223999 09/10/2013 CITY OF CARMEL, INDIANA VENDOR: 358389 Page 1 of 1
ONE CIVIC SQUARE JACK DOHENY SUPPLIES INC
CARMEL, INDIANA 46032 PO BOX 609
CHECK AMOUNT: $1,500.00
NORTHVILLE MI 48167 CHECK NUMBER: 223999
CHECK DATE: 9/10/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 H70220 1, 500 . 00 OTHER EXPENSES
Remittance Address: jackDohapy Qj Jack Doheny Companies, Inc. Phone(248)349-0904
P.O. Box 609 Worlds Largest Distributor ojSewerCleaning, Fax(248)349-2774
Northville, Michigan 48167 a it-Handling and Street Sweeping Equipment www.dohenycompanies.com
Customer I N V O I C E Invoice Pg
CARME03 H70220 1
Document
R15918 8/16/13
Sold To Ship To
CARMEL WASTEWATER TREATMENT JOE FAUCETT
ATTN: PAUL ARNONE CARMEL WASTEWATER TREATMENT
9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280 CARMEL IN 46032
317-571-2634 317-571-2634
FOB JDS WHITESTOWN IN FACILITY
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Br Trk Make Model Serial Equipment Meter Sls Customer P. O.
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007 LET
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Ordr Ship Description List Each Amount
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Taken By MARIANNA BUTLER WHITESTOWN
Rental Contract R15918
Period: 8/12/13 Thru 8/16/13
1 1 OB 000006505 JAJ600TH 5515 S 1, 500. 00 1, 500. 00
SEWER EQUIP JETAWAY UNIT
Hours: 11. 00
RENTAL START DATE: 08/12/13
RENTAL END DATE: 8/16/13
_OU_T__MI.LEAGE_:. NA / HUB METER: NA _
ENDING MILEAGE: NIA
INDIANA MUNICIPALITIES . 00
PLEASE NOTE: FAX ALL IFTA MILEAGE LOGS AND
FUEL RECEIPTS TO (248) 374-4259
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Total-- :> .. .1, 50-0. 00
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SEE REVERSE SIDE FOR SALE TERMS AND CONDITIONS
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IF
SALE TERMS AND CONDITIONS
The sale terms and conditions of Jack Doheny Companies, Inc.. which can be found at v,rww.dohenycornpanies,com
(the "Doheny Sale Terms and Conditions"). are hereby incorporated into and made a part of this invoice and sh ll be
construed with and as an integral part of this invoice to the same extent as if set forth verbatim herein. This invoice
ano the parties entire relations hip hereunder shall be governed exclusively by the Doheny Sa=e Terris and
Conditions,
Doheny hereby objects to and rejects any proposal for additional, different or inconsistent teirrhs or any attempt by
Seller to vary in any degree any of the terms of the Doheny Sale Terms and Conditions; but any such € ;oposals shall
not operate as a rejecfion of this offer by you, unless such variances are in the terns of the doscripgaon, 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 acceptances limiter: to the :,xpress terms set forth herein. including the Doheny Sale Terms and Conditions.
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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 9/4/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/4/2013 H70220 $1,500.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and 1 have audited same in accordance with IC 5-11-10-1.6
Date Officer
VOUCHER # 136285 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
>3Go
H70220 01-7-290-02 $1,500.00
Voucher Total $1,500.00
Cost distribution ledger classification if
claim paid under vehicle highway fund