251207 11/04/15 +�r,Cqq*
- CITY OF CARMEL, INDIANA VENDOR: 357683
® ONE CIVIC SQUARE ON SITE SUPPLY CHECK AMOUNT: $"""`"`240.68'
i4 CARMEL, INDIANA 46032 8728 ROBBINS ROAD CHECK NUMBER: 251207
+Ml.bn 8�, INDIANAPOLIS IN 46268 CHECK DATE: 11/04/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 52333 89.48 OTHER EXPENSES
601 5023990 52334 151.20 OTHER EXPENSES
i
® Invoice
8728 Robbins Road Date Invoice#
Indianapolis, IN 46268
10/23/2015 52334
Bill To Ship To
City of Carmel Water Utilities City of Carmel Water Utilities
A/P Dept. Attn: Bruce
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 10/21/2015
QTY Item Code Description U/M Price Each B/O Prev. Invd Amount
144 EN95 D Battery, 12/13X EA 1.05 0 0 151.20
.- Subtotal S_ 151.20
-- - On-Site Supply is a-certified-Small Disadvantaged Business(SDB),and 8(a)certified
Phone# Fax# E-mail Sales Tax 50:00
317-259=7788 or 888-2�9=7788 : 317-259-7700 ordcrs@�jonsiteontime.com Total S15120
® ® Invoice
8728 Robbins Road Date Invoice#
Indianapolis, IN 46268
10/23/2015 52333
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 10/19/2015
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
I 1
i v i
Subtotal $89.48
=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 888-259-7.788' 317-259-7 700 orders@onsiteontime.com onsiteontime.com Tota $89.48
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 10/26/2015
INDIANAPOLIS, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/26/201! 52334 $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
Date Officer
VOUCHER # 153369 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
52334 01-6200-06 $151.20
5 333 v �c L4
i -
Voucher Total aLA(�, LO
Cost distribution ledger classification if
claim paid under vehicle highway fund