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216762 01/29/2013 CITY OF CARMEL, INDIANA VENDOR: 358389 Page 1 of 1 \`f ONE CIVIC SQUARE JACK DOHENY SUPPLIES INC CARMEL, INDIANA 46032 PO Box 609 CHECK AMOUNT: $305.20 +* ?� NORTHVILLE MI 48167 CHECK NUMBER: 216762 gran cu CHECK DATE: 1/29/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 C43973 176 . 24 REPAIR PARTS 2201 4237000 C44313 128 . 96 REPAIR PARTS Remittance Address: JWY, Doh] ap Jack Doheny Supplies, Inc. � ® m9aIlle3 >> ,W 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 PD CARME01 C43973 1 1/10/13 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 7 2 _ , Ship Via UPS GROUND FOB FACTORY Br Trk Make Model Serial Equipment Meter Sls Customer P. O. 007 LET VERBAL-MIKE --------------------------------------------------------------------------------- Ordr Ship B/0 Description List Each Amount --------------------------------------------------------------------------------- Taken By JOHN KING - WHITESTOWN Opened 1/02/13 Shipped 1/10/13 1 1 EL 1053738 168. 42 168. 42 168. 42 CYL AY-HYD 1. 00X3. 50 TOTAL PARTS 168. 42 1. INDIANA FREIGHT . 00 7. 82 INDIANA MUNICIPALITIES . 00 0031201550 UPS TRACKING # 1ZWE3965031.0099307 VISIT OUR WEBSITE @ www. dohenysuppl.ies. com WE APPRECIATE YOUR BUSINESS -------------------------------------------------------------------------------- Tota1. 176. 24 SEE REVERSE SIDE FOR SALE TERMS AND CONDITIONS SALE TERMS AND CONDITIONS The sale terms and conditions of Jack Doheny Supplies, Inc., d/b/aJeok Omhany Companies and its affiliates (^Ookeny^ which can be found atwwvv.dchenynupp|iaa.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 lnvoiCel to the some extent as if set forth verbatim herein. This invoice and the parties' entire relationship hareunderohe|i be governed exclusively by the Doheny Sale Terms and Conditions. Dohony hereby objects to and rejects any proposal for additional, different or inconsistent \enna or an,,, aUemn\ ny Seller 0o vary in any degree any ofthe terms of the Dohony Sale Terms and Conditions, but any such prupoaV|sshai/ not operate as a rejection of this offer by you, unless such variances are in the terms of the description, gua'Nfiyy. price or delivery schedule of the goods or services, and this offershaU be deemed accepted b� you vv|thootsaid additional, different or inconsistent terms. If this invoice shall be deemed an acceptance of prior offer by Se!\er such acceptance is limited to the express terms set forth herein, inciuding the Doheny Saie Terrns and Cond,'I',;'ona. Remittance Address: Jwk Doha a y Jack Doheny Supplies, Inc. compmias j Phone (248)349-0904 P.O. Box 609 Fax(248)349-2774 "World's Largest Distributor ajSewer Cleaning, Northville, Michigan 48167 Air Handling and Street Sweeping Equipment" www.dohenysupplies.com Customer I N V O I C E Invoice Pg CARME01 C44313 1 1/17/ 13 Sold To Ship To CITY OF CARMEL STREET DEPT. CITY OF CARMEL STREET DEPT. 3400 WEST 131ST STREET 3400 WEST 131ST STREET WESTFIELD IN 46074 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 ELGIN-GARY -------------------------------------------------------------------------------- Ordr Ship B/O Description List Each Amount -------------------------------------------------------------------------------- Taken By JOHN KING - WHITESTOWN Opened 1 / 16/13 Shipped 1/16/13 2 2 EL 1054322 42. 62 42. 62 85. 24 DIRT SHOE RUNNER-MOD REPLACE EL 1006298 2 2 EL 1035525 21 . 86 21 . 86 43. 72 RUNNER-DIRT SHOE TOTAL PARTS 128. 96 INDIANA MUNICIPALITIES . 00 -- _—_ 0031201550 VISIT OUR WEBSITE @ www. dohenysupplies. com WE APPRECIATE YOUR BUSINESS -------------------------------------------------------------------------------- Total 128. 96 -------------------------------------------------------------------------------- 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 atwwm/.dVhenysupp|ins.00m (the ^Dnheny Sale Terms and Conditinns^)' are hereby incorporated into and made a part of this invoice and shall be construed with and as an integral part of this invo7ce to the same extent as if set forth verbatim herein. This invoice and the parties' entire relationship hereunder shall be governed exclusively by the Dnheny 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 proposals shall not operate as a rejection of this offer by you, unless such variances are in the terms of the descrip1ion, quantity, price or delivery schedule of the goods orservices, 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 prior offer by Seller, such acceptance is limited to the express terms set forth herein, including the Doheny Sale Terms and Conditions. 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)) 01/10/13 C43973 $176.24 01/17/13 C44313 $128.96 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 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Jack Doheney Supplies IN SUM OF $ P. O. Box 609 Northville, MI 48167 $305.20 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 C43973 42-370.00 $176.24 1 hereby certify that the attached invoice(s), or 2201 C44313 42-370.00 $128.96_ 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, January 25, 2013 Street Commissioner Title. Cost distribution ledger classification if claim paid motor vehicle highway fund