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HomeMy WebLinkAbout257451 04/12/16 y ur_EA,y J`/ \� CITY OF CARMEL, INDIANA VENDOR: 092000 ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $********1 1.34* 9� ?Q, CARMEL, INDIANA 46032 PO BOX 1286 CHECK NUMBER: 257451 �'��*oN/, WINONA MN 5598 7-1 28 6 CHECK DATE: 04/12/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 ININ821540 11.34 REPAIR PARTS VOUCHER NO. WARRANT NO. ALLOWED 20 FASTENAL COMPANY PO BOX 1286 IN SUM OF$ WINONA, MN 55987-1286 $11.34 ON ACCOUNT OF APPROPRIATION FOR Street Department PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Member; ININ821540 I 42-370.00 I $11.34 I 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 o � o - St et commissl Tuesday,April 05, 2016 Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 04/01/16 ININ821540 $11.34 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 liqiIm��� Remit to INVOICE Fastenal Company Page 1 of 1 P.O. Box 1286 Winona, MN 55987-1286 Invoice Date Invoice No. 03/30/2016 ININ821540 Cust.No. ININ80003 For billing questions Cust.P.O. Signs 1010 Kendall Court,Suite 3 Invoice Total Job No. WESTFIELD, IN 46074 11.34 USD Contract No. QPA 13090 Phone 317-804-8035 Due Date Fax 317-804-8037 04/29/2016 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 10 10 0 5/16-18X3.5 S/S HCS 220008383 1170067 56.7000 5.67 Y 2 10 10 0 5/16-18X3.5 S/S HCS 120110735 1170067 56.7000 5.67 Y Received By Tax Exemption Subtotal 11.34 0031201550-020 G Shipping&Handling 0.00 Comments IN State Tax 0.00 County Tax 0.00 Contact:Jim Bentley City Tax 0.00 Total 11.34 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: ININ821540 cust: ININ80003