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Home My WebLink About215072 12/04/2012 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: $933.58 NORTHVILLE MI 48167 CHECK NUMBER: 215072 CHECK DATE: 12/4/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 C43183 933 . 58 REPAIR PARTS Remittance Address: Jack Doheny Supplies, Inc. 'Y'P'`. Phone(248)349-0904 P.O. Box 609 Compames 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 C43183 1 11/15/12 Sold To Ship To CITY OF CARMEL STREET DEPT. JEFF 3400 WEST 131ST STREET CITY OF CARMEL STREET DEPT. WESTFIELD IN 46074 3400 WEST 131ST STREET WESTFIELD IN 46074 Ship Via WILL CALL FOB JDS WHITESTOWN IN FACILITY -------------------------------------------------------------------------------- Br Trk Make Model Serial Equipment Meter Sls Customer P. O. -------------------------------------------------------------------------------- 007 LET VERBAL-JEFF -------------------------------------------------------------------------------- Ordr Ship B/0 Description List Each Amount -------------------------------------------------------------------------------- Taken By JOHN KING - WHITESTOWN Opened 11/14/12 Shipped 11/15/12 1 1 EL 7873201 657. 14 657. 14 657. 14 SINGLE WRAP MAIN BRO 2 2 EL 7873221 138. 22 138. 22 276. 44 SB SEGMENT SET - ( 4 TOTAL PARTS 933. 58 INDIANA MUNICIPALITY EXEMPT . 00 0031201550 VISIT OUR WEBSITE @ www. dohenysupplies. com WE APPRECIATE YOUR BUSINESS -------------------------------------------------------------------------------- Total 933. 58 -------------------------------------------------------------------------------- SEE REVERSE SIDE FOR SALE TERMS AND CONDITIONS SALE TERMS AND CONDITIONS T�e sale 1ormsend conditions cfJack Doheny Supplies, Inc., d/b/oJack OohenyComoanios and it, which can be found at wwwdnhenysupp|ies.com (the `Doheny Sale Torm--� and incorporated into and made a part of this invoice and shall be construed with and ma an To the name extent as if set forth verbatim herein. This invoice and the, peMies' enUv* oe|e ;ondhi !y�cuoder '.�'zi| oa po,vemedexclua/vok/ by the Doheny Sale Terms and Conditions. [)oheny hereby ooject's to and rejects any proposal for additional, dMenard or inconsistent cr eny Seder tnva/vi:, any degree any of the termoof the Dnheny Sale Terms and Cnnoiho:s. but s`,chor�uns�� :nz�! ne! operate av� a rejection nf this offer bvyou, unless such variances are in the, 't:lcna cflh- pnoe or delivery schedule of the goods or services, and this offershaU be deemed ac»aptcd ;additional, different or inconsistent terms. if this invoice shall be deemed on acceptance of o|/cr :` such acceptarce is limited to the express terms set forth herein, inciuding the Dojl�_,V Sale VOUCHER NO. WARRANT NO. ALLOWED 20 Jack Doheney Supplies IN SUM OF $ P. O. Box 609 Northville, MI 48167 $933.58 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 2201 I C43183 I 42-370.00 j $933.58 I 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 off Thursday, November 29, 2012 / l l/ / i ,. A./r Y. I l Street Commissioner S'L!reeY k 6,:,,-i;--s:,- e-r Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 11/15/12 C43183 $933.58 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