180151 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 358389 Page 1 of 1
ONE CIVIC SQUARE JACK DOHENY SUPPLIES INC
CHECK AMOUNT: $91.49
CARMEL, INDIANA 46032 Po eox aos
NORTHVILLE MI 48167 CHECK NUMBER: 180151
CHECK DATE: 12/8/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION
651 5023990 C19169 91.49 OTHER EXPENSES
LAWRENCE, IN jackDa PLYMOUTH, IN
_800 -841 -4028 lies 800- 234 -6548
"World's Largest Distributor ojSewer 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
C1"IRME03 C19169 1
11/18/0'3
Sold To Ship To
CARMEL WASTEWATER TREATMENT CALVIN
760 THIRD AVENUE SW CARMEL WASTEWATER TREATMENT
CARMEL IN 46032 901 NORTH RANGELINE ROAD
CARMEL IN 46032
317 571 -2634 317 -571 -2634
Ship Via U
Br Trk Make Model Serial Equipment Meter Sls Customer P.O.
flfl7 ML VERBAL- CALVIN
Ordr Ship B/O Description List Each Amount
Taken By JOHN BENCE LAWRENCE Opened 9/28/09
Shipped 11/18/09
1 1 AY 584114 82.49 52.49 82.49
SHAFT, DRIVE TRANS T
1 1
All 300035 9.00 9.00 9.00
SPACER, BEARING .6
TOTAL PARTS 91.49
SUBTOTAL 92.49
INDIANA'MUNIC.IPALITY EXEMPT .00
FREIGHT TO BE ADDED
VISIT OUR WEBSITE www.dohenysupplies.com
Total 91.49
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 12/1/2009
:1
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/1/2009 C19169 $91.49
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
j Z /Y/
Date Officer
VOUCHER 096844 WARRANT ALLOWED
�3583a9 IN SUM OF
JACK DOHENY SUPPLIES INC
�V720 STREET
LAWRENCE, IN 46226
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
r
Board members
PO INV ACCT AMOUNT Audit Trail Code
C19169 01- 7500 -02 $91.49
+f
Voucher Total $91.49
Cost distribution ledger classification if
claim paid under vehicle highway fund