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Home My WebLink About258995 05/31/16 W.Cgq Ro`.% CITY OF CARMEL, INDIANA VENDOR: 092000 s.. CHECK AMOUNT: $*******671.76' .h ® , ONE CIVIC SQUARE FASTENAL COMPANY CARMEL, INDIANA 46032 PO BOX 1286 CHECK NUMBER: 258995 9.;�__..�= WINONAMN 55987-1286 CHECK DATE: 05/31/16 ETON G� DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 ININ2184352 13.14 OTHER EXPENSES 601 5023990 ININ2184389 55.89 OTHER EXPENSES 1206 4350101 ININ80003 47.27 TRASH COLLECTION 2201 4350080 ININ80003 8.13 STREET LIGHT REPAIRS 2201 4238900 ININ822057 34.43 OTHER MAINT SUPPLIES 2201 4350080 ININ822109 494.47 STREET LIGHT REPAIRS 2201 4238900 ININ822172 18.43 OTHER MAINT SUPPLIES VOUCHER NO. WARRANT NO. ALLOWED 20 FASTENAL COMPANY PO BOX 1286 IN SUM OF$ WINONA, MN 55987-1286 $47.27 ON ACCOUNT OF APPROPRIATION FOR Street Department PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Member r ININ822018 43-501.01 $47.27 I hereby certify that the attached invoice(s), or 1206 I I 101 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, May 10, 2016 bi ). 0 j/ #J/,/ '%-r IWVW %-IV 1-r 1-/W Street Commiseloner Cost distribution ledger classification if claim paid motor vehicle highway fund Remit to INVOICE Fastenal Company P.O.Box,1286 Page 1 of 1 ®ASTBINE1 Winona, MN 55987-1286 Invoice Date Invoice No. 05/05/2016 I N I N 822018 Cust.No. ININ80003 For billing questions Cust.P.O. Truck 57 1010 Kendall Court,Suite 3 Invoice Total Job No. WESTFIELD, IN 46074 47.27 USD Contract No. QPA 13090 Phone 317-804-8035 Due Date Sold To Fax 317-804-8037 06/04/2016 Ship To CARMEL-STREET DEPT. Picked up at branch 3400 W 131ST 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 50 50 0 5/16-18x1 SS FPHMS 113069678 110170142 28.6400 14.32 Y 2 50 50 0 5/16-18x3/4 SS FPHMS PB069449 110170140 26.8200 13.41 Y 3 50 50 0 S/S FPHMS 1/4-20x3/4 120043347 1172708 10.6000 5.30 Y 4 50 50 0 1/4-20 x 1S/S PFHMS 220004928 1172710 11.4200 5.71 Y 5 4 4 0 #2PhillipsPowerBit2" 240063648 0297639 213.2900 8.53 Y Received By Tax Exemption Subtotal 47.27 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 47.27 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: ININ822018 Cust: ININ80003 Packing Slip FAsm"o Reference Date 5/5/16 I 822018 Page NIN1 The store serving you is DUE DATE:06/04/2016 CUSt. No. ININ80003 1010 Kendall Court,Suite 3 CUSt. P.O. Truck 57 .lob No. WESTFIELD,IN 46074 Phone#:317-804-8035 Contract No: Sold TO Fax#:317-804-8037h1p To QPA 13090 CARMEL STREET DEPT. Ricked up at Fastenal Store. 3400 W 131ST ST WESTFIELD,IN 46074-8267 317-733-2001;317-733-2005(Fax) This Order and Document are subject to the "Terms of Purchase"posted on www.fastenaLcom. Line Quantity Quantity Quantity Control Plice/ No. Ordered Shipped BackorcYer Description No Part No. Hundred Amount 1 50 50 0 5/16-18x1 SS FPHMS ib069678 110170142 28.6400 14.32 G 2 50 50 0 5/16-180/4 SS FPHMS pb069449 110170140 26.8200 13.41 G 3 50 50 0 S/S FPHMS 1/4-200/4 120043347 1172708 10.6000 5.30 G 4 50 50 0 1/4-20 x 1S/S PFHMS 220004928 1172710 11.4200 5.71 G 5 4 4 0 #2PhillipsPowerBit2" 240063648 0297639 213.2900 8.53 G Received By Tax Exemption Subtotal 47.27 Government Shipping&Handling 0.00 T IN State ax 0.00 Comments Contact:Jim Bentley County Tax 0.00 City Tax .0.00 TOTAL USD 47.27 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 fees will be aassessed to all accounts placed for collection No materials accepted for return without our permission. An invoice will be mailed in approximately rive 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 1 FORM -IN13 VOUCHER NO. WARRANT NO. ALLOWED 20 FASTENAL COMPANY PO BOX 1286 IN SUM OF$ WINONA, MN 55987-1286 $34.43 ON ACCOUNT OF APPROPRIATION FOR Street Department PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Member I ININ822057 I 42-389.00 I $34.43 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 Wednes , May , 20 Street Commissioner Cost distribution ledger classification if claim paid motor vehicle highway fund ® Remit to INVOICE Fastenal Company Page 1 of 1 P.O. Box 1286 Winona, MN 55987-1286 Invoice Date Invoice No. 05/09/2016 I N I N 822057 Cust.No. ININ80003 For billing questions Invoice Total Cust.P.O. sign truck 1010 Kendall Court,Suite 3 Job No. WESTFIELD, IN 46074 34.43 USD Contract No. QPA 13090 Phone 317-804-8035 Due Date Fax 317-804-8037 06/08/2016 Sold To .Ship To CARMEL STREET DEPT. Picked up at branch 3400 W 131ST 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 1 295 295 0 1/4-20S/S NYLOCK 120222582 1170860 6.5200 19.23 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 34.43 0031201550-020 G Shipping&Handling 0.00 Comments IN State Tax 0.00 County Tax 0.00 Contact:Mark City Tax 0.00 Total 34.43 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: ININ822057 Cust: ININ80003 Packing Slip Reference Date Page The store serving you is 5/9/16 ININ822057 1 Cust. No. Cust. P.O. Job No. 1010 Kendall Court,Suite 3 DUE DATE:06/08/2016 ININ80003 sign truck WESTFIELD,IN 46074 Phone#:317-804-8035 Contract No: Fax#:317-804-8037 hl To QPA 13090 Sold To S. CARMEL STREET DEPT. is ed up at Fastenal Store. 3400 W 131ST ST WESTFIELD,IN 46074-8267 317-733-2001;317-733-2005(Fax) This Order and Document are subject to the "Terms of Purchase"posted on www.fastenaLcom. Line Quantity Quantify Quantity Description Control Part No. Price/ Amount No. Ordered Shipped Backorder No. 1 295 295 0 1/4-20S/S NYLOCK 120222582 1170860 2 200 200 0 S/S FW 5/160/4 o.d. 120210102 1171015 3 200 200 0 S/S FW 5/160/4 o.d. 120214617 1171015 Received By Tax Exemption Subtotal Shipping&Handling Comments State Tax Contact:Mark. County Tax City Tax TOTAL USD 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 fees will be msessed to all ac guntulaced forcolleptign o materials accepte for retu n without our permission. X indicates part is a hazardous material All discrepancies must be reported within 10 days. *13815* *indicates part was sold at a promotional or special discount price I IIIIII I III IIIII IIIII I III IIII IIII FORM -IN13 Prescribed by State Board of Accounts City Form No.201 (Rev.1995) VOUCHER NO. WARRANT NO. FASTENAL COMPANY ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 1286 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service WINONA, MN 55987-1286 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $512.90 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Street Department Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT ININ822172 42-389.00 $18.43 1 hereby certify that the attached invoice(s),or 5/17/16 ININ822172 $18.43 2201 201 2201 201 ININ822109 43-500.80 $494.47 bill(s)is(are)true and correct and that the 5/19/16 ININ822109 $494.47 2201 1 1 201 1 materials or services itemized thereon for 2201 1 201 which charge is made were ordered and received except Tue ay, May 2 ,20 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer ® Remit to INVOICE Fastenal Company Page 1 of 1 P.O. Box 1286 Winona, MN 55987-1286 Invoice Date Invoice No. 05/17/2016 I N I N 822172 For billing questions Cust.No. ININ80003Invoice Total Cust.P.O. Carmel Street Dept 1010 Kendall Court,Suite 3 Job No. WESTFIELD, IN 46074 18.43 USD Contract No. QPA 13090 Phone 317-804-8035 Due Date Fax 317-804-8037 06/16/2016 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 4 4 0 1/2x4-1/28SWedgAnchr 120246634 2140567 235.8000 9.43 Y 2 6 6 0 S/S HCS 1/4-20X2 1/2 120162398 2170013 100.0000 6.00 3 10 10 0 1/4"-20 S/S FHN 120162400 2170710 30.0000 3.00 Received By Tax Exemption Subtotal 18.43 0031201550-020 G Shipping&Handling 0.00 Comments IN State Tax 0.00 County Tax 0.00 Contact:Adam Towns City Tax 0.00 Total 18.43 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: ININ822172 cust: ININ80003 ® Remit to INVOICE Fastenal Company Page 1 of 1 P.O. Box 1286 Winona, MN 55987-1286 Invoice Date Invoice No. 05/19/2016 I NIN822109 Cust.No. ININ80003 For billing questions Cust.P.O. truck 57 1010 Kendall Court,Suite 3 Invoice Total Job No. WESTFIELD, IN 46074 494.47 USD Contract No. QPA 13090 Phone 317-804-8035 Due Date Fax 317-804-8037 06/18/2016 Sold To Ship To bNO CARMEL STREET DEPT. Picked up at branch 3400 W 131ST ST 1010 Kendall Count,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 18"InLine GFCIw/Sngl TOWERM 0717460 3,269.5000 326.95 Y 2 600 600 0 TEB 1/4 X 1 1/2 200089091 42209 27.9200 167.52 Y Received By Tax Exemption Subtotal 494.47 0031201550-020 G Shipping&Handling 0.00 IN State Tax 0.00 Comments County Tax 0.00 . Contact:Brad Henderson City Tax 0.00 Total 494.47 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. Invoice: ININ822109 Cust: ININ80003 Packing Slip Reference Date pp.. Page The store serving you is 5/11/16 ININ822109 I CUSt. NO. ININ80003 1010 Kendall Court,Suite 3 DUE DATE:06/10/2016 CUSt. P.O. truck 57 Job NO. WESTFIELD,IN 46074 Phone#:317-804-8035 Contract No: Solid To Fax#:317-804-80373 1p�p QPA 13090 CARMEL STREET DEPT. �ARMEL STREET DEPT. 3400 W 131ST ST 3400 W 131ST ST WESTFIELD,IN 46074-8267 317-733-2001;317-733-2005(Fax) WESTFIELD,IN 46074 765-860-6000 This Order and Document are subject to the "Terms of Purchase"posted on www.fastenaLcom. Line Quantity Quantity Quantity Control Price/ No. Ordered Shipped Backorder Description No Part No. Hundred Amount 1 10 10 0 18"InLine GFCIw/Sngl towerm 0717460 3,269.5000 326.95 G 2 600 600 0 TEB 1/4 X 1 1/2 200089091 42209 27.9200 167.520 Received By Tax Exemption Subtotal 494.47 Government Shipping&Handling 0.00 Comments IN State Tax 0.00 Contact:Brad Henderson County Tax 0.00 City Tax 0.00 TOTAL USD 494.47 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 fees will be psessed to al!accounts for colleetion o materials accepted for retu n without our permission. An invoice will be mailed in approximately five 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 Packing Slip Reference Date Page The store serving you is 5/17/16 ININ822172 1 Cust. No. Cust. P.O. Job No. 1010 Kendall Court,Suite 3 DUE DATE:06/16/2016 ININ80003 Carmel Street Dept WESTFIELD,IN 46074 Phone#:317-804-8035 Contract No: Sold To Fax#:317-804-8037hJ'p Ti QPA 13090 CARMEL STREET DEPT. �icked up at Fastenal Store. 3400 W 131ST ST WESTFIELD,IN 46074-8267 317-733-2001;317-733-2005(Fax) This Order and Document are subject to the "Terms of Purchase"posted on www.fastenaLcom. Line Quantity Quantity Quantity Control Price/ No. Ordered Shipped Backorder Description No Part No. Hundred Amount 1 4 4 0 1/2x4-1/2SSWedgAnchr 120246634 2140567 235.8000 9.43 G 2 6 6 0 S/S HCS 1/4-20X2 1/2 120162398 2170013 100.0000 6.00 G 3 10 10 0 1/4"-20 S/S FHN 120162400 2170710 30.0000 3.00 G Received By Tax Exemption Subtotal 18.43 Shipping&Handling Comments This packing slip may State Tax Contact:Adam Towns may be subject to County Tax tax depending on City Tax your status. TOTAL USD 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 fees will be assessed to all accounts�placed for collection I A. o materials accepted for retu n without our permission. X indicates part is a hazardous material All discrepancies must be reported within 10 days. *13839* *indicates part was sold ata promotional or special discount price I Iillll I III VIII VIII VIII IIII IIII FORM -IN13 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER FASTENAL COMPANY PO BOX 1286 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service WINONA, MN 55987-1286 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. Payee ayee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR . Street Department Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT ININ822060 43-500.80 $8.13 1 hereby certify that the attached invoice(s),or 5/9/16 ININ822060 $8.13 2201 201 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, May 17,2016 0 Street Commissioner 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer ® Remit to INVOICE Fastenal Company P.O. Box 1286 Page 1 of 1 Winona, MN 55987-1286 Invoice Date Invoice No. 05/09/2016 ININ822060 Cust.No. ININ80003 For billing questions Cust.P.O. Truck 0 1010 Kendall Court,Suite 3 Invoice Total D Job No. WESTFIELD, IN 46074 8.13 US Contract No. QPA 13090 Phone 317-804-8035 Due Date Sold To Fax 317-804-8037 06/08/2016 ' 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 1 100 100 0 5/16 X 1 FEND Z 220020357 1133213 5.8300 5.83 Y 2 100 100 0 5/16 USS F/W Z 120242331 1133006 2.3000 2.30 Y Received By Tax Exemption Subtotal 8.13 0031201550-020 G Shipping&Handling 0.00 IN State Tax 0.00 Comments County Tax 0.00 Contact:Brad Henderon City Tax 0.00 Total 8.13 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: ININ822060 Cust: ININ80003 Packing Slip FASMMLOReference Date Page No. 5/9/16 ININ822060 1 The store serving you is DUE DATE:06/08/2016 Cust. No. Cust. P:O. Job No. 1010 Kendall Court,Suite 3 ININ80003 Truck 57 WESTFIELD,IN 46074 Phone#:317-804-8035 Contract No: $OJdTO Fax#:317-804-8037 $1]Ip TO QPA 13090 CARMEL STREET DEPT. Pic[ced up at Fastenal Store. 3400 W 131ST ST WESTFIELD,IN 46074-8267 317-733-2001;317-733-2005(Fax) This Order and Document are subject to the "Terms of Purchase"posted on www.fastenaLcom. Line Quantity Quantity Quantity Control Price/ No. Ordered Shipped Backorder Description No Part No. Hundred Amount 1 100 100 0 5/16 X 1 FEND Z 220020357 1133213 5.8300 5.83 G 2 100 100 0 5/16 USS F/W Z 120242331 1133006 2.3000 2.30 G Received By Tax Exemption Subtotal 8.13 Shipping&Handling Comments This packing slip may State Tax Contact:Brad Henderon may be subject to County Tax tax depending on City Tax your status. TOTAL USD 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 fees will be rsessed to al!accountsiplaeed for collectim o materials accepted for retu n without our permission. X indicates part is a hazardous material All discrepancies must be"reported within 10 days. "13818' indicates part was sold at a promotional or special discount price I VIII IIII VIII VIII VIII IIII IIII FORM -IN13 VOUCHER # 161568 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 2184389 01-6200-04 $55.89 Voucher Total $55.89 Cost distribution ledger classification if claim paid under vehicle highway fund ® Remit to INVOICE 151 Fastenal Company Page 1 of 1 P.O. Box 1286 Winona, MN 55987-1286 Invoice Date Invoice No. 04/27/2016 ININ2184389 Cust No. ININ20169 For billing questions Invoice Total Cust. P.O. IG442616 14775 Herriman Blvd Job No. NOBLESVILLE, IN 46060 55.89 USD Contract No. QPA 13090 Phone (317)770-0649 Due Date Sold To Fax (317)770-4279 05/27/2016 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 3227AdjustSpudWrench KLEINT 0229930 5,589.4300 55.89 Y Received By Tax Exemption Subtotal 55.89 0031201550-020 G Shipping&Handling 0.00 Comments IN State Tax 0.00 County Tax 0.00 Contact:Kris City Tax 0.00 Total 55.89 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. 0005137-03.0016215 Invoice: ININ2184389 oust: ININ20169 Fastenal Company Packing Slip FASW"o P.O Box 1286 Reference WINONA, MN 55987-1286 Date No. Page The store serving you is 4/27/16 ININ2184389 I CUSP. NO. ININ20169' 14775 Herriman Blvd DUE DATE:05/27/2016 ' CUSt. P.O. KA42616 Job NO. NOBLESVILLE,IN 46060 Phone#:(317)770-0649 Contract No: Sold To Fax#:(317)770-4279 S1 T QPA 13090 CARMEL UTILITIES CARMEL UTILITIES 3450 W 131ST ST 3450 W.131st Street CARMEL,IN 46074-8267 Westfield,IN 46074 716-4736;571-2462(Fax) This Order and Document are subject to the 'Terms of Purchase"posted on www tastenaLcom. Line Quantity Quantity Quantity Control Puce/ No. Ordered Shipped BackorcYer Description No Part No. Hundred Amount 1 I 1 0 3227AdjustSpudWrench kleint 0229930 5,589.4300 55.89 G Received : Date : PO # : 'M -Yz-T ACCT # : Use : Received By 3 Tax Exemption Subtotal 55.89 Government Shipping&Handling 0.00 Comments IN State Tax 0.00 Contact:Kris County Tax 0.00 City Tax 0.00 TOTAL USD 55.89 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 fees will be ZS sessed o mateto all accountsrplaped for co1leCtipn rials accepted for retu n 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 I FORM -IN13 VOUCHER # 161404 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 2184352 01-6200-04 $13.14 Voucher Total $13.14 Cost distribution ledger classification if claim paid under vehicle highway fund ® Remit to INVOICE Fastenal Company Page 1 of 1 P.O. Box 1286 Winona, MN 55987-1286 Invoice Date Invoice No. For billing 04/26/2016 ININ2184352 Cust. No. ININ2016g questions 9 Cust. P.O. JM4211614775 Herriman Blvd Invoice Total Job No. NOBLESVILLE, IN 46060 13.14 USD Contract No. QPA 13090 Phone (317)770-0649 Due Date Sold To Fax (317)770-4279 05/26/2016 0005137 01 AB 0.396 "AUTO T5 0 1027 46074-9.05137 ��III�II�'�I�"�II��1�'�IIII�III��1�111��1111�11��1��111��11�11 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 10 10 0 S/S SP 1/4 X 2 120255997 74333 31.3900 3.14 Y 2 1 1 0 G13-1513 2tone/BIMr 220000710 1016158 1,000.3000 10.00 Y Received By Tax Exemption Subtotal 13.14 0031201550-020 G Shipping&Handling 0.00 Comments IN State Tax 0.00 County Tax 0.00 Contact:John City Tax 0.00 Total 13.14 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. 0005137-01-0016213 Invoice: ININ2184352 cust: ININ20169 FAWTEMLO Fastenal Company Packing Slip P.O Box 1286 Reference WINONA, MN 55987-1286 Date NMpp..2184352 1 Page The store serving you is 4/26/16 I CUst. No. ININ20169 14775 Herriman Blvd DUE DATE:05/26/2016 CUSt. P.O. JM42116-A Job No. NOBLESVILLE,IN 46060 Phone#:(317)770-0649 Contract No: Sold TO Fax#:(317)770-4279 hlp TO QPA 13090 CARMEL UTILITIES 'd 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 Quantity Control Price/ No. Ordered Shipped Backorder Description No Part No. Hundred Amount 1 10 10 0 S/S SP 1/4 X 2 120255997 74333 31.3900 3.14 G 2 1 1 0 G 13-1513 2toneBlMr 220000710 1016158 1,000.3000 10.00 G raReceived :te : ACCT # : z°4CM4-1 ` Use : Received By Tax Exemption Subtotal 13.14 Government Shipping&Handling 0.00 Comments IN State Tax 0.00 Contact:John County Tax 0.00 City Tax 0.00 TOTAL USD 13.14 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 fees will be �ssesse I to all accounts�plaped for collection o materials accepted for retu n 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 I FORM -IN13