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222034 07/17/2013
F CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1 `,. ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER " CARMEL, INDIANA 46032 PROCESSING CENTER CHECK AMOUNT: $216.60 PO BOX 856680 CHECK NUMBER: 222034 LOUISVILLE KY 40285-6680 CHECK DATE: 7117/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4350900 54 . 77 3FO121202766 1125 4350900 77 .21 3FO120095351 1205 4238900 9 . 34 03VO121776199 1701 4239099 20 . 63 13F7220327048 2200 4239099 21 . 24 03FO120048525 2201 4238900 33 . 41 13FO117821082 service.icemountainwater.corn u #215 6661 DIXIE HWY,SUITE 4 06/01/13-06/30/13 03FO120048525 (�(UC5Z5 LOUISVILLE KY 40258 ® ® g ADDRESS SERVICE REQUESTED 1111111111 Ili �I HIM ��� TUE- JUL 09 0120048525 WED- AUG 07 FRI- SEP 06 MON- OCT 07 CITY OF CARMEL DEPT OF ENGINEERING Customer Service: 1-800-472-9868 LISA SCOTT OR JUDY STOHLER Did you forget about us? Kindly pay upon receipt. 1 CIVIC SQ Remember,past due accounts are subject to a late fee. CARMEL IN 46032-2584 Your prompt payment is appreciated. For your convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. Y°^B,l^°. ..� -LSi,,!F- - '�" ➢q �° ":"' .el s? r3='"'�' Ed' "� YJ, `*d"�. ,.s ,1,,..qc_ Y:dzl'.r'i s S+"9; ''Y_ .n'N•4 s"",« V ." '' q. Refre h ourpserises witlti Nestea!5 Bu gran 2<cases of 1/2=liter Nesteasbotttes for on! "�$ 2:98! AvailabtelnJIa- y '`fi`,tyA.;`;JYr Y�-i � .=,. .r e;'±s°�r'✓ %:c�. ,.•". ,. y3;;;^s5±:...._rv. „-s variety.of�cefreshing:flavors;.includin6K6i§ .Raspberr,16 ! sit;service.icemountamwater::com orrcall 1=80U-472=9888 todd4to ou"r nezt`orderl Offer ez Ireslj/30/:1~3 — cl ';��; s �? .,✓�, � ,.gyp' .� ..�e;•,1'''�.- .M�� �x� ✓s" ,.xv"'�. ,�,;�: s� ,„� �" . ..:� 'f ��irs`r''' ,..`,"� ?"fi°.-,F'%v,.rF�� �.P.°.��.ti' ;7'.r � ✓3��.— ,t x✓` .. ?.rte', y. .y; $�. ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. ll ® ' Delivery address: CITY OF CARMEL,1 CIVIC SO, CITY ENGINEERING DEPT,CARMEL IN 46032 PREVIOUS BALANCE 42.48 6/09 890462 PAYMENT-THANK YOU -21.24 6/07 0832928832 4 5 GAL ICE MOUNTAIN DIRK W/HANDLE 13.96 4 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00 1 9 OZ PLASTIC CUP 50C/SLV 3.29 4 5 GALLON ICE MOUNTAIN DEPOSIT RETURN .00 6130 F4715467 RENT 3.99 TOTAL 42.48 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT- Subject to terms on reverse side. 42.48 — 21.24 + 21.24 = 42.48 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. #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 ®I 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. ta. Your Account Number You are obligated to pay the parts of your bill that are not in question. _- ' 1234867890 You do not have to pay the disputed amount while it is being oolooloo-oolooloo investigated.During the investigation,we cannot report your account as delinquent or take any action to collect the amount in question. 23456]89 MDN-x�29 Watch here for a GENERAL INFORMATION WED TuE DEC ' DEC,w personalized account 1.Payments received after the billing(INVOICE)date will appear on Important mess. e Ililmtll^plat(11W.«tl[I,LIaL..111q^N.dlJ.td a.mme 95ia Ma,^u�vr^e�eu g your next invoice.Past due invoices(not paid within 30 days of news and Inankr^^ar.." ph,,Dce and seMces. billing date)may be assessed a late fee as allowed by law not to offers 123 Mmes t exceed$20 per month.Additionally,third party collection/attomey oty,swte 0008o 1«dad"d..01..oit it..,n..btl^6.661.4a,.p expenses may be assessed at a rate not to exceed 100%of the unpaid balance or the maximum allowed by law. r;ser.;«, eM ,�„�Agpme, k4 „^„utewr,?^'°a°" ' ; '.-= Pay electronically 2.Each returned check is subject to a service charge subject to the d)"u`h; ''_ maximum check return charge allowable in your Stale. ['s.•-' Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activitya�; ....-- •ky,,„,,,,,,�...^�^�'^°'°”"'°°°•"_ • amount has been ACTIVITY. since your ACCOUNT ACTIVITY' ° 4. Equipment replacement costs will be charged for bottles lost, ►ast invoice acee,p,yAddre:,:i^6^ 123Ma'^S'fP L'W'Stateo0000 paid in full to stolen,damaged or not returned. pr ousBa1ance zx:x avoid late fees 5.In accordance with NWNA's Terms and Conditions r&C our saga g", 5. t” "),y 08/3. 5 S Callon Natural Spn^9 Water %%% Ill 31]00514.44 <eMwntainSGal DeWwt Equipment Lease and/or Service Agreement account may be 1„ 11]ww514aa s ,CeM^^mamscaiael^m xxxx Monthly Oil subject to minimum monthly purchases and/or earl cancellation o9m 31eew5144a wets^�mar9e 3 y p y x911] „263�w^ Rem Surcharge,Fuel fees.(A complete version of the currentT&C maybe viewed on the o9n2 ,66ao4m xxxx Surcharge or Delivery website listed below)Upon service discontinuation,rent for the VIAL Fee(see#6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. °""""""" - %x%xM Information") 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 Payment stub ACCOUNT suMMAav a .o c•^ • AM u PPr BY PAr THIS OUM will apply to each account. The fee that applies to your account ___"- ,-„m AccouW NUMei R xxxx 00100100 is stated on the front of the invoice.For further information please 12;156]890 R WHI,DATE MT ENCLOSED IM'OIC£NUMBER 00100/� visit the website listed below or contact Our customer service 123456]890 center. P ❑.20.96307 04282712619 000391049 20.4 16 7. As a food product, bottled water is subject to the rules and Amount due regulations promulgated by the Federal Food and Drug ia,^Doe Administration(FDA)' ICE MOUMAIN WATEMOMP KAN 1C YMie5t00�0 8.Your first invoice indicates the products delivered on your first •^�^^""°'pW"°' Submit your EoA CU3TOMEA SERNCE UU1ROn-+]2-9888 b this delivery,along with any applicable bottle and account deposits, payment y 1«dad. dl«6...4„A44i.d«a es1de ❑v1^` „esae date redemption fees,and any dispenser charges.All future invoices moP•r5„^„owe,•^�D^"°”" will reflect charges for water delivered and dispenser rental,bottleNOPEOwEwEEA 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 09/12 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 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 7/3/2013 03F012 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 i I 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 03FO12 2200-4239099 s 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 7/11/2013 Signature City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund service.icemountainwater.com ®® #215 6661 DIXIE HWY,SUITE 4 06/01/13-06/30/13 13F0117821082 0 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED THU- JUL 18 0117821082 1I 1111 I H I NII I TUE- SEP 17 WED- OCT 16 Customer Service: 1-800-472-9888 CITY OF CARMEL STREET DEPATMENT Did you forget about us? Kindly pay upon receipt. 3400 W 131 ST ST Remember,past due accounts are subject to a late fee. CARMEL IN 46074-8267 Your prompt payment is appreciated. For your convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. � :° rs 4� ;i.. ' "1,a.:",.;_,,:dam;,.; Refresh:,your';senses.wtth�Nestea!3$Buy anyr2 cases of�1'l2`hter Nestea bottles-for only$1`2:98! Aval{able��n<a r'�' '�a: .r.:�as.�;gr -.•>'. 'R» >;: ;t:^' :,rrA'r- z,n_., va le�ty.of refreshing flavors;�includ ng�new-maspberry9Tea!aV{sit servlce:rcemountainwater:com or .; � m f 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, our equipment rental is charged one month in advance.That means CALL I-BOO-a7z-9s8s OR WRITE us AT: your first invoice will include fee for th 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. 6216 6661 DIXIE HWY.,SUITE 4 If you prefer,you can pay your bill online at service.icemountainwater.com 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 C must hear from you to writing later than thirty(30)days after an we SAMPLE INVOICE sent you the First bitl on which the he 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. - ' 00100 1234567890 Your Account Number 00 You do not have to pay the disputed amount while it is being oolooloo- 1 investigated.During the investigation,we cannot report your account • • 123456789 as delinquent or take any action to collect the amount in question. T"R-ate MoN-oa 39 Watch here for a GENERAL INFORMATION Mao-"eV 71 mE-oec+B personalized account 1.Payments received after the billing(INVOICE)date will appear on Important IL71"dl1..Flbaltl6t.�tlnd.lpb.,dlt11.0"J daq ca.mme,xr„�e,-BOO-47z-9BB message your next invoice.Past due invoices(not paid within 30 days of news and f.,-0n9i°°-1-P-d- billing date)may be assessed a late fee as allowed by law not to offers 123 s+ •na exceed$20 per month.Additionally,third party collection/attorney 0,1,51 e I.an.ina.ab,uab..ab.,u.bn.,b.6bbt,a.p Y „_ �=�. expenses may be assessed at a rate not to exceed 100%of the ~z..,..,—c>,c::?; °'faa'.5, - r < �✓ _, .-i ausbriin?��94=, ,>4 unpaid balance or the maximum allowed by law. .,,�.,.;-�^"---- t,,�iRrgdaYmro�tw �' y9»,,,a , X r �„ �,-x: Pay electronically'TR1nSe + ,,lq,edPC11REQY04+, Sah ,,^. � �.'^i.1 2.Each returned check is subject to a service charge subject to the ,R,dRrhoa.apl^)j4° ,,.]& rr;�i,,'j maximum check return charge allowable in your State. •� Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity ACTIVITY. since your ACCOUNT 'ACrnITY ,,,�,�,ne.+~.. •k ^°°""" amount has been Add+e:. J"hn D9e.123 Main SUee+.O,y,Ra+e 00909 xxxx paid in full to 4. Equipment replacement costs will be charged for bottles lost, last invoice •Delivery , stolen,damaged or not returned. avoid late fees Payment-TwnkVOu 5.In accordance with NWNA's Terms and Conditions("T&C"),your ORi31 4fi,e9e s�annnNaw.aison^9wa+=` xxxx , 3O�5j44g4 s Equipment Lease and/or Service Agreement account may be s � 5W'cePOS" xxxx eM"„ma,ns�xlRemm xxxx Monthly Oil 5 xxxx subject to minimum monthly purchases and/or early cancellation o 999n' 3'7514"1° gneis""na,9• g 03 „R36 aR„ Surchar e,Fuel fees.(A complete version of the current T&C may be viewed on the 9902 `66°°49 xxxx Surcharge or Delivery website listed below)Upon service discontinuation,rent for the To1Al Fee(see#6 under Leased Equipment is charged through the end of the billing cycle "General to which service is discontinued. Information) 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or N4A -- -» ACCOUNT SUMMARY 0 Delivery Fee as described in your T&C. Only one of these fees Payment stub ----- _______ Y PAY THIS%MOUNT will s I to each account. The fee thata lies to our account _____---- PAr sr apply PP Y e o,ow-•°E"q,.,wmvm3wv�wf'n°^ pCCOUNrNUMBER is stated on the front of the invoice.For further information please Op101�"� ,234562890 B�NG/DDATE MT.ENCLOSED INVOICE NUMBER o WIC visit the website listed below or contact our customer service ,234567090 center. 7. As a food product, bottled water is subject to the rules and 0420096307 04282712619 000391049 20- 1B Amount due regulations promulgated by the Federal Food and Drug ""Dce Administration(FDA). IeEou"naN wnTEN mM�?"";;, ,Crysaa�es: 8.Your first invoice indicates the products delivered on your first Submit your FOR CUSTOMER SERVICE CAEL I"899'123"9888 b this delivery,along with any applicable bottle and account deposits, ❑P n Rmr4an9n9n�""sde payment Y 1„aw,. n..6n..u.bu.ba.n date redemption fees,and any dispenser charges.All future invoices ❑:�N PE9R fRE EA",o,Ay,s,gn„RR•9•,.��^"M""ide 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 r service.icemountainwater.com VOUCHER NO. WARRANT NO. Ice Mountain ALLOWED 20 IN SUM OF $ P. O. Box 856680 Louisville, KY 40285-6680 $33.41 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO, ACCT#/TITLE AMOUNT Board Members 2201 113FO117821082 I 42-389.00j $33.41 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 0 W ' esd my 10, 2013 UW Street Commis er Stree Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 07/03/13 13FO117821082 $33.41 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 service.icemountainwater.com ®® 0 #215 6661 DIXIE HWY,SUITE 4 06/01/13-06/30/13 03FO121202766 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED WED- JUL 24 0121202766 11 l 01 I111I Ell THU- AUG 22 MON- SEP 23 MON- OCT 21 CITY OF CARMEL PARKS DEPARTMENT Customer Service: 1-800-472-9888 MANDY SPADY 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 'I' I'I'III!'III'II'I'IIIIIIIIII�IIIII1111'I'I'llllllll'lllll"'� convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. x?" .r�ss. ;9. '.r, `F„i .. r, .. Refresh your senses witfi Nestea"l Buy any.2 cases of��1/2-:Ilter;Nestea�bottles;for.oniy$12:98!'AVailatile.tn;a �- qo, �.. „sJd•""""=°fi°,,;'c': . s%au' =,. ; ,'$ ao,,.'.,.-e%> •:,r.m.;ar'. +�;,4...W..et�..:'L;;w..c,...e'. °d .. .r`.' zY°+«s"",fir'., ':s i ,, .-.. 'fx��f-;',,,, rx�: var�te4jt,:of refresheng;flavors;iricI dingNew;Raspberry Tea!Viset;serveceaicemountalnwater,com or call. ' 1;=800-472-9E888:tofadd`fob our.;nextorderlOfferlex Ires''9/30/1:3 ..rvM ': rq�--- - •' °.a';+'aS,JV .x F''?. '' "s'` pa'`_-re." ^° •-a `':"�✓.n� as #,�'ra'6��= r''n �d �y.. <,•..G.x''.x �rr � ,t�"'.,'y::; `' �a-:...,s°", .r€a"sx;.s!f?�i✓.,�.L.,-, :'«; _t r 'L; f:m_ ^ 4.. '.-�6�24"d` �x.r � =r ?., � :.�. -5.'-;r.%lx ,._. _:,;s,may' .F,.ayda--:,: � ,�%.�ww„�`a' r.;a`,. �'ddD >:'�° fr'c"-::� � "`:�l".r-�',�.-'`;%�.". �`".aK`�' r?�, ,.,�,{',°.e.'s'. 'S ew gam` 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 PARKS DEPT/MONON CENTER,1235 CENTRAL PARK DR EAST,CARMEL IN 46032 PREVIOUS BALANCE 142.80 6/09 890464 PAYMENT-THANK YOU / -81.41 6/24 0835655648 10 5 GAL ICE MOUNTAIN DIRK W/HANDLE ��Lc 39.90 1 BOTTLE DEPOSIT: 0 CHARGED, 9 CREDITED Jn Nan - P,12 .Q 6.00 6/30 0837694561 1 OIL/FUEL SURCHARGE_ V ✓ 2.88 F4810769 RENT 5.99 TOTAL / r 's 119.45 2013 1091—q 350900 ACCOUNT SUMMARY i PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT A�JIVITY PAY THIS AMOUNT Subject to terms on reverse side. `I 142.80 — 81.41 + 6 = 119.45 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. 6661 DIXIE HWY.,SUITE 4 If you prefer,you can pay your bill online at service.icemountainwater.com 6661 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 SAMPLE INVOICE sent you the firs[bill on which[he he error or problem appeared.You can an 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. q. 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 ooiooloo-ooloolo0 1z34s67s90 YourAecountNumber investigated.During the investigation,we cannot report your account ' as delinquent or take any action to collect the amount in question. - NN oR 04 123456789 MON-OCf 29 Watch here for a GENERAL INFORMATION wEo-rypV21 _ tUE-DEG 19 personalized account 1.Payments received after the billing(INVOICE)date will appear on Important Rain,IltnpLdUlLi,n1I11,LIp4•„II19nN;,tla,lp aammel se Mwnac•o°°m message your next invoice.Past due invoices(not paid within 30 days of news and rnanEr°°'°•°°'"9"` _ __ billing date)may be assessed'a'Iatefee as alirnced'by'Iriw`hot to' -'Offers '. Iz1Mai - c,v1re 00000 exceed$20 per month.Additionally,third party collection/attorney inert.anm...nn„�,p,..n"4a„sa'6bt.t,a.n expenses may be assessed at a rate not to exceed 100%of the _ .�..-----°-`:'"' '"<'"' w,,, ✓ ;�a°, a unpaid balance or the maximum allowed by law. , . >r^Q°°r°°'' r''sree+)a> �'"`°�. kQ'"°"&agy �°a°.'""'g' °.t..'",°".";= Pay electronically S,z., wo»rwx�eSUn:Y4uanr.Yad> ,0ry,ir ';,: ,^s «:a3 2.Each returned check is subject to a service charge subject to the �q��;,-,, ,�acr � s,°ne 'zr'>`'.,r 1'-�g-✓.. q�wr�N,,mderrromY,s.;:, . ,,'a'^a r�9�':, maximum check return charge allowable in your Slate. �:�,- ';.- ,. �" w,,, -� >` """' Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity gy ;;" `„ - =`�� n.nn•�^aww°^""°°"'"n"Y ACTIVITY. N ^°°° "� - amount has been since your ACCOUNUawl 4. Equipment replacement costs will be charged for bottles lost, last invo 'oeljVefY�e,ess Wow 4. a%., paid in full to ice stolen,damaged or not returned. Me rY avoid late fees Payment-Tnank V°u 5.In accordance with NWNA's Terms and Conditions("T&C"),your o9r3, <6,99e s scan°n Nal°,a'sm're fix 0/II 317B85,a 5 ,�e Mountain SGal Ueposn Equipment Lease and/or Service Agreement account may be ^,a,nsGa�Bev^m ><... Monthly Oil 317s9sw11^ 5 subject[o minimum month) purchases and/or earl cancellation J Y P Y 99n7 98263891, Be^, Surcharge,Fuel fees.(A complete version ofthe current T&C may be viewed on the �i'2 '�4p09i - r,,"' Surcharge or Delivery website listed below)Upon service discontinuation,rent for the TOTAE - 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 ,AN -""xx , _ Information") Deliver Fee as described in our T&C. Only one of these fees Payment stub ACCOUNT SUMMARY E°x..°° _____ Y Y Y Y Y 1 _ PAY TNIS AMOUM will apply to each account. The fee that applies to your account ° r^^^ PAY BY .x x. .°U ywrw ACCOUM NUMBER OOiWi00 is stated on the front of the invoice.For further information please .BU aue aM rzw^ 1234567990 BIWNG GATE MT.ENCLOSED ,Woo ENUMBEB p0/GDA visit the website listed below or contact our customer service 121110-90 center. 7. As a food product, bottled water is subject to the rules and 042009639 04262712619 00D391049 2pp9 1e Amount due regulations promulgated by the Federal Food and Drug pun Dce Administration(FDA). IcE MOUNraN wATEB RO PAY 123 MaIn5s Woo 8.Your first invoice indicates the products delivered on your first Submit your delivery,along with any applicable bottle and account deposits, {o9CDFOMEB5E1NKEr11�3-00 payment b this redemption fees,and any dispenser charges.All future invoices aaa anal n„6ti u.l�iw.4�9 ,K ❑P„ N 9 O 9 uSMe date Y will reflect charges for water delivered and dispenser rental,bottle 5wN°PVO9FBEE.uroPny�s�9^uP deposits and credits plus charges for any additional products ordered by vou. 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 cos 08/12 service.icemountainwater.com service.icemountainwater.com ' ' t�® ® ' #215 6661 DIXIE HWY,SUITE 4 a LOUISVILLE KY 40258 06/01/13-06/30/13 03F0120095351 ADDRESS SERVICE REQUESTED Im �I �� I�I I 11011I I III 1�IHl Oil WED- JUL 24 0120095351 THU- AUG 22 MON- SEP 23 MON- OCT 21 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 convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. mn In Refresh< our senses.wlthiNestea"!;�Bu �anv' 2',cases=.of6,172PIiter Nestea,bottles: 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 SAMPL E 1N tl®I C E 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. ' 1234567890 You do not have to pay the disputed amount while it is being o0l00100-00100100 Your Account Number investigated.During the investigation,we cannot report your account •'rI"Y ' 23456789 as delinquent or take any action to collect the amount in question. r O D_-00 oa WENo 19 Watch here for a GENERAL INFORMATION "-D'YT lDE DEC Is personalized account 1.Payments received after the billing(INVOICE)date will appear on Important U�U".lUo-U4a11U+L.d1U,61UM..d{IU«U,�UJAU soo<7z-9sa message your next invoice.Past due invoices(not paid within 30 days of news and Tha"Ey""f"."sm9 N<MUUOmrc P'°dp°U g lohn DOe •ne.eM=es. - billing date)may be assessed a late fee as allowed by law not to offers 123 Ma St exceed$20 per month.Additionally,third party collection/attorney ogs,a,< 00000 expenses may be assessed at a rate not to exceed 100%of the unpaid balance or the maximum allowed by law. �'�"° �yx4xm4«>usnas'mv�.w ».: "�Lq1":`-�9Y�'>" ✓- Pay electronically 2.Each returned check is subject to a service charge subject to the maximum check return charge allowable in your State. •r,; Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity lr'"; _ _ ,•,,.�,,,,,, _.���^"-'°°°"""" ACTIVITY. amount has been since your ACCOU14TACTIVITY P 4. Equipment replacement costs will be charged for bottles lost, last invoice D<I�«nAaale::.mhnDP<,"3Ma'"s"�`°`ys+a,<000W %x%% paid in full to stolen,damaged or not returned. Pr<�,o�,oala"ee %xxx avoid late fees S.In accordance with NWNA's Terms and Conditions T&C", our ,6s9s Payme",-ma"Rm= (' ) y 08/31 ,Gallon NaW�al6p.�"9 y,ater %X%% „ 3178011 44 6 «Mnun,a"6Ga D PP x:xx Monthly Oil Equipment Lease and/or Service Agreement account may be 317 11 s eMO��,a�ns6a'"""`" %%xx o9/Il 3,7085,a444 Fuel Surcharge subject to minimum monthly purchases and/or early cancellation 3 ez63ss„ Surcharge,Fuel fees.(A complete version of the current T&C may be viewed on the o91 z ,66aw9' "%"% Surcharge or Delivery website listed below)Upon service discontinuation,rent for the TDraE Fee(see#6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. Ac0v0v _ PA..AI:%X ox NF ACCOUNT SUMMARY Information") 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or a�n s Delivery Fee as described in your T&C. Only one of these fees Payment stub •=eypye'^ ----e oro•a xo.os_ ____----'----— PAYTMIS AMOUNT will apply to each account. The fee that applies to your account Wum m�.M iewm Nrv�'P•.""a"' ACCOUNT NUMBER PAY er X%%x iWIN goPIWIW is stated on the front of the invoice.For further information please 1334567890 DATE MT,ENCLOSED I o",NUMBER UNG W visit the website listed below or contact our customer service 1734567890 center. 7. As a food product, bottled water is subject to the rules and 0420096301 04262712619 000391049 2p04 1s Amount due regulations promulgated by the Federal Food and Drug john DO Administration(FDA). icE MOUNra�N wareRa oM�PA CtYStzceSl00000 8.Your first invoice indicates the products delivered on your first a0n"°"""° v, " oo<,zwsss Submit your delivery,along with any applicable bottle and account deposits, FoscusTOMESSERYICEUU,e payment by this t1.LU.�U=b641.a.,U a.see. m•mclw"s�'a�"••°"°sa. redemption fees,and any dispenser charges.All future invoices date will reflect charges for water delivered and dispenser rental,bottle .uP...FREE nurovnr�s'9�uv 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 service.ice mountainwater.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. 051125 Ice Mountain Terms P.O. Box 856680 Louisville, KY 40285-6680 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 713113 3FO121202766 Drinking water& cooler- MCC $ 54.77 7/3/13 3FO120095351 Drinking water& cooler- Maintenance $ 77.21 Total $ 131.98 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$ $ 131.98 ON ACCOUNT OF APPROPRIATION FOR 101 General fund / 109 Monon Center PO#or INVOICE NO ACCT#/TITLE AMOUNT Board Members Dept# 1091 3FO121202766 4350900 $ 54.77 1 hereby certify that the attached invoice(s), or 1125 3FO120095351 4350900 $ 77.21 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 10-Jul 2013 Signature $ 131.98 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund service.icemountaInwater.com #215 6661 DIXIE HWY,SUITE 4 o LOUISVILLE KY 40258 06/01/13-06/30/13 03F0121776199 ADDRESS SERVICE REQUESTED g TUE- JUL 09 0121776199 1111111110111150111111111 �1�1 oil WED AUG 07 FRI- SEP 06 MON- OCT 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 SQ by phone at: 1-800-472-9888.It's free! CARMEL IN 46032-2584 �. '...::*.c .M, 3...'d"�m �.`.�. " z r #Refr'esh "oiar senses-with Nestea! Bu "anV 2casesofy1l2=;;Titer fVesteabottlesQfor:`onl 12:98!:AVatlable=in . �Y - .r.:. » "•��r°�ixt'.��. �;a.�e',9"l:::..�m't,,:�,^°.,�g;'%sl�'....,;Y.,,:=,"•;.a.- .._...�: ,..:."r. .u;.r �>�� ,�,�. '`:s�:... varret of,refreshln flavors„meludi.n new'.Ras ber plea!Visitserviceacemou°ntamwater:com,'or call = 9 p. rY 3� - -Y , , 'r.:";��p'�;� r ,'°d it,,��r' ,e- 6r.-c 1`=800-472=9,888 to>add."toy our�.next.order,!°Offer ex Ires„913071:3- . r " _"mod��" ..'�:f s.^;`�. .^ :� .f`” Ksr�-� - yw�+^.ti a,..,i +.�: �,,. °- �;, •'�s.9 �, �,°r,.s 4..a,° "`.9.'i�. -G:ti✓.' �tl;A'.✓ Ri� i�. �i^�� ���a � .�'J n,��A.:..� b �.�',�.:-.1. ,�,�;� _ *y�« ON =r. (._ ,F�. `""s,� .. 'S?'rs` .:� 6�'-�z"`:i.�°°. �°'°as,�s,r ''�:�s<'ss a' ?",.n:d "•'' ..£d' A� f ;W �, "�,'t;-�.:-��'„`� °°.`F.i ,,,, ,,:,��f 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 21.62 6/09 890461 PAYMENT-THANK YOU -7.93 6/07 0832928881 1 5 GAL ICE MOUNTAIN DIRK W/HANDLE 3.49 1 9 OZ PLASTIC CUP 50C/SLV 3.29 BOTTLE DEPOSIT: 1 CHARGED, 4 CREDITED -18.00 6/30 0837701986 1 OIL/FUEL SURCHARGE 2.88 F4706570 RENT 3.99 TOTAL � � 9.34 D JUL 15 2013 1J, By ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 21.62 — 7.93 + -4.35 = 9.34 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 WATER QUALITY AND INFORMATION, PLEASE 2. Remember,if you are renting equipment,your equipment rental is charged one month in advance.That means CALL t-soo-47 a72-9sss 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.eom 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 ®I 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. nil You do not have to pay the disputed amount while it is being DDloolo0 00100100 tz3456]a90 Your Account Number investigated.During the investigation,we cannot report your account t as delinquent or take any action to collect the amount m question. reR-OCT oa 23456789 MoN-oEr 29 Watch here for a GENERAL INFORMATION WED NDV]1 nE.Dec to personalized account 1.Payments received after the billing(INVOICE)date will appear on Important n,n.dnnabdnnda,nu•binb„,ilia>wdlddn Customer SI M��o a�72-9888 message your next invoice.Past due invoices(not paid within 30 days of news and rnaoEynnf°r4am9"e Bonn ooe and billing date)may be assessed a late fee as allowed by law not to offers 123 Mm St exceed$20 per month.Additionally,third party collection/attorney °ty's`dLe 000.0 i I.,.lad.,dnabr..dL...Il...11..btl.,b.L6bLa"a expenses may be assessed at a rate not to exceed 100%of the _ .�---a-;ter.- . . `r°` , Rr„Z�" s�inwe °”{3n,??�i'man"aaax°°` -:-�. �. aid balance or the maximum allowed b law. � r-r.,'�"''-"-"`-.' i Pay electronically unpaid Y ,-Sb :,:pre�m.agev«11x ;wtfancfxid.sro�ss. nd!p ;t ."^ �:�?yaCry'.,. ",: 2.Each returned check is subject to a service charge subject to the ,h,�_^'-xet�eTcene4'116t°•4,�wi�w,mx�v�'A,- ;a�.t<°;-y-;.'^:- P'� ;��;"�" . maximum check return charge allowable in your Stale. t't `�%`:rte, `'�!'^'�"' ;;;�`s`°✓ 1 Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity ACTIVITY. N«a^.°[° amount has been since your ACCOUNT ACTIVIT' 4. Equipment replacement costs will be charged for bottles lost, •Dee•enpaeresa lohnop°.123Main5tree4c��y5�[epppp0 xx x paid in full to last invoice stolen,damaged or not returned. Prew,°„°eaian<a xxxx avoid late fees Payment-ThdnkYOn %%% 5.In accordance with NWNA's Terms and Conditions("T&C"),your oars; -0. s sGallon Natural spnn9Wate� vx%x 9rn si�ses[a+a+ s I<eMO�n[amsGalDew��[ xyxx Monthly Oil Equipment Lease and/or Service Agreement account may be o 1„ 3 easw44+ s ICe M°„ntamscal Recmn xx'xx 0911, wets°nnaye subject to minimum monthly purchases and/or early cancellation 317NI51� 09112 „e�63�n Ren[ _ % Surcharge,Fuel fees.(A complete version of the current T&C may be viewed on the I," 1664M97 i x%xx Surcharge Or Delivery website listed below)Upon service discontinuation,rent for the rorpL Fee(see#6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. y c„RReN..c,�«•+ - °"Y""'xxzz"T Information") 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or ny x x „a« Deliver Fee as described in ourT&C. Only one of these fees Payment stub ACCOUNT SUMMA x.°°° ---_ Y Y > y _- will apply to each account. The fee that applies[o our account «°• _`-_"_ ------__-_ACC PAY BY PAY THIS%MOUNT PPY PP Y ----ooaU�4m ACCOUNT NUMBER 00/00100 is stated on the front of the invoice.For further information please 133456789. 31001100 DATE T.ENCLOSED IM' NUMBER visit the website listed below or contact our customer service ' po10o100 ice 1338567,90 ' Center. P subject 0420096307 042,2712619 000391D49 20[14 1, 7. As a food product, bottled water is to the rules and Amount due regulations promulgated by the Federal Food and Drug ;111111.118 Administration(FDA). ice MOON NwpTER MOMa r« 1?ySt 510.000 - Submit your 8.Your first invoice indicates the products delivered on your firs[ '�"�d" Lwnm"° Rc.noMER SEevfcE UU,.aoo-.7]-9esa delivery,along with any applicable bottle and account deposits, E0 �,R«.„es,n. payment b this fi„btl,.b+bb44d.a cmren P Y Y redemption fees,and any dispenser charges.All future invoices 1"'�d' P.w.ae0^Re•e�KSiOe P"°'""" - date will reflect charges for water delivered and dispenser rental,bottle „`N.PfoRERLE""*oPa+�s�9^oP 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 _Q service.icemountainwater.com / VOUCHER NO. WARRANT NO. Ice Mountain ALLOWED 20 IN SUM OF $ PO Box 856680 Louisville, KY 40258 $9.34 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1205 103FO121776199 I 42-389.00 I $9.34 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 Wednesday, July 10, 2013 Director, Administratio Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 06/30/13 I 03FO 121776199 I $9.34 1 hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Clerk-Treasurer service.icemountainwater.com ' g #215 6661 DIXIE HWY,SUITE 4 o LOUISVILLE KY 40258 06/01/13-06/30/13 13F7220327048 ADDRESS SERVICE REQUESTED TUE- JUL 09 7220327048 WED- AUG 07 FRI- SEP 06 MON- OCT 07 CITY OF CARMEL OFFICE OF THE CLERK TREASURER Customer Service: 1-800-472-9888 ANN DAVIS 1 CIVIC SQ Did you forget about us? Kindly pay upon receipt. CARMEL IN 46032-2584 Remember,past due accounts are subject to a late fee. Your prompt payment is appreciated. For your II'liiii�!�IIIIIIII' 'llllll'!"I�I'lllllll'�IIII'lll'�"!'I"'ll convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. Refresh=yo,ur senses with�Nestea!"Buy-ar yQ2treases of t`/2'life`r Nestea b"ottlesafor only,,$TZ98!-.Available1oln-a>,- d; 4ffrFr q, ».., t w' .ti,� z; `xl; , _ r ''`k- ,✓,..:F®° Variety.of refreshing flavocs;_including new RaspberryzTea! V�stt;serbvlceicemountalnwat -exom d&aI1, y__ mu =800=472=988 `to acid:t 0fr'r_ 8> o our.nexf order! Offerrtez(��!iresk9/30/1'3 '. yw:x "' m l ...,pi-. c`e ^.,yr- sy+ -� „�ee,n r 3:✓�, 'cam,-;; ° n '; ..° �k-o--x.'r T ,✓ "?',a a�,,,c�. '3`,�,t'',r„a." :� `�..'��9,_F�„s. ,.a�f��� '% 't�,u''e:�; .�:.�si°'"°°.ter"' ;;y�:�,,;..�..:.,3°.r,�, fir., .bWn.p._:. ✓r:.�,�wq _ .,cam tea.?-. � ,. '?'�'.-.; ✓ .�,. r`i0.. .;v:9 .< Y..h: q .-.- � �°.^,^a�' y�-,.°� � ✓F�wd'�.. o,! Jz°cm,":r a'""Y'° ...'w � .,�;iy'baw..:%'J t✓'""y 'y�..ta,r.6' „, .� ��.�, �f'sb9 F',!yt�,. �" .PM ','� irxi �t4.,a^v,�','°.�',Y.:F.§.Lf".'G,'.%. l.dd.,bG' �a 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, CLERK TREASURER OFFICE,CARMEL IN 46032 PREVIOUS BALANCE 34.20 6/09 890458 PAYMENT-THANK YOU -13.73 6/07 0832929061 2 5 GAL ICE MOUNTAIN DIRK W/HANDLE 6.98 2 5 GALLON ICE MOUNTAIN-BOTTLE DEPOSIT .00 1 9 OZ PLASTIC CUP 50C/SLV 3.29 2 5 GALLON ICE MOUNTAIN DEPOSIT RETURN .00 6/11 0834432304 1 5 GAL ICE MOUNTAIN DIRK W/HANDLE 3.49 1 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00 1 5 GALLON ICE MOUNTAIN DEPOSIT RETURN .00 6/30 0837777531 1 OIL/FUEL SURCHARGE 2.88 F4743687 RENT 3.99 4835075 RENT FREE TOTAL 41.10 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRE�NT_AG-TI.VITY PAY THIS AMOUNT Subject to terms on reverse side. I 34.20 — 13.73 �- t 20.63 = 41.10 BILLING RIGHTS SUMMARY YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL,OR FOR 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. 6661 DIXIE HWY.,SUITE 4 If you prefer,you can pay your bill online at service.icemountainwater.com 6661 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 hew from you in writing no later than thirty(30)days after we SAMPLE INVOICE Csent 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. 7�� I You are obligated to pay the parts of your bill that are not in question. °` 1234567890 Your Account Number You do not have to pay the disputed amount while it is being 80100100-00100100 investigated.During the investigation,we cannot report your account ' ° 323486789 as delinquent or take any action to collect the amount in question. to Tae-a a MoN OCT�9 NYatch here for a EC GENERAL INFORMATION WED TUE-OEC 2 iB personalized account 1.Payments received after the billing(INVOICE)dale will appear on Important If�41^dHwBbdatld�.dladdN4„dkitl"It�dlddU anom'e 9xU M�^�00 Pf�u�a message your next invoice.Pas[due invoices(no[paid within 30 days of news and Tlu„Ey"^i"•"a" billing date)may be assessed a late fee as allowed by law not to offers 123 Ma s[ a"aaeM<¢[ Ciry,S[a[e WoW exceed$20 per month.Additionally,third party collection/attorney 1 d at n.„.16••il„kp„6^t,bt,td.a expenses may be assessed at a rate not to exceed 100%of the �,—.-•.:.=—'”=,"�” 'C'�+�'tRtNTe"E,-;°..r.>;. unpaid balance or the maximum allowed by law. s ,..._ aA4?ar°"�^"AS ' Pay electronically l `' ` `.;w;,mUaebx«ubc�a">�5"^` ";td.,:e;._...�,....?."�'w 2.Each returned check is subject to a service charge subject to the V77 k ceder maximum check return charge allowable in your State. '> r`,q s. ,;; ; "v°'�� "_ K "� Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity ;'%°,.-- ace°"°"”" ACTIVITY. since our ACCOUNTACriwTM ' ,��„�aat.•^4• '"`""" amount has been y ne.¢:. iOn"o«.1z3Ma"s°«[,o[rs'+¢pppp0 paid In full to 4. Equipment replacement costs will be charged for bottles lost, oe4�enA x,xx last invoice stolen,damaged or not returned. o,¢„"„aeaiao<¢ xxxx avoid late fees em,n¢„t-manxvo„ 5.In accordance with NWNA's Terms and Conditions("T&C"),your W31 46+a9a 5 ,Gallon Natwal spnn9 Watee 0 A Equipment Lease and/or Service Agreement account may be M"4"tansGaicerot[ P Y neesl4 4 Monthly Oil 5 ,(¢MOJnfaln SGal0.etum xxxx subject to minimum monthly purchases and/or earl cancellation o9n+ 3+10zee"'"" w¢i sur<nar9¢ 1 y P Y 6388„ Rm+ Surcharge,Fuel fees.(A complete version of the current T&C may be viewed on the o9/12 166M1069] xxxx 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. CO M><x Information")6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or TME"ax "+ :va=«e,�n,",m•„.� ACCOUNT SUMMARY ___ - Delivery Fee as described m your T&C. Only one of these fees Payment stub _ -¢o•�=<•�° -------------- PAY TNiS AMOUNT will apply to each account. The fee that applies to your account ________-� -,-- •° NUMBER FAY I xxxx °°.....•.. .o, ACCOUNT W lro1W is stated on the front of the invoice.For further information please u34zc7B90 BILnNG OATS MT.ENCLOSED visit the website listed below or contact our customer service iNVOiCE NUMBER MINIM 23456)890 center. I' 7. As a food product, bottled water is subject to the rules and 042OU46307 04282712619 099391649 2UO4 Amount due regulations promulgated by the Federal Food and Drug i9nnO« Administration(FDA). ,eS ouNruN wATE? °M,'H"vM 123 5ta[est�� 8.Your first invoice indicates the products delivered on your first " " 888 Submit your delivery,along with any applicable bottle and account deposits, FOREUoOM"S'W'CECAEE'-800<"-' payment b this „aetd m.du„dG.,n„6n u„6td.ba a xsN ❑enn,AnvCnan9-O”` "`s��¢ date y redemption fees,and any dispenser charges.All future invoices ��",,,Fa,FBEEAOTOPA+,s�9nOpflep°vcd0n^”` 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 Q service.icemountainwater.com 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)) 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 $ ON ACCOUNT OF APPROPRIATION FOR Board Members Pots 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 10Z/9 materials or services itemized thereon for which charge is made were ordered and received except 20 Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund