HomeMy WebLinkAbout221178 06/18/2013 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: $364.00
o; INDIANAPOLIS IN 46220 CHECK NUMBER: 221178
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 39059 310 . 00 OTHER EXPENSES
601 5023990 39121 54 . 00 OTHER EXPENSES
�® ® Invoice
5546 Shorewood Dr Ste 101 Date Invoice#
Indianapolis, IN 46220
6/4/2013 39121
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 5/31/2013
QTY Item Code Description U/M Price Each B/O Prev. Invd Amount
24 S4110S Intruder Clear Lens,Clear Frame EA 1.10 0 0 26.40
24 S4120S Intruder Gray Lens,Gray Frame EA 1.15 0 0 27.60
UKK
G
Subtotal $54.00
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 Total $54.00
0
® Invoice
5546 Shorewood Dr Ste 101 Date Invoice#
Indianapolis, IN 46220
5/30/2013 39059
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 5/24/2013
QTY Item Code Description U/M Price Each B/O Prev. Invd Amount
1 HD950 Bluestorm Hand Dryer EA 310.00 0 0 310.00
Subtotal $310.00
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 Total $310.00
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 6/10/2013
INDIANAPOLIS, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/10/2013 39059 $310.00
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-A/dfficer
Date
VOUCHER # 131789 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
39059 01-6200-06 $310.00
Voucher Total 3(aq 0D f$3<--G'0
Cost distribution ledger classification if
claim paid under vehicle highway fund