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235902 08/13/14 +��_C!INgs �1/ �ff CITY OF CARMEL, INDIANA VENDOR: 358389 ONE CIVIC SQUARE JACK DOHENY SUPPLIES INC CHECK AMOUNT: $*****5,539.17* CARMEL, INDIANA 46032 PO Box 609 CHECK NUMBER: 235902 f! ;:'r, NORTHVILLE MI 48167 CHECK DATE: 08/13/14 trox�°' DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 C60020 123.22 OTHER EXPENSES 652 5023990 M06796 5,415.95 OTHER EXPENSES Remittance Address: Jack Doheny Companies, Inc. Phone(248)349-0904 P.O. Box 609 JackDoheny Fax(248)349-2774 Northville, Michigan 48167 COMPANIES www.DohenyCompanies.com Customer I N V O I C E Invoice Pg CARME03 C60020 1 7/31/14 Sold To Ship To CARMEL WASTEWATER TREATMENT JEFF 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 WILL CALL FOB COLLECTED FROM JACK DOHENY SUPPLIES -------------------------------------------------------------------------------- Br Trk Make Model Serial Equipment Meter Sls Customer P.O. -------------------------------------------------------------------------------- 007 MR -------------------------------------------------------------------------------- Ordr Ship B/O Description List Each Amount -------------------------------------------------------------------------------- Taken By JOHN BENGE Opened 7/31/14 - Shipped 7/31/14 1 1 VA 1099061 123 . 22 123 . 22 123 . 22 FILTER TOTAL PARTS 123 . 22 INDIANA MUNICIPALITIES . 00 VISIT OUR WEBSITE @ www.dohenycompanies . com WE APPRECIATE YOUR BUSINESS -------------------------------------------------------------------------------- - - Total 123 . 22 ------------- ------------------------------------------------------------------ SEE REVERSE SIDE FOR SALE TERMS AND CONDITIONS SALE TERMS AND CONDITIONS The sale terms and conditions of Jack Doheny Companies, Inc., which can be found at www.dohenycompanies.com (the "Doheny Sales 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 Sales Terms and Conditions. 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. - VOUCHER # 145293 ° 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 C60020 01-7500-02 $123.22 I Voucher Total $123.22 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 8/7/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/7/2014 C60020 $123.22 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 Date Officer Remittance Address: �j Jack Doheny Companies, Inc. Jack DOh�O Phone(248)349-0904 P.O. Box 609 Fax(248)349-2774 Northville, Michigan 48167 COMPANIESAF www.DohenyCompanies.com . Customer I N V O I C E Invoice Pg CARME03 M06796 1 7/31/14 Sold To Ship To CARMEL WASTEWATER TREATMENT BLAINE MALLABER ATTN: PAUL ARNONE CARMEL WASTEWATER TREATMENT 9609 HAZEL DELL PARKWAY ATTN: BLAINE MALLABER INDIANAPOLIS IN 46280 9609 HAZEL DELL PARKWAY INDIANAPOLIS IN 46280 - FOB JDS WHITESTOWN IN FACILITY -----------------------------------------=-------------------------------------- Br Trk Make Model Serial Equipment Meter Sls Customer P.O. -------------------------------------------------------------------------------- 007 MR S14098 ---------------------------------------'----------------------------------------- Ordr Ship Description List Each Amount -------------------------------------------------------------------------------- Taken By ROXANNE VERMEESCH Shipped, 7/28/14 Terms NET ONE (1) ENZ EJECTOR NOZZLE 1 1 EU EJECTOR ENZ000017 5, 415 . 95 5, 415 . 95 ENZ EJECTOR NOZZLE INDIANA MUNICIPALITIES . 00 VISIT OUR WEBSITE @ www.dohenycompanies .com WE APPRECIATE YOUR BUSINESS -------------------------------------------------------------------------------- Total 5, 415 . 95 -------------------------------------------------------------------------------- SEE REVERSE SIDE FOR SALE TERMS AND CONDITIONS SALE TERMS AND CONDITIONS The sale terms and conditions of Jack Doheny Companies, Inc., which can be found at www.dohenycompanies.com (the "Doheny Sales 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 Sales Terms and Conditions. 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. VOUCHER # 145292 WARRANT # ALLOWED 358389 IN SUM OF $ JACK DOHENY SUPPLIES INC PO BOX 609 NORTHVILLE, MICHIGAN 48167 i Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR i Board members PO# INV# ACCT# AMOUNT Audit Trail Code M06796 02-2308-00 $5,415.95 Depreciation I Voucher Total $5,415.95 a 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 8/7/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/7/2014 M06796 $5,415.95 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 Date Officer