238807 11/05/14 u!.4Aq
CITY OF CARMEL, INDIANA VENDOR: 092000
ONE CIVIC SQUARE FASTENAL COMPANY CHECK-AMOUNT: $*******197.51*
CARMEL, INDIANA 46032 PO BOX 1286 CHECK NUMBER: 238807
�MiruN :? WINONA MN 55987-1286 CHECK DATE: 11/05/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 815877 197.51 OTHER EXPENSES
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® Remit to INVOICE
Fastenal Company Page 1 of 1
P.O. Box 1286
Winona, MN 55987-1286 Invoice Date Invoice No.
10/14/2014 I N I N815877
Cust. No. ININ80004 For billing questions Invoice Total
Cust. P.O. 1010 Kendall Court, Suite 3
Job No. WESTFIELD, IN 46074 197.51 USD
Contract No. Phone 317-804-8035 Due Date
Fax 317-804-8037 11/13/2014
Sold To
0005799 01 AB 0.403 "AUTO H8 1 1067 46074-8.05799
11111IIP 11111111111111 Ship To
CARMEL UTILITIES CARMEL UTILITIES
3450 W 131 ST ST 3450 W 131 ST ST
CARMEL, IN 46074 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 50 50 0 HCS1/2-13x3 Z 5 120190299 110120386 113.0000 56.50
2 50 50 0 1/2"-13 FHNz 5 120176400 1136310 28.0200 14.01
3 50 50 0 HCS 5/8-11 x 3.5 Z5 210072458 13317 209.0000 104.50
4 50 50 0 5/6"-11 FHNz 5 120187213 1136314 45.0000 22.50
Received By Tax Exemption Subtotal 197.51
0031201560-020 G Shipping&Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
Contact:Steve Callahan City Tax 0.00
Total 197.51
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.
0005799.01-0017863 Invoice: ININ815877 Cust: ININ80004
VOUCHER # 142134 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
815877 01-6200-06 $197.51
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I
Voucher Total $197.51
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
I
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 10/25/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/25/201, 815877 $197.51
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