HomeMy WebLinkAbout207562 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 357683 Page 1 of 1
of ONE CIVIC SQUARE ON SITE SUPPLY CHECK AMOUNT: $473.44
ti CARMEL, INDIANA 46032 5546 SHOREWOOD DRIVE SUITE 101
INDIANAPOLIS IN 46220 CHECK NUMBER: 207562
CHECK DATE: 3/26/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 33684 239.23 OTHER EXPENSES
601 5023990 33685 234.21 OTHER EXPENSES
Invoice
5546 Shorewood Drive, Suite 101 Date Invoice
Indianapolis, IN 46220
3114/2012 33684
Bill To Ship To
City of Carmel Water Utilities City of Carmel Water Utilities
A1P 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 3/1412012
QTY Item Code Description UM Price Each B1'O Prev. invd Amount
2 W1N 1420 Center -Flow Hand Towels, 660 SheetslRL, 6RUCS CS 44.74 0 0 89.48
4 C16002QG -3XL Fluorescent lime mesh fabric 2" silver stripes Zipper EA 5.25 0 0 21.00
closure Left chest- pocket -3XL
5 C16002QG .XXL Fluorescent lime mesh fabric 2" silver stripes Zipper EA 5.25 0 0 26.25
closure Left chest pocket=
5 C16002QG -XL Fluorescent lime mesh fabric 2" silver stripes Zipper EA 5.25 0 0 2x5.25
closure Left chest pocket -XL
4 C16602QG -L Fluorescent lime mesh fabric 2" silver stripes Zipper EA 5.25 0 0 21.06
closure Left chest pocket -Large
1 GPC 193-78 COMPACT CORELESS BATH Tl SSUE 2 PLY CS 55.25 0 0 55.25.
18/1500S
Subtotal $239.23
Ott -Site Supply. is a certified Striall Disadvantaged Business (SDB)
Phone Fax E -mail Sales Tax (7.0 $0.00
317- 259 -7788 or 888- 259 -?788 317 259 -7700 orders @onsiteontime.com Total $239 23
Invoice
21
5545 Shorewood Drive, Suite 101 date Invoice
Indianapolis, W 45220
3/14/2012 33685
Bill To Ship To
City of Carmel Water Utilities City of Carmel WasteWater Utilities
A/P Dept. Attn: Jerry
3450 West 131 St. 5484 East 126th St.
Carmel, IN 46074 Carmel, IN 46033
P.O. Number Terms Rep Ship Via F.O.B.
Net 30 MCC 3114/2012
QT'Y Item Cade Description U/M Price Each BiO Prev. Invd Amount
4 WIN 1420 Center -Flow Hand Towels, 660 SheetsiRL, 6RL+'CS CS 44.74 0 0 178.96
1 GPC 193 -78 COMPACT CORELESS BATH TI SSUE 2 PLY CS 55.25 0 0 55.25
loi1�00S
S $234.21
On -Site Snppiy -is a "certified Sit" 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 $234.21
VOUCHER 114018 WARRANT ALLOWED
357683 IN SUM OF
ON SITE SUPPLY
5546 SHOREWOOD DRIVE
SUITE 101
INDIANAPOLIS, IN 46220
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
33684 01- 6200 -06 $239.23
3� g 6E bZcc>
Voucher Total -7 3 4 $2�t-
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 3/20/2012
INDIANAPOLIS, IN 46220
Invoke Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/20/2012 33684 $239.23
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and f have audited same in accordance with IC 5- 11- 10 -1.6
/2, 1-1
Date Officer