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Home My WebLink About304715 10/31/16 CITY OF CARMEL, INDIANA VENDOR: 357683 ONE CIVIC SQUARE ON SITE SUPPLY CHECK AMOUNT: $*******188.62* r. ?� CARMEL, INDIANA 46032 8728 ROBBINS ROAD CHECK NUMBER: 304715 9Mt.or INDIANAPOLIS IN 46268 CHECK DATE: 10/31/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 58648 41.40 OTHER EXPENSES 601 5023990 58778 147.22 OTHER EXPENSES VOUCHER# 163055 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 58548 01-6200-06 41.40 Voucher Total 41.40 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 10/17/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/17/201( 58548 41.40 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 Invoice - - 8728 Robbins Road Date Invoice# Indianapolis, IN 46268 10/10/2016 58648 Bill To Ship To City of Carmel Water Utilities City of Carmel Water Utilities A/P Dept. Attn:Jack 3450 West 131 St. 3450 West 131 St. Carmel, IN 46074 Carmel,IN 46074 P.O. Number Terms Rep Ship I Via I F.O.B. Net 30 MCC 9/28/2016 QTY Item Code Description U/M Price Each B/O Prev. Invd Amount 1 C16720G-XL WaterProof Windbreaker Class 3,Green,Size XL EA 29.45 0 0 29.45 1 C16920G-XL Rain Pants Class 2,Green,Size XL EA 11.95 0 0 11.95 Subtotal $41.40 _.. . _—.On-Site Supply is a-cer-tified-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 $41.40 MANIFEST/BILL OF LADING 7"YGLOVE&SAFETY 0 a a Leader leader in the Industry L7.Ul CUSTOMER NO. 433 Cheryl Lane, City of Industry, CA 91789 Tel: (800) 327-8333 Fax: (888) 3.40-8333 (909) 839-8200 (909) 839-8222 SOLD TO: Qk-1 L�'1 T E, :,U J: f' SHIP TO: CiTY OF CIPI)IME1, ROBB!"Ns Rui%1) "W"E-ST S"i J-N 4626iS DATE SHIP VIA F.O.B.' TERMS U P"s ')RIGIN ail PURCHASE ORDER NUMBER ORDER DATE SALESPERSON AUTHORIZATION NUMBER 0 9/3 U 6 90 8:14 09/301foynthial't 1pi-i-0,101,398M 4-1 2,9-1 9 5 i 0 ITEM NUMBER QTY BY CASE QTY BY UNIT MEASUREMENT UNIT EXT. V�DESCRIPTION REQ SHIPPED REQ SHIPPED B/O /Cs UNIT/CS J PRICE PRICE pc C1 6-12 00/X-J, 6-029-25-2 itai LlP,!STRIPE8 po 6-02 9-J)-1 PM47,`3 Ufvlk GREEN)PCIi,YESTER Sh.. SIC-OH RECEIVED QTY: PICKED BY: RECEIVED BY: DATE: CODAMT$ "hEM."ell $ TOTAL CASES: cl/ 2. cOLLECTE] Note-Where the rate is dependent on value,shippers are required to to Settle.7 of the middions.if this shipment is to h TOTAL d, alai declared value of the property. e specifically in writing the agreed or decil it dtathecansignu%ftoutmecumantheconsignar, CHARGES 'p The agreed or declared value of the properties hereby specifically stated Th',con"j"'arsholl,itan the hiflaung statement tvidlis, FREIGHT ,,y choor shall to make di al this smonen "t I TOTAL WEIGHT: by the shipper to be not exceeding. payment otheight and all other arlul charges. FREGHTPREPAID Check box if charges except when box at0 state be $ per —(sign.k.orclaraimad— night is checked ❑ collect AUTHORIZED SIGNATURE RECEIVED,eubpet to be the chasafficitio—rad a,ff,i,,ffe,t,,the if the issue of theIII —in an. "I noted("man's"d oahl:b of Lading, the r in, ma I except �mddkm of tomcods packages unknown),marked,consigned,and destined as indicated lecoa Mill said corner(A"wor'cri toad" a orb or ,run al cry do.finedemn" its route, act a"'anhh"any ham do . a call—to another motor on the he s.%ha,to a possession suhhe ni omou at,. under ..Ir..),..gn�.o.ft.,dpry.tp�e"...ea'.P[��.,Ia�fd in, saisaid " n t u Y=eya cut ..,a ductin an a mut to each all or property r .any hime to castration and as to each Poa attamy,fiente interested in all or thus, of I she in the gavlonrig classification d h 'iti,that every se is to be fashioned hereunder shall be subject to a! bill riminge,mandishous,sundelimildtarom and conditions are hereby ,".doNaho'e'shipperand any of mani an hat fmadmir with.11 the biller and ad shipper he by c Iiii —diflaro'noffimg— ng accarded to,hinneci and his ass,gha. LIBIERT-Y 6VE & SAFETY VOUCHER# 163105 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 58778 01-6200-06 147.22 Voucher Total 147.22 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 10/24/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/24/201( 58778 147.22 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 - Invoice - 8728 Robbins Road Date Invoice# Indianapolis, IN 46268 10/19/2016 58778 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 10/19/2016 QTY Item Code Description U/M Price Each B/O Prev. Invd Amount 3 WIN 1420 Center-Flow Hand Towels,660 Sheets/RL,6RL/CS CS 44.74 0 0 134.22 2 F201OWC-XL Disposable Blue Powder-Free Nitrile Glove, 100BX, BX 6.50 0 0 13.00 Size XLRG Subtotal $147.22 __. .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 $147.22 Parkin Slip - - Packing p 8728 Robbins Road Date S.O. No. Indianapolis, IN 46268 10/19/2016 177044 Ship To City of Carmel Water Utilities 3450 West 131 St. Carmel,IN 46074 P.O. No. Ship Date Ship Via FOB 10/19/2016 Item Description Ordered Previous Shipped U/M Shipped WIN 1420 Center-Flow Hand Towels,660 Sheets/RL, 3 0 CS 3 6RL/CS F201OWC-XL Disposable Blue Powder-Free Nitrile Glove, 2 0 BX 2 100/BX,Size XLRG Signature Phone# Fax# E-mail Web Site 317-259-7788 or... 317-259-7700 orders@onsiteontime.com www.OnSiteOnTime.com