HomeMy WebLinkAbout253947 01/26/16 `% ' p''� CITY OF CARMEL, INDIANA VENDOR: 357683
J.® ONE CIVIC SQUARE ON SITE SUPPLY CHECK AMOUNT: $*******339,22*
r. ,_� CARMEL, INDIANA 46032 8728 ROBBINS ROAD CHECK NUMBER: 253947
9.y`,��oN�. INDIANAPOLIS IN 46268 CHECK DATE: 01126/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 54235 339.22 OTHER EXPENSES
® � Invoke
.8728 Robbins Road Date Invoice#
Indianapolis, IN 46268
1/14/2016 . 54235
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 1/13/2016
QTY Item Code Description U/M Price Each B/O -Pr-ev.-Invd Amount
3 WIN 1420 Center-Flow Hand Towels,660 Sheets/RL,.6RL/CS CS 44.74 0 : 0 134.22
2 GPC 193-78 COMPACT CORELESS BATH TI SSUE 2 PLY CS 55.75 . :-- :0 - 111.50
18/1500S -
1 IBS VALH3860K... ROLL LINER 38X60 22MI 6/25 BLACK CS 41.25. 0 _ 0 41.25
1- I-334016N 33 Gal:Trash Can Liners,250/CS CS 25.00 0 0 -25.00
1 I-243308N 13 Gal.Trash Can Liners,1000 CS CS 27.25 0 :0 - - 27.25
su63totai _=$339.22
On-Site Supply is a-certified Smail-Di-advantaged-Business(SDB),and 8(a)certified -
SaIes' :Tax
Phone# - `Fd)C#-- E-mail �-
317-259-7788 or-888-259=7788 317=259-7700 orders@onsiteontime.com _ Tota $339.22 :_
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 1/21/2016
INDIANAPOLIS, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/21/2016 54235 $339.22
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# 154128 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 y, Audit Trail Code
i.
54235 01-6200-06 $339.22
Voucher Total $339.22
Cost distribution ledger classification if
claim paid under vehicle highway fund