HomeMy WebLinkAbout239333 11/19/14 a"•.&4gb
\� CITY OF CARMEL, INDIANA VENDOR: 357683
ONE CIVIC SQUARE ON SITE SUPPLY CHECK AMOUNT: $*******338.04'
9 ,_� CARMEL, INDIANA 46032 8782 ROBBINS ROAD CHECK NUMBER: 239333
MUTON�, INDIANAPOLIS IN 46268 CHECK DATE: 11119/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 46654 135.49 OTHER EXPENSES
601 5023990 46698 202.55 OTHER EXPENSES
InVoice
8728 Robbins Road Date Invoice
Indianapolis,IN 46268 - - 1;/5/2014 _ _ 46698
Bill To Ship To
City of Carmel Water Utilities City of Cannel Water Utilities
A/P Dept. Attn: Bruce
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 11/4/2014
QTY Item Code . Description D/M Price Each B/C Prev.invd amount
72 EN93 C Battery, 12/BX EA 0.85 -0 0 61.20
72 EN95 D Battery, 12/BX EA 1.05 0 _0 75.60
I DYM 42272 Scrubs in-a-Bucket,72/BK,6/cs CS 65.75 0 =: -0 - . 65.75
$202.55.}
.Gn=Site Supply is a_eerti:eEd Shall l)9sadvantaged Rusines•,(SDB),and 8(a)certified
4 1
Phone ' i I E-mail Sales
=17 259-7785 or 8�8=29.7 is,83?7-259-TIc;O orders@cn,itPcniic±me.com �j�, F $202:55
P-Mall
Invoice
8728 Robbins Road Date Invoice#
Indianapolis, IN 46268 - - -- - - - -
11/3/2014 46654 I
Bill To Ship To
City of Carmel Water Utilities City of Carmel Water Utilities
VP 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 I MCC 10/30/2014
QTY Item Code Description U/M Price Each B/O Prev. Invd Amount
I Wild 1420 Center-Flow Hand Towels,660 Sheets/RL,6FJ,/CS CS 44.74 0 0 44.74
I GPC 193-78 COMPACT CORELESS BATH TI 'SUE 2 PLV CS 55.75 01 0 55.75
18/15005
1 JAG VW3339X 33X39 White X-Heavy 150/CS CS 35.00 0 0 35.00
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_ _ -
- S0bt9l - _35 49
Off-Site°Supply is a.,.er.-tifie.d=Small.Disadva,taSed-•3nsiriess(-'SDB).-an_ii-%)certified` - --.
- Phone# Fa:# E-�-�a�l /o)
X17-259-7100 orde�srw�.nsi �nn�iecom I TCS _ $`135.:^ I
VOUCHER # 142248 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
46654 01-6200-06 , $135.49
4
Voucher Total 33%0�
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 11/10/2014
INDIANAPOLIS, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/10/201, 46654 $135.49
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