HomeMy WebLinkAbout237128 09/16/14 0qY 4� CITY OF CARMEL, INDIANA VENDOR: 092000
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ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $*******332.36*
CARMEL, INDIANA 46032 PO BOX 1286 CHECK NUMBER: 237128
9M�i6ri-�o` WINONA MN 55987-1286 CHECK DATE: 09/16/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 ININ815550 332.36 OTHER MAINT SUPPLIES
® Remit to INVOICE
Fastenal Company Page 1 of 1
P.O. Box 1286
Winona, MN 55987-1286 Invoice Date Invoice No.
Cust.No. ININ80003 For billing questions 09/10/2014 I N I N 815550
Cus1010 Kendall Court,Suite 3 Invoice Total
Job No.P.O. Truck 57 WESTFIELD, IN 46074 332.36 USD
Job
Contract No. Phone 317-804-8035 Due Date
Fax 317-804-8037 10/10/2014
Sold To
Ship To
CARMEL STREET DEPT. Picked up at branch
3400 W 131 ST ST 1010 Kendall Court,Suite 3
WESTFIELD, IN 46074-8267 WESTFIELD, IN 46074
This Order and Document is subject to the"Terms of Purchase"posted on www.fastenal.com.
Line Quantity Quantity Quantity Control Part Price/
No Ordered Shipped Backordered Description No. No. Hundred Amount
1 100 100 0 QUIK LNK 3/16 134961 45212 239.7000 239.70
2 200 200 0 HCS5/16-18 X 3 Z 5 160079232 110120333 46.3300 92.66
Received By Tax Exemption Subtotal 332.36
0031201550-020 G Shipping&Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
Contact:Brad Henderson City Tax 0.00
Total 332.36
Reasonable collection and attorneys fees will be No materials accepted for return without our permission.
assessed to all accounts placed for collection. All discrepancies must be reported within 10 days.
If you re-package or re-sell this product,you are required to maintain Please pay from this invoice.
integrity of Country of Origin to the consumer of this product.
Invoice: ININ815550 Cust: ININ80003
VOUCHER NO. WARRANT NO.
ALLOWED 20
Fastenal
IN SUM OF$
P. O. Box 1286
Winona, MN 55987-0978
$332.36
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
2201 I ININ815550 I 42-389.00 $332.36 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
Vr ay, tember 12, 2014
Btree?C e t C11Qm i sioner
Title
i
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I
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))
09/10/14 I N I N 815550 $332.36
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
20
Clerk-Treasurer