HomeMy WebLinkAbout322791 03/12/18 ♦y u,...._,MF
CITY OF CARMEL, INDIANA VENDOR: 357683
ONE CIVIC SQUARE ON SITE SUPPLY CHECK AMOUNT: $*******191.21*
d. ?Q CARMEL, INDIANA 46032 8728 ROBBINS ROAD CHECK NUMBER: 322791
INDIANAPOLIS IN 46268 CHECK DATE: 03/12/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 66570 191.21 OTHER EXPENSES
VOUCHER NO. 174226 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 357683 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
ON SITE SUPPLY CITY OF CARMEL
8728 ROBBINS RD An invoice or bill to be properly itemized must show: kind of service,where performed,
INDIANAPOLIS, IN 46268 dates service rendered, by whom, rates per day,number of hours, rate per hour,
numbers of units, price per unit,etc.
Payee
191.21 357683 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR ON SITE SUPPLY Terms
Carmel Water Utility 8728 ROBBINS RD Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), INDIANAPOLIS, IN 46268
PO# ACCT# or bill(s)is(are)true and correct and that
the materials or services itemized thereon for DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
66570 01-6200-03 $191.21 and received except 2/21/2018 66570 $191.21
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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
Cost distribution ledger classification if claim paid motor vehicle highway fund.. 20_
Clerk-Treasurer
Invoice
- -
Safety-Janitorial-Industrial Date Invoice#
8728 Robbins Road
Indianapolis, IN 46268 2/9/2018 66570
Bill To Ship To
City of Carmel Water Utilities City of Carmel Water Utilities
A/P Dept. Attn:Jerry
3450 West 131 St. 4915 E 106TH s
Carmel, IN 46074 Carmel,IN 4603
P.O. Number Terms Rep Ship Via F.O.B.
Net 30 MCC 2/6/2018
QTY Item Code Description U/M rice Each B/O Prev. Invd Amount
4 WIN 1420 Center-Flow Hand Towels,660 Sheets/RL,6RL/CS CS 44.74 0 0 178.96
1 BWK 1001 Urinal Screen,Cherry Fragrance,Red, 12/Box BX 12.25 0 0 12.25
ROOSUVO
Date :
PO #
ACCT
Use : 4LA
ubtotal $191.21
On-Site Supply is a certified Small Disadvantaged Business(SDB),and 8(a)certified
Phone# Fax# E-mail Sales Tax (7.0%) $0.00
317-259-7788 or 888-259-7788 317-259-7700 orders@onsiteontime.com otal $191.21