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Home My WebLink About320758 01/11/18 � ,• CITY OF CARMEL, INDIANA VENDOR: 357683 ONE CIVIC SQUARE ON SITE SUPPLY CHECK AMOUNT: $*******242.41* CARMEL, INDIANA 46032 8728 ROBBINS ROAD CHECK NUMBER: 320758 INDIANAPOLIS IN 46268 CHECK DATE: 01/11/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 65801 41.43 OTHER EXPENSES 601 5023990 65802 200.98 OTHER EXPENSES VOUCHER NO. 173726 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor# 357683 IN SUM-OF$ ACCOUNTS PAYABLE VOUCHER ON SITE SUPPLY CITY OF CARMEL 8728 ROBBINS RD An invoice or bill to be properly-itemized must show: kind of service,where performed, INDIANAPOLIS, IN 46268 dates service rendered, by whom, rates per day, number of hours, rate per hour, numbers of units, price per unit,etc. Payee 242.41 357683 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR ON SITE SUPPLY Terms Carmel Water Utilitv 8728 ROBBINS RD Due Date BOARD MEMBERS I hereby certify that that attached invoice(s), INDIANAPOLIS, IN 46268 or bill(s)is(are)true and correct and that PO# ACCT# the materials or services itemized thereon for DATE INVOICE# Description DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)), AMOUNT 65801 01-6200-06 $41.43 and received except 12/28/2017 65801 $41.43 65802 01-6200=06 $200.98 12/28/2017 65802 $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 Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_ Clerk-Treasurer 0 -7M Invoice Invoice ® 8728 Robbins Road Date Invoice# Indianapolis, IN 46268 12/19/2017 65801 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 12/11/2017 QTY Item Code Description U/M Price Each B/O Prev. Invd Amount 1 US364/1, Hi-Visibility Premium 2-in-I Waterproof Bomber EA 41.43 0 0 41.43 Jacket,Yellow&Black,removable Fleece Liner,Large Subtotal $41.43 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 $41.43 Invoice 8728 Robbins Road Date Invoice# Indianapolis, IN 46268 12/19/2017 65802 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 12/11/2017 QTY Item Code Description U/M Price Each 13/0 Prev. Invd Amount 2 WIN 1420 Center-Flow Hand Towels,660 Sheets/RL,6RL/CS CS 44.74 0 0 89.48 2 GPC193-75B Compact Coreless Bath Tissue,2-Ply,White, 1000 CS 55.75 0 0 111.50 Sheets/Roll,36/Carton F_ Subtotal $200.98 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 $200.98 - Packing Slip 8728 Robbins Road Date S.O. No. Indianapolis, IN 46268 12/11/2017 182841 Ship To City of Carmel Water Utilities 3450 West 131 St. Carmel,IN 46074 P.O. No. Ship Date Ship Via FOB 12/11/2017 Item Description Ordered Previous Shipped U/M Shipped US364/L Hi-Visibility Premium 2-in-1 Waterproof Bomber 1 0 EA 1 Jacket,Yellow&Black,removable Fleece Liner, Large �.N 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 12/11/2017 182845 Ship To City of Carmel Water Utilities 3450 West 131 St. Carmel,IN 46074 P.O. No. Ship Date Ship Via FOB 12/11/2017 Item Description Ordered Previous Shipped U/M Shipped WIN 1420 Center-Flow Hand Towels,660 Sheets/RL, 2 0 CS 2 6RL/CS GPC193-75B Compact Coreless Bath Tissue,2-Ply,White, 2 0 CS 2 1000 Sheets/Roll,36/Carton V" Signature Phone# Fax# E-mail Web Site 317-259-7788 or... 317-259-7700 orders@onsiteontime.com www.OnSiteOnTime.com