242771 03/03/15 u!�..�AA,,f. CITY OF CARMEL, INDIANA VENDOR: 358389
f; ® ONE CIVIC SQUARE JACK DOHENY SUPPLIES INC CHECK AMOUNT: $*****2,356.18*
TON aQ CARMEL, INDIANA 46032 PO Box 609 CCHECK HECK NUME:ER: 2427715
°M- NORTHVILLE MI 48167
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 W53938 2,356.18 OTHER EXPENSES
I
Remittance Address:
Jack Doheny Companies, Inc. Phone(248)349-0904
P.O. Box 609 JackDoheny Fax(248)349-2774
Northville, Michigan 48167 COMPANIES/ www.DohenyCompanies.com
:Customer I N V 0 I .0 E Invoice Pg
CARME03 W53938 1
2/13/15
Sold To' Ship To
CARMEL 'WASTEWATER, TREATMENT CARMEL WASTEWATER TREATMENT
ATTN: PAUL ARNONE ATTN: PAUL ARNONE
9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 4.6280, INDIANAPOLIS IN 46280
_3J_-7_-_5 7 1�2.63A--
FOB JDC WHITESTOWN IN FACILITY
-------------------------------------------------------------------------------=
Br Trk Make Model Serial Equipment Meter Sls Customer P.O.
--------------------------------------------------------------------------------
007 OB 800-HPR 3790 2, 438 MR 514809
--------------------------------------------------------------------------------
Ordr Ship B/O Description, List Each Amount
------------------------:--------=--------------------------=-----=--------------
Taken By MARIANNA BUTLER WHITESTOWN Closed -2/13/15
SECA 800-HPR SN: 3790 (HRS : 2438 / MILES : 14077)
ISSUE REPORTED: CHECK WATER PUMP; WATER PUMP IS LEAKING
SERVICE -PERFORMED: CHECKED OVER UNIT; REMOVED PUMP HEAD;
REPLACED CYLINDERS, .CHECK VALVES, PISTON_-PACKING AND 0-RING;
REASSEMBLED; TESTED UNIT —OKAY.
3 3 OB 21799--00=Z 262 .41, , 262 .41 787 .23
1 1 OB 22512-00-F 401 . 89 401 . 89 401 . 89
VALVE KIT
1 1 OB 23109-00-Z 2.2.8 . 87 228 . 87 228 . 87
PACKING KIT
1 1 OB 60548-02-K 104 . 60 . 104 . 60 104 . 60
RECEPTACLE, CONNECTOR
1 1 ZZ ST10 5 . 59 5 . 59 5 . 59
1" KING COMB NIPPLE
TOTAL PARTS 1, 528 . 18
1 SHOP SUPPLIES . 00 20 . 00
8 LABOR 101 . 00 808 . 00
---------------------------_-----------------------------------------------------
CONTINUED
SEE REVERSE SIDE FOR SALE TERMS AND CONDITIONS
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 any 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.
Remittance Address:
Jack Doheny Companies, Inc. JackDohen Phone(248)349-0904
P.O. Box 609 Fax(248)349-2774
Northville,Michigan 48167 COMPANIESAF www.DohenyCompanies.com
I
Customer I N V O I C E - Invoice Pg
CARME03 W53938 ' 2
2/13/15
Sold To Ship To
CARMEL WASTEWATER TREATMENT CARMEL WASTEWATER TREATMENT
ATTN: PAUL ARNONE ATTN: PAUL ARNONE
9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280
FOR JDC WHITESTOWN IN FACILITY
--------------------------------------------------------------------------------
Br Trk Make Model Serial Equipment Meter Sls Customer P. O.
--------------------------------------------------------------------------------
007 OR 800-HPR 3790 2, 438 MR 514809
--------------------------------------------------------------------------------
Ordr
- --Ship---B/0-----------Description-----------List------EachAmount
------ -
---
INDIANA ,MUNICIPALITIES . 00
VISIT OUR WEBSITE @ www.dohenycompanies . com
WE APPRECIATE YOUR BUSINESS
--------------------------------------------------------------------------------
Total 2, 356 . 18
--------------------------------------------------------------------------------
SEE REVERSE SIDE FOR SALE TERMS AND CONDITIONS
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 any 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 # 155006 WARRANT # ALLOWED
358389 IN SUM OF $
JACK DOHENY SUPPLIES INC '
PO BOX 609
NORTHVILLE, MICHIGAN 48167
Carmel Wastewater Utility a
ON ACCOUNT OF APPROPRIATION FOR
Board members
,I
PO# INV# ACCT# AMOUNT Audit Trail Code
I
W53938 01-7500-02 $2,356.18
i
I,
I
I�
I
1.
1 I
Voucher Total $2,356.18 �l
Cost distribution ledger classification if j
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
358389
JACK DOHENY SUPPLIES INC Purchase Order No.
PO BOX 609 Terms
NORTHVILLE, MICHIGAN 48167 Due Date 2/25/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/25/2015 W53938 $2,356.18
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
Date O 'cer