187985 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 357683 Page 1 of 1
ONE CIVIC SQUARE ON SITE SUPPLY
O CARMEL, INDIANA 46032 5546 SHOREWOOD DRIVE SUITE 101 CHECK AMOUNT: $424.29
INDIANAPOLIS IN 46220
CHECK NUMBER: 187985
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 W09310 26866 258.95 BATTERIES
601 5023990 26867 165.34 OTHER EXPENSES
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Invoice
5546 Shorewood :Drive, Suite 101 Date Invoice
Indianapolis, M 46220
7/9/2010 26966
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 Westfield, IN 46074
V
P.O. Number Terms Rep Ship Via F.O.B.
Net 30 MCC 7/9/2010
QTY Item Code Description U/M Price Each B/O Prev. Invd Amount
144 EN95 D Battery, 12 /BX 17A 1.05 0 0 151.20
24 E..N22 9V Battery, 121BX IA 2.00 0 0 48.00
1 DYM 42272 Scrubs Iii -a- Bucket, 72BK, 6 /cs CS 59.75 0 0 59.75
Subtotal $258.95
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 ordersc@OnSiteOntime.com Total $258.95
DOT °0a(S
Invoice
5546 Shorewood Drive, Suite 101 Date Invoice
Indianapolis, IN 46220
71912.010 26867
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.
Cannel, IN 46074 Westfield, IN 46074
P.O. Number Terms Rep Ship Via F.O.B.
Net 30 MCC 7/9/2010
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 `17 SSUE 21 CS 57.24 0 0 57.24
18 /1500S
I DCC 8J8 8 oz Foam Cups, 1000 /cs CS 18.62 0 0 18.62
Subtotal $165.34
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 orders @OIISIteOntiine.com Total $165.34
VOUCHER 102121 WARRANT ALLOWED
357683 IN SUM OF
ON SITE SUPPLY
5546 SHOREWOOD DRIVE
SUITE 101
INDIA IN 46220,��.►�'
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
P
�51'0 26866 01- 6200 -06 $258.95
Voucher Total $258.95
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 7/12/2010
INDIANAPOLIS, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/12/2010 26866 $258.95
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