HomeMy WebLinkAbout321763 02/13/18 Q
CITY OF CARMEL, INDIANA VENDOR: 357683
ONE CIVIC SOUARE ON SITE SUPPLY CHECK AMOUNT: 5********62.50*CARMEL, INDIANA 46032 8728 ROBBINS ROAD CHECK NUMBER: 321763
INDIANAPOLIS IN 46268 CHECK DATE: 02/13/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 66292 62.50 OTHER EXPENSES
VOUCHER NO. 174013 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
62.50 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# 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
66292 01-6200-06 $62.50 and received except 1/25/2018 66292 $62.50
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
1/24/2018 66292
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 1/23/2018
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
Phone# Fax# E-mail Sales Tax (7.0%) $0.00
317-259-7788 or 888-259-7788 317-259-7700 orders@onsiteontime.com Total $62.50
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Packing Slip
8728 Robbins Road Date S.O. No.
Indianapolis, IN 46268
1/23/2018 183341
yW
Ship To
Q City of Carmel Water Utilities
�J 3450 West 131 St.
Carmel,IN 46074
P.O. No. Ship Date Ship Via FOB
1/23/2018
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
Signature
Phone# Fax# E-mail Web Site
317-259-7788 or... 317-259-7700 orders@onsiteontime.com www.OnSiteOnTime.com