HomeMy WebLinkAbout218184 03/13/2013 CITY OF CARMEL, INDIANA VENDOR: 357683 Page 1 of 1
i ONE CIVIC SQUARE ON SITE SUPPLY
CARMEL,INDIANA 46032 5546 SHOREWOOD DRIVE SUITE 101 CHECK AMOUNT: $62.05
'tii oN`o INDIANAPOLIS IN 46220 CHECK NUMBER: 218184
CHECK DATE: 3/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 37841 62 . 05 OTHER EXPENSES
Invoice
ppl� �7
5546 Shorewood Dr Ste 101 Date Invoice#
Indianapolis, IN 46220
3/1/2013 37841
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 2/21/2013
QTY Item Code Description U/M Price Each B/O Prev. Invd Amount
1 63777 Germ-A-Foam 4 Gallons a Case CS 62.05 0 0 62.05
Subtotal $62.05
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 a onsiteontime.com Total $62.05
J
VOUCHER # 131009 WARRANT # ALLOWED
357683 IN SUM OF $
ON SITE SUPPLY
5546 SHOREWOOD DRIVE
SUITE 101 ,
INDIANAPOLIS, IN 46220
i
Carmel Water Utility
,a
ON ACCOUNT OF APPROPRIATION FOR
S Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
1
37841 01-6200-06 $62.05
,r
a �
t.
i
7
i
i
1
Voucher Total $62.05
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 3/5/2013
INDIANAPOLIS, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/5/2013 37841 $62.05
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
_Y/f/�l //"-- /T"
Date Officer