232203 05/07/14 (9,
CITY OF CARMEL, INDIANA VENDOR: 092000
ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $********73.30*
PO sox 1286 CHECK NUMBER: 232203
CARMEL, INDIANA 46032 WINONA MN 55987-1286 CHECK DATE: 05/07/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 ININ2166669 73.30 OTHER EXPENSES
® Remit to INVOICE
Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987-1286
Date Invoice No.
IN20169 For billing questions 04/07/2014 ININ2166669
Cust. No. IN
Cust.P.O. J IN201 9 14775 Herriman Blvd
Job No. NOBLESVILLE, IN 46060 Due Date Invoice Total
Contract No. Phone (317)770-0649 05/07/2014 73.30 USD
Sold To Fax (317)770-4279
0006363 01 AB 0.403 "AUT0 1-11 0 1022 46074-6-06363
Ship To
CARMEL UTILITIES Picked up at branch
3450 W 131 ST ST 14775 Herriman Blvd
CARMEL, IN 46074-8267 NOBLESVILLE, IN 46060
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 2 2 0 45/64 S&D Drill Bit TOPEST 0316247 3,665.0000 73.30
Received By Tax Exemption Subtotal 73.30
Shipping &Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
Contact:Jimbo City Tax 0.00
Total 73.30
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.
0006363.01.0019835 Invoice: ININ2166669 Cust: ININ20169
VOUCHER # 134883 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
ININ2166669 01-6200-04 $73.30
Voucher Total $73.30
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 4/24/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/24/2014 I N I N2166669 $73.30
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
Date Officer