210485 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 357683 Page 1 of 1
ONE CIVIC SQUARE ON SITE SUPPLY
CHECK AMOUNT: $520.64
CARMEL, INDIANA 46032 5546 SHOREWOOD DRIVE SUITE 101
'i.. INDIANAPOLIS IN 46220 CHECK NUMBER: 210485
>ON
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 34790 5.25 OTHER EXPENSES
601 5023990 34901 181.19 OTHER EXPENSES
601 5023990 34902 334.20 OTHER EXPENSES
Invoice
5546 Shorewood Drive, Suite 101 Date Invoice
Indianapolis, IN 46220
611812012 34790
Bill To Ship To
City of Carmel Water Utilities City of Carmel Water Utilities
AfP Dept. Attn: Greg
3450 West 131 St. 3450 West 131 St.
Carmel, IN 46074 Carmel, IN 46074
P.Q. Number Terms Rep Ship Via F.Q.B.
Net 30 MCC 6118/2012
QTY Item Code Description U/M Price Each B/Q Prev. Invd Amount
1 C16002QG -5XL Fluorescent lime mesh fabric 2" silver stripes Zipper 5.25 0 0 5.25
closure Left chest pocket -5XL
Subtotal $5.25
On -Site Supply is a certified Small Disadvantaged Business (SDB)
Phone Fax E -mail
Sales Tax (7.0 $000
317 259 -7788 or 888 259 -7788 317 259 -7700 orders @onsiteontime.com Iota! $'.25
VOUCHER 121304 WARRANT ALLOWED
357683 IN SUM OF
ON SITE. SUPPLY
5546 SHOREWOOD DRIVE
SUITE 101
INDIANAPOLIS, IN 46220
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
34790 01- 6200 -06 $5.25
0
Voucher Total $5.25
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 6/27/2012
INDIANAPOLIS, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/27/2012 34790 $5.25
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
Invoice
5546 Shorewood Drive, Suite 101 Date Invoice
Indianapolis, IN 46220
6/25/2012 34902
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.O. Number Terms Rep Ship Via F.O.B.
Net 30 MCC 6125/2012
QTY Item Code Description U/M Price Each B/O Prev. Invd Amount
5 WIN 1420 Center -Flow Hand Towels, 660 SheetslRL, 6RU'CS CS 44.74 0 0 223.70
2 GPC 193 -78 COMPACT CORELESS BATH TI SSUE 2 PLY CS 55.25 0 0 110.50
18/15005
Subtotal $334.20
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 @onsiteontime.com Total $334.20
t, Invoice
5 546 Shorewood Drive, Suite 101 Date Invoice
Indianapolis, IN 46220
6/25/2012 34901
Bill To Ship To
City of Carmel Water Utilities City of Carmel Water Utilities
A/P Dept. Attn: Greg
3450 Uv °est 131 St. 3450 West 131 St.
Carmel, IN 46074 r r n Carmel, IN 46074
P.O. Number Terms Rep Ship Via F.O.B.
Net 30 MCC 6/25/2012
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 TI SSUE 2 PLY CS 55.25 0 0 55.25
1811500S
1 IBS S334016N LINER- 1 6MIC-33X40-CL( 10125) CS 36.46 0 0 36.46
Subtotal $181.19
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 @onsiteontime.com 'Total $181.19
VOUCHER 121284 WARRANT ALLOWED
357683 IN SUM OF
ON SITE SUPPLY
5546 SHOREWOOD DRIVE
SUITE 101
INDIANAPOLIS, IN 46220
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
34902 01- 6200 -03 $334.20
3gRoI Gi�e?.Cb b� I
Voucher Total 5 1 3A ?"yo
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 6/26/2012
INDIANAPOLIS, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/26/2012 34902 $334.20
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