HomeMy WebLinkAbout258130 04/29/16 0W.4�F
w`/ CITY OF CARMEL, INDIANA VENDOR: 092000
.e ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $"'"""'323.41.
?Q CARMEL, INDIANA 46032 PO Box 1286 CHECK NUMBER: 258130
9.y,�TON�` WINONA MN 55987-1286 CHECK DATE: 04/29/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 81103 96.78 OTHER EXPENSES
601 5023990 820869 53.38 OTHER EXPENSES
2201 4356003 ININ821867 173.25 SAFETY ACCESSORIES
VOUCHER # 161283 WARRANT# ALLOWED
92000 IN SUM OF $
FASTENAL
P.O. BOX 1286
WINONA, MN 55987-1286
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO* INV# ACCT# AMOUNT Audit Trail Code
820869 01-6200-06 $53.38
Voucher Total ` 5b,� o
Cost distribution ledger classification if
claim paid under 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 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
WINONA, IVIN 55987-1286 Due Date 4/25/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/25/2016 820869 $538
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
M
FAS--M'
Remit to INVOICE
Fastenal Company Page 1 of 1
P.O. Box 1286 Invoice Date Invoice No.
Winona,MN 55987-1286 USA 02/03/2016 ININ820869
Cust.No. ININ80387 For billing questions Due Date Invoice Total03/04/2016 53.38 USD
Cust.P.O. 1010 Kendall Court,Suite 3
Job No. WESTFIELD, IN 46074
Contract No. QPA 13090
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 30 30 0 3/4"-10 FHNz 5 120234525 1136316 25.9800 7.79 N
2 10 10 0 HCS3/4-10x3 1/2 Z 5 180092417 110120439 141.7500 14.18 N
3 20 20 0 HCS3/4-10X4 G5 Z 120206130 110120441 157.0500 31.41 N
Received By Tax Exemption Subtotal 53.38
Shipping&Handling 0.00
IN State Tax 0.00
Comments County rax 0.00
Contact Duane Jarvis City Tax 0.00
Total 53.38
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.
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: ININ820869 Cust: ININ80387
Printed in USA
FASTBINLO
Remit to INVOICE
Fastenal Company Page 1 of 1
P.O. Box 1286
Winona, MN 55987-1286 Invoice Date Invoice No.
03/16/2016 ININ821103
Cust.No. ININ80004 For billing questions
1010 Kendall Court, Suite 3 Invoice Total
Job No.O� WESTFIELD, IN 46074 96.78 USD
Contract No. QPA 13090 Phone 317-804-8035 Due Date
Sold To Fax 317-804-8037 04/15/2016
0004502 01 AB 0.413 "AUTO T4 0 1019 46074-8-04502
I��Illllllllllllr�rlrllll"I11'Illlllllrll��lll�����lilllilrlllll Ship To
CARMEL UTILITIES Picked up at branch
3450 W 131 ST ST 1010 Kendall Court, Suite 3
CARMEL, IN 46074 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 1 1 0 14"FMP1000Diamond13ld DIAMON 0203663 9,678.1300 96.78 Y
Received By Tax Exemption Subtotal 96.78
0031201560-020 G Shipping &Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
Contact:Mike Luper City Tax 0.00
Total 96.78
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.
0004502-01-0013765 Invoice: ININ821103 cust: ININ80004
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
FASTENAL COMPANY
IN SUM OF$ CITY OF CARMEL
PO BOX 1286
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by
WINONA,MN 55987-1286 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$173.25 Payee
Purchase Order No.
ON ACCOUNT OF APPROPRIATION FOR
Terms
Street Department
Date Due
Invoice Date Invoice# Description Amount
PO#/Dept. INVOICE NO. ACCT#/Fund I AMOUNT Board Members Dept. Fund# (or note attached invoice(s)or bill(s))
ININ8211167 I 43-560.03 I $173.25 04/25/16 ININ821867 $173.25
2201 zo1 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
dnesda , ril27, 06
Stmet COimmisalnngr
Cost distribution ledger classification if I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance
claim paid motor vehicle highway fund with IC 5-11-10-1.6
20
Clerk-Treasurer
174im��ir
Remit to INVOICE
Fastenal Company Page 1 of 1
P.O. Box 1286
Winona, MN 55987-1286 Invoice Date Invoice No.
04/25/2016 I N I N 821867
Cust.No. ININ80003 For billing questions Invoice Total
Cust.P.O. shop 1010 Kendall Court,Suite 3
Job No. WESTFIELD, IN 46074 173.25 USD
Contract No. QPA 13090 Phone 317-804-8035 Due Date
Fax 317-804-8037 05/25/2016
Sold To
Ship To,
CARMEL STREET DEPT. CARMEL STREET DEPT.
3400 W 131 ST ST 3400 W 131 ST ST
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 6 6 0 3"MSDS Binder 120250580 1003660 2,887.5000 173.25 Y
\XY
Received By Tax Exemption Subtotal 173.25
0031201550-020 G Shipping&Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
Contact:Eric Russell City Tax 0.00
Total 173.25
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: ININ821867 Cust: ININ80003