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ICE MOUNTAIN- 002617- 1/18/2012
CARMEL REDEVELOPMENT COMMISSION 002617 5 Ice Mountain Check: 2617 PO Box 856680 Date: 1/18/2012 Louisville, KY 40285-6680 Vendor: ICE MOU1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 01L0121975593 68.73 .68.73 0.00 0.00 68.73 December water 68.73 68.73 0.00 0.00 68.73 • THE KEY TO DOCUMENT SECURITY••,HEATtACTIVATED THUMB F.RINTITADDITIONAI2SECURITY FEATURES INCLUDED��SEE BACK FOR`DETAILS ,*,.6: -.I1 9t`6°ES,o Carmel.Redevelopment Commission �_I�EGitoNS 002617 P ti 30 West Main Street 20=1d2inao.•K___All Suite 220• �,- .. `"HME`; Carmel, IN 46032 , 0 2617 DATE DATE AMOUNT i - 1/18/2012 ***************68.73 PAY THE SUM OF SIXTY EIGHT DOLLARS AND 73 CENTS ***************************************************** TO THE ORDER " OF Ice Mountain. PO Box 856680 z<sE„sr. Louisville, KY 40285-6680 . , _� os �J ___ ~__. II°0026L7116 0:0740L42L3u: 0087 sot. LLL” CARMEL REDEVELOPMENT COMMISSION 002617 Ice Mountain Check: 2617 PO Box 856680 Date: 1/18/2012 Louisville, KY 40285-6680 Vendor: ICE MOU1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 01L0121975593 68.73 68.73 0.00 0.00 68.73 December water 68.73 68.73 0.00 0.00 68.73 .1-52 COMPUTEREASE FORMS DIVISION 077)5774791 T-37228 - ICFMOUNTAIN service.icemountainwater.com _ BILL=ING PERIOD INVOIC-E_NUNIBER 12/01/1 �, #215 6661 DIXIE HWY,SUITE 4 12/01/11 - 12/31/11 01L0121975593 °direct a LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED tUPCOIAINC DELIVERIES ACCOUNT NUMBER= 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 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.If you #216 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 SAMPLE INVOICE sheet of paper. We must hear from you in writing no later than thirty(30)days after we sent you the first bill on which the error or problem appeared.You can telephone us,but doing Date range of this invoice so will not preserve your rights.In your letter,give as the following information: otaroO.Tifr__` t"Y • Your name,address,telephone and account numbers. _T,-_ _.---- u34s636eo • The dollar amount of the suspected error. ICE NOWAY osiooloo omm°° direct 23°" • Describe the error and explain if you can,why you believe there is ;,,veo Nc��i°vEmis>z- rNR_�w 1IN56]890 an error. Your Account Number MON OC3 M You are obligated to pay the parts of your bill that are not in question. wEn DEC 20 You do not have to pay the disputed amount while it is being dstL,.olo„a,u.Lm ,vE O Cuncme Serge.I-000,32"9660 investigated.During the investigation,we cannot report your account Isn ItL,n tok•an' TN.^�r,,,,eruwnl••M°""'"piv°""' Watch here for a as delinquent or take any action to collect the amount in question. 'ill' •n°'eA'I"`' 123 Miln 53 personalized account GENERAL INFORMATION Important °inii.. IL.IL,1.1.101.1.1Mal �—z -^-'-s'"""5, message I.Payments received after the billing(INVOICE)date will appear on news and ----"�'° « ..'.",yO`°'U1°,p�,,�wn�8-. , your next invoice.Past due invoices(not paid within 30 days of offers - ,mm.E 3«N'<`°N"`"Y`t,3w+�aN r., .,„B""""'°. billing date)may be assessed a late fee as allowed by law not to {y; '"4""I`"r '' `�? exceed S20 per month.Additionally, party collection/attome ” — B ntu Pay electronically P Y P rtY Y w„ A 0,u`. expenses may be assessed at a rate not to exceed 100%of the AECauMACTrvIrY E.Y �� t a oo5can q!+�23M„n s„ ovs.,�p0 Make sure this unpaid balance or the maximum allowed by law. p.Li!,,..5- dines 3onno« 2.Each returned check is subject to a service charge subject to the „„o",e.uMe °'°� amount has been maximum check return charge allowable in your State. Activity °"''''''' 0,1696 5ral"mNxuNlsv'^9'3^1e 00° paid in full to 3. All bottle and equipment deposits are shown as CURRENT since your ',ms 4"4' ; M°°""'"SGiD03'° .1 ;� avoid late fees I<e Mauma"OatDwS4 96 WIN 3170.0144M 5 't ACTIVITY. last invoice .5°" 4. Equipment replacement costs will be charged for bottles lost, wn3 1663W� "`" 5"0 stolen,damaged or not returned. ToTAS - - Monthly Oil 5.In accordance with NWNA's Terms and Conditions("T&C"),your � Surcharge,Fuel Equipment Lease and/or Service Agreement account may be ..-m•t>a,dT''S'fu7yyl�•� subject to minimum monthly purchases and/or early cancellation Your new ,,,,,�, _ Surcharge or Delivery fees.(A complete version of the current T&C may be viewed on the delivery ACCOUNT SUMMARY --- - C bow 6p6 Fee(see#6 under website listed below)Upon service discontinuation,rent for the calendar. '-'-'2R.-'Deliveries MCWMNUUBE0.1ll43636W "General Leased Equipment is charged through the end of the billing cycle My 1d ' Information") 'D'indicates � s dt - ��`' in which service is discontinued. Ai=m y a scheduled -°'°"' ! 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or - Delivery Fee as described in your T&C. Only one of these fees delivery will apply to each account. The fee that applies to your account is stated on the front of the invoice.For further Information please """'"" visit the website listed below or contact our customer service ._ _ center. Payment stub ---' P A TMI S AMOUNT 7. As a food product, bottled water is subject to the rules and 1276Ms_ -- m _' ACCOUMNUMBER WM '. Amount due ■-- ,,,,y,ye W rtu 1234567090 regulations promulgated by the Federal Food and Drug BILLING DATE INVOICE NUM0E0. i—t00 Administration(FDA). 1234563690 8.Your first invoice indicates the products delivered on your first delivery,along with any applicable bottle and account deposits, 0,120091,313, 04282712619 °ap3910V9 200407016 Submit your redemption fees,and any dispenser charges.All future invoices will I"2S Doe s, payment by reflect charges for water delivered and dispenser rental, bottle KEMOEIN,NNw,A•TE,R,;,°M,„.p""K orysU1•00p00 this date deposits and credits plus charges for any additional products "mod w oBCVS,oME95ERY1cE°""ppJ29666 ordered by you. Deliveries are made every three or four weeks,for L„tn LJ�Ia„„,p,„,u„'a"t'u'a•.u��t��n • ❑E^,,,,,,,cN„�,^„pe„•�.5'"` a total of 16-17 deliveries per year.You will only receive invoices p u+1„os^^'N`""°°""v9"�'° �6 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 708 5/08 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 1 - ad-7 7Z* Purchase Order No. v,)' E-O Terms v,'7 c//1/°/ fG2 S � Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) /— -/L 01L012/2755 93 i„- , lC/�, " 6F-73 4:+ • 1": Total 6g-73 I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I hav- _.:;u'-•- - e i• accordance with IC 5-11-10-1.6. 1— I , 20 L — —<. I�I �-reasurer VOUCHER NO. WARRANT NO. 11 �I ALLOWED 20 IN SUM OF $ ON ACCOUNT OF APPROPRIATION FOR Board Members D#r or INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s), or X02 Oa,0/20755 93 6F'7 3 bill(s) is (are) true and correct and that the 9 d materials or services itemized thereon for which charge is made were ordered and received except 9 20 Exg' V6eDirector Title Cost distribution ledger classification if Carmel Redevelopment Commission claim paid motor vehicle highway fund