221108 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 358389 Page 1 of 1
_,. ONE CIVIC SQUARE JACK DOHENY SUPPLIES INC
t o CARMEL, INDIANA 46032 PO BOX 609
CHECK AMOUNT: $295.50
NORTHVILLE MI 48167 CHECK NUMBER: 221108
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 C46003 295 . 50 OTHER EXPENSES
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Remittance Address: Jack Doh 'p� Qj Phone 248 349-0904
Jack Doheny Supplies, Inc. �®�� ��� ( )
P.O. Box 609 Fax(248)349-2774
"Ii'orlds Largest Distributor aTSeuer Cleaning,
Northville, Michigan 48167 Ai r Handling and Street Sweeping Equipment www.dohenysupplies.com
Cu;tamer I N V O I C E Invoice PD
CARME03 C46003 I
5/29/13
Sold To Ship To
CARMEL WASTEWATER TREATMENT JOE FAUCETT
ATTN: PAUL ARNONE CARMEL, WASTEWATER TREATMENT
9609 HAZEL DELL PARKWAY 760 THIRD AVENUE SW
INDIANAPOLIS IN 46280 CARMEL IN 46032
3,17-571 -2634 31 7-5 71 --2631, - —
Ship Via UPS GROUND FOB JDS WHITESTOWN IN FACILITY
-------------- --- - -- - - _-- - ---- --- - ___... __ ----- - - ----- ------ ___- - -- - -- - --
Br Trk Mahe Model- Serial- Equipment Mf=ter S).1.. Customer P. O.
007 LET 513542
Ordr Ship B/O Descripti-an L.i.st Each Amount
Taken By .JOHN BENGC Opened 4/03/13
Ship Pecf 4/07!13
1 C:? MPR 100 i'_e'S. � to 27 i . its C- tJiii
MANHOLE PROT. RING
TOTAL, PARTS 275- 00
1 INDIANA FREIGHT . 00 20. 50
INDIANA MUNICIPALITIES . 00
VISIT OUR WEBSITI @ www. dohenysuppl.i.e s•. cone
WE APPRECIATE YOUR BUSINESS
Total 245 . 50
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
;overned exc�usively by the Doheny Saie Terms and Conditions.
Doheny hereby objects to and rejects any proposal for additional, different or inconsistent terns or any a tempt by
`yeller to vary in any degree any of the terms of the Doheny Sale Terns and Conditions, but an,� such ro als shall
p p,.>�.
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 acceplod by you w,throut said
additional. different or inconsistent tears. If this invoice shall be deemed an acceptance of �J prior offeY c✓eller,
such acceptance is limited to the express terms set forth herein, including the Doheny Sale Tei rwn and Cofr"' ions.
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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 6/12/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/12/2013 C46003 $295.50
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 J/�*
Date O 4er
VOUCHER # 135737 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
C46003 01-7200-02 $295.50
Voucher Total $295.50
Cost distribution ledger classification if
claim paid under vehicle highway fund