192133 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 358389 Page 1 of 1
0 ONE CIVIC SQUARE JACK DOHENY SUPPLIES INC
CARMEL, INDIANA 46032 PO sox 809
CHECK AMOUNT: $1,548.08
NORTHVILLE MI 48167 CHECK NUMBER: 192133
CHECK DATE: 11/23/2010
DEPARTMENT ACCOUNT PO N INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 W26863 1,548.08 TRANSPORTATION EXPENS
LAWRENCE, IN Jack D o PLYMOUTH, IN
800 -841 -4028 SUP]p ies 800 -234 -6548
"World s Largess D,,wbw,r ofSer+'er 0 -ning.
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Jack Doheny Supplies, Inc. P.O. Box 809 Northville, Michigan 48167 (248) 349 -0904 Fax (248) 349 -2774
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LAWRENCE, IN Jack D pheqy j PLYMOUTH, IN
800- 841 -4028 Supplies 800 234 -6548
Vibrld:e Largest Ui.trr7hlum- rt,f Se— Cleaning,
Air handling mx! 5treer SrreepFng Fyrnpmen!'
Jack Doheny Supplies, Inc. P.O. Box 809 Northville, Michigan 48167 (248) 349 -0904 Fax (248) 349 -2774
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VOUCHER 106631 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
W26863 01- 7500 -02 $1,548.08
Voucher Total $1,548.08
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 11/22/2010
Invoice Invoice Description
Date dumber (or note attached invoice(s) or bill(s)) Amount
11/22/201( W26863 $1,548.08
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