HomeMy WebLinkAbout197762 05/26/2011 CITY OF CARMEL, INDIANA VENDOR: 357683 Page 1 of 1
�r ONE CIVIC SQUARE ON SITE SUPPLY CHECK AMOUNT: $244.60
CARMEL, INDIANA 46032 5546 SHOREWOOD DRIVE SUITE 101
INDIANAPOLIS IN 46220 CHECK NUMBER: 197762
CHECK DATE: 5/26/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 30268 244.60 OTHER EXPENSES
Invoice
5546 Shorewood Drive, Suite 101 Date invoice
Indianzipolis, IN 46220
5/1312011 30263
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 5/1312011
QTY Item Code Description U1M Price Each 810 Prev. Invd Amount
3 291OW -L Vinyl Glove, 1001BY Large, Powder- FREE BX 4.50 0 0 1150
1 ESS BR3340X 33X40 RL LINER,I7MIC,10125 S,CLR CS 36.46 0 0 36.46
2 WIN 1420 Center -Flow Hand Towels, 660 SheetslRL, 6RUCS CS 44.72 0 0 89.44
1 OPC 193 -78 COMPACT CORELESS BATH TI SSUE 2 PLY CS 55.24 0 0 55.24
1811.500S
1 UNS 20240 Mop Heads, 424 Cotton Mop Head CS 49.96 0 0 49.96
Subtotal $244.60
On -Site Supply is a certified Small Disadvantaged Business (SDB)
Phone Fax E -mail
Sales Tax (7.0 $0.00
60
317- 259.7788 or 888 259 -7788 317- 259 -7700 sales @OnSiteOntime.com 'fatal $244.
VOUCHER 111212 WARRANT ALLOWED
357683 IN SUM OF
ON SITE SUPPLY
5546 SHOREWOOD DRIVE WWA7M
SUITE 101 OPERA170NS
INDIANAPOLIS, IN 46220
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
30268 01- 6200 -06 8244.60
Voucher Total $244.60
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 5/17/2011
INDIANAPOLIS, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/17/2011 30268 $244.60
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 icer