190334 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 358389 Page 1 of 1
ONE CIVIC SQUARE JACK DOHENY SUPPLIES INC CHECK AMOUNT: $1,913.81
CARMEL, INDIANA 46032 PO BOX 809
NORTHVILLE MI 48167 CHECK NUMBER: 190334
CHECK DATE: 9/29/2010
DEPARTMENT ACCOUN PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 C25566 354.10 OTHER EXPENSES
651 5023990 C25854 1,205.61 OTHER EXPENSES
651 5023990 C26127 354.10 OTHER EXPENSES
t LAWRENCE, IN J 11® PLYMOUTH, IN
800 -841 -4028 Supp X13 800- 234 -6548
"World's Largest Distributor of Sewer Cleaning,
Air Handling and Street Sweeping Fquipmenv"
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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 C25566 1.
8/31/10
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 FACTORY
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 8/12/10
Shipped 8/31/10
1 1 AY 805202 343.38 34.3.38 343.38
TRANSFORMER, VAR 3A
TOTAL PARTS 343.38
1 INDIANA FREIGHT 10.72 10.72
INDIANA. MUNICIPALITY EXEMPT. .00
PLEASE JOIN US AT OUR TWINSBURG OHIO OPEN HOUSE
THURSDAY OCTOBER 14TH 2010 ALL WELCOME
Total 354.10
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800- 841 -4028 Supp 800- 234 -8548
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V7UCHER 106250 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
C25566 01- 7500 -02 $354.10
3S la
C �5� 0 (750D •0� l ��s.i7�
Voucher Total �3 6
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 9/23/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9123/2010 C25566 $354.10
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 O fr