HomeMy WebLinkAbout300087 07/12/16 CITY OF CARMEL, INDIANA VENDOR: 092000
.;; ;• ONE CIVIC SQUARE FASTENAL COMPANY
CHECK AMOUNT: $*********6.30*
f• �_�; CARMEL, INDIANA 46032 Po BOX 1286 CHECK NUMBER: 300087
9''dPeri'io WINO NA NIN 55987-1286 CHECK DATE: 07/12/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 ININ822538 6.30 OTHER EXPENSES
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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 6/24/2016
Invoice Invoice ' Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/24/2016 I N I N822538 $6.30
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
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Remit to INVOICE
® Fastenal Company Page 1 of 1
P.O. Box 1286
Winoni, MN 55987-1286 Invoice Date Invoice No.
06/15/2016 ININ822538
Cust. No. ININ80387 For billing questions
Cust.P.O. S16209 1010 Kendall Court, Suite 3 Invoice Total
Job No. WESTFIELD, IN 46074 6.30 USD
Contract No. QPA 13090 Phone'317-804-8035 Due Date
Sold To Fax 317-804-8037 07/15/2016
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0003948 01 AB 0.396 "AUT0 T1 2 1039 46280-2-03948
I'I'1��'II���11�1�1��1�111'SII'�II��I�II��I�I�II�III�����I��IIIII 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 50 50 0 HCS1/4-20x2 Z 5 120117102 110120308 9.5400 4.77 Y
2 100 100 0 1/4 SAE F/W Z 120243723 1133078 1.5300 1.53 Y
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Received By Tax Exemption Subtotal 6.30
0031201550-0201 G Shipping&Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
Contact:Duane Jarvis City Tax 0.00
Total 6.30
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Reasonable collection and attorneys fees will be No materials accepted for return without our permission.
assessed to all accounts placed for collection. i 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�.
0003948-01-0012063 Invoice: ININ822538 Cust: ININ80387
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Packing Slip
FASTEAL4L@Reference
Date Page
The store serving you is 6/15/16 ININ822538 1
CUSt. No. ININ80387
1010 Kendall Court,Suite 3 DUE DATE:07/15/2016
CUSt. P.O. S 16209
Job NO. WESTFIELD ,IN 46074
Phone#:317-804-8035 Contract No:
Sold To Fax#:317-804-80371 To QPA 13090
CARMEL WASTEWATER TREATMENT is 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 Quantity Control Price/
No. Ordered Shipped Backorder Description I No. Part No. Hundred Amount
1 50 50 0 HCS 1/4-20x2 Z 5 120117102 110120308 9.5400 4.77 G
2 100 100 0 1/4 SAE F/W Z 120243723 1133078 1.5300 1.53 G
Received By Tax Exemption Subtotal 6.30
Government Shipping&Handling 0.00
Comments
IN State Tax 0.00
Contact:Duane Jarvis County Tax 0.00
City Tax 0.00
TOTAL USD 6.30
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 accounts�placed for colleCtign
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
i Thank You I
FORM -IN13