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CITY OF CARMEL, INDIANA VENDOR: 357683 Page 1 of 1
ONE CIVIC SQUARE ON SITE SUPPLY
5546 SHOREWOOD DRIVE SUITE 101 CHECK AMOUNT: $70.30
CARMEL, INDIANA 46032
INDIANAPOLIS IN 46220 CHECK NUMBER: 155451
CHECK DATE: 1/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 18704 70.30 MATERIALS SUPPLIES
E,
On-Site
Invoice
5546 Shorewood Drive, Suite 101 Date Invoice
Indianapolis, IN 46220
12/19/2007 18704
Bill To Ship To
City of Carmel WasteWater Utilities City of Carmel WasteWater Utilities
A/P Dept. attn: Steve Cook
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 12/19/2007
QTY Item Code Description U/M Price Each B/O Prev. Invd Amount
2 WIN 1420 Center -Flow Hand Towels, 660 Sheets/RL, 6RUCS CS 35.15 0 0 70.30
LP
Subtotal $70.30
On -Site Supply is a certified Small Disadvantaged Business (SDB)
Phone Fax E -mail Sales Tax (5.0 0 /6) $0.00
317 -259 -7788 ox 888 259 -7788 317 259 -7700 johng@OnSiteOnTime.com Total $70.30
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 f
357683
ON SITE SUPPLY Purchase Order No.
5546 SHOREWOOD DRIVE Terms
SUITE 101 Due Date 12/27/2007
INDIANAPOLIS, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/27/200; 18704 $70.30
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
e Cl-,,A?
Date Officer
VOUCHER 074262 WARRANT ALLOWED
357683 IN SUM OF
Vol
ON SITE SUPPLY
5546 SHOREWOOD DRIVE �f
SUITE 101 ®'®�Fi��e®
INDIANAPOLIS, IN 46220
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
P INV ACCT AMOUNT Audit Trail Code
V
18704 01- 6200 -06 $70.30
Voucher Total $70.30
Cost distribution ledger classification if
claim paid under vehicle highway fund