HomeMy WebLinkAbout235392 07/30/14 0CITY OF CARMEL, INDIANA VENDOR: 092000
= ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $********27.81*
. � CARMEL, INDIANA 46032 PO BOX 1286 CHECK NUMBER: 235392
'sy«oN�` WINONA NIN 55987-1286 CHECK DATE: 07/30/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 ININ2169041 27.81 REPAIR PARTS
® Remit to INVOICE
Fastnal Company
P.O. Bo
P.O. Box 1286 Page 1 of 1
Winona, MN 55987-1286
Date Invoice No.
Cust. No. ININ20009 For billing questions 07/18/2014 ININ2169041
14775 Herriman Blvd
Cust. P.O. 4th&Main
Job No. NOBLESVILLE, IN 46060 Due Date Invoice Total
Contract No. Phone (317)770-0649 08/17/2014 29.76 USD
Sold To Fax (317)770-4279
0006441 01 AB 0.403 "AUTO H2 0 1044 46074-8-06441
"'III.I�""II�" 'II�l��lll'I�II��III�'I'I'll�ll"�II'�Il�'lll' Ship To
CARMEL STREET DEPT. Picked up at branch
3400 W 131 ST ST 14775 Herriman Blvd
CARMEL, IN 46074-8267 NOBLESVILLE, IN 46060
This Order and Document is subject to the "Terms of Purchase" posted on wwwJastonal.com.
Line Quantity Quantity Quantity Control Part Price/
No Ordered Shipped Backordered Description No. No. Hundred Amount
1 2 2 0 S/S BHSCS 1/2-13X1.5 240087513 73835 499.0000 9.98 T
2 1 1 0 4oz FMT Cutting Oil 134233 3276231 419.0000 4.19 T
3 1 1 0 1/2-13 Bottom Tap TOPEST 0326807 1,364.0000 13.64 T
Received By Tax Exemption Subtotal 27.81
&Handlin 0.00
I N 5 tate ax 1.9
Comments County Tax
Contact:JEFF STEWART City Tax 0.00
Total 29.76
Reasonable collection and attorneys fees will be No materials accepted for return without our permission.
assessed to all accounts placed for collection. All discrepancies must be reported within 10 days.
If you re-package or re-sell this product, you are required to maintain Please pay from this invoice.
integrity of Country of Origin to the consumer of this product.
0006441-01-0020259 Invoice: ININ2169041 cust: ININ20009
VOUCHER NO. WARRANT NO.
A
Fastenal ILLOWED 20
IN SUM OF$
P. O. Box 1286 i
Winona, MN 55987-0978
$27.81
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#IrlTLE AMOUNT Board Members
2201 I ININ2169041 I 42-370.001 $27.81 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
0
July 24, 2014
Street Commissioner
Street Commissioner
( Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
t
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))
07/18/14 ININ2169041 $27.81'
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