248473 08/12/15 .Cep .
`f CITY OF CARMEL, INDIANA VENDOR: 357683
!; ® i', ONE CIVIC SQUARE ON SITE SUPPLY CHECK AMOUNT: $**.....151.20*
CARMEL, INDIANA 46032 8728 ROBBINS ROAD CHECK NUMBER: 248473
9M�rON�°) INDIANAPOLIS IN 46268 CHECK DATE: 08/12/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 50751 151.20 OTHER EXPENSES
0
® Invoice
8728 Robbins Road Date Invoice#
Indianapolis, IN 46268
7/27/2015 50751
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, 1N 46074
P.O. Number' Terms Rep Ship Via F.O.B.
Net 30 MCC 7/24/2015
QTY Item Code Description U/M Price Each B/O Prev. Invd Amount
144 EN95 D Battery, 12/BY EA 1.05 0 0 151.20
Subtotal $151.20
- ,an-Site Supply is a certified Small Disadvantaged Business(SDB),and 8(a)certified
Phone# Fax# E-mail STS Tax $0.00
317-259-7788 or 888-259-7788 317-259-7700 orders@onsiteontime.com Tota! $151.20
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 8/7/2015
INDIANAPOLIS, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/7/2015 50751 $151.20
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
v'/ / 1
v///
Date Officer
VOUCHER # 152724 WARRANT # ALLOWED
357683 IN SUM OF $
ON SITE SUPPLY
5546 SHOREWO?!A /
SUITE 101
INDIANAPOLIS, IN 46220
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
50751 01-6200-06 $151.20
Voucher Total $151.20
Cost distribution ledger classification if
claim paid under vehicle highway fund