HomeMy WebLinkAbout179355 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 357683 Page 1 of 1
ONE CIVIC SQUARE ON SITE SUPPLY
CHECK AMOUNT: $135.00
CARMEL, INDIANA 46032 5546 SHOREWOOD DRIVE SUITE 101
INDIANAPOLIS IN 46220 CHECK NUMBER: 179355
CHECK DATE: 11/11/2009
D EPARTMENT ACCOUNT PO NUMBER IN VOICE NUMBER AMOUNT DESCRIPTION
-2201 4356001 24625 135.00 UNIFORMS
Invoice
5546 Shorewood Drive, Suite 101 Date Invoice
Indianapolis, IN 46220
10/28/2009 24625
Bill To Ship To
City of Carmel Street Department City of Carmel Street Department
3400 West 131 st. Street Attn: Jim Hobbs
Westfield, IN 46074 3400 West 131st. Street
Westfield, IN 46074
F
P.O. Number Terms Rep Ship Via F.O.B.
Net 30 MCC 10/28/2009
QTY Item Code Description U/M Price,Each B/O Prev. Invd Amount
w
12 475361 MSA V Guard W/Fas -Trac Suspension Orange EA 11.25 0 0 135.00
Subtotal $135.00
On -Site Supply is a certified Small Disadvantaged Business (SDB)
Phone# Fax E -mail Sales Tax (7.0%) $0.00
E317-259-7788 or 888 -259 -7788 J17-259-7700 john-,@CmSiteOntime.com Total $135.00
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/28/09 24625 $135.00
1 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
20
Clerk- Treasurer
VOUCHER NO. WAR NO.
ALLOWED 20
On -Site Supply
IN SUM OF
5446 Shorewood Drive, Suite 101
In,:- ianapolis, IN 46220
$135.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 24625 43- 560.01 $135.00 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
T ursday, /Nove be 0 5, 2009
s
)0/
Street Commissioner
Street Tit %mmissloner
Cost distribution ledger classification if
claim paid motor vehicle highway fund