HomeMy WebLinkAbout171971 04/29/2009 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: $212.22
INDIANAPOLIS IN 46220
CHECK NUMBER: 171971
CHECK DATE: 4129/2009
C C (J cPARTMENT ACCOUNT PO NUMBER INVOI NUMB AMOUNT DESCRIPTION
601 5023990 22823 212.22 OTHER EXPENSES
t
Invoice
5546 Shorewood Drive, Suite 101 Date Invoice
Indianapolis, IN 46220
4/3/2009 22823
Bill To Ship To
City of Carmel Wastewater Utilities City of Carmel WasteWater Utilities
A/P Dept. Attn: Greg
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 4/3/2009
QTY Item Code Description U/M Price Each B/O Prev. Invd Amount
2 ESS BRSX62B Can Liners, 38X60, 22Mic, 150 /CS CS 42.03 0 0 84.06
2 BWK 6400 CENTERPULL- TOWEL- 2PLY -66 0 (6) CS 35.46 0 0 70.92
1 GPC 193 -78 COMPACT CORELESS BATH Tl SSUE 2 PLY CS 57.24 0 0 57.24
18/1500S
Subtotal $212.22
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 johng @OnSiteOntime.com Total $212.22
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
1
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, D
price per unit, etc.
Payee
357683
ON SITE SUPPLY Purchase Order No.
5546 SHOREWOOD DRIVE Terms
SUITE 101 Due Date 4/16/2009
INDIANAPOLIS, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/16/2009 22823 $212.22
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and 1 have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
Vq,UCHER 091570 WARRANT ALLOWED
357683 El? IN SUM OF
ON SITE SUPPLY
5546 SHOREWOOD DRIVE J�� {r gz
SUITE 101
INDIANAPOLIS, IN 46220
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
22823 01- 6200 -06 $212.22
Voucher Total $212.22
Cost distribution ledger classification if
claim paid under vehicle highway fund