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HomeMy WebLinkAbout157610 03/19/2008 CITY OF CARMEL, INDIANA VENDOR: 357683 Page 1 of 1 l ONE CIVIC SQUARE ON SITE SUPPLY CARMEL, INDIANA 46032 5546 SHOREWOOD DRIVE SUITE 101 CHECK AMOUNT: $87.12 INDIANAPOLIS IN 46220 CHECK NUMBER: 157610 DM CHECK DATE: 3/19/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 19424 87.12 OTHER EXPENSES Invoice 5546 Shorewood Drive, Suite 101 Date Invoice Indianapolis, IN 46220 3/6/200$ 19424 Bill To Ship To City of Camiel Wastewater Utilities City of Carmel WasteWater Utilities A/P Dept. attn: Steve Cook 3450 West 131 St. 3450 West 131 St. Westfield, W 46074 Westfield, IN 46074 P.O. Number Terms Rep Ship Via F.O.B. Net 30 MCC 3/6/2008 QTY Item Code Description U/M Price Each B/O Prev. Invd Amount 1 ESS BR3860SX high-Density, Clear 38x60 22N ic, 150 1CS CS 4235 0 0 42.35 1 ESS BR3340M 33X40 RL LINER, I2MIC,20125'S,CLR(334012 CS 44.77 0 0 44.77 Subtotal $87.12 On -Site Supply is a certified Small Disadvantaged Business (SDB) Phone Fax E -mail Sales Tax (6.0%) 0.00 317 -259 -7788 or 888- 259 -7788 317- 259 -7700 jo1mg@0nSite0nTime.com Total $87.12 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 3/10/2008 INDIANAPOLIS, IN 46220 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/10/2008 19424 $37.12 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 /oe C'—'� V Date Officer VOUCHER 081083 WARRANT ALLOWED 357683 IN SUM OF 4ON SITE SUPPLY 5546 SHOREWOOD DRIVE t,� Q SUITE 101 OPER0"s� INDIANAPOLIS, I 46220 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 19424 01- 6200 -03 $87.12 Voucher Total $87.12 Cost distribution ledger classification if claim paid under vehicle highway fund