245939 06/03/15 <',%' \�� CITY OF CARMEL, INDIANA VENDOR: 357683
® t i ONE CIVIC SQUARE ON SITE SUPPLY CHECK AMOUNT: $*******215.93*
;. �a CARMEL, INDIANA 46032 8728 ROBBINS ROAD CHECK NUMBER: 245939
9M�(fON'C� INDIANAPOLIS IN 46268 CHECK DATE: 06/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 49592 29.45 OTHER EXPENSES
601 5023990 49734 186.48 OTHER EXPENSES
On-Sime
Invoice
8728 Robbins Road Date Invoice#
Indianapolis, IN 46268
5/22/2015 49734
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 5/21/2015
QTY Item Code Description U/M Price Each B/O Prev. Invd Amount
2 WIN 1420 Center-Flow Hand Towels,660 Sheets/RL,6RL/CS CS 44.74 0 0 89.48
1 GPC 193-78 COMPACT CORELESS BATH TI SSUE 2 PLY CS 55.75 0 0 55.75
18/1500S
1 IBS VALH3860K... ROLL LINER 38X60 22MI 6/25 BLACK CS 41.25 0 0 41.25
Subtotal $186.48
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@onsiteontime.com Total $186.48
®n-Sime Invoice
UP- P Ly
8728 Robbins Road Date Invoice#
Indianapolis, IN 46268
5/18/2015 49592
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
0 C16720G-L WaterProof Windbreaker Class 3,Green,Size L EA 29.45 0 1 0.00
0 C16720G-XL WaterProof Windbreaker Class 3,Green,Size XL EA 29.45 0 4 0.00
0 C16720G-2XL WaterProof Windbreaker Class 3,Green,Size 2XL EA 29.45 0 1 0.00
1 C16720G-5XL WaterProof Windbreaker Class 3,Green,Size 5XL EA 29.45 0 0 29.45
0 C16920G/M Rain Pants Class 2,Green,Size M EA 11.95 0 2 0.00
0 C16920G-XL Rain Pants Class 2,Green,Size XL EA 11.95 0 3 0.00
0 C16920G/2XL Rain Pants Class 2,Green,Size 2XL EA 11.95 0 1 0.00
0 C16920G/5XL Rain Pants Class 2,Green,Size 5XL EA 11.95 0 1 0.00
i
Subtotal $29.45
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@onsiteontime.com Total $29.45
VOUCHER # 151991 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
( I
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
I
49734 01-6200-06 $186.48
41a
Voucher Total
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 5/27/2015
INDIANAPOLIS, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/27/2015 49734 $186.48
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