribution ledger classification if claim paid motor vehicle highway fund Adommild service.icemountainwateccom ffimitffiii ffinral e 0 #215 6661 DIXIE HWY,SUITE 4 i LOUISVILLE KY 40258 03/01/13-03/31/13 0300120048525 ADDRESS SERVICE REQUESTED 9 0 0 II I II I I II I I I I I II I I I I I I I III III TUE- APR 09 0120048525 WED- MAY OS FRI- JUN 07 TUE- JUL 09 CITY OF CARMEL DEPT OF ENGINEERING Customer Service 1-800-472-9888 LISA SCOTT OR JUDY STOHLER 1 CIVIC SO Pay your bill online at:service.icemountainwater.com or CARMEL IN 46032-2584 by phone at: 1-800-472-9888. It's free! IIIIrII1lullrrllhll�hhllhllilllhlilhlhrrl�llhrlrliilll Spring into refreshing savings. For a limited time, enjoy up to $2 off per case on NESTEA, &PELLEGRINO, } SAN PELLEGRINO SPARKLING FRUIT BEVERAGES &ACQUA PANNA. Visit service.icemountainwater.com ' _ or.ca11z1 800-172=9888 to add toyour_next order.VExpires_4_;30/,13, _ - ACCOUNT ACTIVITY For questions or a report on water quality and Information,call 1.800.472.9888 or visit service.icemountainwater.com. 0 • -�REFERENCE 0 0 Delivery address: CITY OF CARMEL,1 CIVIC SO, CITY ENGINEERING DEPT,CARMEL IN 46032 PREVIOUS BALANCE 2852 3/10 393689 PAYMENT-THANK YOU -14.26 4102 516764 PAYMENT-THANK YOU -1426 3/08 0819769738 4 5 GAL ICE MOUNTAIN DRK W/HANDLE 13 96 4 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT �j67$g)0)� .00 1 9 OZ PLASTIC CUP 50C/SLV n��` �2� 329 4 5 GALLON ICE MOUNTAIN DEPOSIT RETURN 00 3/31 C4235287 RENT t,ECENED �� 3.99 TOTAL o APR 2013 21.24 M V °'� CARMEL cy d2 C1N ENGINEER Arov C�92.9en Z�V�O ACCOUNTSUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT y Subject to terms on reverse side. 2852 — 2852 + 21 24 = 21 24 BILLING RIGHTS SUMMARY YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER IN CASE OF ERRORS OR QUESTIONS A BOUTYOUR BILL,OR FOR I please remember payment Is due by the"pay by"date noted W ensure the smoothest service. A REPORT ON WATER QUALITY AND INFORMAI ION, PLEASE 2_ Remember,If you are renting equipment,your equipment rental Is charged one month In advance.That means CALL 1-800472-9898 OR WRITE US AT your first invoice will include apro-rated fee for the current month,plus the next month's renal. ICE MOUNTAIN SPRING WATER CO. 3. Kindly NI 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 seryice.leemounlainwater.com 6661 DIXIE HWY.,SUITE 4 LOUISVILLE,KY 40258 A Never hesitate to call us with comments,questions,or concerns If you think your bill Is wrong,or ifyou need more information about a transaction on your bill,wore IN on a separate sheer of paper We most ntyou tfromynumwn6ch no error or 1ppeares after we SAMPLE INVOICE than sent you the first M1dl on which the error or problem appeared.You can telephone us.but doing so will not preserve your right Inyourlcner, give us are following information • Your name,address,telephone and account numbers Date range of this invoice • The dollar amount ofthe suspected error • Descnbe 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 IzxseJaso You do not hale to pay the disputed amount while n u being oommw-vmoolm Your Account Number Investigated During the imestigation,we cannot report your account as delinquent or Wkc any action to collect the demand in question I"riwla Watch here for a GENERAL INFORMATION mi o<r,a personalized account 1 Payments reserved after the billing(INVOICE)date wd l appear on Important ma WIJM w.m.m�•++^o°'j}9Xp° 6p.,111.14anJ.Jla'k�' f o.w.r^y,•u message vow next immce Past due m races(not pod within 30 days of news and ,a billing date)may be assessed a late fee as allowed by law not to offers tin mM exceed$20 per month Additionally,third party collectionfanm oey 9p Slier. yLV.tsMa,a.a .Jail expenses may he assessed at if tide not m espeed 100%of the - m�a^. ",.�„ wmw^9 Pa electronically unpaid returned a nr check maximum allowed by law t.- _ .wmw'm*Pww'°"' Y Y '_ Each returned check is subject to a service charge subject to the k ,w.aa• ``„�„a+pw vaw^x'"°i"� maximum check return charge allowable in your State _ Make sure this 3 All bottle and equipment dcposds are shown as CURREN'] Actirtry ,,,...w+•�s•" - amount has been ACIIVIIY since your ncCouM pcm+^ „r°„srID,,,.mina amount nfull to 4 Equipment replacement costs will be charged for bodies lost, mn.�,m+°' i°""°°'low stolen,damaged or not remrmal last invoice .o ".,... avoid late fees 5 In accordance with NWNA's Terms and Conditions("T&C"),your s"r.n.�'i Equipment Lease and/or Senue Agreement account may be "° v Monthly Oil subject to minimum monthly purchases and/or early cancellation °'" Surcharge,Fuel fees (A complete version ofthe current LAC may he viewed on the "' 'P Surcharge or Delivery website listed meow) Upon service disconhnuatmn,rent for the " Fee(See#6 under Leased Equipment is charged through the end of the billing,etc "General nt which se.vmc is desemiu ed 6 You will Ne charged a monthly Oil Surcharge,fuel Surcharge or ""+`"' — ° Information") pCCWM1,IMMxaV Delivery Fee as described in your T&C. Only one of these fees Payment stub -------------- --- .au.MOaxr, will apply to each account The fee that applies to your account ---��ti ..,..• "moo tai. rnvn wlaopao or is crated on the front ofthe pmmce For further mfurtnahmn please c` tin the websue listed below or contact our customer service �mvvveerM center vv 7 As a food product boiled water is subject to the rules and vvzvossam u"zezazme aoni"t"' Amount due regulations promulgated by the Federal Food and Drug ui.o.. Administration t FDA) mom 8 Your first invoice indicates the prish,s delivered on your first �� C" Submit your redemption along ,with an any applicable bottle and All fume deposits, ites nyym•„uwJLap.Le.,wutu.a r� ❑i°" '" date by'this redemption Zees,and any dispenser charges All future mvmms date will reflect charges for water delivered and dispenser rental,bottle v<« deposits and credits plus charges for any additional products ordered by you Delver-es are made elery three or fur weeks far a total of 16-17 delncncs per year You will only formic imomes 12 times per scar,so approximately 5 of those princes will repent two deli ones ©2008 Ice Mountain Spring Water Company,a Division of Nestle Waters North America Inc. Form No Nw 70908112 Qsewice.icemountainwater.com Prescribed by Stale Board of Accounts City Form No 201(Rev 19951 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 4/3/2013 03C water cooler $ 21.24 Total $ 21.24 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 NC WARRANT NO. Ice Mountain ALLOWED 20 POB 856680 IN SUM OF $ Louisville, KY 40285-6680 $ 21.24 ON ACCOUNT OF APPROPRIATION FOR Board Members POSor INVOICE NO. ACCT#/TITL AMOUNT Dears I hereby certify that the attached invoice(s), 0 03C 2200-4239099 $ 21 24 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 2����4/22/2013 Signature City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund service.icemountainwater.corn III III k=if Rd Lai 14l I g Lyle] #215 6661 DIXIE HWY,SUITE 4 i LOUISVILLE KY 40256 03/01/13-03/31/13 0300121202766 ADDRESS SERVICE REQUESTED • • • IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII WED- APR 24 0121202766 THU- MAY 23 MON- JUN 24 WED- JUL 24 R ,CFIV D CITY OF CARMEL PARKS DEPARTMENT Customer Service: 1-800-472-9888 MANDY SPADY APR Ok 2013 Pay your bill online at:service.icemountainwater.com or 1411 E 116TH ST CARMEL IN 46032-3455 Fby phone at: 1-800-472-9868. It's free! BY: I�l�il�ll�lil��lllllh��dl�r�lll�uilrlinlllllil�uhuliul� Spring into refreshing savings. For a limited time, enjoy up to $2 off per case on NESTEA, S.PELLEGRINO, j SAN PELLEGRINO SPARKLING FRUIT BEVERAGES &ACQUA PANNA. Visit service.icemountainwater.com or call 1-800'472-9888 to add to.your next order. Expires 4/30/13,. 'u ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwatercom. TA o 0 0 • Delivery address: 0 MEL PA TIM ENT ,1 5 ENTRA PARK DR AST,CAM I IN 4 PREVIOUS BALANCE 133.30 3/10 393690 PAYMENT-THANK YOU -3080 4/02 516768 PAYMENT-THANK YOU -5462 3/13 CA2062624 WATER ADJUSTMENT -47.88 3125 0822555710 12 5 GAL ICE MOUNTAIN DIRK W/HANDLE 4788 3 9 OZ PLASTIC CUP SOC/SLV Purrhaen T 9.87 BOTTLE DEPOSIT: 12 CHARGED, 11 CREDITE - la li;Ins I//�/� 6.00 4.bunpuon ►v1,rr_ /r1,(-c- 3/31 0824228498 1 OIL/FUEL SURCHARGE P.O,# P or F 288 C4335429 RENT ,�Q�� // (� 5 99 TOTAL G L.#'-- D%� 72.62 :1ud•�et Lina 5escr Pu,chaser.Date . .•-oval D,re ACCOUNT SUMMARY PREVIOUS BALANCE— PAYMENT/ADJUSTMENT CURRENT ACTIVITY —PAY THIS AMOUNT Subject to terms on reverse side. 133.30 13330 + 7262 72.62 y BILLING RIGHTS SUMMARY YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER IN CASE OF ERRORS OR QUESTIONSABOU I YOUR BILL.OR FOR I Please remember payment is due by the"pay by"dale noted to ensure the smoothest service. A REPORT ON WATER QUALITY AND IN[ORMATION, PLEASE 2. Remember,if you are renting equipment,your equipment rental its charged one month to 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 numl7cr on your check, and do not send cash. #216 If you prefer,you can pay your bill online at sen'ice.ieemountainwater.com 6661 DIXIE H WY.,SUITE S LOUISVILLE,KY 40258 4. Never hesitate to call us with comments,questions,or concerns From think your bill is wrong,or tryout need more information about a transaction on your bill,write us on a separate sheet of paper We most hear from you in writing no law than thin(3m days oiler we sent you the first bill on which the error or problem appeared you can SAMPLE INVOICE telephone s,but doing so w in not preserve ym..-nghn.In your letter, give to the follnwmg mfurmariom • 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 your can,why you belioe there is an error You are obligated to pay the parts ofyoui hill diet are not in question tausavesa Your Account Number You do not have to pay the disputed amount white it its bang awwoo-°uppj00 rmestigmtM.During the investigation,we cannot report yam account as delinquent or take any action to collect the amount in question in.x Watch here for a GENERAL INFORMATION u m"' a personalized account I payments received after the billet INVOICE date wdla on Important --, wv� r �....•'a^°' aY billing ) PPmr La-w•°"'"� message your next invoice Past due immces(not paid within JO days of news and b.wa°"°•"'r"�• billing date)may be az,.it a late fee as allowed by law not to often m�• m� � ���a�yJ exceed S20 per month Additionally,third party collecoonfanomey rLdyyp,r••�..-_ �.�—� expenses may be assessed at a rate nut to exceed hill%of the unpaid balance or the maximum allowed by law „ y,�,a,r,w�a � "„°i .+ye----- -� Pay electronically 2 Each returned check is subject to a star,ice charge subject to Life 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 seceem,s mm '" �nw.�wmem w.mmo paid in full to 4 Equipment replacement costs will be charged for bottles lost, last hardier °"""'�e0m• � avoid late fees stole,damaged or not returned. �a.+A. 5 In accordance with NWNA's Terms and Conditions C-F&C-f your our' ^•• „ Equipment Lease and/or Service Agreement account may be "v„,,', ss+ n Monthly Oil subject m mdmmum monthly purchases and/or early cancellation '�'°�s'.n� "' Surcharge,Fuel fees(A complete version ofthe current T&C may be viewed on the ""DM' "' Surcharge or Delivery website listed below)Upon service discontinuation,rent for the ,m.. Fee(see D6 under Leased Equipment is charged through the end of the billing cycle 'General in which serve is docent mued 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or - ' Information°) Delivery Fee as described in your T&C. Only a of these fees Payment stub ¢coma suuw^^ _ sx musww�r wlBapplymeaehacisunt. The fee that applies to your account its stated on the from of the invoice.For further information please °14-'fix rrlwcwn r moan visit the wehsoe listed below or contact our customer service rteo center. o 7. As a food product, bottled water is subject m Life roles and — uszoossaav a u.zsevszssv 'anassus+ zvo. Amount due regulations promulgated by the Federal Food and Drug pnooe Administration(FDA) _ sa�wua •• rm,w,•°amm S.Yom first invoice indicates the products delivered on your first •� .m..rw Submit your _ payment by this delivery,slung with any applicable Mntle and account depoo, a�ay�,,,. redemption fees,and any dispenser charges All future imoices �" w...da...-b• date will refect charges for water delivered and dispenser rental,bottle deposes 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 w dI reflect two deliveries. ©2008 Ice Mountain Spring Water Company,a Division of Nestle Waters North America Inc. Form No NW 709 call Q semice.lcemountainwater com eea'iffs� — .� service icemountainwater.com 0 B 0 #215 6661 DIXIE HWY,SUITE 4 03/01/13-03/31/13 03CO120095351 LOUISVILLE KY 40258 • B ADDRESS SERVICE REQUESTED II I I II I 111 I I II�II� V I I I I'II I�I 'I' WED- APR 24 0120095351 THU- MAY 23 MON- JUN 24 WED- JUL 24 CARMEL CLAY PARKS AND REC DEPT. RECD r�j1� Customer Service: 1-800-472-9888 AUDREY KOSTRZEWA APR 06 2013 Pay your bill online at:service.icemountainwater.com or 1411 E 116TH ST CARMEL IN 46032-3455 by phone at: 1-800-472.9888. It's free! IIIII�hlydyul�dll���IIdIrIl�h�lulhi�ddln�r,lu!i�l Spring,into refreshing savings. For a limited time, enjoy up to $2 off per case on NESTEA,&PELLEGRINO, SAN PELLEGRINO SPARKLING FRUIT BEVERAGES &ACQUA PANNA. Visit service.icemountainwater.com t - or cal1,1-800V472-9888.to,add to-vot,r,next.order._Expires 4!301.113."_= ACCOUNT ACTIVITY For questions or a report on water quality 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 137.73 3/10 393691 PAYMENT-THANK YOU -48.67 4/02 516762 PAYMENT-THANK YOU -51.96 3/14 CA2063421 WATER ADJUSTMENT -2394 CUP ADJUSTMENT F`A,y}!,:Ji,1?:+,tc� -13 16 3125 0822555678 5 5 GAL ICE MOUNTAIN DIRK W/HANDLE E�. .+`NYiQ.n '�_�'1„ 19.95 2 9 OZ PLASTIC CUP 50C/SLV p.(�,ti Poi F 658 BOTTLE DEPOSIT 5 CHARGED, 6 CREDITED ,? ,/ ? -600 3/31 0824214803 1 OIL/FUEL SURCHARGE 01.L.# J_y— T3 � 2.88 C4250768 RENT {wdget SC, 1198 TOTAL PlxPahaser _Dale__ 35.39 *1Wt11W I Data ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 13773 — 137.73 + 35.39 = 3539 BILLING RIGHTS SUMMARY YOUR INVOICE-4 NVAYS TO HELP US SERVE YOU BETTER IN CASE OF ERRORS OR pUEba IONS ABDOI)'OUR BILL,OR FOR 1. Please remember payment is due Its,the"pay bv'date noted to ensure the smoothest service. A REPORT ON WATER I'AND INFORMATION, PLEASE ?. Remember,if you are renting equipment,your equipment rental is charged one month In advance.That means CALL 1-800-472-9888 OR WRITE N'RITE 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. Kmdly fill In the amount enclosad, Include your account number on your check, and do not send cash. 0216 If sou prefer,you can pay your bill online at service.icemounmfi,,ater.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 tr)nu need more information about a uansacuon tin your bill,vote as on a separate sheel of paper We most ntyou rfromyou mwnnch re later or appeared You SAMPLE INVOICE after sent you the first hill on which the error or pmFlrm appeared You can telephone us,but domgso x Ill out preserve your rights In your letter, give us the following Information • Your name,address,telephone and account numbers Dale range of this imoice • The dollar amount of the suspected error • Describe the crrorand explain tryout can,why you believe there is an error You are obligated to pay the parts fyour hill that arc noon question. iaa<asve°o Your Account Number ybu do out have ni pay the disputed amount while It is being .'repp-thane. Investigated During the Investigation,we cannot report your account uwsra as delinquent or interim action to collect the amount in question. OF Ito Watch here for a GENERAL INFORMATION so V; personalized account I Payments received alter the billing(INVOICE)date will appear on Important c ,«,,., "=vs°°""-°"6 gl Pda p,&.IW.i4Y'A6+II0.Wr"OPI.M.WIN « messag¢ your next invoice Past due invoices toot peed wnhin 30 Jaya of news and «�•"°'°"°"'"" billing date)may be assessed a late fee as allowed by lax not m offers exceed$20 per nuarh Additionally,third party mllextamatrat ey to"I"A6-a-u•+I-tr"s"�aI'a a expense map be accessed at a rate not to exceed Iar/o of the -�" V - unpaid balance ur the maxmum allowed by Inv rmmv 'a. ��.." "-'- � Pay electronically Each returned check Is subject to a service charge subject to the ',s >< `°°,',„Wx..wasAaa°.<.w•m«^ maximum check return charge allowable in your State g \lake sure this 3 All brittle and equipment deposits arc shown as CURRENT Activity amount has been ACTIVITY since your pccomu•xTr"I^ °'" _ wsv�.a,n.0°""”" paid in full to 4 Equipment replacement costs will be charged for theme, lost, last invoice caMn+u�., con oa vn avoid late fees stolen,damaged or not returned. 5 In accordance with NWNA's Terms and Conditions("T&C"),your Monthly Oil Equipment Lease and/or Sel Agreement account may be _ � ;a��: n^^ subject w minimum monthly purchases and/or Barb cancellation Surcharge,Fuel fees (A completerOsom nfthecurrentT&C may be vexed on the I '""4'°' "` Surcharge or Delivery xebste listed below)Upon service docnnimuation,rent for the Ter. Fee(sea under Leased Equipment 11 charged through the end of the billing cycle "General in u win servos a discontinued Information")"hich fi You win be charged a monthly Oil Surcharge, one Surcharge es - pCCOUM aUM1.4aV Vito %il app Fee es described m)our T&C Only one of these fees Payment stub --- ,sill apply to each account. The fee that applies to your account _------„rte -a M^'^” _oar r Irian, Is stated on the from of the low or For further mf customer please pc�'-�a�s- — van the wcbsrtc listed below or contact or customer servsc I --- - center corm oovavow auto 16 ] As a food product, bottled rater a subject to the rules and o 'clor,,w 0,'111611 Amount due regulations promulgated by the Federal Food-and-Drug — wI„o”. Admlmoranon(FDA) er_:Z„ w.n�"«s,.".:, c,,,s„r,"movu Submit your F.)bur first invoice indicates the products delivered on your first w... dehveq,along wnh an) applicable bottle and account deposits, USe,L,LUL+-r ❑'° payment by this redemption fees, and an) dispenser charges All future Invoices ,..".end-"- date will reflect charges for water delivered and dispenser rental,bottle deposits and credits plus charges for nip additional products ordered by you Deliveries am made every three or four weeks,for a total ul 16-17 dehvenes per year Yen will only receive mvmces 12 times per year,so approximately 5 ofihose invoices will reflect mo deliveries. ©2008 Ice Mountain Spring Water Company,a Division of Nestle Waters North America Inc. Form No Nw 70008,12 Il 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 413/13 3CO121202766 Drinking water& cooler- MCC $ 7262 413/13 3CO120095351 Drinking water&cooler- Maintenance $ 35.39 Total $ 108.01 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$ $ 108.01 ON ACCOUNT OF APPROPRIATION FOR 101 General fund / 109 Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept ept# 1091 3CO121202766 4350900 $ 72.62 1 hereby certify that the attached Invoice(s), or 1125 3C0120095351 4350900 $ 3539 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-Apr 2013 Signature $ 108.01 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund AVservice.icemountainwater.com O 0 9111we ism #215 6661 DIXIE HWY,SUITE 4 LOUISVILLE KY 40258 03/01/13-03/31/13 0300121776199 ADDRESS SERVICE REQUESTED • • II' II I�I'lll l III'l l 'l l I I I l o l OII TUE- APR 09 0121776199 WED- MAY OS FRI- JUN 07 TUE- JUL 09 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 p.pu.p.gllll�rlhllllrlllllldlrllln„pllul,uhl,l,n Spring into refreshing savings. Fora limited time, enjoy up to $2 off per case on NESTEA, S.PELLEGRINO, .' # SAN PELLEGRINO SPARKLING FRUIT BEVERAGES &ACQUA PANNA. Visit service.icemountainwater.com , ,' or call 1-800-472-9888 to add to your next order. Expires 4/30/13 ACCOUNT ACTIVITY For questions or a report on water quality and Information,call 1-800.472.9888 or visit service.icemountainwater.com. ® • • • • Delivery address: PREVIOUS BALANCE 3659 3/10 393688 PAYMENT-THANK YOU -13.65 4/02 516767 PAYMENT-THANK YOU -22.94 3/31 C4227342 RENT 399 TOTAL 399 p Q D APR 2 11 01, ,D By__ ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side 36.59 — 3659 + 399 = 3.99 BILLING RIGHTS SUMMARY YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER Iry CASE OF ERRORS OR QUFSTIONSABOU I YOUR BILL,OR I OR I. Please remember payment is due by the"pay by'date noted t0 ensure the smoothest service. A REPORT ON WAFER QUALITY AND RE ORNIATION. PLEASE 1 Remember,if you are renting equipment,your equipment rental is charged one month to advance.That means CALL I-aeW]bvsss OR RRIrE USA] your first invoice Rill include a pro-rated fee for the current month,plus the next month's rental. ICE MOUNTAIN SPRING WATER CO. 1 Kindly fill in the amount enclosed, Include Jour account number on Your check, and do not send cash, tl216 If you prefer,you can pay your bill onlme at service.1cemuuntainwater.com 66bt DIXIE HWY,SUITE 4 LOUISVILLE,K)'40258 4. Never hesitate to call us with comments,questions,or concerns. If you think your bill is wrong or if nnu need more information about a transectom on your hill,write us on a separate sheet of paper We most hear from y'ou in writing no later than thirty Om after nr SAMPLE INVOICE sent you the first bill on which the error or po Ncm appeared You can telephone m,but doing so w dl not preserve your rights In your lifter, give us the follow me in moreauon • Your name,address,telephone and account numbers Date range of this tm nice • The dollar amount ofthe suspected error Describe the error and explain if you can,why you believe there is an error You are obligated to pay the parts ofyour bill that are not in question izaaszasv Your Account Number You do not have to pay the dapewd amount nhde it is hem, ainte.-vmovmo investigated During the investigation,vve cannot report your account Imes" as delinquent or take any action to collect the amount in question in-m u' Watch here for a GENERAL INFORMATION "nrrc a personalized account I Pay'merasrevcived afterthe billing(INVOICE)date will appearon Important aJUaY m":<"°+^p°'zt-9p°° message your next invoice.Past due invoices mot paid within 30 days of news and billing ate)may be assessed a late fee as allowed b law, not to B Y Y offers Mzi^s exceed$20 per month Additionally,third party collecuoNattomey aar'vi. mom Wa+•"uua"Y expenses may be assessed at a rate not to eueed l00%of the -----'�- vwY�^'°°" Pa electronically unpaid balance nr the maximum allowed by law -�-' .na�+.a^r^"z" .i mac.^^<"+°' Y Y 2 Each rsmrned check is subject to a service charge cubism to the maximum check rcttim charge allowable in your Staff Make sure this 7 All bottle and squp rent deposits are shown as CURRENT Activity ,,,...°- °^°"°°' - = amount has been ACI IPJTY since your "+^p1V1° •_ s„F,,c aw 4 Equpm w ent replacement costs ill be charged for boules lost, last invoice cow °""°' m� paid in full to avoid late fees stolen,damaged or not refused a..a••�•^< 5 In accordance with NWNA's Terms and Conditions 1-E&C"1,your - Equipment Monthiv Oil Lease and/or Service Agreement account may be ,. subject to minimum monthly purchases and/or early cancellation si`i'L,'r " ”" 't..l�� Surcharge,Fuel tees ite listed ove)iU on se vice diT&C mapion, re t or the � +^a^'°' Surcharge or Delivery wehsne listed below)Upon service discoininuauon, rent for the +m« - — Fee(see q6 under Leased Equipment o charged through the end ofthe billing evcle in which service is decunonaed ,,,o,., "General .,.. w,r..,nm _ .. 6 You will be charged a monthly Oil Surcharge,Fuel Surcharge or ,mw,..wK. Information ) pc[OUM SUMMp0.Y Delivery Fee as described m your T&C Only one of these fees Payment stub _ ....w __---__--- ---'"-� wm will apply to each account. Thel that applies to your account -_-----q•�N,„,.;.Lb.wwm^'• .ccouw"u'a'c" �m is stated on the front of the mvmi.e For Further information please imw_m - ` ` m narrows visit the w'ebsite listed below or contact our customer service "e ao°-ay ro center ss ] As a food product, bottled water is subpvt to the rules and vveva+um eveeanrss9 evaassvvs avvv v° Amount due regulations promulgated by the Federal Food and Drug w+"w Admimslra ntri if DA) o,am am Submit your B Your first along with indicates the products land account un your first — delivery, along wrch any applicable Mttic and acvnum deports, jai°py,y.µr.. 'u"CppO" payment by this redemption fees,and any dispenser charges All fours invoices i..... ,^^o.."..•aa"...•u •"•""�„w....-:a. - date will reflect charges for water dish cred aril dispenser rental,home u.wwv oo sa, deposits and credits plus charges for any additional products ordered by you. Deliveries are made every three or fur weeks,for a total of 16-17 deliveries pet year You will only receive invoices 12 times per year,su approximately s of those invoices will reflect two delnenes, ©2008 Ice Mountain Spring Water Company, a Division of Nestle Waters North America Inc. Form No NW cos NO2 sewice.icemountainwater com _Prescribed by Slate Board of Accounts City Form No 201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s)or bill(s)) 04/03/13 03CO121776199 $3.99 I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 , 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Ice Mountain IN SUM OF $ PO Box 856680 Louisville, KY 40258 $3.99 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1205 103CO121776199 43-530 99 1 53.99 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, April 22, 2013 Director, Administratl n Title Cost distribution ledger classification if claim paid motor vehicle highway fund service.icemountainwater.com 10010 Is I lizin Rfl0• 0 #215 6661 DIXIE HWY,SUITE 4 / LOUISVILLE KY 40258 03/01/13 -03/31/13 0300121975593 ADDRESS SERVICE REQUESTED • • • II'III III'll II III III III IN I III II' THU- APR 11 0121975593 FRI- MAY 10 TUE- JUN 11 THU- JUL 11 CARMEL REDEVELOPMENT COMMISION DON CLEVELAND Customer Service: 1-800-472-9888 30 W MAIN STREET Pay your bill online at:sewice.icemountainwater.com or SUITE CARMEL ION 46032-1938 by phone at: 1-800-472.9888.It's free! ���dhlupullllhlrullll�Ill�li��lul��Ill�il�hl�lllh�lhl Spring into refreshing savings. For a limited time, enjoy up to $2 off per case on NESTEA, S.PELLEGRINO, SAN PELLEGRINO SPARKLING FRUIT BEVERAGES & ACQUA PANNA. Visit service.icemountainwater.com } _ or call 1-800-472-9888 to add to your next order. Expires 4/30113 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 6108 3/10 393687 PAYMENT-THANK YOU -3054 3/24 476973 PAYMENT-THANK YOU -30.54 3104 0819688847 4 5 GAL ICE MOUNTAIN DIRK W/HANDLE 26.76 4 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 24.00 4 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -24.00 1 9 OZ PLASTIC CUP 5OC/SLV 3.29 3/31 0824238786 1 OIL/FUEL SURCHARGE 2.88 C4297636 RENT 10.99 TOTAL 4392 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 61.08 — 61.08 + 43.92 = 43.92 BILLING RIGHTS SUMMARY YOUR INVOICE-41YAYS TO HELP US SERVE YOU BETTER IN CASE OF ERRORS OR QUESTIONS ABOU 1 N'OUR 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 IN]ORMATION. PLEASE ?, Remember,if you are renting equipment,your equipment rental is charged one month in advance That means CALL I-800-172-9888 OR WRITE US AT Your first Invoice will include a pro-rated Fee for the current month,plus the nest month's rental ICE h10UN'TAIN SPRING WATER CO. 3 Kindly fill In the amount enclosed, Include your account number on your check, and do not send cash. 6216 fiWY,SUITE 6661 DIXI E, If you prefer,you can pay your bill online at set ice.icemountainx'ater.com LOUISVILLE,KY 30258 4. Never hesitate to call us With comments,questions,or concerns. Ware think your hill is wrong,or Ifyou need more Information about a transaction on your hit[,write us on a separate sheet of paper We sent you the first nwntinghe error or appeared.You can SAMPLE INVOICE sent you the firs hell on which the error or problem appeared.l'ou can telephone us,but doing so will not preserve yournghts Inyourletter, give as the following Information • You r name,address,telephone and account numbers. Date range of this invoice • Tire dollar aircraft of the suspected error. Describe the error and explain d)ou can,why you believe there is an error. You are obligated tai pay the parts ofyour bill that are not question vo.o. Your Account Number You do not have to pay the disputed count while it is being °ni°°e°0 ppjoa10° Investigated During the investigation,we cannot even your account as delinquent or take anv action In collect the amount in question w, m w 13Ywrn WlllCb here for 8 GENERAL INFORMATION as wc a personalized account I Payments mccneJ alter the hillrng(INVOICEI date x ill appcaren Important ,,,,,,,m„e.r+=e s^°jpaun Iy,taL.atlLa.AIAA - InL`SSage your rev Imnico Pest due mvmcn but p.ud within 30 days of sex's and Itn.InAlatmA- ��,i„,,,iw i.w.•M•i^> billing date)may be assessed a late fee as allowed by law not In offers .v oo<s' •"' •• escs<d 520 per month Addmonally,Nod party eollecunNanornry expenses may be assessed at a rate not to exceed 100%of the unpaid balance or the maximum allowed by law ,f sstimrwa.•w"`d"°a ww�1Pa••n Pay electronically 2 Each returned check is subject to a service charge subject to the q ;wiMa i a°'"""•°"`°^^^"""I t J maximum check return charge allowable In your Slate Make sure this 3. All bottle and equipment deposits are shown az CURRENT' Activity' �•„ve,...r-•"'°""`•~� amount has been ACTIVITY since your A"on.ACfwm inu.sv.r.on an.°o°o° 4 Equipment replacement costs will be charged for bottles lost last invoice in full to oice •°*"•".ma.. •� avoid late fees stolen,damaged or not returned 5.In accordance with NWNA's Terms and Conditions l"T&C"k your \lonthl)Oil Equipment Lease and/or Scorer Agreement account may be mw..w subject m m i monthly purchases combat early cancellation -aotlie�„ Surcharge,Fuel fees(A complete version ofthe current T&C may be viewed on the iaoq'.=•^"' •"' Surcharge or Delivery xnbsite listed below)Upon service docrnlaroation,rent for the I um Fee(see N6 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 _ pg+`"�".:�: Information') Iklnery Fa as described In your T&C Only one of three fees Payment stub •ccw"a sw•ws' -�"�'••'• m is ill apply to each account. The fee that applies to your account ___- ��T,,,,[,,,,,a;a, Meaiirt tax b� IMr TM•'° its stated on the Beal of the Inv once For further Information Finest .r aFMwMx. — v ow vest the withsne listed below or contact our customer service sours° eppjp010°� ar center. 7 As a food prtluea, bottled water is subject to the rules and a...c"ar, u`anenaa malloaa+ to Amount due regulations promulgated by the Federal Food and Drug hh�r- Adrunixu.dum(FDA) cr�tie •wrIox`°111-1 ,�.tie°° 8 Your first invoice Indicates the products delivered on your first r°r• .w.emrn+u. Submit your delnen,along with any applicable brute and account deposits. .M t .,,• _'°' payment by this redemption fees,and any dispenser charges All future Invoices �"'- w„w.,•.-a•••^'° v°1111 date wit)reflect charges for rater deinered and dispenser rental.houle deposits and credits plus charges Tor an) additional products ordered M you Delocnes arc made every three or tom weds,for a total of I6-17 Jetnenes per year You will only receive novices I'_ones par year,so app rovimmeB 5 ofthnvc imoice,vvdl olneca two 66",roc, ©2008 Ice Mountain Spring Water Company,a Division of Nestle Waters North America Inc Form No Nw 70908112 O service icemountainwater.com Prescnbed by State Board of Accounts Qty Foon 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. f Payee Ile A6114 i n Dlrrf� Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 4-7-13 03c olw WAII 43'Z Total 3 92 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._ MM / ALLOWED 20 ICe /7DIl/�Qj/1 ��rPCT — IN SUM OF $ $43, ON ACCOUNT OF APPROPRIATION FOR 4350% Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), 1801 03C0121 5593 35 43,92- 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 4-22., 201-3 Sibnature Executive Director Title Cost distribution ledger classification if Carmel Redevelopment Commission claim paid motor vehicle highway fund service.ice mounlainwater.com 0! 0 , #215 6661 DIXIE HWY,SUITE 4 r i LOUISVILLE KY 40258 03/01/13-03/31/13 1307220327048 ADDRESS SERVICE REQUESTED 0 -91 a 0 ffigall 11 • 111 'I'I I II I II IIII I IIII I I I I I I I I'I I II� TUE- APR 09 7220327048 WED- MAY 08 FRI- JUN 07 TUE- JUL 09 CITY OF CARMEL OFFICE OF THE CLERK TREASURER Customer Service: 1-800-472-9888 ANN DAVIS Pay your bill online at:service.icemountainwater.com or 1 CIVIC SO by phone at: 1-800-472.9888. It's free! CARMEL IN 46032-2584 hrIrIIIP��IPIP��gIIp�I�IU��IU�I�I�I�pI�IIII�I�p��hl� Spring into refreshing savings. For a limited time, enjoy up to $2 off per case on NESTEA, S.PELLEGRINO, SAN PELLEGRINO SPARKLING FRUIT BEVERAGES & ACQUA PANNA. Visit service.icemountainwater.com . or call 1-800-472-9888 to add to your next order. Expires 413113_ a a ACCOUNTACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwateccom. Delivery address: PREVIOUS BALANCE 17.14 4/02 516763 PAYMENT-THANK YOU -17 14 3/08 0819769944 1 5 GAL ICE MOUNTAIN DIRK W/HANDLE 349 1 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00 1 9 OZ PLASTIC CUP 50C/SLV 3.29 1 5 GALLON ICE MOUNTAIN DEPOSIT RETURN .00 3/31 0824308696 1 OIL/FUEL SURCHARGE 2.88 C4264827 RENT 399 TOTAL 1365 ACCOUNT SUMMARY PREVIOUS BALANCE_ PAYMENT/ADJUSTMENT CURRENT ACTIVITY _PAY THIS AMOUNT r:.Subject to terms on reverse side. 17.14 17.14 +I 13.65 13.65 BILLING RIGHTS SUMMARY YOUR INVOICE-4 NVAYSTO HELP US SERVE YOU BETTER IN CASE OF ERRORS OR QUESTIONS AROU I'YOUR HILL.OR FOR I Please remember payment is due by the"pay by"date noted to ensure the smoothest service. A REPORI ON WATER QUALITY AND INI'ORMATION, PLEASE j Remember,If you are renting equipment,your equipment rental is charged one month In advance.That means CALL I-SW472-9888 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 scour check, and do not send cash. x1266 6661 DIXIE H WY,SUITE 4 If you prefer,you can pay your bill online at ser'ice.icemountainwateecom LOUISVILLE,KY 40258 4. Never hesitate to call US with comments,questions,or concerns. If you think your hill is wrong or tfyou need more information about a transaction on your bill,wore us on a separate sheet of paper.We most hear from you to writing no later than thirty(30)Slays finer we se SAMPLE INVOICE nt you the first hill on which the intoner 1.:ohlent 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 nundwrs Date range of this in,nice • The dollar amount of the suspected error. • Dc.ru c the error and explain ifyo r can,why)(in believe there is an error You are obligated to pay the pans ofyour hill that arc not in question trass+ew }bur Account Number You do not have m pay the disputed amount while it is bemg �ma�m.iwjaoraa investigated.During the investigation,we cannot report your account ii>•»+e m delinquent or take any action to collect the amount in question -on Watch here for a GENERAL INFORNIATION a a personalized account I.Payments received after the billing(INVOIC lit date will appear on Important a <„i„,,.,s.�.t.'ax+nsus t message your next invoice Past due imoices(not paid within 30 days of news and ts.+sw'°•++"`"°"`�� billing date)niay he assessed a late fee as,dlowrd by law not to offer iv a "'°'�`•• exceed 520 per month.Additionally,third parry collectionlanomey r','Uny.,a.+ua+-tai •a expenses may to assessed at a rate mat to exceed IWl.of the .mom^'^'°'«" 'd balance or the maximum allowed b law --""s"mg� u Each y -- �,a,,,,,.,nm..u.s s„o, tom""° Pay electronically ? Each resumed check is subject to a see ice charge subject to the �av�^r„•�+.�.•awa+a"°nis �. 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 sine,your Accauar ACtsv+rt """ �•,»..va sY wows paid in full to 4 Equipment replacement costs xdl be charged for holes lost, last invoice °"'"Y gyp°° � r stolen,damaged or not returned. mold late fees 5 In aceordano.e with N WNA's Terms and Cnndmons I&C"),your w, __ ir'•"r�.� +sa^9"°`• �s�o-m Equipment Lease and/or Science Agreement account may be ,. Monthly Oil ry subject to minimum monthly purchases and/or cariv cancellation o.'—i�'sid°° „ .L l��.il'.� Surcharge,Fuel fees lA nimpleje version ofthc current'f&C may he vowed na lire w� '^"°N' •� / ° Surcharge or Delivery wrbsoc listed below)Upon service diswminuation.rent for the ., i -'' Fee( ee Leased Equipment is charged through the end of the billing cycle s in which service is discontinued 'General under 6 You will be charged a monthly Oil Surcharge,Fuel Surcharge or - - Information') Delivery Fee as described in you'1'&C. Only n of these fees Payment stub ACCOUirt SUM twrwaU ,oio fe 'o wW appry to each account Theethatappliestoyoaimemnt _---«:.-,„- •••••°""^' +eso omoLPa sva is stated on the front of the invoice.For further information please wit r visit the websoe listed below, or contact our customer Service »ma+ cartel w As a food product, bottled haler n subject to the rules and oanrsysm -Ymavttsw mans+vow as°° Amount due regulations promulgated by the Federal Food and Drug q„w. Administmnon(FDA) ei McuouUM vM1P.,;UMMU� C+ms�•w°°pp4 Submit your 8 Yew first Invoice indicates the products delivered on your Got — i .r.e. delivery,along with any applicable and account deposits, ayJU+L+ payment by this redemption fees,and any dispenser charges All nature invoices ❑ „aw.nww`^'v°^� date will reflect charges for water delivered and dnprnser rental,bottle deposits and credits plus charges for any additional products ordered by you, Deliveries arc made every three or four weeks,for a total of I(.1]deliveries per year You will only receive invoices 12 nines per year so approximately 5 of those invomes will reflect two deliveries ©2008 Ice Mountain Spring Water Company,a Division of Nestle Waters North America Inc. Form No Nw zos M12 �tr sewice.lcemountainwater.com Prescnbed by State Boats 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. Payee 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._ /1 ALLOWED 20_ IN SUM OF $ ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), or 7 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 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund