HomeMy WebLinkAbout258490 05/10/16 �ur_£�gM
CITY OF CARMEL, INDIANA VENDOR: 357683
® 'I' ONE CIVIC SQUARE ON SITE SUPPLY CHECK AMOUNT: S****"**192.41
`'%�roN ��; CARMEL, INDIANA 46032 8728 INDIANAPOLIS IN 46268 CHECK DAS ROAD CHECK TE: 05/810/016
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601- 5023990 55823 192.41 OTHER EXPENSES
VOUCHER # 161358 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
55823 01-6200-06 $192.41
Voucher Total $192.41
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 5/2/2016
INDIANAPOLIS, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/2/2016 55823 $192.41
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
_.Sib
.:invoice
8728 Robbins Road
Date.:- _. Invoice#
Indianapolis,IN 46268
4/20/20 6-_ : . 55823
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:. 4/8/2016
QTY Item Code'- Description . U/M Price Each B/O Prev._Invd Amount
0 HP441IOV Vented Hard Hat 4pt Ratchet Suspension,.White EA' 8.99 3 : -0- 0.00
9 HP44160V Vented Hard Hat Opt Ratchet Suspension,Blue- EA. 8:99 0- .- 0 80.91
2 GPC 193-78 COMPACT CORELESS-BATH TI SSUE:2 PLY CS 55.75 0 - 0 111.50
=18/15.005 =
Subtotal 92.41
On-Site Supply is a certified Small-(Disadvantaged Business(SBB),and 8(a)certified
Phone# Fax# : - E-mail I Sales ®%o)^ $0.00
317-259-7788 or 888-259-7788: 317-259-7700 orders @onsitcontime.com. ! o$a l_
Packing Slip
8728 Robbins Road Date. :. S.O. No.
Indianapolis; IN 46268 _... ..
4%8/261.6 .174376
Ship.To
City of Carmel Water Utilities
Attn:Greg--
3450
reg3450 West 131 St.
Carmel,IN 46074
P.O:No. Ship Date Ship Via FOB -
4/8/2016
Item' Description Ordered': Previous Shipped U1w Shipped .
HP441 IOV-.- Vented Hard Hat 4ptRatchet Suspension,White 3 0 EA 0
HP44160V. Vented Haid Hat Opt Ratchef Suspension,Blue .9 0 EA 9
GPC 193-78 COMPACT CORELESS BATH TISSUE 2 PLY 2 0 CS 2
18/1500S
1(9
Signature— --- —--- —
I,. Phone-# Fax#: - E-mail Web-Site---
317-259-7.788 or... 317-259-7700 johngea onsiteontime.com www.OnS;teOnTime.com