188396 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 358389 Page 1 of 1
i ONE CIVIC SQUARE JACK DOHENY SUPPLIES INC CHECK AMOUNT: $948.21
CARMEL, INDIANA 46032 PO BOX 809
NORTHVILLE MI 48167 CHECK NUMBER: 188396
CHECK DATE: 8/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 W25456 948.21 OTHER EXPENSES
LAWRENCE, IN Jacks DN PLYMOUTH, IN
800 -841 -4028 SUPP eS 800- 234 -6548
"World's La gesi Distributor of Sewer Cleaning,
Rir Handling and Street Sweeping Equipment
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 I W25456 1
�2 7/26/10
Sold To Ship To
CITY OF CARMEL CITY OF CARMEL
WASTEWATER TREATMENT WASTEWATER TREATMENT
760 THIRD AVENUE SOUTHWEST 760 THIRD AVENUE SOUTHWEST
CARMEL IN 46032 CARMEL IN 46032
3t7/571 ��111571
FOB LAWRENCE
Br Trk Make Model Serial Equipment Meter Sls Customer P.O.
007 AY TR3000 XT02120903 TR3000 ML
Ordr Ship B/O Description List Each Amount
Taken By TONYA SMITH LAWRENCE Closed 7/26/10
ARIES TR3000; SN CHECK DRIVE MOTOR
TEAR DOWN TRACTOR INSTALLED NEW CLUTCH, BEARING CHAIN
6 6 AY 097627 .85 .85 5.10
PIN, DOWEL 1/8X1/2 S'
2 2 AY 130120 7.14 7.14 14.28
SEAL., OIL 4925
2 2 AY ,300359 -1-29-__ -7-29-- 14.58---
BEARING, BALL.R8 /S5..
1 1 AY 584114 84.96 84.96 84.96
SHAFT, DRIVE TRANS .T
1 1 AY 584136. 533.94 533.94 533.94
CLUTCH ASSY, TR300
TOTAL PARTS 652.86
3.00 LABOR 89.50 268.50
SHOP SUPPLIES 26.85
INDIANA MUNICIPALITY EXEMPT .00
Total 948.21
VOUCHER 105946 WARRANT ALLOWED
663$9 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
W25456 01- 7500 -02 $948.21
r 1
Voucher Total $948.21
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.
7720 RECORDS STREET Terms
LAWRENCE, IN 46226 Due Date 7/30/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/30/2010 W25456 $948.21
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
13
Date Officer