HomeMy WebLinkAbout203970 11/21/2011 CITY OF CARMEL, INDIANA VENDOR: 357683 Page 1 of 1
ONE CIVIC SQUARE ON SITE SUPPLY
CARMEL, INDIANA 46032 5546 SHOREWOOD DRIVE SUITE 101 CHECK AMOUNT: $289.95
INDIANAPOLIS IN 46220
CHECK NUMBER: 203970
CHECK DATE: 11/21/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 32361 289.95 OTHER EXPENSES
I nvoice
5546 Shorewood Drive, Suite 101 Date Invoice
Indianapolis, IN 46220
111912011 32361
Bill To Ship To
City of Carmel Water Utilities City of Carmel Water Utilities
A/P Dept, Attn: Bruce
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 11/9/2011
QTY Item Code Description U/M Price Each 8/0 Prev. Invd Amount
144 EN 95 D Battery, 12/BX EA 1.05 0 0 151.20
1 DYM 42272 Scrubs In- a- Bucket, 72 113K, 6 /cs EA 59.75 0 0 59.75
1 GOJ 7265 GoJo Multi -Green 2000ML, 4 Refills /CS CS 79.00 0 0 79.00
W�
Subtotal $289.95
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 Total $289.95
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 11/14/2011
INDIANAPOLIS, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/14/201' 32361 $289.95
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 er
VOUCHER 112966 WARRANT ALLOWED
357683 IN SUM OF
ON SITE SUPPLY
5546 SHOREWOOD DRIVE
SUITE 101 pp RA S
INDIANAPOLIS, IN 46220
Carmel Water Utility i
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
32361 01- 6200 -06 $289.95
Voucher Total $289.95
Cost distribution ledger classification if
claim paid under vehicle highway fund