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260220 06/28/16
(9, CITY OF CARMEL, INDIANA VENDOR: 358389 ONE CIVIC SQUARE JACK DOHENY SUPPLIES INC CHECK AMOUNT: $*******194.41 CARMEL, INDIANA 46032 PO Box 609 CHECK NUMBER: 260220 NORTHVILLE MI 48167 CHECK DATE: 06/28/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 C84742 178.64 OTHER EXPENSES 651 5023990 C84763 15.77 OTHER EXPENSES 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 6/21/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/21/2016 C84742 $178.64 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: 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 C84742 1 6/13/16 Sold To Ship To CARMEL WASTEWATER TREATMENT JEFF ATTN: PAUL ARNONE CARMEL WASTEWATER TREATMENT 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280 -_- Ship Via UPS GROUND FOB JDC WHITESTOWN IN FACILITY -------------------------------------------------------------------------------- Br Trk Make Model Serial Equipment Meter Sls Customer P.O. --------------------------------------=----------------------------------------- 007 DD S16198 -------------------------------------------------------------------------------- Ordr Ship B/O Description List Each Amount ------------------------------=-----------------------=--------=---------------- Taken By John King - Whitestown Opened 6/-13/16 Shipped 6/13/16 Please See Backorder Document -C84763 2 2 V3 40575JD 57 . 75 57 . 75 115 . 50 VALVE,BALL, 1/2, 5800 SEE NOTE 1 1 RC 602142 45 . 58 45 . 58 45 . 58 ROLLER GUIDE ASSY 1 0 1 HF 6801-L-8 7 . 85, . 00 . 00 -FITTING-- - ,=- :- - _--- - -- -- --- - TOTAL PARTS 161 . 08 1 INDIANA FREIGHT . 00 17 . 56 INDIANA MUNICIPALITIES . 00 * Interested- in receiving your invoices by email * For details call 800-336-4369 and ask for A/R -------------------------------------------------------------------------------- - Total 178 . 64 -------------------------------------------------------------------------------- SEE REVERSE SIDE FOR SALEJERMS AND CONDITIONS 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. 0 I C E Invoice Pg CARME03 C84763 1 6/13/16 Sold To Ship .To CARMEL WASTEWATER TREATMENT JEFF ATTN: PAUL ARNONE CARMEL WASTEWATER TREATMENT 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280 - -- - 317-571-2634--- - _-- _ ----3-17--571-=2634---- -- ---- - - -- -__ Ship Via UPS GROUND FOB JDC WHITESTOWN IN FACILITY -------------------------------------------------------------------------------- Br Trk Make Model Serial Equipment Meter Sls Customer P.O. --------------------------------------------------------------------------------- 007 DD S16198 -------------------------------------------------------------------------------- Ordr Ship B/O Description List Each Amount -------------------------------------------------------------------------------- Taken By John King - Whitestown Opened 6/13/16 Shipped 6/13/16 Please See Original Document C84742 1 1 HF 6801-L-8 7 . 85 7 . 85 7 . 85 FITTING TOTAL PARTS 7 . 85 1 SHIPPING AND HANDLING . 00 7 . 92 1Z4607550361029731-- - - - INDIANA MUNICIPALITIES . 00 * Interested in receiving your invoices by email * For details call 800-336-4369 and ask for A/R -------------------------------------------------------------------------------- Total 15 . 77 -----------------------------7-------------------------------------------------- SEE REVERSE SIDE FOR SALE TERMS AND CONDITIONS WHITESTOWN JACK DOHENY COMPANIES 4937A FIELDSTONE DRIVE WHITESTOWN, IN 46075 PHONE 800-841 -4028 FAX 317-768-2699 Customer P A R T S O R D E R Document Pg CARME03 C84742 1 Reprint 6/13/16 9:56 Sold To Ship To CARMEL WASTEWATER TREATMENT JEFF ATTN: PAUL ARNONE CARMEL WASTEWATER TREATMENT 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280 317-571 -2634 317-571 -2634 Ship- Via UPS-GROUND' -FOB JDC- -WHITESTOWN IN -FACILITY - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Br Trk Make Model Serial Equipment Meter Sls Customer P.O. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 007 DD S16198 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Ordr Ship B/O Description Each Amount - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Taken By John King - Whitestown Ordered 6/13/16 Please See Backorder Document C84763 1 0 1 HF 6801 -L-8 ******* 7.85 . 00 FITTING 1 1 RC 602142 06A03 * 45.58 45.58 ROLLER GUIDE ASSY 2 2 V3 40575JD 22B08 * 57.75 115.50 VALVE,BALL, 1 /2,580 INDIANA MUNICIPALITIES . 00 Check out our new and improved website www.dohenycompanies . com - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Total 161 . 08 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - = - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- Authorized - - - - - - - - - - - - - - - - - - - - - =Authorized Signature Date Pulled By Checked By Remittance Address: Jack Doheny Companies, r.c. � 7o'hi . IFMone{(24B,)34'�JRO. Box 609 �� 1 �,//i� IFax((Z�4'8)349;2774 Northville, Michigan 481,57 C,: PA'INJES arvwwrD.6.heny.Companies.aom Customer P A R T S 0. R D E R Document Pg `1 CARME03 ** BACKORDER RECEIPT: ** C84763 1 i 1 26 I 6/ 3/16 10 :: i Sold.:To Ship-- To CARMEL WASTEWATER TREATMENT JEFF' ATTN: PAUL ARNONE CARMEL WASTEWATER TREATMENT. 9609 HAZEL DELL. PARKWAY 9609 HAZEL. DELL .PARKWAY INDIANAPOLIS : IN 462:80 '.INDIANAPOLIS .:IN 46280 317=571-2634 31.7=571-26.34 Ship Via UPS GROUND FOB JDC WHITESTOWN IN FACILITY -------------------------------------------------------------------------------- Br Trk Make Model Serial Equipment Meter Sls Customer P.O. -------------------------------------------------------------------------------- 007 DD S16198 --------------------------------------:------------------------------------------ Ordr Ship B/O Description Each Amount ----- Taken By John.: King Whitestbwn :. :: = Ordered 6/.I3/16. PO: C84753 Please See Original Document C84742 1 1 HF 6,80:1-L- ..TRNSFR* 7 .85 7 . 85 FITTING:.-:::: INDIANA MUNICIPALITIES . 00 Check out our new and improved website www.dohenycompanies . com Total 7 . 85 --------------------------------------------------------------------------------- ------------------------ --------- ---------------------. ----------------------- Authorized Signature Date Pulled By Checked By SFE iF':Ev�ERSE S`DE IFOR SALE TiM,Tv1S.,A',ND(CGND'fi IONS