166750 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: 358389 Page 1 of 1
ONE CIVIC SQUARE JACK DOHENY SUPPLIES INC
s CHECK AMOUNT: $617.28
CARMEL, INDIANA 46032 Po eox eos
NORTHVILLE MI 48167 CHECK NUMBER: 166750
CHECK DATE: 12/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 C12847 205.53 OTHER EXPENSES
651 5023990 511316 Y03037 411.75 OIL SEAL
LAWRENCE, IN jack D® (5 PLYMOUTH, IN
800-841-4028 Sbn]�]PIlnes 800 234 -6548
"World's Laigest Distributor of Sewer Cleaning,
Air Handling and Street 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 C12847 1
11/17/08
Sold To Ship To
CITY OF CARMEL CALVIN
WASTEWATER TREATMENT CITY OF CARMEL
760 THIRD AVENUE SOUTHWEST WASTEWATER TREATMENT
CARIIIEL 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 JOSH WILSON LAWRENCE Opened 11/06/08
Shipped 11/10/08
1 1 AY 584114 80.09 80.09 80.09
SHAFT, DRIVE TRANS T
1 1 AY 584147 29.30 29.30 29.30
SPROCKET
6 6 AY 097627 .81 .81 4.86
PIN, DOWEL 1/8X1/2 S
1 1 AY 950187 79.60 79.60 79.60
CHAIN LINK KIT
TOTAL -PARTS -193-.85
1 SHIPPING HANDLING 11.68 11.68
SUBTOTAL 205.53
INDIANA MUNICIPALITY EXEMPT lb .00
VISIT OUR WEBSITE www.dohenysupplies.com
AND VIEW NEW, USED AND RENTAL EQUIPMENT
Total 205.53
s10H100105kOG16D HsOSsOBs3Tl@SlOOkOGllHl2A15D19U
Jack Doheny Supplies CAMERA
777 Doheny Court
P.O. Box 609
Northville, MI 48167
Phone 248- 349 -0904
Fax 248- 349 -2774
Customer Document Pq
CARME04 INVOICE Y03037 1
11121108 13 :02
Sold To Ship To
CITY OF CARMEL CITY OF CARMEL
WASTEWATER TREATMENT WASTEWATER TREATMENT
760 THIRD AVENUE SOUTHWEST 901 N RANGELINE RD
CARMEL IN 46032 CARMEL IN 46032
317/571- 2634 317/571 -2645
Ship Via UPS GROUND FOB NORTHVILLE
Br Trk Make Model Serial Equipment Meter Sls Customer
009 AY TR3000 XT02120903 ML
Ordr Ship B/O Description Each Amount
Ordered 11/21/08
REASON FOR REPAIR: PIN IS SHEARED OFF IN THE OUTPUT SHAFT.
PLEASE REPLACE OR REPAIR AND RETURN DIRECTLY TO CUSTOMER
INSPECTION OF THE UNIT FOUND A PIN SHEARED IN THE SHAFT
AND A BOKEN BEARING. THE SHAFT, BEARING AND ONE OIL SEAL
WERE REPLACED. THE UNIT WAS THEN TESTED AND FOUND TO BE
FREE OF ANY FURTHER FAULTS.
1 1 AY 130120 920A03* 6.73 6.73
OIL SEAL
1 1 AY 300353 92OA03* 33.36 33.36
BEARING
1 1 AY 584102 920A03* 87.03 87.03
TRANS SHAFT
TOTAL PARTS 127.12
LABOR 258.75
SHOP SUPPLIES 25.88
INDIANA TAX EXEMPT MUNI N/C
CONTINUED
Jack Doheny Supplies CAMERA
777 Doheny Court
P.O. Box 609
Northville, MI 48167
Phone 248-349-0904
Fax 248-349-2774
Customer Document Pg
CARME04 INVOICE# Y03037 2
11/21/08 13:02
Sold To Ship To
CITY OF CARMEL CITY OF CARMEL
WASTEWATER TREATMENT WASTEWATER TREATMENT
760 THIRD AVENUE SOUTHWEST 901 N RANGELINE RD
CARMEL IN 46032 CARMEL IN 46032
317/571-2634 317/571-2645
Ship Via UPS GROUND FOB NORTHVILLE
Br Trk Make Model Serial Equipment Meter Sls Customer P.O.
009 AY TR3000 XT02120903 ML
I
Ordr Ship --B/O Description Each Amount
VISIT OUR WEBSITE www.dohenysupplies.com
AND VIEW OUR NEW, USED AND RENTAL EQUIPMENT
Total 411.75
law
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 12/1/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/1/2008 Y03037 $411.75
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audited same in accordance with IC 5- 11- 10 -1.6
la /y /d
Date Officer
VOUCHER 086765 WARRANT ALLOWED
358389 IN SUM OF
JACK DOHENY SUPPLIES INC
7720 RECORDS STREET
LAWRENCE, IN 46226
Carmel Wastewater Utility
r ,,�ON ACCOUNT OF APPROPRIATION FOR
ti
i
Board members
PO INV ACCT AMOUNT Audit Trail Code
btk$ 6 Y03037 01- 7500 -02 $411.75
C cm D 1.7200.0 2.05.53
Voucher Total 5
Cost distribution ledger classification if
claim paid under vehicle highway fund