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Home My WebLink About220736 06/04/2013 °,. 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: $2,102.98 INDIANAPOLIS IN 46220 CHECK NUMBER: 220736 CHECK DATE: 614/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 38682 242 . 98 OTHER EXPENSES 2201 4350100 39058 1, 860 . 00 BUILDING REPAIRS & MA ® Invoice 5546 Shorewood Dr Ste 101 Date Invoice# Indianapolis, IN 46220 5/30/2013 39058 Bill To Ship To City of Carmel Street Department City of Carmel Street Department 3400 West 131st. Street Attn:Eric Russell Westfield,IN 46074 3400 West 131 st. Street Westfield, IN 46074 P.O. Number Terms Rep Ship Via F.O.B. Net 30 MCC 5/24/2013 QTY Item Code Description U/M Price Each B/O Prev. Invd Amount 6 HD950 Bluestorm Hand Dryer EA 310.00 0 0 1,860.00 Subtotal $1,860.00 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 orders a onsiteontime.com Total $1,860.00 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 service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 05/30/13 39058 $1,860.00 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 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 On-Site Supply IN SUM OF $ 5546 Shorewood Drive, Suite 101 Indianapolis, IN 46220 $1,860.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 I 39058 I 43-501.00 $1,860.00 1 hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Fri May 31, 2013 Street Commi V ner street om gsloner Cost distribution ledger classification if claim paid motor vehicle highway fund ® ® Invoice 5546 Shorewood Dr Ste 101 Date Invoice# Indianapolis, IN 46220 5/2/2013 38682 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 c ra� Carmel, IN 46074 V P.O. Number Terms Rep Ship Via F.O.B. Net 30 MCC 5/2/2013 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 2 GPC 193-78 COMPACT CORELESS BATH TI SSUE 2 PLY CS 55.75 0 0 1 l 1.50 18/1500S 2 C 16002QG-M Fluorescent lime mesh fabric-2" silver stripes-Zipper EA 5.25 0 0 10.50 closure-Left chest pocket-Medium 2 C 16002QG-L Fluorescent lime mesh fabric-2"silver stripes-Zipper EA 5.25 0 0 10.50 closure-Left chest pocket-Large 1 C 16002QG-XL Fluorescent lime mesh fabric-2"silver stripes-Zipper EA 5.25 0 0 5.25 closure-Left chest pocket-XL 3 C 16002QG-XXL Fluorescent lime mesh fabric-2"silver stripes-Zipper EA 5.25 0 0 15.75 closure-Left chest pocket-XXL Subtotal $242.98 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 onsiteontime.com Tota l $242.98 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 5/28/2013 INDIANAPOLIS, IN 46220 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/28/2013 38682 $242.98 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 # 131710 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 38682 01-6200-06 $242.98 Voucher Total $242.98 Cost distribution ledger classification if claim paid under vehicle highway fund