210396 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 127200 Page 1 of 1
ONE CIVIC SQUARE HEXAGON TECHNOLOGIES INC CHECK AMOUNT: $1,342.00
f CARMEL, INDIANA 46032 PO BOX 23163
LOUISVILLE KY 40223 CHECK NUMBER: 210396
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 26529 1,342.00 OTHER EXPENSES
F iW 010E
O�
�O� Hexagon Technologies, Inc.
3600 Chamberlain Lane 4802 DATE INVOICE
Louisville, KY 40241 6/21/2012 26529
BILL TO SHIP TO
Carmel Wastewater Utilities Carmel Wastewater Treatment Plant
760 Third Ave. SW Suite 110 9609 Hazel Dell Parkway
Carmel, IN 46032 Indianapolis, IN 46280
ATTN: ACCTS PAYABLES
P.O. NUMBER TERMS SHIPPED DATE SHIPPED VIA
S13132 Net 30 6/21 /2012 Estes Express
QUANTITY DESCRIPTION PRICE EACH AMOUNT
1,100 Hexafloc 618, cationic emulsion, 2,200 lbs per tote 1.22 1,342.00
(1 tote) (splitting cost 50150 for plant trial)
FREIGHT BILL TO IIEXAGON, PO BOX 23163, LOUISVILLE, KY,
40223 Total $1,342.00
PLEASE PAY BY: 7/21/2012
THANK YOU! Please remit payment to: Hexagon Technologies, Inc., P.O. Box 23163, Louisville,
KY 40223
CONDITIONS OF SALE: The terms and conditions listed on the reverse are incorporated herein by
reference, including disclaimers of warranties and constitute an integral part of this invoice.
TERMS AND CONDITIONS OF SALE
1I. ACCEPTANCE 5. DAMAGES AND RISK OF LOSS
Sellers acceptance of Buyer's order is expressly made conditional on Buyer assumes all responsibility for and risk of loss of, or damages to,
Buyer's assent to the terms and conditions on the front and back hereof. the goods furnished hereunder, upon delivery to destination. In no event
Buyer shall be deemed to have assented to the provisions hereof in all shall Seller be liable for anticipated profits oe for damages on account of
respects by its use of any goods shipped, or by failure to give Seller negligence, or for incidental or consequential damages. Seller shall not
written notice of objection which is received by Seller within ten (10) be liable for, and Buyer assumes responsibility for all personal injury and
days of Buyers receipt of products or receipt of Seller's acknowledge property damage resulting from the handling, possession or use of the
ment, whichever is earlier. Buyer'may return goods for which it has timely goods by Buyer.
objected to Seller's terms and conditions. Seller's commencement of For shipments where Buyer assumes the cost and responsibility of
performance and or delivery shall be for Buyer's convenience only and Shipping from Seller's warehouse, Seller will not be liable for loss and
shall not be construed as acceptance of Buyer's terms and conditions. damage in transit.
Seller's products are offered for sale only on the terms and conditions Buyer's only and exclusive remedy and the limits of Sellers liability
contained herein. Prior dealings between the parties, Buyers purchase including for negligence, shall be the purchase. price of that portion of the
order or other documents shall not effect said terms and conditions. product proved to be defective. Failure to make a claim within ten (10)
Seller hereby specifically rejects any terms or conditions contained in days of receipt of the products shall be deemed to constitute a
any writing submitted to seller by buyer and objects to and shall not be satisfactory performance by Seller and a waiver of all claims by Buyer.
bound by any oral or writteh agreement or other understanding, or by
any change in, addition to, or waiver of any provisions hereof, unless 6. DISCLAIMER OF WARRANTIES
approved in writing by.an authorized 'representative of Seiler. if Buyer requests Seller to make suggestions concerning the use of any
product, alone or in combination with other products, Buyer understands
and agrees that Seller makes no warranty whatsoever of results and
2. PRICES assumes no obligations or liabilities with respect thereto.
Prices and terms of payment are subject to change without notice, and Seller reserves the right, without prior notice to change sales specifica-
as to any shipment will be the then current price in effect for that 1ions listed in its product brochures, bulletins or any other descriptive
product(s) unless superseded by the terms or conditions of a particular material which may have been given to Buyer as the goods are altered or
written contract, letter agreement of written proposal (sometimes known improved. At Sellers sole option, the obligation of Seller (and Buyer's
as a Quotation) that has become a contract. If Buyer requires a means of sole and exclusive remedy hereunder) shall be limited to replacement of
shipment other than selected by Seiler any extra cost incurred by reason any goods returned to Seller's plant, transportation charges prepaid, and
thereof shall be paid by Buyer. if the goods are then determined by Seller not to be as described, or, it
For price differentials for small packages, pricing will follow as stated in Seller is unable to remedy any such deviation in the goods, Buyer's sole
product brochure. Similarly, for deliveries outside metropolitan Louisville and exclusive remedy, at the sole option of Seller, shall then be a pro rata
area, minimum size order is required to cover cost of delivery. refund of the purchase price allocable to the deviant goods so long as
Buyer has paid for all of the goods contained in that particular shipment.
Buyer shall inspect the goods immediately upon delivery. Buyer's
3. FORCE MAJEURE failure to give notice of any claim within ten (10) days from the date of
Seller shall not be liable in damages for any delay in deliveries caused delivery shall constitute a waiver by Buyer of all claims with respect
by an Act of God, war, riots, fire, explosion, flood, strike, lockout, thereto.
injunction, inability to obtain fuel, power, raw materials, labor, containers, EXCEPT AS SET FORTH HEREIN, IT IS EXPRESSLY AGREED (a)
or transportation facilities, accident, breakage of machinery or apparatus, THAT THERE IS NO WARRANTY OF MERCHANTABILITY, NO WAR
national defense requirements or any cause beyond the control or such RANTY OF FITNESS FOR ANY PARTICULAR PURPOSE, NOR ANY
party, preventing the manufacture, shipment, acceptance or consump- OTHER WARRANTY, EXPRESS, IMPLIED, OR STATUTORY, NOR ANY
tion of a shipment of the goods or of a material upon which the AFFIRMATION OF FACT, OR PROMISE, MADE BY, SELLER WITH
manufacturer of the goods is dependent. If, because of any such REFERENCE TO THE GOODS, AND (b) BUYER ACKNOWLEDGES
circumstance, Seller is unable to supply the total demand for the goods, THAT THE GOODS ARE BEING PURCHASED SOLELY ON THE BASIS
Seller may allocate its, available supply among itself and all of its OF THE TERMS AND CONDITIONS EXPRESSLY SET FORTH HEREIN.
customers, including those not under contract, in an equitable manner.
Should delivery be delayed by any such causes more than thirty (30) days 7, PATENTS
beyond the delivery period specified in the order, either Seller or Buyer Seller does not warrant that ine use of any goods sold htt sunder, or
may -by written notice deliveeed no laterthantan 1 o) days afte the end articles fnade therefrom- eitnet atone or conjunction o the r
of such thirty day period, cancel the order. if neither party should deliver materials will not infringe a patent. Seller's recommendations or instruc-
notice of cancellation within such ten (10) day period, all terms and tions about use of products are not intended to suggest operations which
conditions shall remain in full force and effect. would infringe any patents belonging to third parties under which Seller
is not licensed with the right to grant sublicenses, and Seller assumes no
liability or responsibility for infringement of any such patents.
4. CONTAINERS Seller shall have no patent obligation or other liability to Buyer for
(a) Deposits infringement or charges of infringement arising from use of the goods
All returnable containers remain Seller's property. Container charges furnished hereunder in processes covered by patents, or in patented
hereon are a part of this invoice, not subject to discount, and must be combinations with other materials or arising from any alterations made !n
paid for in full as invoiced. If containers are returned within 90 days, in the goods by Buyer. Buyer agrees to indemnify and save Seller harmless
good condition, full return charges prepaid, credit will be issued at the from any cost or expense arising in connection with an alleged infringe
price as charged, otherwise at reduced value in Sellers solediscretion. ment relating to the goods resulting trop; composition or other special
(b) Regulations Governing Return of Empty Containers requirements specified by Buyer or the result of the application or e io
which the goods are put by Buyer. or others.
The provisions of the Interstate Commerce Commission regulations
governing the transportation of empty packages previously used for p_ SPECIAL ORDERS
the transportation of acids, corrosive liquids, etc. require that before In the event Buyer places an order for goods made up specially f c)f rn;:,
being accepted for transportation: or for the goods not customarily carries by Seller, and Buyarcant;ei's
1. Em{ y barrels, kegs or drums must have their filling and vent holes such order, Buyer agrees to pay.Seller as liquidated damages the °r
properly cleaned. published or agreed upon price for such goods as are corrpl_:a" snd
2. Empty carboys when presented to carriers must be equipped with equitable price based upon the percentage of completion of such g00c: s
stoppers well secured. as are in process at the time of cancellai on.
3. Empty bottles previously used for acids or corrosive or toxic
materials must be securely stopped. 9. FAIR LABOR STANDARDS ACT
Your compliance with the above is earnestly recommended for the Seller certifies that the materials ;.o :per e-j L. y rf!:s rn.oice were, rr Jc:
a otection of employees and to minimize the dangers of incident to the in :ornpliance with +.he r�cju �mr ;;;or StanJZrds Az!
transportation of these articles. 1938 as amende
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
127200
HEXAGON TECHNOLOGIES INC Purchase Order No.
PO BOX 23163 Terms
LOUISVILLE, KY 40223 Due Date 6/26/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
i 6/26/2012 26529 $1,342.00
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
(h."
Date Officer
VOUCHER 125192 WARRANT ALLOWED
127200 IN SUM OF
HEXAGON TECHNOLOGIES INC
PO BOX 23163
LOUISVILLE, KY 40223
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
26529 01- 7202 -06 $1,342.00
Voucher Total $1,342.00
Cost distribution ledger classification if
claim paid under vehicle highway fund