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Home My WebLink About303752 09/30/16 r Coq' `% "� CITY OF CARMEL, INDIANA VENDOR: 357683 s ONE CIVIC SQUARE ON SITE SUPPLY CHECK AMOUNT: $""••"`328.86• �. ?Q CARMEL, INDIANA 46032 8728 ROBBINS ROAD CHECK NUMBER: 303752 +.y_roN INDIANAPOLIS IN 46268 CHECK DATE: 09/30/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 58355 266.36 OTHER EXPENSES 601 5023990 58356 62.50 OTHER EXPENSES VOUCHER# 162825 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 58355 01-6200-03 266.36 5g35to X20.4 tca•5� Voucher Total 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 9/26/2016 .Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/26/2016 58355 266.36 hereby certify that the attached invoice(s), or bill(s) is(are)true and -orrect and I have audited same in accordance with IC 5-11-10-1.6 Date Officer Invoece =-- . 8728 Robbins Road Date Invoice# Indianapolis,IN 46268 9/21/2016 58355 Bill To Ship To City of Carmel Water Utilities City of Carmel WasteWater Utilities A/P Dept. Attn:Jerry 3450 West 131 St. 4915 E 106TH ST Carmel, IN 46074 Carmel,IN 46033 P.O. Number Terms Rep Ship Via F.O.B. Net 30 MCC 9/16/2016 QTY Item Code - Description U/M Price Each B/O Prev. Invd Amount 4 WIN 1420 Center-Flow Hand Towels,660 Sheets/RL,6RL/CS CS 44.74 0 0 178.96 2 BWK 6256 HARDWOUND-TWL-NATURL-8X8 00(6) CS 26.70 0 0 53.40 2 61159 Dispenser Foam Soap Big White w/Bottle EA 17.00 0 0 34.00 Subtotal — - $266.36- Supply is a-ceirtified-Small-Disadvantaged-Business-(SDB),and 8(a)certified Phone# - ` Fax# E-mail Sales Tax �7.0%) $0.10 31.7-259-7788 or 888-259=7788- 317-259-7700 orders@onsiteontime.-cam —Total Invoice 8728 Robbins Road Date Invoice# Indianapolis, IN 46268 9/21/2016 58356 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, IN 46074 P.O. Number Terms Rep Ship Via F.O.B. Net 30 MCC 9/20/2016 QTY Item Code Description U/M Price Each B/O Prev. Invd Amount 1 63777 GERM-A-FOAM E2 ANTI-BACTERIAL FOAMING CS 62.50 0 0 62.50 SKIN CLEANSER,4 GALLONS/CS - =- - Subtotal $62.50 On-Site Supply is a certified•Small=Disadvantaged Business(SDB),•and 8(a)certified - <_: Sales Tax (7.0% = _ Phone# Fax# E-mail - 317-259-7788 or 888-25077-788 317-259-7700 orders@onsiteontime.com Total $62.50- — Packing Slip 8728 Robbins Road Date S.O. No. Indianapolis, IN 46268 9/16/2016 176612 Ship To City of Carmel WasteWater Utilities Attn:Jerry 4915 E 106TH ST Carmel,IN 46033 P.O. No. Ship Date Ship Via FOB 9/16/2016 Item Description Ordered Previous Shipped U/M Shipped WIN 1420 Center-Flow Hand Towels,660 Sheets/RL, 4 0 CS 4 6RL/CS BWK 6256 HARDWOUND-TWL-NATURL-8X8 00(6) 2 0 CS 2 61159 Dispenser Foam Soap Big White.w/Bottle 2 0 EA 2 - - - Signature Phone# Fax#- E-mail Web Site - 317:259-7788 or... 317-259-7700 orders@onsiteontime.com www.OnSiteOnTime.com Packing Slip 8728 Robbins Road Date S.O. No. Indianapolis, IN 46268 -J 9/20/2016. 176658 Ship To City of Carmel Water Utilities 3450 West 131 St. Carmel,IN46074 P.O. No. Ship Date Ship Via FOB 9/20/2016 Item Description Ordered Previous Shipped U/M Shipped 63777 GERM-A-FOAM E2 ANTI-BACTERIAL 1 0 CS 1 FOAMING SKIN CLEANSER,4 GALLONS/CS l� _- Signature - Phone# Fax# E-mail Web Site 317-259-7788 or... 317-259-7700 orders@cnsiteontime.com www.OnSiteOnTime.com