HomeMy WebLinkAbout227454 12/17/2013 (2) CITY OF CARMEL, INDIANA VENDOR: 357683 Page 1 of 1
ONE CIVIC SQUARE ON SITE SUPPLY CHECK AMOUNT: $137.49
CARMEL, INDIANA 46032 INDIANAPOLIS SO�OD DRIVE SUITE 101
CHECK NUMBER: 227454
CHECK DATE: 12/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 41765 137 . 49 OTHER EXPENSES
Invoice
8728 Robbins Road Date Invoice#
Indianapolis, M 46268
12/12/2013 41765
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 12/11/2013
QTY Item Code Description U/M Price Each B/O Prev. Invd Amount
I BWK 385822BLK 38X58 H-DENSITY BLK 22 C EQV 6/25 CS 37.00 0 0 37.00
1 WIN 1420 Center-Flow Hand Towels, 660 Sheets/RL,6RL/CS CS 44.74 0 0 44.74
1 GPC 193-78 COMPACT CORELESS BATH TI SSUE 2 PLY CS 55.75 0 0 55.75
18/1500S
Subtotal $137.49
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(Di onsiteontime.com Total $137.49
VOUCHER # 133645 WARRANT # ALLOWED
357683 IN SUM OF $
ON SITE SUPPLY
,A46 81
CI IITr_�n.� Ig-7� � -a
INDIANAPOLIS, IN -46-2-0 e4,(o,21oe
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
41765 01-6200-06 $137.49
Voucher Total $137.49
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 12/13/2013
INDIANAPOLIS, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/13/201: 41765 $137.49
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 5-11-10-1.6
Date Officer