HomeMy WebLinkAbout241107 01/13/15 CITY OF CARMEL, INDIANA VENDOR: 357683
CHECKAMOUNT: $********41.70*
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ONE CIVIC SQUARE ON SITE SUPPLYCARMEL, INDIANA 46032 8782 ROBBINS ROAD CHECK NUMBER: 241107
INDIANAPOLIS IN 46268 CHECK DATE: 01/13/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 47273 41.70 OTHER EXPENSES
Oh-Sime Invoice
8728 Robbins Road Date Invoice#
Indianapolis, IN 46268
12/15/2014 47273
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
Tell your friends and_get rewarded! Any introductions.that lead to an opening order of _
$100 will be rewarded by a$25 Visa.Gift Card.
P.O. Number Terms Rep Ship Via F.O.B.
Net 30 MCC 12/10/2014
QTY Item Code Description U/M Price Each B/O Prev. Invd Amount
I IBS VALH3860K... ROLL LINER 38X60 22MI 6/25 BLACK CS 41.70 0 0 41.70
Subtotal $41.70
On-Site Supply is a certified Small.Disadvantaged Business(SDB),and 8(a)certified
Phone# i` Fax# E-mail Sales Tax; $0.00
317-259-7788 or 888-259-,7788 317-259-7700 orders@onsiteontime.com Total !i $41.70
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VOUCHER # 142596 WARRANT# + ALLOWED
357683 I IN SUM OF $
ON SITE SUPPLY
S#f. 672-6 h
INDIANAPOLIS, IN 46 0 4R6T �I
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Carmel Water Utility ;I
ON ACCOUNT OF APPRO IATION FOR +
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1 Board members
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PO# INV# ACCT# AMOUNT Audit Trail Code
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47273 01-6200-06 $41.70
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Voucher Total $41.70
Cost distribution ledger classification if
claim paid under vehicle highway fund
4
II� 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 12/29/2014
INDIANAPOLIS, IN 46220
a
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/29/201, 47273 $41.70
1 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 [/6fficEW