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219377 04/24/2013 CITY OF CARMEL, INDIANA VENDOR 358389 Page 1 of 1 c• ` ONE CIVIC SQUARE JACK DOHENY SUPPLIES INC CHECK AMOUNT: $2,753.66,,�•,o CARMEL, INDIANA 46032 PO BOX 609 r+oarHwue mi 4e167 CHECK NUMBER: 219377 CHECK DATE: 412412013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 C45931 94 . 03 OTHER EXPENSES 651 5023990 C46071 1, 699 . 91 OTHER EXPENSES 651 5023990 W39924 959 . 72 OTHER EXPENSES Remittance Address: 6ll J k RmOlLeRyIi Jack Doheny Supplies, Inc. Phone (248)349-0904 P.O. Box 609 Fax (248)349-2774 "Ilia lJ\f.up;rr Den Jneur n/.S1n er C/rururi�, Northville, Michigan 48167 A,.ur»nl .,<fs,a.a www.dohenysupplies.com Customer I N V O I C E Invoice Pg CARME03 W39924 1 4/09/13 Sold To Ship To CARMEL WASTEWATER TREATMENT CARMEL WASTEWATER TREATMENT 760 THIRD AVENUE SW 760 THIRD AVENUE SW CARMEL IN 46032 CARMEL IN 46032 317-571 -2634 317-571 -2634 FOB JDS WHITESTOWN IN FACILITY Br Trk Make Model Serial Equipment Meter Sls Customer P. D. -------------------------------------------------------------------------------- 007 OB 800-HPR 3790 3790 1 , 552 LET 513534 -------------------------------------------------------------------------------- Ordr Ship B/O Description List Each Amount -------------------------------------------------------------------------------- Taken By MARIANNA BUTLER WHITESTOWN Closed 4/09/ 13 SECA 800 HPR SN# 3790 1552 HRS 9816 MILES RODDER PUMP IS LEAKING WATER CLEANED UP PUMP END AND CAPS & PUT HEAD BACK ON TRI PUMP WITH NEW 0-RING & SEALS, TESTED 800 HPR / OK 1 1 JB P504326 243. 75 243. 72 243. 72 PACKING KIT TOTAL PARTS 243. 72 8. 00 LABOR 89. 50 716. 00 INDIANA MUNICIPALITIES . 00 VISIT OUR WEBSITE @ www. dahenysupplies. com WE APPRECIATE YOUR BUSINESS -------------------------------------------------------------------------------- Total 959. 72 -------------------------------------------------------------------------------- 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 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 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 Terms and Conditions. i Remittance Address: jwk Doh �T Jack Doheny Supplies, Inc. oV Compa e3 Phone(248)349-0904 P.O. Box 609 ,uu iwnn Fax (248)349-2774 'I UdJI La,gesr l JSru rr OramnE, Northville, Michigan 48167 1,,It Ane„n,rs,rraS.......xev,,,P rnr' www.dohenysupplies corn Customer I N V O I C E Invoice Pg CARME03 C46071 1 4/09/ 13 Sold To Ship To CARMEL WASTEWATER TREATMENT LARRY EIDSON 760 THIRD AVENUE SW CARMEL WASTEWATER TREATMENT CARMEL IN 46032 760 THIRD AVENUE SW CARMEL IN 46032 317-571 -2634 317-571 -2634 Ship Via R & L TRANSPORT - PR FOB JDS WHITESTOWN IN FACILITY ----------------—-------------------------------------------------------------- Br Trk Make Model Serial Equipment Meter Sls Customer P. O. ---------------------------------------------------—--------------------------- 007 LET S13539 Ordr Ship B/O Description List Each Amount Taken By JOHN BENGE Opened 4/03/ 13 Shipped 4/09/13 4 4 ZZ UE1162 19. 25 19. 25 77. 00 1 ” MENDER PIRANAH 5 5 ZZ UEM1010FS 11. 86 11 . 86 59. 30 FEMALE SWIVEL 1 1 Hl SPDR-MMlSX500 1, 425. 00 1, 425. 00 1, 425. 00 I " X 500' 2500 PSI TOTAL PARTS 1, 561. 30 1 - INDIANA FREIGHT Y38. 6Y' - -138. 61 INDIANA MUNICIPALITIES . 00 VISIT OUR WEBSITE @ www. dohenysupplies. com WE APPRECIATE YOUR BUSINESS ------------------------- Total 1, 699. 91 SEE REVERSE SIDE FOR SALE TERMS AND CONDITIONS SALE TERMS AND CONDITIONS The sale terms and conditions of Jac,N Doheny Supplies, Inc., d/b/a Jact. Doheny Companies and its affi::ates ("Doheny") which can be found at www.dohenysupplies.com (the "Dohery Sale Terms and Conditions'), are hereby incorporated into and made a part c. this invoice and shall be construed with and as an integral part of this invoice to the same extent as rf set forth verbatim herein. This invoice and the !parties' entire relationship hereunder shad be governed exclusively by the Doher y Sale Terms and Conditions. Doheny hereby objects to and rejects any proposal for additional, different or inconsistent terms o, ary attempt by Seller to vary in any degree any of fl-,e terms of the Doheny Sale Terms and Cond;lions, but any such proposals shall not operate as a rc;ection of this olrer by you, unless such variances are in the teir,s of the description, quantity, price or delivery schedule of the goods or service-. and this offer shall be deemed accepted by _you without said additional, different or inconsistent terms. If this invoice shall be aeemed an acceptance of a prior offer by Seller such acceptance is limited to the express terms set*orth herein, inCIL ding the Doheny Sale Terms and Conditions. Remittance Address: jack D ohepy — Phone(248)349-0904 41— Jack Doheny Supplies, Inc Companies P.O. Box 609 m,,U, c„gr.,rnnndn,, .,fs�„•.clro„,„ . Fax (248)349-2774 Northville, Michigan 48167 du a.,„dn„,e„„,/.,,,, r.c,.rr/„„A ey„/,„w„r www.dohenysupplies.com Customer I N V O I C E Invoice Pg CARME03 C45931 1 4/03/ 13 Sold To Ship To CARMEL WASTEWATER TREATMENT LARRY EIDSON 760 THIRD AVENUE SW CARMEL WASTEWATER TREATMENT CARMEL IN 46032 760 THIRD AVENUE SW CARMEL IN 46032 i Ship Via R 8L`TRANSPORT - PR FOB JDS WHITESTOWN IN FACILITY Br Trk Make Model Serial Equipment Meter Sls Customer P. O. -------------------------------------------------------------------------------- 007 LET S13539 -------------------------------------------------------------------------------- Ordr Ship B/O Description List Each Amount Taken By JOHN BENGE Opened 4/03/ 13 Shipped 4/03/13 Please See Backorder Document C46071 5 5 ZZ UE1161 12. 70 12. 70 63. 50 1 ” MALE END PIRANAH 5 1 4 ZZ UE1162 19. 25 19. 25 19. 25 i ” MENDER PIRANAH 5 0 5 ZZ UEM1010FS 11 . 86 . 00 . 00 FEMALE SWIVEL 1 0 1 H1 SPOR-MMlGX500 1, 425. 00 . 00 . 00 1 ” X 500' 2500 PSI TOTAL PARTS 82. 75 1 INDIANA FREIGHT . 00 11. 28 INDIANA MUNICIPALITIES . 00 200012930007002 VISIT OUR WEBSITE @ www. dohenysupplies. com WE APPRECIATE YOUR BUSINESS -------------------------------------------------------------------------------- Total 94. 03 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 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 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 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 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 4/18/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/18/2013 W39924 $959.72 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 # 135349 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 W39924 01-7-360-02 $716.00 W39924 01-7500-02 $24372 C` o-V 09-79oo,cg 1,07,11 C"531 01 - 79co-oa 114 . 03 $6-153.b4 Voucher Total Cost distribution ledger classification if claim paid under vehicle highway fund