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CITY OF CARMEL, INDIANA VENDOR: 092000
® it ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: 5""""""'317.00"
CARMEL, INDIANA 46032 PO BOX 1286 CHECK NUMBER: 230411
WINONA MN 55982-1286 CHECK DATE: 03/26/14
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
609 5023990 813271 69.63 OTHER EXPENSES
609 5023990 813326 46.56 OTHER EXPENSES
601 5023990 813416 200.81 OTHER EXPENSES
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Remit to INVOICE
Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987-1286
Date Invoice No.
N80004 For billing questions 02/07/2014 ININ813326
Cust. No. INI
Cust. P.O. ja 8000 1010 Kendall Court, Suite 3
Job No. WESTFIELD, IN 46074 Due Date Invoice Total
Contract No. QPA# 11179 Phone 317-804-8035 03/09/2014 46.56 USD
Fax 317-804-8037
Sold To
000755501 AB 0.403 "AUTO T51 101046074-8-07555
II��I111'll'11111'lllllllll'1111"IIl�lllll'lllllllllllllllll'1�1 Ship To
CARMEL UTILITIES Picked up at branch
3450 W 131 ST ST ra 1010 Kendall Court, Suite 3
CARMEL, IN 46074 WESTFIELD, IN 46074
This Order and Document is subject to the "Terms of Purchase" posted on www.fastenal.com.
Line Quantity Quantity Quantity Control Part Price/
No Ordered Shipped Backordered Description No. No. Hundred Amount
1 1 1 0 #14 Nut Driver Black BUILDE 61955 1,096.2000 10.96 Y
2 1 1 0 SDS+1/4"x 6"CAL BLACKD 0234870 243.0000 2.43 Y
3 25 25 0 SAMMY CST 20 BUILDE 61907 74.2500 18.56 Y
4 6 6 0 T ROD Z 1/4-20 X 6' 120161137 47157 243.4500 14.61 Y
Received By Tax Exemption Subtotal 46.56
0031201560-020 G Shipping & Handling 0.00
IN State Tax 0.00
Comments County Tax 0.00
Contact:James Bentley City Tax 0.00
Total 46.56
Reasonable collection and attorneys fees will be No materials accepted for return without our permission.
assessed to all accounts placed for collection. All discrepancies must be reported within 10 days.
If you re-package or re-sell this product, you are required to maintain Please pay from this invoice.
- —integrity-:of:Country-of Origin to the consumer of this product.
0007555-01-0024225 Invoice: ININ813326 Cust: ININ80004
® Remit to INVOICE
FASTBIML Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987-1286
Date Invoice No.
Cust. No. ININ80004 For billing questions 02/03/2014 ININ813271
Cust. P.O. Amadou Diallo 1010 Kendall Court, Suite 3
Job No. WESTFIELD, IN 46074 Due Date Invoice Total
Contract No. QPA# 11179 Phone 317-804-8035 03/05/2014 69.63 USD
Fax 317-804-8037
Sold To
0009653 01 MB 0.432 "AUTO Ti 0 1009 46074-8-09653
(I��I��(JI�II�IJI��IIIIIJ(I1�"I��(��II�III�IJ(�II(I((I�(�L( Ship To
CARMEL UTILITIES CARMEL UTILITIES
3450 W 131ST ST 3450 W 131ST ST
CARMEL, IN 46074 WESTFIELD, IN 46074
This Order and Document is subject to the "Terms of Purchase" posted on www.fastonal.com.
Line Quantity Quantity Quantity Control Part Price/
No Ordered Shipped Backordered Description No. No. Hundred Amount
1 5 5 0 6"Lenox Lazer 18TPI LEE-N—OXX 0235460 505.1200 25.26 Y
2 100 100 0 KORKERS 1/4-20 120155826 51006 29.9400 29.94 Y
3 1 1 0 16ozRndFaceRipHammer 220010734 0249128 1,442.9800 14.43 Y
Received By Tax Exemption Subtotal 69.63
0031201560-020 G Shipping&Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
Contact:Aldwin Castaneda City Tax 0.00
Total 69.63
Reasonable collection and attorneys fees will be No materials accepted for return without our permission.
assessed to all accounts placed for collection. All discrepancies must be reported within 10 days.
If you re-package or re-sell this product, you are required to maintain Please pay from this invoice.
integrity of Country of Origin to the consumer of this product.
0009653-01-0026915 Invoice: ININ813271 oust: ININ80004
Amu Remit to INVOICE
Fastenal Company
PA67BM P.O. Box 1286 Page 1 of 1
Winona, MN 55987-1286
Date Invoice No.
Cust. No. ININ80004 For billing questions 02/18/2014 ININ813416
Cust. P.O. 1010 Kendall Court, Suite 3
Job No. WESTFIELD, IN 46074 Due Date Invoice Total
Contract No. Phone 317-804-8035 03/20/2014 200.81 USD
Fax 317-804-8037
Sold To
0005408 01 AB 0.403 "AliTO H6 0 1012 46074-8-05408
I�I�IIIIIIIIIII�I�III�II�I������I��iI����II��LIIII�II��I�Llll�l Ship To
CARMEL UTILITIES Picked up at branch
3450 W 131 ST ST 1010 Kendall Court, Suite 3
CARMEL, IN 46074 WESTFIELD, IN 46074
S
This Order and Document is subject to the "Terms of Purchase" posted on www.fastenal.com.
Line Quantity Quantity Quantity Control Part Price/
No Ordered Shipped Backordered Description No. No.—
Hundred Amount
1 75 75 0 5/8"-11 Bras FHN 220014907 75120 102.1500 76.61
2 75 75 0 S/S HCS 5/8-11X2 1/2 120170822 70313 165.6000 124.20
Received By Tax Exemption Subtotal 200.81
0031201560-020 G Shipping & Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
Contact:Aldwin Castaneda City Tax 0.00
Total 200.81
Reasonable collection and attorneys fees will be No materials accepted for return without our permission.
assessed to all accounts placed for collection. All discrepancies must be reported within 10 days.
If you re-package or re-sell this product, you are required to maintain Please pay from this invoice.
integrity of Country of Origin to the consumer of this product.
0005408-01-0016639 Invoice: ININ813416 cost: 1NW80004
VOUCHER # 134397 WARRANT # ALLOWED
92000 IN SUM OF $
FASTENAL
P.O. BOX 1286
WINONA, MN 55987-1286
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
813326 07-1052-15 $46.56
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Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
92000
FASTENAL Purchase Order No.
P.O. BOX 1286 Terms
WINONA, MN 55987-1286 Due Date 3/14/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/14/2014 813326 $46.56
1 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
Date �GOfficer