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ICE MOUNTAIN -002283 -9/22/2011 CARMEL REDEVELOPMENT COMMISSION 002283 Ice Mountain Check: 2283 PO Box 856680 Date: 9/22/2011 Louisville, KY 40285-6680 Vendor: ICE MOU1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 01H0121975593 48.10 48.10 0.00 0.00 48.10 August water 48.10 48.10 , 0.00- 0.00 48.10 ' ; '` ' i BILLING PERIOD INVICNUMBER OUNTAIN service.icemountainwater.com 1CF�Y1 _ —� _ . _�, - ,/ "• #215 6661 DIXIE HWY,SUITE 4 08/01/11 -08/31/11 01H0121975593 _;;u'reCt LOUISVILLE KY 40258 IURCOMING DRIVERIE-S ACCOUNT NUMBER ADDRESS SERVICE REQUESTED 11 11 H I III �I 9II �O I I I I I I I I III I �l0 FRI- SET 23 0121975593 DI I MON- OCT 24 TUE- NOV 22 FRI- DEC 23 CARMEL REDEVELOPMENT COMMISION SUITE 220 Customer Service: 1-800-472-9888 DON CLEVELAND Thank you for choosing Ice Mountain Home&Office 30 W MAIN STREET Delivery!We value your business. CARMEL IN 46032-1938 IIIIIuIIIIIIIIIIIIiiiii111.11IIIIIIun111111iIIIIIIIIIIiIIIIIiiII introducing.new,4.�TRADEW1NDSsreaLbrewedAceel teas Made=,with~high °quality£itea leaves, real sugar,8 alh.� ' $' .7., '""..§ 44 � ://,.' -1410,,,„"44;,"i 0.:41' `", 'e..'°4 z4.4.,�_ .aye:},1 P_Psf,.%,'-''' a, .v,,5�'f:,-41 e-tY°:,,,,,e's,e7z4 ✓ -=-14t /.:'lam.' srr< 'q,a .; natural in redients.,IC iceditea,made,simply justthemaritthould be: For alllmlteortime save42/case Ca11. fi+-,-- -,,,--'�' za le'"" ,x,4,?*1,4?'°,, 4d,'i5%- ,,----- ,6,'""!< ';f,,,-,71--v s ,P..--'q -- r ,,'r ;', :1=8A0-47219888gito#add°to yourinext>order!AEzp: 8I.3r1/11 % 4 *. a � %, ,`• °�� / ' �r �s. , �Y'' / z.„,,',,?;,, ,��6` 3 ,fir ',n - A fr: ..a a I �'x'yx "3'"'T r, s�,/ �s' d' 7" a�a'-,. ,� 'r�,^, z", ,,31�� �+"s," f'fi :'a' 6,f` .a".., &' ' ""Y.,' r..a' 's'"',,yam Ai rx ,. �.'��, �� ,,� ice:. T . i K,, s� .� � ,szt =, �g,*�,' " �8 it4,—' `14^F.1.;vi., i ,. �';s _�a04.,,¢;'r off,. 2i' ,>'•-eN'"' ..'6 Ile, ,- ` -.., ACCOUNT ACTIVITY Pa our bill online at:service.icemountainwater.com or b .hone at:1-800-472-9888. It's free! DATE REFERENC I QTY 22DES-CR1f'TION 'AMOUNT= Delivery address: CARMEL REDEVELOPMENT COMMISSION,30W MAIN ST STE 220,CARMEL IN 46032 PREVIOUS BALANCE 52.84 8/21 354118 PAYMENT-THANK YOU -52.84 8/24 0737916627 5 5 GAL ICE MOUNTAIN DRK W/HANDLE 33.45 5 1 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 30.00 2 9 OZ PLASTIC UP 50C/SLEEVE 3.98 5 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -30.00 8/31 0739918399 1 OIL/FUEL SURCHARGE 2.68 H 1363462 RENT 7.99 TOTAL 48.10 i„,„,„ V \Q 0 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 52.84 — 52.84 ± 48.10 = 48.10 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 ®' 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. _ � y,GVRObhn mace,.You are obligated to pay the parts of your bill that are no[in question. ��"'" '� u3<serseo your Account Number You do not have to pay the disputed amount while it is being ICE MOUNTAIN oo/oo/oo oo,00�::: f,jLLp6,gM ACCW -789'investigated.During[he investigation,we cannot report your account ,!'CIjY¢CG ,as delinquent or take any action to collect the amount in question. �— rNR ��, 12356]89.MDN aT 79 Watch here for a WED NOV 31 GENERAL INFORMATION nE-DEC IB personalized account Im ortant 9iie 1.Payments received after the billing(INVOICE)date will appear on P 119"dt1"96d1111.M 9811196 011111«9.,16619 snnme9e"°" vr�"LL message your next invoice.Past due invoices(not paid within 30 days of news and ma„,,.."r^a'" billing date)may be assessed a late fee as allowed by law not to offers 123 Mce st ane a.M"• City Stale 00000 exceed$20 per month.Additionally,third party collection/attomey I d0t,11"py,,9 a6 a"69 1 Mtba 9 r .. expenses may be assessed at a rate not to exceed 100%of the z T'.:;';s:"%" ,,;,'',; <1,--,, ,,,, 'i"' p;»Ze ,mw9, ldmteadrlroc>anu�9 . unpaid balance or the maximum allowed by law. .�1 t r � • 'i` . re re� x .r Pay electronically 2.Each returned check is subject to a service charge subject to the ,� nx. .' cm• awW4're 'ott e 7 ,i j maximum check return charge allowable in your State. °'-f- Y 1` ""_ : — Make sure this•3. All bottle and equipment de deposits are shown as CURRENT Activity w� w --Ar+ot}f= P -':' . "mu"s .— "� € ,- =�_A amount has been ACTIVITY. since your ACCOU ts�c[a, c0e, ,2-. z;M st,ee!,,t;5.,,pppp0 paid in full to 4. Equipment replacement costs will be charged for bottles lost, last invoice °YE""` o l rhea e5: °o'' ;;99 p stolen,damaged or not returned. "".Balance ,o avoid late fees payment-Thank58 Water 5.In accordance with NWNA's Terms and Conditions("T&C"),your �3, 31788e , a.,,,,, 5G,,nn9 -soon ,•/11 3,7M5,«M 5 Ice MOJn,a,n 5 Gal Dew>1't 295 Equipment Lease and/or Service Agreement account may be .„ 3neas,a++ s Ice MO°n,,,nswlRe,w^ - „99 Monthly Oil 09/11 3178851uM E"e15u,char,e subject to minimum monthly purchases and/or early cancellation �„ 3,B95 BB„ ,en, Surcharge,Fuel fees.(A complete version of the current T&C may be viewed on the o9n2 `6gp997 57ao Surcharge or Delivery■ website listed below)Upon service discontinuation,rent for the TOTAL I Fee(see#6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. I PONT = e""""""s°;o BgNe._,.rM".,ol .MtN +`° `"s74 Information") 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or .BEW° 11 9 „ :va�,a,�•�m°""'°` ACCOUNT SUMMARY Delivery Fee as described in your T&C. Only one of these fees Payment stub _ co•�=c•�° _--_--- vAYrnISAMLLUNT will apply to each account. The fee that applies to your account - _"° .,„re„„"„„,N,«,o'.^•^`•'• ACCOUNT NUMBER 574 is stated on the front of the invoice.For further information please 1235557890 BIwNC ATE MT ENa7:1 INVOICE NUMBER WIWIW visit the website listed below or contact our customer service ,z3ns57e90 center. 7. As a food product, bottled water is subject to the rules and 0420096307 04282712619 00o3939V9 mU8 Amount due regulations promulgated by the Federal Food and Drug i"nnlwe Administration(FDA). ICE MD�MaN WATER COMPANY, 103 Mta,e51oi000 8.Your first invoice indicates the products delivered on your first • "`�"�"""'" Submit your {OR�USTDMER SERVICE CAEEt-�°„7.9aaB by this delivery,along with any applicable bottle and account deposits, ,°„RM,,. payment 1•��,�"pt„.,J1,,,.16.A6.L9"6.,661.1..1.9 �a„m nnr sm. redemption fees,and any dispenser charges.All future invoices ,.r 5e opR•ga„�onRr.xS,°e date will reflect charges for water delivered and dispenser rental,bottle „op,oRERCEaU1D 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 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 T ° M 6-,779'., p/✓'P Purchase Order No. o.X SG6.O Terms Xf•' — cF Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) -3(-'/ oit-(0 2/9'mss 9 3 /a6e/s/ 2c)(/ 1-7/ • Total 445./61 4= I hereby certify that the attached invoice(s), or bill(s), is (are) true and c+r -ct and I h. - . . -. same in accordance with IC 5-11-10-1.6. j ' , 20 erk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 // /0c% 0cx a5 fc IN SUM OF $ LOv,,e,,7%.,,, , - 2S.S—6F0 $ ye,is ON ACCOUNT OF APPROPRIATION FOR gat Board Members r PT.# INVOICE NO. ACCT#!TITLE AMOUNT I hereby certify that the attached invoice(s), or , 2- U/b'O/,2/9755 93 /O bill(s) is (are) true and correct and that the if 31/6 -iv materials or services itemized thereon for which charge is made were ordered and received except __ /2 20 %/ I4----- Signature Executive Directnr Title Cost distribution ledger classification if claim paid motor vehicle highway fund Carmel Redevelopment Commission