HomeMy WebLinkAbout257147 04/05/16 a'/ � CITY OF CARMEL, INDIANA VENDOR: 092000
ONE CIVIC SQUARE FASTENAL COMPANY
CHECK AMOUNT: $********18.65*
,q ,?a CARMEL, INDIANA 46032 PO Box 1286 CHECK NUMBER: 257147
ydroN�, WINONA MN 55987.1286 CHECK DATE: 04/05/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 ININ821248 18.65 REPAIR PARTS
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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s) or bill(s))
03/09/16 ININ821248 $18.65
2201 201
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
FASTENAL COMPANY ALLOWED 20
PO BOX 1286 IN SUM OF$
WINONA, MN 55987-1286
$18.65
ON ACCOUNT OF APPROPRIATION FOR
Street Department
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Member
I ININ821248 I 42-370.00 I $18.65 1 hereby certify that the attached invoice(s), or
2201 201
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
Tues , Marc 5, Vly
Street Commissioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund
FASMWO '
Remit to INVOICE
Fastenal Company Page 1 of 1
P.O.Box 1286
Winona,MN 55987-1286 Invoice Date Invoice No.
03/09/2016 I N I N 821248
Cust.No. ININ80003 For billing questions
Cust.P.O. Signs 1010 Kendall Court,Suite 3 Invoice-Total
Job No. WESTFIELD, IN 46074 18.65 USD
Contract No. QPA 13090 Phone 317-804-8035 Due Date
Fax 317-804-8037 04/08/2016
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 1/4-20 NYLOK 316 S/S 120223184 1177860 18.6500 18.65 Y
Received By Tax Exemption Subtotal 18.65
0031201550-020 G Shipping&Handling 0.00 .
IN State Tax 0.00
Comments County Tax 0.00
Contact:Jim Bentley City Tax 0.00
Total 18.65
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: ININ821248 cust: ININ80003