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212267 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 358389 Page 1 of 1 ONE CIVIC SQUARE JACK DOHENY SUPPLIES INC CHECK AMOUNT: $242.04 CARMEL, INDIANA 46032 PO BOX 609 NORTHVILLE MI 48167 CHECK NUMBER: 212267 CHECK DATE: 8/28/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 C41046 126 . 11 REPAIR PARTS 2201 4237000 C41047 115 . 93 REPAIR PARTS Remittance Address: JwkDohapy Jack Doheny Supplies, Inc. c®mp es Lev`" ta} Phone (248)349-0904 P.O. Box 609 Fax(248)349-2774 "World's Largest Distributor of Sewer Cleaning, Northville, Michigan 48167 Air Handling and Street Sweeping Equipment" www.dohenysupplies.com Customer I N V O I C E Invoice Pg CARME01 C41046 1 8/08/12 Sold To Ship To CITY OF CARMEL STREET DEPT. MIKE 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 WHITESTOWN IN FACILITY -------------------------------------------------------------------------------- Br Trk Make Model Serial Equipment Meter Sls Customer P. O. -------------------------------------------------------------------------------- 007 LET PELICAN SWEEPER -------------------------------------------------------------------------------- Ordr Ship B/0 Description List Each Amount -------------------------------------------------------------------------------- Taken By JOHN BENGE Opened 8/08/ 12 Shipped 8/08/12 Please See Backorder Document C41047 4 2 2 EL 5009559 26. 24 26. 24 52. 48 BEARING CONE 2 2 EL 1020630 29. 93 29. 93 59. 86 SEAL 4 0 --- 4 -EL-5009560 14. 24 —-- 00—- ---- - -- BEARING CUP TOTAL PARTS 112. 34 1 INDIANA F RE I GHT . 00 13. 77 INDIANA MUNICIPALITY EXEMPT . 00 0031201550 IZ21VI280348657531 VISIT OUR WEBSITE @ www. dohenysupplies. com WE APPRECIATE YOUR BUSINESS -------------------------------------------------------------------------------- Total 126. 11 -------------------------------------------------------------------------------- SEE REVERSE SIDE FOR SALE TERMS AND CONDITIONS SALE TERMS AND CONDITIONS The sale terms and conditions of Jack Doheny Supplies, Inc., d/b/a Jack Doheny Companies and its affiliates ("Doheny") which can be found at www.dohenysupplies.com (the "Doheny Sale Terms and Conditions"), are hereby incorporated into and made a part of this invoice and shall be construed with and as an integral part of this invoice to the same extent as if set forth verbatim herein. This invoice and the parties' entire relationship hereunder shall, be governed exclusively by the Doheny Sale Terms and Conditions. Doheny hereby objects to and rejects any proposal for additional, different or inconsistent terms or any atte.mpl by Seller to vary in any degree any of the terms of the Doheny Sale Terms and Conditions, but any such proposals shall not operate as a rejection of this offer by you, unless such variances are in the terms of the description, quantity, price or delivery schedule of the goods or services, and this offer shall be deemed accepted by you wit}lout said additional, different or inconsistent terms. If this invoice shall be deemed an acceptance of a prior offer by Seller, such acceptance is limited to the express terms set forth herein, including the Doheny Sale Terms and Conditions. c Remittance Address: Jack ID oh,I ' I 248 Jack Doheny Supplies, Inc. ` �� Phone ( )349-0904 P.O. Box 609 comp es Fax(248)349-2774 "World's Largest Distributor ojSewer Cleaning, Northville, Michigan 48167 Air Handling and Street Sweeping Equipment" www.dohenysupplies.com Customer I N V O I C E Invoice Pg CARME01 C41047 1 8/09/12 Sold To Ship To CITY OF CARMEL STREET DEPT. MIKE 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 WHITESTOWN IN FACILITY -------------------------------------------------------------------------------- Br Trk Make Model Serial Equipment Meter Sls Customer P. O. -------------------------------------------------------------------------------- 007 LET PELICAN SWEEPER -------------------------------------------------------------------------------- Ordr Ship B/O Description List Each Amount -------------------------------------------------------------------------------- Taken By JOHN BENGE Opened 8108112 Shipped 8/09/12 Please See Original Document C41046 2 2 EL 5009559 26. 24 26. 24 52. 48 BEARING CONE 4 4 EL 5009560 14. 24 14. 24 56. 96 BEARING CUP TOTAL PARTS 109. 44 1 INDIANA FREIGHT . 00 6. 49 INDIANA MUNICIPALITY EXEMPT . 00 0031201550 UPS TRACKING # 1ZWE39650300548779 VISIT OUR WEBSITE @ www. dohenysupplies. com WE APPRECIATE YOUR BUSINESS -------------------------------------------------------------------------------- Total 115. 93 -------------------------------------------------------------------------------- SEE REVERSE SIDE FOR SALE TERMS AND CONDITIONS SALE TERMS AND CONDITIONS The sale terms and conditions ofJack Doheny Supplies, Inc., d/b/aJaok Doheny Companies and its alffi|iotes ("Dohony^) which can be found a1wvvw.dnhenynupp|ioa.uum (the "Doheny Sale Terms and Condidons'). are hero�y incorporated into and made a part of this invoice and shall be construed with and as an integral part Vf this invnicelo the same extent as if set forth verbatim herein. This invoice and the parties' entire relationship he/eunderohmU Ue governed exclusively by the Doheny Sale Terms and Conditions. Doheny hereby objects 0o and rejects any proposal for additional, different or inconsistent terms n; ally aOn:nptby Seller to vary in any degree any of the terms of the Doheny Sale Terms and Conditions, but any such shai, not operate as a rejection of this offer by you, unless such variances are in the Ayrma of the deooriphc:` qu�nb�y. price or delivery schedule of the goods or services, and this offer shall be deemed accrep\ed Uyyou vviihou� nai� additional, different or inconsistent terms. |f this invoice shall be deemed an acceptance ntu priormi'or I�� such acceptance is limited io the express terms set forth herein. inc|uding the Doheny Sale T�/myyn6 (onoi\io/.s 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)) 08/08/12 C41046 $126.11 08/09/12 C41047 $115.93 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 609 Northville, MI 48167 $242.04 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 C41046 42-370.00 $126.11 1 hereby certify that the attached invoice(s), or 2201 C41047 42-370.00 $115.93 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 ` ThursOy, 00st 23, 2012 Street Commission r Sireet itle Cost distribution ledger classification if claim paid motor vehicle highway fund