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HomeMy WebLinkAbout164863 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: 357683 Page 1 of 1 \yf ONE CIVIC SQUARE ON SITE SUPPLY CHECK AMOUNT: $299.64 i•.��o CARMEL, INDIANA 46032 5546 SHOREWOOD DRIVE SUITE 101 INDIANAPOLIS IN 46220 CHECK NUMBER: 164863 CHECK DATE: 10/16/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 21310 168.74 OTHER EXPENSES 601 5023990 21362 25.20 OTHER EXPENSES 601 5023990 21363 10.00 OTHER EXPENSES 601 5023990 21375 95.70 OTHER EXPENSES Invoice 5546 Shorewood Drive, Suite 101 Date Invoice Indianapolis, IN 46220 9/25/2008 21310 Bill To Ship To City of Carmel Wastewater Utilities City of Carmel WasteWater Utilities A/P Dept. Attn:Bruce 3450 West 131 St, 3450 West 131 St_ Westfield, IN 46074 Westfield, IN 46074 P.O. Number Terms Rep Ship Via F.O.B. Net 30 MCC 9/25/2008 QTY Item Code Description U/M Price Each B/O Prev. Invd Amount 1 EXI 7121 CLOCK,WALL,QTZ,14 ",BK EA 19.87 0 0 19.87 96 EN95 ID Battery, 12BX EA 1.05 24 0 100.80 1 24 -CXL Kidskin `11G Glove, 4" Cuff PR 12.17 0 0 12.17 1 SAN T400TBK CLASSIC CENTR -PULL TWL DISPNSR,TRANS EA 35.90 0 0 35.90 PEARL BLCK Subtotal $168.74 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 johng @OnSiteOntime.com Total $168.74 Invoice 5546 Shorewood Drive, Suite 101 Date Invoice Indianapolis, IN 46220 10/1/2008 21363 Bill To Ship To City of Carmel Wastewater Utilities City of Carmel Wastewater Utilities A/P Dept- Attn: Greg 3450 West 131 St_ 3450 West 131 St. Westfield, IN 46074 Westfield, IN 46074 P.O. Number Terms Rep Ship Via F.O.B. Net 30 MCC 10/!/2008 QTY Item Code Description U/M Price Each B/O Prev. Invd Amount 1 1551 -11 PVC Steel Toe Boot, Size 11 PR 10-00 0 0 10.00 Subtotal $10.00 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 joking @OnSiteOntime.com Total $10.00 Invoice 5546 Shorewood Drive, Suite 101 Date Invoice Indianapolis, IN 46220 10/1/2008 21362 Bill To Ship To City of Cannel WasteWater Utilities City of Carmel WasteWater Utilities A/P Dept. Atttr:Bnrce 3450 West 131 St, 3450 West 131 St. Westfield, IN 46074 Westfield, IN 46074 P.O. Number Terms Rep Ship Via F.O.B. Net 30 MCC 10/1/2008 QTY Item Code Description U/M Price Each B/O Prev. lnvd Amount 0 EXI 7121 CLOCK,WALL,QTZ,14 ",BK EA 19.87 0 1 0.00 24 EN95 D Battery, 12BX EA 1.05 0 96 25.20 0 24-CXL Kidskin TIG Glove, 4" Cuff PR 12.17 0 1 0.00 0 SAN T400TBK CLASSIC CENTR -PULL TWL DISPNSR,TRANS EA 35.90 0 1 0.00 PEARL BLCK Subtotal $25.20 On -Site Supply is a certified Small Disadvantaged Business (SDB) Phone Fax E -mail Safes Tax (7.0 $0.00 317 -259 -7788 or 888- 259 -7788 317 -259 -7700 joking @OnSiteOntime.com Total $25.20 Invoice 5546 Shorewood Drive, Suite 101 Date invoice Indianapolis, IN 46220 10/2/2008 21375 Bill To Ship To City of Camiel WasteWater Utilities City of Cannel WasteWater Utilities A/P Dept. Attn: Jamie 3450 West 131 St_ 5484 East 126th St_ Westfield, IN 46074 Cannel, IN 46033 P.O. Number Terms Rep Ship Via F.O.B. Net 30 MCC 10/2/2008 QTY Item Code Description U/M Price Each BIO Prev. Invd Amount 1 GOJ 1204 GOJO CARTRIDGE DISPENSER EA 15.55 0 0 1555 1 GOJ 0975 GOJO ORANGE CREME W/PUMICE 6/4.51,13 CS 80.15 0 0 80.1.5 l v I Subtotal $95.70 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 johng @OnSiteOntime.com Total $95.70 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, t price per unit, etc. Payee 357683 ON SITE SUPPLY Purchase Order No. 5546 SHOREWOOD DRIVE Terms SUITE 101 Due Date 10/7/2008 INDIANAPOLIS, IN 46220 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/7/2008 21310 $168.74 fY r 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 083275 WARRANT ALLOWED 357683 V. AER IN SUM OF ON SITE SUPPLY 5546 SHOREWOOD DRIVE p SUITE 101 PEER INDIANAPOLIS, IN 46220 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 21310 01- 6200 -06 $166.74 �13t� a •L�� o cn �,a.0 a_ Voucher Total �G� $X.74 Cost distribution ledger classification if claim paid under vehicle highway fund