HomeMy WebLinkAbout241275 01/22/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 092000
ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $********58.72*
CARMEL, INDIANA 46032 PO Box 1286 CHECK NUMBER: 241275
WINONA MN 55987-1286 CHECK DATE: 01/22/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 ININ2172840 58.72 REPAIR PARTS
® Remit to INVOICE
Fastenal Company Page 1 of 1
P.O. Box 1286
Winona, MN 55987-1286 Invoice Date Invoice No.
01/02/2015 ININ2172840
Cust No. ININ20009 For billing questions Invoice Total
Cust.P.O. Shop 14775 Herriman Blvd
Job No. NOBLESVILLE, IN 46060 62.83 USD
Contract No. Phone (317)770-0649 Due Date
Sold To Fax (317)770-4279 02/01/2015
0001112 01 M130.432 "AUTO T4 0 1002 46074-8.01112
II'II�III�III'�I'lll�ll'�llll�l'IIIIIII�I�'l�l"ll'llll'III�I�II� Ship To
CARMEL STREET DEPT. Picked up at branch
3400 W 131 ST ST 14775 Herriman Blvd
CARMEL, IN 46074-8267 NOBLESVILLE, IN 46060
This Order and Document is subject to the "Terms of Purchase" posted on wwwJastonal.com.
Line Quantity Quantity Quantity Control Part Price/
No Ordered Shipped Backordered Description No. No. Hundred Amount
1 4 4 0 7x1/4x5/8-11 AL46 NORTON 0822625 1,467.9000 58.72 T
Received By Tax Exemption Subtotal 58.72
Shipping&Handling 0.00
Comments IN State Tax 4.11
County Tax 0.00
Contact:James Bentley City Tax 0.00
Total 62.83
'rl Win
Reasonable collection and attorneys fees will be No materials accepted for return without our permission.
assessed to all accounts placed for collection. All discrepancies must be reported within 10 days.
If you re-package or re-sell this product,you are required to maintain Please pay from this invoice.
integrity of Country of Origin to the consumer of this product.
0001112-01.0002649 Invoice: ININ2172840 oust: ININ20009
�I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Fastenal
�I
IN SUM OF$
P. O. Box 1286
I i
Winona, MN 55987-0978
$58.72
1
1 �
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members)
2201 ININ2172840 42-370.00 $58.72 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
16, 2015
Street Commissioner
Title
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))
01/02/15 I N I N2172840 $58.72
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