HomeMy WebLinkAbout211408 07/31/2012 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: $94.40
INDIANAPOLIS IN 46220 CHECK NUMBER: 211408
CHECK DATE: 7/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 35229 94 .40 MATERIALS & SUPPLIES
Invoice
5546 Shorewood Drive, Suite 101 r Date Invoice,#
Indianapolis, IN 46220
712312012 35229
Bill To Ship To
City of Cannel Water Utilities City of Cannel 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 MC,Q 7f23f2012
Q?Y Item Code Description U/M Price Each B/O Prev.Invd Arnount
1 BWK 6180 500 2PLY 4.5X3.0 TOILET TISSUE(96) CS 41.00 0 0 41.00
2 BWK 6256 HARDWOUND-TWL-NATURL-8X8 00 (6) CS 26.70 0 0 53.40
F_ 1
Subtotal $94.40
On-Site Supply is a certified Small Disadvantaged Business (SDB)
Phone# Fax# E-mail Sales Tax (7.0%) $0110
317-259-7788 or 888-259-7788 317-259-7700 orders @onsiteontime.com Total $94.40
VOUCHER # 121628 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
35229 01-6200-03 $94.40
Voucher Total $94.40
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 7/25/2012
INDIANAPOLIS, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/25/2012 35229 $94.40
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