245883 06/03/15 y pf,CAq�
;� CITY OF CARMEL, INDIANA VENDOR: 358389
ONE CIVIC SQUARE JACK DOHENY SUPPLIES INC CHECK AMOUNT: $*****1,036.80*
:t� �r� CARMEL, INDIANA 46032 PO Box 609 CHECK NUMBER: 245883
�'��TON�° NORTHVILLE MI 48167 CHECK DATE: 06/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 C68681 981.60 OTHER EXPENSES
651 5023990 C69447 55.20 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: T N. V;;:O I .,C E Invoice Pg:
CARME03 C68681 . 1
y
' i Y
i
Sold To Ship To
CARMEL WASTEWATER. TREATMENT JEFF- .COOP.-ER
ATTN c'r PAUI; ARNONE-, CARMEL `WASTEWATER 'TREATMENT"'
9,60`9 HAZEL, "DELL PARKWAY 'ATTN. ,'BLAINS `MALhABER
INDIANAPOLIS IN =46280' 9609 HAZEL "DELL PARKWAY
,Y INDIANAPOLIS IN 46280
_'. 31_7=571 '2634'- - 317 571 2,634
Ship Via UPS GROUND FOB FACTORY
--------------------------------------------------------------------------------
Br Trk Make Model Serial Equipment Meter Sls Customer P.O.
------------------------------------ --- =; -----------------------------------
007 "` `, MR 515059
Ordr Ship B/O mµ Descriptlan List Each _ Amount
:,
---------------------- ✓M -----------
Taken By JOHN°BENGE �; Oprened 4'/27/15
f
Shipped 5/1!4%1.5
Vit#
OB 6 450-00 X _.960 . 06 9'60;06 960 . 06 .
CQNTRQLLER`
TOTAL PARTS. 960 . 06
1 rr INDIANA FREIGHT' . 00 21 . 54
INDIANA MUNICIPALITIES . 00
Y
VISIT OUR WEBSITE @ www.dohenycompanies .com
WE APPRECIATE YOUR BUSINESS
--------------------------------------------------------------------------------
Total 981 . 60
---------------------------------------------------------------------------------
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. 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 C E Invoice Pg
CARME03 C69447 1
5/21/,15
Sold To - Ship To
'CARMEL WASTEWATER TREATMENT DUANE
ATTN: PAUL ARNONE CARMEL WASTEWATER TREATMENT
9609 HAZEL DELL PARKWAY ATTN: BLAINE MALLABER
INDIANAPOLIS IN 462'80 9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280
3"17-571-"-2634 - 3-17-571-2634 -- -- -
Ship Via UPS GROUND FOB JDC WHITESTOWN IN FACILITY
--------------------------------------------------------------------------------
Br Trk Make Model Serial -Equipment Meter Sls Customer P.O.
--------------------------------------------------------------------------------
007 MR S15085
--------------------------------------------------------------------------------
Ordr Ship B/O Description List Each Amount
--------------------------------=-----------------------=------=----------------
Taken By JOHN 'BENGE Opened " 5/19/15
Shipped 5/21/15
3 3 V3 36460SWJD, 14 .43 14 .43 43 . 29
SWITCH-HANDHELD SPOT
TOTAL PARTS 43 . 29
1 SHIPPING AND HANDLING . 00 -11 . 91
INDIANA MUNICIPALITIES . 00
_FEDEX__638375595695_ _ __
VISIT OUR WEBSITE @ www.dohenycompanies .com
WE APPRECIATE YOUR BUSINESS
--------------------------------------------------------------------------------
Total 55 . 20
--------------------------------------------------------------------------------
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 # 155561 WARRANT # ALLOWED
358389 IN SUM OF $
JACK DOHENY SUPPLIES INC
PO BOX 609
NORTHVILLE, MICHIGAN 48167
j
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR I
I
�I
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
J
1
C68681 01-7500-02 s $981.60
'f
I�' ��4 yy-7 OI -7Soo-o SS,ac7 �l
i
Voucher Total
Cost distribution ledger classification if
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 5/27/2015
Invoice Invoice Description
Date Number (or note attached ihvoice(s) or bill(s)) Amount
5/27/2015 C68681 $981.60
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