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248407 08/12/15 4� \f CITY OF CARMEL, INDIANA VENDOR: 358389 ONE CIVIC SQUARE JACK DOHENY SUPPLIES INC CHECK AMOUNT: $"""""'755.69• CARMEL, INDIANA 46032 PO Box 609 CHECK NUMBER: 248407 9y�ioN�. NORTHVILLE MI 48167 CHECK DATE: 08/12/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 C71502 606.21 OTHER EXPENSES 651 5023990 071521 149.48 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 FCK stomer I N V O I C E Invoice Pg RME03 C71502 1 7/27/.15 Sold To Ship To CARMEL WASTEWATER .TREATMENT JEFF COOPER ATTN: PAUL ARNONE - CARMEL WASTEWATER TREATMENT 9609 HAZEL DELL PARKWAY ATTN: PAUL ARNONE INDIANAPOLIS IN 46280 9609 HAZEL DELL PARKWAY INDIANAPOLIS IN 46280 317-571-2634 317-571-2634 Ship Via UPS GROUND FOB JDC WHITESTOWN IN FACILITY ------------------------------------------------------------; Trk Make Model Serial Equipment Meter Sls Customer P.O. ------------------------------------------- I-------------------------.----------- 007 DD S15304 ----------------------------------7--------------------------------------------- Ordr Ship B/O Description' List Each Amount Taken By JOHN BENGE Opened 7/17/15 Shipped 7/21/15 1 1 VA 52841 587 .42 587.'.42 587 .42 BODY LOAD LIMIT ALAR TOTAL PARTS 587 .42 1 INDIANA FREIGHT . 00 18 . 79 INDIANA MUNICIPALITIES . 00 1Z21V1280.35126842_8 VISIT OUR WEBSITE @ www.dohenycompanies . com WE APPRECIATE YOUR BUSINESS -------------------------------------------------------------------------------- Total 606 . 21 -------------------------------------------------------------------------------- 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 ,lack Dohen y Fax(248)349-2774 Northville, Michigan 48167 COMPANIES www.DohenyCompanies.com Customer - I N V O I C E Invoice Pg CARME03 C71521 1 7/17/15 Sold To Ship To CARMEL WASTEWATER TREATMENT JEFF COOPER ATTN: PAUL ARNONE CARMEL WASTEWATER TREATMENT 9609 HAZEL DELL PARKWAY ATTN: BLAINE MALLABER INDIANAPOLIS IN 46280 9609 HAZEL DELL PARKWAY INDIANAPOLIS IN 46280 1-7-5-7-1—a&3 --3-1-7-5-7-1-2-6-34— Ship g 317---571 2634—Ship Via WILL CALL FOB COLLECTED FROM JACK DOHENY SUPPLIES -------------------------------------------------------------------------------- Br Trk Make Model Serial Equipment Meter Sls' Customer P.O. -------------------------------------------------------------------------------- 007 DD -------------------------------------------------------------------------------- Ordr Ship B/O Description List Each Amount -------------------------------------------------------------------------------- Taken By JOHN BENGE Opened 7/15/15 Shipped 7/15/15 4 4 V3 42594JD 37 . 37 37 .37 149 .48 CLAMP, 8,DOUBLE BOLT TOTAL PARTS 149 .48 INDIANA MUNICIPALITIES . 00 VISIT OUR WEBSITE @ www.dohenycompanies . com WE APPRECIATE YOUR BUSINESS -------------------------------------------------------------------------------- Total 149 .48 -------------------------------------------------------------------------------- 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. VOUCHER # 156048 WARRANT # ALLOWED 358389 " IN SUM OF $ i JACK DOHENY SUPPLIES INC PO BOX 609 NORTHVILLE' MICHIGAN 48167 1 � 'i i Carmel Wastewater Utility j ON ACCOUNT OF APPROPRIATION FOR } Board members i PO# INV# ACCT# AMOUNT Audit Trail Code ,I. I I C71502 01-7500-02 5 $606.21 i y C-7150-11 01-"7Sdo-off ,j �1 a 1I i f 755, 69 Voucher Total Cost distribution ledger classification if i claim paid under vehicle highway fund ;, j 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 8/5/2015 I Invoice Invoice De'scrip tion Date Number (or note attached invoice(s) or bill(s)) Amount 8/5/2015 C71502 $606.21 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