160510 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: 357683 Page 1 of 1
ONE CIVIC SQUARE ON SITE SUPPLY CHECK AMOUNT: $273.60
CARMEL, INDIANA 46032 5546 SHOREWOOD DRIVE SUITE 101
INDIANAPOLIS IN 46220 CHECK-NUMBER: 160510
CHECK DATE: 6/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 W08221 20117 273.60 BATTERIS
Invoice
5546 Shorewood Drive, Suite 101
Date Invoice
Indianapolis, IN 46220
5/20/2008 20117
Bill To Ship To
City of Cannel Wastewater Utilities City of Cannel Wastewater Utilities
A/P Dept. Attn: Bruce
3450 West 131 St. 3450 West 131 St.
Westfield, IN 46074 Westfield, IN 46074
s)
P.O. Number Terms Rep Ship Via F.O.B.
Net 30 MCC 5120/2008
QTY Item Code Description U/M Price Each B/O Prev. Invd Amount
144 EN93 C Battery, 12BX EA 0.85 0 0 122.40
144 EN95 D Battery, 12BX EA 1.05 0 0 151.20
Subtotal $273.60
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 Tota6 $273.60
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 a
357683
ON SITE SUPPLY Purchase Order No.
5546 SHOREWOOD DRIVE Terms
SUITE 101 Due Date 6/2/2008
INDIANAPOLIS, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/2/2008 20117 $273.60
Y"
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
Vq,UCHER 081927 WARRANT ALLOWED
357683 IN SUM OF
ON SITE SUPPLY
5546 SHOREWOOD DRIVE (n
v SUITE 101 0 ®2
INDIANAPOLIS, IN 46220 ;RP
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
20117 01- 6200 -06 $273.60
f
,i
Voucher Total $273.60
Cost distribution ledger classification if
claim paid under vehicle highway fund