181975 02/03/2010 CITY OF CARMEL, INDIANA VENDOR: 358389 Page 1 of 1
`•z ONE CIVIC SQUARE JACK DOHENY SUPPLIES INC CHECK AMOUNT: $693.81
t ti CARMEL, INDIANA 46032 PO sox 809
z�� NORTHVILLE MI 48167 CHECK NUMBER: 181975
CHECK DATE: 2/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 C21003 101.82 REPAIR PARTS
651 5023990 S11621 W22414 591.99 POENTIONMETER, WIRE,
,1N
LAWRENCE, IN jack Doh Env PLYMOUTH, IN
800-841-4028 Supp 800-234-6548
"[thddyi.„,esiDisfribz,‘„r„fs„„ u C! g,
Air Handling cuui Sewer S,eepMg Equipment
Sf
Jack Doheny Supplies, Inc.* P.O. Box 809 Northville, Michigan 48167 (248) 349-0904 Fax (248) 349-2774
Customer INV() ICE Invoice
CARME01 C21003 1
1/14/10
Sold To Ship To
CITY OF CARMELSTREET DEPT. (V
ATD
3400 WEST 131ST STREET CITY OF CARMEL STREET DEPT.
WESTFIELD TM 46074 3400 WEST 131ST STREET
WESTFIELD IN 46074
3177733-2001 317-733-2001
Ship Via UPS GHOUND FOB rACTOI-n
Br Trk Make Model Serial Equipment Meter Sls Customer P.O.
007 ML VERBAL
Ordr Ship B/0 Description List Each Amount
Taken By JOHN BENCE LAWRENCE Opened 1/13/10
Shipped 1/14/10
1 1 7,7, 300150 OA
OA
84 7
FILTER ELEMENT
TOTAL PARTS 84.75
1 SHIPPING', AND HANDLINC 1707 17.07
SUBTOTAL 101
INDIANA EXEMPT
.00
0031201550
VISIT OUR WEBSITE www.dohenysupplies.com
Total 101.82
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jack DoheneySupplies
IN SUM OF
P. O. Box 809
Northville, MI 48167
$101.82
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# !Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Member
2201 C21003 42- 370.00 $101.82 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, 1Uanu 'r/28, 2010
d
Street Commissioner
gtrPPf C�mmissaoner
Title
Cost distribution ledger classification if
claim paid motor 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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
01/14/10 021003 $101.82
hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with I C 5- 11- 10 -1.6
20
Clerk Treasurer
LAWRENCE, IN jack D hen PLYMOUTH, IN
800 841 -4028 Supplies 800 234 -6548
IJ ,rld Cages Divtrihuror of Sea er cleani
Air Handling and Street Sweeping Equipmen
4
Jack Doheny Supplies, Inc. P.O. Box 809 Northville, Michigan 48167 (248) 349 -0904 Fax (248) 349 -2774
Customer I N V O I C E Invoice Pg
CARME03 W22414 1
e
L
4'
1/13/10
Sold To Ship To
CARMEL WASTEWATER TREATMENT CARMEL WASTEWATER TREATMENT
760 THIRD AVENUE SW 760 THIRD AVENUE L'ri
CARMEL IN 46032 CARMEL IN 46032
317-571-2634 __.3 -1.7 -571= -2634-
FOB LAWRENCE
Br Trk Make Model Serial. Equipment Meter Sls Customer P.O.
007 OB 800HPR 5900 6900 3,577 ML
Ordr Ship 8/0 Description List Each Amount
Taken By TONYA SMITH LAWRENCE LJJ..CE Closed 1/13/10
SEWER SEWER EQ.OF AMERICA 800HPR; SN* 6 1 8870
AMERICA V V L\ LIlV 6900 t JJ 1 w 1 V V YJL LCD I
REPAIR PENDANT CONTROL
WIRED IN NEW PENDANT CONTROL CABLE I. PLUG
YY 111 11 LYl1 Y 4 1- y 1 \V',J \r C'L LJ LJ' 1 L L V
1 1 OB 60542_ 84 _00_K '7'7 04 7 1 a/4 77
J Z L YJ t V 1 V J
POTENTIOMETER HNHLD
25 25 OB 60547 -01 -K 4.48 4.48 112.00
WIRE PER FT.
1 1 OS 60549 -02 -K 74.86 74.86 74.86
FEMALE
1 1 OB 61YJ16 1 25.01 25.01 25.01
STRAIN RELIEF
TOTAL FARTS 296.64
LABOR, 268.50
SHOP SUPPLIES 26. °5
INDIANA MUNICIPALITY EXEMPT .00
VISIT OUR WEBSITE 0 www.dohenysupplies.com
Total 591.99
0
VOUCHER 097176 WARRANT ALLOWED
368389 IN SUM OF
JACK DOHENY SUPPLIES INC
7720 RECORDS STREET
LAWRENCE, IN 46226
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
W22414 01- 7200 -02 $323.49
W22414 01- 7360 -02 $268.50
Voucher Total $591.99
Cost distribution ledger classification if
claim paid under vehicle highway fund
go
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,
7720 RECORDS STREET Terms
LAWRENCE, IN 46226 Due Date 1/25/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/25/2010 W22414 $591.99
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