HomeMy WebLinkAbout249381 09/09/15 +o.coq*
CITY OF CARMEL, INDIANA VENDOR: 357683
;; ® i. ONE CIVIC SQUARE ON SITE SUPPLY CHECK AMOUNT: $ .....326.66*
CARMEL, INDIANA 46032 8728 ROBBINS ROAD CHECK NUMBER: 249381
9 INDIANAPOLIS IN 46268 CHECK DATE: 09/09/15
Mei Tp'ry i°'
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 51141 195.16 OTHER EXPENSES
601 5023990 51274 131.50 OTHER EXPENSES
Invoice
MUMMM
8728 Robbins Road Date Invoice#
Indianapolis, IN 46268 ----
8/17/2015 51 14 1
Bill To Ship To
City of Carmel Neater Utilities City of Carmel wastewater Utilities
A/P Dept. Attu:Jerry
3450 West 131 St. 4915 E I06TI-I ST
Carmel. IN 46074 Carmel, IN 46033
P.O. Number Terms Rep Ship Via F.O.B.
Net 30 NICC 8/17/2015
QTY Item Code Description U/M Price Each B/O Prev. Invd Amount
4 "'IN 1,120 Center-Plow Hand Towels. 660 Sheets/RL.6RL/CS CS 114.74 0 0 178.96
2 KRY U04 BX it OZ URINAL BLOCKS 12/BX 13X " 8,. 0 0 0 16.20
Subtotal $195.16
On-Site Supply is a certified Small Disadvantaged Business(SIM),and 8(a)certified
Phone# Fax^# Email . Sales Tax $0.00
317-259-7788 or 888-259-7788 317-259-7700 ordersn onsitcontime.com Total $195.16
® ® Invoice
EKEUMOM
8728 Robbins Road Date Invoice#
Indianapolis, IN 46268
8/26/2015 51274
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
P.O. Number Terms Rep Ship Via F.O.B.
Net 30 MCC 8/25/2015
QTY Item Code Description U/M Price Each B/O Prev. Invd Amount
1 60325 Citrus Select Hand Scrub 4(4 liter bottles)/case CS 69.00 0 0 69.00
1 63777 GERM-A-FOAM E2 ANTI-BACTERIAL FOAMING CS 62.50 0 0 62.50
SKIN CLEANSER,4 GALLONS/CS
i
i
i
i
i
_ Subto�l $131.50
On-Site Supply is a.certitied Small Disadvantaged Business(SDB),and 8(a)certified
Phone# Fax# E-mail Sales Ta ` $0.00
317-259-7788 or 888-259=7,•788 317-259-7700 ordersa onsiteontime.corn Total .$131.50
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 8/31/2015
INDIANAPOLIS, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/31/2015 51274 $131.50
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 Officer
VOUCHER # 152953 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
i
PO# INV# ACCT# AMOUNT Audit Trail Code
51274 01-6200-06 $131.50
Voucher Total 3 2���$
Cost distribution ledger classification if
claim paid under vehicle highway fund