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222459 07/30/2013 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: $426.68 NORTHVILLE MI 48167 CHECK NUMBER: 222459 CHECK DATE: 7/30/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 C47853 171 . 88 OTHER EXPENSES 651 5023990 C47979 173 . 31 OTHER EXPENSES 651 5023990 C48194 81 .49 OTHER EXPENSES l Remittance Address: jWkDohapy Jack Doheny Supplies, Inc. fSDistributor t ` Phone (248)349-0904 P.O. Box 609 �®Ilffio1Il�� "Worlds Largest Distributor of Sewer Cleaning, Fax(248)349-2774 Northville, Michigan 48167 Air Handling and Street Sweeping Equipment" www.dohenysupplies.com Customer I N V O I C E Invoice Pg CARME03 C47979 1 7/03/13 Sold To Ship To CARMEL WASTEWATER TREATMENT JEFF COOPER ATTN : PAUL ARNONE CARMEL WASTEWATER TREATMENT 9609 HAZEL DELL PARKWAY ATTN: BLAINE MALLABER INDIANAPOLIS IN 46280 9609 HAZEL DELL PARKWAY INDIANAPOLIS IN 46280 31 7-571 -2-634 31 7-571 -2634 Ship Via DELIVERED-M. LETT FOB JDS WHITESTOWN IN FACILITY -------------------------------------------------------------------------------- Br Trk Make Model Serial Equipment Meter Sls Customer P. O. -------------------------------------------------------------------------------- 007 LET -------------------------------------------------------------------------------- Ordr Ship B/O Description List Each Amount -------------------------------------------------------------------------------- Taken By JOHN BENGE Opened 6/20/13 Shipped 6/20/13 1 1 VA 500619C 173- 31 1 73. 31 1 73. 31 DIGGING PIPE ASSY, 1 TOTAL PARTS 173- 31 INDIANA MUNICIPALITIES . 00 VISIT OUR WEBSITE @ www. dohenysupplies. com WE APPRECIATE YOUR BUSINESS -------------------------------------------------------------------------------- Total 173- 31 -------------------------------------------------------------------------------- SEE REVERSE SIDE FOR SALE TERMS AND CONDITIONS „ w 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 Seiler, such acceptance is limited to the express terms set forth herein, including the Doheny Sale Terms and Conditions. � Remittance Address: jwk Doh'(54y Phone (248)349-0904 Jack Doheny Supplies, Inc. comp is �. P.O. Box 609 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 CARME03 C47853 1 7/03/13 Sold To Ship To CARMEL WASTEWATER TREATMENT JEFF COOPER ATTN: PAUL ARNONE CARMEL WASTEWATER TREATMENT 9609 HAZEL DELL PARKWAY ATTN: BLAINE MALLABER INDIANAPOLIS IN 46280 9609 HAZEL DELL PARKWAY INDIANAPOLIS IN 46280 31 7-57.1 -2634 31 7-571 -2634 Ship Via UPS GROUND 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 BOB SMITH Opened 6/28/13 Shipped 6/28/13 Please See Backorder Document C48194 2 2 V3 47124DJD 79. 04 79. 04 158. 08 MANIFOLD 4 0 4 VA 49242 18. 81 . 00 . 00 STR PUSHLOCK FITTING TOTAL PARTS __ _ ,_. _ _ -158- 08 1 INDIANA FREIGHT . 00 13. 80 INDIANA MUNICIPALITIES . 00 4- GREASE ZERKS AND 20' OF TUBING NO CHARGE PER MIKE LETT 200012930009662 VISIT OUR WEBSITE @ www. dohenysupplies. com WE APPRECIATE YOUR BUSINESS -------------------------------------------------------------------------------- Total 171 - 88 -------------------------------------------------------------------------------- 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. Remittance Address: �;,�;oG i IDJ l� �' y : Jack Doheny Supplies, Inc. c®mpes Phone (248)349-0904 P.O. Box 609 Fax(248)349-2774 "Worlds 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 Pg CARME03 C48194 1 7/03/13 Sold To Ship To CARMEL WASTEWATER TREATMENT JEFF COOPER ATTN: PAUL ARNONE CARMEL WASTEWATER TREATMENT 9609 HAZEL DELL PARKWAY ATTN: BLAINE MALLABER INDIANAPOLIS IN 46280 9609 HAZEL DELL PARKWAY INDIANAPOLIS IN 46280 317-571 -263-4 317-571 -2634 Ship Via UPS GROUND FOB JDS WHITESTOWN IN FACILITY -------------------------------------------------------------------------------- Br Trk Make Model Serial Equipment Meter Sls Customer P. O. -------------------------------------------------------------------------------- 007 LET VERBAL-JEFF -------------------------------------------------------------------------------- Ordr Ship B/O Description List Each Amount -------------------------------------------------------------------------------- Taken By BOB SMITH Opened 6/28/13 Shipped 7/02/13 - Please See Original Document C47853 4 4 VA 49242 18. 81 18. 81 75. 24 STR PUSHLOCK FITTING TOTAL PARTS 75. 24 1 INDIANA FREIGHT . 6_ 25 INDIANA MUNICIPALITIES . 00 UPS TRACKING # 1ZWE39650310288764 VISIT OUR WEBSITE @ www. dohenysupplies. com WE APPRECIATE YOUR BUSINESS -------------------------------------------------------------------------------- Total 81 . 49 -------------------------------------------------------------------------------- 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. VOUCHER # 136020 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 C47979 01-7500-02 $173.31 CSI-Ig53 01, 7500,09 1 -7 1.88 Voucher Total 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 7/23/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/23/2013 C47979 $173.31 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 Date Officer