250212 10/07/1 5 CAA .
%`� "' CITY OF CARMEL, INDIANA VENDOR: 092000
i. ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: S'""""`"192.32"
CARMEL, INDIANA 46032 PO Box 978 CHECK NUMBER: 250212
�.y__oN�r WINONAMN 55987-0978 CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 ININ819322 2.83 OTHER EXPENSES
2201 4239032 ININ819357 35.39 POSTS & HARDWARE
2201 4239032 ININ819406 154.10 POSTS & HARDWARE
® Remit to INVOICE
FAS7EAMLFastenal Company Page 1 of 1
P.O. Box 1286
Winona,MN 55987-1286 Invoice Date Invoice No.
09/21/2015 ININ819357
Cust.No. ININ80003 For billing questions
Cust.P.O. truck 57 1010 Kendall Court,Suite 3 Invoice Total
Job No. WESTFIELD, IN 46074 35.39 USD
Contract No. Phone 317-804-8035 Due Date
Fax 317-804-8037 10/21/2015
Sold To
Ship To
CARMEL STREET DEPT. Picked up at branch
3400 W 131 ST ST 1010 Kendall Court,Suite 3
WESTFIELD, IN 46074-8267 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
1 100 100 0 5/16 X 1 FEND Z 220017494 1133213 7.7800 7.78
2 50 50 0 S/S FW 5/16x7/8 o.d. 220017092 1171016 9.4500 4.73
3 50 50 0 S/S FW 5/16x7/8 o.d. 220017092 1171016 9.4500 4.73
4 200 200 0 5/16 USS F/W Z 120225229 1133006 3.4100 6.82
5 10 10 0 5/16-18 X 4 S/S HCS 120191548 1170069 113.2500 11.33
Received By Tax Exemption Subtotal 35.39
0031201550-020 G Shipping&Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
Contact:Brad Henderson City Tax 0.00
Total 35.39
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.
Invoice: ININ819357 Cust: ININ80003
® Remit to INVOICE
FASIEAE4LFastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987-1286 Invoice Date Invoice No.
09/24/2015 ININ819406
Cust.No. ININ80003 For billing questions
Cust.P.O. Truck 57 1010 Kendall Court,Suite 3 Invoice Total
Job No. WESTFIELD, IN 46074 154.10 USD
Contract No. Phone 317-804-8035 Due Date
Fax 317-804-8037 10/24/2015
Sold To
Ship To
CARMEL STREET DEPT. Picked up at branch
3400 W 131 ST ST 1010 Kendall Court,Suite 3
WESTFIELD, IN 46074-8267 WESTFIELD, IN 46074
I
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
1 100 100 0 S/S HCS 5/16-18 X 4 120238140 70069 113.2500 113.25
2 100 100 0 TEB 1/4 X 1 1/2 220017705 42209 40.8500 40.85
Received By Tax Exemption Subtotal 154.10
0031201550-020 G Shipping&Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
Contact:Brad Henderson City Tax 0.00
Total 154.10
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.
Invoice: ININ819406 Cust: ININ80003
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))
09/21/15 I N I N819357 $35.39
09/24/15 I N I N 819406 $154.10
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Fastenal
IN SUM OF $
P. O. Box 1286
Winona, MN 55987-0978
$189.49
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 ININ819357 j 42-390.32 $35.39 1 hereby certify that the attached invoice(s), or
2201 ININ819406 42-390.32 $154.10 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
Thu-day, OM, 015
Ornrn I If
ree�t Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
® Remit to INVOICE
Fastenal Company
P.O. Box 1286 Page 1 of 1
1A9TB1NLWinona, MN 55987-1286 Invoice Date Invoice No.
09/17/2015 ININ819322
ININ80387 For billing questions
Cust. No.
Cust. P.O. ININ80S15451010 Kendall Court, Suite 3 Invoice Total
Job No. WESTFIELD, IN 46074 2.83 USD
Contract No. QPA 13090 Phone 317-804-8035 Due Date
Fax 317-804-8037 10/17/2015
Sold To
0003807 01 AB 0.413 "AUTO T9 0 1060 46280-2-03807
�I�II�IIIIIIIIII�IIIIII��II�I�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� Ship To
CARMEL WASTEWATER TREATMENT Picked up at branch
9609 HAZEL DELL PKWY 1010 Kendall Court, Suite 3
INDIANAPOLIS, IN 46280-2935 WESTFIELD, IN 46074
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 4 4 0 M10 X 30 SHCS A-4 120226598 MS260003OA400 70.6500 2.83 Y
00
Received By Tax Exemption Subtotal 2.83
0031201550-020 G Shipping & Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
Contact:Duane Jarvis City Tax 0.00
Total 2.83
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.
0003607-01-0011743 Invoice: ININ819322 Cust: ININ80387
i�
ma
s
®®
®-
A�
®®
o®
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 9/29/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/29/2015 ININ819322 $2.83
1 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 # 156376 WARRANT # ALLOWED
92000 IN SUM OF $
FASTENAL COMPANY
PO BOX 978
WINONA, MN 55987-0978
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
t
PO# INV# ACCT# AMOUNT Audit Trail Code
ININ819322 01-7202-06 $2.83
I
Voucher Total $2.83
Cost distribution ledger classification if
claim paid under vehicle highway fund