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237491 09/23/14
�d 4�qy \' CITY OF CARMEL, INDIANA VENDOR: 357683 1 ONE CIVIC SQUARE ON SITE SUPPLY CHECK AMOUNT: $*******273.53* ��4 CARMEL, INDIANA 46032 8782 ROBBINS ROAD CHECK NUMBER: 237491 M�iioN�, INDIANAPOLIS IN 46268 CHECK DATE: 09/23/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 45739 37.80 OTHER EXPENSES 601 5023990 45831 235.73 OTHER EXPENSES ' I -wl��� Invoice 8728 Robbins Road Date Invoice# Indianapolis,IN 46268 - 9/10/2014 45739 Bill To Ship To City of Carmel Water Utilities City of Carmel Water Utilities A/P Dept. Attn: Kerri 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 MCC 9/9/2014 QTY Item Code Description U/M Price Each B/O Prev. Invd Amcunt 36 EN95 D Battery, 12/SX EA 1.05 0 0 v 37.80 I I I I I ' i� I - - t I I I Subtotal $37.80 On-Site Supply is a certified Small Disadvantaged Business(SDB),and 8(a)certified ��E� Tax (7.0%) $0.00 Phcne## j .. FFi,c# E-mail 278&or 388 -7788 I 317-259-7700 erdersC.onsiteontime.com © a� 78G3177 . I Invoice 3728 Robbins Road Date Invoice# Indianapolis,IN 46268 - 9/16/2014 45831 Bill To Ship To City of Carmel Water Utilities City of Carmel Water Utilities A/P Dept. Attn: Kerri 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 MCC 9/15/2014 QTY Item Code Description UiM Price Each B/O Prev.Invd Amount 2 WIN 1420 Center-Flow Hand Towels,660 Sheets/RL,6RL/CS CS 44.74 0 0 89.48 1 GPC 193-78 COMPACT CORELESS BATH TI SSUE 2 PLY CS 55.751 0 0 55.75 18/1500S 1 UNS BW224 C-ECON CUT-END MOP RAYON LB24 1.25IN HB CS 55.50 0 0 55.50 WHI I I - - 1 ESS ST39 33X39 LD RL LNR.78G WH1 150/CS CS 35.00 0 0 35.00 i I - I _ Subtotal $235.73 _ - On Site Supply is a certified Sin-ill Disadvantaged Business(SDD),and 8(a)certified II Safes Tax (7.0%) $0.00 i Pho^e# ' 'FSx# E-mail I 317---259-7788 or 888-259-77.38 317-259'-7700 orders/'$ovsiteontimexom I 4ll _ $235:73- VOUCHER # 141757 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 45831 01-6200-06 $235.73 c f 5-1`39 q 3-7. Voucher Total -7i5fS3 $235.73 Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form No.201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show, kind of service, where performed, dates of service rendered, by whom, rates per day, number of units, price per unit, etc. . Payee 357683 ON SITE SUPPLY Purchase Order No. 5546 SHOREWOOD DRIVE Terms SUITE 101 Due Date 9/16/2014 INDIANAPOLIS, IN 46220 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/16/2014 45831 $235.73 I hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 Date Officer