HomeMy WebLinkAbout256907 03/31/16 {�r,c�e3
J�/ iF. CITY OF CARMEL, INDIANA VENDOR: 092000 ,**,*** *
1 ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $ 203.16
9 ?; CARMEL, INDIANA 46032 PO BOX 1286 CHECK NUMBER: 256907
,,-(TON� WINONA MN 55987.1286 CHECK DATE: 03131/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 818167 193.16 OTHER EXPENSES
651 5023990 ININ821295 10.00 OTHER EXPENSES
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 1286 Terms
WINONA, MN 55987-1286 Due Date 3/28/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/28/2016 ININ821295 $10.00
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 # 165017 WARRANT # ALLOWED
92000 IN SUM OF $
FASTENAL COMPANY
PO BOX 1286
WINONA, MN 55987-1286
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
I
PO# INV# ACCT# AMOUNT Audit Trail Code
ININ821295 01-7202-06 $10.00
I
I
Voucher Total $10.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
FASTBVAL0
Remit to INVOICE
Fastenal Company Page 1 of 1
P.O. Box 1286
Winona, MN 55987-1286 Invoice Date Invoice No.
For billing questions 03/14/2016 ININ821295
CusCust. No. 0387 1010 Kendall Court, Suite 3 Invoice Total
Job No.P.O. ss15915940 WESTFIELD, IN 46074 10.00 USD
Job
Contract No. QPA 13090 Phone 317-804-8035 Due Date
Sold To Fax 317-804-8037 04/13/2016
0004662 01 AB 0.413 -AUT0 T4 0 1019 462804-04662
IIIII�II�'ILII'I'I�II�I'�I�I'�I'll'll�'I�II"1111..11"II�III"� 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.fastenal.com.
Line Quantity Quantity Quantity Control Part Price/
No Ordered Shipped Backordered Description No. No. Hundred Amount
1 8 8 0 S/S HCS 5/8-11 X 3 120071617 70315 125.0000 10.00 Y
Received By Tax Exemption Subtotal 10.00
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 10.00
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.
0004662.01-0014269 Invoice: ININ821295 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 Purchase Order No.
P.O. BOX 1286 Terms
V\ANONA, MN 55987-1286 Due Date 3/14/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
- 3/14/2016 818167 $193.16
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 # 154589 WARRANT# ! ALLOWED
92000 } IN SUM OF $
FASTENAL
P.O. BOX 1286
WINONA, MN 55987-1286
Carmel Water Utility
i
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
I
818167 01-6200-04 $193.16
1
1
I:
Voucher Total $193.16
Cost distribution ledger classification if
claim paid under vehicle highway fund
MM' Remit INVOICE
Fastenalal Company Page 1 of 1
P.O. Box 1286 Invoice Date Invoice No.
Winona,MN 55987-1286 USA 06/01/2015 ININ818167
Cost.No. ININ80387 For billing questions
Due Date Invoice Total
Cust P.O. William Bell 2281 1010 Kendall Court,Suite 3 07/01/2015 193.16 USD
Job No. Plant 4 WESTFIELD,IN 46074
Contract No.
Phone: 317-804-8035
Sold To Fax: 317-804-8037 Ship To
CARMEL WASTEWATER TREATMENT Picked up at branch
9609 HAZEL DELL PKWY 1010 Kendall Court,Suite 3
INDIANAPOLIS,IN 46280-2935 USA WESTFIELD,IN 46074
This Order and Document is subject to the"Terms of Purchase"posted on www.fastenal.com.
Line No Quantity Quantity Quantity Description Control No. Part No. Price/ Amount
Ordered Shipped Backorder Hundred
1 34 734 0 S/S HCS 5/8-11X3 3/4 120210041 70318 538.0000 182.92 N
Received By Tax Exemption Subtotal 182.92
Shipping&Handling 10.24
IN State Tax 0.00
Comments County Tax 0.00
Contact Duane Jarvis City Tax 0.00
Total 193.16
Reasonable collection and attorneys fees will be assessed to all No materials accepted for return without our permission.
accounts placed for collection. All discrepancies must be reported within 10 days.
Please pay from this invoice.
If you re-package or re-sell this product,you are required to maintain
integrity of Country of Origin to the consumer of this product. Invoice: ININO18167 cost: ININ80387
Printed in USA