HomeMy WebLinkAbout209631 06/05/2012 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: $142.02
INDIANAPOLIS IN 46220 CHECK NUMBER: 209631
CHECK DATE: 61512012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 34575 142.02 OTHER EXPENSES
o Invoice
5546 Shorewood Drive, Suite 101 Date Invoice
Indianapolis, IN 46220
512912012 34575
Bill To Ship To
City of Carmel Water Utilities City of Carmel Water Utilities
A/P Dept, Attn: Greg
3450 West 131 St. 3450 Nest 131 St.
Carmel, IN 46074 Carmel, IN 46074
P.O. Number Terms Rep Ship Via F.O.B.
Net 30 MCC 512912012
QTY Item Code Description U/M Price Each B/O Prev. Invd „mount
1 WIN 1420 Center -Flow Hand Towels, 660 Sheets /RL, 6RUCS CS 44.74 0 0 44.14
1 GPC 193 -78 COMPACT CORELESS BATH TI SSUE 2 PLY CS 55.25 0 0 55.25
18/1500S
1 ESS BRSX62B Can Liners, 38X60, 22Mic, 150 /CS CS 42.03 0 0 42.03
Subtotal $14102
On -Site Supply is a certified Small Disadvantaged Business (SDB)
Phone Fax E -mail Sales Tax (7.0
317 -259 -7788 or 888 259 -7788 317 259 -7700 orders @onsiteontime.com Total $14102
VOUCHER 121049 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
34575 01- 6200 -06 $142.02
f
d
Voucher Total $142.02
Cost distribution ledger classification if
claim paid under vehicle highway fund
J
'1
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 5/29/2012
INDIANAPOLIS, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/29/2012 34575 $142.02
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