249835 09/23/15 ,f CITY OF CARMEL, INDIANA VENDOR: 357683
d r ONE CIVIC SQUARE ON SITE SUPPLY CHECK AMOUNT: $**.....245.72*
?4 CARMEL, INDIANA 46032 8728 ROBBINS ROAD CHECK NUMBER: 249835
INDIANAPOLIS IN 46268 CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 51266 245.72 OTHER EXPENSES
EInvoice
8728 Robbins Road Date Invoice#
Indianapolis, IN 46268
8/25/2015 51266
Bill To Ship To
Cite 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 116074
P.O. Number Terms Rep Ship Via F.O.B.
Net 30 MCC 8/24/2015
QTY Item Code Description U/M Price Each B/O Prev. Invd Amount
3 WIN 1420 Center-Flow Hand Towels, 660 Sheets/RL,6RL/CS CS 411.74• (l 0 134.22
2 GPC 193-78 COMPACT CORELESS BATH. LSSUE 2 PLY_. CS. 55.75 0 0 1 1 1.50
- 18/1500S
Subtotal : $245.72
On-Site Supply-is a certified Small_Disadvantaged Business(SDB),and 8(a)certified
Phone# Fax# Email ;Sales'Tax X0.00
317-259-7788 or 888-259-7788 317-259-7700 orders10 onsiteontime.com Tota
$245.72
a�
r 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
r, 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 9/15/2015
INDIANAPOLIS, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/15/2015 51266 $245.72
kx.
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
'i//P/,Y
Date Officer
: VOUCHER # 153035 WARRANT # ALLOWED
357683 IN SUNT
,:.17
ON SITE SUPPLY \
5546 SHOREWOOD DRIVE
SUITE 101
INDIANAPOLIS, IN 46220
=,r
Carmel Water Utility v�----
" ON ACCOUNT OF APPROPRIATION FOR
Board members
x° PO# INV# ACCT# AMOUNT Audit Trail Code
sem;- 51266 01-6200-06 $245.72
z r
•�.`t
Voucher Total $245.72
Cost distribution ledger classification if
claim Paid under vehicle highway fund