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Home My WebLink About301371 07/28/16 .C,q. ��u' '�' CITY OF CARMEL, INDIANA VENDOR: 092000 `' Z. CHECK AMOUNT: $*******229.03* .�; d � ONE CIVIC SQUARE FASTENAL COMPANY ?� CARMEL, INDIANA 46032 Po eox 1286 CHECK NUMBER: 301371 9.y«ON�� WIN I NA MN 55987-1286 CHECK DATE: 07/28/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 ININ823023 11.64 REPAIR PARTS 2201 4237000 ININ823061 217.39 REPAIR PARTS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER FASTENAL COMPANY PO BOX 1286 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service W I NONA, MN 55987-1286 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $229.03 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 ININ823023 42-370.00 $11.64 1 hereby certify that the attached invoice(s),or 7/19/16 ININ823023 $11.64 2201 201 2201 201 ININ823061 42-370.00 $217.39 bill(s)is(are)true and correct and that the 7/21/16 ININ823061 $217.39 2201 201 materials or services itemized thereon for 2201 1 201 -which-charge-is-madetyere ordered and received except Tuesday,July 26,2016 Dave Huffman Director 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 Fastena Company Page 1 of 1 P.O. Bo 1286 Winona,MN 55987-1286 Invoice Date Invoice No. 07/19/2016 ININ823023 Cust.No. ININ80003 For billing questions1010 KenalCourt, Invoice Total Cust.P.O. Signs WESTFIELDI N 4 074uite 3 11.64 USD Job No. Contract No. QPA 13090 Due Date Phone 317-804-8035 08/18/2016 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 50 50 0 S/S FW 5/16x7/8 o.d. 120224090 1171016 3.0000 1.50 Y 2 25 25 0 5/16-18 X 3 S/S HCS ' 120233974 1170065 40.5500 10.14 Y Received By Tax Exemption Subtotal 11.64 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 11.64 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: ININ823023 Cust: ININ80003 ® Remit to INVOICE Fastenal Company Page 1 of 1 P.O. Box 1286 Winona, MN 55987-1286 Invoice Date Invoice No. 07/21/2016 ININ823061 Cust.No. ININ80003 For billing questions ns 1010 Kendall Court,Suite 3 Invoice Total Cust.P.O. Signs WESTFIELD, IN 46074 217.39 USD Job No. Contract No. QPA 13090 Due Date Phone 317-804-8035 08/20/2016 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 wwvn.fastenal.com. Line Quantity Quantity Quantity Control Part Price/ No Ordered Shipped Backordered Description No. No. Hundred Amount 1 50 50 0 S/S FW 5/16x7/8 o.d. 120250199 1171016 3.0000 1.50 Y 2 200 200 0 S/S FW 5/16x7/8 o.d. 120224090 1171016 3.0000 6.00 Y 3 275 50 225 5/16-18 X 3 S/S HCS 120110735 1170065 40.5500 20.28 Y 4 350 350 0 S/S HCS 5/16-18 X 3 120245385 70065 40.5500 141.93 Y 5 2 2 0 NON-SPARKDRUMWRENC GROZZZ 7015956 1,614.6900 32.29 Y H 6 1 1 0 2"x30'WhtRflctvTape 136471 1056234 1,539.2300 15.39 Y Received By Tax Exemption Subtotal 217.39 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 217.39 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: ININ823061 Cust: ININ80003 i Packing Slip Reference Date Page The store serving you is 7/19/16 IrN&823023 1 CUSP. NO. ININ80003 1010 Kendall Court,Suite 3 DUE DATE:08/18/2016 CUSt. P.O. Signs ,106 No. WESTFIELD,IN 46074 Phone#:317-804-8035 Contract No: Sold To Fax#:317-804-8037 Ship TO QPA 13090 CARMEL STREET DEPT. Pic'ed 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 50 50 0 S/S FW 5/16x7/8 o.d. 120224090 1171016 3.0000 1.50 G 2 25 25 0 5/16-18 X 3 S/S HCS 120233974 1170065 40.5500 10.14 G Received By Tax Exemption Subtotal 11.64 Government Shipping&Handling 0.00 Comments IN State Tax 0.00 Contact:Jim Bentley County Tax 0.00 City Tax 0.00 TOTAL USD 11.64 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 accounts�placed for colleptipn 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 I Packing Slip AS Reference Date No. Page The store serving you is 7/21/16 ININ823061 I CUSt. NO. ININ80003 1010 Kendall Court,Suite 3 DUE DATE:08/20/2016 Cust. P.O. Signs ,lob No. WESTFIELD,IN 46074 Phone#:3117-804-8035 Contract No: Sold To Fax#:317-804-8037 $hlp To QPA 13090 CARMEL STREET DEPT. Picked 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 I 50 50 0 S/S FW 5/16x7/8 o.d. 120250199 1171016 3.0000 1.50 G 2 200 200 0 S/S FW 5/16x7/8 o.d. 1 120224090 1171016 3.0000 6.00 G 3 275 50 225 5/16-18 X 3 S/S HCS 120110735 1170065 40.5500 20.28 G 4 350 350 0 S/S HCS 5/16-18 X 3 120245385 70065 40.5500 141.93 G 5 2 2 0 NON-SPARKDRUMWRENCH grozzz 7015956 1,614.6900 32.29 G 6 1 1 0 2"x30'WhtRflctvTape 136471 1056234 1,539.2300 15.39 G i I Received By Tax Exemption Subtotal 217.39 � Government Shipping&Handling 0.00 Comments IN State Tax 0.00 Contact:Jim Bentley County Tax 0.00 City Tax 0.00 ' TOTAL USD 217.39 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 collegtlon o materials accepted for retu n 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 j Thank You ! FORM -EV 13