185816 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 358389 Page 1 of 1
ONE CIVIC SQUARE JACK DOHENY SUPPLIES INC
�o CARMEL, INDIANA 46032 PO Box 809 CHECK AMOUNT: $49.38
NORTHVILLE MI 48167
o CHECK NUMBER: 185816
CHECK DATE: 5/26/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 C23124 49.38 OTHER EXPENSES
M
LAWRENCE, IN jack "I Q PLYMOUTH, IN
800 841 -4028 Supp @a 800- 234 -6548
"VYarld "c Largest Distributor ojSewer Cleaning,
Air Handling and Streer Sweeping Equipment
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
CARME04 C23124 1
to
Per C Vv o s D 5/11/10
Sold To Ship To
CITY OF CARMEL CALVIN
WASTEWATER TREATMENT CITY. OF CARMEL
760 THIRD AVENUE SOUTHWEST WASTEWATER TREATMENT
CARMEL IN 46032 901 N RANGELINE RD
CARMEL IN 46032
317/571 -2634 317/571 -2645
Ship Via UPS GROUND FOB LAWRENCE
Br Trk Make Model Serial Equipment Meter Sls Customer P.O.
007 ML VERBAL
Ordr Ship B/O Description List Each Amount
Taken By JOHN BENGE LAWRENCE Opened 4/28/10
Shipped 5/11/10
Please See Original Document C23123
12 12 AY 097630 85 ,85 10.20
PIN, DOWEL 1/8X7/16
24 24 AY 107531 1.08 1.08 25.92
SCREW, 1/4- 20X3/4- C
.,TOTAL PARTS 36.12
1. SHIPPING AND HANDLING 13.26 13.26
..INDIANA MUNICIPALITY EXEMPT .00
Total 49.38
s
VOUCHER 105504 WARRANT ALLOWED
358389 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
C23124 01- 7500 -02 $49.38
Voucher Total $49.38
Cost distribution ledger classification if
claim paid under vehicle highway fund
i
Prescribed by State Board of Accounts t Cit 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
,PACK DOHENY SUPPLIES INC Purchase Order No.
7720 RECORDS STREET Terms
LAWRENCE, IN 46226 Due Date 5/20/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) bill(s)) Amount
5/20/2010 023124 $49.38
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