239719 12/03/2014 CITY OF CARMEL, INDIANA VENDOR: 092000
j ® ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $********33.75*
CARMEL, INDIANA 46032 PO BOX 1286 CHECK NUMBER: 239719
WINONA MN 5598 7-1 28 6 CHECK DATE: 12/03/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 816085 33.75 OTHER EXPENSES
Remit to INVOICE
Fastenal Company Page 1 of 1
P.O. Box 1286
Winona, MN 55987-1286 Invoice Date Invoice No.
11/05/2014 ININ816085
Cust. No. ININ80004 For billing questions
Cust. P.O. STEVE 1010 Kendall Court, Suite 3 Invoice Total
Job No. WESTFIELD, IN 46074 33.75 USD
Contract No. Phone 317-804-8035 Due Date
Fax 317-804-8037 12/05/2014
Sold To
0005000 01 AB 0.403 "AUTO 145 0 107146074-8-05000
11111'IIII��IIII'�I�'�'lel'�I�II"II'I'll�ll�lll��l'�'I�I'�I'll' Ship To
CARMEL UTILITIES CARMEL UTILITIES
3450 W 131ST ST w 3450 W 131ST ST
CARMEL, IN 46074 WESTFIELD, IN 46074
This Order and Document is subject to the "Terms of Purchase"posted on wwwJastenal.com.
Line Quantity Quantity Quantity Control Part Price/
No Ordered Shipped Backordered Description No. No. Hundred Amount
1 25 25 0 4.5x7/8 80g ZircDisc 220016987 0812765 135.0000 33.75
Received By Tax Exemption Subtotal 33.75
0031201560-020 G Shipping&Handling 0.00
IN State Tax 0.00
Comments County Tax 0.00
Contact:Steve Callahan City Tax 0.00
Total 33.75
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.
0005000-01-0015039 Invoice: ININ816085 oust: ININ80004
I-- -�- -- - - - - - - _ - -- __ - - - - -- - --
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VOUCHER# 142368 WARRANT# i ALLOWED
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IN SUM OF $
92000
FASTENAL
P.O. BOX 1286 {
j WINONA, MN 55987-1286
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
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PO# INV# ACCT# AMOUNT Audit Trail Code
816085 01-6200-06 $33.75 j!
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Voucher Total $33.75 3
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Cost distribution ledger classification if l
claim paid under vehicle highway fund
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Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF 6ARMEL
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 1 Purchase Order No.
P.O. BOX 1286 Terms
VWNONA, MN 55987-1286 Due Date 11/24/2014
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Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/24/201, 816085 $33.75
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p
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