HomeMy WebLinkAbout253346 01/15/16 �/ �� CITY OF CARMEL, INDIANA VENDOR: 092000
Y\•: ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $**....**97.26*
r, CARMEL, INDIANA 46032 PO Box 1286 CHECK NUMBER: 253346
9M«ON '� WINONAMN 55987-1286 CHECK DATE: 01/15/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 2180930 97.26 REPAIR PARTS
VOUCHER NO. WARRANT:NO.
ALLOWED 20
FASTENAL COMPANY
PO BOX 1286 IN SUM OF$ .
WINONA, MN 55987-1286
$97.26
ON ACCOUNT OF APPROPRIATION FOR
Street Department
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT
Board Member
ININ2180930 I 42-370.00 I $97.26
2201 201 Prior Year I 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
Thursday, January 07, 2016
d
Street Commissioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund
FASTBVALe
Remit to INVOICE
Fastenal Company Page 1 of 1
P.O. Box 1286
Winona, MN 55987-1286 Invoice Date Invoice No.
12/29/2015 ININ2180930
Cust.No. ININ20009 For billing questions
Cust.P.O. Monon Lights 14775 Herriman Blvd Invoice Total
Job No. NOBLESVILLE, IN 46060 104.07 USD
Contract No. Phone (317)770-0649 ��� DueDate
Sold To
Fax (317)770-4279 01/28/2016
0001594 01 AB 0.413 "AUTO T9 1 100146074-8-01594
III1��11�11111�1�111"I��Ily��hll�lll�l��l���lll�lll'�I�'�I'll' Ship To
CARMEL STREET DEPT. Picked up at branch
3400 W 131ST 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
1 200 200 0 10 X 1 HWH SDS Z 120220397 1131813 9.7100 19.42 T
2 800 800 0 10-16X5/8 HWH SDS Z 120225107 1131811 9.7300 77.84 T
Received By Tax Exemption Subtotal 97.26
Shipping&Handling 0.00
Comments tIN State Tax 6.81
County Tax 0.00
Contact:JEFF STEWART City Tax 0.00
Total 104.07
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.
0001594-01.0004695 Invoice: ININ2180930 Cust: ININ20009