HomeMy WebLinkAbout259532 06/14/16 CITY OF CARMEL, INDIANA VENDOR: 092000
® ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $`"***'**52.03`
CARMEL, INDIANA 46032 PO Box 1286 CHECK NUMBER: 259532
9.y�FuN.c�� WINONA MN 55987-12136 CHECK DATE: 06/14/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 ININ822218 4.73 OTHER EXPENSES
2201 4350080 ININ822278 33.58 STREET LIGHT REPAIRS
2201 4237000 ININ822327 13.72 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
FASTENAL COMPANY
PO BOX 1286 IN SUM of$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
WI NONA, MN 55987-1286 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$47.30 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
ININ822278 43-500.80 $33.58 1 hereby certify that the attached invoice(s),or. 5/24/16 ININ822278 $33.58
2201 201 2201 201
ININ822327 42-370.00 $13.72 bill(s)is(are)true and correct and that the 5/26/16 ININ822327 $13.72
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 3 ,20 0
street oommlool0fl9if
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.
05/24/2016 I N I N 822278
Cust.No. ININ80003 For billing questions Invoice Total
Cust.P.O. truck 57 1010 Kendall Court,Suite 333.58 USD
Job No. WESTFIELD, IN 46074
Contract No. QPA 13090 Phone 317-804-8035 Due Date
Fax 317-804-8037 06/23/2016
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 3 3 0 LENOX 38EW10/14 BAND LENOXX 57101 1,038.7300 31.16 Y
2 100 100 0 1/4-20 Nylock Z 120226275 1137018 2.4200 2.42 Y
0
Received By Tax Exemption Subtotal 33.58
0031201550-020 G Shipping&Handling 0.00
IN State Tax 0.00
Comments County Tax 0.00
Contact:Mike Clark City Tax 0.00
Total 33.58
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: ININ822278 Cust: ININ80003
® Remit to INVOICE
Fastenal Company Page 1 of 1
P.O. Box 1286
Winona, MN 55987-1286 Invoice Date Invoice No.
05/26/2016 ININ822327
Cust.No. ININ80003 For billing questions Invoice Total
Cust.P.O. signs 1010 Kendall Court,Suite 3
Job No. WESTFIELD, IN 46074 13.72 USD
Contract No. QPA 13090 Phone 317-804-8035 Due Date
Fax 317-804-8037 06/25/2016
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
1 270 270 0 5/16-18FLNG LK REG Z 120162619 1137339 5.0800 13.72 Y
Received By Tax Exemption Subtotal 13.72
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 13.72
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: ININ822327 Cust: ININ80003
Packing Slip
Reference
Date Page
5/24/16 Igi822278 I
The store serving you is IN
DUE DATE:06/23/2016
CUSt. NO. ININ80003
1010 Kendall Court,Suite 3
CUSt. P.O. truck 57
,lob No. WESTFIELD,IN 46074
Phone#:317-804-8035 Contract No:
Fax#:317-804-8037 hl TO QPA 13090
Sold Tp pp
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 Quantify Control Price/
No. Ordered Shipped Backorder Description No Part No. Hundred Amount
1 3 3 0 LENOX 38EW 10/14 BAND lenoxx 57101 1,038.7300 31.16 G
2 100 100 0 1/4-20 Nylock Z 120226275 1137018 2.4200 2.42 G
Received By Tax Exemption Subtotal 33.58
Government Shipping&Handling 0.00'
Comments
IN State Tax 0.00
Contact:Mike Clark County Tax 0.00
City Tax ' 0.00
TOTAL USD 33.58
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
messed to all accounts placed for colleptipn
materials accepted for return 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 -BV 13
Packing Slip
li4
Reference
Date Page o.
The store serving you IS 5/26/16 ININ822327 I
Cust. No. Cust. P.O. Job No.
1010 Kendall Court,Suite 3 DUE DATE:06/25/2016
ININ80003 signs
WESTFIELD,IN 46074
Phone#:317-804-8035 Contract No:
Sold To Fax#:317-804-8037 h1p TO 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 wwwlastenaLcom.
Line Quantity Quantity Quantity Control Price/
No. Ordered Shipped Backorder Description No Part No. Hundred Amount
1 270 270 0 5/16-18FLNG LK REG Z 120162619 1137339 5.0800 13.72 G
Received By Tax Exemption Subtotal 13.72
Shipping&Handling
Comments This packing slip may State Tax
Contact:Jim Bentley may be subject to County Tax
tax depending on City Tax
your status. TOTAL VSD
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
aossessed to all accountsglaced for collection
materials accepted for retu n without our permission.
X indicates part is a hazardous material All discrepancies must be reported within 10 days. *13868*
*indicates part was sold at a promotional or special discount price . I IIIIiI VIII VIII VIII VIII IIII IIII
FORM -IN13
VOUCHER # 165392 WARRANT # ALLOWED
92000 IN SUM OF $
FASTENAL COMPANY
PO BOX 1286
WINONA, MN 55987-1286
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
ININ822218 01-7202-06 $4.73
Voucher Total $4.73
Cost distribution ledger classification if
claim paid under vehicle highway fund
® Remit to INVOICE
Company Page 1 of 1
P.O. Bo
P.O. Box 1286
Winona, MN 55987-1286 Invoice Date Invoice No.
- 05/19/2016 ININ822218
Cust. No. ININ80387 For billing questions Invoice Total
Cust. P.O. 16111 1010 Kendall Court, Suite 3
Job No. WESTFIELD, IN 46074 4.73 USD
Contract No. QPA 13090 Phone 317-804-8035 Due Date "
Fax 317-804-8037 06/18/2016-
Sold To "
0003949 01 AB 0.396 "AUTO TO 2 1032 46280-2.03949
"'I��Ilnl�lillllly'I�I'I'�IIIIy��III�I�III��I�������IJ���I� Ship To,
CARMEL WASTEWATER TREATMENT Picked up at branch
9609 HAZEL DELL PKWY 1010 Kendall Court, Suite 3
INDIANAPOLIS, IN 46280-2935 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 12-24X3/4 INDHXMS Z 120078793 0147528 7.7200 0.31 Y
2 10 10 0 3/8-16X3/4S/S FHSCS IP137139 1173929 44.1900 4.42 Y
Received By Tax Exemption Subtotal 4.73
0031201550-020 G Shipping &Handling 0.00
IN State Tax 0.00
Comments County Tax 0.00
Contact:Jeff City Tax 0.00
Total 4.73 .
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.
0003949-01-0012121 Invoice: ININ822218 Cust: ININ80387
Packing Slip
O
'
FASIEMLReference
Date Page
The store serving you is 5/19/16 INIIN°822218 1
Cust. No. Cust. P.O. Job No.
1010 Kendall Court,Suite 3 DUE DATE:06/18/2016
ININ80387 16111
WESTFIELD,IN 46074
Phone#:317-804-8035 Contract No:
Sold To Fax#:317-804-8037 shl To QPA 13090
CARMEL WASTEWATER TREATMENT Picked up at Fastenal Store.
9609 HAZEL DELL PKWY
INDIANAPOLIS,IN 46280-2935
This Order and Document are subject to the "Terms of Purchase"posted on www.fastenaL com.
Line Quantity Quantity QuantityControl Price/
No. Ordered Shipped ,Backorder Description No. Part No. Hundred Amount
1 4 4 0 12-24X3/4 INDHXMS Z 120078793 0147528 7.7200 0.31 G
2 10 10 0 3/8-16X3/4S/S FHSCS ip137139 1173929 44.1900 4.42 G
Received By Tax Exemption Subtotal 4.73
Shipping&Handling
Comments This packing slip may State Tax
Contact:Jeff 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 collectign I
o materials accepted for retu n without our permission.
X indicates part is a hazardous material All discrepancies must be reported within 10 days. *13848*
*indicates part was sold at a promotional or special discount price I IIIIII VIII I III VIII VIII IIII IIII
FORM -FV 13