233731 06/18/14 \. CITY OF CARMEL, INDIANA VENDOR: 092000
°;• ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $*******873.40*
s�� _�: CARMEL, INDIANA 46032 PO Box 1286 CHECK NUMBER: 233731
Marva�°' WINONA MN 55987-1286 CHECK DATE: 06/18/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350080 ININ814590 686.96 STREET LIGHT REPAIRS
2201 4237000 ININ814598 98.90 REPAIR PARTS
2201 4237000 ININ814627 5.68 REPAIR PARTS
2201 4237000 ININ814633 81.86 REPAIR PARTS
FASTBIML
Remit to INVOICE
Fastenal Company
P.O.Box 1286 Page 1 of 1
Winona, MN 55987-1286
Date Invoice No.
Cust.No. ININ80003 For billing questions 06/05/2014 ININ814598
Cust.P.O. 1010 Kendall Court,Suite 3
Job No. WESTFIELD, IN 46074 Due Date Invoice Total
Contract No. Phone 317-804-8035 07/05/2014 98.90 USD
Fax 317-804-8037
Sold To
Ship To
CARMEL STREET DEPT. Picked up at branch
3400 W 131 ST ST 1010 Kendall Court,Suite 3
WESTFIELD, IN 46074-8267 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
1 100 100 0 HCS5/16-18 X 3 Z 5 120175139 110120333 54.5700 54.57
2 50 50 0 HCS5/16-18 X 3 Z 5 120125023 110120333 54.5700 27.29
3 300 300 0 5/16 USS F/W Z 120187127 1133006 5.6800 17.04
Received By Tax Exemption Subtotal 98.90
0031201550-020 G Shipping&Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
Contact:Rick Aldin City Tax 0.00
Total 98.90
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.
Invoice: ININ814598 Cust: ININ80003
FASTBVAL'
Remit to INVOICE
Fastenal Company
P.O.Box 1286 , Page 1 of 1
Winona, MN 55987-1286
Date Invoice No.
NIN80003 For billing questions 06/05/2014 ININ814590
Cust.No. I
Cust.P.O. NIN8 003 Garage 1010 Kendall Court,Suite 3
Job No. WESTFIELD, IN 46074 Due Date Invoice Total
Contract No. Phone 317-804-8035 07/05/2014 686.96 USD
Fax 317-804-8037
Sold To
Ship To
CARMEL STREET DEPT. CARMEL STREET DEPT.
3400 W 131 ST ST 3400 W 131 ST ST
WESTFIELD, IN 46074-8267 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 10 10 0 PC Board Red REPL fo WEIN1329 12728-00313 6,370.0000 637.00
Received By Tax Exemption Subtotal 637.00
0031201550-020 G Shipping&Handling 49.96
IN State Tax 0.00
Comments County Tax 0.00
Contact:Eric Russell City Tax 0.00
Total 686.96
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.
Invoice: ININ814590 Cust: ININ80003
FASTBINLO
Remit to INVOICE
Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987-1286
Date Invoice No.
Cust.No. ININ80003 For billing questions 06/09/2014 ININ814627
Cust.P.O. 1010 Kendall Court,Suite 3
Job No. WESTFIELD, IN 46074 Due Date Invoice Total
Contract No. Phone 317-804-8035 07/09/2014 5.68 USD
Sold To Fax 317-804-8037
Ship To
CARMEL STREET DEPT. Picked up at branch
3400 W 131ST ST 1010 Kendall Court,Suite 3
WESTFIELD, IN 46074-8267 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
1 100 100 0 5/16 USS F/W Z 120187127 1133006 5.6800 5.68
Received By Tax Exemption Subtotal 5.68
0031201550-020 G Shipping&Handling 0.00
IN State Tax 0.00
Comments County Tax 0.00
Contact:Rick Aldin City Tax 0.00
Total 5.68
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.
Invoice: ININ814627 Cust: ININ80003
® Remit to INVOICE
FASTBIMLFastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987-1286
Date Invoice No.
Cust.No. ININ80003 For billing questions 06/10/2014 ININ814633
Cust.P.O. 1010 Kendall Court,Suite 3
Job No. WESTFIELD, IN 46074 Due Date Invoice Total
Contract No. Phone 317-804-8035 07/10/2014 81.86 USD
Sold To Fax 317-804-8037
Ship To
CARMEL STREET DEPT. CARMEL STREET DEPT.
3400 W 131 ST ST 3400 W 131 ST ST
WESTFIELD, IN 46074-8267 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
1 150 150 0 HCS5/16-18 X 3 Z 5 120184823 110120333 54.5700 81.86
Received By Tax Exemption Subtotal 81.86
0031201550-020 G Shipping&Handling 0.00
IN State Tax 0.00
Comments County Tax 0.00
Contact:Rick Aldin City Tax 0.00
Total 81.86
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.
Invoice: ININ814633 Cust: ININ80003
VOUCHER NO. WARRANT NO.
ALLOWED 20
Fastenal
IN SUM OF$
P. O. Box 1286
Winona, MN 55987-0978
$873.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 ININ81498 42-370.00 $98.90 1 hereby certify that the attached invoice(s), or
2201 ININ814590 43-500.80 $686.96 bill(s) is (are) true and correct and that the
2201 I N I N814627 42-370.00 $5.68
2201 I N I N814633 42-370.00 $81.86 materials or services itemized thereon for
which charge is made were ordered and
received except
Fri y June 3, 2014
St ��mfer
Title
Cost distribution ledger classification if
claim paid motor 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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
06/05/14 I N I N81498 $98.90
06/05/14 I N I N814590 $686.96
06/09/14 I N I N814627 $5.68
06/10/14 I N I N814633 $81.86
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
, 20
Clerk-Treasurer