245577 05/20/15 �.CLAM
CITY OF CARMEL, INDIANA VENDOR: 357683
s i' ONE CIVIC SQUARE ON SITE SUPPLY CHECK AMOUNT: $*****1,350.95"
CARMEL, INDIANA 46032 8728 ROBBINS ROAD CHECK NUMBER: 245577
TMiipN.i°.r INDIANAPOLIS IN 46268 CHECK DATE: 05/20/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 49432 273.00 OTHER EXPENSES
601 5023990 49433 750.75 OTHER EXPENSES
601 5023990 49514 31.00 OTHER EXPENSES
601 5023990 49515 35.85 OTHER EXPENSES
601 5023990 49516 260.35 OTHER EXPENSES
® ® � Invoice
13
8728 Robbins Road Date Invoice#
Indianapolis, IN 46268
5/13/2015 49516
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 5/7/2015
QTY Item Code Description U/M Price Each B/O Prev. Invd Amount
1 C16720G-L WaterProof Windbreaker Class 3,Green,Size L EA 29.45 0 0 29.45
4 C16720G-XL WaterProof Windbreaker Class 3,Green, Size XL EA 29.45 0 0 117.80
1 C16720G-2XL WaterProof Windbreaker Class 3,Green,Size 2XL EA 29.45 0 0 29.45
0 C16720G-5XL WaterProof Windbreaker Class 3,Green,Size 5XL EA 29.45 1 0 0.00
2 C16920G/M Rain Pants Class 2,Green, Size M EA 11.95 0 0 23.90
3 C16920G-XL Rain Pants Class 2,Green, Size XL EA 11.95 0 0 35.85
1 C16920G/2XL Rain Pants Class 2,Green, Size 2XL EA 11.95 0 0 11.95
1 C16920G/5XL Rain Pants Class 2,Green, Size 5XL EA 11.95 0 0 11.95
i
i
Subtotal $260.35
On-Site Supply is a certified Small Disadvantaged Business(SDB),and 8(a)certified
Phone# Fax# E-mail Sales Tax $0.00
317-259-7788 or 888-259-7788 317-259-7700 ordersa,onsiteontime.com Total $260.35
® ® Invoice
8728 Robbins Road Date Invoice#
Indianapolis, IN 46268
5/8/2015 49433
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, FN 46074
P.O. Number Terms Rep Ship Via F.O.B.
GH5515 Net 30 MCC 5/5/2015
QTY Item Code Description U/M Price Each B/O Prev. Invd Amount
4 C16720G-L WaterProof Windbreaker Class 3,Green, Size L EA 29.45 0 0 117.80
6 C 16720G-XL WaterProof Windbreaker Class 3,Green, Size XL EA 29.45 0 0 176.70
4 C16720G-2XL WaterProof Windbreaker Class 3,Green, Size 2XL EA 29.45 0 0 117.80
5 C16720G/4XL WaterProof Windbreaker Class 3,Green, Size 4XL EA 29.45 0 0 147.25
3 C16920G/M Rain Pants Class 2,Green, Size M EA 11.95 0 0 35.85
0 C16920G-L Rain Pants Class 2,Green, Size L EA 11.95 3 0 0.00
4 C16920G-XL Rain Pants Class 2,Green, Size XL EA 11.95 0 0 47.80
6 C16920G/2XL Rain Pants Class 2,Green, Size 2XL EA 11.95 0 0 71.70
3 C16920G/3XL Rain Pants Class 2,Green, Size 3XL EA 11.95 0 0 35.85
�9
Subtotal $750.75
On-Site Supply is a certified Small Disadvantaged Business(SDB),and 8(a)certified
Phone# Fax# E-mail Sales Tax $0.00
317-259-7788 or 888-259-7788 317-259-7700 orders c onsiteontime.com Total $750.75
Invoice
8728 Robbins Road Date Invoice#
Indianapolis, IN 46268
5/13/2015 49515
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.
GH5515 Net 30 MCC 5/5/2015
QTY Item Code Description U/M Price Each B/O Prev. Invd Amount
0 C16720G-L WaterProof Windbreaker Class 3,Green, Size L EA 29.45 0 4 0.00
0 C16720G-XL WaterProof Windbreaker Class 3,Green, Size XL EA 29.45 0 6 0.00
0 C16720G-2XL WaterProof Windbreaker Class 3,Green, Size 2XL EA 29.45 0 4 0.00
0 C 16720G/4XL WaterProof Windbreaker Class 3,Green, Size 4XL EA 29.45 0 5 0.00
0 C16920G/M Rain Pants Class 2,Green, Size M EA 11.95 0 3 0.00
3 C16920G-L Rain Pants Class 2,Green,Size L EA 11.95 0 0 35.85
0 C16920G-XL Rain Pants Class 2,Green, Size XL EA 11.95 0 4 0.00
0 C16920G/2XL Rain Pants Class 2,Green, Size 2XL EA 11.95 0 6 0.00
0 C16920G/3XL Rain Pants Class 2,Green, Size 3XL EA 11.95 0 3 0.00
r
i
Subtotal $35.85
On-Site Supply is a certified Small Disadvantaged Business(SDB),and 8(a)certified
Phone# Fax# E-mail Sales Tax $0.00
317-259-7788 or 888-259-7788 317-259-7700 orders(c✓onsiteontime.corn Total $35.85
® / Invoice
0
8728 Robbins Road Date Invoice#
Indianapolis, IN 46268
5/13/2015 49514
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 5/5/2015
QTY Item Code Description U/M Price Each B/O Prev. Invd Amount
0 312-1200-LY-M CLASS 2 CREW NECK T-SHIRT,MED EA 10.00 0 4 0.00
0 312-1200-LY/XL CLASS 2 CREW NECK T-SI-IIRT. XL EA 10.00 0 5 0.00
0 312-1200-LY/2XL CLASS 2 CREW NECK T-SHIRT.2XL EA 10.00 0 5 0.00
0 312-1200-LY-3XL CLASS 2 CREW NECK T-SHIRT,3XL EA 10.00 0 2 0.00
0 313-1300-LY/XL 313-1300 Class 3 Long Sleeve Polyester Crew Neck EA 17.00 0 3 0.00
T-Shirt,Yellow, XL
1 323-HSSELY-2XL Lime Green Fleece Hooded Zipper Front EA 31.00 0 2 31.00
Sweatshirt,2XL
I
i
U '
Subtotal $31.00
On-Site Supply is a certified Small Disadvantaged Business(SDB),and 8(a)certified
Phone# Fax# E-mail
Sales Tax $0.00
317-259-7788 or 888-259-7788 317-259-7700 orders oeionsitcontime.coni Total $31.00
® ® Invoice
8728 Robbins Road Date Invoice#
Indianapolis, IN 46268
5/8/2015 49432
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 5/5/2015
QTY Item Code Description U/M Price Each B/O Prev. Invd Amount
4 312-1200-LY-M CLASS 2 CREW NECK T-SHIRT,MED EA 10.00 0 0 40.00
5 312-1200-LY/XL CLASS 2 CREW NECK T-SHIRT,XL EA 10.00 0 0 50.00
5 312-1200-LY/2XL CLASS 2 CREW NECK T-SHIRT,2XL EA 10.00 0 0 50.00
2 312-1200-LY-3XL CLASS 2 CREW NECK T-SHIRT,3XL EA 10.00 0 0 20.00
3 313-1300-LY/XL 313-1300 Class 3 Long Sleeve Polyester Crew Neck EA 17.00 0 0 51.00
T-Shirt,Yellow,XL
2 323-HSSELY-2XL Lime Green Fleece Hooded Zipper Front EA 31.00 l 0 62.00
Sweatshirt,2XL
i
3
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I "
Subtotal $273.00
On-Site Supply is a certified Small Disadvantaged Business(SDB),and 8(a)certified
Phone# Fax# E-mail Sales Tax $0.00
317-259-7788 or 888-259-7788 317-259-7700 ordersa onsiteontime.com Total $273.00
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 5/16/2015
INDIANAPOLIS, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/16/2015 49516 $260.35
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 fficer
VOUCHER # 151892 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
49516 01-6200-03 $260.35
qq 433 01-6"-0& �150.15
0515
01-000-011 ,35.85
gg5Iq 01-006-o3 31,00
41458 ol-6aa0-o6 a'73.00
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund
I