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225430 10/23/2013 CITY OF CARMEL, INDIANA VENDOR: 358389 Page 1 of 1 ,I. ONE CIVIC SQUARE JACK DOHENY SUPPLIES INC CARMEL, INDIANA 46032 PO BOX 609 CHECK AMOUNT: $60.45 NORTHVILLE MI 48167 CHECK NUMBER: 225430 CHECK DATE: 10/23/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 C50855 24 . 03 OTHER EXPENSES 651 5023990 C50960 36 . 42 OTHER EXPENSES Remittance Address: jwk Dchapy Jack Doheny Companies, Inc. Compammies Phone (248)349-0904 P.O. Box 609 lf'w' Largest Distributor ojse erCleaning, Fax(248)349-2774 Northville, Michigan 48167 Air yanstir,Q and Street Sit eepingEquipment www.dohenycompanies.com Customer I N V O I C E Invoice Pg CARME03 C50960 1 10/03/13 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 317-571-2634 317-571-2634 Ship Via UPS GROUND FOB JDS WHITESTOWN IN FACILITY -------------------------------------------------------------------------------- Br Trk Make Model Serial Equipment Meter Sls Customer P. O. -------------------------------------------------------------------------------- 007 LET VERBAL-JEFF -------------------------------------------------------------------------------- Ordr Ship B/0 Description List Each Amount -------------------------------------------------------------------------------- Taken By JOHN BENGE Opened 10/01/13 Shipped 10/01/13 1 1 VA 45803 25. 46 25. 46 25. 46 SCREEN - 2" " STNLS TOTAL PARTS 25. 46 1 INDIANA FREIGHT . 00 10. 96 INDIANA MUNICIPALITIES . 00 1Z21V1280346361372 VISIT OUR WEBSITE @ www. dohenysupplies. com WE APPRECIATE YOUR BUSINESS ----------------------------------------------------------------------_ _---------- Total 36. 42 SEE REVERSE SIDE FOR SALE TERMS AND CONDITIONS � SALE TERMS AND CONDITIONS The sale terms and conditions of Jack Dohnny Companies. Inc., which can be found at wwwdohenycompaniea.co/n � (the ^DohonySa|e, Terms and Cnndidong^), are hereby inroqpoated into and made a part nf this invoice and o�oUbe | oonstnuedvviMhandasanin0egna| partof"hiaiovoinato1heaameextentasifoatforthvorbatimhenain, This invoice and 'the Parties' entire relationship hereunder shall be governed exclusively by the DohunySa|e Ternna and Conditions. Ooheny hereby o0jentotoand nqerts any proposal fo/ additiorsA, different or inconsistent terms nr any attempt bv SeUerk> v�ryinaoydegnaeanyof th�kanmoof|hmDnheny8a|�T�rmsondCondibona but any such proposals shall � ' � nc1 operate as a /ejecimo of this offer by ynu, unless such venonnee are in 1ho {enne of the dosohp{ion, quantity, price Vr delivery schedule of the goods or services, and this offer shall be deemed accepted by you without said | additional, diffeoantor inconsistent terms. K this invoice shall be deemed an acceptance of a prior cxfe/ by Seller, | | � � � such occapbsnoe |aUmiiedto the oxp/eso terms set fohh �ereio. .nc|ud|ng the Doheny Sale Terms and CnnditiGrs. | -- | | | � | � | � | � � \ � / Remittance Address: JwkDohopy Jack Doheny Companies, Inc. Companies Phone (248)349-0904 P.O. Box 609 viorl dv Largest DistribawrafsenerCleaning, Fax (248)349-2774 Northville, Michigan 48167 Air Handling andsireel Sit eepingsgwpment www.dohenycompanies.com Customer I N V O I C E Invoice Pg CARME03 C50855 1 10/01/13 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 317-571-2634 317-571-2634 Ship Via UPS GROUND FOB FACTORY -------------------------------------------------------------------------------- Br Trk Make Model Serial Equipment Meter Sls Customer P. O. -------------------------------------------------------------------------------- 007 LET VERBAL -------------------------------------------------------------------------------- Ordr Ship B/0 Description List Each Amount -------------------------------------------------------------------------------- Taken By JOHN BENGE Opened 9/26/13 Shipped 10/01/13 1 1 OB 53067-00-X 12. 36 12. 36 12. 36 FLOOD FILTER SCREEN TOTAL PARTS 12. 36 1 INDIANA FREIGHT . 00 11. 67 INDIANA _MUNICIPALITIES . 00 UPS TRACKING # iZ611OE20379098513 VISIT OUR WEBSITE @ www. dohenysupplies. com WE APPRECIATE YOUR BUSINESS I --------------------------------------------------------------------------_ ------ Total 24. 03 SEE REVERSE SIDE FOR SALE TERMS AND CONDITIONS I SALE TERMS AND CONDITIONS The sale terms and conditions of Jack Doheny Companies, Inc., which can be found at www.dohenycompanies.corn (the "Doheny Sale 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 Sale Terms and Conditions. i 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. I I 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 A8167-- T Due bate - 10/15/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/15/201: C50960 $36.42 1 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 I o�/,-13 Date Officer VOUCHER # 136605 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 C50960 01-7500-02 _ $36.42 CSMA Of --7500-0-a BOO,y S Voucher Total Cost distribution ledger classification if claim paid under vehicle highway fund