HomeMy WebLinkAbout205949 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 357683 Page 1 of 1
t ONE CIVIC SQUARE ON SITE SUPPLY CHECK AMOUNT: $142.01
CARMEL, INDIANA 46032 5546 SHOREWOOD DRIVE SUITE 101
INDIANAPOLIS IN 46220 CHECK NUMBER: 205949
CHECK DATE: 1/3112012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 330121 142.01 OTHER EXPENSES
44 Invoice
5546 Shorewood Drive, Suite 101 Date Invoice
Indianapolis, IN 46220
1/16/2012 33012
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 1/16/2012
QTY Item Code Description UOVI Price Each B/O Prev. Invd Amount
I WIN 1420 Center -Flow Hand Towels, 660 Sheets/RL, 6RLJCS CS 44.74 0 0 44.74
1 GPC 193 -78 COMPACT CORELESS BATH TI SSUE 2 PLY CS 55.24 0 0 55.24
18/1500S
I
1 ESS BRSX62B Can Liners, 38X60, 22Mic, 150 /CS CS 42.03 0 0 42.03
Q�
Subtotal $142.11
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 $142.01
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 1/23/2012
INDIANAPOLIS, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/23/2012 33012 $142.01
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 113502 WARRANT ALLOWED
357683 IN SUM OF
ON SITE SUPPLY
5546 SHOREWOOD DRIVE
SUITE 101 WATER
INDIANAPOLIS, IN 46220 olnoNS
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
33012 01- 6200 -06 $142.01
Voucher Total $142.01
Cost distribution ledger classification if
claim paid under vehicle highway fund