249681 09/23/15 ,G_qq"
CITY OF CARMEL, INDIANA VENDOR: 092000
?; ® it ONE CIVIC SQUARE FASTENAL COVPANY CHECK AMOUNT: $ .....218.63'
i._ ;?� CARMEL, INDIANA 46032 PO BOX r2as -1 L CHECK NUMBER: 249681
<,;,.roN� WINONA MN 55987-1286 CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 ININ819003 45.46 OTHER EXPENSES
651 5023990 ININ819056 56.19 OTHER EXPENSES
651 5023990 ININ819092 116.98 OTHER EXPENSES
-�1 !
tl '�f t��l'..i..i r
i
Remit to
® INVOICE
Fastenal Company
Page 1 of 1
P.O. Box 978
Winona, MN 55987-0978 Invoice Date Invoice No.
Cust. No. ININ80387
For billing questions 08/25/2015 ININ819092
Cust. P.O. S15399 1010 Kendall Court, Suite 3 Invoice Total
Job No. WESTFIELD, IN 46074 116.98 USD
Contract No. Phone 317-804-8035 Due Date
Sold To Fax 317-804-8037 09/15/2015
Ship To
CARMEL WASTEWATER TREATMENT CARMEL WASTEWATER TREATMENT
9609 HAZEL DELL PKWY 9609 HAZEL DELL PKWY
INDIANAPOLIS, IN 46280-2935 INDIANAPOLIS, IN 46280-2935
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 2 2 0 TB JAW-JAW 3/4 X 12 220017600 43133 5,096.7500 101.94
Received By Tax Exemption Subtotal 101.94
0031201550-020 G Shipping &Handling 15.04
Comments IN State Tax 0.00
County Tax 0.00
Contact:Duane Jarvis City Tax 0.00
Total 116.98
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.
0021291.07-0072139 Invoice: ININ819092 Cust: ININ80387
Remit to
FASTENAL® Fastenal Company INVOIof 1
CE
o E
P.O. Box 978
Winona, MN 55987-0978 Invoice Date Invoice No.
08/21/2015 I N I N 819056
Cust. No. 387 For billing questions 1010 Kendall Court, Suite 3 Invoice Total
JobCusNo.P.O. 5 S153915392 WESTFIELD, IN 46074 56.19 USD
Job
Contract No. Phone 317-804-8035 Due Date
Fax 317-804-8037 09/15/2015
Sold To
Ship To
CARMEL WASTEWATER TREATMENT CARMEL WASTEWATER TREATMENT
9609 HAZEL DELL PKWY 9609 HAZEL DELL PKWY
INDIANAPOLIS, IN 46280-2935 INDIANAPOLIS, IN 46280-2935
This Order and Document is subject to the "Terms of Purchase" posted on www.fastanal.com.
Line Quantity Quantity Quantity Control Part Price/
No Ordered Shipped Backordered Description No. No. Hundred Amount
1 6 6 0 S/S NYLOK 1/2-13 120217278 70864 91.9800 5.52
2 6 6 0 S/S HCS 1/2-13X6 1/2 120230018 70226 632.0000 37.92
Received By Tax Exemption Subtotal 43.44
0031201550-020 G Shipping & Handling 12.75
Comments IN State Tax 0.00
County Tax 0.00
Contact:Duane Jarvis City Tax 0.00
Total 56.19
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.
0021291.05.0072137 Invoice: ININ819056 Cust: ININ80387
i
i
® Remit to INVOICE
FASYEAML Fastenal Company Page 1 of 1
P.O. Box 978
Winona, MN 55987-0978 Invoice Date Invoice No.
08/18/2015 I N I N 819003
For billing questions
CusCust. No. 387 1010 Kendall Court, Suite 3 Invoice Total
Job No.P.O. 5 S153715372 WESTFIELD, IN 46074 45.46 USD
Job
Contract No. Phone 317-804-8035 Due Date
Sold To Fax 317-804-8037 09/15/2015
Ship To
CARMEL WASTEWATER TREATMENT CARMEL WASTEWATER TREATMENT
9609 HAZEL DELL PKWY 9609 HAZEL DELL PKWY
INDIANAPOLIS, IN 46280-2935 INDIANAPOLIS, IN 46280-2935
This Order and Document is subject to the "Terms of Purchase" posted on www.fastonal.com.
Line Quantity Quantity Quantity Control Part Price/
No Ordered Shipped Backordered Description No. No. Hundred Amount
1 4 4 0 S/S HCS 1/2-13 X 7 120216052 70227 731.0000 29.24
2 4 4 0 1/2-13S/S NYLOCK 120223184 1170864 91.9800 3.68
Received By Tax Exemption Subtotal 32.92
0031201550-020 G Shipping & Handling 12.54
Comments IN State Tax 0.00
County Tax 0.00
Contact:Duane Jarvis City Tax 0.00
Total 45.46
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.
0021291-03-0072135 Invoice: ININ819003 Cust: ININ80387
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 COMPANY Purchase Order No.
PO BOX 978 Terms
WINONA, MN 55987-0978 Due Date 9/15/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/15/2015 ININ819092 $116.98
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
9//"/5 Gin Pvx-
Date Officer
VOUCHER # 156291 WARRANT # ALLOWED
92000 IN SUM OF $
FASTENAL COMPANY
PO BOX 978
WINONA, MN 55987-0978
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
i
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
ININ819092 01-7202-06 $116.98
.a
ItiTt4mos� 01 -7,900-0(0
TNTN 819003 01 -7,909-0(o
a
Voucher Total 8�
Cost distribution ledger classification if
claim paid under vehicle highway fund