206381 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 357683 Page 1 of 1
ONE CIVIC SQUARE ON SITE SUPPLY
CARMEL, INDIANA 46032 5546 SHOREWOOD DRIVE SUITE 101 CHECK AMOUNT: $36.46
INDIANAPOLIS IN 46220
CHECK NUMBER: 206381
CHECK DATE: 2/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 33231 36.46 OTHER EXPENSES
Invoice
5546 Shorewood Drive, Suite 101 Date Invoice
Indianapolis, IN 46220
2/3/2012 33231
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.
Carmel, IN 46074 Carmel, IN 46074
P.D. Number Terms Rep Ship Via F.D.B.
Net 30 MCC 2/3/2012
QTY Item Code Description U/M Price Each BID Prev. Invd Amount
I ESS BR3340X 33X40 RL LINER I7MIC,101' 25'S,CLR CS 36.46 0 0 36.46
Subtotal $36.46
On-Site Supply is a certified Small Disadvantaged Business (SDB)
Phone# Fax# E -mail Sales Tax (7.0 $0.00
317 259 -7788 or 88S-259-7788 317- 259 -7700 customerservice @onsiteontime.c... Total $36.46
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 2/3/2012
INDIANAPOLIS, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/3/2012 33231 $36.46
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
VOUCHER 113672 WARRANT ALLOWED
357683 IN SUM OF
ON SITE SUPPLY
5546 SHOREWOOD DRIVE WATER
SUITE 101 OPERATIONS.
INDIANAPOLIS, IN 46220
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
33231 01- 6200 -06 $36.46
a
Voucher Total $36.46
Cost distribution ledger classification if
claim paid under vehicle highway fund