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Home My WebLink About333569 12/14/18 4 _C.1q,Mf . �Y" �� CITY OF CARMEL, INDIANA VENDOR: 357683 ® ONE CIVIC SQUARE ON SITE SUPPLY CHECK AMOUNT: $*******273.16* �? ;_� CARMEL, INDIANA 46032 8728 ROBBINS ROAD CHECK NUMBER: 333569 (9��7"rori'b�' INDIANAPOLIS IN 46268 CHECK DATE: 12/14/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 71759 232.21 OTHER EXPENSES 601 5023990 71947 40.95 OTHER EXPENSES VOUCHER NO. 183624 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor # 357683 IN SUM OF$ 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 40.95 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 71947 01-6200-06 $40.95 and received except 12/11/2018 71947 $40.95 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 Safety-Janitorial-Industrial Date Invoice# 8728 Robbins Road Indianapolis, IN 46268 12/10/2018 71947 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 12/6/2018 QTY Item Code Description U/M Price Each B/O Prev. Invd Amount 1 R13110X4 Hi-Vis Lime Bomber Jacket W/Zip Out Liner-Size 4X EA 40.95 0 0 40.95 Large Subtotal $40.95 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 $40.95 on Am I� Packing Slip ® Date S.O. No. Safety -Janitorial - Industrial 12/6/2018 188061 8728 Robbins Road Indianapolis, IN 46268 Ship To City of Carmel Water Utilities 3450 West 131 St. Carmel,IN 46074 P.O. No. Ship Date Ship Via FOB 12/6/2018 Item Description Ordered Previous Shipped U/M Shipped RJ3110X4 Hi-Vis Lime Bomber Jacket W/Zip Out Liner- 1 0 EA 1 Size 4X Large Signature Phone# Fax# E-mail Web Site 317-259-7788 or... 317-259-7700 orders@onsiteontime.com www.OnSiteOnTime.com VOUCHER NO. 183567 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor# 357683 IN SUM OF$ 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 232.21 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 71759 01-6200-03 $232,21 and received except 12/5/2018 71759 $232.21 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 Safety-Janitorial-Industrial Date Invoice# 8728 Robbins Road Indianapolis, IN 46268 11/28/2018 71759 Bill To Ship To City of Carmel Water Utilities City of Carmel Water 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 11/20/2018 QTY Item Code Description U/M Price Each B/O Prev. Invd Amount 1 ON-BWK 6180 Bathroom Tissue,2 Ply,500 Sheets/RL,96 Rolls per CS 41.00 0 0 41.00 Case,48,000 Sheets in Case 4 WIN 1420 4Center-Flow Hand Towels,660 Sheets/RL,6RL/CS CS 44.74 0 0 178.96 1 BWK 1001 Urinal Screen,Cherry Fragrance,Red, 12/13ox BX 12.25 0 0 12.25 Subtotal $232.21 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 $232.21 n e Packing Slip ® Date S.O. No. Safety -Janitorial - Industrial 11/20/2018 187860 8728 Robbins Road Indianapolis, IN 46268 Ship To City of Carmel Water Utilities Attn:Jerry 4915 E 106TH ST Carmel,IN 46033 P.O. No. Ship Date Ship Via FOB 11/20/2018 Item Description Ordered Previous Shipped U/M Shipped ON-BWK 6180 Bathroom Tissue,2 Ply,500 Sheets/RL,96 Rolls 1 0 CS 1 per Case,48,000 Sheets in Case WIN 1420 4Center-Flow Hand Towels,660 Sheets/RL, 4 0 CS 4 6RL/CS BWK 1001 Urinal Screen,Cherry Fragrance,Red, 12/13ox 1 0 BX 1 Received : �c ,62_ , Date : P #: 0� A CT #: t4 Signature Phone# Fax# E-mail Web Site 317-259-7788 or... 317-259-7700 orders@onsiteontime.com www.OnSiteOnTime.com