178742 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 358389 Page 1 of 1
r ONE CIVIC SQUARE JACK DOHENY SUPPLIES INC CHECK AMOUNT: $1,057.86
CARMEL, INDIANA 46032 PO Box 809
NORTHVILLE MI 48167 CHECK NUMBER: 178742
CHECK DATE: 10/28/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUN D ESCRIPTION
651 5023990 C19446 1,057.86 OTHER EXPENSES
LAWRENCE, IN jack PLYMOUTH, IN
800 841 -4028 Su p]pllIleS 800 234 -6548
"WddsLargestDistributor fS-- 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
Cust I N V O I C E invoice Pg
CARME03 C19446 1
Sold To Ship T
CARMEL WASTEWATER TREATMENT CALVIN
'760 THI VENUE ern CARMEL ENT WASTEWATER TREATMENT
THI A VENUE s v �.+vv n t•/ JJ vvn! vvn 1 n 1• 1
CARMEL IN 4 6032 901 NORTH RANGELINE ROAD
CARMEL IN 46032
317 -5"71 -263/1 3 1 7- 5 7 1 -263 /1
J J! 1 L Z J J/ L J�
U a V G V FACT ORY
1
Br Trk Make Model Seria Equipment M eter Sls Customer P.O.
007 ML VERBAL- CALVIN
Ordr Ship B/O Description Litt Each Amount
Tak J OHN ENG L AWR E NC E AT�` nerd 9/28/09
La..en B JVH B,.:tLdGL Ln4'�RUIV,_,L Op2�lc..,
Shipped 10/09/09
at Yr t Yr it Yt Yt Tk Yr Yr �t k 9t Tk Tk is 9r Yr Yr �r Tk Tk �c Tk Tat Tk it �c at k
Backorders Still On Document C19169
1 1 Y 950065 1 047 73 1 rnn-7 -73 1 047 73
1 1 n 1 J J 1, Z l.! J +Z J
KIT REPAIR, TR30XX
TOTAL PA RTS 1, 047 7 3
1 z SHIPPING PPING "ND I ANOL 0� 1 0 13; 1 i� 1 3
v i�. tiv•_ n �n_v_ L_v�� to t�J
i
SUBTOTAL 1,057. °6
-INDIANA- MUNICIPALITY QXRMDT
FREIGHT TO BE ADDED
VISI OUR vvEBSI www, doh e nys._z plies.
Y pN
Total 1 05 7 86
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 10/22/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/22/200 C 19446 $1,057.86
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5-11-10-1.6
/o
Date Officer
VOUCHER 096635 WARRANT ALLOWED
358389 IN SUM OF
JACK DOHENY SUPPLIES INC
7720 RECORDS STREET
LAWRENCE, IN 46226
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
l
Board members
PO INV ACCT AMOUNT Audit Trail Code
C19446 01- 7200 -02 $1,057.86
Voucher Total $1,057.86
Cost distribution ledger classification if
claim paid under vehicle highway fund