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Home My WebLink About226772 12/03/2013 CITY OF CARMEL, INDIANA VENDOR: 357683 Page 1 of 1 ONE CIVIC SQUARE ON SITE SUPPLY CHECK AMOUNT: $337.78 CARMEL, INDIANA 46032 5546 sr+oREwooD DRIVE sulrE poi INDIANAPOLIS IN 46220 CHECK NUMBER: 226772 CHECK DATE: 1213/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 41374 136 . 80 OTHER EXPENSES 601 5023990 41450 200 . 98 OTHER EXPENSES Invoice 8728 Robbins Road Date Invoice# Indianapolis, IN 46268 11/13/2013 41374 Bill To Ship To City of Carmel Water Utilities City of Carmel Water Utilities A/P Dept. Attn:Bruce 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 11/12/2013 QTY Item Code Description U/M Price Each B/O Prev. Invd Amount 72 EN93 C Battery, 12/BX EA 0.85 0 0 61.20 72 EN95 D Battery, 12/BX EA 1.05 0 0 75.60 F_ Subtotal $136.80 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 $136.80 ® Invoice 8728 Robbins Road Date Invoice# Indianapolis, IN 46268 11/19/2013 41450 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 11/1512013 QTY Item Code Description U/M Price Each B/O Prev. Invd Amount 2 WIN 1420 Center-Flow Hand Towels,660 Sheets/PL,6RL/CS CS 44.74 0 0 89.48 2 GPC 193-78 COMPACT CORELESS BATH TI SSUE 2 PLY CS 55.75 0 0 111.50 18/15005 Subtotal $200.98 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 Total $200.98 VOUCHER # 133428 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 41450 01-6200-06 $200.98 413?4 'i ) 1 1 I Voucher Total 337,7 -- 6'g8 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 11/21/2013 INDIANAPOLIS, IN 46220 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/21/201: 41450 $200.98 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 / ii 1-7/13 - Date Officer