HomeMy WebLinkAbout217766 02/26/2013 CITY OF CARMEL, INDIANA VENDOR: 357683 Page 1 of 1
0 ONE CIVIC SQUARE ON SITE SUPPLY
CARMEL, INDIANA 46032 5546 SHOREWOOD DRIVE SUITE 101 CHECK AMOUNT: $162.49
INDIANAPOLIS IN 46220 CHECK NUMBER: 217766
CHECK DATE: 2/26/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 37627 162 .49 MATERIALS & SUPPLIES
- : o = Invoice
5546 Shorewood Dr Ste 101 Date Invoice#
Indianapolis, IN 46220
2/12/2013 37627
Bill To Ship To
City of Carmel Water Utilities City of Carmel Water Utilities
A/P Dept. Atm:Greg
3450 West 131 St. 3450 West 131 St.
Carmel, IN 46074 ? Carmel,IN 46074
W
P.O. Number Terms Rep Ship Via F.O.B.
Net 30 MCC 2/8/2013
QTY Item Code Description U/M Price Each B/O Prev. Invd Amount
1 BWK 385822BLK 38X58 H-DENSITY BLK 22 C EQV 6/25 CS 37.00 0 0 37.00
1 1-334016N 33 Gal.Trash Can Liners,250/CS CS 25.00 0 0 25.00
1 GPC 193-78 COMPACT CORELESS BATH TI SSUE 2 PLY CS 55.75 0 0 55.75
18/15005
WIN 1420 Center-Flow Hand Towels,660 Sheets/RL,6RL/CS CS 44.74 0 0 44.74
Subtotal $162.49
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 orders@onsiteontime.com onsiteontime.com T®tai $162.49
VOUCHER # 123563 WARRANT # ALLOWED
357683 IN SUM OF $
ON SITE SUPPLY
5546 SHOREWOOD DRIVE
SUITE 101
INDIANAPOLIS, IN 46220
i
Carmel Water Utility
I
ON ACCOUNT OF APPROPRIATION FOR
r
1
Board members
1
PO# INV# ACCT# AMOUNT } Audit Trail Code
1
37627 01-6200-06 $162.49
I
r
r '
1
r
1
Voucher Total $162.49 q
Cost distribution ledger classification if 'i
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 2/18/2013
INDIANAPOLIS, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or biii(s)) Amount
2/18/2013 37627 $162.49
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 55-1111-10-1.6
Date Officer