167417 12/23/2008 CITY OF CARMEL, INDIANA VENDOR: 357683 Page 1 of 1
ONE CIVIC SQUARE ON SITE SUPPLY CHECK AMOUNT: $192.10
CARMEL, INDIANA 46032 5546 SHOREWOOD DRIVE SUITE 101
a; o� INDIANAPOLIS IN 46220 CHECK NUMBER: 167417
CHECK DATE: 12/23/2008
DEPARTMENT ACCOUN PO NUMBER INVOICE NUMBER AMOUN DESCRIPTION
601 5023990 22005 121.80 MATERIALS SUPPLIES
601 5023990 22020 70.30 OTHER EXPENSES
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i
Invoice
5546 Shorewood Drive, Suite 101 Date Invoice
Indianapolis, IN 46220
12/11/2008 22005
Bill To Ship To
City of Cannel WasteWater Utilities City of Cannel WasteWater Utilities
A/P Dept. Attn: Greg
3450 West 131 St. 3450 West 131 St.
Westfield, IN 46074 Westfield, W 46074
P.O. Number Terms Rep Ship Via F.O.B.
Net 30 MCC 12/11/2008
QTY Item Code Description U/M Price Each B/O Prev. Invd Amount
2 WIN 1420 Center -Plow Hand Towels, 660 Sheets/RL, 6RL /CS CS 35.15 0 0 70.30
1 GPC 193 -78 COMPACT CORELESS BATH T1 SSUE 2 PLY CS 51.50 0 0 51.50
18/1500S
Subtotal $121.80
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 johng @OnSiteOntime.com Total $121.80
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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 12/16/2008
INDIANAPOLIS, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/16/20M 22005 $121.80
4
1 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 083941 WARRANT ALLOWED
357683 �IER IN SUM OF
ON SITE SUPPLY P
5546 SHOREWOOD DRIVE z
SUITE 101 ®p���`�
INDIANAPOLIS, IN 46220
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
22005 01- 6200 -06 $121.80
Voucher Total $121.80
Cost distribution ledger classification if
claim paid under vehicle highway fund
t Invoice
5546 Shorewood Drive, Suite 101 Date Invoice
Indianapolis, IN 46220
12/15/2008 22020
Bill To Ship To
City of Cannel Wastewater Utilities City of Carmel Wastewater 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 12115/2008
QTY Item Code Description U/M Price Each B/O Prev. Invd Amount
2 WIN 1420 Center -Plow Hand "Towels, 660 Sheets/RL, 6RL /CS CS 35.15 0 0 70.30
Subtotal $70.30
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 johng @OnSitcOntinle.com Total $70.30
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
r.
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 12/17/2008
INDIANAPOLIS, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/17/2001 22020 $70.30
d
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 083968 WARRANT ALLOWED
357683 IN SUM OF
OIN SITE SUPPLY
5546 SHOREWOOD DRIVE t f��
SUITE 101
INDIANAPOLIS, IN 46220 ,6
;eRg
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
22020 01- 6200 -06 $70.30
a;
Voucher Total $70.30
Cost distribution ledger classification if
claim paid under vehicle highway fund