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Home My WebLink About260160 06/28/16 0C�q�f CITY OF CARMEL, INDIANA VENDOR: 092000 �b I ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $********55.98* s. _� CARMEL, INDIANA 46032 PO BOX 1286 CHECK NUMBER: 260160 9MiuN co WINONA MN 55987-1286 CHECK DATE: 06/28/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 ININ822368 11.90 OTHER EXPENSES 2201 4238900 ININ822560 22.20 OTHER MAINT SUPPLIES 2201 4238900 ININ822577 21.88 OTHER MAINT SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) FASTENAL COMPANY ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 1286 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service WI NONA, MN 55987-1286 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $44.08 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 ININ822560 42-389.00 $22.20 1 hereby certify that the attached invoice(s),or 6/16/16 ININ822560 $22.20 2201 201 2201 201 ININ822577 42-389.00 $21.88 bill(s)is(are)true and correct and that the 6/17/16 ININ822577 $21.88 2201 1 1 201 1 materials or services itemized thereon for 2201 1 201 which charge is made were ordered and received except Tuesday,June 21,201 Street C®mmleslow 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. 06/16/2016 I N I N 822560 Cust.No. ININ80003 For billing questions Invoice Total Cust.P.O. Shop 1010 Kendall Court,Suite 3 Job No. WESTFIELD, IN 46074 22.20 USD Contract No. QPA 13090 Phone 317-804-8035 Due Date 07/16/2016 Fax 317-804-8037 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 8 8 0 4.5x1/8x7/8A/0 NORTON 0822603 250.2500 20.02 Y 2 2 2 0 4.5x1/4x7/8 LLT27GW 140084357 0825431 109.0000 2.18 Y Received By Tax Exemption Subtotal 22.20 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 22.20 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: ININ822560 Cust: ININ80003 ® Remit to INVOICE Fastenal Company Page 1 of 1 P.O. Box 1286 Winona, MN 55987-1286 Invoice Date Invoice No. 06/17/2016 I N I N 822577 Cust.No. ININ80003 For billing questions Cust.P.O. Shop 1010 Kendall Court,Suite 3 Invoice Total Job No. WESTFIELD, IN 46074 21.88 USD Contract No. QPA 13090 Phone 317-804-8035 Due Date Fax 317-804-8037 07/17/2016 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 1 1 0 OS YlwHV BaseballCap 480002965 1053212 699.0000 6.99 Y 2 1 1 0 L/XL YlwHV RangerHat 220016552 1053215 906.0000 9.06 Y 3 1 1 0 CAUTION/CAUTION TAPE 1122415 63160 583.4100 5.83 Y Received By Tax Exemption Subtotal 21.88 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 21.88 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: ININ822577 Cust: ININ80003 Packing Slip Reference Date No. Page The store serving you is 6/17/16 ININ822577 l Cust. No. Cust. P.O. Job No. 1010 Kendall Court,Suite 3 DUE DATE:07/17/2016 ININ80003 Shop WESTFIELD,IN 46074 Phone#:317-804-8035 Contract No: Fax#:317-804-8037 hl TO QPA 13090 Sold To pp CARMEL STREET DEPT. icked up at Fastenal Store. 3400 W 131 ST 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 1 1 0 OS YlwHV BaseballCap 480002965 1053212 699.0000* 6.99 G 2 I 1 0 L/XL YlwHV RangerHat 220016552 1053215 906.0000 9.06 G 3 1 1 0 CAUTION/CAUTION TAPE i122415 63160 583.4100 5.83 G Received By Tax Exemption Subtotal 21.88 Shipping&Handling Comments This packing slip may State Tax Contact:Eric Russell 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 all accounts�plaeed for collegtion o materials accepted for return without our permission. X indicates part is a hazardous material All discrepancies must be reported within 10 days. '13910* *indicates part was sold at a promotional or special discount price 1111111 VIII VIII VIII VIII IIII IIII FORM -IN13 Packing Slip FASM" Reference Date Page The store serving you is 6/16/16 ININ822560 1 CUSt. No. ININ80003 1010 Kendall Court,Suite 3 DUE DATE:07/16/2016 CUSt. P.O. Shop Job No. WESTFIELD,IN 46074 Phone#:317-804-8035 Contract No: Sold TO Fax#:317-804-8037 S I�']`p QPA 13090 CARMEL STREET DEPT. CPAUEL STREET DEPT. 3400 W 131ST ST 3400 W 131ST ST WESTFIELD,IN 46074-8267 317-733-2001;317-733-2005(Fax) WESTFIELD,IN 46074 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 8 8 0 4.5x1/8x7/8 A/0 norton 0822603 250.2500 20.02 G 2 2 2 0 4.5xl/4x7/8 LL T27GW 140084357 0825431 109.0000 2.18 G Received By - Tax Exemption Subtotal 22.20 Government Shipping&Handling 0.00 Comments IN State Tax 0.00 Contact:Jim Bentley County Tax 0.00 City Tax 0.00 TOTAL USD 22.20 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 acc�unts�Placed for collectign o materials accepted or 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 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 COMPANY Purchase Order No. PO BOX 1286 Terms WINONA, MN 55987-1286 Due Date 6/13/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/13/2016 ININ822368 $11.90 hereby certify that the attached invoice(s), or bill(s) is (are)true and :orrect and I have audited same in accordance with IC 5-11-10-1.6 Date Officer IF4lim�� Remit to INVOICE Fastenal Company Page 1 of 1 P.O. Box 1286 Winona, MN 55987-1286 Invoice Date Invoice No. 06/01/2016 I N I N 822368 Cust. No. ININ80387 For billing questions Invoice Total Cust. P.O. S16151 1010 Kendall Court, Suite 3 Job No. WESTFIELD, IN 46074 11.90 USD Contract No. QPA 13090 Phone 317-804-8035 Due Date Fax 317-804-8037 07/01/2016 Sold To 0001161 01 AB 0.396 "AUTO T7 2 1036 46280-2-01161 rlll�l�lllll�lllllllll�lllllllllllllll��llll��ll�llllll��llllll�l Ship To CARMEL WASTEWATER TREATMENT Picked up at branch 9609 HAZEL DELL PKWY U— 1010 Kendall Court, Suite 3 INDIANAPOLIS, IN 46280-2935 WESTFIELD, IN 46074 M This Order and Document is subject to the "Terms of Purchase" posted on www.fastonal.com. Line Quantity Quantity Quantity Control Part Price/ No Ordered Shipped Backordered Description No. No. Hundred Amount 1 30 30 0 M5-0.8x30 12.9 SHCS 120161394 1139549 10.3400 3.10 Y 2 1 1 0 UXL HV230 Lime Vest 120186800 1050041 879.5600 8.80 Y Received By Tax Exemption Subtotal 11.90 0031201550-020 G Shipping &Handling 0.00 Comments IN State Tax 0.00 County Tax 0.00 Contact:Duane Jarvis City Tax 0.00 Total 11.90 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. 0001161-01-0003253 Invoice: ININ822368 Cust: ININ80387 Packing Slip Reference Date Page The store serving you is 6/1/16 INN&822368 1 CUSt. NO. ININ80387 1010 Kendall Court,Suite 3 DUE DATE:07/01/2016 . CUst. P.O. S 16151 ,lob No. WESTFIELD,IN 46074 Phone#:317-804-8035 Contract No: Sold To Fax#:317-804-8037 ShlTo QPA 13090 CARMEL WASTEWATER TREATMENT Pic ed 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.fastenaLcom. Line Quantity Quantity Quantify Control Price/ No. Ordered Shipped Backorder Description No Part No. Hundred Amount 1 30 30 0 M5-0.8x30 12.9 SHCS 120161394 1139549 10.3400 3.10 G 2 1 1 0 L/XL HV230 Lime Vest 120186800 1050041 879.5600 8.80 G Received By Tax Exemption Subtotal 11.90 Government Shipping&Handling 0.00 Comments IN State Tax 0.00 Contact:Duane Jarvis County Tax 0.00 City Tax 0.00 TOTAL USD 11.90 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 ssessed to all acc�untulaoed for collection 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 I FORM -IN13