247247 07/15/15 ,CAA .
`� ,,* CITY OF CARMEL, INDIANA VENDOR: 092000
® ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $**.......3.00*
f = CARMEL, INDIANA 46032 PO Box 1286 CHECK NUMBER: 247247
�e,,�raN�. WINONA MN 55987-1286 CHECK DATE: 07/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 818385 3.00 OTHER EXPENSES
® Remit to INVOICE
FASTBIML Fastenal Company Page 1 of 1
P.O. Box 1286
Winona, MN 55987-1286 Invoice Date Invoice No.
06/17/2015 ININ818385
Cust. No. ININ80004 For billing questions Invoice Total
Cust. P.O. 1010 Kendall Court, Suite 3
Job No. WESTFIELD, IN 46074 3.00 USD
Contract No. Phone 317-804-8035 Due Date
Fax 317-804-8037 07/17/2015
Sold To
0004300 01 AB 0.413 "AUTO T3 0 1039 46074-8-04300
IIII"11111'lllllllllllllllll'111'lllllllll"Illllllll'llllll'lll Ship To
CARMEL UTILITIES Picked up at branch
3450 W 131 ST ST 1010 Kendall Court, Suite 3
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 10 10 0 S/S SHCS B-32 X 3/4 120164391 2173424 30.0000 3.00
Received By Tax Exemption Subtotal 3.00
0031201560-020 G Shipping & Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
Contact:Mike Luper City Tax 0.00
Total 3.00
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.
0004300-01-0013163 Invoice: ININ818385 Cust: ININ80004
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 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 7/7/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/7/2015 818385 $3.00
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
VOUCHER # 152379 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
818385 01-6200-06 $3.00
Voucher Total $3.00
Cost distribution ledger classification if
claim paid under vehicle highway fund