184426 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 357683 Page 1 of 1
ONE CIVIC SQUARE ON SITE SUPPLY
0 j CARMEL, INDIANA 46032 5546 SHOREWOOD DRIVE SUITE 101 CHECK AMOUNT: $151.20
INDIANAPOLIS IN 46220
CHECK NUMBER: 184426
CHECK DATE: 4/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 25909 151.20 MATERIALS SUPPLIES
Invoice
5546 Shorewood Drive, Suite 1.01 Date Invoice
Indianapolis, IN 46220
3/30/2010 25909
Bill To Ship To
City of Cannel. Water Utilities City of Carmel Water Utilities
All? Dept, Attn: Bruce
3450 West 131 St. 3450 West 131 St.
Westfield, IN 46074 Westfield, IN 46074
P.O. Number Terms Rep Ship Via F.O.B.
Meter Shop Net 30 MCC 3/30/2010
CITY 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 $151.20
On -Site Supply is a certified Small Disadvantaged Business (SUB)
Phone Fax E -mail Sales Tax (7.0 $0.00
317 -259 -7788 or 888- 259 -7788 317- 259 -7700 orders @OnSiteOntime.com To tal $151.20
VOUCHER 101252 WARRANT ALLOWED
357683 IN SUM OF
ON SITE SUPPLY
55,46 SHOREWOOD DRIVE V SUITE 101
INDIANAPOLIS, IN 46220 OZo�
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
25909 01- 6200 -06 $151.20
3
Voucher Total $151.20
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 4/1/2010
INDIANAPOLIS, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/1/2010 25909 $151.20
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5- 11-10 -1.6
Date Officer