HomeMy WebLinkAbout237628 09/30/14 (9,
CITY OF CARMEL, INDIANA VENDOR: 092000
ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: S«"**«««*65.02*
CARMEL, INDIANA 46032 PO BOX 1286 CHECK NUMBER: 237628
WINONA MN 55987-1286 CHECK DATE: 09/30/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 ININ815702 65.02 REPAIR PARTS
I
FAS7FAML
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 09/24/2014 I N I N 815702
Cust.P.O. Crafco 1010 Kendall Court,Suite 3 Invoice Total
Job No. Crafco WESTFIELD, IN 46074 65.02 USD
Contract No. Phone 317-804-8035 Due Date
Sold To Fax 317-804-8037 10/24/2014
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 1 1 0 1"FPTXi"JIC SWVL 120139509 420881 1,974.1000 19.74
2 2 2 0 MALE CONN 1"T X 1"MP 136573 420675 500.0000 10.00
3 1 1 0 1"FrgeBrassBaRtalve RUBBBB 427006 3,528.0000 35.28
Received By Tax Exemption Subtotal 65.02
0031201550-020 G Shipping&Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
Contact:Travis City Tax 0.00
Total 65.02
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: ININS15702 Cust: ININ80003
VOUCHER NO. WARRANT NO.
Fastenal ALLOWED 20
IN SUM OF$
P. O. Box 1286
Winona, MN 55987 tWf-(,Z-66
$65.02
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 ININ815702 42-370.00 $65.02 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
//day#tember 26, 2014
Streetlommlosslon .r loner
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))
09/24/14 I N I N 815702 $65.02
i
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