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220186 05/21/2013
CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CARMEL, INDIANA 46032 PROCESSING CENTER CHECK AMOUNT: $224.39 PO BOX 856680 o„ CHECK NUMBER: 220186 LOUISVILLE KY 40285-6680 CHECK DATE: 5/21/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4239099 03DO12004852 21 . 24 03DO120048525 1125 4350900 03DO12009535 42 . 17 03DO120095351 1091 4350900 03DO12120276 81 .41 OTHER CONT SERVICES 1205 4353099 03DO12177619 7 . 93 03DO121776199 1801 4350900 03DO12197559 33 . 91 03DO121975593 2201 4238900 13DO11782108 24 . 00 13DO117821082 1701 4239099 13D722032704 13 . 73 13D7220327048 service.icemountainwater.com #215 6661 DIXIE HWY,SUITE 4 04/01/13-04/30/13 03D0121202766 ' LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED ® 9 a'-if e IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII_____. THU MAY 23 0121202766 MON- JUN 24 WED- JUL 24 w •�,_1�_ T 1 7FD THU- AUG 22 CITY OF CARMEL PARKS DEPARTMENT MAY 0 6 2013 Customer Service: 1-800-472-9888 MANDY SPADY �T Did you forget about us? Kindly pay upon receipt. 1411 E 116TH ST Remember,past due accounts are subject to a late fee. CARMEL IN 46032-3455 Your prompt payment is appreciated. For your convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. Enjoy$1Noff,cases?of resdurce natural spring•water.;=;resource has nabiral electrolyt- Ioe.taste and comes n r a 50%a.recycled bottlel�Vlsit servlce.icemountainwater:com or:Call 1-800-472_-9888 to add to your next order!. Offer+expiresa.5/31/13w °- - " �- r y��„� _�°? ._ ,:... ...�. ..,.„••.�a...E - - _ .tee- - -'- -_.«.�__..... - --, °-`- � �,,.`.,,..a,�:. W.ta,-.. ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. e e Delivery address: CITY OF CARMEL PARKS DEPT/MONON CENTER,1235 CENTRAL PARK DR EAST,CARMEL IN 46032 PREVIOUS BALANCE 72.62 4/24 0826944654 12 5 GAL ICE MOUNTAIN DIRK W/HANDLE 47.88 2 9 OZ PLASTIC CUP 50C/SLV 6.58 BOTTLE DEPOSIT: 12 CHARGED, 9 CREDITED 18.00 4/30 0828603076 1 OIUFUEL SURCHARGE 2.96 D4490909 RENT Purchase � C/' 5.99 TOTAL Description C•l� 154.03 P.O.#_ P or/F� G.L.#- ! o / T 3�✓ old Bucket Line bescr Purchaser Date Approval -----Date --- ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 72.62 — 0.00 + 81.41 = 154.03 ----------------------------------------------------------------------------.-------------------------------------------------------------------------------------------------------------- ---------------------------- --------------------------------------------------------------- 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 later than thirty(30)days after we S ®� sent you the firs[bill on which the he error or problem appeared.You can an 1 a�3 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. ' You do not have to pay the disputed amount while it is being 00/00/00-00/oo/oog 1z31se7 a90 Your Account Number investigated.During the investigation,we cannot report your account 3 i - 23156789 as delinquent or take any action to collect the amount in question. THR-CCT a MON-OR ri Watch here for a ]t GENERAL INFORMATION no-DEC personalized account 1.Payments received after the billing(INVOICE)date will appear on Important aaom«S<Mc",B00-L7z.988s message t11641G6,a118nd„U.WtI your next invoice.Past due invoices(not paid within 30 days of news and IIa1nfl1:11Mllllla�n T,-k yw1w 0 Pd— billing date)may be assessed a late fee as allowed by law not to Offers 123n S' •ne«m,<•. , exceed$20 per month.Additionally,third party collectiontattomey °ty's`xt< 130000 a».n.6Pn6«666Aa+a expenses may be assessed at a rate not to exceed 100%of the -. --->”' ax<ag L� unpaid balance or the maximum allowed by law. . ,,twat°9"'r"�.',°�Hy�+°� ;,aawvrow °t""0 c.',.,;:' l Pay electronically 2.Each returned check is subject to a service charge subject to the �cr•%�< e18"0"''Ylj<.,„>ead �'"d�v`ry ' i•'� " maximum check return charge allowable in your State. - Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity t.;; _"'.� ...n, ; n« �� �' ," amount has been ACTIVITY. since your ACCOUI+T"R T boa paid in full to 4. Equipment replacement costs will be charged for bottles lost, - 0d"<n Aa^' 123 Win st,«C'W,S e xx» last invoice stolen,damaged or not returned. Pr<•,o•,8,hnt< ix avoid Tate fees p•yn,mt-TN�kYOu 5.In accordance with NWNA's Terms and Conditions("T&C"),your Dent 1k,e9B s swoon Nx�nl5pnn9 Wat" Ill 31r8t191M1A keMwntain50+10<WS'� Equipment Lease and/or Service Agreement account maybe ,,, 317eesuAx+ s keMOUntmnswlR<,o,n Monthly Oil subject to minimum month) purchases and/or earl wm n]BestAw mA.9< j y p y cancellation Surcharge,Fuel fees.(A complete version of the current T&C may be viewed on the o9n: 16°p97 x" Surcharge or Delivery website listed below)Upon service discontinuation,rent for the TOTAL Fee(see#6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. uw 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or ,k,„o4 wAN - - -_ _ Information') Delivery ee as described in our T&C. Only one of these fees Payment stub ACCOUNT SUMMARY x Ex ry y y y o,ceo•ic you--------------- _—_____ PAY THISAMOUNT will apply to each account. The fee that applies to your account '°'°«�•�A--_-.+�wP�^'•^`,--ACCOUMNUMBER PAY 9Y xx„x is stated on the front of the invoice.For further information please «••°"'' NUMBER,z31ss]B90 Bw G D TE .ENCLOSED I VISIT the website listed_below or contact our customer service ,z NY C34'3.sA7B90 w1wi 0 center. 7. As a food product, bottled water is subject to the rules and 04200961// 04262762669 000391049 zu04 SA Amount due regulations promulgated by the Federal Food and Drug p DOe Administration(FDA). ICE-WNTNN WATTRC MP N �Y i<s`0W. 8.Your first invoice indicates the products delivered on your firs[ wp COna,,LR SEmKE�,LL,.^ow72-9E6S Submit your delivery,along with any applicable bottle and account deposits, 4m, t�ba„w,M64ta,a payment by this redemption fees,and any dispenser charges.All future invoices s,,,,PI4wk•eD^"�""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. ©2008 Ice Mountain Spring Water Company,a Division of Nestle Waters North America Inc. Form No.NW 709 08/12 Sservice.ice mountainwater.com service.icemountainwater.com ®"® 0 #215 6661 DIXIE HWY,SUITE 4 04/01/13-04/30/13 03DO120095351 o LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED THU- MAY 23 0120095351 K HM N I EN I I I I HNIN dI REC .1 , ED WED-JULI 24 THU- AUG 22 MAY 0 6 2013 CARMEL CLAY PARKS AND REC DEPT. Customer Service: 1-800-472-9888 AUDREY KOSTRZEWA -- Did you forget about us? Kindly pay upon receipt. 1411 E 116TH ST Remember,past due accounts are subject to a late fee. CARMEL IN 46032-3455 Your prompt payment is appreciated. For your �IIIII,IIII'lllllll�l'I'III"I�IIIIIIIIIIIIIIII'll'llllllll'I'lll convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. Enjoy$1 off Cages_Of resource naturaI-~Spririg water.='resource has natural eleCtrol�/teS for:taSte Andpcomes in; a'50%.recycled bottle! .Visit`sery ci e.icemoiintainwate com or Calf 1=800=47.2 988811 add t yoi�next-order!.'.,, Offer expires 5/3111:3 - -, -... __° •,� _ .. °. . . -ter_- .":', �k�^ - w. i ?`r :. ..r` ' k. ` . ACCOUNT ACTIVITY For questions or a report on water quality and information,call -800-472-9888 or visit service.icemountainwater.com. e MI y a ress: PREVIOUS BALANCE 35.39 4/24 0826944605 6 5 GAL ICE MOUNTAIN DIRK W/HANDLE 23.94 1 9 OZ PLASTIC CUP 50C/SLV 3.29 BOTTLE DEPOSIT: 6 CHARGED, 6 CREDITED .00 4/30 0828589051 1 OIUFUEL SURCHARGE 2.96 D4407642 RENT Purchase DRIAl lvc7 w,97F, 11.98 TOTAL Description 07,90T — 77.56 P.O.# PorF G.L.# II�S�I�I • 5�'� �U Budget Line Descr Purchasele9 Date Approval Date ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 35.39 — 0.00 + 42.17 = 77.56 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. 4216 If you prefer,you can pay your bill online at service.icemountainwater.com 6661 DIXIE HWY.,SUITE 4 LOUISVILLE,KY 40258 4. Never hesitate to call us with comments,questions,or concerns. If you think your bill is wrong,or if you need more information about a transaction on your bill,write us on a separate sheet of paper.We must hear from you in writing no later than thirty(30)days after we SAMPLE INVOICE sent you the first bill on which the error or problem appeared.You can telephone us,but doing so will not preserve your rights.In your letter, give us the following information: • Your name,address,telephone and account numbers. Date range of this invoice • The dollar amount of the suspected error. Describe the error and explain if you can,why you believe there is an error. You are obligated to pay the parts of your bill that are not in question. •• u 1234567990 Your Account Number You do not have to pay the disputed amount while it is being W/00/00-00/0°1°° investigated.During the investigation,we cannot report your account 4 as delinquent or take any action to collect the amount in question. TD9 DET a. 1z1+s67a Watch here for a WEO N°r r+ GENERAL INFORMATION Nr-�E'B personalized account 1.Payments received after the billing(INVOICE)date will appear on Important60p,g;,pd�0 c"no sd•"r j004JZ-9BB9 message your next invoice.Past due invoices(not paid within 30 days of news and 0.0"' ��� T,,.,E54n+^•_k'"'°°"'�P' �5 g billing date)may be assessed a late fee as allowed by law not to offers �i"� exceed$20 per month.Additionally,third party collection/attomey citr ,ptjt,..iL�t.ta.t••6u'!.t"a expenses may be assessed at a rate not to exceed 100%of the unpaid balance or the maximum allowed by law. , woaessrk<.T< F Pa Y electronically 2.Each returned check is subject to a service charge subject to the <T� mgA`"0,, d „„,d,' :6B deo maximum check return charge allowable in your State. __ '""" Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity "'-._ :_ - ..•dw✓"••••"'°"."per<'<.< - amount has been ACTIVITY. since your ACCOUNT ACTrV < JZ3M. 00°°° paid in full t0 4. Equipment replacement costs will be charged for bottles lost, last invoice Oe1n'e"'pdd """ stolen,damaged or not returned. Ae„o,,,B•uM< x"x. avoid late fees prynient-iNnk rou � 5.In accordance with NWNA's Terms and Conditions("T&C"),your aanl X109° 5 sraimnNaw+asr°"w"° """` 111 3tJBB51MM ke Mann a�n56�1 ` Equipment Lease and/or Service Agreement account maybe J„ nnees«•^ s n„nSw�B<Jwn Monthly Oil subject to minimum monthly purchases and/or early cancellation w"' " '`',`""""�` - Surcharge,Fuel fees. A complete version of the current T&C may be viewed on the �J+z `�'0"J ( p Y '°"°` Surcharge or Delivery website listed below)Upon service discontinuation,rent for the TpTAE Fee(see#6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. 6.You will he charged a monthly Oil Surcharge,Fuel Surcharge or ,<Eyroy,,,wKE -";,, s _ Information) Deliver Fee as described in our T&C. Only one of these fees Payment stub ACCOUNT SUMMARY E Y E Y Y Y Y — ------- ----- - -- PAY BY PArr lbw OUNT will apply to each account. The fee that applies to your account -_`-_•"- • w• ^'•" AccEwNrNUM � , SED is stated on the front of the invoice.For further information please 12N567B90 ryO CENUMBa` BWNG ENCLO IWNG°A E visit the website listed below or contact our`custorrrer service` ,73<56J890 center. ' 7. As a food product, bottled water is subject to the rules and °y20096307 0,2 6 2712611 °°°391°,9 200" 1° Amount due regulations promulgated by the Federal Food and Drug pM 09< Administration(FDA). 0 KE d � ,, o,y.s,,,<s`ODW 8.Your first invoice indicates the products delivered on your'�first Submit your Epp CUSTOMEB 1EPACE WE,'B9�,J7-�� a mentb this delivery,along with any applicable bottle and account deposits, gym, n„6p,t,.6t�t•IJ.P � ❑ D„�s�e. p Y Y redemption fees,and any dispenser charges.All future invoices date will reflect charges for water delivered and dispenser rental,bottle �5,r.,wEOBEaEEJ�J�o00"s�www•^E.,�.• 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 O 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. Terms 051125 Ice Mountain P.O. Box 856680 Louisville, KY 40285-6680 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount $ 81.41 5/2/13 3DO121202766 Drinking water& cooler- MCC $ 42.17 5/2/13 3DO120095351 Drinking water & cooler- Maintenance Total $ 123.58 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$ $ 123.58 ON ACCOUNT OF APPROPRIATION FOR 101 General fund / 109 Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1091 3 DOI 21202766 4350900 $ 81.41 1 hereby certify that the attached invoice(s), or 112.5 3D0120095351 4350900 $ 42.17 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 16-May 2013 Signature $ 123.58 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund wr5wili reitect - - - --two deliveries. ©2008 Ice Mountain Spring Water Company, a Division of Nestle Waters North America Inc. Form No.NW 709 08/12 Sservice.icemountainwater.com Cj 8b'Zb C4 �, l`d101 66'£ `�O 1N32i 1,LbZ6£bd 0£/17 00' !s84 99 V Ni:in1321 lISOd3a NIVINnOW 301 NO-FIVO 9 b 6Z'£ —_ A1S/009 dn0 011Sb'ld ZO 6 1, 00' 11SOd3(I 311108 Nlb'lNnOW 301 NO-FIVO 9 b 96'£1, 91GNVH/M),12ia Nlb'lNnOW 301 lb'J 9 b 6Z1,81,1,bZ80 60/b bZ'1,Z 30Mdlb'8 SnOIA3�:ld :ssaippe iGaAl a -woo•ja;emule;unowaol•aolAjas 1ISIA JO 9896-ZLV-009-6 Ileo'uo1Iew1ojul pue Alllenb jatem uo)Jodai a jo suogsanb jo j AlI^Il:)d IN no:):) / ,,,'�' ,r,; ✓x .s _. ,. �' ra �` M s Ignx"a"ay� ✓"i �'� � ,a% ;�v�` s,;,�. "m� y e F x P' >saaldxa1a}}p_ '.�'" F`� � w �'t�.5z �,rs.v � s�' '' r.,,��.am'- :� t:-: ,+',rr:�dv'»Aw--"�', ..°` >->„r.�"�r".-=;',i. d'%.r:,•.' }xau anoko};ppe ;gggfi Z1f 008-1 1ie�>ao iuoo as ennule;unou�a��Faoin�as,}isIARi81}}ogipala7 388-lopg,L yme * 1,:,;.... ,3. +;• .Vim' ,-; "_,>�, r.r'n.,;,..rrr:,��' ",a ,' '.ePc: , lv�r; ' ' '" ,.Jr,', if;sauaoa pue apse} o�'sa}�loa}gala �e�n;eu sey nosaa as}enn 6uf3clSip. }eu a� nosaa}o sase�}}o �$Itofu3 9 -nog()Iuey;am'apew uaaq sey juawAed 11 I n� IIJ� 11 III nit I ��I u I I IIL I •woo•ja;emule;unowaoi-oolAies:eulluo Aed'aoualuanuoo .jnOAjo3 -pa;eloaidde sl;uawAed;dwojd jnoA •981 ale[a o;;oafgns eje s;un000e anp;sed'jagwawab b89Z Z£09b NI 13 AIO I, •ldlaoai uodn�(ed�(IpuiN jsn;noge;a6io;noA pIa OS 01AI0 1, 2i31HO1S.ldnr i:jO 1100S` sn 9996-ZLV-008-6 :aoimaS aawo;sno 9NR333NPDN3 301d3G 13W:JVO 30.1110 Lo E)ne -a3M Lo Nnr -Ri3 97,98b00Z1,0 80 AVA -a3M ® a31S3n03H 301AHEIS SS31100V 99ZOb All 3111ASInoi 0 9Z98bOOZ 604£0 £6/OE/b0-£6/60/b0 b 311ns`AMH 31XIa 1,999 S 1,z# ®O woo•ja;emule;unowaol•aouuas 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 SAMPLE INVOICE sent you the first bill on which the error or problem appeared.You can t 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. 1234s67a90 Your Account Number You do not have to pay the disputed amount while it is being 001001 /00 investigated.During the investigation,we cannot report your account as delinquent or take any action to collect the amount in question. rNe-W 9a 123456789 , WN.00T 29 Watch here for a Vho Nov 2, GENERAL INFORMATION TUE-DEC,B personalized account Important eeo4n.9888 1.Payments received after the billing(INVOICE)date will appear on P O,tl»dN„q�p}L1,»IIUd.lp4»JII9»N„OddN Cf.t°m°� �W�°ns message your next invoice.Past due invoices(not paid within 30 days of news and rna„Erw°'°'' billing date)may be assessed a late fee as allowed by law not to offers 123M11 SL.W em°•y exceed$20 per month.Additionally,third party collection/attorney ory.5ta,e ootao i»dp,1.•d.lf6»J4»•14.)1»6tl»L»L4l.Ld»tl expenses may be assessed at a rate not to exceed 100%of the s sa „y„ ear «^s r Pay electronically unpaid balance or the maximum allowed by law. �:„„.,-i°iR+r�oea ”"`"`"I`-,rywme. %9` r-�5',,. , ; Y4aaMO�ect59� ai�mddi:mWy!R "' -','r3'G: .! }�« 2.maximumrcheck return chargetallowable in your rState.bject to the raM1Z _- z Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity „ ;;,.._ • ao'°""" .. ' amount has been ACTIVITY. since your ACCOUNTACm'm d1 , 123 Mam SUeet,Oty,State 00009 aid in full to 4. Equipment replacement costs will be charged for bottles lost, •Del,.en�d-1 J°"n DOt xxxX P last invoice Xx stolen,damaged or not returned. p,MOUaBala,rce XXX% avoid late fees 5.In accordance with NWNA's Terms and Conditions("T&C"),your �3, 46,e98 5 Pa>7nen`-Tna„v,rw, " 3 �51jgg4 SGaibn Natural SPn^9 WZter �XX Lease and/or Service Agreement account may be ,ce M°°mains Galcewv� Equipment 8 Y r„ 3,2885,+ 5 xX><x Monthly Oil 3,)88514444 Ice Mounta,n 5 Gal Re,um X%X% subject to minimum month) purchases and/or earl cancellation 09�" lull 1 r`.1V J Y P Y ve26388n gene - Surcharge,Fuel fees.(A complete version of the current T&C may be viewed on the o9n2 ��60"' - _ - °Xx Surcharge or Delivery website listed below)Upon service discontinuation,rent for the TOTAL Fee(see#6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. �,.. ` _ Information") - � eNT'`°"" - — 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or .MANS xXXx ,,, Delivery ee as described in our T&C. Only ne of these fees Payment stub ACCOUNT SUMMARY xxX ry your Y ice uou PAY THIS AMOUm will apply to each account. The fee that applies to your account °° ""N- ,�rtummwo ACCOUNT NUMBER PAY BY is stated on the front of the invoice.For further information please � 1234562898 ODIOOt9° ENCLOSED INVN"NUMBER BI�N001W visit the website listed below OL contact our customer service 1234567890 center. 7. As a food product, bottled water is subject to the rules and DV20096307 D4262712619 tl00391UV9 zDp° ' Amount due regulations promulgated by the Federal Food and Drug pnn o« Administration(FDA). eEo ANruN wATrR CDM„rc„rA";,» 'Cn saa;eSt DDD� Ma waALI Submit your 8.Your first invoice indicates the products delivered on your first Rcus*oMEeSERV,ceu,.u-Boo-v=-'°°° delivery,along with any applicable bottle and account deposits, Eo payment by this LddJ»J»t14»dL..dL.N.La..L.LL4LJ»tl redemption fees,and any dispenser charges.All future invoices ,.aN• ^'Si°e �' date will reflect charges for water delivered and dispenser rental,bottle s,cNw1oe 18cE w*ovnn s9nw�9°� 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 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 5/2/2013 03D01 water cooler $ 21.24 Total $ 21.24 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 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 Po#or INVOICE NO. ACCT#/TITL AMOUNT DEPT# I hereby certify that the attached invoice(s), 0 03D01 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 5/20/2013 Signature City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund service.icemountainwater.com 0® 0 #215 6661 DIXIE HWY,SUITE 4 04/01/13-04/30/13 03D0121776199 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED 6 B e III�II�'llllll 11111 IN IN IIII 'll FRID MAY UN 078 0121776199 TUE- JUL 09 WED- AUG 07 CITY OF CARMEL HUMAN RESOURCES Customer Service: 1-800-472-9888 JIM SPELLBRING Pay your bill online at:service.icemountainwater.com or 1 CIVIC CARMEL Q 46032-2584 by phone at: 1-800-472-9888.It's free! II'I'�'11111'I'�IIII"II'I'II'I�I�I��I�"I'll�'I�I11"I�'ll��ll'1 76R-r--ecy`d�led:casesof resour"cenaturalspriiig-water.-.re�sotarce�has natural:electrolytes,fortaste:and§comeiriw bottlel Visit service.icemountainwater.com or�Call-"1-800-472-9888 to add to your next order)Wiz''.5/31/13 v. q i:'.ti .;� i a'S:,°•Y� .R«s:.hv � .«.'/ .mss �. � ..x .,. . ....:. .-.,fi... .. w..... . . . ........ �-.....- ... •,....._ � �.� .- tw .- - -.a,.v _ r:M..' .•' cam. :R4.i"'.Y��rd��'J^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,1 CIVIC SQ, HUMAN RESOURCE DEPT,CARMEL IN 46032 PREVIOUS BALANCE 3.99 4/09 0824118160 2 5 GAL ICE MOUNTAIN DIRK W/HANDLE 6.98 BOTTLE DEPOSIT: 2 CHARGED, 3 CREDITED -6.00 4/30 0828610816 1 OIUFUEL SURCHARGE 2.96 D4384653 RENT 3.99 TOTAL 11.92 nD MAY 2 0 2013 By ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT C RRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 3.99 — 0.00 -}- 7.93 = 11.92 - ---------------------- ---- ----------- -----.-::-:----------------------------------------------------------------- .- :- ................... ......................_.. BILLING RIGHTS SUMMARY YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL,OR FOR I. Please remember payment is due by the"pay by"date noted to ensure the smoothest service. A REPORT ON WATER QUALITY AND INFORMATION, PLEASE 2. Remember,if you are renting equipment,your equipment rental is charged one month in advance.That means CALL 1-800472-9888 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. ,234567890 Your Account Number You do not have to pay the disputed amount while it is being 0010x00-00/001°° investigated.During the investigation,we cannot report your account as delinquent or take any action to collect the amount in question. NR WO 123456]°9 MO OO 29 Watch here for a wEO Nov:, GENERAL INFORMATION NE DEC,e personalized account 1.Payments received after the billing(INVOICE)date will appear on Important 9BBe 14n+an«ql"tIIi4L"IIti.I.InL+•Inq-n„naaq e4ac"me<—M 19"R•^— message your next invoice.Past due invoices(not paid within 30 days of news and r1,a+Er�+l«+''"9 billing date)may be assessed a late fee as allowed by law not to offers exceed$20 per month.Additionally,third party collection/attorney c"Y's`+1e 00000 Ib u..bn..b.l,bbt.a+n expenses may be assessed at a rate not to exceed 100%of the P YW,emP9xw ,a«ms. Pay electronically unpaid balance or the maximum allowed b law. :;, remmaB•+memtn<om;ra+on U+efkYU+1 "dmn�:^!uJ'rrpM - '..:: 1 2.Each returned check is subject to a service charge subject to the maximum check return charge allowable in your State. - --.... . ..Y:; ,- _.,....- ---' -"- Make sure this 3. All bottle and equipment de ooits are shown as CURRENT Activity `"'.�' �^°°•°"°"°"°°°�"�+� ACTIVITY. amount has been since your AccouNTArnvm "" s 'ory.sale 00000 4. Equipment replacement costs will be charged for bottles lost, last invoice -De1,.KryAaa,ea. �""DOe''z3Ma�"0rec paid in full to stolen,damaged or not returned. R,ex,"+,Bala"a xx.. avoid late fees 5.In accordance with NWNA's Terms and Conditions("T&C"),your BBO1 .,,e9B s s W11w Nat«al zv+"9wam, Ill 31JBBS,C4M I IceMwnta,nSlDe- Equipment Lease and/or Service Agreement account may be r„ 3v,esl.au s eM"""u,"slRe,4m Monthly Oil 89111 1, RMI Surtlur9e subject to minimum monthly purchases and/or early cancellation 31,,510 p911, � Surcharge,Fuel fees.(A complete version of the current T&C may be viewed on the 09/13 '6697 xxxx Surcharge or Delivery website listed below)Upon service discontinuation,rent for the rorAE Fee(see#6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. O,M+.N.w- 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or _ Information") uuN xxxx 3,nn Delivery ee as described in ourT&C. Only one of these fees Payment stub ACCOUNT SUMMARY _". .W -____-- ry Y Y Y -- WTNI31AMOUNT will apply to each account. The fee that applies to your account ____---- ,n„m•,„,�,a.w, ^ ACCOUNT NUMS"' PAY By -- 0010/00 is stated on the front of the invoice.For further information please ,as,lB90 BI U, DATE ML ENCLOSED INVOICE NUMBER visit the website listed below or contact our customer service 11N567890 O,rO,/Da center. 7. As a food product, bottled water is subject to the rules and 0420096302 042,2112619 000391a'19 2004 1° Amount due regulations promulgated by the Federal Food and Drug D+e Administration(FDA). IcE MOUNTAIN V+ATEx;°""," 'C,,S�e`00000 �+m Submit your 8.Your first invoice indicates the products delivered on your firs[ �N EO9TO,AFA SFRV1EE rrBE,-006+)3-96M delivery,along with any applicable bottle an&account deposits, P a ment b this t.aat,.a.nl.�at."au•,n„wnt..l,taya.q � ��aNBMra.�D"�5KK Y Y redemption fees,and any dispenser charges.All future invoices „�,,,,,+•„"�0^ "5 date will reflect charges for water delivered and dispenser rental,bottle L3 ,w�D+r+EE deposits and credits plus charges for any additional products ordered by you. Deliveries are made every three or four weeks,for a total of 16-17 deliveries per year.You will only receive invoices 12 times per year,so approximately 5 of those invoices will reflect two deliveries. ©2008 Ice Mountain Spring Water Company, a Division of Nestl6 Waters North America Inc. Form No.NW 709 08/12 service.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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s)or bill(s)) 05/02/13 03DO121776199 $7.93 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 $ PO Box 856680 Louisville, KY 40258 $7.93 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1205 103DO1217761991 43-530.99 I $7.93 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 Monday, May 20, 2013 Director, Administration Title Cost distribution ledger classification if claim paid motor vehicle highway fund service.icemountainwater.com 0 p p #215 6661 DIXIE HWY,SUITE 4 04/01/13-04/30/13 13D0117821082 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED II�I'll�lll��l III�I III I�I��III �I� JIUN 18 0117821082 TUE- THU- JUL 18 FRI- AUG 16 Customer Service: 1-800-472-9888 CITY OF CARMEL STREET DEPATMENT Did you forget about us? Kindly pay upon receipt. 3400 W 131ST ST Remember,past due accounts are subject to a late fee. CARMEL IN 46074-8267 Your prompt payment is appreciated. For your "..... 'll'I'll"II'I'II'lllll'lllll'll�lll"�II�'ll'I convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. IEnjoy$1 offzcases of resource natural spring,-water. resource.has-natural electrolytes for taste and'comes in--; 'a=50%=recycled bottle!=Visitxservice.icemountainwater:com or:Cal1=1.-800=472=9888 fo-add to:your next order!=-s :. x , - - Offer_expires-5/3,1/1.3__ -_ - �. ^_ y . :�� -"`;. ,� z,;- i�� � : w:w.. ,�Y'a� '-°�' - "t z -:5'Jm"�.` :e°•`w. `r�i;t: :'� :T�';.`s"'aw ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. B ® B Delivery address: CITY OF CARMEL STREET DEPARTMENT,3400 W 131TH ST,CARMEL IN 46074 PREVIOUS BALANCE 23.92 4/18 0825808488 3 5 GAL ICE MOUNTAIN DIRK W/HANDLE 10.47 3 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 18.00 3 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -18.00 2 9 OZ PLASTIC CUP 50C/SLV 6.58 4/30 0828568360 1 OIL/FUEL SURCHARGE 2.96 D4379856 RENT 3.99 TOTAL 47.92 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subjectt--terms on reverse side. -------------------23.92------------------- --------------------------o-oo-------------------------+-------------------24:00------------------- ---------------47.92----------------------------------------- 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 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. •".a 123ASb7890 Your Account Number You do not have to pay the disputed amount while it is being °°100/00-00/o0100 investigated.During the investigation,we cannot report your account 1 - - 12115678 as delinquent or take any action to collect the amount in question. MoN x1 Watch here for a Npwo.'7, GENERAL INFORMATION K personalized account I.Payments received after the billing(INVOICE)date will appear on Important s ,-eow77wAea lt,a.an�+�allat.alw•�•-'�0°B"ruse c'°,� message your next invoice.Past due invoices(not paid within 30 days of news and billing date)may be assessed a late fee as allowed by law not to offers iii sn. exceed$20 per month.Additionally,third party collectionlattorney °`Y's 1e` aWl-WL^�Lt'La'•° expenses may be assessed at a rate not to exceed 100%of the unpaid balance or the maximum allowed by law. wY°`i a" ay,u a rew 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 de oosts are shown as CURRENT Activity - "'°°•°'°`�'� amount has been ,, since your ACCOUNT y a u,1`aouuo paid in full to ACTIVITY. _ 23� s� h, 4. Equipment replacement costs will be charged for bottles lost, last invoice '°cII""`YrdcjS ""01 avoid late fees stolen,damaged or not returned. ,wa Yw y s�luo r °i ,yw.m ><xx>< 5.In accordance with NW ("T&C")NA's Terms and Conditions , our oan +�+� , /+, 3,70051u.M S keMwMn��sGa1 Equipment Lease and/or Service Agreement account may be /„ n/aes,aw keMwnu,nsGalAtl"m Monthly Oil p9/It )1]0851 W subject to minimum monthly purchases and/or early cancellation ,enree,l r`"'w""°0` � Surcharge,Fuel fees.(A complete version ofthe currentT&C maybe viewed on the an 97 � "'-s" Surcharge or Delivery websile listed below)Upon service discontinuation,rent for the ro— 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 ,Aw. -,;,x"'•` , _ Information°) Delivery ee as described in ourT&C. Only one of these fees Payment stub ACCOUMSUMMANY E .•u ___-- ry y y y PAYS PAY mIi AMOUNT will apply to each account. The fee that applies to your account ---"- -",:„„a•wr^•' ,cccou,,NUMSUI is stated on the front of the invoice.For further information please 121 567090 9 WNO/DATE Mr.ENCrosEn INVOICE NUMBER W/W1W visit the website listed below or contact our customer service Ii 7890 center. 16 7. As a food product, bottled water is subject to the rules and °4200963°7 aV262712619 °°0393049 2pp4 Amount due regulations promulgated by the Federal Food and Drug J.h�o Administration(FDA). KEMOd"r..a."`""�`„°M1P...x"K r.sN�e1°p00° 8.Your first invoice indicates the products delivered on your first Submit your delivery,along with any applicable bottle and account deposits, 0 CO T A CA°KK payment by this t. at"Ln„L°LLtar.. � 1�°” date redemption fees,and any dispenser charges.All future invoices .,,,,s,9•w ^�°"^"`"""'' will reflect charges for water delivered and dispenser rental,bottle 0„�,uPwPEnEI s 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 08/12 service.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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 05/02/13 13D01 17821082 $24.00 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 $ P. O. Box 856680 Louisville, KY 40285-6680 $24.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members T 2201 1 13DO117821082 1 42-389.001 $24.00 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 F#' �, May 17, 2013 Streettree�Com i loner mini - Title Cost distribution ledger classification if claim paid motor vehicle highway fund service.icemountainwater.com REM ff R11 ° O D h0 I am #215 6661 DIXIE HWY,SUITE 4 04/01/13-04/30/13 03DO121975593 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED ® B e 1I 11 11 I II 'I 1II 1I IN I I I I I II III TUE- MAY UN 111 0121975593 THU- JUL 11 FRI- AUG 09 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 �Illil�lll�illli����li�ll�lll�l�lll�'I'�I"III'1��'lll�llll�"�I, convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. En'o. ;$1,off;cases;of;rosourcenatural s rin water. resource:.has natural olectrol�tos'for Paste and comes:in a•50%o recycled'bott!e!<.Visit seprice:icemountainwater.com or_Ca111=80.0=472=9888 to add to your next orde"r! Offer expires.5/31/13 {.. «.. _ g ,_ - - d� ,�'a ._, :•,x.� .i_ 5.r.r: _ '�.�s` .� s?_ f�s:, x-��... .,E.->,.A �-, °-.. , �si�-. -`''�"g - a�a a+�t a� ,y �. - a+-fir - - - ,_ 3�.Ty !'rP�sb. ;��'4.`j.a _ %: .�^y _. g�li�_ :.4f^S.:y w$L'-• - -"� v v ''�Fa- c -�.,�A.0=,_.-- -A�*1�)i ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.corn. B' ® 11 8 9 Delivery address: , PREVIOUS BALANCE 43.92 4/11 0824605141 2 5 GAL ICE MOUNTAIN DRK W/HANDLE 13.38 2 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 12.00 2 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -12.00 2 9 OZ PLASTIC CUP 50C/SLV 6.58 4/30 0828613547 1 OIL/FUEL SURCHARGE 2.96 D4453464 RENT 10.99 TOTAL 77.83 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 43.92 — 0.00 + 33.91 = 77.83 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 �,qq g sent you the first bill on which the error or problem appeared.You can SO AMPLE V I P L E I 1 p��y`/ ®I`j 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. <--.rw.FIR 1z34s67a90 Your Account Number You do not have to pay the disputed amount while it is being 0olooloo-oaloo7o0 investigated.During the investigation,we cannot report your account 123456789 as delinquent or take any action to collect the amount in question. THR-D"a MON ocr x9 Watch here for a WED NOV 7' GENERAL INFORMATION LLE.DEC'e personalized account I.Payments received after the billing(INVOICE)date will appear on Important 1-eDO-F7zveee Y g( PP tbn«an.nhanmtnan41,1u4„,Innda„Haan C"'°��"` message your next invoice.Past due Invoices(not paid within 30 days of news and manEyowlRruilrglaMw"[,1"p'odu"' billing date)may be assessed a late fee as allowed by law not to offers hiir s' ana aam«a. exceed$20 per month.Additionally,third party collection/attomey ons[ate pp00° 1"aaaua.to mlbnd4..ilwba..I."b6LI,J+a expenses may be assessed at a rate not to exceed 100%of the ..,.__-------'-`°-`- �,�,-,o.m<;.Ra•n<n4 unpaid balance or the maximum allowed by law. --'"-Tames"9E ,,;==R,nR,ny<>R.R. � �' a+teNyo�+ Pay electronically 2.Each returned check is subject to a service charge subject to the aeu.Rriea«4er(mmau. maximum check return charge allowable in your Stale. _,^ -_ — Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity _ _ w, •y,,,,,,,,,.,�.,•..«^�a^"°"”" 3._ 'f amount has been ACTIVITY. since your ACCOUNT ArnvITY paid in full to 4. Equipment replacement costs will be charged for bottles lost, UOelrvery Add,ess1lohnDce•123 Mam 5[rxl C,tY SUCe 00000 xxxr last invoice xx avoid late fees stolen,damaged or not returned. PaYm<^[-TINnkY"u Water %%lU 5.In accordance with NWNA's Terms and Conditions("T&C"),your Ben' 461R9R s sGan"nw[",alsPnn9 xxxx ru 31788s'+4a seal cep^+R Equipment Lease and/or Service Agreement account may be ,,, 3neesw^ s �eMW;,v'��swiRe["rn ;� Monthly Oil 09111 3178861M44 E"N Sumharye subject to minimum monthly purchases and/or early cancellation Re^[ - 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 l0T Fee(see#6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. va.E7DAC'Nm = °""'"°rxxiM 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or Information") uuN _..,z v Delivery ee as described in one of these fees Payment stub ACCOUNT SUMMARY a xxxx"W ry Y our T&C. Only Y PAY BY PAY THIS AMOUNT will apply to each account. The fee that applies to your account __°_ N, ,,,;,wm.,�wP•�""" ACCOUNT NUMBER xx,x is stated on the front of the invoice.For further information please 1z34s67890 81WN0 DATE MT ENCLOSED IN9010E NUMBER MINIM visit the website listed below or contact our customer service ,234567890 center. 7. As a food product, bottled water is subject to the rules and p,2U096301 0,262"712619 0003910,9 200° 1 Amount due regulations promulgated by the Federal Food and Drug Wh_ Administration(FDA). Ic 1.WA11IFCOMM"' 12 "S, .1AA 000DO Submit your 8.Your first invoice indicates the products delivered on your first ' FW"•n wpC„SrOMERSFRVICEWE''e�"t7=-'BBB delivery,along with any applicable bottle and account deposits, t.JnJ„a.nta«J4..aLnn.4o.,4"4MJ,a"a ,,,a payment by this "` " D redemption fees,and any dispenser charges.All future invoices ❑ date❑vGNGPeoPVRFe,W1O°,,,s„nooe•wrteOO^"`""i5°` will reflect charges for water delivered and dispenser rental,bottle deposits and credits plus charges for any additional products ordered by you. Deliveries are made every three or four weeks,for a total of 16-17 deliveries per year.You will only receive invoices 12 times per year,so approximately 5 of those invoices will reflect two deliveries. ©2008 Ice Mountain Spring Water Company,a Division of Nestl6 Waters North America Inc. Form No.NW 709 08/12 a�service.icemountainwater.com na- _ Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995) CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 5'.-1 03D o(Z1175_�1 '13, 91 Total -33•"' 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 IN SUM OF $ ON ACCOUNT OF APPROPRIATION FOR ICI /�35��ab Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# 'C I hereby certify that the attached invoice(s), or � 03#0 2 �*n� 435 -)3,1) 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 5 2 U - 2013 Ignature Title Cost distribution ledger classification if claim paid motor vehicle highway fund service.icemountainwateccom 0 D #215 6661 DIXIE HWY,SUITE 4 m LOUISVILLE KY 40258 04/01/13-04/30/13 13D7220327048 Ai ADDRESS SERVICE REQUESTED ® ® e �I I II I�I ��II I III I I I I I I I II I �II D J8 7220327048 FRIUN 07 TUE- JUL 09 WED- AUG 07 CITY OF CARMEL OFFICE OF THE CLERK TREASURER Customer Service: 1-800-472-9888 ANN DAVIS 1 CIVIC SQ Did you forget about us? Kindly pay upon receipt. CARMEL IN 46032-2584 Remember,past due accounts are subject to a late fee. Your prompt payment is appreciated. For your convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. Enjoy$1:off cases;tif.resource=.natural spring:wa4er"vresour"ce:has=.natty"ral 'elecfrolytesf or;taste;and;comesin> 650%recyck d bott ler Visit service;icemountainwater.cor`n,or-Call'1-800`=472=9888 to adtl to yoUr-nezt`ortlec! -�_..04er eznites"5/3171.3r 'm -' � ,F:sa_ ti:k•'' { it$ 's..,.`. - ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. 0 Delivery address: CITY OF CARMEL,1 CIVIC SQ, CLERK TREASURER OFFICE,CARMEL IN 46032 PREVIOUS BALANCE 13.65 4/09 0824118335 1 5 GAL ICE MOUNTAIN DIRK W/HANDLE 3.49 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 4/30 0828686774 1 OIL/FUEL SURCHARGE 2.96 D4421368 RENT 3.99 TOTAL 27.38 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CUR NT AC PAY THIS AMOUNT Subject to terms on reverse side. 13.65 — 0.00 + 13.73 = 27.38 BILLING RIGHTS SUMMARY YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL,OR FOR t. Please remember payment is due by the"pay by"date noted to ensure the smoothest service. A REPORT ON WATER QUALITY AND INFORMATION, PLEASE 2, Remember,if you are renting equipment,your equipment rental is charged one month in advance.That means CALL I-800 472-9888 OR WRITE US AT: your first invoice will include a pro-rated fee for the current month,plus the next month's rental. ICE 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 / sent you the first bill on which the error or problem appeared.You can �d 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. 1234567690 Your Account Number You do not have to pay the disputed amount while it is being "00100.0010000 investigated.During the investigation,we cannot report your account 1 1 2345678 as delinquent or take any action to collect the amount in question. NoNoEr 39 Watch here for a yIEb GENERAL INFORMATION r l C-C personalized account 11661p6Ndtla.A.Jldda c�F,a„•, 1-AO0.n:-9aeR I.Payments received after the billing(INVOICE)date will appear on Important Intl«Ia.a6AII66•d $e"_u pd— message your next invoice.Past due invoices(not paid within 30 days of news and TI.snEY^Ofa„s,M"` billing date)may be assessed a late fee as allowed by law not to offers 'loll. exceed$20 per month.Additionally,third party collection/attomey o3rsw,e b.dad.,y,a{„„J4.,,14,.11.4a.+6.66LLd.a expenses may be assessed at a rate not to exceed 100%of the �yY.,p„�,•N>NNa, .t.,.- unpaid balance or the maximum allowed by law. 10 Pay electronically 2.Each returned check is subject to a service charge subject to the 4waeadt> `a""t""."�mu�hN9M y;Y : maximum check return charge allowable in your State. Make sure this 3. All bottle and equipment de sits are shown as CURRENT Activity _..--- y - - ^"""''°""�°� Po tY "m , a�e. •°^°". �a amount has been ACTIVITY. sinc¢ Acco our Y Armes. ohnDm,r3^'n$1eCI.5�,e00000 paid in full to 4. Equipment replacement costs will be charged for bottles lost, last invoice °e�"`ry , avoid late fees stolen,damaged or not returned. "`"O1S vw ,nxx 5.In accordance with N WNA's Terms and Conditions("T&C"),your oan, w,e9N ax3n I„ nlees,w4 s "eNwmmse•i°evd�` xx�a Monthly Oil Equipment Lease and/or Service Agreement account maybe I„ 3»eas,w4 s mep,a,owOSCNNNO,^ ,x,,, y 091,1 1805,44M FuN SUrtM1an3e subject to minimum monthly purchases and/or early cancellation 31 ne363eeu „ Surcharge,Fuel fees.(A complete version of the current T&C may be viewed on the X113 'fi"0 97 """ Surcharge or Delivery website listed below)Upon service discontinuation,rent for the rornE Fee(see#6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. rvw>.,^r*^7tY = .�n'N' 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or •,r„b„,ww -uxx`N' ,�•. Information") SUMMARY W+ '�' Delivery ee as described in our T&C. On one of these fees Payment stub ACCOUN's „a, _ ry Y ty Y ,^._--°,�•'•` ----- NAr rnis AMOUNT Nxr Nr will apply to each account. The fee that applies to your account _ __ �°���-� n.an W�"p°• ACCOUM NUMBER ww is stated on the front of the invoice.For further information please „• u34561N90 Nw WtDATE W.ENCLoSED visit the website listed below or contact our customer service INVOICENUM woolw ,2NSfi1890 center. 7. As a food product, bottled water is subject to the rules and 042oa96307 84211712619 000391049 200 '' Amount due regulations promulgated by the Federal Food and Drug id,N Dx Administration(FDA). .Cd�6�+�^�aA^;"'"AT1,"„e,°"'.,,�""'K ory Sate �N00 Submit your 8.Your first invoice indicates the products delivered on your firs[ " FDNC,,,,oNEN:Em«:E 'a00-"'-968° delivery,along with any applicable bottle and account deposits, w^9no^N•.�+• payment by this I.dad,.J.at.°»t6..tt...t66a..4.I.tJ.W«<I �,�,,.,,, "" date redemption fees,and any dispenser charges.All future invoices ❑x�rFONrNEEA.Na•.nsmopN•9•�a4On"""K"°` will reflect charges for water delivered and dispenser rental,bottle deposits and credits plus charges for any additional products ordered by you. Deliveries are made every three or four weeks,for a total of 16-17 deliveries per year.You will only receive invoices 12 times per year,so approximately 5 of those invoices will reflect two deliveries. ©2008 Ice Mountain Spring Water Company,a Division of Nestle Waters North America Inc. Form No.NW 70908/12 1 service.icernountainwater.com e- r, Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995) CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee (l V w►(. 'U�t�(� Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoices or bill(j)) 3,73 Total I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5-11-10-1.6. 20 Clerk-Treasurer _ VOUCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF $ u To $ X3, 73 - - ON ACCOUNT OF APPROPRIATION FOR Board Members y. ' PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), or •...= ', bill(s) is (are) true and correct and that the 7 � materials or services itemized thereon for ..r, which charge is made were ordered and received except 20 u - Title � Cost distribution ledger classification if claim paid motor vehicle highway fund