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236429 08/27/14 �/ ;` CITY OF CARMEL, INDIANA VENDOR: 358389 ONE CIVIC SQUARE JACK DOHENY SUPPLIES INC CHECK AMOUNT: $*****1,178.17* s_ ;�� CARMEL, INDIANA 46032 PO Box 609 CHECK NUMBER: 236429 �dioN�°' NORTHVILLE MI 48167 CHECK DATE: 08/27/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 C59885 850.00 OTHER EXPENSES 651 5023990 C60338 328.17 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 C60338 1 8/14%14 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 MR S14241 -------------------------------------------------------------------------------- Ordr Ship B/O Description List Each Amount -------------------------------------------------------------------------------- Taken By BOB SMITH Opened 8/14/14 Shipped 8/14/14 1 1 OB 20042-00-R 313 . 54 313 . 54 313 . 54 VALVE, SOLENOID, 3-W TOTAL PARTS 313 . 54 - 1 INDIANA FREIGHT . 00 14 . 63 INDIANA MUNICIPALITIES . 00 1Z21V1280347956899 i VISIT OUR WEBSITE @ www.dohenycompanies .com WE APPRECIATE YOUR BUSINESS -------------------------------------------------------------------------------- Total -----328-. 17 -------------------------------------------------------------------------------- SEE REVERSE SIDE FOR SALE TERMS AND CONDITIONS SALE TERMS AND CONDITIONS The sale terms and conditions of Jack Doheny Companies,anies 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. - - Remittance Address: Jack Doheny Companies, Inc. Phone(248)349-0904 P.O. Box 609 ,lack Dohen y Fax(248)349-2774 Northville, Michigan 48167 COMPANIES www.DohenyCompanies.com Customer I N V O I C E Invoice Pg CARME03 C59885 1 7/30/14 Sold To Ship To CARMEL WASTEWATER TREATMENT CARMEL WASTEWATER TREATMENT ATTN: PAUL ARNONE ATTN: BLAINE MALLABER 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280 317-571-2634 317-571-2634 Ship Via DELIVERED FOB JDS WHITESTOWN IN FACILITY -------------------------------------------------------------------------------- Br Trk Make Model Serial Equipment Meter Sls Customer P.O. -------------------------------------------------------------------------------- 007 MR S14098 -------------------------------------------------------------------------------- Ordr Ship B/O Description List Each Amount -------------------------------------------------------------------------------- Taken By JOHN BENGE Opened 7/28/14 Shipped 7/28/14 1 1 VA 89957 1, 296 . 46 850 . 00 850 . 00 HIGBEE TUBE/DEMO MDL TOTAL PARTS 850 . 00 INDIANA MUNICIPALITIES . 00 VISIT OUR WEBSITE @ www.dohenycompanies . com WE APPRECIATE YOUR BUSINESS --------------------------------------------------------------------------- Total 850 . 00 -------------------------------------------------------------------------------- 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 # 145397 WARRANT # ALLOWED 358389 IN SUM OF $ JACK DOHENY SUPPLIES INC PO BOX 609 NORTHVILLE, MICHIGAN 48167 �j Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members i PO# INV# ACCT# AMOUNT Audit Trail Code C59885 01-7500-02 $850.00 C fo®'339 Ot-7Soa-o(z 3 a�.1"7 Voucher Total9"� 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 8/21/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/21/2014 C59885 $850.00 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. Date fficer