HomeMy WebLinkAbout198162 06/06/2011 CITY OF CARMEN, INDIANA VENDOR: 358389 Page 1 of 1
t ONE CIVIC SQUARE JACK DOHENY SUPPLIES INC CHECK AMOUNT: $117.97
PO BOX 809 CARMEL, INDIANA 46032
NORTHVILLE MI 48167 CHECK NUMBER: 198162
CHECK DATE: 616/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 C312217 117.97 REPAIR PARTS
LAWRENCE, IN jackD ]a PLYMOUTH, IN
800 -841 -4028 Supp ies 800- 234 -6548
"{Yn ld k f ages r Disown for of seH er Cleaning.
A lt Handling and Street Sweeping F,gaipment'
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
CARME01 C31217 1
5/17/11
Sold To Ship To
CITY OF CARMEL STREET DEPT. GARY
3400 WEST 131ST STREET CITY OF CARMEL STREET DEPT.
WESTFIELD IN 46074 3400 WEST 131ST STREET
WESTFIELD IN 46074
317 733 -2001 317- 733 -2001
Ship Via UPS GROUND FOB JDS LAWRENCE IN FACILITY
Br Trk Make Model Serial Equipment Meter Sts Customer P.O.
007 LET VERBAL
Ordr Ship B/O Description List Each Amount
Taken By JOHN BENGE LAWRENCE Opened 5/17/11
Shipped 5/17/11
2 2 EL 1054322 33.66 33.66 67.32
DIRT SHOE RUNNER -MOD
REPLACE EL 1006298
2 2 EL 1035525 18.57 18.57 37.14
RUNNER -DIRT SHOE
TOTAL PARTS 104.46
1' SHIPPING HANDLING 13.51 13.51
INDIANA MUNICIPALITY EXEMPT .00
0031201550
1221V1280347444030
VISIT OUR WEHSITE www.dohenysupplies.com
Total 117.97
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))
05/17/11 C31217 $117.97
1 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
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jack Doheney Supplies
IN SUM OF
P. O. Box 809
Northville, MI 48167
$117.97
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 C31217 42- 370.00 $117.97 1 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
Wedne'sda,JUne 01, 2011
StreetCommisoper T
5 ree L;09 0ssicner
Cost distribution ledger classification if
claim paid motor vehicle highway fund