244938 05/05/15 04',v,qw;. CITY OF CARMEL, INDIANA VENDOR: 358389
ONE CIVIC SQUARE JACK DOHENY SUPPLIES INC CHECK AMOUNT- $*******657.83*
*9, =a CARMEL, INDIANA 46032 PO Box 609 CHECK NUMBER: 244938
.y«oN. NORTHVILLE MI 48167 CHECK DATE: 05/05/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 W55550 657.83 OTHER EXPENSES
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 O I C E Invoice Pg
CARME03 W55550 ' 1
4/20/15
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
317-571-2634 317-571-2634
FOB JDC WHITESTOWN IN FACILITY
--------------------------------------------------------------------------------
Br Trk Make Model Serial Equipment Meter Sls Customer P.O.
--------------------------------------------------------------------------------
007 OB 800HPR 6900 6900 4 , 931 MR
--------------------------------------------------------------------------------
Ordr Ship B/O Description List Each Amount
--------------------------------------------------------------------------------
Taken By MARIANNA BUTLER WHITESTOWN Closed 4/20/15
SECA 800HPR SN: 6900 (HRS : 4931 / MILES : 25302)
ISSUE REPORTED: HOSE REEL SPEED CONTROLS ARE NOT WORKING
PROPERLY
SERVICE PERFORMED: CHECKED OVER UNIT; REPLACED BOTH HOSE
REEL SPEED CONTROLS - 1 ON DASH AND 1 ON PENDANT; TESTED
UNIT - OKAY
1
- ---OB
1 OB 60542-00-K 91 . 73 91-. 73---91 .73- --
- -POTENTIOMETER SWITCH __._ f-- �-- —
1 1 OB 60723-00-K 232 . 80 232 . 80 232 . 80
POTENTIOMETER SWITCH
TOTAL PARTS 324 . 53
1 LABOR 303 . 00 303 . 00
SHOP SUPPLIES 30 . 30
INDIANA MUNICIPALITIES . 00
VISIT OUR WEBSITE @ www.dohenycompanies . com
WE APPRECIATE YOUR BUSINESS
----------------------------------------------------------------=---------------
Total 657 . 83
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SEE REVERSE SIDE FOR SALE TERMS AND CONDITIONS
SALE TERMS AND CONDITIONS
The sale terms and conditions of Jack Do.heny.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 # 155407 WARRANT # ALLOWED
358389 IN SUM OF $
JACK DOHENY SUPPLIES INC
PO BOX 609
NORTHVILLE, MICHIGAN 48167
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT I Audit Trail Code
I
W55550 01-7500-02 $657.83 1
,I
' 1
I ISI
I
I
1
� I
Voucher Total $657.83
Cost distribution ledger classification if
claim paid under vehicle highway fund
I
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 4/28/2015
Invoice Invoice Description
Date - Number (or note attached invoice(s) or bill(s)) Amount
4/28/2015 W55550 $657.83
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 Officer