220736 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