HomeMy WebLinkAbout237931 10/08/14 Q
CITY OF CARMEL, INDIANA VENDOR: 357683
ONE CIVIC SQUARE ON SITE SUPPLY CHECKAMOUNT: 5***'***131.50*
CARMEL, INDIANA 46032 8782 ROBBINS ROAD CHECK NUMBER: 237931
INDIANAPOLIS IN 46268 CHECK DATE: 10/08/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 45984 131.50 OTHER EXPENSES
On -lice Invoice
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8728 Robbins Road Date Invoice#
Indianapolis,IN 46268
9/25/2013 45984-
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 9/24/2014
QTY Item Code Description U/M Price Each B/O Prev. Invd Amount
163777 GERM-A-FOAM E2 ANTI-BACTERIAL FOAMING CS I 62.50 0 0 62.50
SKIN CLEANSER,4 GALLONS/CS
1 60325 Citrus Select Hand Scrub 4(4 liter bottles)/case CS 69.00 01 0 69.00
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S U btotal $131.50
^,n-Site Supply is a cert:wed Smail Disadvantaged Business(St38),zna18(a)certified .
Phone# Fax# ._ I E-mail
78 s orders�c�unsitcomeom317-259-7788nr888-259 ; I Total $!31.50
VOUCHER # 141888 WARRANT# ALLOWED
IN SUM OF
357683 $
ON SITE SUPPLY
5546 SHOREWOOD DRIVE
SUITE 101 i
INDIANAPOLIS, IN 46220 I
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Carmel Water Utility {�
ON ACCOUNT OF APPROPRIATION FOR
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Board members
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PO# INV# ACCT# AMOUNT Audit Trail Code
45984 01-6200-06 $131.50
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Voucher Total $131.50
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 9/29/2014
INDIANAPOLIS, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/29/2014 45984 $131.50
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