215347 12/11/2012 CITY OF CARMEL, INDIANA VENDOR: 358389 Page 1 of 1
ONE CIVIC SQUARE JACK DOHENY SUPPLIES INC
a CARMEL, INDIANA 46032 PO BOX 609
CHECK AMOUNT: $900.00
NORTHVILLE MI 48167 CHECK NUMBER: 215347
CHECK DATE: 12/11/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 B08227 900 . 00 EMPLOYEE PENSIONS & B
Remittance Address:
Jack Doheny Supplies, Inc. `a :. Phone(248)349-0904
P.O. Box 609 �®ffi� �� Fax(248)349-2774
"World's Largest Distributor ojSex-er Cleaning ,
Northville, Michigan 48167 Ait-HandlingandStreetSxeepingEquipment www.dohenysupplies.com
Customer I N V O I C E Invoice Fig
CARME03 B08227 1
Duplicate
11/26/12
Sold To Ship To
CARMEL WASTEWATER TREATMENT CARMEL WASTEWATER TREATMENT
760 THIRD AVENUE SW 760 THIRD AVENUE SW
CARMEL IN 46032 CARMEL IN 46032
317-571-2634 317-571-2634
FOB DESTINATION
------------------------------------------------------ --------------------------
Br Trk Make Model Serial Equipment Meter Sls Customer P. O.
--------------------------------------------------------------------------------
009 H9 S13397
--------------------------------------------------------------------------------
Ordr Ship B/0 Description List Each Amount
--------------------------------------------------------------------------------
Taken By ASHLEY GROVES - CAMERA Opened 11/21/12
Shipped 11/26/12
PACP/MACP/LACP TRAINING BEING HELD IN WHITESTOWN, IN
DECEMBER 4-6, 2012.
PARTICIPANT :
RANDY MASSINGILL
1 1 CP PACPMANUAL 900. 00 900. 00 900. 00
PACP MANUAL
TOTAL PARTS 900. 00
-I'N-DIANA -TAX -EXEMPT MUNI- __ , 00
VISIT OUR WEBSITE @ www. dohenysupplies. com
WE APPRECIATE YOUR BUSINESS
----------------------------------------------------------------7---------------
Total 900. 00
--------------------------------------------------------------------------------
SEE REVERSE SIDE FOR SALE TERMS AND CONDITIONS
SALE TERMS AND CONDITIONS
The sale terms and conditions of Jack Doheny Supplies, Inc., d/b/a Jack Doheny Con;«;anies and ;',,:, -iffiliates "'Doheny')
which can be found at www.dohenysupplies.com (the "Doheny Sale Terms and Con, itiOns"), are lterebv
incorporated into and made a part of this invoice and shall be construed with and as an integral ;cart of this i:iv9.Ace to
the same extent as if set forth verbatim herein. This invoice and the parties' entire relationshiT, hereunder ,li be
governed exclusively by the Doheny Sale Terms and Conditions.
Doheny hereby objects to and rejects any proposal for additional, different or inconsistent or any at`e'l pt by
Seiler to vary in any degree any of the terms of the Doheny Sale Terms and Conditions, ;.gut an), :...;h prop n>; :,: shall
not operate as a rejection oI this offer by you, unless such variancos are in the ,-,rrns of the °yc;ription, clt:.antity,
Price or delivery schedule of the goods or services, and this offer :;hall be deewc d accepters :)y you L1`Itf:,:;.1 said
additional. different or inconsistent terms. If this invoice shall be deerned an acctVLance of a p}for offer r�ti f:3ier,
s=.=ch acceptance is limited to the express terms set forth herein, including the Dohc',iy Sale Tem,,�. and Condi is> a .
VOUCHER # 126272 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 Audit Trail Code
B08227 01-7040-01 $900.00
Voucher Total $900.00
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 12/5/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/5/2012 B08227 $900.00
hereby certify that the attached invoice(s), or bill(s) is (are) true and
-orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer