HomeMy WebLinkAbout190411 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 357683 Page 1 of 1
0 ONE CIVIC SQUARE ON SITE SUPPLY
i. CARMEL, INDIANA 46032 5546 SHOREWOOD DRIVE SUITE 101 CHECK AMOUNT: $99.22
INDIANAPOLIS IN 46220 CHECK NUMBER: 190411
CHECK DATE: 9/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 27575 99.22 MATERIALS SUPPLIES
Invoice
5546 Shorewood Drive, Suite 1.01. Date Invoice
Indianapolis, TN 46220
9/10/2010 27575
Bill To Ship To
City of Carmel Water Utilities City of Carmel Water Utilities
A/P Dept. Alan_ 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 9/10/2010
CITY Item Code Description U/M Price Each B/O Prev. Invd Amount
1 W1N 1420 Center -blow Hand "rowels, 660 Sheets/RL, 6RL /CS CS 44.74 0 0 44.74
2 GPC 193 -78 COMPACT CORF.LESS BATH Tl SSUE 2 FLY CS 27.24 0 0 54.48
18/15005
Subtotal $49.22
On -Site Supply is a certified Small Disadvantaged Business (SDB)
Phone Fax E -mail Sales Tax (7.0 $0.00
317 259 -7788 or 888- 259 -7788 317 -259 -7700 orders @OnSiteOntime.com I.®$a P $99.22
VOUCHER 102803 WARRANT ALLOWED
357683► IN SUM OF
ON SITE SUPPLY
5546 SHOREWOOD DRIVE 0
SUITE 101
INDIANAPOLIS, IN 462
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
27575 01- 6200 -06 $99.22
i
Voucher Total $9922
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 9/20/2010
INDIANAPOLIS, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/20/2010 27575 $99.22
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
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Date 6 ff v i ce