309011 03/07/17 9.1a,"��"SMR
a CITY OF CARMEL, INDIANA VENDOR: 363353 CHECK AMOUNT: S•"'"9,325.00"
q ONE CIVIC SQUARE JWC ENVIRONMENTAL LLC
Q CARMEL, INDIANA 46032 PO BOX 848853 CHECK NUMBER: 309011
�. d LOS ANGELES CA 90084-8853 CHECK DATE: 03/07/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 85117 9,325.00 OTHER EXPENSES
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Invoice No: 85117
Date: 2/14/2017
WRP2.. Envircr ntai* - Order No: S022403
Page No: 1
2850 S. Red Hill Ave., STE 125 F.0.B: Origin
Santa Ana, CA 92705
(949) 833-3888
Sold To Ship To
Carmel Waste Water Treatment Carmel Waste Water Treatment Plant
9609 Hazel Dell Pkwy 9609 Hazel Dell Pkwy
Indianapolis, IN 46280-2935 Indianapolis, IN 46280-2935
US US
TIN:45-2771126 DUNNS#61-059-2388
CUSTOMER ID _ CUSTOMER POPAYMENT TERMS FREIGHT TERMS`' -
6013429 S16926 Net 30 Days Freight: Prepaid
SALES REP ID SHIPPING METHOD SHIP DATE INVOICE DUE DATE
026 Old Dominion Freight Line 2/14/2017 3/16/2017
QUANTITY II I
I# ORD SHP BCK PART DESCRIPTION I X
2 1 1 0 30004T-1200 30004T-1200-DI-Exchange
7T Cam Cutters
1:1 Stack Hardened Alloy STL
BUNA-N Elastomers
Cork&Rubber Gaskets
Less Motor
Less Reducer
Less Spool
Less Unibody
Grinder SN:S022403-2-1
Paint: Epoxy Green
3 1 1 0 CORERT Core Return
CORE RETURN
Please return your unit within 30 days
to activate the Warranty or.your
Recondition Cutter Cartridge and to
qualify you for the future Exchanges.
Return equipment to:
JWC Environmental
2600 South Garnsey Street
Santa Ana;CA 92707
4 1 1 0 Shipping Shipping & Handling
SUB TOTAL: $9,325.00
SALES TAX: $0.00
TOTAL AMOUNT DUE: $9,325.00
PLEASE REFERENCE THIS INVOICE
NUMBER ON YOUR CHECK AND REMIT TO: JWC Environmental,LLC
P.O. Box 848853
/III■ III
Invoice No: 85117
Date: 2/14/2017
W.M.I.M-2 Envir� ntaie - Order No: S022403
Page No: 1
2850 S. Red Hill Ave., STE 125 FOR Origin
Santa Ana, CA 92705
(949) 833-3888
Sold To Ship To
Carmel Waste Water Treatment Carmel Waste Water Treatment Plant
9609 Hazel Dell Pkwy 9609 Hazel Dell Pkwy
Indianapolis, IN 46280-2935 Indianapolis, IN 46280-2935
US US
TIN:45-2771126 DUNNS#61-059-2388
-CUSTOMER ID _ CUSTOMER PO _ PAYMENT TERMS FREIGHT TERMS
6013429 S16926 Net 30 Days Freight: Prepaid
SALES REP ID SHIPPING METHOD SHIP DATE INVOICE,DUE DATE
026 Old Dominion Freight Line 2/14/2017 3/16/2017
�LI# I ORD I SHP I BCKJ PART DESCRIPTION I X
Los Angeles,CA 90084-8853
IF PAYING BY ACH OR WIRE: ACHANIRE INSTRUCTIONS
BANK NAME:WELLS FARGO
ADDRESS: IRVINE,CA.
ABA#: 121000248
ACCOUNT#:4123519118
ACCOUNT NAME: JWC Environmental,LLC