HomeMy WebLinkAbout248811 08/26/15 u ��q
CITY OF CARMEL, INDIANA VENDOR: 092000
ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $*******1 17.50*
CARMEL, INDIANA 46032 PO SOX 1286 CHECK NUMBER: 248811
WINONA MN 55987-1286 CHECK DATE: 08/26/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 217755 117.50 OTHER EXPENSES
FAS7FJVAL
® Remit to INVOICE
Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987-1286 Invoice Date Invoice No.
07/31/2015 ININ2177755
Cust. No. ININ20169 For billing questions
JM073115A 14775 Herriman Blvd Invoice Total
Cust. P.O.
Job No. JM0731NOBLESVILLE, IN 46060 117.50 USD
Contract No. Phone (317)770-0649 Due Date
Sold To Fax (317)770-4279 08/30/2015
0005812 01 AB 0.413 "AUTO TO 0 1048 46074-8-05812
Ship To
CARMEL UTILITIES Picked up at branch
3450 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 www.fastenal.com.
Line Quantity Quantity Quantity Control Part Price/
No Ordered Shipped Backordered Description No. No. Hundred Amount
1 31 25 6 MAKE-A-CLAMP 4003 COIN22932 62073 265.5000 66.38
2 20 20 0 MAKE-A-CLAMP 4008 120233543 62078 255.6000 51.12
Received By Tax Exemption Subtotal 117.50
0031201550-020 G Shipping & Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
Contact:John City Tax 0.00
Total 117.50
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.
0005812-01-0018355 Invoke: ININ2177755 Cust: ININ20169
I
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNT'S PAYABLE VOUCHER
CITE( 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 8/10/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/10/2015 2177755 $0.00
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 # 152770 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
2177755 01-6200-03 $117.50
Voucher Total $117.50
Cost distribution ledger classification if
claim paid under vehicle highway fund