HomeMy WebLinkAbout258399 05/10/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 092000
CHECK AMOUNT: $*********5,47*
ONE CIVIC SQUARE FASTENAL COMPANY
CARMEL, INDIANA 46032 PO Box 1286 CHECK NUMBER: 258399
WINONA MN 55987-1286 CHECK DATE: 05/10/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 ININ2184140 5.47 OTHER EXPENSES
VOUCHER # 161355 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
2184140 01-6200-04 $5.47
Voucher Total $5.47
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, MN 55987-1286 Due Date 5/2/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/2/2016 2184140 $5.47
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
® Remit to INVOICE
Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987-1286 Invoice Date Invoice No.
04/18/2016 ININ2184140
For billing Cust. No. ININ20169 g questions
Cust P.O. TJ 041816 14775 Herriman Blvd Invoice Total
Job No. NOBLESVILLE, IN 46060 5.47 USD
Contract No. QPA 13090 Phone (317)770-0649 Due Date
Sold To Fax (317)770-4279 05/18/2016
0003912 01 AS 0.396 "AUTO T1 1 1026 46074-8-03912
IIIIIIII'III'lll'III'll'I'lll'II'I"IIIIIIIIIIII"I'IIIIIIIIII'l� Ship To
CARMEL UTILITIES Picked up at branch
3450 W 131 ST ST 14775 Herriman Blvd
CARMEL, IN 46074-8267 NOBLESVILLE, IN 46060
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 3/8-16 Bottom Tap TOPEST 0326803 546.7000 5.47 Y
Received By Tax Exemption Subtotal 5.47
0031201550-020 G Shipping&Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
Contact:Amadou Diallo City Tax 0.00
Total 5.47
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.
0003912.01-0012051 Invoice: ININ2184140 cust: ININ20169
Fastenal Company Packing Slip
FAsiEm, Lo
P.O Box 1286
Reference
WINONA, MN 55987-1286 Date Page
The store serving you is 4/18/16 INN&2184140 1
CUSP. No. ININ20169
14775 Herr iman Blvd DUE DATE:05/18/2016
Cust. P.O. TJ 041816
Job No. NOBLESVILLE,IN 46060
Phone#:(317)770-0649 Contract No:
Sold To Fax#:(317)770-4279 Shi To QPA 13090
CARMEL UTILITIES Picked up at Fastenal Store.
3450 W 131ST ST
CARMEL,IN 46074-8267
This Order and Document are subject to the "Terms of Purchase"posted on www.fastenaLcom.
Line Quantity Quantity Quantify Control Price/
No. Ordered Shipped Backorder Description No Part No. Hundred Amount
1 1 1 0 3/8-16 Bottom Tap topest 0326803 546.7000 5.47 G.
#T// -J b 7�
Received�y ,
.�_.. �._.
Date :
P,0 # :
==
AC CT 0:
Uses 44,
5-geol -�ar ✓ �... .
Received By Tax Exemption Subtotal 5.47
Government Shipping&Handling 0.00
Comments
IN State Tax 0.00
Contact:Amadou Diallo County Tax 0.00
City Tax 0.00
TOTAL USD 5.47
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.
Reasonable collection and attorneys fee will be
aassessed to all accounts placed for colle0tipn
No materials accepted for return without our permission. An electronic invoice will be available within two days.
X indicates part is a hazardous material All discrepancies must be reported within 10 days. *0*
indicates part was sold at a promotional or special discount price
Thank You !
FORM -IN13