182950 03/03/2010 CITY OF CARMEL, INDIANA VENDOR: 357683 Page 1 of 1
ONE CIVIC SQUARE ON SITE SUPPLY CHECK AMOUNT: $442.34
u. CARMEL, INDIANA 46032 5546 SHOREWOOD DRIVE SUITE 101
INDIANAPOLIS IN 46220 CHECK NUMBER: 182950
CHECK DATE: 313/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 25486 49.95 MATERIALS SUPPLIES
601 5023990 25532 89.48 OTHER EXPENSES
601 5023990 25564 11.10 OTHER EXPENSES
601 5023990 25565 291.81 MATERIALS SUPPLIES
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Invoice
5546 Shorewood Drive, Suite 1.01 Date Invoice
Indianapolis, IN 46220
2/11/2010 25486
Bill To Ship To
City of Carmel Water Utilities City of Carmel Water Utilities
A/1' Dept. Attn: Greg
3450 West 131 St. 3450 West 131 St.
Westfield, IN 46074 Westfield, IN 46074
P.O. Number Terms Rep Ship Via F.O.B.
Net 30 MCC 211111110
QTY Item Code Description U/M Price Each B/O Prev. Invd Amount
2 SV2ZGM13XL Safety Vest Green, Class 2, 3XL EA 5.55 0 0 11.10
2 SV2ZGM /2XL Safety Vest Green, Class 2, 2XL EA 5.55 1 0 1 1. l0
5 SV2ZGM/XL Safety Vest Green, Class 2, XL EA 5.55 2 0 27.75
Subtotal $49.95
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 ordersgOnSiteOntime.com Total $49.95
4 I nvoice
5546 Shorewood Drive, Suite 101 Date Invoice
Indianapolis, N 46220
2/22/2010 25564
Bill To Ship To
City of Carmel Water Utilities City of Cannel Water Utilities
A/P Dept, Attn: Greg
3450 West 131 St. 3450 West 131 St.
Westfield, TN 46074 Westfield, IN 46074
P.O. Number Terms Rep Ship Via F.O.B.
Net 30 MCC 212212010
QTY Item Code Description U/M Price Each B/O Prev. Invd Amount
0 SV2ZGMl3XI., Safety Vest Green, Class 2, 3XI, IAA 5.55 0 2 0.00
0 SV2ZGM12XL Safety Vest Green, Class 2, 2XL EA 5.55 0 2 0.00
2 SV2ZGM/XL Safety Vest Green, Class 2, XL EA 5.55 0 5 11.10
co
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Subtotal $11 -10
On -Site Supply is a certified Small Disadvantaged Business (SDB)
Phone Fax E -mail Sales Tax (7.0%) $0.00
317 -259 -7788 or 888 -259 -7788 31.7- 259 -7700 jimc @onsiteontime.com T®$al $11.10
Invoice
5546 Sharewood Drive, Suite 101 Date Invoice
Indianapolis, IN 46220
2/17/2010 25532
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.
Westfield, IN 46074 Westfield, IN 46074
P.O. Number Terms Rep Ship Via F.O.B.
Net 30 MCC 2/17/2010
QTY Item Code Description U/M Price Each 810 Prev. Invd Amount
2 W1N 1420 Center -Flow Hand Towels, 660 Sheets/R-, 6PL /CS CS 44.74 (1 0 89.48
Subtotal $89.48
On -Site Supply is a certified Small Disadvantaged Business (SDB)
Phone Fax E -mail Sales Tax (7.0%o) $0.00
317- 259 -7788 or 888 -259 -7788 317- 259 -7700 orders @OnSiteOntime.com Total $89.48
Invoice
5546 Shorewood Drive, Suite 101 Date Invoice
Indianapolis, IN 46220
2122/2010 25565
Bill To Ship To
City of Camiel Water Utilities City of Carmel Water Utilities
AIP Dept. Attn: Greg
3450 West 131 St. 3450 West 131 St.
Westfield, IN 46074 J Westfield, IN 46074
o k
P.O. Number Terms Rep Ship Via F.O.B.
W09128 Net 30 MCC 2/22/2010
QTY Item Code Description U/M Price Each B/O Prev. Invd Amount
I BLUST01W Bluestorin Hand Dryer EA 291_81 0 0 291.81
Subtotal $291.81
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 jimc @OnSiteOntime.com Total $291.81
VOUCHER 094396 WARRANT ALLOWED
367683 IN SUM OF
ON SITE SUPPLY
5546 SHOREWOOD DRIVE�((�
SUITE 101
INDIANAPOLIS, IN 46220 oxi
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
v ia U k U 25565 01- 6200 -06 $291.81
a 5q SL Ui- 6ZW G� c FR ,c f 5
0? 5 5(, 4 4 ti 6zw,t)�- it, ID
Voucher Total -`V 1.3 81
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 2/23/2010
INDIANAPOLIS, IN 46220 i
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/23/2010 25565 $291.81
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audd same in accordance with IC 5- 11- 10 -1.6
Date Officer