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222440 07/30/2013
CITY OF CARMEL, INDIANA VENDOR: 051125 Page 1 of 1 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CARMEL, INDIANA 46032 PROCESSING CENTER CHECK AMOUNT: $102.62 PO BOX 856680 CHECK NUMBER: 222440 LOUISVILLE KY 40285-6680 CHECK DATE: 7/30/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1801 4350900 03FO12197559 40 . 52 03FO121975593 2201 4238900 03GO11925282 62 . 10 0360119252823 service.icemountainwater.com I o 1 ® — U #215 6661 DIXIE HWY,SUITE 4 o LOUISVILLE KY 40258 06/13/13-07/12/13 03GO119252823 ADDRESS SERVICE REQUESTED WED 0119252823 SEP 06 �10880�1��18��10�01� III �II� 010 �Ia MON- OCT 07 MON- NOV 04 CITY OF CARMEL STREET DEPARTMENT Customer Service: 1-800-472-9888 BONNIE CALLAHAN 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 Ilillllll��l'�IIIIII�I"!I�I��I'��I��'!���I'�IIII'll'llllllllll�' convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. Take home.a.Warhol,and,Save!;;In.July,.Pe,rrier-is-:reconnecting:With-:Legendary",artist:Andy.=Warholito"r:ea e°.. 60 limited-edition,designs inslpiired by the-artists'work featuring the iconic Perrier 13ottle.Save 10% on ct:8 as ._r, °{ral,;,, :.a11.1..,gnf��n ?.9RgS-t�,.o6deC_nn . -y — 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 STREET DEPARTMENT,3400 W.131ST ST,CARMEL IN 46032 PREVIOUS BALANCE 130.07 6/23 978560 PAYMENT-THANK YOU -48.39 7/10 0837442391 10 5 GAL ICE MOUNTAIN DIRK W/HANDLE 34.90 10 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 60.00 3 9 OZ PLASTIC CUP 50C/SLV 8.37 8 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -48.00 7/12 0839768355 1 OIL/FUEL SURCHARGE 2.84 G4903756 RENT 3.99 TOTAL 143.78 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 130.07 — 48.39 ¢ 62.10 = 143.78 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 1-800472-9888 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. You are obligated to pay the parts of your bill that are not in question. - ,Zy,567e90 Your Account Number You do not have to pay the disputed amount while it is being WIM100-oo/00/00 investigated.During the investigation,we cannot report your account t . as delinquent or take any action to collect the amount in question. rNa-aT°' 23456769 Watch here for a GENERAL INFORMATIONp N0Y 2, p ersonalized account 1.Payments received after the billing(INVOICE)date will appear on Important �,tp c„ga,,.,s '-80D'''z"988" message your next invoice.Past due invoices(no[paid within 30 days of news and r,,,,,A y,,,,or billing date)may be assessed a late fee as allowed by law not to offers 11236 ns exceed$20 per month.Additionally,third party collectionlattomey c— 0 expenses may be assessed at a rate not to exceed 1009/6 of the unpaid balance or the maximum allowed by law. f - — � 0ert¢d °a°Ng i I Pay electronically sA hmu<hm° 2.Each returned check is subject to a service charge subject to the maximum check return charge allowable in your State. Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity - - "`"- - ad"""'°' �- ,.. °' amount has been ACTIVITY. since your AccoUNWT rt9nY � 2nw"z�CCm.�,•eeoro paid in full to 4. Equipment replacement costs will be charged for bottles lost last invoice °e"`ryA°°`°` " _ stolen,damaged or not returned. avoid late fees Fe"o sea"` axx 5.In accordance with N"A's Terms and Conditions("T&C"),your rA Equipment Lease and/or Service Agreement account maybe �„ r,mes«u s ke�`,°�°s�„�,w° Monthly Oil mn, nmes,.w subject to minimum monthly purchases and/or early cancellation r, „ � h,r , '�.�: '`��� Surcharge,Fuel fees.(A complete version of the current T&C may be viewed on the o9I' 1fi°"p11 /7 �1p1 Surcharge or Delivery websile listed below)Upon service discontinuation,rent for the roru - Fee(see#6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. y r,,,,,,nK,M,� _ '"""",o 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or B o w Na _" .e. Information Delivery ee as described in our T&C. On one of these fees Payment stub ACCouto SUMMARY a1 L-E w.w ry Y y - FAY T IS AMUUM will apply to each account. The fee that applies to your account °"•�- ..e„a F., '-_ACCOUNT NuMeER FAY BY > is stated on the front of the invoice.For further information please ..• � 123`5gj890 wuN DA" .ENaosEO ,,.N010E NUMBER ' visit the website listed below or contact our customer service ,28+5678 90 WIM/00 center. 7. As a food product, bottled water is subject to the rules and 0420096307 04262712619 000391049 2°°° 16 Amount due regulations promulgated by the Federal Food and Drug 0.Ox Administration(FDA). MMWNNWATE6cOMFAM" 133s`OOeoo a v, cm,Sw, Submit your 8.Your first invoice indicates the products delivered on your first ,OR rus w"Srmr-E U",.,u,rrweM delivery,along with any applicable bottle and account deposits, yda.a.p ,,,� payment by this •" ".. a-g°°""" redemption fees,and any dispenser charges.All future invoices ❑ date s,q,www•�a^"^"" will reflect charges for water delivered and dispenser rental,bottle s,r„w,o4E4O - 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 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)) 07/18/13 2619 vehicle repairs/car 102 $1,425.30 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 Hubler Express - Carmel IN SUM OF $ 503 West Carmel Drive Carmel„ IN 46032 $1,425.30 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 25364 I 2619 I 43-510.00 I $1,425.30 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 24, 2013 Chief of Police 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)) 07/16/13 03G0119252823 $62.10 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. ALLOWED 20 Ice Mountain IN SUM OF $ P. O. Box 856680 Louisville, KY 40285-6680 $62.10 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 2201 103G0119252823 I 42-389.001 $62.10 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 i 13 re r ee ommIssioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund service.icemountainwater.com - #215 6661 DIXIE HWY,SUITE 4 06/01/13-06/30/13 03F0121975593 G LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED — ---- — -- -- III ����I�II �I HI �I I I I I I I I� N FRI, AUG 09 0121975593 TUE- SEP 10 WED- OCT 09 CARMEL REDEVELOPMENT COMMISION DON CLEVELAND Customer Service: 1-800-472-9888 30 W MAIN STREET Did you forget about us? Kindly pay upon receipt. SUITE 220 Remember,past due accounts are subject to a late fee. CARMEL IN 46032-1938 Your prompt payment is appreciated. For your IIIIII�I'I'�l'I'�ll'��III��II�IIIIII�I�II�II�I�I"��'I�11'lll�'l� convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. IMPORTARITPPlease be advised that the invoice„for your-next delivery,Will reflect a=price increase on=select r II products. Please call us.if you have any questions. °�: <_ "_�""� --- fip ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. Delivery address: CARMEL REDEVELOPMENT COMMISSION,30 W MAIN ST STE 220,CARMEL IN 46032 PREVIOUS BALANCE 64.49 6/09 890460 PAYMENT-THANK YOU -33.91 6/11 0833461643 3 5 GAL ICE MOUNTAIN DIRK W/HANDLE 20.07 3 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 18.00 3 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -18.00 2 9 OZ PLASTIC CUP 50C/SLV 6.58 6/30 0837704550 1 OIL/FUEL SURCHARGE 2.88 F4774447 RENT 10.99 TOTAL 71.10 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 64.49- — 33.91 + 40.52 = 71.10 -- --------------------------------------- ----- -------- -------- -------- -------- ------- ------- -------- -------- --------- BILLING RIGHTS SUMMARY YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER IN CASE OF ERRORS OR QUESTIONS ABOUTYOUR 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.icemonntainwater.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.N'e 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 SAMPLE INVOICE 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 Your Account Number You do not have to pay the disputed amount while it is being 00100100-10,10" investigated.During the investigation,we cannot report your account 1 ;456789 as delinquent or take any action to collect the amount in question. THB-oa w 2 ,OH OCT 29 Watch here for a GENERAL INFORMATION wE°-NDY 21 ruE oEC,B personalized account 1.Payments received after the billing INVOICE date will appear on Important uIl«utnul slut tltLblu4.,4 @.g„pJJU fmcome rte'-gpp 02-9888 p Y g( ) PP ,anr„ message your next invoice.Past due invoices(not paid within 30 days of news and ThAn rn"mr john Dce ana u�Ar•+ billing date)may be assessed a late fee as allowed by law not to offers 123 Mai"S, exceed$20 per month.Additionally,third party collection/attorney a,L.JnaL..ut4".IL.,ILLU.J...LLLLa.n expenses may be assessed at a rate not to exceed 100%of the M rtRMtaJc,Rl9wa easWt9'^u unpaid balance or the maximum allowed by law. f- TORY „"LaredMe,d.,Yn'"'9b,a,�,, ,s�+tOa"""9 „n Pay electronically 2.Each retuned check is subject to a service charge subject to the ` apoa ma maximum check return charge allowable in your State. — Make sure this 3. All bottle and equipment de oasts are shown as CURRENT Activity ""--- •"""":'6'-''--�> <- P m>�. awa�aa ACTIVITY. _ - , amount has been since your ACCOUNT ACTNtTY -_ '' � u3Ma�^snee,.elascacep0°°° aid in full to 4. Equipment replacement costs will be charged for bottles lost, •0e„+cry Aad1a mn" xxxx p last invoice stolen,damaged or not returned. P, n,,.eawMe �� avoid late fees + payment TM1anFYOu 5.In accordance with NWNA's Terms and Conditions("T&C"),your �3, 46,e9e s s6an9nNamraispnngw•a'er .w Ili 31J005144A4 8 IceMWnlaln SGalDMOUt Equipment Lease and/or Service Agreement account may be t„ lvees,44•A swi8ean' ""x' Monthly Oil s ire Mw^w'" xxxx 09111 31]88514844 ee^I BUrcM1ai9e subject to minimum monthly purchases and/or early cancellation 3 BJ6366„ Surcharge,Fuel fees.(A complete version ofthe current T&C may be viewed on the 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. ,,,,,,,,. _ PAT You will be charged a monthly Oil Surcharge,Fuel Surcharge or Y,a,a.1...c Information") Delivery Fee as described in yourT&C. Only one of these fees Payment stub ACCOUNT SUMMARY fm.•ou pAY BY PAY THIS AMOUM will apply to each account. The fee that applies to your account °°"°° wmomn w'^w>^°" ACCOUNT NUMBER xxx oo 00166 is stated on the front of the invoice.For further information please u34s6Je90 BIEUNc DATE MT ENCLOSED ,wucE NUMBED 00106100 visit the website listed below or contact our customer service ,234567890 center. 7. As a food product, bottled water is subject to the rules and a9a009L307 04262712619 000391099 7009 1 Amount due regulations promulgated by the Federal Food and Drug i9nn 0« Administration(FDA). icE DUNTNN A�EN•cM,M;; '0lrysla,e�00000 Submit your 8.Your first invoice indicates the products delivered on your first d ORCOSTOMEesER xECA"'°0°pj9°°e delivery,along with any applicable bottle and account deposits, a meet by this 6ddL.J..nL,-,IL.,.ILntl.Ln..4»LL41,J.tl ❑ cna^9•+o^B°�,.e s�ce redemption fees,and any dispenser charges.All future invoices date,s,,,,1ro �"^"""y5° will reflect charges for water delivered and dispenser rental,bottle �`"aProetaEE. 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 08/12 Qservice.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. M Payee ^�- I( P r Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) -7-3-13 1 A93551 Total �IUt 5 2 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. ALLOWED 20 IN SUM OF $ $ � sz ON ACCOUNT OF APPROPRIATION FOR 1 801/�350�00 Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), or 0 3� S 3 Qd S Z 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 22-2013 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund