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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