HomeMy WebLinkAbout303495 09/26/16 +��..44q�f`
,; �,, CITY OF CARMEL, INDIANA VENDOR: 357683 w**���,
j; ® ONE CIVIC SQUARE ON SITE SUPPLY CHECK AMOUNT: $ 51.75
iq ? CARMEL, INDIANA 46032 8728 INDIANAPOLIS IN AD CHECK NUMBER: 303495
MtroN�° CHECK DATE: 09/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 58146 10.50 OTHER EXPENSES
601 5023990 58147 41.25 OTHER EXPENSES
VOUCHER# 162673 WARRANT# ALLOWED
357683 IN SUM OF $
ON SITE SUPPLY
8728 ROBBINS RD
INDIANAPOLIS, IN 46268
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
58147 01-6200-06 41.25
Voucher Totala-
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.
8728 ROBBINS RD Terms
INDIANAPOLIS, IN 46268 Due Date 9/8/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/8/2016 58147 41.25
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
®n®s®ee Invoice
- -
8728 Robbins Road Date Invoice#
Indianapolis, IN 46268
9/8/2016 58147
Bill To Ship To
City of Cannel Water Utilities City of Cannel Water Utilities
A/P Dept. 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 9/6/2016
QTY Item Code Description U/M Price Each B/O Prev. Invd Amount
1 IBS VALH3860K... ROLL LINER 38X60 22MI 6/25 BLACK CS 41.25 0 0 41.25
Subtotal $41.25
�_On-Site Supply is a-cer-dried-Small Disadvantaged Business(SDB),and 8(a)certified
Phone# Fax# E-mail Sales Tax (7.0%) $0.00
317-259-7788 or 888-259-: 788 317-259-7700 orders@onsiteontime.com Total $41.25
Invoice
- -
8728 Robbins Road Date Invoice#
Indianapolis, IN 46268
9/8/2016 58146
Bill To Ship To
City of Carmel Water Utilities City of Carmel Water Utilities
A/P Dept: 3450 West 131 St.
3450 West 131 St. Carmel,IN 46074
Carmel, IN46074
P.O. Number .Terms Rep Ship Via F.O.B.
Net 30 MCC 9/6/2016
QTY Item Code Description U/M Price Each B/O Prev. Invd Amount
1 C16002QG-3XL Fluorescent lime mesh fabric-2"silver stripes-Zipper EA 5.25 0 0 5.25
closure-Left chest pocket-3XL
I C16002QG-XL Fluorescent lime mesh fabric-2"silver stripes-Zipper EA 5.25 0 0 5.25
closure-Left chest pocket-XL
Subtotal $10.50
On-Site Supply is a-certified-Small-Disadvantaged-Business(SDB),and 8(a)certified
Phone# Fax# E-mail Sales Tax (7.0%) $0.00
317-259-7788 or 888-259=7788 317-259-7700 orders@onsiteontime.com Total $10.50
SU - - Packing Slip
8728 Robbins Road Date S.O. No.
Indianapolis,IN 46268
9/6/2016 176456
Ship To
City of Carmel Water Utilities
3450 West 131 St.
Carmel,M 46074
P.O. No. Ship Date Ship Via FOB
9/6/2016
Item Description Ordered Previous Shipped U/M Shipped
C16002QG-3XL Fluorescent lime mesh fabric-2"silver stripes- 1 01 EA 1
Zipper closure-Left chest pocket-3XL 6
C 16002QG-XL Fluorescent lime mesh fabric-2"silver stripes- 1 0 9 EA 1
Zipper closure-Left chest pocket-XL
V_
Signature
Phone# Fax# E-mail Web Site
317-259-7788 or... 317-259-7700 orders@onsiteontime.com www.OnSiteOnTime.com
Packing: SI�p
8728 Robbins Road Date S.O. No.
Indianapolis, IN 46268
9/6/2016 176457 .
Ship To
City of Carmel Water Utilities
3450 West 131 St.
Carmel,IN 46074
P.O. No. Ship Date Ship Via FOB
9/6/2016
Item Description. Ordered Previous Shipped U/M Shipped
IBS VALH386... ROLL LINER 38X60 22MI 6/25 BLACK 1 0 CS 1
l3l
i
Signature
Phone# Fax# - E-mail Web Site
317-259-7788 or... 317-2594700 _ orders@on_siteontime.com www.OnSiteOnTime.com