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242366 02/17/15 ^' F, CITY OF CARMEL, INDIANA VENDOR: 357683 ® a ONE CIVIC SQUARE ON SITE SUPPLY CHECK AMOUNT: $*****1,423.73* CARMEL, INDIANA 46032 8728 ROBBINS ROAD CHECK NUMBER: 242366 INDIANAPOLIS IN 46268 CHECK DATE: 02/17/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 47806 1,232.50 OTHER EXPENSES 601 5023990 48027 191.23 OTHER EXPENSES Invoice 8728 Robbins Road Date Invoice# Indianapolis, IN 46268 2/11/2015 48027 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 Tell your friends and get rewarded! Any introductions that lead to an opening order of $100 will be rewarded by a $2.5 Visa Gift Card. P.O. Number Terms Rep Ship Via F.O.B. Net 30 MCC 2/9/2015 QTY Item Code Description U/M 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 55.75 0 0 55.75 18/1500S 1 BWK 385822BLK 38X58 H-DENSITY BLK 22 C EQV 6/25 CS 37.00 0 0 37.00 1 2910W-XL Vinyl Glove, 100/BX, X-Large, Powder FREE BX 4.50 0 0 4.50 1 2910W-M Vinyl Glove, 100/BX,Med, Powder-Free BX 4.50 0 0 4.50 I Subtotal $191.23 On-Site Supply is a certified Small Disadvantaged Business(SDB),and 8(a)certified Phone# Fax# E-mail Sales Tax $0.00 317-259-7788 or 888-259-7788 317-259-7700 ordersa onsiteontime.com Total $191.23 ® ® Invoice 8728 Robbins Road Date Invoice# Indianapolis, IN 46268 1/26/2015 47806 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 btv a$25 Visa (gift Card, P.O. Number Terms Rep Ship Via 'F.O.B. GH12215 Net 30 MCC 1/16/2015 QTY. Item Code t Description` U/M Price Each, B/O . Prev. tnvd , :Amount A 70 2850-00-M-OLim... 28"Lime Green Traffic Cone with base and Single 6" EA 16.75 0 0 1,172.50 Reflective Collar d 1 FRT. . Freight Q- _ i : i;0,- :60:00 O.pO `—r r I I I j i E _ Subtotal! f $1,232.50 On-Site Supply is a certified Small Disadvantaged Business(SDR),and 8(a)certified Phone# Fax,# E-mail Sales Irak $0.0 '–` 0 f f 317-259-7788 or 888-25.,)-7788 317- r259-770.0 orders onsiteontime.com Total ;' ii $1,232.50 , 1 I 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 2/11/2015 INDIANAPOLIS, IN 46220 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/11/2015 47806 $1,232.50 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 VOUCHER # 143009 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 47806 01-6200-06 $1,232.50 Voucher Total V. Cost distribution ledger classification if claim paid under vehicle highway fund