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HomeMy WebLinkAboutICE MOUNTAIN -001730 -3/17/2011 CARMEL,REDEVELOPMENT COMMISSION 001730 Ice Mountain Check: 1730 PO Box 856680 Date: 3/17/2011 Louisville, KY 40285-6680 Vendor: ICE MOU1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 01A0121975593 48.29 48.29 0.00 0.00 48.29 water 01B0121975593 63.33 63.33 0.00 0.00 63.33 water 111.62 111.62 0.00 0.00 111.62 service.icemountainwater.com s BILLING PERIOD INVOICE NUMBER 10EMOUNTAIN #215 6661 DIXIE HWY,SUITE 4 02/01/11 02/28/11 0180121975593 r irect LOUISVILLE KY 40258 N °--t---- •--,-�----„`--w ^T---- rr- --�-�------'7 ----tea. ADDRESS SERVICE REQUESTED PCOMINC C)ELIVERIE=S ACCOUNT NUMBER II I II U I III I III 1I I I I I I I I 16 I II III FRI MAR 25 0121975593 TUE- APR 26 WED- MAY 25 FRI- JUN 24 CARMEL REDEVELOPMENT COMMISION SUITE 220 Customer Service: 1-800-472-9888 DON CLEVELAND Did you forget about us? Kindly pay upon receipt. 30 W MAIN STREET Remember,past due accounts are subject to a late fee. CARMEL IN 46032-1938 Your prompt payment is appreciated. For your III'III'�I"III'I"'I"IIII"I'II"IIIIII�IIIIII�I�II�I'I�'I�I�� convenience,pay online: icemountainwater.com/service. If payment has been made,we thank you. Make afresh start o wbitr�h ayx h»ee;a;<7 lthyres ol uti'oKn"i or:ne"zero=.c.a_lorie'bev.y;e�.a. ges Sr4a.::ve ur p to$3 p,..er case- on Sport:Bottle`arid:select Sparkling=bever*ges:.:Log ontoxser iiceacemountalnwaterri,om orrcall l-80,0-472-9;888 M1: to add to your next order"today! Offer expires'2/26/111:' -- - - - - � ;- �a ��.g„�t ? .::1'rri�r:'�=°' ' ....%•�.xv ,.»t�'„. � '�r.''>�a.—' .r r, a =rte .-_`n'_",,:_._-ed.,!:? ':`E,`r�,„:�4�s'r .,�, "�,,z;•;' ,.• ,rn._W.r.;.qa• ._;.•'. '% ,..:tea•.:::'.,- `°.'�,; , I- ' -` - . i�'-�4 o ": h,� is :r& -'sm '" _•_4E- ACCOUNT ACTIVITY Pay your bill online at:service.icemountainwater.com or by phone at:1-800-472-9888. Its free! DATE RgFERENC W0V-1:EASCRIPtlb- M ► 1= ® Delivery address: CAR EL REDEVELOPMENT COMMISIO ,30 W MAIN ST Si E 220,GAR EL IN 46032 PREVIOUS BALANCE 78.56 2/20 386637 PAYMENT-THANK YOU -30.27 2/24 0712381573 6 5 GAL ICE MOUNTAIN DRK W/HANDLE 35.94 6 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 36.00 3 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -18.00 2/28 0714023116 1 OIL/FUEL SURCHARGE - 2.40 B0495926 RENT 6.99 TOTAL 111.62 D'feCtor of Redevelopment 9 91-0 aq ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 78.56 — 30.27 63.33 = 111.62 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. P 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 P 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. M .. You are obligated to pay the parts of your bill that are not in question. 12�4s62e90 Your Account Number You do not have to pay the disputed amount while it is being ICE MOUNTAIN 00/00/00 twlooloo tUP O NCOFLNERIES ACCOUNT;UM6ER investigated.During the investigation,we cannot report your account [lrr13tt 1234567891 as delinquent or take any action to collect the amount in question. THe ocr a MoN-ocT 29 Watch here for a GENERAL INFORMATION WE6 NUY 2' uE DEL IE personalized account I.Payments received after the billing(INVOICE)date will appear on Important 1.e00..arz-9880 I bu»dIt„tlbdNti..ituma.«Jun.0„twu a:mm.r s•'^`�^,m v�°pd5 message your next invoice.Past due invoices(not paid within 30 days of news and T1„Okr9”'^ru,109"` john 008 ` ,eDS88. billing date)may be assessed a late fee as allowed by law not to offers 123 Mans exceed$20 per month.Additionally,third party collection/attorney o,r,uaee 00000 1«dtl.L.d.la«•,dL«AL..11«LU..L.LLLI.d.,u ,. expenses may be assessed at a rate not to exceed 100%of the __-____-_-.---- , 9H10',P1- .i unpaid balance or the maximum allowed by law. .,/� "-""— -- F«„a.aar� "''"' "� rm'�P`0 Pay electronically •L;' 'TO m...8 Waan'>a9%.. WKFY T�mfKmud+, _. 2.Each returned check is subject to a service charge subject to the ;- maximum check return charge allowable in your State. - _ - wu Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity 1;'_ ACTIVITY. since your ACCOUNT ACTT ,.,,...1 amount has been y BETESgNC. ° VervQed�s bh ,123Ma s0rel.�vs 1e00°°° 1199 paid in full to 4. Equipment replacement costs will be charged for bottles lost, last invoice `'"" oon avoid late fees stolen,damaged or not returned. 08 81 W°n`° ° 5.In accordance with NWNA's Terms and Conditions T&C' your s v""� '”"" "5000 t•• ')• 08/31 061890 SGallol;u,1 s0��9 50 „,,, 3,2005 oo84 Ice W88118n5Gal89out Equipment Lease and/or Service Agreement account may be /„ 3vess,«,. i keMayntainsGalPewm 1199 Monthly Oil 09/11 0120861MM E„e1`SU,cNr9e subject to minimum monthly purchases and/or early cancellation 0911, 11800 Pe11 s Surcharge,Fuel fees.(A complete version of the current T&C may be viewed on the 09/,2 ■'�40°" 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. "T+n1n — °"'T""1 0 ay8 ''+`yam«52 o Information") 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or °.rloOlwaN`F—°"Y"`N'„99 e_,�•� "`"°` Delivery Fee as described in your T&C. Only one of these fees Payment stub ACCOUNT SUMMARY e c,,,,,c ou _- --____ rY Y Y J - -- --_- PAY THIS AMOUNT will apply to each account. The fee that applies to your account won•1_yyonam mwnn Y^�PM"`^,wr• ACCOUNT NUMBER PAY BY n+0 w, 123456]090 /�� is stated on the front of the invoice.For further information please INVOICE NUMBER BIWNL DATE visit the website listed below or contact our customer service ao10o10° 12;4561890 center. 7. As a food product, bottled water is subject to the roles and py20U963UT 04262112619 000391049:011 Amount due regulations promulgated by the Federal Food and Drug 101,11oce Administration(FDA). ICEMWNLAIN H'ATt0 COMAN� crys`aOPS` �1m Submit your 8.Your first invoice indicates the products delivered on your first •oa {pPCUSTOMFPSFPYKF`"L" delivery,along with any applicable bottle and account deposits, payment by this LdyL•d„p6•-dL..JL,d1.Lp..L..64LLd«tl am,"roc sd redemption fees,and any dispenser charges.All future invoices oPlnrrnumMn s'9,�UPP•a,•�aP�.•,><s,e. date will reflect charges for water delivered and dispenser rental,bottle (]swNOPS _ - deposits and credits plus charges for any additional products ordered by you. Deliveries are made every three or four weeks,for - a total of 16-17 deliveries per year.You will only receive invoices 12 times per year,so approximately 5 of those invoices will reflect two deliveries. ©2008 Ice Mountain Spring Water Company,a Division of Nestle Waters North America Inc. Form No.NW 709 11/08 service.icemountainwater.com 'i service,icemountainwater.com BILLING PERIOD- — INVOICE=NUMBER rlc ICE4IOUNTAIN #215 6661 DIXIE HWY,SUITE 4 01/01/11 -01/31/11 01A0121975593 ;direct LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED UPCOMING DELIVEME=S=ACCOUNT NUMBER= II i 1 lI I I I I II i i i u 1 i l l 'i i i i 11 Hill FRI- MAR 25 0121975593 TUE- APR 26 WED- MAY 25 CARMEL REDEVELOPMENT COMMISION SUITE 220 Customer Service: 1-800-472-9888 DON CLEVELAND Did you forget about us? Kindly pay upon receipt. 30 W MAIN STREET Remember,past due accounts are subject to a late fee. CARMEL IN 46032-1938 Your prompt payment is appreciated. For your 111I1II'I1I"III'IIIIIIIIIIIIII'II'II'IIII'l111111l'llll'IIIIIIII convenience,pay online: icemountainwater.com/service. If payment has been made,we thank you. Make a fresh s-tartto,the;year w th a.healthy,resoi-ution on zero ,.calor a beverages Saveu.p,to$3.percase on._ -, Sport and selectSparklipd beverges: L-og onto tservice.icemountalnwaterpom orcall 1800-472-9888 : f to add to-your next-order today!-Off_er.expires 2/28/11 7 ; - I w: ,.;-, -, r,vG;;n ,.. w . "r ,:„... . n ..-4,,e4-- ^H .,,, _ , ,�,;?,,, t-.--z:-:,,,,--- -. 4,,, 4 .. - -_-'_. . r r .. .... M'.. .. .w - $+.';Q',1b .. ,.�, lv..._w u J ....,uq�ryf¢v ''r. 'M pn- ACCOUNT ACTIVITY Pay your bill online at:service.icemountainwater.com or by phone at:1-800-472-9888. It's free! DATE REFERENCE# QTY•---DESGRIPTION - = ` AMOUNT= Delivery address: CARMEL REDEVELOPMENT COMMISION,30—W MAIN ST STE 220,CARMEL IN 46032 PREVIOUS BALANCE 66.50 1/30 271438 PAYMENT-THANK YOU -36.23 1/26 0708337597 5 5 GAL ICE MOUNTAIN DRK W/HANDLE 29.95 5 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 30.00 1 9 OZ PLASTIC UP 50C/SLEEVE 2.99 4 5 GALLON ICE;MO UNTAIN-DEPOSIT RETURN -24.00 1/31 0709735534 1 OIUFUEL SURCHARGE ', ' r" 2.36 A0357978 RENT ," , ,',",' 6.99 TOTAL ,, 78.56 Director-of Redevelopment /g 2 3 9 o9 9 .....___-7 _ ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CUR NT ACTIVITY —PAY THIS AMOUNT Subject to terms on reverse side. 66.50 — 36.23 + 48.29 78.56 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. • Cs 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-800-472-98e8 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. Neo1EENN'N You are obligated to pay the parts of your bill that are not in question. °I'''''''—"`Eon Your Account Number g P Y P Y q ICE MOUNTAIN owoolo0 00!00!00 234567990 You do not have to pay the disputed amount while it is being -'7 investigated.During the investigation,we cannot report your account IincoMlri„oci-,,,,,g"c`O11NT,"�Mean g g g P Y direct 123456769' as delinquent or take any action to collect the amount in question. Dili•ocT 01 MON•OCT 29 Watch here for a WED-NOV 21 GENERAL INFORMATION NE-DEC 10 personalized account 1.Payments received after the billing(INVOICE)date will appear on Important IfiU„1111„UI„IIU41,„UIId,Itl6��lUtl„11„I1JJU ail"•'9xCMW10208 message your next invoice.Past due invoices(not paid within 30 days of news and Thank y^"a”” billing date)may be assessed a late fee as allowed by law not to offers �173M^s "�” �•y exceed$20 per month.Additionally,third party collection/attomey olrslaTe 00000 1„JUJ.,J„tll•.„t4„,IL„11.4U.d.bidl.J„tl ',s;a;, expenses may be assessed at a rate not to exceed 100%of the „r,,.... -'?°'�"""°".`r%s 't,,�y,4,„,mne�` r . unpaid balance or the maximum allowed by law. _._TO1ro1+aiNl'w16CN3^∎0,000,a99 ba 4m 6n�wo , Pay electronically 2.Each returned check is subject to a service charge subject to the �._. «ae.6mnwx rdw^ �pi°mlrrtmut6,.. -,..ra maximum check return charge allowable in your State. 4- Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity �_ - �„ A OOryT ■ amount has been ACTIVITY. since your AccouNTAmY1TY - °P` N '”' 123 Main 531eeL Gry,Sin 00000 y CRI 4. Equipment re replacement costs will be charged for bottles lost, e:`75A�°EiEPq-``E` o� T Aaa1 :.,^�'^ ”" paid in full to P g last invoice °e' ” stolen,damaged or not returned. r ra,eTha Balance Sow avoid late fees 5.In accordance with NWNA's Terms and Conditions("T&C"), our Dent 5 Payment -SB09 (' "),y 461890 SOall"n Na[u215R""9 Wate1 �•I1, 317005,4444 60Mo,su',SGal Deem^ „_ __ _ 296 Month! Oil Equipment Lease and/or Service Agreement account may be ,.74, 3v8B514444 5 keM^^^,,,n5GalRetum "� Y 03/11 317095∎4444 ; r„e15"1�'9•lY: ,i f,fit,'•. I, subject to minimum monthly purchases and/or early cancellation 99,n 31026309'1 Pent +'; �' '.�' 57a Surcharge,Fuel fees.(A complete version of the currentT&C may be viewed on the 09/12 'x^'97 j:I,'.;-,....„.,./ 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. ToOVOAc.M11T r__ •A'TN"""5°740 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or ,9E„035MaANO._rA7MENnAOrv57keNa+ n4o �,,,,,,•� Information") g Y g g n99 s„.,,, ACCOUNT SUMMARY 11.99 _ - ____ , Delivery Fee as described in your T&C. Only one of these fees Payment stub _ ___ RAY 9515 AMOUNT will apply to each account. The fee that applies to your account --_"—° ;,,a,�„m ww^�9'+'^`"` ncrnuuNUMBER 7w is stated on the front of the invoice.For further information please 4234567890 gIWNGOAIE ` INVOICE NUMBER 00!00!00 visit the website listed below or contact our customer service 42;4567990 center. 7. As a food product, bottled water is subject to the rules and 4320096307 04262712619 o31 Amount due regulations promulgated by the Federal Food and Drug ps,no Administration(FDA). I EMOUN wATERRCOMPANY. Coy,5ntc 0.0.00a39:9,,.._,20-591 Submit your 8.Your first invoice indicates the products delivered on your first N wRC„noMERSm9cjj payment by this delivery,along with any applicable bottle and account deposits, LJa6J„�„„JL.,JL.J1„btl„u„1,4414„tliOiR•„,xsm• redemption fees,and any dispenser charges.All future invoices �0^ Side " rne date wluvNm nREwmam sl9a u"a•oM 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 11/08 t service.icemountainwater.com I service.icemountainwater.com BILLING PERIOD — INVOICE NUMBER ■ - ICFMOUNTAIN #215 6661 DIXIE HWY,SUITE 4 11/01/10- 11/30/10 00K0120223912 direct LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED Uf COMING DELIVERIES, ACCOUNT NUMBER= I I I I I I I I I I I I I 11111111 i l l 11111 III THU- DEC 16 0120223912 WED- JAN 19 WED- FEB 16 THU- MAR 17 CARMEL REDEVELOPMENT COMMISION Customer Service: 1-800-472-9888 DON CLEVELAND Credit Balance-No payment required. Thank you! 30 W MAIN ST STE 220 CARMEL IN 46032-1938 11. 111"111111Ilil'II'iiliii11II11ll11'11,1111111111I'1I1"1"'1 : . ... " ; ,,,X--- Atice Mountain'Directwe are committe dao p riovidin 9 y ou with thesvery:biestproducts and servic es Plea ' bers advised"that your next invoice will reflect a-nominal•price_adjustment for some of�your;office and coffee products. Thank you foryourunderstanding w-._ °,4-.,.:,,,- ;- • _>' Z- - Z,": ;° '- _ - ACCOUNT ACTIVITY Pay your bill online at:service.icemountainwater.com or by phone at:1-800-472-9888. It's free! DATE—REFERENCE.# QTY DESCRIPTION AMOUNT Delivery ddress: CARMEL REDEVELOPMENT COMMISION,111 W MAIN ST STE 140,CARMEL IN 46032 PREVIOUS BALANCE 12.75 11/23 940805 PAYMENT-THANK YOU -12.75 11/16 0697015733 2 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -12.00 11/30 K0082143 RENT - - FREE TOTAL -12.00 1 r✓ i ? 1 r/7 '11 - .. Director of Redevelopment I$"2 3 y 9 Iv 1 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY NO PAYMENT DUE Subject to terms on reverse side. 12.75 — 12.75 + -12.00 = -12.00 Detach this stub and return with your payment ACCOUNT NUMBER PAY BY NO PAYMENT DUE P.O. Box 856680 0120223912 -12.00 Louisville, KY 40285-6680 INVOICE NUMBER BILLING DATE AMT. ENCLOSED 00K0120223912 12/03/10 4 / 2 -O0 > 407201202239128 0001200 00012001 5 ICE MOUNTAIN a Division of Nestle Waters North America Inc. CARMEL REDEVELOPMENT COMMISION P.O. Box 856680 DON CLEVELAND Louisville, KY 40285-6680 30 W MAIN ST STE 220 CARMEL IN 46032-1938 111111111111 111.11111111111IIII.IIIII.IIIIII..II.I91111111111 FOR CUSTOMER SERVICE CALL 1-800-472-9888 0 SIGN UP FOR FREE AUTOPAY!Sign Up Required On Reverse Side. n Print Any Changes On Reverse Side. 720103-040-0"'--1-C-F-C -00020006 Page 1 of 1 BILLING RIGHTS SUMMARY YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER • IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL,OR FOR 1. Please remember payment is due by the"pay by"date noted to ensure the smoothest service. .- • A REPORT ON WATER QUALITY AND INFORMATION, PLEASE 2. Remember,if you are renting equipment,your equipment rental is charged one month in advance.That means CALL 1-800-472-9888 OR WRITE US AT: your first invoice will include a pro-rated fee for the current month,plus the next month's rental. ICE MOUNTAIN SPRING WATER CO. 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. #216 If you prefer,you can pay your bill online at service.icemountainwater.com 6661 DIXIE HWY.,SUITE 4 LOUISVILLE,KY 40258 4. Never hesitate to call us with comments,questions,or concerns. If you think your bill is wrong,or if you need more information about a transaction on your bill,write us on a separate sheet of paper.We must hear from you in writing no later than thirty(30)days after we SAMPLE INVOICE sent you the first bill on which the error or problem appeared.You can telephone us,but doing so will not preserve your rights.In your letter, give us the following information: • Your name,address,telephone and account numbers. Date range of this invoice • The dollar amount of the suspected error. • Describe the error and explain if you can,why you believe there is an error. _._._ ;„ EN,,58ill-- You are obligated to pay the parts of your bill that are not in question. tom---"-`'`r-^p Your Account Number g o y p y q ICE MOUNTAIN oolooloo-ool00loo 234667890 You do not have to pay the disputed amount while it is being _ _ s investigated.During the investigation,we cannot report your account direct tom{ luPCDEUVCaES AccouN*NUM6E0.M [23456789. as delinquent or take any action to collect the amount in question. TN^ aT°° MDN-O 19 Watch here for a WED NOV 31 GENERAL INFORMATION DE-DEC 16 personalized account Important 6000a.966s 1.Payments received after the billing(INVOICE)date will appear on P pI1«III«01 d11161�,11t1•LItl4«d11U«tl„aAdq an9,rKr se,"`e" g your next invoice.Past due invoices(not paid within 30 days of news and ThankywforusinglaM««^110„ �,��„ message billing date)may be assessed a late fee as allowed by law not to offers hzir s1 a^a.•rvl••s exceed$20 per month.Additionally,third party ceed 100% ory'6116 0000D a u•Ln'•1'^4L44dA I..tit.L.d«N«.,, -- expenses may be assessed at a rate not exceed 100%of the -'77r'.8018A8."8'^'S> , './11 X41 Pay electronically unpaid balance or the maximum allowed by law. , nmyaau.d.o,.'� no. ,i.^Pd•mO1, 2.Each returned check is subject to a service charge subject to the ic` nui..c`,,,,,aa•.,r,Pndv'nd,,`°•P maximum check return charge allowable in your State. - Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity '°°' ^" '"'I ;�.� �— � amount has been ACTIVITY. since your AccouNTAmvmQTM DESCmMn?� ale°°°°° 199 paid in full to 4. Equipment replacement costs will be charged for bottles lost, vatE_PtuACTtae - DdrvenAdd'ess wN"D°`''z3Ml s ,,crys .099 p last invoice stolen,damaged or not returned. Aa,•,9naeawMe 0°s avoid late fees Tt,ank Yw SO W 5.In accordance with NWNA's Terms and Conditions("T&C"),your 8813, .6,890 s 'a'"Oen` .0.1 so 5 Gallon Nawral5Pn,5 .•I11 3170851.. Ice Mountain 5 Gal o i Equipment Lease and/or Service Agreement account may be ,.7„ 317885,4'°4 s ,,e..n.,n,,n•1«m 1199 Monthly Oil subject to minimum monthly purchases and/or early cancellation o9^' 8'70851MM °pe's"""a`9`- - g 09717 313638811 Rmt Surcharge,Fuel fees.(A complete version of the current T&C may be viewed on the 0903 166.07 57M 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 . cUPMNT BAY T"'AMWM in which service is discontinued. A = 6740 HI�wEM+ n° Information") 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or ,PFy,o°,wAN°F_'"Y" 099 ,,,«„ra•.n«'«•^••°` ACCOUNT SUMMARY ,,.99 Delivery Fee as described in your T&C. Only one of these fees Payment stub nCCOU SUMMARY PAy TH15 AMOUNT -- ------------ will apply to each account. The fee that applies to your account ---- � ,,,e,„„-----+^"^` ACCOUNT NUMBE0. 5 12345fi)B90 WM is stated on the front of the invoice.For further information please INVOICE NUMBED 01WNC DATE visit the website listed below or contact our customer service ooiool0o 32}4563090 center. 7. As a food product, bottled water is subject to the rules and 0420096307 04262712619 0003 911149 2004'" Amount due regulations promulgated by the Federal Food and Drug lalnn� Administration(FDA). ICE MOUMAJN WATER COMPANY 123 Ma,n 51 a a x,w,,.^„ elly.slale °o°oo Submit your 8.Your first invoice indicates the products delivered on your first EOPCUSTOMFRSEMKEUUI-6°°-O196B° delivery,along with any applicable bottle and account deposits, payment by this I.JdL.d«liL..,A�.,.IL.,tI..La«I..LL41d.[I r�mlAmrna"9r'oaP�s,a° redemption fees.and any dispenser charges.All future invoices °PfPEFAUID,•s ,55P,,,. . .,•••"."°` date will reflect charges for water delivered and dispenser rental,bottle E 6KN°PE deposits and credits plus charges for any additional products ordered by you. Deliveries are made every three or four weeks,for a total of 16-17 deliveries per year.You will only receive invoices 12 times per year.so approximately 5 of those invoices will reflect two deliveries. ©2008 Ice Mountain Spring Water Company,a Division of Nestle Waters North America Inc. Form No.NW 709 11/08 service.icemountainwater.com ' . . .;?.::! Cr ':• c -. • - . , r I,I.' ♦ i,