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213074 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 358389 Page 1 of 1 ONE CIVIC SQUARE JACK DOHENY SUPPLIES INC CARMEL, INDIANA 46032 PO BOX 609 CHECK AMOUNT: $347.70 NORTHVILLE MI 48167 CHECK NUMBER: 213074 «ON CHECK DATE: 9/25/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 C41608 146 . 58 OTHER EXPENSES 2201 4237000 C41828 201 . 12 REPAIR PARTS Remittance Address: jac k �D Q, , a (J y Jack Doheny Supplies, Inc. c®mpes j1. 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 C41828 1 9/13/12 Sold To Ship To CITY OF CARMEL STREET DEPT. VANWINKLE 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 VERBAL -------------------------------------------------------------------------------- Ordr Ship B/O Description List Each Amount -------------------------------------------------------------------------------- Taken By JOHN BENGE Opened 9/13/12 Shipped 9/13/12 1 1 EL 7873221 138. 22 103. 66 103. 66 SB SEGMENT SET - (4 1 1 EL 1035525 21. 86 21. 86 21. 86 RUNNER-DIRT SHOE 1 1 EL 1054322 42. 62 42. 62 42. 62 DIRT SHOE RUNNER-MOD TOTAL PARTS 168. 14 FREIGHT INDIANA MUNICIPALITY EXEMPT . 00 0031201550 1Z21V1280347728448 VISIT OUR WEBSITE @ www. dohenysupplies. com WE APPRECIATE YOUR BUSINESS --------------------------------------------------------------------------------- Total 201. 12 -------------------------------------------------------------------------------- SEE REVERSE SIDE FOR SALE TERMS AND CONDITIONS SALE TERMS AND CONDITIONS IONS The sale terms and conditions of Jack Doheny Supplies, Inc., d/b/a Jack Doheny Companies and its affiliates (",Dnheny°j which can be found at www.dohenysupplies.corn (the "Doheny Sale Terry)s and Confiiions"), an h eireby incorporated into and made a part of this invoice and shall be construed with and as an integral pa; of tl3i�; fnvoic"a '.o the same extent as if set forth verbatim herein. This invoice and the parties` entire relationh0p hereunder Shall be governed exclusively by the Doheny Sale Terms and Conditions. Doheny hereby ob;ects to and rejects any proposal for additional, different or inconsistent to ns or ran ' attr;—Ip' ti;y Seller to vary in any degree any of the terms of the Doheny Sale Tereus and Conditions, bUt any Sr.kc'Rr pro p,Ys� !! s!,,ml not operate as a rejection of this offer by you, unless such variances are in the terms of the price or delivery schedule of the goods or services, and this offer shall be deemed accept" i t;y Vor. <t Said additional, different or inconsistent terms. It this invoice shall be deemed an acceptance of a ofier i-y S-Ales, such acceptance is limited to the express terms set forth herein, including the Doheny Sale Terms and C^r?ciil.i �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)) 09/13/12 C41828 $201.12 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 $201.12 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 C41828 42-370.00 $201.12 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 Friday/SepteOber 21, 2012 Street Commissioner ctrPPt &mmissione- Title Cost distribution ledger classification if claim paid motor vehicle highway fund Remittance Address: ' c ap W Jack Doheny Supplies, Inc. J&D a°° Phone (248)349-0904 P.O. Box 609 Fax(248)349-2774 "Gi'orld's Largest Distributor of Sewer Cleaning, Northville, Michigan 48167 airl iandringandstreetSweepingEquipment" www.dohenysupplies.com Customer I N V O I C E Invoice Pg CARME03 C41608 1 9/05/12 Sold To Ship To CARMEL WASTEWATER TREATMENT JEFF 760 THIRD AVENUE SW CARMEL WASTEWATER TREATMENT CARMEL IN 46032 9609 HAZEL DELL PARKWAY INDIANAPOLIS IN 46280 317-571-2634 317-571-2634 Ship Via UPS GROUND FOB JDS WHITESTOWN IN FACILITY -------------------------------------------------------------------------------- Br Trk Make Model Serial Equipment Meter Sls Customer P. O. -------------------------------------------------------------------------------- 007 LET TK# 19 & 80 -------------------------------------------------------------------------------- Ordr Ship B/0 Description List Each Amount -------------------------------------------------------------------------------- Taken By BOB SMITH Opened 9/04/12 Shipped 9/04/12 2 2 V3 31096BJD 65. 00 65. 00 130. 00 LEAD HOSE - 1" " I' ll X TOTAL PARTS 130. 00 1 INDIANA FREIGHT . 00 16. 58 INDIANA MUNICIPALITY EXEMPT . 00 1Z21V1280346816265 -- VISIT OUR WEBSITE @ www. dohenysupplies. com WE APPRECIATE YOUR BUSINESS -------------------------------------------------------------------------------- Total 146. 58 -------------------------------------------------------------------------------- SEE REVERSE SIDE FOR SALE TERMS AND CONDITIONS LE 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 attempt by Seller to vary In any degree any of the terms of the Doheny Sale Terms and Conditions, but any such proposais 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 without 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 Tort ns and Corditions. 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. PO BOX 609 Terms NORTHVILLE, MICHIGAN 48167 Due Date 9/18/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/18/2012 C41608 $146.58 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 Date Officer VOUCHER # 125697 WARRANT # ALLOWED 358389 IN SUM OF $ JACK DOHENY SUPPLIES INC PO BOX 609 NORTHVILLE, MICHIGAN 48167 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code i C41608 01-7200-02 $146.58 Voucher Total $146.58 Cost distribution ledger classification if claim paid under vehicle highway fund