220671 06/04/2013 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: $27.36
NORTHVILLE MI 48167
CHECK NUMBER: 220671
CHECK DATE: 6/4/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 C46939 27 . 36 OTHER EXPENSES
Remittance Address:
D � .y :..�
J
ack Doheny Supplies, Inc. c®ffij(9mles Phone(248)349-0904
P.O. Box 609 "ii' Fax(248)349-2774
or[ds Largest Distributor of Sewer Cleaning,
Northville, Michigan 48167 Air Handling and Street SweepingEqu,p,nent www.dohenysupplies.com
.Customer I <N .V,.p.;..I"C-"g Invoice : Pg.
CARME 0 3 a. C 4'6'9 3 9:.;:.. 1..
5/0`9,/13:.'
r .
,.
Sold°' To"
c=-
t". S"h To`
CARMEN-.:WASTEWATER'"::TREATMENT"'':; JE FE.COOPER
AT•TN;: PAUL;'ARNONE`;y..±, ,-CARME•L' WASTEWATER,
9.609 HAZEL>:DEZL",-PARKWAY •:`," ATTN-:-, PAUL',:ARNONE-
`'` 4
INDIANA'P.OZ_IS ;.IN.._4'6'280- ;•; ." 9609" HAZEL DELh;..PARKWA"Y
INDIANAPOLIS. IN 4:62"80,
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 JEFF COOPER
--------------------------------------------------------------------------------
Ordr Ship B/0 Description List Each Amount
--------------------------------------------------------------------------------
Taken By JOHN KING - WHITESTOWN Opened 5/.07/13
Shipped 5/07/13
2 .2 VA 41271 3. 59 3. 59 7 . 18
CAP.. GASKET",,/. FOR.:3
2 2 -:-VA",..41272 _ 4 .'45,, ;`, . 4 . 45,_ 8 . 90
CAGE GASKET -/, .FOR .'3•'--. ..
TOTAL PARTS 16. 08
1 INDIANA FREIGHT . 00:: 11.28
-- INDIANA MUNICIPALITIES
20.00'129300080-47 '
VISIT OUR WEBSITE @ www.dohenysupplies .com
WE APPRECIATE YOUR "BUSINESS
--------------------------------------------------------------------------------
Total 27 . 36
--------------------------------------------------------------------------------
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 atwvvvv.dohenyaupp|iea.00m (the ^Doheny Sale Terms and Cundit/ons~), 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 aa 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 toand rejects any proposal for additional, different nr inconsistent terms mr 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 rejection of this offer byyou, un|*ao such variances are in the terms of the desnriphnn, 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 prior offer by Se||er,
such acceptance is limited 10 the express terms set forth herein, including the Ooheny Sale Terms and Conditions.
VOUCHER # 135614 WARRANT # ALLOWED
358389 IN SUM OF $
JACK DOHENY SUPPLIES INC
PO BOX 609
NORTHVILLE, MICHIGAN 48167
l
Carmel Wastewater Utility ;
ON ACCOUNT OF APPROPRIATION FOR I
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
C46939 01-7500-02 $27.36
1
V
Voucher Total $27.36
Cost distribution ledger classification if
claim paid under 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 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 5/23/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/23/2013 C46939 $27.36
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 icer