HomeMy WebLinkAbout220288 05/21/2013 °u CITY OF CARMEL, INDIANA VENDOR: 357683 Page 1 of 1
ONE CIVIC SQUARE ON SITE SUPPLY CHECK AMOUNT: $210.95
CARMEL, INDIANA 46032 5546 SHOREWOOD DRIVE SUITE 101
oa�; INDIANAPOLIS IN 46220 CHECK NUMBER: 220288
CHECK DATE: 5/2112013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 38681 210 . 95 OTHER EXPENSES
Invoice
5546 Shorewood Dr Ste 101 Date Invoice#
Indianapolis, IN 46220
5/2/2013 38681
Bill To Ship To
City of Carmel Water Utilities City of Carmel Water Utilities
All?Dept. Attn: Bruce
3450 West 131 St. 3450 West 131 St.
Carmel, IN 46074 Carmel, IN 46074 rp
P.O. Number Terms Rep Ship Via F.O.B.
Net 30 MCC 5/1/2013
QTY Item Code Description U/M Price Each B/O Prev. Invd Amount
144 EN95 D Battery, 12/BX EA 1.05 0 0 151.20
1 DYM 42272 Scrubs In-a-Bucket,72/BK,6/cs CS 59.75 0 0 59.75
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Subtotal $210.95
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 Tota I $210.95
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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 5/11/2013
INDIANAPOLIS, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/11/2013 38681 $210.95
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
S/1-7 A
Date Officer
VOUCHER # 131553 WARRANT # ALLOWED
357683 IN SUM OF $
ON SITE SUPPLY
5546 SHOREWO.OD DRIVE
SUITE 101
INDIANAPOLIS, IN 46220
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
38681 01-6200-06 $210.95
Voucher Total $210.95
Cost distribution ledger classification if
claim paid under vehicle highway fund