HomeMy WebLinkAbout252076 1 2/02/1 5 ,y' "** CITY OF CARMEL, INDIANA VENDOR: 357683
1 ONE CIVIC SQUARE ON SITE SUPPLY CHECK AMOUNT: $****'***45.60*
;. �� CARMEL, INDIANA 46032 8728 ROBBINS ROAD CHECK NUMBER: 252076
9.y��TaN�,? INDIANAPOLIS IN 46268 CHECK DATE: 12/02/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 52795 45.60 OTHER EXPENSES
Invoice
- -
8728 Robbins Road Date Invoice#
Indianapolis, IN 46268
11/19/2015 52795
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 11/17/2015
QTY Item-Code Description. U/M Price Each B/O Prev. lnvd Amount
24 EN95 D Battery, 12/BX EA 1.05 0 0 25.20
24 EN93 C.Battery, 12/13X EA 0.85 0 0 20.40
j
----- _ :- .45.60
Subtotal
z:Qn-Site Supply is a-certified Small-Disadvantaged Business(SDS),-and 8(a)certified
=: Phone# Fax# E-mail Sales Tai( $0.00
�����-259 - $45.60317-259-7788 or,888 7 ' u
VOUCHER # 153629 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
52795 01-6200-06 $45.60
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Voucher Total $45.60 j
Cost distribution ledger classification if
claim paid under vehicle highway fund j
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 11/20/2015
INDIANAPOLIS, IN 46220
Invoice Invoice De'scription
Date Number (or note attached invoice(s) or bill(s)) Amount
11/20/201,' 52795 $45.60
r
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
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Date Officer