HomeMy WebLinkAbout257883 04/26/16 4y u C*q�f
�/ �. CITY OF CARMEL, INDIANA VENDOR: 092000
\, CHECK AMOUNT: $********60.00*
.�; ® ONE CIVIC SQUARE FASTENAL COMPANY
r. �a�; CARMEL, INDIANA 46032 PO BOX 1286 CHECK NUMBER: 257883
9.y�TON WINONA MN 55987-1286 CHECK DATE: 04/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 ININ821623 20.30 REPAIR PARTS
2201 4237000 ININ821626 -15.20 REPAIR PARTS
2201 4237000 ININ821627 3.90 REPAIR PARTS
2201 4237000 ININ821706 51.00 REPAIR PARTS
VOUCHER NO. WARRANT NO.
ALLOWED 20
FASTENAL COMPANY
PO BOX 1286 IN SUM OF $
WINONA, MN 55987-1286
$9.00
ON ACCOUNT OF APPROPRIATION FOR
Street Department
-------------
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Member:
ININ821623 42-370.00 $20.30 I hereby certify that the attached invoice(s), or
2201 201
ININ821626 42-370.00 ($15.20) bills) is (are)true and correct and that the
2201 201 materials or services itemized thereon for
I ININ821627 I 42-370.00 I $3.90
2201 201 which charge is made were ordered and
received except
Tuesda , April 12 201
a
WVVV
street C®mmissIOn®r
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))
04/06/16 ININ821623 $20.30
2201 201
04/06/16 ININ821626 ($15.20)
2201 201
04/06/16 I ININ821627 I I $3.90
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
li4llm���
Remit to INVOICE
Fastenal Company Page 1 of 1
P.O. Box 1286
Winona, MN 55987-1286 Invoice Date Invoice No.
04/06/2016 ININ821627
Cust.No. ININ80003 For billing questions
Cust.P.O. sign truck 1010 Kendall Court,Suite 3 Invoice Total
Job No. WESTFIELD, IN 46074 3.90 USD
Contract No. QPA 13090 Phone 317-804-8035 Due Date
Sold To Fax 317-804-8037 05/06/2016
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
1 130 130 0 S/S FW 5/16x7/8 o.d. 120224073 1171016 3.0000 3.90 Y
Received By Tax Exemption Subtotal 3.90
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 3.90
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: ININ821627 cust: ININ80003
FASIMA6
Remit to MERCHANDISE RETURN
Fastenal Company Page 1 of 1
P.O. Box 1286
Winona, MN 55987-1286 Invoice Date Invoice No.
Cust.No. ININ80003 For billing questions 04/06/2016 ININ821626
Cust.P.O. Sign Truck 1010 Kendall Court,Suite 3 Invoice Total
Job No. WESTFIELD, IN 46074 -15.20 USD
Contract No. QPA 13090 Phone 317-804-8035
Sold To Fax 317-804-8037
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
Original Invoice: ININ821623
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
0 0 0 Restock Charge rstock 0.0000 0.00
1 -200 -200 0 S/S FW 5/16x3/4 o.d. 120210102 1171015 3.8000 -7.60 Y
2 -200 -200 0 S/S FW 5/16x3/4 o.d. 120214617 1171015 3.8000 -7.60 Y
Received By Tax Exemption Subtotal -15.20
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 -15.20
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: ININ821626 Cust: ININ80003
® Remit to INVOICE
Fastenal Company Page 1 of 1
P.O. Box 1286
Winona, MN 55987-1286 Invoice Date Invoice No.
04/06/2016 ININ821623
Cust.No. ININ80003 For billing questions
Cust.P.O. Sign Truck 1010 Kendall Court,Suite 3 Invoice Total
Job No. WESTFIELD, IN 46074 20.30 USD
Contract No. QPA 13090 Phone 317-804-8035 Due Date
Fax 317-804-8037 05/06/2016
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 wwwJastenal.com.
Line Quantity Quantity Quantity Control Part Price/
No Ordered Shipped Backordered Description No. No. Hundred Amount
1 10 10 0 QUIK LNK 3/16 220012596 45212 51.0000 5.10 Y
2 200 200 0 S/S FW 5/16x3/4 o.d. 120210102 1171015 3.8000 7.60 Y
3 200 200 0 S/S FW 5/16x3/4 o.d. 120214617 1171015 3.8000 7.60 Y
Received By Tax Exemption Subtotal 20.30
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 20.30
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: ININ821623 cust: ININ80003
VOUCHER NO. WARRANT NO.
FASTENAL COMPANY ALLOWED 20
PO BOX 1286 TL3Fr IN SUM OF $
WINONA, MN 55987-1286
$51.00
ON ACCOUNT OF APPROPRIATION FOR
Street Department
PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Member,
ININ821706 j 42-370.00 j $51.00 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
Tuesday, April 19, 2016
P/� S // 11,44A4,0
0
stm®t C®mmJsslc�n®r
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))
04/13/16 ININ821706 $51.00
2201 201
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
20
Clerk-Treasurer
FASTBVAL'
Remit to INVOICE
Fastenal Company Page 1 of 1
P.O. Box 1286
Winona, MN 55987-1286 Invoice Date Invoice No.
Cust.No. ININ80003
For billing questions 04/13/2016 ININ821706
Cust.P.O. Sign Truck 1010 Kendall Court,Suite 3 Invoice Total
Job No. WESTFIELD, IN 46074 51.00 USD
Contract No. QPA 13090 Phone 317-804-8035 Due Date
Sold To Fax 317-804-8037 05/13/2016
Ship To
CARMEL STREET DEPT. Picked up at branch
3400 W 131 ST ST 101.0 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 QUIK LNK 3/16 134961 45212 51.0000 51.00 Y
Received By Tax Exemption Subtotal 51.00
0031201550-020 G Shipping&Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
Contact:Mark City Tax 0.00
Total 51.00
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.
Invoice: ININ821706 Cust: ININ80003