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HomeMy WebLinkAboutICE MOUNTAIN- 001264- 10/21/2010 . CARMEL REDEVELOPMENT COMMISSION 001264 Ice Mountain Check: 1264 PO Box 856680 Date: 10/21/2010 Louisville, KY 40285-6680 Vendor: ICE MOU1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 00H0120223912 12.75 12.75 0.00 0.00 1235 water 00H0121975593 24.24 24.24 0.00 0.00 24.24 water 0010120223912 12.75 12.75 0.00 0.00 12.75 water 49.74 49.74 0.00 0.00 . 49.74 APLIMIEGVEZATHISTCHECKITHASMTCOLOREMBACKGROUNDIAND1CONTAINSMULITIPLEcSECURITMEEATUREMSEEIBACKWORIDETAiLISISMill PtS?°ES,� Carmel Redevelopment Commission P p 0-01264. CI � , ; 30 West Main Street A REGIONS Suite 220. - 20-1421/740 CARME sTR+cLL i Carmel, IN 46032 1264 DATE AMOUNT **************** • 10%21/2010 49:74 PAY - THE SUM OF FORTY NINE DOLLARS AND 74 CENTS TO THE ORDER 1 . , ' Ice Mountain j PO Box 85.6680 �PZ SENS,,� Louisville, KY 40285-6680 ' r m PLO P �_ 9gFA TO`W 1.. l--_w __._,_____.._.-._____-.___ ____-________ ___. _.___._.__ _ __� __ 000L264118 1:0740L42L31: 0087504LLLt1' CARMEL REDEVELOPMENT COMMISSION 001264 Ice Mountain Check: 1264 PO Box 856680 Date: 10/21/2010 Louisville, KY 40285-6680 Vendor: ICE MOU1 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Pal 00H0120223912 12.75 12.75 0.00 0.00 12.7 water 00H0121975593 24.24 24.24_ 0.00 0.00 24.2 water 0010120223912 12.75 12.75 0.00 0.00 12.7 water 49.74 49.74 0.00 0.00 49.7 a.; service.icemountainwater.com BILLING PERIOD INVOICE NU EBM R ICEAINNTAIN #215 6661 DIXIE HWY,SUITE 4 3 "° LOUISVILLE KY 40258 08/01/10-08/31/10 OOH0121975593 direct --2-117 ADDRESS SERVICE REQUESTED UPCOMING DELIVERIES ACCOUNT NUMBER '_.- 111111111 III 11 111 111111 III IIIIII MON- 24 0121975593 MON- OCT 25 TUE- NOV 23 MON- DEC 27 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 convenience,pay online:icemountainwater.com/service. If payment has been made,we thank you. >:.z_'"":+xraY'sue ro' � D.. � ...,,aR' ,:n� r�a�'ew ww�,l � ` Order Arizona'Beverages byy8/31/10x&takerdelive y by�9/30/^1 0�toabe entered into the "Getaway":Sweeps for a .,si-3.. >:. .. s't� `" 1,:.a=a'.T_.1,.F' '� �v,..,3 `'•%✓v :4iz' "'�fia' "k° chance to wiAn grea piizes'No�rchase Necessary,aEnds 8/31/x10: LAimitt':30 entries/person/month.iOfhc al r,-uIes C,ai t se°r A7r.v'r ic°e:,. c'te.X mk:?�o°:t"uv"ntaf,r"^�^a snwater:com ^Void wherelp,rohibitd e d. £ ' # 4t --° :4:s d': # , " a- t-4' ,:: x "n /1 m r r z 4 ;14:- ,' x� .�r mss+a'.�' e tr d"FS.�c° %,b' a am +... ACCOUNT ACTIVITY Pay your bill online at:service.icemountainwater.com or by phone at:1-800-472-9888.Its free! DATE REFE}�RENCE DESCRIPTION AMOUNT De!very a••ress: "� , I " T. PREVIOUS BALANCE 54.26 8/25 0687150029 2 5 GAL ICE MOUNTAIN DRK W/HANDLE 11.98 2 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 12+00 1 9 OZ PLASTIC UP 50C/SLEEVE 2.99 2 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -12.00 8/31 0688919042 1 OIUFUEL SURCHARGE 2.28 H9658042 RENT 6+99 TOTAL 78.50 Director of Redevelopment /21390q ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT .7ip._Subject to terms on reverse side. 54.26 — 0.00 + 24.24 = 78.50 BILLING RIGHTS SUMMARY E 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. #216 If you prefer,you can pay your bill online at service.icemountain.com. 6661 DIXIE HR Y.,SUITE 4 LOUISVILLE,KY 40258 4. Never hesitate to call us with comments,questions,or concerns. If you think your bill is wrong,or if you need more information about a 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 ��_M S S N 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. • Descnbe the error and explain if you can,why you believe there is an error. r 'cj�.,mEn, You are obligated to pay the parts of your bill that are not in question. NE"'t` 1z34567R90 You do not have to pay the disputed amount while it is being ooio0loo ooiooioo Your Account Number ICE MOUNTAIN __/00 123 eEUa investigated.During the investigation,we cannot report your account A [u pM00ebs u 123456789E as delinquent or take any action to collect the amount in question. mR-aT°4 M°N.00T 19 Watch here for a GENERAL INFORMATION WED T°E-DEC 11 NOV IR personalized account 1.Payments received after the billing(INVOICE)date will appear on Important message Il,p,,,Iii"%Ld%%d�.dllidd%6+,dlt%+�%.�%atp Customer Sema LBW-4R-988 your next invoice.Past due invoices(not paid within 30 days of news and Thnn umru,m91'eAEOUn°'"Prod“"` g Ionn o'e nn.,eWlEe, t may assessed a late fee as allowed by law not to Maln s! billing date) ay be as ess y offers iz3 acy,swre 000'o exceed$20 per month.Additionally,third party collection/attorney Lau1,_d wp,•„p,,,peu%,.t«uuuua.a ,-,--,,,,,r,”' expenses may be assessed at a rate not to exceed 100%of the _ ,-;""'"7"7-7-7; � “ 'iuv, ; ; ,, unpaid balance or the maximum allowed by law. •v-r.,7:,—,9e „K yo 4r H yy- ,. Pay electronically 2.Each returned check is subject to a service charge subject to the r� -r•IT. ,,,d ' soy ,>''f, .. y �,4-'viA maximum check return charge allowable in your State. °i °ee� .i .�✓ ,_ "v^f`�3"y'" "` "" Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity I' — ,=e,,,,,,,,w�, °� 'pQ4' - ""f° , amount has been ACTIVITY since your ACCOUNT-----pt 1.-656,7:fscRPlroN' "' ,, ,c y,,, 0°00 4. Equipment replacement costs will be charged for bottles lost, rot,, RtPEREN4..- o I e,yAbme:, ion°ooe 123M >> paid in full to 1 99 last invoice stolen,damaged or not returned. a,°„M elan=. 5900 avoid late fees Payments ,5IYOU Wate, -5000 5.In accordance with NWNA's Terms and Conditions("T&C"),your 00/31 461098 S '1 Gallon Natural SPnM 1g' ,•Ill 31789510444 S ce MOUnIdln Seal UeF°+" „ Equipment Lease and/or Service Agreement account may be ,.111 31708514444 l<eMOUOM„,,,,,,m „99 Monthly Oil subject to minimum monthly purchases and/or early cancellation 3°885'“4M 9e"' - Surcharge,Fuel J Y P Y °9m welsm�na, 09117 31016308/1 Rent fees.(A complete version of the current T&C may be viewed on the '9111 1664°497 57 Surcharge or Delivery website listed below)Upon service discontinuation,rent for the TOTAL _ 2 Fee(see#6 under Leased Equipment is charged through the end of the billing cycle "General S Mr, in which service is discontinued. ,,, AC+Wm. _ °"'T" n4° "� a,4ANCE_P"YMU0Tl,,ss1...+a `On 4o Information 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or MEMO 1199 11 :•ate„^`°^”°"'""" ACCOUNT SUMMARY _ _____,------------- Delivery Fee as described in your T&C. Only one of these fees Payment stub _.__°,=fo•'=•°"' __--------- Pnv Tnls AMOUNT will apply to each account. The fee that applies to your account "-° �,„ ,�„m,�,�rv"-P•+„•"`• AccouNrNUMeER�� is stated on the front of the invoice.For further information please 123456]890 55.UNG DATE INVOICE NUMBER WIWIW visit the website listed below Or contact our customer service 1134567890 center. 7 As a food product, bottled water is subject to the rules and °y20nS6307 Oy2A2712619 00°391Oy9 2pp4' E Amount due regulations promulgated by the Federal Food and Drug ion°o« Administration(FDA). ICE MOUNTAIN wATEN ° °„ fly scnce5t0°o°° Submit your 8.Your first invoice indicates the products delivered on your first °”"“n,Rw•,.n f00.CUSTOMER SEPNCE CALL I'8°0-077-9800 payment by this delivery,along with any applicable bottle and account deposits, ���,.iraL“dl�..dl,,,ti„up.+u.u6LF.d“% ten,"n,w�,OnRa�„e5�ae redemption fees,and any dispenser charges.All future invoices ,eonP ,:es'ae date will reflect charges for water delivered and dispenser rental,bottle �176"u°wREREEA,noP"ns�9nuPP..“�, 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 delivenes 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.icemountain.com service.icemountainwater.com B LING PERIOD INVOICE NUMBER 1CF4IOl1NTA IN #215 6661 DIXIE HwY,SUITE 4 08/01/10-08/31/10 00H0120223912 LOUISVILLE KY 40258 iriect, ADDRESS SERVICE REQUESTED UPCOMING DELIVERIES ACCOUNT NUMBER IIIIIIIIIIIIIIIIIIIIIII 111111 III FRI- OCT 15 0120223912 MON- NOV 15 THU- DEC 16 CARMEL REDEVELOPMENT COMMISION Customer Service: 1-800-472-9888 DON CLEVELAND Thank you for choosing Ice Mountain Home&Office 30 W MAIN ST STE 220 Delivery!We value your business. CARMEL IN 46032-1938 1.1111lin11,uu���illil�II��II��IIIII1.111.l�ll��l�lllll�'I�III1. tires � r d "` mr�s% sue" Order Arizona Beverages�by 8/331/O takee delivery by 9 0,11 0'to be entered mfoithev"G,etaway Sweeps for ase.` �� 'm, eA chance to wm'g�eat prizes!No°Rurchase1e-Neces`sar' Endsr8/31/10 JLimit'30 entries/pe son/month. Official °s �® ea ,.rules at service icemountainwater coy \ d w✓ee rohibted k `€ . . s 2. teh •- ACCOUNT ACTIVITY Pay your bill online at:service.icemountainwater.com or by phone at:1-800-472-9888. It's free! DATE REFERENCE=# {,QTY ESCRIPTION = AMOUNT Delivery address: CARMEL REDEVELOPMENT COMMISION, 11W MAI T STE 1•I,CAR E N 46032 PREVIOUS BALANCE 9.30 8/17 0685551574 1 9 OZ PLASTIC UP 50C/SLEEVE 2.99 1 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -6.00 1 5 GAL ICE MOUNTAIN DRK W/HANDLE 3.49 1 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 6.00 8/31 0688916568 1 OIUFUEL SURCHARGE 2.28 H9657883 RENT 3.99 TOTAL 22.05 Director of Redevelopment/12 3 90 9 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 9.30 — 0.00 12.75 = 22.05 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.icemountain.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.-M' ' You are obligated to pay the parts of your bill that are not in question. 81C"G` �-,23456789O Your Account Number You do not have to pay the disputed amount while it is being /CE MOUNTAIN 00100100_00100100 investigated.During the investigation,we cannot report your account direct_ !' (ik6'. .t.o '�c12345678° as delinquent or take any action to collect the amount in question. non-ocr.o4 MoN-OCT 29 Watch here for a GENERAL INFORMATION NOV 2, M ruE-oE' 16 personalized account 1 Payments received after the billing(INVOICE)date will appear on Important ,.d11MOG.1106.1{Iddti Customer seM+e 3-eW-o2-9Re Mo,"^ �"" message your next invoice.Past due invoices(not paid within 30 days of news and d10d rn.nkro.•"'°""9"` °� billing date)may be assessed a late fee as allowed by law not to offers 1iz3r&nSt andseM+es exceed$20 per month.Additionally,third party collection/attorney City s`a" ° i.44ua„t{ sa 1 dCt.a 9M [L«dLnBdU{ expenses may be assessed at a rate not to exceed 100%of the ,,......._--.'-•-7-Yt"'',�';',”" e;y.;,,;"„A.ue �,1 2.Each returned check is subject to allowed a serviicelchar a subject to the & a� a inwm rw4m'.`i1G ” , ", "„-"Ux R*„n° ,�f'-i Pay electronically maximum check return charge allowable in your State.) A , ode �2�' r'” w 7 r.s- x ^' g Y ,P Make sure this 3. All bottle and equipment de deposits are shown as CURRENT Activity % -006" "'y Aa'aunir p �' * " � "^°"^" �� � _��� ° ° amount has been ACTIVITY. since your ACCOUNT Arnvm e aic6D �,€-. x ''" cwstate 00000 4. Equipment re replacement costs will be charged for bottles lost, y P3tfi EF`a -' '` Addre:= iohnode 123Ma�°s` paid in full to p g last invoice o f ry - -,99 stolen,damaged or not returned. D,eYm�sealance 45 avoid late fees sow Dayment-ThdnkY0 Water SOW 5.In accordance with NWNA's Terms and Conditions("T&C"),your p813, +6'898 5 Gallon Natuml5°nn9 •Ili 31)88514++4 8 Ice MOUntain5Gal D00", 296 Equipment Lease and/or Service Agreement account may be ,,,,, 31788514444 i mI:0 sn5GaRe,,, 1199 Monthly Oil subject to minimum monthly purchases and/or early cancellation °'^' 31516'°` neos",enat9e'." g 89„2 3,816388„ , 5 vo Surcharge,Fuel fees.(A complete version of the current T&C maybe viewed on the Wn2 16640497 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. m-wry = ,AYT""AAS.no ooio "'° eYMeMl6000 tNT+00^A,NTS;o — Information") 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or SuMNtt"�•�•^^_'°"-i0e- pCCOUNT SUMMARY " 1 11 Delivery Fee as described in your T&C. Only one of these fees Payment stub Y, �� _.__„=.eo.�=F•°°'"'"_-_------_'- DAy mis pmouNr will apply to each account. The fee that applies to your account e,a,N=m,�u,ya:wYm•^' ACCOUNTNUMBERago" 51 is stated on the front of the invoice.For further information please 123456]898 os.uNG non �,.p�O10E NUMBE0. WiWiW visit the website listed below or contact our customer service ,234560000 center. 7. As a food product, bottled water is subject to the rules and nsnnn963°7 04282712619 o°a391oy9 2pp4' ' Amount due regulations promulgated-by the Federal Food and Drug �nnnooe Administration(FDA). ICE60UMAIN WATER COMDANY ,23 Mamk Submit your eNane w.t�,NOM N^�'"` oty,state uWW 8.Your first invoice indicates the products delivered on your first wR COSroMEn SE��cE UU,.6W<n-9896 delivery,along with any applicable bottle and account deposits, � S�a�pje5itl, payment by this �aua,...nt, ,n...,u,.,u.ia„beset,tia�0 a4.eu5de ❑a,ntA date redemption fees,and any dispenser charges.All future invoices ,roDAY.SgnoD9•y.l, will reflect charges for water delivered and dispenser rental,bottle 1 51fNU`w^FpEEA 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.icemountain.com i �BILLING PERIOD - INVOICE NUMB- 8EMOuNM1N service.icemountainwater.com ((��' (� #215 6661 DIXIE HWY,SUITE 4 09/01/10-09/30/10 0010120223912 'reel- LOUISVILLE KY 40258 PCOVING DELI.V RkES ACCOUNT NUMBER ADDRESS SERVICE REQUESTED FRI- OCT 15 0120223912 1 1 1 1 1 1 1 1 1 1 1 119 1 III MON- NOV 15 THU- DEC 16 CARMEL REDEVELOPMENT COMMISION Customer Service: 1-800-472-9888 DON CLEVELAND Did you forget about us? Kindly pay upon receipt. 30 W MAIN ST STE 220 Remember,past due accounts are subject to a late fee. CARMEL IN 46032-1938 Your prompt payment is appreciated. For your 1III"iluuul"II'I'lllll"Illill'I1'lll"I1I'lll"II"I'llllli!II convenience,pay online: icemountainwater.com/service. If payment has been made,we thank you. =; :'.s"� ,..F,s" is r "'- ,sra, e s a"~�`�`� �� ,, .. ': "W 9 NOW AV. LBO ,• , ,,.. ;O % ' AIL-ABLE: Homema le4bodness?inia:bottle!A00 -Orgamc,,Sweet l4eaf.Teamlri On mal>Sweet Tea" ` "s .�P�,?r 3r•��=ax,,.,yi', ., ;,?.c�v�."`'�.:'.: ,,aJ ..,.:v.1 ,3,a °�sv';"<a;;:ar''5,:..,�C��9-yo-° T.,�r+'"?.i,,..;,014:1,.A d,=?`. ,.. :.,?:,,,,,�,,''`..:"�'a:`k% �:%'.r'r s;�xd'r/ Iar �ss<':>b:e• n.' ,/i:.;?" �.-` >^.a.:41"2', an Lemonade_16oz glassbottles,,12per?case. Call 800-472-9888yor visit service Icemountamwater.com for4 our$2°offes eclat!,C)fferez ires,1.0%31L10 t� , ,r�` . .'. rr"i os3 '`a;yz f r:2 { d �,,:�•l,` a „�F^" » ",«R`.At s � ;� ,i �a'.t�.,�•y<' `�f� 6 a' 4 r"`9 - w°M ACCOUNT ACTIVITY Pay your bill online at:service.icemountainwater.com or by phone at:1-800-472-9888. Its free! DATE REFERENCE# QTY DESCRIP = AMOUNT Delivery address: CARMEL REDEVELOPMENT COMMISION,111 W MAIN ST STE 140,CARMEL IN 46032 PREVIOUS BALANCE 22.05 9/20 608199 PAYMENT-THANK YOU -9.30 9/16 0689833168 1 9 OZ PLASTIC UP 50C/SLEEVE 2.99 1 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -6.00 1 5 GAL ICE MOUNTAIN DRK W/HANDLE 3.49 1 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 6.00 9/30 0693126054 1 OIUFUEL SURCHARGE 2.28 19799564 RENT 3.99 TOTAL 25.50 Director of Redevelopment 9, ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURR PfrACTJVITY PAY THIS AMOUNT Subject to terms on reverse side. 22.05 — 9.30 + 12.75/ = 25.50 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 I-boo-472-98s8 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.icemountain.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. uuM Ep You are obligated to pay the parts of your bill that are not in question. - R 50/9-°x' •"' 1234567890 Your Account Number You do not have to pay the disputed amount while it is being /CEMOGNTAIN oolooioo oolool brfl investigated.During the investigation,we cannot7eport your account direct j'i�4EtiM14NL DECNfR,ES ccoUN�;. as delinquent or take any action to collect the amount in question. TRR-ecr a 123456]89• MoN-ocr 29 Watch here for a GENERAL INFORMATION WE°-Nay 2, TUE-oec,R personalized account I.Payments received after the billing(INVOICE)date will appear on Important u,n>anatoial,,,nal,tua OMI. .tiaaa Cus,"merS14eMwnn Frodue message your next invoice.Past due invoices(not paid within 30 days of news and ma^EYuut^��•^ billing date)may be assessed a late fee as allowed by law not to offers X123 Main S1 aoa.•m�.. exceed$20 per month.Additionally,third party collection/attorney City,State 1 000w -fie,; aaa^a.ob,^.n..•.a.,,n.,ba„u.btt•ba,a o ” expenses may be assessed at a rate not to exceed 100%of the --r----°,,,,,, 7--r'ts,re` ,1,4?- - P c --.— ;7,^, „ ;'-'� , , „i+s: i• ;�; unpaid balance or the maximum allowed by law. NS.gs�;,, e ,gym , uMR,+r+u a =`4x.40,,,a ;..J,,,•:",;✓_,.e.e, Pay electronically 2.Each returned check is subject to a service charge subject to the > ° :..os,00aj0 r_• $- s"'': maximum check return charge allowable in your State. t`` 2f ` '° `� , Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity ' ti a°°" -- 0.°u"= ACTIVITY since your pccou ,,cove �'" "' "" —fir amount has been - '---' ifiw _ s„ee,,,,r s,•x0000 4. Equipment re replacement costs will be charged for bottles lost, y -gpYt aceEnEmcE� 2TM. oasse,y 119 P p g cei Q Ada,ess_iann� ,234 99 paid in full to last invoice stolen,damaged or not returned. r,=„^^ema kv^^ soon avoid late fees 5.In accordance with NWNA's Terms and Conditions("T&C"),your 5 Rar"""e w4e• -5000 x8131 46,e9e sGauo"Na,^aisv^"9 ••l11 3170851.44 Ice Mou^1am 5 Gal D•,,,, Equipment Lease and/or Service Agreement account may be , 3 '8',444 5 �aeMOUmm^ze,.wr^ „99 Monthly Oil subject to minimum monthly purchases and/or early cancellation °'"' 31751'4`• Eu•is°rdwr9e 09j13 3187638811 R•", Surcharge,Fuel fees.(A complete version of the current T&C may be viewed on the 09/12 16540497 - 57 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. RA+''s"f3T RR[v�WSeR�EE_rsoOu'i"0"MEN1 cuvxurt 000 5]40 ) 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or + 5740 ,,,, Information" ACCOUNT SUMMARY Delivery Fee as described in your T&C. Only one of these fees Payment stub E^.��..^° _------ PAY THIS AMOUNT will apply to each account. The fee that applies to your account -_"° -„d,•m ,«,o• •^`•^ ACCOUNT NUMBER Me 57� is stated on the front of the invoice.For further information please 173.567090 BIWNO DATE 1,NOKENUM°ER 00000DA visit the website listed below or contact our customer service 1234567890 center. 7. As a food product, bottled water is subject to the rules and 0y20096307 04282112619 000391049 zop4'" Amount due regulations promulgated by the Federal Food and Drug ^�"o« Administration(FDA). EMO NONWATERCOM n Ma16s`oro°° Submit your 8.Your first invoice indicates the products delivered on your first • F55 ^ {aq EUSTOMER SERVICE EALL I"8048"9880 delivery,along with any applicable bottle and account deposits, A by this redemption fees,and any dispenser charges.All future invoices 1.aa�4•a^ni.Wa."au.,n"6a••u"oo we.o nR :e a4 ❑�,' y`"'^9•'°""ry`"e5'a= payment t 0$1G„88,OREREEn,R°Rnr�55.,^^"" 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 11/08 service.icemountain.com