240337 12/16/14 +�r_CAA
^/ CITY OF CARMEL, INDIANA VENDOR: 358389
l ONE CIVIC SQUARE JACK DOHENY SUPPLIES INC CHECK AMOUNT: $""""1,200.00"
:9 ,r�: CARMEL, INDIANA 46032 PO BOX 609 CHECK NUMBER: 240337
''��i'pN`�� NORTHVILLE MI 48167 CHECK DATE: 12/16/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4343002 31888 C63479 1,200.00 TRAINING CONFINED SPA
Remittance Address:
Jack Doheny Companies, Inc. Phone(248)349-0904
P.O. Box 609 Jack Dohen y Fax(248)349-2774
Northville, Michigan 48167 COMPANIES/ www.DohenyCompanies.com
Customer I N V O I C E Invoice Pg
CARME01 C63479 1
12/03/14
Sold To Ship To
CITY OF CARMEL STREET DEPT: CARMEL WASTEWATER TREATMENT
3400 WEST 131ST STREET ATTN: PAUL ARNONE
WESTFIELD IN 46074 9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280
- 317-733-2001 +' - 317-571-2634
FOB JDC WHITESTOWN IN FACILITY
Br Trk Make Model Serial Equipment Meter Sls Customer P.O.
007 MR 31888
----------------------------------7---------------------------------------------
Ordr Ship B/O Description List Each Amount
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Taken By TONYA SMITH Opened 11/06/14
Shipped 11/07/14
JOSH DAVIS
RANDY JOHNSON
JAMES RUNDLE
NATHAN MORRIS
ADAM TOWNS
RICHARD WALDEN
ANDY DOCKERY
8 CONFINED SPACE ENTRY TRAINING 150 . 00 1, 200 . 00
INDIANA MUNICIPALITIES . 00
0031201550
VISIT OUR WEBSITE @ www.dohenycompanies . com
WE APPRECIATE YOUR BUSINESS
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Total 1, 200 . 00
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SEE REVERSE SIDE FOR SALE TERMS AND CONDITIONS
i
SALE TERMS AND CONDITIONS
The sale terms and conditions of Jack Doheny Companies, Inc., which can be found at
www.dohenycompanies.com (the "Doheny Sales Terms and Conditions"), are hereby incorporated into and
made a part of this invoice and shall be construed with and as an integral part of this invoice to the same
extent as if set forth verbatim herein. This invoice and the parties' entire relationship hereunder,,shall be
governed exclusively by the Doheny Sales Terms and Conditions.
Doheny hereby objects to and rejects any proposal for additional, different or inconsistent terms or any attempt
by Seller to vary in any degree any of the terms of the Doheny Sale Terms and Conditions, but a,ny such
proposals shall not operate as a rejection of this offer by you, unless such variances are in the terms of the
description, quantity, price or delivery schedule of the goods or services, and this offer shall be deemed
accepted by you without said additional, different or inconsistent terms. If this invoice shall be deemed an
acceptance of a prior offer by Seller, such acceptance is limited to the express terms set forth herein, including
the Doheny Sale Terms and Conditions.
,I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jack Doheney Supplies
IN SUM OF$
P. O. Box 609
Northville, MI 48167
$1,200.00
I
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
31888 C63479 43-430.02 $1,200.00 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
Thur , Q6� 014
A
¢Street CoMQ-9922'e r
Title
Cost distribution ledger classification if j
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))
12/03/14 C63479 $1,200.00
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