HomeMy WebLinkAbout321298 01/25/18 CITY OF CARMEL, INDIANA VENDOR: 357683
ONE CIVIC SQUARE ON SITE SUPPLY CHECK AMOUNT: $**...***67.48*
?� CARMEL, INDIANA 46032 8728 ROBBINS ROAD CHECK NUMBER: 321298
INDIANAPOLIS IN 46268 CHECK DATE: 01/25/1 8
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 66194 178.98 OTHER EXPENSES
601 5023990 66196 -111.50 OTHER EXPENSES
VOUCHER NO. 173943 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 357683 IN SUM OF$ 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
67.48 357683 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR ON SITE SUPPLY Terms
Carmel Water Utility 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# �'l�' 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
66194 01-6200-06 $67,48 and received except 1/18/2018 66194 $67.48
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
Invoice
8728 Robbins Road Date Invoice#
Indianapolis, IN 46268
1/18/2018 66194
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. Cannel,IN 46074
Carmel, IN 46074
P.O. Number Terms Rep Ship j Via F.O.B.
Net 30 MCC 1/17/2018
QTY Item Code Description U/M Price Each B/O Prev. Invd Amount
2 MORM1000 Soft Coreless,Bath Tissue,2-Ply,White, 1000 CS 44.75 0 0 89.50
Sheets/Roll,36/Ct
2 WIN 1420 Center-Flow Hand Towels,660 Sheets/RL,6RL/CS CS 44.74 0 0 89.48
f�
Subtotal $178.98
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 $178.98
Credit Memo
8728 Robbins Road
Date Credit No.
Indianapolis, IN 46268
1/18/2018 66196
Customer 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. No. Rep
MCC
Item Description Qty U/M Rate Amount
GPC193-75B Compact Coreless Bath Tissue,2-Ply,White, 1000 -2 55.75 -111.50
Sheets/Roll,36/Carton
Subtotal _$111.50
Sales Tax (7.0%) $0.00
Total -$111.50
Invoices $0.00
Balance Credity if-iii"iso'.
D►�-Sure
- - L Y Packing Slip
8728 Robbins Road Date S.O. No.
Indianapolis, IN 46268
1/17/2018 183244
Ship To
City of Carmel Water Utilities
3450 West 131 St.
Carmel,IN 46074
P.O. No. Ship Date Ship Via FOB
1/17/2018
Item Description Ordered Previous Shipped U/M Shipped
MORM1000 Soft Coreless,Bath Tissue,2-Ply,White, 1000 2 0 CS 2
Sheets/Roll,36/Ct
WIN 1420 Center-Flow Hand Towels,660 Sheets/RL, 2 0 CS 2
6RL/CS
Signature
Phone# Fax# E-mail Web Site
317-259-7788 or... 317-259-7700 orders@onsiteontime.com www.OnSiteOnTime.com