HomeMy WebLinkAbout333914 12/27/18 %' ^'''f� CITY OF CARMEL, INDIANA VENDOR: 357683
.�, ® ONE CIVIC SQUARE ON SITE SUPPLY
CHECK AMOUNT: $*********8.99*
s ,?� CARMEL, INDIANA 46032 8728 ROBBINS ROAD CHECK NUMBER: 333914
t;��TON�, INDIANAPOLIS IN 46268 CHECK DATE: 12/27/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 72015 8.99 OTHER EXPENSES
VOUCHER NO. 183644 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor # 357683 IN SUM OF$ 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
8.99 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
PO# ACCT# or bill(s)is(are)true and correct and that
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
72015 01-6200-06 $8,99 and received except 12/14/2018 72015 $8.99
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
-Si Invoice
Safety-Janitorial-Industrial Date Invoice#
8728 Robbins Road
Indianapolis, IN 46268 12/13/2018 72015
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 12/13/2018
QTY Item Code Description U/M Price Each B/O Prev. Invd Amount
1 HP441 IOV Vented Hard Hat 4pt Ratchet Suspension,White EA 8.99 0 0 8.99
Subtotal $8.99
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 $8.99
Packing Sli
® C36 .
Date S.O. No.
Safety -Janitorial -Industrial 12/13/2018 188154
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
12/13/2018
Item Description Ordered Previous Shipped U/M Shipped
HP44110V Vented Hard Hat 4pt Ratchet Suspension,White 1 0 EA 1
Signature
Phone# Fax# E-mail Web Site
317-259-7788 or... 317-259-7700 orders@onsiteontime.com www.OnSiteOnTime.com