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223729 08/28/2013 ±M CITY OF CARMEL, INDIANA VENDOR: 358389 Page 1 of 1 ONE CIVIC SQUARE JACK DOHENY SUPPLIES INC CARMEL, INDIANA 46032 Po BOX sos CHECK AMOUNT: $808.28 NORTHVILLE MI 48167 CHECK NUMBER: 223729 CHECK DATE: 8/28/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 C49304 138 . 58 OTHER EXPENSES 651 5023990 C49305 669 . 70 OTHER EXPENSES Remittance Address: Jack D®hapy Jack Doheny Supplies, Inc. cU Companies Phone (248)349-0904 P.O. Box 609 11`r rl rs Largest o,s,r,n„fo,gfse„e,Cleaning, Fax (248)349-2774 Northville, Michigan 48167 Ait Handling and Street S,teepingEquipment www.dohenysupplies.com Customer I N V O I C E Invoice Pg CARME03 C49304 1 8/07/ 13 Sold To Ship To CARMEL WASTEWATER TREATMENT CARMEL WASTEWATER TREATMENT ATTN: PAUL ARNONE ATTN: BLAINE MALLABER 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280 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 S13674 -------------------------------------------------------------------------------- Ordr Ship B/O Description List Each Amount -------------------------------------------------------------------------------- Taken By JOHN BENGE Opened 8/07/13 Shipped 8/07/13 ` Please See Backorder Document C49305 I 4 4 VA 16584 31. 04 31. 04 124. 16 QUICK CLAMP, 8 2 0 2 V3 25637GJD 276. 72 . 00 . 00 8" X 120" FLANGED PI --- TOTAL PARTS -- 124. 16 1 INDIANA FREIGHT . 00 14. 42 INDIANA MUNICIPALITIES . 00 00012930010842 VISIT OUR WEBSITE @ www. dohenysupplies. com WE APPRECIATE YOUR BUSINESS -------------------------------------------------------------------------------- Total 138. 58 -------------------------------------------------------------------------------- SEE REVERSE SIDE FOR SALE TERMS AND CONDITIONS SALE TERMS AND CONDITIONS i The sale teems 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 de every s(Ilnedule 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, suc?i acceptance is limited to the express terms set forth herein, including the Doheny Sale Terms and Conditions. I Remittance Address: Jack Dohap Qj Jack Doheny Companies, Inc. �:®ffi Phone (248)349-0904 �9�11�3 P.O. Box 609 11orlds Largest Distributor ofsexerCleaning, Fax (248)349-2774 Northville, Michigan 48167 A ir Handling and Siree Sweeping Equipment www.dohenycompanies.com Customer I N V O I C E Invoice Pg CARME03 C49305 1 8/13/13 Sold To Ship To CARMEL WASTEWATER TREATMENT CARMEL WASTEWATER TREATMENT ATTN: PAUL ARNONE ATTN: BLAINE MALLABER 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280 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 S13674 -------------------------------------------------------------------------------- Ordr Ship B/O Description List Each Amount -------------------------------------------------------------------------------- Taken By JOHN BENGE Opened 8/07/ 13 Shipped 8/ 13/13 Please See Original Document C49304 2 2 V3 25637BJD 276. 72 276. 72 553. 44 8" X 120" FLANGED PI TOTAL PARTS 553. 44 1 - INDIANA FREIGHT . 00 116. 26 INDIANA MUNICIPALITIES . 00 PITT OHIO PRO # 5001221062 I I VISIT OUR WEBSITE @ www. dohenysupplies. com WE APPRECIATE YOUR BUSINESS -------------------------------------------------------------------------------- Total 669. 70 -------------------------------------------------------------------------------- SEE REVERSE SIDE FOR SALE TERMS AND CONDITIONS SALE TERMS AND CONDITIONS The sale terms and conditions of Jack Doheny Companies, Inc., which can be found at www.dohenycompanies.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. it I 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 8/20/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/20/2013 C49304 $138.58 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 # 136201 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 C49304 01-7200-02 $138.58 C'193oS ol--7000-oa. (,q,-7 o 808:a Voucher Total Cost distribution ledger classification if claim paid under vehicle highway fund