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Home My WebLink About211895 08/14/2012 CITY OF CARMEL, INDIANA VENDOR: 357683 Page 1 of 1 ONE CIVIC SQUARE ON SITE SUPPLY CHECK AMOUNT: $605.66 CARMEL, INDIANA 46032 5546 SHOREWOOD DRIVE SUITE 101 INDIANAPOLIS IN 46220 CHECK NUMBER: 211895 CHECK DATE: 8/14/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 35284 83 . 00 OTHER EXPENSES 601 5023990 35287 300 . 33 OTHER EXPENSES 601 5023990 35371 179. 23 OTHER EXPENSES 601 5023990 35457 28 . 00 OTHER EXPENSES 601 5023990 35458 49 . 60 OTHER EXPENSES 601 5023990 CR35459 -34 . 50 OTHER EXPENSES Invoice 5546 Shorewood Drive, Suite 101 Date Invoice# Indianapolis, IN 46220 7/26/2012 35287 Bill To Ship To City of Carmel Water Utilities City of Carmel Wastewater Utilities A/P Dept. Attn:Jerry 3450 West 131 St. 5484 East 126th St. Carmel, IN 46074 �n Carmel, IN 46033 P.Q.Number Terms Rep Ship Via F.Q.B. Net 30 MCC 7/26/2012 QTY Item Code Description U/M Price Each BIQ Prev.Invd Amount 2 WIN 1420 Center-Flow Hand Towels,660 SheetsiRL,6RUCS CS 44.74 0 0 89.48 1 63777 Germ-A-Foam 4 Gallons a Case CS 62.05 0 0 62.05 3 61156 Smoke Soap Dispenser W/Bottle EA 13.50 0 0 40.50 3 SAN T40OTBK CLASSIC CENTR-PULL TWL DISPNSR,TRANS EA 36.10 0 0 108.30 PEARL BLCK Subtotal $300.33 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 $300.33 ® Invoice 5 546 Shorewood Drive, Suite 101 Date Invoice# Indianapolis, IN 46220 8!7/2012 35458 Bill To Ship To City of Carmel Water Utilities City of Carmel Wastewater Utilities A/P Dept. Attn:Jerry 3450 West 131 St. 5484 East 126th St. Carmel, IN 46074 Carmel IN 46033 P.O. Number Terms Rep Ship Via F.D.B_ Net 30 MCC 8/7/2012 QTY Item Code Description UIM Price Each BtQ Prev.Invd Amount I SAN T40OTBK CLASSIC CENTR-PULL TWL DISPNSR,TRANS EA 36.10 0 0 36.10 PEARL BLCK 1 61156 Smoke Soap Dispenser WlBottle EA 13.50 0 0 13.50 Subtotal $49.60 On-Site Supply is a certified Small Disadvantaged Business(SDB) Phone# Fax# E-mail Sales Tax (7.0%) $0 00 317-259-7788 or 888-259-778"a 317-259-7700 orders@onsiteontune.com Total $49.60 Invoice 5546 Shorewood Drive, Suite 101 Date Invoice# Indianapolis,R4 46220 8!712012 35457 Bill To Ship To City of Carmel Water Utilities City of Carmel Water Utilities AIP Dept. Attn:Greg 3450 West 131 St 3450 West 131 St. Carmel, IN 46074 n Camel, IN 46074 P.O.Number Terms Rep Ship Via F.Q.B. Net 30 MCC 81712012 QTY Item Code Description UIM Price Each B1Q Prev.Invd Amount 1 IBS EC243306N HD-LINER-6MIC-24X33-NAT(20150) CS 28.00 0 0 28.00 Subtotal $28.00 On-Site Supply is a certified Small Disadvantaged Business (SDB) Phone# Fax# E-mail Sales Tax (7.0%) $0.00 317-259-7788 or 88&-259-778& 317-259-7700 orders @onsiteontime.com Total $28'-00 e Invoice 5546 Shorewood Drive, Suite 101 Date Invoice# Indiallapolis, IN 46220 7/26/2012 35284 "Bill To Ship To City of Carmel Water Utilities City of Carmel Water Utilities A/P Dept. Attn: Greg 3450 West 131 St. rr� 3450 West 131 St. Carmel, IN 46074 W Carmel, IN 46074 �O P.Q Number Terms Rep Ship Via F.Q.B. Net 30 MCC 7/26/2012 QTY Item Code Description U/M Price Each B/Q Prev. Invd Amount I 5425 Soyl Hand Cleaner,4EA/CS CS 69.50 0 0 69.50 1 5407 SCX Dispenser-2125 ML EA 13 50 0 0 13.50 Subtotal $83.00 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 joluiw @onsiteontime.com Total $83.00 Invoice 5545 Shorewood Drive, Suite 101 Date Invoice# Indianapolis, IN 46220 8/1/2012 35371 Bill To Ship To City of Cannel 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.Q. Number Terms Rep Ship Via F.Q.B. Net 30 MCC 8/1/2012 QTY Item Code Description U/M Price Each B/O Prev. Invd Amount 1 IBS VALH3037NIO 30X36 HI-D LINER-IOMIC EQ 30GAL-NAT-20/25 CS 34.50 0 0 34.50 2 WIN 1420 Center-Flow Hand Towels,660 Sheets/RL, 6RLJCS CS 44.74 0 0 89.48 I GPC 193-78 COMPACT CORELESS BATH TI SSUE 2 PLY CS 55 25 0 0 55.25 18/1500S Subtotal $179.23 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 Total $179.23 T On-Sice Credit Memo 5546 Shorewood Drive, Suite 101 Date Credit No. Indianapolis, tN 46220 8!712012 35459 Customer Ship To Ci Y of Carmel Water Utilities City of Carmel Water UTtalities ,VP Dept. Attn.Greg 3450 West 131 St. 3450 West 131 St. Carmel, IN 46074 Carmel, IN 46074 P.O. No. Rep MCC Item Description City UIM Rate Amount IBS VALH3037... 30X36 HI-D LINER-10MIC EQ 30GAL-NAT-20125 -1 34.50 -34.50 Subtotal $-34.50 Sales Tax (7.0%) $0.00 Total $-34.50 Invoices $0.00 Balance Credit $-34.50 VOUCHER # 121813 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 1'�9�L3 35371 01-6200-06 3 C?, 35u S P� " c34, 3) 4 55 9 q I l F5-M 1 -3 GL4 5Z '5 51`x$ Voucher Total( � 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 8/8/2012 INDIANAPOLIS, IN 46220 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/8/2012 35371 $144.73 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