HomeMy WebLinkAbout231349 04/08/2014 ,tia.�r c�q�A` '
a,; CITY OF CARMEL, INDIANA VENDOR: 357683
® r ONE CIVIC SQUARE ON SITE SUPPLY CHECK AMOUNT: $*******169.22-
CARMEL,CARMEL, INDIANA 46032 8782 ROBBINS ROAD CHECK NUMBER: 231349
*M(*ury�o.r INDIANAPOLIS IN 46268 CHECK DATE: 04/08/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 42988 169.22 OTHER EXPENSES
Invoice
8728 Robbins Road Date I Invoice#
Indianapolis, IN 46268
3/24/2014 - 42988
Bill To Ship To
City of Carmel Water Utilities City of Carmel Water Utilities
A/P Dept. Attn:Greg
3450 West 131 St. 3450 West 131 St.
Carmel, IN 46074 Carmel,IN 46074
P.O. Number Terms Rep Ship Via F.O.B.
Net 30 I MCC 3/21/2014
QTY Item Code Description U/M Price Each B/O Prev. Invd Amount
3 WIN 1420 Center-Flow Hand Towels,660 Sheets/RL,6RL/CS CS 44.74 0 0 134.22
0 BWK 385822BLK 38X58 H-DENSITY BILK 22 C EQV 6/25 CS 37.00 1 0 0.00
1 ESS ST39 33X39 LD RL LNR.78G WHI 150/CS CS 35.00 0 0 35.00
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S u btota l $i 69.22
On-Site Supply is a certified Small-Disadvantaged Business(SDB)
Phona,# F_ax# E-mail Sales:Tax (7.0%) $0.00
317-259-7788 or 888-259-7788 317-259-7700 ordersn)onsiteontime.com Total $169.22
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
357683
ON SITE SUPPLY Purchase Order No.
5546 SHOREWOOD DRIVE Terms
SUITE 101 Due Date 3/31/2014
INDIANAPOLIS, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/31/2014 42988 $169.22
I hereby certify that the attached invoice(s), or bill(s) is (are)true and
correct and I have audited same in accordance with IC 5-11-10-1.6
Date O icer
VOUCHER # 134570 WARRANT # ALLOWED
357683 IN SUM OF $
ON SITE SUPPLY
5546 SHOREWOOD DRIVE
SUITE 101
INDIANAPOLIS, IN 46220
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
42988 01-6200-06 $169.22
Voucher Total $169.22
Cost distribution ledger classification if
claim paid under vehicle highway fund