Loading...
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