123
Fund: Payee: Agenda: 10/23/12 Current Claims City of Dearborn Heights Voucher Approval General Fund AccuMed Billing, Inc Number:W APPROVED FOR AGENDA OF Description: Ambulance Billing For September 2012 Invoice Dated 10/01/2012 Account Account Title Amount 101-000-626-000 Ambulance Runs $3,550.72 Amount Budget Before Payment $716,031.63 Requested By: Fire Dept. Comptroller Official Concurrence Daniel s:Paletko ' Authorized

City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

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Page 1: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Fund:

Payee:

Agenda: 10/23/12

Current Claims

City of Dearborn Heights Voucher Approval

General Fund

AccuMed Billing, Inc

Number:W

APPROVED FOR AGENDA OF

Description: Ambulance Billing For September 2012 Invoice Dated 10/01/2012

Account Account Title Amount 101-000-626-000 Ambulance Runs $3,550.72

Amount Budget Before Payment $716,031.63

Requested By: Fire Dept.

Comptroller Official

Concurrence

Daniel s:Paletko '

Authorized

Page 2: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Invoice

Billing Office P.O. Box 2122 Riverview, Ml48193

~:fllli·i~ DEARBOJ3NHEIGHTSFIRED

Total Collected EMS $ 46,842.89

AccuMed Fee 7.50%

Total $ 3,513.22

Total Collected Fire Service $ 500.00

AccuMed Fee 1.5Q0/Q

Total $ 37.50

Credit

Outstanding balance For the Following Month(s): $

OCT 0 3 2012 Please Make Clleci<s Pa,#able To: AccuMed Billing

**A lletailed brei!kdowl'l is listed"" tile Credit Type ::;.,mmary Report**

Page 3: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Fund:

Payee:

Description:

Agenda: 10/23/12 Number: tJ · ~ Current Claims

City of Dearborn Heights Voucher Approval

General Fund

Ajax Materials Corp.

Road Patching Supplies Various Invoices Dated 09/12

APPROVED FOR AGENDA OF

Amount Budget Account Account Title 101-440-782-000 Road Maint.

Amount Before Payment $5,039.93 $147,896.34

Requested By: DPW

Comptroller Authorized Official

Concurrence

IJ~ ,~, (~:, Daniel S. Paletko

Page 4: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Sold To:

Ticket#

09/11/12 5148256

Total

AJAX MATERIAlS CORPORATION AN EQUAL OPPORTUNITY EMPLOYER

1. 57895 Iafrate Dr. 2. 4875 Bald Mountain Road 3. 2240 Avon Industrial Dr. New Haven, Ml 48048 Auburn Hills, Ml 48326 Rochester Hills, Ml 48309

5. 8744 Inkster Road Romulus, Ml48174

6. 7392 Kensington Road Brighton, Ml48116

Dearborn Heights, City of 6045 Fenton Avenue Comptroller's Office Dearborn Hgts., Ml 48127

Quantity

10.57 TON

Prod#

098

7. 26400 Sherwood Warren, Ml 48091

Description

UPM Cold Mix

10.57 Plant: 05 Inkster

06!\t,,

":.\ ' .

n

Sales Terms: Net 30 Days

INVOICE

REMITTANCE ADDRESS

Ajax Materials Corpc>ra!ion P.O. Box 7053

Date

09/12/12

Customer#

40501

Troy. M! 48007 PhOnE!' 248-244-3300 Fax: 248-244-0800

Page

1 of 1

Job#

40501P

Invoice

157339

Plant#

05

UPM Pick Up/2011-POII'I-2-0000006

Price Amount

93.000 983.01

983.01

(.

Sales Tax 0.00

I Invoice Total 983.011

Page 5: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Sold To:

Ticket#

09/10/12 5148087

Total

AJAX MATERIALS CORPORATION AN EQUAL OPPORTUNITY EMPLOYER

1. 578951afrate Or. 2. 4875 Bald Mountain Road 3. 2240 Avon Industrial Dr. New Haven, Ml 48048 Auburn Hills, Ml 48326 Rochester Hills, Ml 48309

5. 8744 inkster Road Romulus, Ml48174

6. 7392 Kensington Road Brighton, Ml48116

Dearborn Heights, City of 6045 Fenton Avenue Comptroller's Office Dearborn Hgts., Ml 48127

Quantity

11.52 TON

11.52

Prod#

098

Plant: 05

7. 26400 Sherwood Warren, Ml 48091

Description

UPM Cold Mix

inkster

'

1 2

l::nl!\L

"''•

" ~ '''

i '4 ~ '•

Sales Terms: Net 30 Days

INVOICE

REMITTANCE ADDRESS:

Ajax Materials Corpc•raiion P.O. Box 7058

Date

09/11/12

Customer#

40501

Troy, Ml 48007 Phofle: 2'18-244-3300 Fax: 248-244-0800

Page

1 of 1

Job#

40501P

Invoice

157291

Plant#

05

UPM Pick Up/2011-POii12-0000006

Price Amount

93.000 1,071.36

1,071.36

·-··. , ·'

Sales Tax 0.00

I Invoice Total 1,071.361

Page 6: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Sold To:

Ticket#

09/13/12 5148397

Total

AJAX MATERIALS CORPORATION AN EQUAL OPPORTUNITY EMPLOYER

1. 57895 Iafrate Dr. 2. 4875 Bald Mountain Road 3. 2240 Avon Industrial Dr. New Haven, Ml 48048 Auburn Hills, Ml 48326 Rochester Hills, Ml48309

5. 8744 Inkster Road 6. 7392 Kensington Road 7. 26400 Sherwood Romulus, Ml48174 Brighton, Ml48116 Warren, Ml48091

Dearborn Heights, City of 6045 Fenton Avenue Comptroller's Office Dearborn Hgts., Ml 48127

Quantity

8.87 TON

8.87

Prod#

098

Plant:

Description

UPM Cold Mix

05 Inkster

''"""'':

,~,f"

Sales Terms·. Net 30 Days

INVOICE

·~ I

REMITTANCE ADDRESS

Ajax Materials Corporation

P.O. Box 7058

Date

09/14/12

Customer#

40501

Troy, Ml48007 Poqne 248-244-33qo Fax: 248-244-0800

Page

1 of 1

Job#

40501P

UPM Pick Up/2011-P0#12-0000006

Price

93.000

:

1 :

o···

Sales Tax

I Invoice Total

Invoice

157438

Plant#

05

Amount

824 91

824.91

0.00

824.911

Page 7: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Sold To:

Ticket#

09117112 5148773

Total

AJAX MATERIALS CORPORATION AN EQUAL OPPORTUNITY EMPLOYER

1. 578951afrate Dr. 2. 4875 Bald Mountain Road 3. 2240 Avon Industrial Dr. New Haven, Ml48048 Auburn Hills, Ml 48326 Rochester Hills, Ml 48309

5. 87441nkster Road Romulus, Ml 48174

6. 7392 Kensington Road Brighton, Ml 48116

Dearborn Heights, City of 6045 Fenton Avenue Comptroller's Office Dearborn Hgts., Ml 48127

Quantity

1203 TON

12.03

Prod#

098

Plant: 05

R1

7. 26400 Sherwood Warren, Ml 48091

Description

UPM Cold Mix

Inkster

\V ~0

DBN,HiS.COMP.Orf.

Sales Terms: Net 30 Days

INVOICE

REMITTANCE ADDRESS

Ajax Materials Corporation P.O. Box 7058

Date

09/18/12

Customer#

40501

Troy, Ml 48007 Phof\e: 248-244-33QQ Fax: 248-244-0800

Page

1 of 1

Job#

40501/Dev.

#090000276-001/UPM Delv'd

Price

95.650

Sales Tax

I Invoice Total

Invoice

157555

Plant#

05

Amount

1,150.67

1,150.67

0.00

1,150.67!

Page 8: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Sold To:

Ticket#

09/20112 5149040

Total

AJAX MATERIALS CORPORATION AN EQUAL OPPORTUNITY EMPLOYER

1. 578951alrate Dr. 2. 4875 Bald Mountain Road 3. 2240 Avon Industrial Dr. New Haven, Ml 48048 Auburn Hills, Ml 48326 Rochester Hills, Ml 48309

Dearborn Heights, City of 6045 Fenton Avenue Comptroller's Office Dearborn Hgts ... Ml 48127

Quantity

10.86 TON

10.86

Prod# Description

098 UPM Cold Mix

Plant: 05 Inkster

Sales Terms·. Net 30 Days

INVOICE

REMITTANCE ADDRESS:

Ajax Materials Corporation

P.O. Box 7058

Troy, Ml 48007 Pnone: 248-244-3300 Fax: 248-244-0800

Date Page Invoice

09121112 1 of 1

Customer# Job#

40501 40501P

UPM Pick Up/2011-P0#12-0000006

Price

93.000

Sales Tax

Invoice Total

157663

Plant#

05

Amount

1,009.98

1,009.98

0.00

1,009.981

Page 9: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Fund:

Payee:

Description:

Agenda: 10/23/12 Number: &~ 3 Current Claims

City of Dearborn Heights Voucher Approval

General Fund

Bureau Veritas North America Inc.

Loss Control Services for 7/1/12-6/30/13 Invoice 1167096, Dated 10/12/12

APPROVED FOR AGEt<DAOF

Account Account Title Amount $3,600.00

Amount Budget Before Payment $142,925.02 101-200-724-000 Work. Comp.

Requested By: General Govt

Comptroller Authorized Official

Concurrence

Daniel S. Paletko

Page 10: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

INVOICE

Tax ID# 06-1689244

Remit checks to: Bureau Veritas North America. Inc 13905 Collections Center Drive Chicago, IL 60693

Mr. Vince Macari City of Dearborn Heights 6045 Fenton Dearborn Heights, Ml 48127

Remit ACH Transfers to: ABA Routing Number 121000358 Account Number 14594-11058

Remit Wire Transfers to: ABA Routing Number 026009593 Account Number 14594-11058 Swift Code BOFAUS3N

October 12,2012 Project No: 11012-000179.00 Invoice No: 1167096

loss Control Services for !he City of Dearborn Heights, MI. July 1 2012 through June 30, 2013 Proposal# 1109.12.342

Professional Services

Fee

Total this Invoice

3,600.00

$3,600.00

For billing inquiries, please contact Emily Petrusky at (847) 726-3748 or emily.pet[\1$1\[email protected]\<i>A;om

Please include invoice number with payment remittance.

Payment Terms: Net 30 Days P!ease Reference Our tnvoice Number On Your Check

Page 11: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Fund:

Payee:

Description:

Account

Agenda: 10/23/12

Current Claims

City of Dearborn Heights Voucher Approval

General Fund

Number:

Cummings, McCiorey, Davis & Acho

Labor Matters Through August 31,2012 Invoice 197551, Dated 09/25/2012

/;J-4

APPROVED FOR AGENDA OF

Amount Budget Account Title Amount Before Payment

101-200-817-000 Prof/Con $3,982.50 $335,691.76

Requested By: General Govt

~· Comptroller Authorized Official

Concurrence

Daniel S. Paletko

Page 12: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

CuMMINGs•McCLOREY

DAvIs & A c li 0 'P.L.C.

33900 SCHOOLCRAFT ROAD LIVONIA Ml 48150-1392

734-261-2400

TAX IDENTIFICATION: 38-3444579

DEARBORN HEIGHTS, CITY OF KRYSTINA KRAMARZ

September 25, 2012

Invoice 197551 6045 FENTON DEARBORN HEIGHTS, Ml 48127

Page 1

Our File# 82265: LABOR MATTERS- DEARBORN HEIGHTS OCT 02

For Services Through August 31, 2012

(Please Note: Hours are billed in tenths. Ex: .1 = 6 Minutes, .2 = 12 Minutes)

08/02/12 TJL

08/02/12 TJL

08/02/12 TJL

08/07112 TJL

08/07/12 TJL

08/13/12 TJL

08/14/12 TJL

08114/12 TJL

08/20/12 TJL

08/21/12 TJL

08/21/12 TJL

08/22/12 TJL

08/27/12 TJL

08/27/12 TJL

08/28/12 TJL

08/28/12 TJL

08/28/12 TJL

Receipt and review documentation from client re: Treasurer's office personnel issues

Telephone conference with client re: internal investigation and related issues

Correspondence to client re: investigatory issues

Attend meeting at City Hall with Management Team to discuss Act 57 and related issues

Attend afternoon meeting at City Hall with POAM re: manpower issues.5

Telephone conference with Police Chief re: Pension grievance, Overtime issue and disciplinary issue

Appear for Grievance Hearing at Mayor's level with POAM.

Meeting with Mayor and staff re: various Union and employment related issues

Correspondence and multiple phone calls to Police Chief and Human Resources re: Union Grievance issues and Police Labor Agreement

Preparation for meeting with clients on several separate Union labor issues Attend meeting with administrative staff re several Union labor issues

Conference with clients re: overtime and staffing issues in Police Department, develop strategy for plan of action

Research and analysis of documentation for Fire Fighters Arbitration case in anticipation of meetings with client to prepare for Arbitration Hearing

Telephone conference with Human Resources re: internal investigation and strategy for handling

Correspondence via email to Police Chief and Mayor's office

Telephone conversation with Police Chief re: Union related issues

Receipt and review documentation from client re: past Policies on overtime and cost saving measures

.000

0.7 hrs

0.5 hrs

0.7 hrs

3.5 hrs

3.5 hrs

1.0 hrs

2.0 hrs

2.0 hrs

1.5 hrs

1.0 hrs

3.5 hrs

1.2 hrs

3.5 hrs

0.8 hrs

0.5 hrs

0.5 hrs

0.6 hrs

Page 13: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

CUMMINGS, MCCLOREY, DAVIS & ACHO P.L.C.

DEARBORN HEIGHTS, CITY OF KRYSTINA KRAMARZ 6045 FENTON DEARBORN HEIGHTS, Ml 48127

08/28/12 TJL Preparation of draft response letter to Union leaders

Subtotal: Fees Billed

SUMMARY OF FEES BILLED

September 25, 2012 Invoice 197551 Our File # 82265

Billable Hrs Rate/Hr

Thomas J. Laginess

TOTAL

Associate 29.5

29.5

Total Fees & Reimbursable Costs through 08/31/2012

135.00

Fees & Reimbursable Costs after Adjustments through 08/31/2012

3,982.50

$3,982.50

Page2

2.5 hrs

$3,982.50

$3,982.50

Page 14: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

CUMMINGS, MCCLOREY, DAVIS & ACHO P.L.C.

DEARBORN HEIGHTS, CITY OF KRYSTINA KRAMARZ 6045 FENTON DEARBORN HEIGHTS, Ml 48127

September 25, 2012 Invoice 197551 Our File # 82265

Summary of Amounts Due for this Matter

Total Current Balance due for this file: $3,982.50

Page3

Grand Total Balance due for this file: $3,982.50

**ALL UNPAID ACCOUNTS SHALL BEAR SIMPLE INTEREST AT A RATE OF 0.5833% PER MONTH (7% PER YEAR) ON ANY UNPAID BALANCE AFTER FOURTEEN (14) DAYS.'* Please disregard your past due balance due if you paid within the last 10 days.

Page 15: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

CUMMINGS, MCCLOREY, DAVIS & ACHO P.L.C.

DEARBORN HEIGHTS, CITY OF KRYSTINA KRAMARZ 6045 FENTON DEARBORN HEIGHTS, Ml 48127

REMITTANCE SUMMARY

September 25, 2012 Invoice 197551 Our File # 82265

Page4

TO ENSURE PROPER CREDIT, PLEASE RETURN THIS ENTIRE PAGE WITH YOUR PAYMENT

Total Fees & Reimbursable Costs this Period $3,982.50

Total balance due for this file: $3,982.50

**ALL UNPAID ACCOUNTS SHALL BEAR SIMPLE INTEREST AT A RATE OF 0.5833% PER MONTH (7% PER YEAR) ON ANY UNPAID BALANCE AFTER FOURTEEN (14) DAYS.** Please disregard your past due balance due if you paid within the last 10 days.

PLEASE REMIT TO: Cummings, McCiorey, Davis & Acho 33900 Schoolcraft Road

CREDIT CARD:

Livonia Ml 48150-1392

Tax ID: 38-3444579

Charge my __ VISA __ MASTERCARD __ DISCOVER

Exp date:--------- Amount $----------­

Cardholder name: ---

Account#:

Signature _______________ Date _____ _

THANK YOU FOR YOUR PATRONAGE!

Page 16: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Fund:

Payee:

Description:

Agenda: 10/23/12

Current Claims City of Dearborn Heights

Voucher Approval

General Fund

Downriver Community Conference

Number:

Membership Dues Oct 2012- Sept 2013 Invoice Dated 9/02/12

APPROVED FOR AGENDA OF

Account Account Title Amount $4,750.00

Amount Budget Before Payment

$20,984.00 101-200-958-000 Dues

Requested By: General Govt

Comptroller

tk (V"!

~dOfficial Concurrence

Daniel S. Paletko

Page 17: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

15100 North line Road Southgate, Ml 48195 Phone: (734) 362-7070 T.T.Y. 1 (800) 649-3777 Fax: (734) 407-0202 www.dccwf.org COMMUNITY CONFERENCE

James S. Perry Executive Director

Equal Opportunity Employer/Programs " AuxHiary Aids and Services are available upon request to individuals with Disabilities.

INVOICE #4005

DATE: 2-0ct-12

BILL TO: City of Dearborn Heights 6045 Fenton Dearborn Heights, Ml 48127 Attn: John J. Riley

Total Descriotion Cost

Downriver Community Conference Membership Dues $ 4,750.00

October 2012 - September 2013

Total Due to DCC: $ 4,750.00 Make check payable to: Downnver Commumty Conference

Send to: Downriver Community Conference

ATIN: lorree Smith 15100 Northline Rd.

Southgate, MI 48195

(734) 362-3444

MEMBER COMMUNITIES Allen Park o Brownstown Township .. Dearborn<~< Dearborn Heights o Ecorse" Flat Rock" Gibraltar"' Grosse lie Township Ill Huron Township

Lincoln Park<~~ Melvindale e River Rouge o Riverview,. Romulus" Rockwood<~~ Southgate o Taylor .. Trenton$ Woodhaven e Wyandotte

Page 18: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Fund:

Payee:

Description:

Agenda: 10/23/12 Number:

Current Claims

City of Dearborn Heights Voucher Approval

General Fund

Eager Beaver Landscaping

Grass & Weed Cutting Charges Invoice Dated September 16, 2012

Amount Budget Account Account Title Amount Before Payment 101-200-963-000 Weeds $4,023.88 $115,353.33

Requested By: Bldg. Eng.

Comptroller Authorized Official

Concurrence

Daniel S. Paletko

APPROVED FOR AGENDA OF

Page 19: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

10:17 AIVI

C?'Z0/12

Type Date

CITY OF FEARBORN HEIGHTS Invoice 911612012 Invoice 9/16/2012 Invoice 9/16/2012 Invoice 911612012 Invoice 9/16/2012 Invoice 9/16/2012 Invoice 9/16/2012 Invoice 9/1612012 Invoice 9/16/2012 Invoice 9/16/2012 Invoice 9/16/2012 Invoice 9116/2012 Invoice 9/16/2012 Invoice 9/16/2012 Invoice 9/16/2012 Invoice 9116/2012 Invoice 9/16/2012 Invoice 9/16/2012 Invoice 9/16/2012 Invoice 9/16/2012 Invoice 9116/2012 Invoice 9116/2012 Invoice 9/16/2012 Invoice 9116/2012 Invoice 9/16/2012 Invoice 9116/2012 Invoice 9/16/2012 Invoice 9116/2012 Invoice 9116/2012 Invoice 9/16/2012 Invoice 9/16/2012 Invoice 9/16/2012 Invoice 9/16/2012 Invoice 911612012 !nvolce 9/1612012 Invoice 9/16/2012 Invoice 9/1612012 Invoice 9116/2012 Invoice 9116/2012

EAGER BEAVER LAWN CARE Customer QuickReport

September 16, 2012

Num

14385 14389 14423 14424 14425 14426 14427 14428 14429 14430 14431 14432 14433 14434 14435 14436 14437 14438 14439 14440 14441 14442 14443 14444 14445 14446 14447 14448 14449 14450 14451 14452 14453 14454 14455 14456 14457 14458 14460

Memo Account

Accounts Receivable Accounts Receivable Accounts Receivable Accounts Receivable Accounts Receivable Accounts Receivable Accounts Receivable Accounts Receivable Accounts Receivable Accounts Receivable Accounts Receivable Accounts Receivable Accounts Receivable Accounts Receivable Accounts Receivable Accounts Receivable Accounts Receivable Accounts Receivable Accounts Receivable Accounts Receivable Accounts Receivable Accounts Receivable Accounts Receivable Accounts Receivable Accounts Receivable Accounts Receivable Accounts Receivable Accounts Receivable Accounts Receivable Accounts Receivable Accounts Receivable Accounts Receivable Accounts Receivable Accounts Receivable Accounts Receivable Accounts Receivable Accounts Receivable Accounts Receivable Accounts Receivable

Clr Split

-SPLIT--SPLIT--SPLIT--SPLIT--SPLIT--SPLIT--SPLIT--SPLIT--SPLIT--SPLIT--SPLIT--SPLIT--SPLIT--SPLIT--SPLIT--SPLIT--SPLIT--SPLIT--SPLIT--5PLIT--SPLIT--SPLIT--SPLIT--SPLIT--SPLIT--SPLIT--SPLIT--SPLIT--SPLIT--SPLIT--SPLIT--SPLIT--SPLIT--SPLIT--SPLIT--SPLIT--SPLIT--SPLIT--SPLIT-

Amount

9@-,BQ-<-;;:~ 168.26 . / 102.1QV 96.00/ 00:00' W4 gs,oo-<f..S 71.60...--

2!l'i':56- !7 I 63.00/

46£r.'8tt" ( ?.. 2... 89.20'/

172.48/

~:;:0, 99.20/

264.20/ 126.77•./ 3320~ 66.20'" 99.20/

4i'!HlEr '{ (., 1~ ';:_<; 1?. 30.26/

.;~~~'f3 96 oo·./ ~ /! 3>.'6'\ 108.00,/ 97.20 j'

173.2(} / 105.17 •/

~ \0 """"' 66.20 v -~ V'it~cO

63.oo'-/ 67.4~ 38.05V

11B.6o·./ 166.00,/

Page 1

Page 20: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Fund:

Payee:

Description:

Agenda: 10/23/12 Number:~ 7 Current Claims

City of Dearborn Heights Voucher Approval

Water 0/M

EJ USA, Inc.

Fire Hydrants and Parts September 2012, Several Invoices

r:c"-----·· APPROVED FOR-AGENDA OF

Account Account Title Amount $6,576.08

Amount Budget Before Payment

592-000-111-002 Inventory/Pipe

Requested By: Water Dept

Comptroller Authorized Official

Concurrence

Daniel S. Paletko

Page 21: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

s 0 L D

T 0

8J

City of Dearborn Heights Attention Accounts Payable

6045 Fenton Avenue Dearborn Heights, Ml 48127

Invoice Invoice Number

Invoice Date

Invoice Due

Order Number

Customer Number

Ship Date

Shipping Branch

Page Number

s City of Dearborn Heights

7 DEPARTMENT OF PUBLIC WORKS ~ 24600 VAN BORN E Dearborn Heights, M I 48127 D

T 0

Customer P.O. Number Job Name Job Number Sales Office Shipping Method

Detroit Branch Our Truck

Line UM Quantity Unit Price

1 83405D EJ 5BR250-DFD HYD 5'6" CONV 1HSTZ EA 1 2240.31 Non-cancelable, Non-returnable

A monthly FINANCE CHARGE will be added to any unpaid balance which is not paid when due. The FINANCE CHARGES are computed by a periodic rate of 1 1f2% per month

Remit Payment To-Amount

(from and after the due date) which is an ANNUAL PERCENTAGE RATE OF 18% applied EJ USA, Inc. to the unpaid balances after deducting payments made before the due dates and/or TAX .000 % credits. Payments received on account are applied against the amounts first due. P 0 BOX 644873

PITTSBURGH, PA Freight 15264-4873

Total Due: EJ USA, Inc. Terms and Conditions apply. ejco.com 800 626 4653

3534818 9127112

10127112

3534818 18070

9126112

020

1

Ex1Amount

2,240.31

2,240.31

.00

.00

2,240.31

Page 22: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

s 0 L D

T 0

• 8J

City of Dearborn Heights Attention Accounts Payable 6045 Fenton Avenue Dearborn Heights, Ml 48127

Customer P.O. Number Job Name Job Number

s H I p p E D

T 0

Invoice Invoice Number

Invoice Date

Invoice Due

Order Number

Customer Number

Ship Date

Shipping Branch

Page Number

City of Dearborn Heights DEPARTMENT OF PUBLIC WORKS 24600 VAN BORN Dearborn Heights, M I 48127

Sales Office Shipping Method

3532448 9/28/12

10/28/12

3532448 18070

9/24/12

020

1

Detroit Branch Direct Prepay/Add

Line UM Quantity Unit Price Ext Amount

1 99180180 AY 5614L PLUG TY 1-1/4" COVER EA 25 11.38 284.50 NON-RETURNABLE, NON-REFUNDABLE

2 99175944 AY 4755T 3/4" CPL CTS X FFLR EA 50 11.99 599.50 NON-RETURNABLE, NON-REFUNDABLE

3 99175945 AY 4755T 1" CPL CTSX FFLR EA 25 17.62 440.50 NON-RETURNABLE, NON-REFUNDABLE

A monthly FINANCE CHARGE will be added to any unpaid balance whicll is not paid Remit Payment To: Amount 1,324.50 when due. The FINANCE CHARGES are computed by a periodic rate of 1 112% per month

(from and after the due date) which is an ANNUAl PERCENTAGE RATE OF 18% applied EJ USA, Inc. TAX .000 .00 to !he unpaid balances after deducting payments made before the due dates and/or % credits. Payments received on account are applied against the amounts first due. P 0 BOX 644873

PITTSBURGH, PA Freight 55.67 15264-4873

Total Due; 1,380.17

EJ USA, Jnc. Tenns and Ccnd!!fOns apply. SJCO.com 800 626 4653

Page 23: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

s 0 L D

T 0

• BJ

City of Dearborn Heights Attent'1on Accounts Payable 6045 Fenton Avenue Dearborn Heights, Ml 48127

s H I p p E D

T 0

Customer P.O. Number Job Name Job Number

Une

1 00942330 6D7SEAL PL T BSHG ASY 2 00942331 6D SEAL PLT GKT 3 00944421 0-RG 1-220 UL1/8 1-3/8 4 00942430 8D7SEAL PL T BSHG ASY

5 00942431 8D SEAL PL T GKT 6 00942538 0-RG 1-222 UL1/8,1-1/2 7 00942411 EJ 6-8D10 OP NUT OR

* * *DIRECT SHIPMENT FROM EAST JORDAN*

A monthly FINANCE CHARGE will be added to any unpaid balance which is not paid Remit Payment To: when due. The FINANCE CHARGES are computed ~ a periodic rate of 1 112% per month (from and after the due date) which !San ANNUAL P RCENTAGE RATE OF 18% applied

EJ USA, Inc. to the unpaid balances after deducting payments made befOre the due dates andfor

Invoice Invoice Number

Invoice Date

Invoice Due

Order Number

Customer Number

Ship Date

Shipping Branch

Page Number

Cily of Dearborn Heights DEPARTMENT OF PUBLIC WORKS 24600 VAN BORN Dearborn Heights, Ml 48127

Sales Office Shipping Method

Detroit Branch R&L Preoaid

UM Quantity Unit Price

EA 12 40.90 EA 12 3.29 EA 24 2.18 EA 12 44.88 EA 12 3.29 EA 24 1.85 EA 24 11.74

Amount

TAX credits. Payments received on account are applied against the amounts ft!St due. P 0 BOX 644873

.000 %

PITTSBURGH, PA Freight 15264-4873

Total Due:

EJ USA, Inc Terms and Cond1t1ons apply. eJCO.com 800 626 4653

3534814 9/27/12

10/27/12

3534814 18070

9/25/12

020

1

Ext Amount

490.80 39.48 52.32

538.56 39.48 44.40

281.76

1,486.80

00

.00

1,486.80

Page 24: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

~N ~

• 8J EJ USA. Inc PO Box 644873 Pittsburgh, PA 15264-4873

SOLD TO:

28111 AB 0.374 E0050X 10083 0551733661 P1187385 0001:0001

ll''llllllllll'l'llllllll•l'''l'llllll''lliiii••••JI•I•IIIIIIIIII CITY OF DEARBORN HEIGHTS Attention Accounts Payable 6045 FENTON ST DEARBORN HEIGHTS Ml48127-3287

I Custon)er P.O. Nu:n_,ber I Job Name ! Job .N.urnb:er

I I I I. Safes B,'ranch

\ Detroit Branch

INVOICE Invoice Number

Invoice Date

Invoice Due

Order Number

Customer Number

Ship Date

Shipper Location

Page Number

SHIPPED TO:

City of Dearborn Heights DEPARTMENT OF PUBLIC WORKS 24600 VAN BORN Dearborn Heights, Ml48127

I ~·~.hip.p(n9 Metp:rkJ . •.· l Our Truck

3532444

9/21/12

10/21/12

3532444

18070

9/20/12

020

1 of 1

l

line Pi"od~0l ~.Ymber/Descripti_on UM QuantitY Uriil Price Extended· Amount

1 99180103 AY 5615WB CURB BX MINN W/BUSH 5-1/2 EA 40 36.72 1,468.80 NON-RETURNABLE, NON-REFUNDABLE

~E ]\/ ~= !,~,

1 !!' ,I 20:2

":nM '•'

:1,0!

EJ is transitioning to electronic delivery of all customer invoices. Please provide the email address or fax number where your invoices can be delivered. This information, along with your customer number, should be emailed to [email protected] or faxed to 231.536.4619. Thank you.

A monthly FINANCE CHARGE will be added to any unpaid balance which is not paid when due. B.:Eirnit Payment To: Amount 1,468.80 The FINANCE CHARGES are computed by a periodic rate of 1 1/2% per month (from and after the due date) which is an ANNUAL PERCENTAGE RATE OF 18% applied to EJ USA, Inc. Tax 0.00% .00 the unpaid balances after deducting payments made before the due dates ar~d/or credits. P 0 BOX 644873 Payments received on account are applied against the amounts first due.

PITTSBURGH, PA 15264-4873 We hereby certify that these goods were produced in compliance with all applicable requirements of Sec. 6, 7, & 12 of the Fair Labor Standards Act, as amended, and of regulations and orders of the

Freight .00 United States Department of Labor issued under Sec. 14 thereof. Total Due 1.468.80 EJ USA, Inc. Tenns & Collditiolls app!y. ejco.com 800 626 4653

0001:0001

Page 25: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

CITY OF DEARBORN HEIGHTS 6045 FENTON • DE;ARBORN HEIGHTS, MICHIGAN 48127 TELE?HONE (313) 791-3443 • FAX (313) 791-3442_

Ship To: ~~--

[UiVoF DEARORN HEIGHTS-DPW

. 24600 VAN BORN DEL 7-1 UO/NOON-3PM DEARBORN HEIGHTS Ml 48125 ~~·-·---------------_j

VENDOR NO. 10460

~ I':J USA, INC. N P 0 BOX 644873 D 0 R PITTSBURGH

Unit !Description

PA 15264-448

PURCHASE ORDER

NO. 13-00154

Date: O:Z:/01/12 *+*+*+*+*+*+*+*+*+*+

BLANKET PURCHASE ORDERS JULY 1, 2012 THROUGH JUNE 30,2013 TO BE PAID MONTHLY

TO COVER THE COST OF:

[Ouantnltlr l EACH TO COVER THE COST OF FIRE HYDRANTS

AND MISCELLANEOUS PARTS AND SUPPLIES

Unit Cost $0.00

Total Cost ] $0.00

592-000-111.002

Total PO Amount 0.00]

DIRECT INQUIRIES TO

JJ I ,,

' ' :f,i~ Mtf' J DIRECTOR

SEAN MOYLAN

PURCHASE ORDER NUMBER MUST APPEAR ON INVOICE, OR INVOICE WILL NOT BE PAID!

M.S .. D.S. REQUIRED ON HAZARDOUS MATERIA.L NOTE: ANY DEVIATION IN PRICE ON THIS ORDER MUST BE APPROVED BY THE CITY PURCHASING DIVISION PRIOR TO DELIVERY

ORIGINAL INVOICES TO: COY!PUTROLLER'S OFFICE 6045 FENTO, DEN. HTS., MI. 48127

2. EXEMPT FROM STATE/LOCAL AND FEDERAT ... TAXES: 38-1712300

3 PU_RCHASE ORDER NUMBER MUST APPEAR ON ALL INVOICES, SHIPPERS, AND CORRESPONDENCES.

4. SUBSTITUTIONS NOT ACCEPTED WITHOUT !?FUOR APPROVAL.

5. PARTIAL SHIPMENT WILL BE ACCEPTED IF INVOICED SEPARATELY. PAYMENT MADE UPON COMPLETION OF PURCHASE ORDER.

6. ACKNOWLEDGMENT COPY MUST BE RETURNED BEFORE ORDER IS BINDING.

Page 26: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Fund:

Payee:

Description:

Account

Agenda: 10/23/12 Number:_""'&_~ 8 Current Claims

City of Dearborn Heights Voucher Approval

General Fund/Water 0/M

E & N Cement

Pavement Repairs Invoices Dated 10/16/2012

Account Title Amount

APPROVED FOR AGENDA OF

Amount Budget Before Payment

592-537-818-000 Contractual Serv. $41,732.00 101-440-880-000 Road Rep $47,831.87 $109,795.75

Requested By: DPW

Comptroller Authorized Official

Concurrence

Daniel S. Paletko

Page 27: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

E & N Cement Co. Inc. 23938 Woodham

Novi, Michigan 48374 248-348-9485

City of Dearborn Heights October 16, 2012 DPW.

26024 Wilson s. side 93 sq. yds. Pavement repair wl hook bolts @ $50.24 $4,671.86 93 sq. yds. Fill sand @ $12.94 $1,203.77 93 sq. yds. 7 sax concrete @ $11.21 $1,042.51

$6,918.14 26036 Wilson s. side

49 sq. yds. Pavement repair wl hook bolts @ $50.24 $2,461 .52 49 sq. yds. Fill sand @ $12.94 $634.25 49 sq. yds. 7 sax concrete @ $11.21 $549.28

$3,645.04 26048 Wilson s. side

91 sq. yds. Pavement repair w/ hook bolts @ $50.24 $4,571.39 91 sq. yds. Fill sand @ $12.94 $1,177.89 91 sq. yds. 7 sax concrete @ $11.21 $1,020.09

$6,769.36 26074 Wilson

40 sq. yds. Pavement repair w/ hook bo~s @ $50.24 $2,009.40 40 sq. yds. Fill sand @ $12.94 $517.75 40 sq. yds. 7 sax concrete @ $11.21 $448.39

$2,975.54 261 02 Wilson

47 sq. yds. Pavement repair w/ hook bolts @ $50.24 $2,361.05 47 sq. yds. Fill sand @ $12.94 $608.36 47 sq. yds. 7 sax concrete @ $11.21 $526.86

$3,496.26 26118 Wilson

39 sq. yds. Pavement repair w/ hook bolts @ $50.24 $1,959.17 39 sq. yds. Fill sand @ $12.94 $504.81 39 sq. yds. 7 sax concrete @ $11 .21 $437.18

$2,901 '16 26234 Wilson

96 sq. yds. Pavement repair w/ hook bolts @ $50.24 $4,822.56 96 sq. yds. Fill sand @ $12.94 $1,242.60 96 sq. yds. 7 sax concrete @ $11.21 $1,076.14

$7,141.31 26338 Wilson

58 sq. yds. Pavement repair w/ hook bolts @ $50.24 $2,913.63 58 sq. yds. Fill sand @ $12.94 $750.74 58 sq. yds. 7 sax concrete @ $11.21 $650.17

$4,314.54 26352 Wilson

37 sq. yds. Pavement repair w/ hook bolts @ $50.24 $1,858.70 37 sq. yds. Fill sand @ $12.94 $478.92 37 sq. yds. 7 sax concrete @ $11.21 $414.76

$2,752.38 26366 Wilson

93 sq. yds. Pavement repair w/ hook bolts @ $50.24 $4,671.86 93 sq. yds. Fill sand @ $12.94 $1,203.77 93 sq. yds. 7 sax concrete @ $11.21 $1,042.51

$6,918.14

to 1- £f Cfv ~ 9 Et9 -e oO! w; TOTAL $47,831.87

Page 28: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

E & N Cement Co. Inc. 23938 Woodham

Novi, Michigan 48374 248-348-9485

City of Dearborn Heights October 16,2012 Water Dept

26012-25896 - Wilson s. side 144 sq. yds. Pavement repair w/ hook bolts @ $50.24 $7,233.84 144 sq. yds. Fill sand @ $12.94 $1,863.91 144 sq. yds. 7 sax concrete @ $11.21 $1,614.21

$10,711.96 NE Wilson & Kinloch

132 sq. yds. Pavement repair w/ hook bolts @ $50.24 $6,631.02 132 sq. yds. Fill sand @ $12.94 $1,708.58 132 sq. yds. 7 sax concrete @ $11.21 $1,479.69

1 Manhole adj. @ N/C $9,819.30

NW Wilson & Kinloch 105 sq. yds. Pavement repair w/ hook bolts @ $50.24 $5,274.68 105 sq. yds. Fill sand @ $12.94 $1,359.10 105 sq. yds. 7 sax concrete @ $11.21 $1 '177.03

1 Watergate adj. @ N/C $7,810.80

26254 Wilson 34 sq. yds. Pavement repair w/ hook bo~s @ $50.24 $1,707.99 34 sq. yds. Fill sand @ $12.94 $440.09 34 sq. yds. 7 sax concrete @ $11.21 $381.13

$2,529.21 26360 Wilson

20 sq. yds. Pavement repair w/ hook bolts @ $50.24 $1,004.70 20 sq. yds. Fill sand @ $12.94 $258.88 20 sq. yds. 7 sax concrete @ $11.21 $224.20

$1,487.77 26208 Wilson s. side

45 sq. yds. Pavement repair w/ hook bolts @ $50.24 $2,260.58 45 sq. yds. Fill sand @ $12.94 $582.47 45 sq. yds. 7 sax concrete @ $11.21 $504.44

$3,347.49 26224 Wilson s. side

13 sq. yds. Pavement repair w/ hook bolts @ $50.24 $653.06 13 sq. yds. Fill sand @ $12.94 $168.27 13 sq. yds. 7 sax concrete @ $11.21 $145.73

$967.05 26224-26238 Wilson s. side

68 sq. yds. Pavement repair w/ hook bolts @ $50.24 $3,415.98 68 sq. yds. Fill sand @ $12.94 $880.18 68 sq. yds. 7 sax concrete @ $11.21 $762.27

$5,058.42

TOTAL $41,732.00

Page 29: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Fund:

Payee:

Description:

Agenda: 10/23/12

Current Claims

City of Dearborn Heights Voucher Approval

General Fund

J.L.S. Property Maintenance

Grass Service September 2012

Number:

Invoice Number 9152012, Dated 09/20/12 Invoice Number 9222012, Dated 09/24/12

APPROVED FOR AGENDA OF

Account Account Title Amount Amount Budget Before Payment $115,353.33 101-200-963.000 Sidewalk/Weed $1,878.45

Requested By: Bldg & Eng.

~· Comptroller Authorized Official

Concurrence

Daniel S. Paletko

Page 30: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

~ __ _City_c>f Dear_l:>orrJ_H~ightsfOrdinance Violations J.L.S. Property Maintenance -- ·------- ----- ----- -- --,- -- --

_ ~- ~-fit1_anc~D~partment L~cc()_unE_Pa_ya_b_l_e ____ 1

__ _ · 6045 Fenton

P.O, Box 1851 ~- --1~- -- - --

Taylor,_M I _LI8180 --------- - -- ---- - -··· -- ~---- ---+------ --- ------ ----

Invoice# 9152012

Street# Street Address Cut Date

Billing Rate

~~ ~~--~ _i ~~;,-A~b~rJr~il_ ---~__i;[l2/2_(ll~-1862 i Inkster ! 9/12/2012

Lot Size

6886

19401

8~-ruJc;:~~~bindal~----___~--,9~zj2cJ1_z i~ 54oo

~ 67~5_______ _ ____ Heyden_ _ ____ _ ~;9/13/2012 )_ 5551

Extra Services i

J 6773 :_f:l_eyden ______ _ J/1~2012 j _-:-= ... ' ---+-

5563 _ _JI:Ieyd er1_ 9/13/2012 i ---·--·--'-------------·- .---------;

9/13/2012 I 5563

5440 - -----

Dearborn Heights, Ml 48127 -- --'--- ---~-- ------- _____ .. ·T·------·· ----------

Proposal #1 <

5000 Sq Ft

$30.00

Proposal# 3 i Proposal Proposal# 5 :Total Amount . #4 Invoiced

Proposal# 2 lots> Commercial Removal of Lawn .

5000 Sq Ft 100 Sq Ft Lots of< 200 sq DebriS $33.00 area> .

It or less $23.00 (per Cubtc Yard, 2QJl.>g_ft •

Commercia~Ommercial J $1.oo: $23.oo, $0.5o: $33.oo!

ota Cubic Yards

of Debris

-••-· ·-w '' •--· --····-----·- ' _,,,.~•·•~---~•• -;----,---·· --------··•-,, ----~

$30.00 1 $18.86 . $48.86 0 -· -----~ .. -----------------------; --- --------- +-- --~--------- _, ________________________ , _______ _

__ gO,OQc ~ _ _2144.01; _ _ ____ , __ $174:01J_ __ _

_ _$30,QQI _ -~ $4.()0_'_ - - - -- - - -'---- - _$34,00 i. -~$3_0.0Ql_

$30.00~ $3o.oo:~

$5.51 .... -·· . .. . $198.00! ... .. $233.51! 6

-~$~,s1!= :::-__:_" ___:- [ -=$132.oovo~9-J~51:-~4 $5.63; ' ' ' $35.63 -------- --, ------ - -·--------------'------------------r--------- -~------:------------ -------------------·)-------~-·

$30.00 $5.63 i i $33.00: $68.63' 1 ·- ·-- -------··-- --- , ___________ , _________ -------'---- -----------. -------------~ ----+-- --------------------------,-------

_. i 9/1.3;2oJ.2~ i~/13/201_2

9/4/2012

5940

6900

- _ $3o.o_o_,_ _ ~-~4A_oj_ -------~ __ j~~ \CU7~.l~(<!_o~_Z;~ ----·-~ __ ~3_o,oo,~ ----~~40! . ~--~---- --'- _j _ _$_33ooo; _ ____j369~4o,_ .JQ

Northmore

! Fenton

_ _ _ $3o.o~ _ . __ $19.go_L

$19.00! --------------------; --------- $49.00

- - T ;:=Tz_:; ~----:

$66.00 "t>' ~' 19/6/2012 6900 . . -- $30.00 ,Jj7401

1 uta! Invoice $1,461.9~ 25 ~-----~-----

f- . - - --- ---~-- ---------

-... -~-- ----- -- ----27104 Northmore Owner came home half way through and called the police, I called Keith & hussan they said the get the pic's we can, cut and leave Owner also came down to city to talk with keith and we agreed to not charge for debrie removal -·---~-- ~· --

9/20/20121

~ ~d11 ., Jlu-L-1r- ~--1

Page 31: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

I

Invoice#

Street#

J.L.S. Property_tv1aintenance ____ _ I City of Dearborn Heights I Ordinance Violations ,_____

1

Finance Department 1 Accounts Payable --------------- '------------ ---: 6-o4s i'eni:on ~------ -------------------------. ·--····· ------ -- _, _______ _

P.O, Box 1851 . h_aylor: M I -4:-:c8c-18c-O:--- -f

9222012

Street Address Cut Date

-~;Dearbornf:Jeights, Ml48127

-

:Extra

Lot Size I Services

I

--PfoposaT#T3 'Proposal P 1 #

5 Total Amount

; roposa Commercial #4 Invoiced

Proposal #1 < Proposal# 2 lots> ~ Removal of 5000 Sq Ft j 5000 Sq Ft 100 Sq Ft Lots of< 200 sq, Lawn Debris $33.00

ft or less '. area > ( C b' y d 1 per u 1c ar

S23.0.0_; 200 soft Commercial pmmerci I

Billing Rate $30.00 1 $1.00 I $23.00 $0.50 $33.00'

lffilT

Cubic

Yards

of Debris

------r~-~~~~~~-----~~~- ~1~[2()12 -~~--:_ ~~- $30.Q~; __ _ $43.~5~ _ _ j--~ _ ___ ___ --=-$73_,7~~ x !west Hills _ _ ,9/18/2012 : 5745 $3o.oo! $7.451 l(o> . ...s-:$.;~7 qr;'

-------- ------- ~--- --- -- f--'------ ----- ---- -·----------~, I -- ,-!Annapolis 9/20/2012 18312 $30.00 I $133.12' ' $163.121 -------- ~---;------ - ·--------- "----- --------------- ---~- ·t -·- --- ------·--, --- - ----- ·------------~ -----~-------- "·-·-'--- .,, ______________________ _

____ '-{_S'_5_-l ___ l3eechdaly _ --19/20{~012 __1r7_10 ! _____ ·___ $30.00 $37.101 _ _ '--··· $33,ooF_'-_IO_Jlaa,1a ..... _1

___ "Highview _ !9/20/2012 6000 ! , $30.00! $10.00' . $40.001 ----- ;~cDonald -- -9/20/2012 5240 -- . -$3o~oo ···----- $;:;;-- I 1' ~ ----S32.40j

- -~-------· ····~·- ------- - ----- - ------ .,------ -~-------------- _,_--,- --------- --~--" --- -->------- --- - -------L-- - ---------·

5670 Vernon 19/20/2012 5480 $30.00' $4.80• . $99.oo! $133.801 3 "'~ 5 <,; -j() Beechdaly 8/10/2012 6160 ·--- i $3o:Oo~ - $11.-60~- - -c- -----~----

Totallnvoice

$41.60 1

$622.22 4

1.L.r1

-,

9/24/20121 1

Page 32: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Fund:

Payee:

Description:

Agenda: 10/23/12

Current Claims

City of Dearborn Heights Voucher Approval

General Fund

Johnson Controls

HVAC Parts and Repairs

Number:

PPROVED FOR AGENDA OF

' I 0·;;1.3-1

Various Invoices Dated 07/12 through 09/12

Amount Budget Account Account Title Amount Before Payment 101-265-931.000 Rpr/Maint Bldg Grnds $2,280.34 $79,424.31

Requested By: Bldg. Maint.

Comptroller Authorized Official

Concurrence

Daniel S. Paletko

Page 33: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Johnson ~Jf1 Controls

ORIGINAL INVOICE

Invoice#: PO #/Auth: Customer WO#: Customer Acct:

Bill To:

1-5786189277 13-00070

1016931

CITY OF DEARBORN HEIGHTS 6045 FENTON DEARBORN HEIGHTS Ml 48127

Johnson Controls Building Efficiency FederaiiD 39-0380010

Invoice Date: Service Request: SRType: Branch Name:

09/14/2012 1-5775593756 L&M Detroit South - 0277

Service Site: DEARBORN HEIGHTS FIRE STATION #2 1999 N BEECH DALY RD, DEARBORN HEIGHTS Ml 48127-3487

Requested By: Phone:

Ray Winowiecki 3137177446

Invoice Comments: Materia! Sale: (1) fluid power gas valve. Thank you for your business.

Qty Description UOM Unit Price Sub Total Tax I Net Price

Materials --

1 ~?160 13 Sec Opng Time Each S625.DO $625.00 $0.00 1- $625.00

Damper Sh

Sub-Total $625.00 $0.00 $625.00

Invoice Sub-Total $625.00 Taxes $0.00

Total Due $625.00

Direct Billing Inquiries: (248) 276-6000

Terms: If any invoice is not paid in full upon receipt, the Customer hereby agrees to pay interest at a rate of 1.5% per month (18% annually) upon

the unpaid portion of the invoice. If action or suit is brought by Johnson Controls to collect any amount due or owing under this bill, Customer

agrees to pay all costs of collection including attorney's fees.

Disposable, Environmental & Usage (DEU) fee listed on this invoice may include charges for one or more of the following miscellaneous: Electrical,

pneumatic, welding supplies, hardware materials, cleaning supplies, or refrigerant reclaim disposal. A lump sum charge was applied rather than

itemizing usage.

We hereby certify that these goods are produced in compliance with all applicable requirements of sections 6, 7 and 12 of the Fair Labor Standards

Act of 1938, as amended, and of regulations and orders of the Administrator of the Wage and Hour Division issued under scioq_w.U ,~ JIW_rE;Pk" ~:"·'·"

Rrt; ~ij ~, . ' c J';fr¥111'!1~ "'

SEP 1 9 20\2

DBN.HTS.COMP.OFF.

Please reference our Invoice Number and amount with your payment and send ONLY to the address on this invoice.

Payment Terms: Due Upon Receipt Of Invoice Direct Billing Inquiries To Service Department: (248) 276-6000

To Remit Via Credit Card: Call the phone number listed above.

INVOICE#: 1-5786189277

AMOUNT DUE: $625.00

Remit Payment To: JOHNSON CONTROLS

PO BOX 905240 CHARLOTTE, NC, 28290-5240

To Remit Via ACH Wire Transfers: JP Morgan Chase One Chase Manhattan Plaza New York, NY 10005 Credit to: Johnson Controls Inc. ABA# 071-000013 Depositor Acct #55-14347 Type of Account: Checking

Page 1 of 1

Page 34: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Johnson Controls

SERVICE REPAIR REPORT

Service Request Number: 1-5775593756 Status: Completed

Requestor: Ray Winowiecki

Service Site: DEARBORN HEIGHTS FIRE STATION #2 DEARBORN HEIGHTS FIRE STATION #2 1999 N Beech Daly Rd Dearborn Heights, M148127-3487

Bill To: CITY OF DEARBORN HEIGHTS 1016931 6045 Fenton Dearborn Heights, Ml48127

Detroit South - 0277 2875 High Meadow Cir Auburn Hills. Mt 48326-2773 (248) 276-6000

Report Date: 09/1412012 Page 1 of 2

Purchase Order: 13-00070 Blanket Purchase Order:

Customer Authorization:

Customer Work Order:

serViCe:PrO-Vfdti'd: > --"~· -·-· ;t;:_:'-

Date Activity Number Activity Status Work Performed By

09/13/2012 1-2NINOOV Completed Picked up the fluid power gas valve for fire headquarters. Lawrence Ladochi

Labor. Detalls::.Y'· · .. : • :' :.:;:. '"' •• · .. · : ··•·· ! .. ; • ·• ... •.·: i ; :·,;;.· ..... ,,.,; .. ·•·;·.;·<;.•.:; .. ·•'i.•/Ji <; •;;c;:;; ;v· ;s,;L> Date Activity# Hours Type Miles Asset ID Customer Tag Serial Number Model Number

1-2NINOOV 1

TOTALS TO DATE 1

Q UOM Description 1 Each 120/60 13 SEC OPNG TIME W/DAMPER SH

Tool Charges: 0 Disposal, Environmental & Usage Charges* 0 Fuel Surcharge: 0 Miscellaneous: 0

Zone/Trip/Truck Charges: lSI Shipping /Handling Charges: 0 Per Diem: 0 * Disposal, Environmental & Usage Charges may include one or more of the following: miscellaneous electrical, pneumatic, welding supplies, hardware materials, cleaning supplies, or refrigerant reclaim disposal.

Refrigerant Tracking: Activity# Action Taken Type

For Questions Regarding Service, Please Contact Version: Release# PHL 3

Amount Asset ID Customer Tag Serial Number Model Number Leak Location No Refrigerant Activity Recorded To Date

Laura Allick

RE~e·v~o, \,;I it:' SEP 1 9 20t2

OSN.HTS.COMP.OFF.

Leak Rate

(248) 276-6000

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Johnson ~jg, Controls

ORIGINAL INVOICE

Invoice#: PO #/Auth: Customer WO#: Customer Acct:

Bill To:

1-5757113243 Ray Winowiecki

1016931

CITY OF DEARBORN HEIGHTS 6045 FENTON DEARBORN HEIGHTS Ml48127

Johnson Controls Building Efficiency FederaiiD 39-0380010

Invoice Date: 09/07/2012 Service Request: 1-5750744449 SR Type: L&M Branch Name: Detroit South - 0277

Service Site: DEARBORN HEIGHTS FIRE STATION #2 1999 N BEECH DALY RD , DEARBORN HEIGHTS Ml 48127-3487

Requested By: Ray Winowiecki Phone: 3137177446

Invoice Comments: Material Sale: (1) Pulley. Thank you for your business.

·-·--·----~· - , ____ ·-

Qty Description UOM Unit Price Sub Total Tax Net Price

Materials 1 !Pulley EA $263.97 $263.97 $0.00 $263.97

Sub-Total $263.97 $0.00 $263.97

Invoice Sub-Total $263.97 Taxes $0.00

Total Due $263.97

Direct Billing Inquiries: (248) 276-6000

Terms: If any invoice is not paid in full upon receipt, the Customer hereby agrees to pay interest at a rate of 1.5% per month {18% annually) upon

the unpaid portion of the invoice. If action or suit is brought by Johnson Controls to collect any amount due or owing under this bill, Customer

agrees to pay all costs of collection including attorney's fees.

Disposable, Environmental & Usage (DEU) fee listed on this invoice may include charges for one or more of the following miscellaneous: Electrical,

pneumatic, welding supplies, hardware materials, cleaning supplies, or refrigerant reclaim disposal. A lump sum charge was applied rather than

itemizing usage.

We hereby certify that these goods are produced in compliance with all applicable requirements of sections 6, 7 and 12 of the Fair Labor Standards

Act of 1938, as amended, and of regulations and orders of the Administrator of the Wage and Hour Division issued under section 14 thereof.

Please reference our Invoice Number and amount with your payment and send ONLY to the address on this invoice.

Payment Terms: Due Upon Receipt Of Invoice Direct Billing Inquiries To Service Department: (248) 276-6000

To Remit Via Credit Card: Call the phone number listed above.

INVOICE#: 1-5757113243

AMOUNT DUE: $263.97

Remit Payment To: JOHNSON CONTROLS

PO BOX 905240

CHARLOTTE, NC, 28290-5240

To Remit Via ACH Wire Transfers: JP Morgan Chase One Chase Manhattan Plaza New York, NY 10005 Credit to: Johnson Controls Inc. ABA# 071-000013 Depositor Acct #55-14347 Type of Account: Checking

Page 1 of 1

Page 36: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Johnson ~Jt~ Controls

SERVICE REPAIR REPORT

Service Request Number: 1-5750744449 Status: Completed

Requestor: Ray Winowiecki

Service Site: DEARBORN HEIGHTS FIRE STATION #2 DEARBORN HEIGHTS FIRE STATION #2 1999 N Beech Daly Rd Dearborn Heights, Ml48127-3487

-;g--rYiCC!XPri>Vldfid~;:-:: Date Activity Number

Bill To: CITY OF DEARBORN HEIGHTS 1016931 6045 Fenton Dearborn Heights, M I 48127

Activity Status Work Performed

Detroit South ~ 0277 2875 High Meadow Cir Auburn Hills, Ml 48326-2773 (248) 276-6000

Purchase Order: Blanket Purchase Order:

Report Date: 09/07/2012 Page 1 of 2

Customer Authorization: Ray Winowiecki

Customer Work Order:

By

09/07/2012 1-2N3UEVJ Completed Picked up a pulley for a rooftop units main indoor fan motor at the fire headquarters.

Lawrence Ladochi

I Date Activity # Hours Type Miles Asset ID Customer Tag Serial Number Model Number

I 1-2N3UEVJ

TOTALS TO DATE

; Used: Activity# 1-2N3UEVJ

Tool Charges:

Zone/Trip/Truck Charges:

D

[g)

Qty 1

0

UOM Each

Disposal, Environmental & Usage Charges*

Shipping /Handling Charges:

D

D

PULLEY

Fuel Surcharge: Miscellaneous: D

Per Diem: D

* Disposal, Environmental & Usage Charges may include one or more of the following: miscellaneous electrical, pneumatic, welding supplies, hardware materials, cleaning supplies, or refrigerant reclaim disposaL

L Refrigerant Tracking: ! Activity# Action Taken Type Amount Asset 10 Customer Tag Serial Number Model Number Leak Location Leak Rate

I No Refrigerant Activity Recorded To Date

For Questions Regarding Service, Please Cont8ct: Laura Allick (248) 276-6000 Version: Release# PHL 3

Page 37: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Johnson ~J~ Controls

ORIGINAL INVOICE

Invoice#: PO #/Auth: Customer WO#: Customer Acct:

Bill To:

1-5477997025 Ray Winowiecki

1016931

Johnson Controls Building Efficiency FederaiiD 39-0380010

Invoice Date: 07/11/2012 Service Request: 1-5429312187 SR Type: L&M Branch Name: Detroit South - 0277

Service Site: CITY OF DEARBORN HEIGHTS 6045 FENTON

RICHARD A YOUNG RECREATION CTR 5400 MCKINLEY ST ,

DEARBORN HEIGHTS Ml 48127 DEARBORN HEIGHTS Ml 48125-2553

Invoice Comments:

Qty ' ' Labor

3.25 12 Oven:me

Fees 1 I •o•

1 Trip Charge

1 Fuel ',. .~,.

I

Requested By: RAY WINOWIECKI Phone: 3137177446

SERVICE REQUESTED: 3 RTU's and 1 on a pad won't start after a power interruption. Call Ray Winowiecki (313) 717-7446 with estimated time of arrival. SERVICE PROVIDED: Had to reset three thermostats and had to reset phase monitor on guy unit Thank you for your business.

UOM Unit Price Sub Total ' Tax Net Price

I I Light Hour $162.00 $526.50 $0.00 ~oLb.oU

• I Ulal $526.50 $0.00 I

1 & Usage Charge Each MUUU ~4U 00 i woo $40.00

Each $60.00 $60.00 $0.00 $60.00

Each $35.00 $35.00 ' $0.00 $35.00

<>UU· I Ulal i <1:1~~ nn , $0.00 ~·w~O

I i

, Sub--1ma1 $6:~:~g Taxes Total Due $661.50

Direct Billing Inquiries: (248) 276-6000

Terms: If any invoice is not paid in full upon receipt, the Customer hereby agrees to pay interest at a rate of 1.5% per month (18% annually) upon the unpaid

portion of the invoice. If action or suit is brought by Johnson Controls to collect any amount due or owing under this bill, Customer agrees to pay all costs of

collection including attorney's fees.

Disposable, Environmental & Usage (DEU) fee listed on this invoice may include charges for one or more of the following miscellaneous: Electrical,

pneumatic, welding supplies, hardware materials, deaning supplies. or refrigerant reclaim disposal. A lump sum charge was applied rather than itemizing

usage.

We hereby certify that these goods are produced in compliance with all applicable requirements of sections 6, 7 and 12 of the Fair Labor Standards Act of

1938, as amended, and of regulations and orders of the Administrator of the Wage and Hour Division issued under section 14 thereof.

f; '·~; '!' qr-1""' '''•''t+>

"

Page 1 of 2

Page 38: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Johnson Controls

SERVICE REPAIR REPORT Report Date: 07/11/2012 Page 1 of 3

Service Request Number: 1-5429312187

Status: Completed Requestor: RAY WJNOWIECKI

Service Site: RICHARD A YOUNG RECREATION CTR RICHARD YOUNG RECREATION 5400 Mckinley St Dearborn Heights, M! 48125-2553

Bill To: CITY OF DEARBORN HEIGHTS 1016931 6045 Fenton Dearborn Heights, M148127

Detroit South - 0277 2875 High Meadow Cir Auburn Hills, Ml48326-2773 (248) 276-6000

Purchase Order: Ray Winowiecki Blanket Purchase Order:

Customer Authorization:

Customer Work Order:

3 RTUS AND 1 ON A PAD WON'T START AFTER A POWER INTERRUPTION. CALL RAY WINOWIECKI (313) 717-7446 W/ETA. ' __ == s-e-pAce-:Requiiistetr:---------- -------- __,._,..-_..., ... _,., __ ---~ --3 1 serv1c~ ·ProVfd~a:· ·-~.-,

Date Work Performed By 06/30/2012

Activity Number 1-2HSH06Z

Activity Status Completed Had tO reset three tstats and had to-reSBTPh.ase montor on gu-y·unu:---~- Daryl.i3rydie -

10/; G-\~vL,[}

--- . Accepted by RAY WINOWJECKI ·-·-·

LabOr·oetaiiS': - . ····· ... · .... ·.· . .·.·

Date Activity# Hours Type -·-r;;iiJes- Asset ID Customer-Tag -- Serial Number ·---··-··--~ .. ~-···

1-2HSH06Z 49 ·-····-- ---

06/30/2012 3.25 Overtime --~-·-----·

TOTALS TO DATE 3.25 49

-~--------~~------~-~~~-·

~aterials U,_s,e,_,d'-''-----1 Activity# Ot:t UOM Description

~-·-··~~-

-Model Number

··------·

I

L___ ______ --------No Material recoccr.::dc::e.::d__:tc::o__:D:ca:ct:::e _________________________ _

···-~

Tool Charges: D Disposal, Environmental & Usage Charges* IZl Fuel Surcharge: IZl Miscellaneous:

Zone/Trip/Truck Charges: IZl Shipping /Handling Charges: Per Diem: D

* Disposal, Environmental & Usage Charges may include one or more of the following: miscellaneous electrical, pneumatic, welding supplies, hardware materials, cleaning supplies, or refrigerant reclaim disposal

For Questions Regarding Service, Please Contact: Laura A!lick (248) 276-6000 Version: Release# PHL 3

Page 39: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Johnson Controls

Service Request Number: 1-5429312187 Status: Completed

Requestor: RAY WINOWIECK!

--·--·---------~

SERVICE REPAIR REPORT

Detroit South - 0277 2875 High Meadow Cir Auburn Hills, Ml 48326-2773 (248) 276-6000

Service Order Warrailty Terms ··and Conditions

PARTS WARRANTY:

Report Date: 07/11/2012 Page 3 of 3

Johnson Controls, Inc {JCI) warrants that original equipment, parts or components manufactured or labeled by JCI shall be free from defects in material and workmanship under normal usage and proper installation and maintenance for a period of one (1) year from the date of shipment. Equipment, parts or components not manufactured or labeled by JCI shall carry a warranty from defects in material and workmanship under normal usage and proper installation and maintenance for a period of ninety (90) days from the date of shipment. Notwithstanding the foregoing, in the event JCI is reasonably able to identify a warranty for a period longer than the ninety (90) days applicable to equipment, parts or components not manufactured or labeled by JC!, it will assign all assignable rights under such warranty to Customer and reasonably cooperate in the enforcement of any warranty claim. Recertified or replacement paris installed on equipment and still under the original equipment manufacturer's warranty are covered for ninety (90) days or the remainder of the original equipment manufacturer warranty period, whichever is longer. For large tonnage chillers, JCI will warrant under normal usage and proper installation and maintenance for a period of one (1) year from the date of shipment: screw compressors, motors, control panels and components, VFD's and components and Liquid Cooled Solid State Starters and components. For small tonnage ch!llers, JCI will warrant under normal usage and proper installation and maintenance for a period of one (1) year from the date of shipment: scroll compressors, condenser coils, control panels and components, screw compressors (DXS and Mustang), and fan motors. In the event of a valid warranty claim, the Customer's remedy shall, at JCI's sole discretion and subject to the exclusions herein, be limited to repair or replacement of the subject equipment, part or component conditioned upon the return to JCI of any defective equipment, part or component. This Parts Warranty does not cover any shipping, handling or transportation charges or any associated labor costs.

LABOR WARRANTY: Johnson Controls, Inc. (JCI) warrants its workmanship or that of its agents in relation to installation of materials for a period of ninety (90) days from date of installation or with respect to service work for a period of ninety (90) days from the date of service. Customer acknowledges that re-performance Shall be its exclusive and only remedy with regards to any services provided by JCI. Customer shall bear all labor costs associated with the repair or replacement of failed material that is outside the scope of this express labor warranty. All warranty labor shall be executed during JCI normal business hours.

These warranties do not extend to any equipment which has been repaired by others, abused, altered, or misused in any way, or which has not been properly and reasonably maintained.

THESE WARRANTIES ARE IN LIEU OF ALL OTHER WARRANTIES, EXPRESSED OR IMPLIED. INCLUDING BUT NOT LIMITED TO THOSE OF MERCHANTABILITY AND FITNESS FOR A SPECIFIC PURPOSE. UNDER NO CIRCUMSTANCES SHALL JCI BE LIABLE FOR ANY SPECIAL, INDIRECT, OR CONSEQUENTIAL DAMAGES ARISING FROM OR RELATING TO ANY DEFECT IN MATERIAL OR WORKMANSHIP OF EQUIPMENT OR THE PERFORMANCE OF SERVICES

----------~"

For Questions Regarding Service, Please Contact: Laura A!lick (248) 276-6000 Version: Release# PHL 3

Page 40: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Johnson ~}~1 Controls

ORIGINAL INVOICE

Invoice#: PO #/Auth: Customer WO#: Customer Ace!:

Bill To:

1-5472546900 Ray Winowiecki

1016931

Johnson Controls Building Efficiency Federal ID 39-0380010

Invoice Date: 07/10/2012 Service Request: 1-5449959578 SRType: L&M Branch Name: Detroit South- 0277

Service Site: CITY OF DEARBORN HEIGHTS 6045 FENTON

DEARBORN HEIGHTS FIRE STATION #2 1999 N BEECH DALY RD,

DEARBORN HEIGHTS Ml48127 DEARBORN HEIGHTS Ml48127-3487 Requested By: Phone:

Ray Winowiecki 3137177446

Invoice Comments: SERVICE REQUESTED: #3; High pressure switch needs to be replaced.

SERVICE PROVIDED: Replaced bad high pressure switch. Thank you for your business.

Qty Description UOM Unit Price Sub Total Tax Net Price Labor

2 07/05/2012 Regular Mechanical Heavy Hour $108.00 $216.00 $0.00 $216.00

Sub-Total $216.00 $0.00 $216.00

Materials 1 ~Smr41 0 High Press Ctrl M Each $77.46 $77.46 $0.00 $77.46

Sub-Total $77.46 $0.00 $77.46

Fees 1 Disposal, Environmental & Usage Charge Each $40.00 $40.00 $0.00 $40.00

1 Trip Charge Each $70.00 $70.00 $0.00 $70.00

1 Fuel Surcharge Adjustment Each $35.00 $35.00 $0.00 $35.00

Sub-Total $145.00 $0.00 $145.00

Invoice Sub-Total $438.46 Taxes $0.00

Total Due $438.46

Direct Billing Inquiries: (248) 276-6000

Terms: If any invoice is not paid in full upon receipt, the Customer hereby agrees to pay interest at a rate of 1 .5% per month (18% annually) upon the unpaid

portion of the invoice. ff action or suit is brought by Johnson Controls to collect any amount due or ow"1ng under this bill, Customer agrees to pay all costs of

collection including attorney's fees.

Disposable, Environments! & Usage (DEU) fee listed on this invoice may include charges for one or more of the following miscellaneous: Electrical,

pneumatic, welding supp!fes, hardware materials, cleaning supplies, or refrigerant reclaim disposal. A lump sum charge was applied rather than itemizing

usage.

We hereby certify that these goods are produced in compliance with aH applicable requirements of sections 6, 7 and 12 of the Fair Labor Standards Act of

1938, as amended, and of regulations and orders of the Administrator of the Wage and Hour Division issued under section 14 thereof.

Page 1 of2

Page 41: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Johnson ~jg1 Controls

Bill To: CITY OF DEARBORN HEIGHTS 6045 FENTON DEARBORN HEIGHTS Ml 48127

Service Site: DEARBORN HEIGHTS FIRE STATION#2 1999 N BEECH DALY RD DEARBORN HEIGHTS Ml, 48127-3487

Problem Description:

Not to Exceed Amount Quoted I Flat Rate Price: $0.00

Requestor: Ray Winowiecki 3137177446

#3; Hi Pressure switch needs to be replaced.

Purchase Order Number: Customer Authorization #: Ray Winowiecki

Customer Work Order#:

Credit Card Type: Credit Card Number:

Asset ID

Equipment ID Manufacturer

Model Number Serial Number

Page 1 of 2

Detroit South - 0277 2875 HIGH MEADOW CIR, AUBURN HILLS Ml 483262773 (248) 276-6000 (248) 276-6001

Repair Service Request

Service Request No. 1-5449959578

Service Request Type L&M Service Request Sub~ Type Labor & Material

Service Request Status Audit

As of Date 07/10/2012

Agreement Ref 1-3374834758

lll:tivitiel<., ;)>v• /!;).;}. i .· .; ! •' ,....... •. • >.'.• ..•. ··· •.• • • ,' . . · .. · .. ·.·. • . . ., •. •. (1-"l• . ·.· .. .-; •. ,'• '.'( .... :. . 'l· . • ,.;.

Date Activity No. Reg Hrs 1,5 OT Hrs I 2.0 OT Hrs Work Performed Customer Signature 07/05/2012 1-214RJR1 2 0 I 0

Technician Miles/Km Activity Status

Replaced bad high pressure switch. Complete.

David Completed

Nunnelley 60

Total To Date Reg Hrs 1.5 OT Hrs I 2.00T Hrs Miles/Km 2 0 I 0 60 I

Page 42: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Johnson ~jg1 Controls

ORIGINAL INVOICE

Invoice#: PO #/Auth: Customer WO#: Customer Ace!:

Bill To:

1-5560082880 RAY WINOWIECKI

1016931

CITY OF DEARBORN HEIGHTS 6045 FENTON DEARBORN HEIGHTS Ml48127

Johnson Controls Building Efficien~~ Federal ID 39-03811'!::

Invoice Date: Service Request: SR Type: Branch Name: Detroit

Service Site: BERWYN SENIOR CENTER 26155 RICHARDSON ST, DEARBORN HEIGHTS Ml48127-1959

Requested By: RAY WINOWIECKI Phone: 3137177446

Invoice Comments: Material Sale: Picked up parts for the Berwyn Center. Thank you for your business.

Qty Description UOM Unit Price Sub Total Tax Net Price Materials

1 !Mars Contactr 40a 2p 24v Each $75.60 $75.60 $0.00 $75.60

1 jMars 45/5 Mfd 440v Run Each $52.50 $52.50 $0.00 $52.50

Sub-Total $128.10 $0.00 $128.10

Invoice Sub-Total $128.10 Taxes $0.00

Total Due $128.10

Direct Billing Inquiries: (248) 276-6000

Terms: If any invoice is not paid in full upon receipt, the Customer hereby agrees to pay interest at a rate of 1.5% per month (18% annually) upon

the unpaid portion of the invoice. If action or suit is brought by Johnson Controls to collect any amount due or owing under this bill, Customer

agrees to pay all costs of collection including attorney's fees.

Disposable, Environmental & Usage (DEU) fee listed on this invoice may include charges for one or more of the following miscellaneous: Electrical,

pneumatic, welding supplies, hardware materials, cleaning supplies, or refrigerant reclaim disposal. A lump sum charge was applied rather than

itemizing usage.

We hereby certify that these goods are produced in compliance with a!l applicable requirements of sections 6, 7 and 12 of the Fair Labor Standards

Act of 1938, as amended, and of regulations and orders of the Administrator of the Wage and Hour Division issued under section 14 thereof.

Please reference our Invoice Number and amount with your payment and send ONLY to the address on this invoice.

Payment Terms: Due Upon Receipt Of Invoice Direct Billing Inquiries To Service Department: (248) 276-6000

To Remit Via Credit Card: Call the phone number listed above.

INVOICE#: 1-5560082880

AMOUNT DUE: $128.10

Remit Payment To: JOHNSON CONTROLS

PO BOX 905240

CHARLOTTE, NC, 28290·5240

To Remit Via ACH Wire Transfers: JP Morgan Chase One Chase Manhattan Plaza New York, NY 10005 Credit to: Johnson Controls Inc. ABA# 071-000013 Depositor Acct #55-14347 Type of Account: Checking

Page 1 of 1

Page 43: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Johnson ~J!~ Controls

SERVICE REPAIR REPORT

Service Request Number: 1-5531966715 Status: Completed

Requestor: RAY WJNOWIECK!

Service Site: BERWYN SENIOR CENTER BERWYN SENIOR CENTER 26155 Richardson St Dearborn Heights, Ml 48127-1959

Date Activity Number

Bill To: CITY OF DEARBORN HEIGHTS 1016931 6045 Fenton Dearborn Heights, Ml 48127

Activity Status Work Performed

Detroit South - 0277 2875 High Meadow Cir Auburn Hills, Ml 48326-2773 (248) 276-6000

-

07/27/2012 1-2JHL8UL Completed Picked up parts for the berwyn center.

Report Date: 07/27/2012 Page 1 of2

Purchase Order: Blanket Purchase Order:

Customer Authorization: RAY W!NOWIECKI

Customer Work Order:

By Lawrence Ladochi

---

•.•/. ·-··;,;.. < •..•• . ;,:;; Date Activity# Hours Type Miles Asset JD Customer Tag Serial Number Model Number

1-2JHL8UL 0

TOTALS TO DATE

Materials Used: Activity# Qty UOM Description 1-2JHL8UL 1 Each MARS CONTACTR 40A 2P 24V 1-ZJHLBUL 1 Each MARS 4515 MFD 440V RUN

Tool Charges: 0 Disposal, Environmental & Usage Charges* 0 Fuel Surcharge: 0 Miscellaneous: 0

Zone/Trip/Truck Charges: [8] Shipping /Handling Charges: 0 Per Diem: 0

* Disposal, Environmental & Usage Charges may include one or more of the following: miscellaneous electrical, pneumatic, welding supplies, hardware materials, cleaning supplies, or refrigerant reclaim disposal.

Refrigerant Tracking: Activity# Action Taken T~ee Amount AssetiD Customer Tag Serial Number Model Number Leak Location Leak Rate

No Refrigerant Activity Recorded To Date

For Questions Regarding Service, Please Contact: Laura Allick (248) 276-6000 Version: Release# PHL 3

Page 44: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

ORIGINAL INVOICE

Invoice#: PO #/Auth: Customer WO#: Customer Acct:

Bill To:

1-5560255031 Ray Winowiecki

1016931

CITY OF DEARBORN HEIGHTS 6045 FENTON DEARBORN HEIGHTS Ml48127

Johnson Controls Building Efficiency Federal 10 39-0380010

Invoice Date: Service Request: SR Type: Branch Name:

07/27/2012 1-5550900854 L&M Detroit South - 0277

Service Site: CITY OF DEARBORN HEIGHTS 6045 FENTON ST , DEARBORN HEIGHTS Ml48127-3287

Requested By: Phone:

Ray Winowiecki 3137177446

Invoice Comments: Material Sale: Quantity 1- RNCO head pressure cont. Thank you for your business.

Qty Description UOM Unlt Price Sub Total Tax Net Price Materials

1 !Hnco Head Pressure Cant Each $163.31 $163.31 $0.00 $163.31

Sub-Total $163.31 $0.00 $163.31

Invoice Sub-Total $163.31 Taxes $0.00

Total Due $163.31

Direct Billing Inquiries: (248) 276-6000

Terms: !f any invoice is not paid in full upon receipt, the Customer hereby agrees to pay interest at a rate of 1.5% per month (18% annuaUy) upon

the unpaid portion of the invoice. lf action or suit is brought by Johnson Controls to collect any amount due or owing under this bill, Customer

agrees to pay all costs of collection including attorney's fees.

Disposable, Environmental & Usage (DEU) fee listed on this invoice may include charges for one or more of the following miscellaneous: Electrical,

pneumatic, welding supplies,- hardware materials, cleaning supplies, or refrigerant reclaim disposal. A Jump sum charge was applied rather than

itemizing usage.

We hereby certify that these goods are produced in compliance with all applicable requirements of sections 6, 7 and 12 of the Fair labor Standards

Act of 1938, as amended, and of regulations and orders of the Administrator of the Wage and Hour Division issued under section 14 thereof.

,~,.,_ ·v·E·' AUG 0 1 2012

DBN.HTS.COMP.OFE Please reference our Invoice Number and amount with your payment and send ONLY to the address on this invoice.

Payment Terms: Due Upon Receipt Of Invoice Direct Billing Inquiries To Service Department: (248) 276-6000

To Remit Via Credit Card: Call the phone number listed above.

INVOICE#: 1-5560255031

AMOUNT DUE: $163.31

Remit Payment To: JOHNSON CONTROLS

PO BOX 905240

CHARLOTTE. NC, 28290-5240

To Remit Via ACH Wire Transfers: JP Morgan Chase One Chase Manhattan Plaza New York, NY 10005 Credit to: Johnson Controls Inc. ABA# 071-000013 Depositor Acct #55-14347 Type of Account: Checking

Page 1 of 1

Page 45: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Johnson ~J<~ Controls

Service Site:

Service Request Number: 1-5550900854 Status: Completed

Requestor: Ray Winowiecki

Bill To:

SERVICE REPAIR REPORT

Detroit South - 0277 2875 High Meadow Cir Auburn Hills, Ml 48326-2773 (248) 276-6000

Purchase Order:

Report Date: 07/27/2012 Page 1 of2

CITY OF DEARBORN HEIGHTS DEARBORN HEIGHTS CITY HALL 6045 Fenton St

CITY OF DEARBORN HEIGHTS 1016931

Blanket Purchase Order:

Customer Authorization: Ray Winowiecki

Customer Work Order: Dearborn Heights, Ml48127-3287

:t:setvic~----Pr6Vi"d~d:-- -, Date Activity Number

07/26/2012 1-2JSV21J

·- ''f/1'(

6045 Fenton Dearborn Heights, Ml 48127

Activity Status Completed

'( ·"'"'' '·· '"'·'' '· '

Work Performed Picked up a new high pressure control for the workout room at fire headquarters_

<<' / .;: >·:>: . > '''/ . ' C! <>t::· Yi .•• •·::<:'!"•

By Lawrence Ladochi

: /,, ... Date Activity# Hours Type Miles Asset ID Customer Tag Serial Number Model Number

1-2JSV21J 35

TOTALS TO DATE 35

Materials Used: Activity# Qty UOM Description 1-2JSV21J 1 Each RNCO HEAD PRESSURE CONT

Tool Charges: D Disposal, Environmental & Usage Charges* D Fuel Surcharge: D Miscellaneous: D

Zone/Trip/Truck Charges: IZI Shipping /Handling Charges: D Per Diem: D

* Disposal, Environmental & Usage Charges may include one or more of the following: miscellaneous electrical, pneumatic, welding supplies, hardware materials, cleaning supplies, or refrigerant reclaim disposal.

Type Amount Asset ID Customer Ta Serial Number Model Number Leak Location Leak Rate No Refrigerant Activity Recorded To Date

For Questions Regarding Service, Please Contact: Laura Alllck (248) 276-6000 Version: Release# PHL 3

Page 46: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

CITY OF DEARBORN HEIGHTS 6045 :E'ENTON e DEARBORN HEIGHTS, MICHIGA..I\J 48127 TELEPHONE (3l3) 791-3443 • FAX (313) 191-3441

Ship To: [DEARBORN HEIGHTS-BLDG. MAINT.

,

1

'24600VAN BORN, DPW YARD DEL 7- i 130/NOON-3PM ~EJ1RBORN HEIGHTS Ml 48125

VENDOR NO. 24832

·~ JOHNSON CONTROLS, INC. N P 0 BOX 905240 D D R CHARLOTTE

Unit !Description

NC 28290-052

EACH TO COVER THE COST OF HVAC PARTS AND REPAIRS

101-265-931.000

RAYWINOWIECKI DIRECT INQUIRIES TO

PURCHASE ORDER

NO. 13-00070

Date: 07/01/12 *+*+*+*+*+*+*+*+*+*+

BLANKET PURCHASE ORDERS JULY 1, 2012 THROUGH JUNE 30,2013 TO BE PAID MONTHLY

Unit Cost $0.00

Total PO Amount

f DIRECTOR

Total Cost ] $0.00

0.00:·

PURCHASE ORDER NUMBER MUST APPEAR ON INVOICE. OR INVOICE WILL NOT BE PAID!

M.S.D.S. REQUIRED ON HAZARDOUS MATERIAL NOTE: ANY DEVIATION IN PRICE ON THIS ORDER MUST BE APPROVED BY THE CITY PURCHASING DIVISION PRIOR TO DELIVERY

ORIGINAL INVOICES TO: Cot1PUTROLLER' S OFFICE 6045 FENTO, DBN. HTS., MI 48127

,.._. EXEMPT FROJYI STATE/LOCAL AND FEDERAL TAXES: 38-1712300

3. PURCHASE ORDER NUMBER MUST APPEAR ON AI"L INVOICES, SHIPP£RS, AND CORRESPONDENCES.

4. SUBSTITUTIONS NOT ACCEPTED WITHOUT PRIOR APPROVAL.

5. PARTIAL SHIPMENT WILL BE ACCEPTED IF INVOICED SEPARATELY. PAYMENT MADE UPON COMPLETION OF PURCHASE ORDER.

6. ACKNOWLEDGMENT COPY MUST BE RETURNED BEFORE ORDER IS BINDING.

Page 47: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Agenda: 10/23/12

Current Claims City of Dearborn Heights

Voucher Approval

Number:

Fund: General Fund & Water Fund

Payee:

Description:

Account 1 01-200-911-000 592-536-911.000

Comptroller

M.M.R.MA

Liability Insurance 07/01/12 Through 07/01/13 Policy Number M0001000, Dated 09/12/12

Account Title Insurance Insurance

Amount $612,997.50 $150,000.00

Amount Budget Before Payment $725,000.00

Requested By: Gen Gov't & Water

Authorized Official

Concurrence

Daniel S. Paletko

Page 48: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Invoice Date

9/12/2012

Donald Barrow

City of Dearborn Heights

6045 Fenton

Dearborn Heights, Ml 48127

Poi icy Number MOOOlOOO

-

Policy Number

Policy Term

Policy Period General Fund Contribution

Policy Period Annual Contribution

$1,225,995.00

Installment Due

10/26/2012

11/26/2012

12/28/2012

TOTAL

POLICY SUMMARY

ACCOUNT SUMMARY

Payments

$0.00

BILLING SUMMARY

FIRST INSTALLMENT

REMITTANCE ADV!CE

MICHIGAN MUN[CIPAl

RISK MANAGEMENT AUTHORITY

14001 Merriman

livonia, Ml 48154

734.513.0300 /800.243.1324

M0001000

12

7/1/2012 - 7/1/2013 $1,225,995.00

Balance Due for Policy Period

$1,225,995.00

General Fund

$612,997.50

$306,498.75

$306,498.75

$1,225,995.00

Please detach and return with your payment

MICHIGAN MUNICIPAL

RISK MANAGEMENT ---~ --~·~~oM

AUTHORITY

City of Dearborn Heights

6045 Fenton

Dearborn Heights, Ml 48127

Policy Number# M0001000

Amount Past Due $0.00

Installment Due $612,997.50

Drawer# 64458- Detroit, Ml48264 -734.513.0300- Fax 734.513.0318

Invoice Date

9/12/2012

Due Date Due Now

10/26/2012

Page 49: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Invoice Date

9/12/2012

Donald Barron

City of Dearborn Heights

6045 Fenton

Dearborn Heights, Ml 48127

Policy Number ROOOlOOO

Policy Number

Policy Term

Policy Period Retention Fund Contribution

Policy Period Annual Contribution

$300,000.00

Installment Due

10/26/2012

11/26/2012

12/28/2012

TOTAL

POLICY SUMMARY

ACCOUNT SUMMARY

Payments

$0.00

BILLING SUMMARY

FIRST INSTALLMENT

MH::;HUGAN MUN 1121 PAl

RJSK MANAGEM.ENT '="''''"'·"=='=··'""- =="'--="""""'"'"~=,-,-.,_'"""'=~-~="~'~J"--·

AUTHORITY

14001 Merriman

livonia, Ml 48154

734.513.0300 /800.243.1324

ROOOlOOO 12

7/1/2012 - 7/1/2013 $300,000.00

Balance Due for Policy Period

$300,000.00

Retention Fund

$150,000.00

$75,000.00

$75,000.00

$300,000.00

REMITTANCE ADVICE ~~--------------~

Please detach and return with your payment

MICHIGAN MUNICIPAL

R.ISK MANAGEMENT AUlfHORJT'Y

City of Dearborn Heights

6045 Fenton

Dearborn Heights, Ml 48127

Policy Number# ROOOlOOO

Past Due

Installment Due

Amount

$0.00

$150,000.00

Drawer# 64458- Detroit, Ml48264 -734.513.0300 ·Fax 734.513.0318

Invoice Date

9/12/2012

Due Date Due Now

10/26/2012

Page 50: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Fund:

Payee:

Description:

Account

Agenda: 10/23/12 Number:

Current Claims City of Dearborn Heights

Voucher Approval

General Fund

Matt's Auto Service

Vehicle Repairs Aug/Sept, 2012 Various Invoices Blkt PO 13-81

EfPROVED FOR GENOA OF ---

D·d.3-l

Amount Budget Account Title Amount Before Payment

101-300-932-000 Repair/Maint Eqpt $1,922.06 $147,743.29

Requested By: Police Dept.

Comptroller Authorized Official

Concurrence

Daniel S. Paletko

Page 51: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

;\ddn::ss

City

Matt's Auto .~~'~l"Vice ~21 002 Vari Born

Dearborn Heights .. 11m 48125 (313) 724 :>J?B

F1426/'l

of Dearborn Hts Poli.•1. •.: 2.5637 i\clkhigan Ave llearbom Ht~. M[ 48125

YE.4H/MAKEIII!IODEL

0'\ C' hevy Trailblazer LS

>:6(:Jl"CtP Gray

Horne#

Work#

MILEAGE

6HKRl2

277-7478

107465

Invoice Invoice Nurnbor

20207

Invoice Date:

8/28/2012

r~""7~.)~~,(~;·~-1~~::~."'_~~~~>~~'"I~;~--~~-----~=~ r,,,,,,,;,,;nwl" lll~~···~lii>!W'''''~~~~-r~;~!~~~~.f~~~?!~;'~I-O•~Jt,l1111~1.'=~~' --~-· 1

t · Labor M .( Engine ()il/Fill<:n 2 Rotor From Brilke Rotor

"""'"'"'"""='~"""'?

Unit Price ... T11 __ _Extens1on .. j 15.00 15.00 49.89 99.78 59.62 59.62 i':tds FnHrt Brake pac!s I

L.11bor M i< Front Brai•:es 50.00 75.00

90 DAYS PARTS & LABOR

!

SHOULD YOU FAIL TO AUTHORIZE COMPLETION OF REPAIRS OR SERVICES AT THE TIME YOUR APPROVAL IS RE· QUESTED, A CHARGE MAY BE IMPOSED FOR VEHICLE DISASSEMBLY, RE·ASSEM· BLY OH PARTIALLY COMPLETED WORK

A DAILY STORAGE CHARGE MAY tlE ADDED FOR VEHICLES NOT PICKE-D UP AFTER NOTIFICATlO~< 0~ COMPLETION OF f!EPAiflli COM-MENCING ~--~ .. ---~-·· " ................ _.. HOUF!Sil)AYSAFTER N01'1FICM10il

Page 52: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Matt's Auto Se·rvice 21002 Van 13orn

Dearborn Heights, Ml 48"125 1'<1 C<\ 7?.<L?370 \'-' '.._..., '.._--, <- IV

F142674

r~ame City of Dearborn Hts Police Addmss 25637 Jvlidrigan Ave City Dearborn Hts. MJ 48125

Rotor Pads Brake Rotor Pads LaborM

Front Brake Rotor From Bral<e pads Rear Brake Rotor Rear Brake pads R&R .Front/ Rear Brakes.

Home#

Work# 277-7478

49.00 48.89 49.00 48.89 55.00

Subtotal YOU ARE ENTITLED BY LAW TO THE RETURN OF All PAR'fS REPLAC. CEPTTHOSE WHICH ARETOO HEAVY OR LARGE, S 1 T AND \HOSE REQUIRED TO BE SENT BACK TO THE MANUFACTURER R DISTRIBUTOR BECAUSE OF WARRANTY WORK OR a es ax

, AN EXCHANGE AGREEMENT. YOU ABE ENTITLED TO INSPECT THE PARTS WHICH CANNOT BE RETURNED TO YOU. Total Invoice Amount

\../

90 DAYS PARTS & LABOR

Invoice Invoice Number

20220

Invoice Date:

8/3112012

98.00 48.89 98.00 4g.89

165 00

$458.78

Page 53: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Name Address City

Matt's Auto Service 21002 Van Born

Dearborn Heights, Ml 48125 (313) 724-2379

F142674

City of Dearborn Hts Police 25637 l'vfidrigan Av~ Dearborn Hts. Ml 4X125

I YEAR/MAKE/MODEL I

I VEHICLE IDENJ:Jf.~Il9~V28Xl62975 ' 08 Ford Crown Victmia

COLOR Bl<t~k II 41

Quantity

1 u ')

Item

Part LaborM Patt LaborM

. ·-tiCENSE#-010 X 934

Description

New Cooling Fan Assembly R&R Cooling Fan, Fill Cooling System. New Battery Jump Box. Deliver Vehicle To Station. No Charge.

Home#

Work# 277-7478

MILEAGE 72926

Unit Price

368.90 55.00

199.98 0.00

Subtotal Sales Tax

Total Invoice Amount

90 DAYS PARTS & LABOR

Invoice Invoice Number

20247

Invoice Date: 9112/2012

Extension

368.90 82.50

399.96 0.00

Page 54: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

[\)arne

Address City

Matt's Auto Ser-vice·· 2 i 002 Van Born

Dearborn Heights, M I 48125 (313) 724-2379

F142674

City of De arb om Hts Police 25637 Midugan Ave Dearbom Hts. Mf 48125

it"~~,.~ ' , . E.AR/MAKE/MODEL .

1

VEHICLE IDE11f~Y?r6 -1 sLA63556 I 08 I'ord Expechtmn XLT . . ;,

Home#

Work#

MILEAGE

277-7478

28897

Invoice Invoice Number

20296

Invoice Date:

9/27/2012

L~-------·---.. -· ____ [ _____ .. .,. COLOR . . - I LICENSE II

---------+-------·-----... ---!

1 Black 114·J · 066 X 369 ;...

Quantity --- - -----------

2 l

Item Description ~- -t--- - ---- .::.:=::..::.:.:_ ___ ,

Seru;or 1 Front Motorcraft 02 Sensors Labor M Dma Scan Scope R&R Sensors Clean

Throttl0 Body Clean MAF

Unit Price

98.76 55.00

Subtotal Sales Tax

Total Invoice Amount

90 DAYS PARTS & LABOR

Extension

197.52 165.00

$362.52

Page 55: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

6045 FENTON • DEARBORN HEIGHTS, MICHIGfu\T 48127 TELEPHONE (313), 791-3443 • FAX (313) 791-3441

Ship To: LICE DEPARTI\.1ENT Y OF DEARBORN HEIGHTS

37 MICHIGAN AVENUE

I DEARBORN HEIGHTS Ml 48125 ~

VENDOR NO. 31290

~ MATTS AUTO SERVICE 111 21002VANBORN [I

0 R DEARBORN HEIGHTS Ml

Unit !Description

48125

I Quant;ty

1 EACH TO COVER THE COST OF PARTS AND

PURCHASE ORDER

NO. 13-00081

Date: 07/01/12 *+*+*+*+*+*+*+*+*+*+

BLANKET PURCHASE ORDERS JULY 1, 2012 THROUGH JUNE 30, 2013 TO BE PAID MONTHLY

Unit Cost

$0.00 Total Cost -!

$0.00 FOR REPAIRS FOR THE POLICE DEPARTMENT VEHICLES

101-300-932.000

Total PO Amount L-.. ___ ooo]

LEE GAVIN rJ1' ~ f\ . · ,(/?(J).en ~~~ DIRECTOR DIREC'I' INQUIRIES TO

PURCHASE ORDER NUMBER MUST APPEAR ON INVOICE. OR INVOICE WILL NOT BE PAID!

M .. S.D.S. REQUIRED ON HAZARDOUS MATERIAL NOTE: ANY DEVIATION IN PRICE ON THIS ORDER MUST BE APPROVED BY THE CITY PURCHASING DIVISION PRIOR TO DELIVERY

ORIGINAL INVOICES TO; COMPDTROLLER'S OFFICE 6045 FENTO, DBN. HTS., Ml 48127

,~. EXEMPT FROM STATE/LOCAL AND ~EDERAL TAXES: 38-1712300

' PURCHASE ORDER NUMBER MUST APPEAR ON ALL INVOICES, SHIPPERS, AND CORRESPONDENCES.

4. SUBSTITUTIONS NOT ACCEPTED WITHOUT PRIOR APPROVAL.

5. PARTIAL SHIPMENT WILL BE ACCEPTED IF INVOICED SEPARATELY. PAYtvlENT MADE UPON COMP'LETION OF PURCHASE ORDER.

6. ACKNOWLEDGMENT COPY MUST BE RETURNED BEFORE ORDER IS BINDING.

Page 56: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Fund:

Payee:

Description:

Account 101-220-817.000

Comptroller

Agenda: 10/23/12

Current Claims City of Dearborn Heights

Voucher Approval

General Fund

Michigan Assn. Of Chiefs of Police

Number: u-13

APPROVED F::J. AGENDA OF

--~

!D-~.3-J:tj

Dispatcher Selection Tests/ Admin Guide/Shipping Invoice Number 1992, Dated 05/29/12

Account Title Prof/Con

Amount $1,705.00

Amount Budget Before Payment

$5,000.00

Requested By: Police Dept.

Authorized Official

Concurrence

Daniel S. Paletko

Page 57: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

TO:

FROM:

DATE:

RE:

Human Resource Department

Vince Macari, Comptroller

Elisabeth Sobota-Perry, Director

October 11, 2012

Check issuance

Elisabeth Sobota-Perry Director

Daniel S. Paletko Mayor

Please issue a check for $1,705.00 to Michigan Association of Chiefs of Police (MACP). This is the fee for Dispatcher Simulation examination held in May.

Please charge this cost to: 220.8\7.000.

Remittance should be sent to: Michigan Association of Chiefs of Police, 2133 University Park Drive, Suite 200, Okemos, Michigan 48864-3975.

We have no record of receiving this invoice prior to October 11, 2012 - although it is dated May 29, 2012 and our original order was placed with Stanard & Associates (Chicago).

If you have any questions or concerns, please let me know.

Thank you! IV ocr 1 s 2012

Page 58: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Michigan Association of Chiefs of Police 2133 University Park Drive, Suite 200 Okemos, Ml 48864-3975 Phone 517-349-9420 Fax517-349-5823

Invoice No. 1992

INVOICE """" Customer

Name Elisabeth Sobota-Perry, C:ity of Dearborn Heights _____ _ Address 6045 Fenton

- -- - ---- ----- - -- --·-----~-.. ---~ City Dearborn Hei_~;~hts _ State Ml Zip 48127 Phone

Date Order No. Rep P.O.#

5/29/2012

~-Qty __ __ ... _[)ascription I Unit Price • TOTAL ···-· ___ , -- -- __ .. ___ L_.___:_-=-:_:_:::__-

60 1

60 2 1 6 15 1

I National Dispatcher Selection Tests (NDST) Ordered 04/30/12

; NDST Administration Guide Ordered 04/30/12 iNDST Answer Sheets (NO Charge) INDST CD's (NO charge) Shipping & Handling (for 04/30/12 order) NDST ordered 05/02/12

;NDST Answer Sheets (NO Charge) I Shipping & Handling (for 05/02/12 order)

I

$25.00 $10.00 $0.00 $0.00

$30.00 $25.00

$0.00 $15.00 I

$1,500.00 $10.00

$0.00 $0.00

$30.00 $150.00

$0.00 $15.00

L_ Payment Details

0 Cash

rJ#~ fJI»pl

-~-- ' SubTotal 1- --$f705-:Doj --------~ Shipping & Handling ~-

0 Check: make payble to MACP 0 Credit Card: Visa or MasterCard only

Name ___ .. ___ ...... -----··-------------CC

CV2# Expires ____________ _

PAST DUE NOTICE

This invoice is PAST DUE and needs to be paid lrnmediately.

ff you have made payment please contact Jamie Foster at 537.349.9420 or L~.fg.?_tgr@.!J1ichiganpolicechif;fs.org so that we can correct our records. Have the check number and the date it cleared your bank wher~ you calL

PAYMENT IS DUE NO lATER THAN OCTOBER 19, 2012.

Postage __ j ____________ _

TOTAL

---- -- ---- ---Office Use Only

erannum)

roice with your payment. )U/

$1,7os.oo I

Page 59: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Fund:

Payee:

Description:

Agenda: 10/23/12

Current Claims

City of Dearborn Heights Voucher Approval

WaterO/M

Michigan Meter Technology

Number:~/4

Clamps and Miscellaneous Supplies Blanket PO 13-181 Various Invoices Dated 09/2012

APPRO\iEDFCiRJ AGENDt, OF

--· }D·~B~J .;tj --~'--==•

Account Account Title Amount Amount Budget Before Payment

592-000-111.002 lnv-Piping/Transmtg $4,409.41

Requested By: Water Dept

Comptroller Authorized Official

Concurrence

Daniel S. Paletko

Page 60: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

MICHIGAN METER TECHNOLOGY GRP., INC 799 E WHITCOMB AVE

Bill To:

Madison Heights, Ml 48071

248-585-3700 Fax: 248-585-3730

DEARBORN HEIGHTS CITY OF

6045 FENTON COMPTROLLER'S OFFICE Dearborn Heights, Ml 48127

customer 1 Pure ase ur er 1 lerms

DEARS 113.00181 J Net30 Days

Order Qty Shipped Qty U.O.M. Item Number

--------------- - -~i!C~ Q~~~ __ _Qty __ _p~p_!jQ_'l_ __________ . 1 1 EA RD2F41

i

I UPS

----··-··---·- --------- --------·-.... ---~"""-·--"~"-

Ship To:

,. .0.

I ORIGIN

Item Status .

Sale - - _ .. _, ______ , _______ "'''"

0 1 1/2 ECODER R900i C/F REGISTER INSIDE

REMIT TO: 799 E WHITCOMB AVE MADISON HEIGHTS Ml 48071

Sales Invoice 87521 Invoice Date: 09/28/2012

Due Date: 1 0/28/2012

Printed Date: 09/28/2012

Page: 1

DEARBORN HEIGHTS CITY OF 24600 VAN BORN ROAD Dearborn Heights, Ml 48125

1ent e I rom Source

I DG I MM I so 7072

Unit Price Discount Tax Extended Price

.. --·····-·-"----. , __ --··----147.00000 0.000 N 147.00

- ····------------

Non Taxable Subtotal 147.00 Taxable Subtotal 0.00

Order Discount 0.00 Shipping/Handling 7.25

Tax 0.00

Order Total 154.25

Page 61: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

MICHIGAN METER TECHNOLOGY GRP., INC 799 E WHITCOMB AVE

Bill To:

Madison Heights, Ml 48071

248-585-3700 Fax: 248-585-3730

DEARBORN HEIGHTS CITY OF 6045 FENTON

COMPTROLLER'S OFFICE Dearborn Heights, Ml 48127

customer IU ll"'urcnase r er erms

DEARB 113·00181 I Net 30 Days

Order Qty Shipped Qty U.O.M. Item Number

----~---_§'!cKQrd~rQty Q~_!ptjg!!__~---·

16 16 EA FS1-939-75

0 9.39"X7.5" REPAIR CLAMP

REMIT TO: 799 E WHITCOMB AVE MADISON HEIGHTS Ml 48071

Ship To:

i ra .0.

I DENNY I ORIGIN

!tern Status

Sale ..

Sales Invoice 87495 Invoice Date: 09/26/2012

Due Date: 1 0/26/2012

Printed Date: 09/26/2012

Page: 1

DEARBORN HEIGHTS CITY OF 24600 VANBORN ROAD

Dearborn Heights, Ml 48125

tent Re .. l~nl> t-ram 1 ~ource

I DG I MM I so 7018

Unit Price Discount Tax Extended Price

- .. --.. ·-·---~--- .. ---------~--

89.66000 0.000 N 1,434.56 --~-----.. ----~

Non Taxable Subtotal 1,434.56 Taxable Subtotal 0.00

Order Discount 0.00 Shipping/Handling 0.00

Tax 0.00

Order Total 1,434.56

Page 62: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

MICHIGAN METER TECHNOLOGY GRP., INC 799 E WHITCOMB AVE

Bill To:

Madison Heights, Ml 48071

248-585-3700 Fax: 248-585-3730

DEARBORN HEIGHTS CITY OF 6045 FENTON

COMPTROLLER'S OFFICE Dearborn Heights, Ml 48127

Customer urc ase r er erms

DEARS 113-00181 I Net 30 Days

i Via

I DENNY

Ship To:

.O.B.

I ORIGIN

Item Status

Sales Invoice 87 494 Invoice Date: 09/26/2012

Due Date: 1012612012

Printed Date: 09/26/2012

Page: 1

DEARBORN HEIGHTS CITY OF 24600 VAN BORN ROAD

Dearborn Heights, Ml 48125

ren e 1 rom ource

1 so 6965

Unit Price Discount Tax Extended Price Order Qty Shipped Qty U.O.M. Item Number -·~"~·------- _!!~tQr_~r-~~ _Q_~jp"'tio,ncc __ =-:--:=·-o::;:------;;:-;--------:-.-c-:::::·---··-...... -~··--··-- :--:-::-

10 10 EA FS1-939-125 Sale 143.74000 0.000 N 1,437.40 r-----t---- .. ---o 8-;x-12-:-s~RE'P'.A.iR'c!A'Mf'-si;\IC3l:E:8.A:;\io--- ····- -- -~ .......... -------

REMIT TO: 799 E WHITCOMB AVE MADISON HEIGHTS Ml 48071

Non Taxable Subtotal Taxable Subtotal

Order Discount Shipping/Handling

Tax

Order Total

1,437.40 0.00 0.00

0.00 0.00

1,437.40

Page 63: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Bill To:

customer

DEARS

MICHIGAN METER TECHNOLOGY GRP., INC 799 E WHITCOMB AVE

Madison Heights, Ml 48071

248-585-3700 Fax: 248-585-3730

DEARBORN HEIGHTS CITY OF

6045 FENTON

COMPTROLLER'S OFFICE

Dearborn Heights, Ml 48127

urc ase or er Terms

113-00181 J Net30 Days

StHpV!a

I DENNY

Ship To:

.0.~.

I ORIGIN

Order Qty Shipped Qty U.O.M. Item Number Item Status

:-- - -~!!_<!~~_QrQ~r,Qly_ ~!!P!i9_!l__~------~----- -------~----

2 2 EA FS1-1350-125 Sale

Sales Invoice 87 496 Invoice Date: 0912612012

Due Date: 1012612012

Printed Date: 0912612012

Page:

DEARBORN HEIGHTS CITY OF

24600 VANBORN ROAD

Dearborn Heights, Ml 48125

1 Client Rep Ship f'rom 1 source

I DG I MM Jso 6935

Unit Price Discount Tax Extended Price -~------ --~~-------~------ ·-~~------·----··-

197.60000 0.000 N 395.20 --···--·---· ,,_,.,_

---~""""""'-"'~---~~--~· .. ·--- --·---f--~- -·-0 12"X12.5" REPAIR CLAMP

REMIT TO: Non Taxable Subtotal 395.20 799 E WHITCOMB AVE Taxable Subtotal 0.00 MADISON HEIGHTS Ml 48071 Order Discount 0.00

Shipping/Handling 0.00

Tax 0.00

Order Total 395.20

Page 64: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Bill To:

ustomer

MICHIGAN METER TECHNOLOGY GRP., INC 799 E WHITCOMB AVE

Madison Heights, Ml 48071

248-585-3700

Fax: 248-585-3730

DEARBORN HEIGHTS CITY OF

6045 FENTON

COMPTROLLER'S OFFICE Dearborn Heights, Ml 46127

urc ase rer erms I Ship Via

Ship To:

f.O.~.

DEARB 113-00181 I Net 30 Days I DENNY I ORIGIN

Order Qty Shipped Qty UO.M. Item Number Item Status

Sales Invoice 87395 Invoice Date: 09/11/2012

Due Date: 10/11/2012

Printed Date: 09/12/2012

Page: 1

DEARBORN HEIGHTS CITY OF

24600 VAN BORN ROAD

Dearborn Heights, Ml 46125

1 Client Rep 1 Ship from 1 source

I DG I MM I so 6934

Unit Price Discount Tax Extended Price - - _I?~~-_ _9_!1~Q_ty_ p_~P!:iQ!L~-------~---- "---·-·--"~~ .. ---------·--··-·-.. ~- -· -~------·--·------~·--"----

5 5 EA FS1-1350-125 Sale 197.60000 0.000 N 988.00 . -·- - -·---=- ---··· ·--.. ~--- --------- --~----------

0 12"X12.5" REPAIR CLAMP

REMIT TO: Non Taxable Subtotal 988.00 799 E WHITCOMB AVE Taxable Subtotal 000 MADISON HEIGHTS Ml 48071 Order Discount 0.00

Shipping/Handling 0.00

Tax 0.00

Order Total 988.00

Page 65: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

CITY OF DEARBORN HEIGHTS 6045 FENTON • DEARBORN HEIGHTS, MICHIGAN 48127 TELEPHONE (313) 791-3443 e FAX (313) 791-3441

Ship To: CITY OF DEARORN HEIGHTS-DPW

24600 VAN BORN DEL 7-11 :30/NOON-3PM DEARBORN HEIGHTS Ml 48125

VENDOR NO. 16026

v MICHIGAN METER TECHNOLOGY GROUP INC E N 799 EAST WHITCOMB D 0 R MADISON HEIGHTS Ml 48071

COuantity

1

Unit I Description EACH TO COVER THE COST OF REPAIR

CLAMPS AND MISCELLANEOUS PARTS

592-000-111.002

SEAN MOYLAN DIRECT INQUIRIES TO

PURCHASE ORDER

N0.13-00181

Date: OZ:/01/12 *+*+*+*+*+*+*+*+*+*+

BLANKET PURCHASE ORDERS JULY 1, 2012 THROUGH JUNE 30, 2013 TO BE PAID MONTHLY

Unit Cost $0.00

Total PO Amount

Total Cost J $0.00

oool '------~

PURCHASE ORDER NUMBER MUST APPEAR ON INVOICE, OR INVOICE WILL NOT BE PAID!

M.S,D.S. REQUIRED ON HAZARDOUS MATERIAL !NOTE: ANY DEVIATION IN PRICE ON THIS ORDER MUST BE APPROVED BY THE CITY PURCHASING DIVISION PRIOR TO DELIVERY

~- ORIGINAl..r INVOICES TO: CO!V!PUTROLLEH' S OFFICE 6045 FENTO, DBN. HTS., MI 48127

2. EXEBPT FROM STATE/LOCAL AND FEDEF~J<L TAXES: 38-1712300

3. PURCF..ASE ORDER NUMBER MUST APPEAR ON ALL INVOICES, SHIPPERS, AND CORRESPONDENCES.

4. SUBSTITUTIONS NO'I' ACCEPTED WITHOUT PRIOR APPROVAL.

5. PARTIAL SHIPMENT trJILL BE ACCEPTED IF INVOICED SEPARATELY. PAYMENT MADE UPON COMPLETION OF PURCHASE ORDER.

6. ACKNOWLEDGMENT COPY MUST BE RETURNED BEFORE ORDER IS BINDING.

Page 66: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Fund:

Payee:

Description:

Agenda: 10/23/12

Current Claims City of Dearborn Heights

Voucher Approval

General Fund

Miracle Recreation Equipment Co

Number:

Playscapes at Heather Ln Park & Central Park Invoice Number 726443, Dated 7/18/12 Invoice Number 726272, Dated 7/13/12 Invoice Number 727524, Dated 8/8/12

M'PROVED FOR AGENDA OF

----

Account Account Title 274-673-930.200 Rec.Center

Amount $121,000.00

Amount Budget Before Payment

$121,000.00

Requested By: Recreation

Comptroller Authorized Official

Concurrence

Daniel S. Palet o

Page 67: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

INVOICE Page

1

SOLD TO

CITY OF DEARBORN HTS PA.ll.KS & RECREATION 6045 FENTON DEARBORN HEIGHT, MI 48125 RECREATION EQUIPMENT CQP.,tPANY

8445 SOLUTION CENTER- CHICAGO IL 60677-8004

I 0 9001 Certified SHIP SAF PLAY SERVICES

Fed. I .D. #43-1595099

Phone (417) 235-6917 TO 1200 N. MILFORD

HIGHLAND, MI 48357 REFER TO THESE NUMBERS ON ALL

227 2 1 2 1 5 1 2 1 1 5 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 4 4 2

BRWDFIBER 1266J 7145029 7145119 71453669 7145494 714552 714553 714621RR 7146242 7146251 7147196 714720 714734 71474969 714 7784 714850 7148502 7148502 71486725 7149661S 7149666 71497049 7149748 714994 714997 714999 2840TT 2990TT 7148524

CONTINUED

MULCH, PLAYGROUND, BR WOOD FIBER BENCH PARK 6' W/BACK MIRATHERM II-PERM DECK SQUARE ATTACHES TO 4 POSTS DECK TRIANGLE SPLT ATTCH TO 3 POSTS MTII DECK CS HEXAGON 6'6" DECK FOR ROOF MT II POST 5"0D 11 GA WALL X 124" 4' DECKS POST 5"0D X 136" 3'-5' DECKS POST 5"0D X 160" 5'6"-6'6" DECKS MOUNTAIN TRAIL-LOG-RH STEPS, RH TRANSFER CLIMBER, GRIZZ-LEE, DK TO DK 2' RISE BONGO STUMP PERCH CLIMBER CLIFF 6'6" DECK CLIMBER OUTRIGGER 5' & 6'6" DECK

SLIDE TYPH 6'6" 405 D 6' & 6'6'' DK MT II INCLINED SPIDER CLIMBER ASSY 3' & 4' DK SLIDE CHAMELEON ENTRY AND EXIT SLIDE CHAMELEON RIGHT TURN SECTION SLIDE CHAMELEON RIGHT TURN SECTION CLIMBER TWISTED VINE 5' DECK BIG TIMBER LOG SLIDE W/ENT PNL 6'&6'6"Dk BIG TIMBER HEX LEAF ROOF ARCH BRIDGE 4' BETWEEN DECKS MT II CLIMBER WIGGLY WORM 5', 6'6" OR 8' DECK FUN FONES GROUND TO GROUND CLIMBER CARGO 4' DECK INSTALLATION KIT KC SP SWING SEAT, 8' T/R W/TENS TOUGH CHAIN SP SWING CHAIR, 8' T/R W/TENS TOUGH CHAI SWING ARCH 5" OD FRAME 4 SEATS REQ

ROOF/BARREL/ROCKITE/SLIDE HTR GREEN; CANOPY SAND/HTR GREEN;POST/TIMBER/PVC/ 720/997/7196/7784/9748/86725 BROWN; ACCENTS/ROCK SAND;850 SAND/BROWN SWINGS/CHAINS HTR GREEN;284 TAN;299 GRN

16.25 439.00 763.00 543.00

5256.00 222.00 236.00 272.00

3272.00 2792.00

158.00 664.00

1418.00 225.0C

4498.00 634.00

1148.00 448.00 448.00 821.00

1433.00 2416.00 2256.00 1107.00

764.00 595.00

0.00 158.00 223.00

3263.00

3688.75 878.00 763.00

1086.00 5256.00 1110.00

236.00 544.00

3272.00 2792.00

790.00 664.00

1418.00 225.00

4498.00 634.00

1148.00 448.00 448.00 821.00

1433.00 2416.00 2256.00 1107.00

764.00 595.00

0.00 632.00 892.00

6526.00

Go to www. miracle-recreation. com/warrant@("'-"",':k~ ~,JJ"TI"'~·-·- ti"'''f\)\R~,-\ ii" register your product. To access your cu;#S:±r}~r.t1 :l ,.;&~r\,J''"'#"'''~'

TERMS OF SALE: NET 30 DAYS FROM INVOICE DATE 1.25% CHARGE PER MONTH FOR PAST DUE INVOICES -PLEASE ENCLOSE DUPLICATE COPY OF THIS INVOICE WITH PAYMENT

f REMIT TO: MIRACLE RECREATION EQUIPMENT CO _______ ) ~- ----- -- 8445 SOLUTION C~N-T~~. C~:=~~~ ~L-.:_0677 -80~- CUSTOMER

Page 68: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

INVOICE f]J Page

2

SOLD TO

SHIP TO

CITY OF DEARBORN HTS PARKS & RECREATION 6045 FENTON DEARBORN HEIGHT, MI 48125

SAF PLAY SERVICES 1200 N. MILFORD HIGHLAND, MI 48357

MIRACLE® RECREATION EQUIPMENT COMPANY

8445 SOLUTION SENTER- CHICAGO IL 60677-8004

ISO 9001 C rtified

Fed. J.D. #43-1595099

Phone (417) 235-6917

REFER TO THESE NUMBERS ON ALL

cert. go to www.miracle-recreation.com/cpsia.

MARK FOR HEATHER LANE PK

SALES AMOUNT SALES TAX MISC CHARGES DISCOUNT COMMERCIAL FREIGHT INSTALL-CO

TOTAL

TERMS OF SALE: NET 30 DAYS FROM INVOICE DATE

47,340.75 0.00 0.00

12,663.10-4,034.00

19,000.00

57,711.65

1.25% CHARGE PER MONTH FOR PAST DUE INVOICES ·PLEASE ENCLOSE DUPLICATE COPY OF THIS INVOICE WITH PAYMENT

fREMIT TO: MIRACLE RECRE-ATION EQUIPMENT CO ---\ \ 8445 SOLUTION CENTER- CHICAGO IL 60677-8004 j CUSTOMER

"---------------------------------------------------------------______/

Page 69: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

WARNING

Installation over hard surface such as concrete, asphalt, or packed earth may result in serious injury or death. All play equipment must be installed over an appropriate impact absorbing surfacing material.

It is the responsibility of the playground purchaser/ownerMoperator to ensure that the size, type and depth of impact absorbing surfacing material used complies with the U.S. Consumer Product Safety Commission "Handbook for Public Playground Safety'' (CPSC Handbook). This impact absorbing surfacing material must cover the entire "Fa!! Zone" area to a depth appropriate for the height of the play equipment. The "Fall Zone" is an area under and all around each piece of play equipment. Acceptable impact absorbing surfacing materials include manufactured safety surfacing such as Spectra Turf Safety Surface or natural loose fill materials such as bark nuggets, wood mulch, wood chips, pea gravel and sand. Appropriate thickness for the Spectra Turf materials can be obtained from your Miracle Sales Representative. For loose fill materials, consult the CPSC handbook for appropriate depth in relation to material type and fall height requirements. Unacceptable surfaces include, without !imitation, turf, undisturbed natural ground, undisturbed compacted sand, decomposed granite, asphalt, concrete or any other hard surfacing. The specific size of fall zones depends upon the type of play equipment. For regular swings, the fall zone must extend at least two (2) times the pivot point height to both the front and rear of the top rail. The fall zone must extend at least six (6) feet out in each end from the swing frame legs. For tire swings, the fall zone must extend at least six (6) feet plus the length of the suspension members in all directions. The fall zone must also extend at least six (6) feet out at each end from the swing frame legs. For slides, the fall zone must extend at least six (6) feet in all directions from the perimeter of the slide. Also, in front of the slide exit, measuring from the point where the slide slope is reduced to 5 degrees, the fa!! zone must extend a total of four (4) feet plus the height of the platform. For all other play equipment, the fall zone must extend at least six (6) feet in all directions from the pen meter of the play equipment. Refer to the CPSC Handbook for more specific requirements. This Handbook is available from the CPSC or Miracle free of charge.

The playground purchaser/owner~operator agrees to assemble, install, inspect, and maintain the play equipment in accordance with Miracle's installation and safety requirements, as set out in the "READ ME FIRST" booklet, the Installation Instruction booklets, the CPSC Handbook, and ali other materials accompanying the equipment. Any attempt to alter, adapt, change, attach to or assemble the play equipment in any manner other than set out in these documents, or to use the equipment in any manner other than the use intended in such documents, is strictly prohibited, and Miracle shall bear no responsibility for such actions.

During the installation, inspection and maintenance process, the playground purchaser/owner-operator must ensure that: A) There are no exposed concrete footings to trip over or fall on. The top of all footings must be at or below the bottom of the layer of impact absorbing surfacing material. B) All bolt threads protruding beyond the nut are cut and peened smooth to the touch. Sharp edges and/or pcints of any kind must be eiimmated. C) Ail bolts, screws, set screws or other fasteners are tightened securely. Missing bolts, set screws or other fasteners must be replaced immediately. D) All "S" hooks and clevises are free of any wear. That all "S" hooks are closed metal to metal and all clevises and supporting hardware are securely attached. A Miracle "S" hook for swing seat use has the dimensions of 2-3/4" x 4-1/2".

Purchaser and owner/operator acknowledge they have sole responsibility for inspection and maintenance of the playground equipment. All play equipment must be regularly inspected and maintained in good condition by the playground purchaser and owner/operator. Anything showing any sign or wear, fatigue or otherwise presenting an unsafe condition must be immediately replaced. If not immediately replaced, the play equipment must be removed from service and no one permitted to use the play equipment until the problems are corrected. This same procedure must be followed with respect to missing parts. Be sure to understand, apply and utilize the CPSC Handbook, all materials and information provided by Miracle, and your own knowledge, experience and common sense in determining if wear, fatigue or any other unsafe condition exists. You must develop a checklist specific to your needs as determined by equipment use, weather, etc.

WARNING

Purchaser and owner/operator agree to indemnify and hold Miracle harmless from and against all liabilities, losses, penalties, damages and expenses, including costs and attorney fees, resulting from all claims, liens, damages, obligations, actions, suits, judgments or settlements, or causes of action, of every kind, nature, and character for injuries, including personal injury and death, arising or alleged to arise out of their failure, or the failure of their architects, contractors, subcontractors, installers, employees, agents and assigns to assemble, install, inspect, and/or maintain the play equipment and impact absorbing surfacing in full compliance with Miracle's installation instructions and safety requirements as set out in the "READ ME FIRST" booklet, the Installation Instruction booklets, the CPSC Handbook, and all other materials accornpanying the equ!pmer:t, ami th~ir misuse andfor alterz.tion of th~ p!z.y equipment.

Page 70: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

8 ~ 0.:

~ "" !il !:; N ~

!';! -. --"' 0 -

-0 ... "' "' ,.....

5 .,., ..,

J "0

ii3

~ 11! 0

ct:

t:t."-~JOIC~ [lJ Page

'""" '0

"'" "'

,,

CITY OF .JEARBOR._I>J BTS PARKS & RECRE..~TIO:tl 6045 FENTON DElillBOR..."J HEIGHT, MI

SAF PL~Y SERVICllS 1200 N, MILFOllD Hl>GHL...Th&;"'D, MI 48357

48125 MIRACLE. R£C.m~All0111 (QU!PfotEfH Cf.J!Nfi'll/.jy

&45 SOLUTIO~ CENTERm CHICAGO IL 6057?~SC04

ISO Mt\1 Ctirl!fiud

1>:~::L LD. !M-J..·J545t:~li

Pnon0 (417)23<'i··59i I

r REFER TO THfiSE NUMBERS ON ALL 1 ' PAYMENTS AND CORRESPONDENCE '

648817 12-000G?00-001 f 086 t>!IR.P.CLE OF MICE 4 Sl.2A13 "126::li1

___ , ___ ,_

TOTAL Il\\TO:CE

Go to \N't'l"'f..', miracle -recreat:ion.com/warranty to register your product. To accesa your CPSIA cert. go to W'o>Jt>i.miracle'-.cecr-eatioH.c:Cln(cpsia.

TERMS OF SAL!O' NET 30 DAYS FROII! INVOICE DATE

62,288.3::.

i,tmio CHARGE PER MOI'fTH FOR PA-ST .DUE iNVOICES -PLEASE ENCLOSE DUPLICATE COPY 01' THIS INVOICE: Wl1"H PAYMENT /-- .. ·····---. --- ---- ---····- ---- -- ····-- -- ------ ----, ( REMIT TO: MIRACLE RECREATION EQUIPMENT CO \ L 8445 SOLUTION CENTER • CHICAGO IL 50677-8004 _/I CUSTOMER

Page 71: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

INVOICE *REPRINT*

~ Page

1

SOLD TO

CITY OF DEARBORN HTS PARKS & RECREATION 6045 FENTON DEARBORN HEIGHT, MI 48125

MIRACLE. RECREATION EQUIPMENT COMPANY

8445 SOLUTION CENTER -CHICAGO IL 60677-8004

ISO 9001 Certified SHIP SAF PLAY SERVICES

Fed.I.D. #43-1595099

Phone (417)235-6917 TO 1200 N. MILFORD

HIGHLAND, MI 48357 REFER TO THESE NUMBERS ON ALL

Go to www.mirac1e-recreation.com/warranty to register your product. To access your CPSIA cert. go to www.miracle-recreation.com/cpsia.

SALES AMOUNT SALES TAX MISC CHARGES INSTALL-CO

TOTAL

TERMS OF SALE: NET 30 DAYS FROM INVOICE DATE

0.00 0.00 0.00

1,000.00

1,000.00

1.25% CHARGE PER MONTH FOR PAST DUE INVOICES ·PLEASE ENCLOSE DUPLICATE COPY OF TEHIS INVOICE WITH PAYMENT

(REMIT TO: MIRACLE RECREATION E-QU-IPMENT co \ \~ 8445 SOLUTION CENTER- CHICAGO IL 60677-8004 _) CUSTOMER

Page 72: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

--SHIP TO:

v E N 0'.,·'; :_ ;·<,:.,.: , 0 R

CITY OF DEARBORN HEIGHTS 6045 FENTON • DEARBORN HEIGHTS, MICHIGAN 48127

TELEPHONE (313) 791-3443 • FAX (313) 791-3441

VENDOR NO.

No.

DATE

F.O.B.

PURCHASE ORDER

RECEIVING COPY

VIA

DELIVERY REQUIRED TERMS

ITEM QUANTITY (JNfT DESCRIPTION UNITCOST TOTALCOST

**NOTE:

JD li-~OIJ bud!Ji APP OVE FOR

Pl'l MENT ji!YAJ :;;;. 6l3o. Ja

Copv£11:~&\~~~~#1 in the a ount of$ ,000.00 appi~~~~~~~~r 11, 2012.

OCT 0 2 2012

OBN.HTS.COMP.OFF.

PURCHASE ORDER NUMBER MUST APPEAR ON INVOICE. OR INVOICE WILl. NOT BE PAID!

M.S.D.S. REQUIRED ON HAZARDOUS MATERIAL NOTE: ANY DEVIATION IN PRICE ON THIS ORDER MUST BE APPROVED BY THE CITY PURCHASING DIVISION PRIOR TO DEliVERY.

DIRECT INQUIRIES TO DIRECTOR ~t/,;11 DOO oc ,I '

PACKING ACCUMULATED ITEM .·:. PACKING OUANTil RECEIVED '' ' ITEM DATE SLIP NO. OUR COUNT VENDOR'S COUNT QUANTITY REG. TO DATE SLIP NO. OUR COUNT VENDOR'S COUNl OUAN1'JY R(C. TO. DATE

I .

•·.· ... . ...

Page 73: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Fund:

Payee:

Description:

Account 592-540-818-030

Comptroller

Agenda: 10/23/12 Number:_={y'--/ Ut

Current Claims

City of Dearborn Heights Voucher Approval

WaterO/M

Nagel Construction Inc

Sewer Cleaning Program Invoice Number 3150, Date 09/27/12

r;;:;;p'fiQi/Ei) FOB I AGENDA OF

L?-~1

Amount Budget Account Title Amount Before Payment Contr Serv.Cieaning $18,875.88

Requested By: Water Dept.

Authorized Official

Concurrence

n.n /) /-:? X!--~ c4], 12~ Daniel S. Paletko

Page 74: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

NAGEL CONSTRUCTION INC PO BOX 10 MOLINE, Ml49335 616 877-4000

Invoice 3150

Bill to:

DEPARTMENT OF PUBLIC WORKS ATTN: WILLIAM ZIMMER 24600 VAN BORN ROAD DEARBORN HEIGHTS, Ml 48125

Job:

Invoice#: 3150 Date: 09/27/12 Customer P.O.#: ~--------------------- ---------------- -------------· -----------·-· . -- ··-----.-------·-·-Payment Terms: NET 30 Salesperson:

Customer Code: DEAR

Remarks: SEWER CLEANING FROM 9/17 · 9/28112

2,641.000 8" SEWER

12,582.000 10" SEWER

8,115.000 12" SEWER

679.000 18" SEWER

480.000 21" SEWER

1,437.000 24" SEWER

2,693.000 30" SEWER

67.000 CATCH BASINS

LFT LFT LFT LFT LFT LFT LFT EA

SEWER CLEANING

0.50 0.49 0.49 0.70 0.70 0.90 1.25

29.00

--------------- -------------

1,320.50 6,165.18 3,976.35

475.30 336.00

1,293.30 3,366.25 1,943.00

Subtotal: 18,875.88

Total: 18,875.88

Print Dale: 09/27/12 Page: 1

Page 75: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Office: FAX: Cell:

(616) 365.0501 (616) 365.0508 (616) 291.3846 (616) 291.3845

No.

Report N£ 88098 4j,J7 -"'0- ,. Date(s): / J I" - /, ~,y ~/"'

i ? /

"/ ~-Type of Work: d1"«r ~.;;·f:

1937 Sterling Ave., NW • Grand Rapids, Ml 49504 Page / of 2

' I 7

EquipmenVSupplies Comments:

Operator: X

Page 76: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Office: FAX: Cell:

(616) 365.0501 (616) 365.0508 (616) 291.3846 (616) 291.3845

1937 Sterling Ave., NW • Grand Rapids, Ml 49504

Report N~ 88099

Date(s) ~U,Z·~ ~~2~ ~?­Type of Work :;;,.,,_rlr /?}??fi~

'

Page ---=:::__Of 2

V . /0 ) L,l Customer Information: _________ (""'}/;?'-•. _ _,c'-?_J~,,_.(!f?/,L£..:.. "-:'Y2"". ~'"'· cL'Y-"11'-'-. -"~'---.. 711il""'d'-"f~::.:{5'=--· ------

i

No. EquipmenUSupplies Comments:

' r.\ 1\ {, '~/ ~! ,v' Above work des~ =ately ')

1 "'\~Dnnei/Job and completed s ·sf torily. v

\ / Customer Rep.: i

/ Operator: X

I

Page 77: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Fund:

Payee:

Description:

Agenda: 10/23/12

Current Claims

City of Dearborn Heights Voucher Approval

WaterO/M

Nagel Construction Inc

Sewer Cleaning Program

Number: Uz -/7

APPROVED FOB AGENDA OF

Invoice Number 3159, Date 10/12/12

Account Account Title Amount Amount Budget Before Payment

592-540-818-030 Contr Serv.Cieaning $17,602.31

Requested By: Water Dept.

Comptroller Authorized Official

Concurrence

Page 78: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

NAGEL CONSTRUCTION INC PO BOX 10 MOLINE, Ml49335

616 877-4000

Bill to:

DEPARTMENT OF PUBLIC WORKS ATIN: WILLIAM ZIMMER 24600 VAN BORN ROAD DEARBORN HEIGHTS, Ml 48125

Invoice#: 3159

Payment Terms: NET 30

Customer Code: DEAR

Invoice 3159

Date: 10/12/12

Job:

Customer P.O.#: I

Salesperson:

Remarks: SEWER CLEANING FROM 10/1 -10/12/12

SEWER CLEANING ..

Quan!t!y Descnptton U/M Untt Pnce Extenston

9,411.000 8"SEWER LFT 0.50 4,705.50 13,810.000 10" SEWER LFT 0.49 6,766.90 5,424.000 12" SEWER LFT 0.49 2,657.76 6,313.000 15" SEWER LFT 0.55 3,472.15

Subtotal: 17,602.31

Total: 17,602.31

Print Date: 10112/12 Page: 1

Page 79: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Office: FAX: Cell:

(616) 365.0501 (616) 365.0508 (616) 291.3846 (616) 291.3845

Customer Information:

No.

1937 Sterling Ave., NW • Grand Rapids, Ml49504

Equipment/Supplies Comments:

Report N~ 88125

Date(s) /?'/J -):?ftc? ,;;.;:-;z~ I " / ?

Type of Work <;/<"~..-"- -q?&// Page I of -"'--

hu:..L:._ __ LJZ&b.L.!::.'C:::...-":...L..:l!L'.'--IL.:._::._,,t-:-.:JL!""'---i Above work described accurately and completed satisfa)l.o'rily.

,·'"?

Customer Rep.: X

Operator: X

Page 80: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Office: FAX: Cell:

(616) 365.0501 (616) 365.0508 (616) 291.3846 (616) 291.3845

No.

1937 Sterling Ave., NW • Grand Rapids, Ml 49504

Equipment/Supplies Comments:

Report: ~~ o P~L •. 88126

Date(s) /~'/If ;c:/jz_ -e::~t:V/!::. Type of Work ·~ ~jjj

7 z Page <'- of ·

\

\.:'\:- / Customer Rep. X /

Operator: X

Page 81: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Fund:

Payee:

Description:

Agenda: 10/23/12 Number:

Current Claims

City of Dearborn Heights Voucher Approval

General Fund

Quad-Tran of Michigan

Data Processing, LEIN/SOS Access, UPS reimbursement, Various Notice Mailers and Postage for September, 2012. Invoice 5987, Dated 09/28/12 Invoice 5988, Dated 09/28/12

.iAPi;fiovEoFCij

AGENDA OF

--·~·

:l !lV;l .. 3~ ) ;;!. -~~~~~~=-~~-·

Amount Budget Account Account Title

101-130-818.000 Contractual Serv. 101-130-728.000 Office Supplies 1 01-200-728.000 Office Supplies

Amount Before Payment

$4,500.00 $1,262.55 $1,841.40

$59,875.00 $33,477.91 $81,056.81

Requested By: Disctrict Court

Comptroller Authorized Official

Agenda

~ Daniel S. Paletko

Page 82: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Quad-Tran of Michigan, Inc. 26899 Northwestern Highway Suite 220 Southfield, Ml 48033 USA

Voice: Fax:

248-353-4380 248-353-9052

Bill To:

Ms. Michelle Ml<ins 20th District Court 25637 Michigan Avenue Dearborn Heights, Ml 48125-3271

CustomerlD

20th

Customer PO

I

I

Due Date

9/28/12

Payment Terms

Due Upon Receipt

Quantity Description Data Processing ServiceE; f()r The Month of:

Septe1nber, 2012

1.00 l,B~TN/SOS Aecess Charge for the Month of:

&lptember, 2012 UPS REiinihursemerit fOrth~;- tlfi}Dih--Or: September, 20i2

:3.50 _Hearing Notim },;Iailer

lAO' Dc&mlt Notiee MnileJ'S

LOO i 14-day Notice Mailerr:;

1.20 i Free Form Court Notice Mailc-ws

0.05 i Parking Complaint Notice Mailers

I

I -·-···]

Invoice Number: 5987

Invoice Date:

Page:

Sep 28, 2012

1

___ L ____ ---------------- -,------~ ------'-- ------=-::=-1 5,762.551 Subtotal

~""""'_" __ , _______ _

] ~:::~~:::ice Amount ___ _

1 Payment/Credit Applied

I TOTAL I

--- ----------

·----f--­----1-----

I

-- ~- .. ·---~1

5, 762.551

5,762.55

Page 83: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Quad-Tran of Michigan, Inc. 26899 Northwestern Highway Suite 220 Southfie k:J, Ml 48033 USA

Voice: Fax:

248-353-4380 248-353-9052

Bill To:

Ms. Michelle Adkins 20th District Court 25637 Michigan Avenue Dearborn Heights, Ml 48125-3271

CUstomerlD

20th

Due Date

9/28112

Quantity Description

CUstomer PO

Payment Terms

Due Upon Receipt

/ &:~-ptembor Aetu.al Postage ($1841.40) ·October .2012 Postage AverPJ.ge

I --~-- - -------- ------------ - __ __j

I Subtotal I -

Sales Tax

j ____ T?t_~-~- ~-~Y_?_i~-~-~~??_~_nl_ ; Payment/Credit Applied ' [TOTAl '

Unit Price

Invoice Number: Invoice Date: Page:

Amount

5988 Sep 28, 2012 1

~658.60

2. 500. ()()

Page 84: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Fund:

Payee:

Description:

Agenda: 10/23/12

Current Claims City of Dearborn Heights

Voucher Approval

General Fund

Tire Discount House, Inc_

Vehicle Repairs

Number:

Various Invoices Dated October 2012

&·19

tPP~'iO\IE:o !'~oR~, AGENDA OF

-----~--~j

I D ~ i),3--l ::t.j" =-------~'~""'"'""""~'

Account Account Title Amount Amount Budget Before Payment $147,743,29 101-300-932-000 Vehicle Repair/Maint $1,982,81

Requested By: Police Dept

Comptroller Authorized Official

Concurrence

Page 85: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

TOTAL PARTS ....

YOU MAY CHOOSE ANOTHER LICENSED SMOG CHECK FACILITY TO PERFORM ANY NEEDED J_Ht:t'AIH::.> OR ADJUSTMENTS 11-IAT T.-IE SMOG CHECK TEST INDICATES ARE NECESSARY. A CUSTOMER WILL

. - FOR INSPECTION REGARDLESS OF PASS OR FAIL

TIRE DISCOUNT HOUSE, INC. #046299 "Serving The Community For Nearly 50 Years"

25751 W. Warren Ave DEARBORN HEIGHTS, MICHIGAN 48127

(313) 565-5282 Mi. Reg. F127035

TOTAL LABOR

cost for teardown and reassembly, $ _ I =t TOTAL PARTS TEARDOWN ESTIMATE: I understand that my vehicle will be reassembled 1--cc===-=----L..._------+

AUTHORIZED BY r·--

wfthin days of the date shown above if I choose not to authorize the D~NERsoN l_]~~oNE TOTAL SUBLET services recommended. r>A"CC , • .,,.-; ---~~>" <>V ounw= ,... Jl.l"' ......

SIGNATURE X DATE

done along with the necessary materials. You and your employees may q:::.arate vehicle urposes ol testing, inspection, or delivery at my risk_ An express mechanics li acknowl ged on above vehicle to secure the amount of repairs thereto_ 11 is

de you w11i held responsible tor loss or damaqe to vehicle or articles left in vehicle in ,,,., ---.~ ~' ~•h~e ~-t ~~ h~ ~~.--! r

'0

f,U1HORI:ZED SY

DAlE Tlt~E CALLED 8Y

!__;,

Page 86: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

-~

TOTAL PARTS

MAY CHOOSE ANOTHER LICENSED SMOG CHECK FACILITY TO PERFORM ANY NEEDED JJUSTMENTS THAT THE SMOG CHECK TEST INDICATES ARE NECESSARY. A CUSTOMER WILL

FOR INSPECIDN REGARDLESS OF PASS OR FAIL

TIRE DISCOUNT HOUSE, lNG. #046299 "Serving The Community For Nearly 50 Years"

25751 W. Warren Ave DEARBORN HEIGHTS, MICHIGAN 48127

(313) 565-5282 Mi. Reg. F127035

"9~6 1 l) j_ .l. .l..~

tVIM.L. "-'"'uovn ;l___:c_ f lL_"')

'!Estimated cost for teardown and reassembly, $ 'Ai)T' I "'0" Too" · TOTAL PARTS 180JD ~ I TEARDOWN ESTIMATE: I understand that my vehicle will be reassembled "zso'" .

>­l. :) ::> lJ ::>

within days of the date shown above if I choose not to authorize the AUT\' O~o-;,,,CN o:~ONE TOTAL SUBLET I services· recommended. r.n"' \ 1 T'""' "A''"'" "'" ., ......... ~'" ...... ",... .......

SIGNATURE X __ DATE

I hereby authorize the aboVe repair work to be done along with the necessary materials. You and your employees may operate vehicle for purposes of testing, inspection, or de!lvery at my risk. An express mechanics lien is acknowled6ed on above vehicle to secure the amount of repairs thereto. Jt is

i<re;_po~ble for Joss or damage to vehicle or articles left in vehicle in · your controL

..... "'"'I ' ~ 1 # -- 1n 7\ _,. I ~

Page 87: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

i 1111:. Ulili.UUI~ I nuUi:>t:, mv. +t-U.,O<.;;,;, "Serving The Community For Nearly 50 Years"

25751 W. Warren Ave DEARBORN HEIGHTS, MICHIGAN 48127

(313) 565-5282 Mi. Reg. F127035

2JP

BUS_PI-1QN.E EXT

tO.IE PHONE

L

cost for teardown and reassembly, $ ...._,.__--:::--TEARDOWN ESTIMATE: I understand that my vehicle will be reass~bled I I j j •v•"~ r"• .. ur2~ j with. d of th if . AUTHORIZED BY ,......._.1 tn ays e date shown above 1 choose not to ;::~uth A thP. 1 IN n sv .......... _ & • .... ...... ....... t

services recommended. ;: I SIGNATURE X

3 I hPrPhu ''"rthorize·the above repair work to be done along with the necessary materials. You inspection, or delivery at my risk. An secure the amount of repairs thereto. It is

or damage to vehicle or articles left in vehicle in

DATE TIME '~]w, I ~~ I ,,<fh ~

~ 0No

Page 88: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

cost for teardown and reassembly, $ -c-:-:--:::--:­TEARDOWN ESTIMATE: I understand that my~ within days of the date sho~~rt I choq services recommended.

DATE

CfTY

TIRE DISCOUNT HOUSE, INC. #046299 "Serving The Community For Nearly 50 Years"

25751 W. Warren Ave DEARBORN HEIGHTS, MICHIGAN 48127

(313) 565-5282 Mi. Reg. F127035

,:-A-/7 /So,L/J

STATE ~p

YEAR. MAKE AND MODEL oUlZ-SERIAL NO.N.I.N.

191656

EXT.

""""'" MILEAGE

NO

lt:RMS

/0

MINIMUM RACK CHARGE $24.00

TOTAL LABOR

TOTAL PARTS

EPA I WASTE DISPOSAL

SHOP SUPPUE,S

I

0'" 0" PERSON PHONE ~ CALLED BY PHONE ~ TIME &•u;.,, ;p

Page 89: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

TOTAL PARTS ......

~~P~~ 6~~o~~~~HE~~~~o~HEE:ML~~E~~~gK s~~~~~~~~~~AA~~~~~~~sSARY.~A 'ClJST'QM~R"-WILL ~CHARGED FOR INSPECTION REGARDLESS OF PASS OR FAlL

TIRE DISCOUNT HOUSE, INC. #046299 "Serving The Community For Nearly 50 Years"

25751 W. Warren Ave DEARBORN HEIGHTS, MICHIGAN 48127

(313) 565-5282 Mi. Reg. F127035

SERIAL NON LN

MINIMUM RACK CHARGE $24.00

... --~ __ , -u·lnu::; ~ ,~i -~ '-'

EXT

MilEAGE

TOTAL LABOR

····..C:stimated cost for teardown and reassembly, $ I 1 I I TOTAL PARTS TEARDOWN ESTIMATE: I understand that my vehicle will be reassembled

0 . ·•

AUTH RIZED SY IN BY within -days of the date shown above if I choose not to authorizE! the o,"'CN DeHO" TOTAL SUBLET I I services recommended. \ ,..,,.,., l "'"" ! ,-, '"" DV I DLH'''"' .... a.... ..... ..

SIGNATURE X DATE

~ SO!~

Page 90: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

CITY OF DEARBORN HEIGHTS 6045 FENTON e DEARBORN HEIGHTS·, MICHIGAN 48127 TE~EPHONE (313) .791-3443 e FAX (313) 791-3441

Ship To: POLICE DEPARTMENT CITY OF DEARBORN HEIGHTS

256:17 MICHIGAN AVENUE

DE!lHBORN HEIGHTS Ml 48125

VENDOR NO. 50271

v TIRE DISCOUNT HOUSE/WESTSIDE E N D

2575'i W WARREN

0 R DEARBORN HEIGHTS Ml

!Qi.!antitv Unit !Description

48127

1 EACH TO COVER THE COST OF FRONT END ADJUSTMENTS AND OTHER SERVICES

POLICE DEPARTMENT USE ONLY

101-300-932.000

LEE GAVIN DIRECT INQUIRIES TO

PURCHASE ORDER

NO. 13-00128

Date: 0.7101112 *+*+*+*+*+*+*+*+*+*+

BLANKET PURCHASE ORDERS JULY 1, 2012 THROUGH JUNE 30, 2013 TO BE PAID MONTHLY

Unit Cost Total Cost $0.00 $0.00

Total PO Amount o oo]

PURCHASE ORDER NUMBER MUST APPEAR ON INVOICE. OR INVOICE WILL NOT BE PAID!

M.S.D.S. REQUIRED ON HAZARDOUS MATERIAL NOTE: ANY DEVIATION IN PRICE ON THIS ORDER MUST BE APPROVED BY THE CITY PURCHASING DIVISION PRIOR TO DELIVERY

__ ORIGINAl, INVOICES TO: COMPU'iROLLER 1 S OFFICE 6045 FENTO, DBN. HTS., M! 48127

2. EX.EMJ?T FROM STATE/LOCAL AND F£DERiiL 'TAXES: 38-1"112300

3 PURCHASE ORDER NUMBER NUST APPEAR ON ALL INVOICES, SHIPPERS, AND CORRESPONDENCES.

4. SUBSTITUTIONS NOT ACCEPTED WI'THOUT P?IOR APPROVAL.

5. PARTIAL SHIPMENT WILL BE ACCEPTE:D IF INVOICED SEPARATELY. PAYMENT MADE UPON COMPLETION OF PURCHASE ORDER.

6. ACKNOWLEDGMENT COPY MUST BE RETURNED BEFCPE ORDER IS BINDING.

Page 91: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Fund:

Payee:

Description:

Account

Agenda: 10/23/12

Current Claims City of Dearborn Height!

Voucher Approval

Library Fund

US Bank

Library Bond Payment Invoice Dated 11/1112

Number:

Amount Budget Account Title Amount Before Payment

738-738-998-500 Interest $98,948.52 $381,785.00

Requested By: Library Fund

Comptroller Authorized Official

Concurrence

Daniel S. Paletko

Page 92: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

bank, All Of Us Serving You Debt Service Invoice

I Maturity

Corporate Trust Services

DEARBORN HEIGHTS BUILDING AUTHORITY

ATTN: TREASURER

6045 FENTON STREET

DEARBORN HEIGHTS Ml 48127

Rate Principal Accrual Outstanding Start Date

Accrual End Date

Name of Issue:

CITY OF DEARBRON HEIGHTS BUILDING

AUTHORITY, BUILDING AUTHORITY BONDS

(LIBRARY PROJECT) DTD 12-1-2003

Account Number: 4597 _5

Debt Service Date: 11/01/2012

Payment Due Date: 11/01/2012

Page: 1 of 2

Interest Due Principal Due Call Premium I Date -- ----·~---· -------·-·--··-··-- -~-----

05/01/2013 3.75% 210,000.00 05/01/2012 10/31/2012 3,937.50

05/01/2014 3.75°/o 225,000.00 05/01/2012 10/31/2012 4,218.75

05/01/2015 3.75% 240,000.00 05/01/2012 10/31/2012 4,500.00

05/01/2016 3.80% 260,000.00 05/01/2012 10/31/2012 4,940.00

05/01/2017 3.90% 270,000.00 05/01/2012 10/31/2012 5,265.00

05/01/2018 4.00% 285,000.00 05/01/2012 10/31/2012 5,700.00

05/01/2019 4.10% 300,000.00 05/01/2012 10/31/2012 6,150.00

05/01/2020 420% 315,000.00 05/01/2012 10/31/2012 6,615.00

05/01/2021 4.30% 330,000.00 05/01/2012 10/31/2012 7,095.00

05/01/2022 4.40% 345,000.00 05/01/2012 10/31/2012 7,590.00

05/01/2023 4.45% 360,000.00 05/01/2012 10/31/2012 8,010.00

05/01/2024 4.50% 375,000.00 05/01/2012 10/31/2012 8,437.50

05/01/2027 4.625% 1 ,245,000.00 05/01/2012 10/31/2012 28,790.63

05/01/2030 4.70% 1 ,430, 000.00 05/01/2012 10/31/2012 33,605.00

b I:? L, {'~11'_ "'i)

- c~ 8 ""c) '-) f3'"~ , RECEIVE

'- I "·

SEP 1 I 20\2 Pfease Remit with Payment

Name of Issue: DBN.HTS.COMP.OF!:.

CITY OF DEARBRON HEIGHTS BUILDING

AUTHORITY, BUILDING AUTHORITY BONOS

(LIBRARY PROJECT) DTD 12-1-2003

Remrt: check to: (must be received 5 business days prior to due date}

US Bank

CM-9705

PO Box 70870

St. Paul, MN 55170-9705

FTC OM 10220 09111112·031

~Account# Debt Service Date:

!Payment Due On:

INet Amount Due:

~mount Enclosed:

Change of Address:

DEAHGTBDG03 JSR

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

Tl Ff.l

75\) ?!3

11/01/2012

11/01/2012

$171,785.63

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bank, Ail Of Us Serving You Debt Service Invoice

I

L Maturity

Date

Corporate Trust Services

DEARBORN HEIGHTS BUILDING AUTHORITY

ATTN: TREASURER

6045 FENTON STREET

DEARBORN HEIGHTS Ml 48127

Rate Principal Outstanding

Accrual Start rJate

Accrual End Date

Name of !ssue:

CITY OF DEARBRON HEIGHTS BUILDING

AUTHORITY, BUILDING AUTHORITY BONDS

(LIBRARY PROJECT) DTD 12-1-2003

Account Number: 4597 _5

Debt Service Date: 11/01/2012

Payment Due Date: 11/01/2012

Page: 2 of 2

Interest Due Principal Due Call Premium

·~~~~~--c-==c-~--~~~cc- -----05/01/2033 4. 75% 1 ,555,000.00 05/01/2012 10/31/2012 36,931.25 0.00 0.00

Totals 7,745,000.00

!Total Amount Due: $171,785.631

171,785.63 0.00

Wire Instruction:

(must be received by 11 :30am central time on due date) BBK: U.S. Bank N.A. (091000022)

BNF: U.S. Bank Trust N.A.

AC: 170225065979

OBI: TFM

REF: 4597_5

0.00

For questions contact JOSEPH ROBERTS 651-466-6109

Pfease Remit with Payment

Name of Issue:

CITY OF DEARBRON HEIGHTS BUILDING

AUTHORITY, BUILDING AUTHORITY BONDS

(LIBRARY PROJECT) DTD 12-1-2003

Remit check to: (must be received 5 business days prior to due date)

US Bank

CM-9705

PO Box 70870

St. Paul, MN 55170-9705

FTC OM 10220 09/11/12-031

Account# I 4597 5

Debt Service Date: I 11/01/2012

Payment Due On: I 11/01/2012 '

Net Amount Due: I $171,785.63

Amount Enclosed: I

Change of Address:

DEAHGTBDG03 JSR

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Fund:

Payee:

Description:

Account 202-202-880.500

Comptroller

Agenda: 10/23/12 Number:

Current Claims

City of Dearborn Heights Voucher Approval

Major Streets

Wade Trim & Assoc.

Certificate for Payment No.1, Dated 10/04/12 Project: Pardee Road Paving. Job No: DHT-2554-03T

Account Title Street Rep

Amount $135,463.42

Requested By: DPW

Amount Budget Before Payment $1,018,267.77

Authorized Official

Concurrence

Daniel S. Paletko

Page 95: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

WADE TRIM 'Gtl!I;)T:fi~ll~\li~l!,t ~l\Mmtlllt~!\,

Owner: City of Dearborn Heights 6045 Fenton Avenue Dearborn Heights, MI 48127

Contractor: Tiseo Brothers, Inc. 68660 Hillside Washington, MI 48095

Job No. DHT-2554-03T

Project: Pardee Road Paving

CERTIFICATE FOR PAYMENT

In accordance with the Contract Documents, based on the data comprising the above application, the ENGINEER to the best of his knowledge, information and belief and subject to the limitations stated in the Contract Documents certifies to the OWNER that; (1) Work has progressed to the point indicated, (2) the quality ofthe Work is in accordance with the Contract Documents, and (3) the CONTRACTOR is entitled to payment of the Total Balanace Due This Certificate.

Prepared By: \JOV(JN~h"i1~ JL{:;bo!Z. /: Johnny everette/JeiT Smither Date

Reviewed By:~~ Mr. Dan Brooks, PE

JO/sj;z_ Date

Certified By: k\"-" ¥~\..&'? ~ l'-'1 Off t--. iir:. / · · ~ ' r Date

Engineer's Certi:l:1cate for Payment

Substantial Completion Date: Extended To:

Final Completion Date: Extended To:

I>criod Start Date:

Original Contract Price: Total Change Order Amount: S

Current Contract Price: S

Total Earned To Date: $

Less Previous Certificates: S Less Retention Amount:

Owner Approval

A1 Rcviewe~ '

~:,~~

Oct. 15 2012

Oct. 31 2012

Aug. I, 2012

~

Date

ro-lo~l~ Date

Page 96: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Owner: City ofDearbom Heights 6045 Fenlon Avenue Dearborn Heights, MI 48127

Contractor: Tiseo Brothers, Inc. 68660 Hillside Washington, J\11!48095

Job No. DHT-2554-03T

Project: Pardee Road Paving

CONTRACTOR'S CERTIFICATION ______ _::_

The undersigned CONTRACTOR certifies that to the best of his knowledge, information and belief, the work covered by this Application for Payment has been completed in accordance with the Contract Documents, that all amounts have been paid by him for Work for which previous Ce1iificates for Payment were issued and payments received from the Ow-NER, and that current payment shown herein is now due.

CONTRACTOR'S DECLARATION

l hereby declare that l have not, during the period covered by this Application, performed any work, furnished any material, sustained any loss, damage or delay for any reason, including soil conditions encountered or crealed, or otherwise done anything for which I shall ask, demand, sue for, or claim compensation from the OWNER, or its agents, and the owner's ENGINEER, or its agents, in addition to the regular items set forth in the Contract as dated above executed between myself and the OWNER, and in the Change Orders for Work issued by the OWNER in writting as provided thereunder, except as I hereby make claim for additional compensation and/or extention of time, as set forth on the itemized statement attached hereto.

Contractor's Application for Payment

Substantial Completion Date: Extended To:

.Final Completion Date: Extended To:

Period Start Date:

Total Change Order Amount: $

Current Contract Price: $

Total Earned To Date: $

Less Previous Certificates: $

Less Retention Amount: $

Less

Oct. 15,2012

Qct2.L29J2

_.}_O.SEf'!-1 lt . .:n;o lb/t!ffaZt~IZ Printed N arne ate

~~-,-~--~;

/ / -;?"" ( ~ ~~- ·~ .. ,. ,~~-.~---·~,.~

,,;;> ' ,~/ · // Signature ·

/

I P /11.1' / 2-t? /':1--7

'Date

Page 97: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

'V\TADETRil\..:I , , ' - CeJ·tificalc for:V;~ymcnt No,··. - 1 '

PROJECT NAME: P11rdee Ro"d Paving

JOB NO. OHT·l554--0JT CLIENT: City of Ot:.nd>(Jrn l!ei;:hu

DATE: Octolm ii,:ZOJ:2

Contract Date: July 30, :Wll Cons:truriion Sturt Date: August 8, 20i2

DESCRH'TJON P!nn Qty ! U1-) Q!y I Rtv. Qty I Unil

DESCIUPT!O.N (+/-)Qty

Printed On i01412012 9:57AM

Uni! Prite Original C<mtr~cl

Tutal l'<'ril<:lll Current Ctlntr:;sc(

Totllf Per Item %, ofWt>rk Campfde

Su&~!nnlial Cmnpk!i!,n o~tec

E<t,m1ed Toe

Fllu! Comp!ctinn Datt:

E.ttcmkd To:

Period Start Olltc:

Peri!ld End l)a!e:

Total Amouni

Qs1.12.JQll

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Page 1 of l

Page 98: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Fund:

Payee:

Description:

Account

Agenda: 10/23/12

Current Claims City of Dearborn Heights

Voucher Approval

Community & Eco. Dev Fund.

Wade Trim & Assoc.

Number: U -~;(

Professional Services rendered from 7/29/2012 through 9/1/2012 Invoice Number 104674, Dated 09/25/12

Amount Budget Account Title Amount Before Payment

103-960-918.211 Administration $1,955.00 $62,559.41

Requested By: CDBG

Comptroller Authorized Official

Concurrence

Page 99: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Wade Trim 25251 Northline Road • Taylor, Ml48180 734.947.9700 • FAX: 734.947.1380 • www.wadetrim.com

FederaiiD 38-1802386

City of Dearborn Heights 26155 Richardson Dearborn Heights, Ml 48127

Attention: Mr. Ron Amen, Director

Re: As Needed-Community Develop Assist

Invoice Date : Invoice#: Project#:

INVOICE

Terms: Net 30 Days 1.5% Per Month After 30 Days

18% Annual Rate

September 25, 2012 104674 DHT625901D

Remit payment to : Wade Trim P.O. Box 10 Taylor, Ml 48180

For Professional Services rendered from 7/29/2012 through 9/1/2012

Prior Invoices

This Invoice

Total Invoiced

Paid to Date

Total Salaries

Total Expenses

Professional Services Rendered

Amount Due This Invoice

Statement

Amount Outstanding

$10,334.66

S1 ,955.00

$12,289.66

$9,654.66

$2,635.00

$1,955.00

$0.00

$1,955.00

$1,955.00

Fe·e Summary

Authorized Fee

Total Invoiced

Amount Remaining

$12,289.66

$12,289.66

$0.00

Page 100: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Wade Trim 25251 Northline Road • Taylor, Ml48180 734.947.9700 • FAX 734.947.1380 • www.wadetrim.com

FederaiiD 38-1802386

Phase: 1 -- NSP Assistance

Task: 18 -- General Planning & Administration

Rate Schedule Labor

Class Name Date Hours

Professional Planner I

08/02/2012 2.00 08/09/2012 4.00 08/10/2012 2.00 08/13/2012 2.00 08/14/2012 1.00 08/20/2012 6.00 08/21/2012 1.00 08/27/2012 1.00 08/28/2012 1.00 08/29/2012 1.00 08/30/2012 1.00 08/31/2012 1.00

23.00

Total Rate Schedule Labor

Total Task: 18 General Planning & Administration

Total Phase : 1 -- NSP Assistance

Invoice Date : Invoice#: Project#:

PBte

$85.00 $85.00 $85.00 $85.00 $85.00 $85.00 $85.00 $85.00 $85.00 $85.00 $85.00 $85.00

Labor Expense

Labor Expense

INVOICE

Terms: Net 30 Days 1.5% Per Month After 30 Days

18% Annual Rate

September 25, 2012 104674 DHT625901D

Amount

$170.00 $340.00 $170.00 $170.00

$85.00 $510.00

$85.00 $85.00 $85.00 $85.00 $85.00 $85.00

$1,955.00

$1,955.00

$1,955.00 $0.00

$1,955.00 $0.00

Page 101: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Fund:

Payee:

Description:

Agenda: 010/23/12

Current Claims

City of Dearborn Heights Voucher Approval

General Fund

Wayne County

Number:

Traffic Signal Maintenance- July, 2012 Invoice 1006193, Dated 10/03/12

Account Account Title Amount $5,014.01

Amount Budget Before Payment $54,743.59 101-440-925-000 Signals

Requested By: DPW-Highway

Comptroller Authorized Official

Concurrence

Daniel S. Paletko

Page 102: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Invoice Number

1006193 COUNTY OF WAYNE --'----1

Invoice Date

10/03/12 Robert A. Ficano · County Executive 500 Griswold, 20th Floor, Detroit, Ml 48226

Send Remillance to: Wayne County Accounts Receivable 500 Griswold, 20th Floor Detroit, Ml 48226 Customer:

Dearborn Heights, City of 6045 Fenton

lnvoi

Customer Number I Direct Inquiries to:

500005

Dearborn Heights Ml 48127 Mr. Amiel Baldwin Telephone (313) 224-6286

line No. Due Dale i Description of Item, Material, Services or Work

001 11/03/12 Traffic Signals - Jul of 2012

Invoice Number

1006193

o 15 oLJ /D(-'i"(o ·' lo< "

Plecrse Pay This Amount=> $

Return Remittance Copy of Invoice with Payment

Invoice Date

10/03!12

Amount

5,014.01

5,014.01

Page 103: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Wednesday, October 3, 2012 Wayne County Department of Public Services - Roads Traffic Signal Billing- Community Billing Records- Historical Data- Jul-2012

!CITY OF DEARBORN HEiGHTs - JD. Edwards No.- s()ll()()5 ~

Signal Street

5601 Ann Arbor Trail 5600 Ann Arbor Trail 544 Ann Arbor Trai! 258 Ann Arbor Trail 433 Ann Arbor Trail

5617 Annapolis 1425 Beech~Daly

5597 Beech-Daly 5596 Beech-Daly 653 Beech-Daly

5624 Beech-Daly 5389 Beech-Daly

243 Beech-Daly 5647 Beech-Daly

362 Cherry Hill 5595 Cherry Hill 656 Ford WB 488 Ford 391 Ford

1377 Ford 1002 Ford 929 Ford 558 Inkster 974 Inkster

1061 Inkster 923 Inkster 917 Joy 924 Joy 422 Michigan 601 Michigan 67 4 Outer Drive-W

5598 Pelham 14 Pelham

440 Telegraph 890 Telegraph

1 007 Telegraph 1 005 Van Born 812 Van Born ,916 Van Born

1068 Van Bam 542 Van Born 649 Van Bam

5662 Warren

C:\Prograrn Files\Signals\Traffic01_rpt

Street

Garling Drive Glengary Inkster Outer Drive-W Warren Monroe *Fire Station, Dearborn Heights Annapolis Cherry Hill

Hass Kennedy Penn Van Bam Wllson Inkster John Daly

MOOT Number

Rouge Circle 8208101024

Beech-Daly 8208101018

Gulley 8208101016

Heights Dr 8208101062

John Daly 8208101045

Silvery Lane 8208101025

Annapolis Hass/Maplewood Powers Wilson/Marquett Fenton Hemingway Beech-Daly 8206101012

Gulley 8206101022

Midway Annapolis Van Born Ann Arbor Trail 8205301013

Annapolis 8205201027

Hass 8205301021

*Library Drive, Dearborn Heights DPW Campbell Gulley John Daly Monroe Pardee/Heathrln Berwyn

Effective Date

Jan-90 Dec-93 Feb-02 Mar-01 May-86 Dec~72

Jul-99 Jan-90 Jan-96 Feb-96 Feb-96 Feb-96 Jul-97 Feb-96 Jan-98 Jun-93 May-05 May-12 May~12

May-05 Apr-12 May-12 Aug-94 Feb-98 Mar-01 Feb-98 Jan-90 Mar-04 Jul-09 Jun-93 Feb-01 Dec-72 Ju!-95 Jun-·03 Aug-97 Dec-88 Mar-06 Oct-91 Sep-96 Sep-96 Oct-91 Nov-91 Jul-98

Bill Payer

500005 500005 999999 999999 999999 500005 999999 500005 500005 999999 500005 500016 999999 500005 999999 500005 999999 999999 999999 999999 999999 999999 999999 999999 999999 999999 999999 999999 999999 999999 999999 500005 999999 999999 999999 999999 999999 999999 999999 999999 999999 999999 500005

Page i of 2

Maint.

Perfrmr

999999 999999 999999 999999 999999 999999 999999 999999 999999 999999 999999 999999 999999 999999 999999 999999 999999 999999 999999 999999 999999 999999 999999 999999 999999 999999 999999 999999 999999 999999 999999 999999 999999 999999 999999 999999 999999 999999 999999 999999 999999 999999 999999

Agency Steady % Watts

100.00 737 100.00 1.172 25.00 2,900 50.00 3,400 25.00 1,545

100.00 804 100.00 2.440 75.00 1,604 75.00 2,840 50 00 2,600 33.30 1,750 50.00 2,600 25 00 3,050

100.00 2,800 12.50 50.00 33.30 25.00 3700 5000 5000 25.00 25.00 25.00 25.00 25.00 2500 25.00 50.00 25.00 50.00 25.00 25.00 50.00 50.00 5000 33.30 25.00 2500 2500 25.00 25.00 3330

3,107 1,203 1,340

324 2,188 2.275 2.578 2,188 2.840 2,840 2,840 2.840 1,604 2,040

294 4,500 2,440

804 3,770 3,700 4,500 3,504 2,040 1,468

2,640 2,915 1,668 1,868 2,640

Energy Cost

$30.12 $70.62 $16.04

$101 .36 f)Qj

49!

$54.00 :'S4::J 49\

$54.00 $31.67

$16.13 GO\ '"'''

$18.54 $3.36

$33.63 $47.25 $53.55 $22.72 $2949 $29.49 $29.49 $29.49 $16.66 $21.19

$6.11 $46.73 $50 68

;;'j;/: f)t:c

$39.15 $76.85 $93.47 $7278 $28.22 $15.25 $27.42 $3027 $17.32 $19.40

Maint.

Cost

$46.58 $74.07 $45.82

$107.44 $24.41 $50.81

$154.21 $7603

$134.62 $82.16 $36.83 $82.16 $48.19

$176.96 $24.55 $38.01 $28.20

$5.12 $5116 $71.89 $81.46 $3457 $44.87 $44.87 $44.87 $44.87 $25.34 $32.23

$9.29 $7UO $77.10 $1270 $59.57

$116.92 $142.20 $11073

$42.93 $23.19 $41.71 $46.06 $26.35 $29.51 $55.56

Rental

Cost

Total

Billing

46.58 74.07 75.94

178.06 4045 5081

255.57 59.37

105.13 136.16

"';.66

136.16 79.86

176.96 40.68 13.02 46.74

8.48 84 79

1 19 14 135 01 57.29 74.36 74.36 74.36 74.36 42.00 53.42 15.40

1 17.83 127.78

98 72 193.77 23567 183.51 71.15 38.44 69 13 76.33 43.67 48.91

')~.J

Page 104: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Wednesday, October3, 2012 Wayne County Department of Public Services - Roads Traffic Signal Billing- Community Billing Records- Historical Data- Jul-2012 I

I CITY OF DEARBORN HEIGHTS : JD. Edwards No-::500005 I

MOOT Effective Bill Maint. Agency Steady Energy Maint. Rental Signal Street Street Number Date Payer Perfrmr % Watts Cost Cost Cost

5661 Warren Fairwood Ju!-98 500005 999999 50.00 3.880 i$80 59! $122.61 614 Warren Fenton Jul-98 999999 999999 50.00 2,840 $58.99 $89.74 625 Warren Garllng/Fieldg Jul-92 999999 999999 25.00 1,835 $19.06 $28.99 701 Warren Gulley Jul-98 999999 999999 50.00 2,840 $58.99 $89.74

Overhead@ 0.26000

Total for CITY OF DEARBORN HEIGHTS~ JO. Edwards No.~ 500005

C:\Program Files\Signals\T raffic01_rpt Page 2 of 2

Total Billing

4202 148.73 48.05

148.73

$3,979.37

$1,034.64

$5,014.01

Page 105: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

Fund:

Payee:

Description:

Agenda: 1 0/23/12

Current Claims City of Dearborn Heights

Voucher Approval

General Fund

Winder Police Equipment

Equipment Installation

r1 APPRr,:JVEDFOR)

AGENDA OF I

1--·-~--~i i J 0-:;1,3- J ;;ti ~,,,_;:::~

Various Invoices for September 2012

Account Account Title 101-300-932-000 Repair/Maint Eqpt

Amount $17,079.40

Amount Budget Before Payment

$149,233.32

Requested By: Police Dept.

Comptroller Authorized Official

Concurrence

Daniel S. Paletko

Page 106: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

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Page 107: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

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Page 108: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

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mum ol .50 cenls is added lo all B<,emmls alte' 30

.,t 11\Giiul®r Poli<::e for lff""'

13200 REECK ROi\D o SOUTHGATE, Ml48i95 Phone: (734) 281·6800

Fax: (734) 281-9255

SMPIPOI'il the past 'if.'Llff'!L"!rS.

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1-,-llEARKORN lf'I'S POLICE CAI'T. .JEFF SEI PENi'\0 25fr37 i\iiiCIII<lAN AVE l.lEA.IUlORN lfi'S iVII 4Rl25

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[~u,:pmenl 13200 REECK ROAD " SOUTHGATE, Ml 48195

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INIJOICE

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oB.J~: W~ndew PoW~ee f~ffi'' your

(l

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slltlpporr~: ll:he past ~4 year5~

IN\IOICE

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r I H•:ARHORN 11'1'1> POLICE IJEf'T (~A It't'.. fl J•: F F S 1:,; I Pl··:T..J!'\(J 2511:17 MICHIOAN AVE i'H<Afi.gORN HTS M I 4fll25

i 3200 fiEECK ROAD o SOUTHGATE, Ml 48195 Phone: (734) 281-6800

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1 DEH'I'I'I l lf 38~3(121

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lH<ARBORt"<J I i'l't) POL I C~< DE t-aT CAPT .. ,JEFF Sf•:iPENt<O 256:17 iVIICHIOA.N AVE I JEAHHORN II'I'S iVII 48.125

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r.:. ~~, . ~,: 11{(:1:

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0 9,/2 fl/1

! SC ~ V'i I RF, CONf'-.J ECTORS 5 'I'F:Rt\1 i NAl :ot'ii Hi IT, T I I< WRM'S, ETC.

FOR !¥101} I F l f'{(} Cl!KI'OIVH<RN J! PMi<NT

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f'A Ill :\FTHl: OCT. Zil, 21) 12

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1: {l{ '

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:1240~05 .no .00 • 0 0 .00 ~241).05

PLEASE DETACH AND SEND THIS STUB WITH YOUR f-lEMITTANCE TO: equaling 24°/o or a mini­mum of 050 ce!'l~B is added to a[i accounts after 30

G~uipmenl 13200 REECK ROAD • SOUTHGATE, M148195

Phone: ("734) 281-6800 Fax: ("734) 281-8255

ail: Wffinderr !?q~ffiffic@;" for your s;uppe:!Htif the pl@St .44 years.

INVOICE

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13200 REECK FlOAD ~

- lli<:AIUIORN H'I'S I'OL ICE llEI"I' CAt':.'l 1

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41\.125 L

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UAnJer 13200 REECK ROAD' SOUTHGATE, Ml48195

Phone: (734) 281-6800 Fax: (734) 281-9255

INVOiCE

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1 20

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r fii•:ARBORN HTS f'Of, I CF Ill': I''!' t~AP'I 1 ~ rfEFF t.;t,:l Pt-<:NKO 2 5 fi :17 iVi i CHI fiAN AVJ<:

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i >EA.RBORN I' tTt-1 ~~~1 I 4X 1 25

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PLEASE DETACH AND SEND THIS STUB WITH YOUR REMITTANCE TO· 24°/o or a mini-mum of .50 cents is added to all

1

accmu11ts aner 30 i

l~uipmenl 13200 REECI< ROAD" SOUTHGATE, lVII 48195

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'

Gm'~ \ttff'Mnd~tr &fi©Uce for youw :tiMfril[)J.l\l"Jllfit the pa:&;t 44_ years"

!~\!VOiCE

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I 4812;) _j ,_

i'DEIITf'll llEAfUlORN liTH POLICE Df.:f''l' CAPT~ .1EFF SEIPENKO ?, 5 t) :i 7 i\111 Cli I OAN AVE i H<AHHORN H'l't-; 1\/ll

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PLEASE DETACH AND SEND THIS STUB WiTH YOUR REMITTANCE TO:

l:iuipmenl

.on A Service C:i11anJe il<ll!aimQ 24% annmmy,

acccam'ts after 30

13200 REECK ROAD' SOUTHGATE, Ml48195 Phone: (734) 281-6800

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?1.00

A huge :vnh§.ft~:~k .. "Y,~-&.1!! fll'~R'lru AU of us ;rar~ 't§W~rnde:r lf0oG~ce fow your

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Dl,:r\HHO!i.f'>J H'l'S POLl CE Olo:PT CAP''!'~ ,JEFF SEIPENI'\0 2fi f1;) 7 M I CH I OA N AVE

l~guipmenl 1:1200 REECK f10AD" SOUTHGATE, Ml48195

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IH•:A!UIOHN ll'I'H lVII

1 __ 48125 - Michiga11 's

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Fax: (734) 281-9255

IN\IOICE

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A Servk~e of 2°/o pe!r monUt, A ''i'h~niliti;; You b·om An of us PLEASE DETACH AND SEND THiS STUB W!TH YOUH REMITTANCE TO: equaling 24°/o anrn!la!lyl o~· a m~rni~ &mt ~tifh'r,@Jer Fc~Uce few· yourn"

mum of .50 cents is added to al! $UfPM'JHJ:»W''& the pas;t 4t£ill- 'if®@fliT'$~

INVOICE

13200 riEECK fiOAD o SOUTHGATE, Ml 48195 Phone: (734) 281-6800

Fax: (734) 281-9255

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2

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I H•:ARHORN H'I'H POl, ICE IHWI' CAPT ... JEFF f-iE I Pft:Nf<O

1;u1pmeru 13200 HEECI< HOAD, SOUTHGATE, Ml 48195

2 51i :17 M I Clll (JAI"<J AVE f >EARl 10i~N 1 ITS lVIl

Phono: (l34) 281-6800 Fax: (734) 28"1-9255

L 4?.125

II ll.:ll'l' I'll OEARHORN ll'I'S ~)Oil l CE DEPT Cr\P'l's rlEFF t-iEl pg_N}\0 251i:l7 MICilHlAN AVE IH•:ARBORN II'I'S M I

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iiOTh: LABOR fNCLdDEJJ l/2 HOUR FOR !Nt-iTALLATiON OF <i!<APH!qs

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PLEASE DETACH AND SEND THIS STUB WITH YOUH REMITl'ANCE TO: eq<"a<mg 2lP/o or a mm!·" at Willnder Pornflc@)} for you~r

i 3200 REECK ROAD ~ Phone: (734) 281-6800

Fax: (734) 281-9255

mum ol ,50 cenls is mlc!ed lo all SU!fJPCif'it th«~ past ~4-"'~ars~

INVOICE

Page 119: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

SHIP TO

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r-lmArwoRN H'l'i:i POLICh DFF'T CAf''l'. ,JEFF Sf.: I f'f.:Nl\0 256:17 MICHIUAN AVE Uf':AI:UlORN IJI'i:i Ml

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L~~;uipmenl 13200 fiEECI\ ROAD o SOUTHGATE, Ml48195

Phone: (734) 281--6800 Fax: (734) 281 -9255

501

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, __ _ \!ON T/\X MtJSL. iAXAllLE IVIUSL. SALL:S '!!\X I I I MiSCLLLANUJUS

.00 • 0 0

PLEASE DETACH AND SEND THIS STU8 WITH YOUR REMITTANCE TO· 24('Yo or a mini-rnum of .50 cents is added ~o al! accou nls alter 30

13200 REECK ROAD o SOUTHGATE, Ml 48195 Phone: (734) :!81-6800

Fax: (734) 2tl1-9255

I. IHJ

A hu@Je l'b_§.@_!f_Qlf_t;,._ '1f(!IU11_ fromn AU of us <Ed WWn@ew ~o~llice fofr' wour SM!}:~port'it the past 4_~JL~-~.rW:~

INVOICE

29:l1.il9

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4

r-1 lFAI!JIORN HTS POL I CF UF:f''l' CAPT. ,JEFF tiEl PENI\0 2!1637 MICHI(JAN AVE

1:3200 REE:CK ROAD o SOUTHGATE, Ml48195 Phone: (734) 281-6800

I H':Aitf!ORN II'I'S lVII Fax: (l:l4) ;.•s-1-9255

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S YK!'l~Jvl t (X JiVIPt JTER S\'STFM IIOOh UP,.

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WITH S:lOHACI' CLEPIR STROll!< TUIII<fi FOit Tlfl< FRONT ' ' N/S IT!<M iiJYNA iV!AX MTO HRKT FOR SPEA!<ER liNSTALLEH CliSTOMl·bi. Ml !tROt{ t1i<AM HOUS i t\lC:iS Of•iLY ~

0 llM" V·Ji S :iC2C JX)fVH< fv10tfNT i\NTLNNA ii02~ ll 1 A/~{/{.\ W/()[tS SlVfA CONN~ WHIT!<

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PLEASE DETACH AND SEf'\jO THIS STUB WITH YOUR REMITTANCE TO: A Service ~~:~';::~o~~l~2:~%: pelt' month) A huiftle T'hank ·~r©_u_ ~lli"\1:\lm AU of us ~N»oline 24°/o or a mini~ at Wffinder P«»~~©e fott' ~lJOIUW' mum of .50 cents [s added to ail §U@71¥JJart the past ::l...t1~wear~~ accounls aller 30

13200 REE:CK ROAD o SOUTHGATE, Ml48'195 Phone: (734) 28'1-6800

Fax: (734) 281-9255

INI/OICE

Page 121: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

SHIP TO

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L

r-· lH•:ARfiORN IITI:i POLICE I)Ef'T CAPT. ,J EIIF fih I PI':Nl\0 25637 i\IIICUHlAN AVf•:

13200 REECK f10AD "SOUTHGATE, Ml48195 Phone: (734) 28.1-6800

I l hARllOllN H'l't-; lVII

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!IRS

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08/17/12

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so .. no

"ON lAX IVIDSI_. SALES 11\X HliGHi MiSCl:::LLJ'\f\llOU:J

144fl.:l7 .00 • 110

PLEASE DETACH Af~D SEND TI-llS STUB WITH YOUR REMITTANCE TO:

.Oil .00

equaling 24'% o~· a min~­nmm of .50 cents is added to a!! accounts alter 30

13200 REECK I~OAD • SOUTHGATE, Ml48195 Phone: (7'34) 28.1-6800

Fax: (734) 281·9255

7

A h•~!l"' 11'hiBlok Yo!.! fr<~m All oil ;,ns iBlt WffindeW' !Pc.flnce for yeJlur

~l!MJl!PP«JJ~"ili: 'Ulle past ~4 .. Jtt~~Jr~~

INVOICE

144(L 37

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SHIP TO

SOLD TO

I

lli<:ARIIORN ll'I'S I'OL.ICE liEf''!' CAPT~ ~JEFF HEI PEi',Jl\0 25tl:i7 lVIICHiflAN AVE

0

(~'Jvu:pnwnl 13200 FIEECK ROAD~ SOUTHGATE, Ml48195

Phone: (734) 281··6800

U EA!UIORN II'I'S M I Fax: (734) 281·9255

4R 1 '1 c:: L ( c..., _j

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DEA ltBORJJ HT~ POLICE DE P'l' CAf''l'. ,JEFF SI•:IJ'i<:NKO 2 5 tl :l 7 11111 CH I UAN AVE IJEARBORN !ITS Ml

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i20 HOURS LABOR

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57 .. n :i .. 00 0

PLEASE DE'.TACH AND SEND THIS STUB WITH YOUR REMITTANCE TO:

A Serv~ce ""'~"'" 2:4°/o Oil £1!

mum ol .50 cenls is added lo all accounts afh?r 30

13200 REECK !'lOAD" SOUTHGATE, Ml48195 Phone: (734) 281-6800

Fax: (734) 281 ·9255

A iun~e "f'har~i< Y<n' from Ali of '"' iE!!i'it W~nder Po~mll:e folf your $UPJ~il'JHl'"il duwffng 'lli:he past ~4 V~@JTS~

Page 123: City of Dearborn Heights APPROVED FOR Description ... 10-23-12-ocr.pdf2010/12/23  · Project No: 11012-000179.00 Invoice No: 1167096 loss Control Services for !he City of Dearborn

CITY OF DEARBORN HEIGHTS 6045 FENTON • DEARBORN HEIGHTS, MICHIGAl'\J 48127 TELEPHONE (313) 791-3443 e FAX (313) 791-3441

Shiip To: ~~-

POLICE DEPARTMENT CITY OF DEARBORN HEIGHTS

25637 MICHIGAN AVENUE

DEARBORN HEIGHTS Ml 48125

VENDOR NO. 58030

v WINDER POLICE EQUIPMENT INC. ~ "13200 REECK ROAD 0 0 R SOUTHGATE

1 Quantity I Unit !Description

Ml 48195

PURCHASE ORDER

NO. 13-00138

Date: 0-7/01/12 *+*+*+*+*+*+*+*+*+*+

BLANKET PURCHASE ORDERS JULY 1, 2012 THROUGH JUNE 30, 2013 TO BE PAID MONTHLY

1 EACH TO COVER THE COST OF MISCELLANEOUS Unit Cost

$0.00 Total Cost J

$0.00 REPAIRS AND SUPPLIES FOR THE POLICE DEPARTMENT USE ONLY

101-300-932.000

LEE GAVIN DIRECT INQUIRIES TO

Total PO Amount .-----1

0 001 L__ ___ .J

PURCHASE ORDER NUMBER MUST APPEAR ON INVOICE. OR INVOICE WILL NOT BE PAID!

M.S.D.S. REQUIRED ON HAZARDOUS MATERIAL NOTE: ANY DEVIATION IN PRICE ON THIS ORDER MUST BE APPROVED BY THE CITY PURCHASING DIVISION PRIOR TO DELIVERY

OHIGINAL INVOICES TO: COMPUTROLLER'S OFFICE 60~-5 FENTO, DBN. HTS., MI 48127

2. EXEMPT FROM STATE/LOCAL AND FEDERAL TAXES: 38-1712300

> PURCHASE ORDER NUMBER MUST APPEAR ON ALL INVOICES, SHIPPERS, AND CORRESPONDENCES.

4. SUBSTITUTIONS NOT ACCEPTED VJITHOUT PRIOR APPROVAL.

5. PARTIAl, SHIPMENT WILL BE ACCEPTED IF INVOICED SEPARATELY. PAYMENT MADE UPON C0l'1PLETION OF PURCHASE ORDER.

6. ACKNOWLEDGMENT COPY MUST BE RETURNED BEFORE ORDER IS BINDING.