234841 07/16/14 `��,.c�gyf CITY OF CARMEL, INDIANA VENDOR: 092000
i ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $********45.32*
=q CARMEL, INDIANA 46032 PO Box 1286 CHECK NUMBER: 234841
9M«oN:�` WINONA MN 55987-1286 CHECK DATE: 07/16/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 2168492 45.32 OTHER EXPENSES
® Remit to INVOICE
Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987-1286
Date Invoice No.
Cust. No. ININ20169 For billing questions 06/23/2014 ININ2168492
Cust. P.O. 14775 Herriman Blvd
Jm62169
Job No. NOBLESVILLE, IN 46060 Due Date Invoice Total
Contract No. Phone (317)770-0649 07/23/2014 48.49 USD
Sold To Fax (317)770-4279
0006773 01 AB 0.403 "AUTO T3 1 1038 46074-8-06773
1111'111111111111111111'1111111'II"I'I11111111'II1111'111'IIIII' Ship To
CARMEL UTILITIES Picked up at branch
3450 W 131 ST ST 14775 Herriman Blvd
CARMEL, IN 46074-8267 gj NOBLESVILLE, IN 46060
_—_--This-Order-and-Document-is-sublect-to-the "Terms.of Purchase"-posted_on www.fastenaLcom.__
Line Quantity Quantity Quantity Control Part Price/
No Ordered Shipped Backordered Description No. No. Hundred Amount
1 10 10 0 HCS 3/4-10 x 4.5 Z5 WW070532 13371 379.0000 37.90 T
2 10 10 0 3/4"-10 FHNz 5 120176400 1136316 74.2200 7.42 T
Received By Tax Exemption Subtotal 45.32
Shipping&Handling 0.00
IN State Tax �, M�,f .—.a-r7—
Comments County Tax ' 0.00
Contact:Jimbo City Tax 0.00
Total
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.
0006773-01-0020949 Invoice. ININZ 8492 Cusf: 'ININ2D�6J`—
VOUCHER # 141012 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
2168492 01-6200-02 $45 49
9 V5:2-
Voucher
Voucher Total _ 49
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 7/7/2014
Invoice Invoicetion
D�.scrip
Date Number (or note attached invoice(s) or bill(s)) Amount
7/7/2014 2168492 $48.49
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