HomeMy WebLinkAbout208826 05/10/2012 CITY OF CARMEL, INDIANA VENDOR: 357683 Page 1 of 1
0 ONE CIVIC SQUARE ON SITE SUPPLY CHECK AMOUNT: $281.89
CARMEL, INDIANA 46032 5546 SHOREWOOD DRIVE SUITE 101
INDIANAPOLIS IN 46220 CHECK NUMBER: 208826
CHECK DATE: 5/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 34119 144.73 OTHER EXPENSES
601 5023990 34120 137.16 OTHER EXPENSES
Melee Invoice
5546 Shorewood Drive, Suite 101 Date Invoice
Indianapolis, IN 46220
411912012 34119
Bill To Ship To
City of Carmel Water Utilities City of Carmel Water Utilities
A/P Dept. Attn: Greg
3450 West 13I St. 3450 West 131 St.
Carmel, IN 46074 Carmel, IN 46074
P.O. Number Terms Rep Ship Via F.O.B.
Net 30 MCC 4/19/2012
QTY Item Code Description U/M Price Each B/O Prev. Invd Amount
2 WIN 1420 Center -flow Hand Towels, 660 Sheets /RL, 6RLJCS GS 44.74 0 0 89.48
1 GPC 193 -78 COMPACT CORELESS BATH TI SSUE 2 PLY CS 55.25 0 0 55.25
1811500S
Subtotal $144.73
]n -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 customerservice @onsiteontime.c... Total $144.73
a A Invoice
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5546 Shorewood Drive, Suite 101 Date Invoice
Indianapolis, IN 46220
4/19/2012 34120
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 4/19/2012
QTY Item Code Description U/M Price Each B/O Prev. Invd Amount
8 19361 AMERICANA 4PT RATCHET WHITE EA 7.62 0 0 %96
10 19366 AMERICANA 4PT RATCHET BLUE EA 7.62 0 0 76.20
Subtotal $137.16
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 customers ervic e @onsite ontime. c... Total $137.16
c
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 5/1/2012
INDIANAPOLIS, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/1/2012 34119 $144.73
hereby certify that the attached invoice(s), or bill(s) is (are) true and
,orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
S� Z'
Date Officer
VOUCHER 114439 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
34119 01- 6200 -06 $144.73
't t
3 l 1 �O 11 `C
Voucher Total I gqf 73
Cost distribution ledger classification if
claim paid under vehicle highway fund