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Home My WebLink About302896 09/12/16 (9, CITY OF CARMEL, INDIANA VENDOR: 092000 CHECK AMOUNT: $********38.37ONE CIVIC SQUARE FASTENAL COMPANYCARMEL, INDIANA 46032 PO BOX 1286 CHECK NUMBER: 302896 WINONA MN 55987-1286 CHECK DATE: 09/12/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 ININ823600 20.37 OTHER EXPENSES 2201 4237000 ININ823671 18.00 REPAIR PARTS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) FASTENAL COMPANY ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 1286 IN SUM OF$ 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. $18.00 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# 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 ININ823671 42-370.00 $18.00 1 hereby certify that the attached invoice(s),or 8/31/16 ININ823671 $18.00 2201 201 2201 201 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Wednesday, September 07,2016 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 FASTBV64L - Fastenal Company Page 1 of 1 P.O. Box 1286 g Winona, MN 55987-1286 Invoice Date Invoice No. Cust. No. ININ80003 For billing questions 08/31/2016 ININ823671 Cust.P.O. Light Test 1010 Kendall Court,Suite 3 Invoice Total Job No. WESTFIELD, IN 46074 18.00 USD Contract No. QPA 13090 Phone 317-804-8035 Due Date Sold To Fax 317-804-8037 09/30/2016 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 2 2 0 SHCS 3/8-16 X 4 1/2 120162402 2123321 300.0000 6.00 2 2 2 0 SHCS 3/8-16 X 3 1/2 120162402 2123317 150.0000 3.00 3 2 2 0 SHCS 3/8-16 X 5 120162402 2123323 300.0000 6.00 4 2 2 0 SHCS 3/8-16 X 4 120162402 2123319 150.0000 3.00 Received By Tax Exemption Subtotal 18.00 0031201550-020 G Shipping&Handling 0.00 IN State Tax 0.00 Comments County Tax 0.00 Contact:Jim Bentley City Tax 0.00 Total 18.00 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: ININ823671 cust: ININ80003 VOUCHER # 166069 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 ININ823600 01-7202-06 20.37 9�A Voucher Total 20.37 Cost distribution ledger classification if claim paid under vehicle highway fund 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 9/2/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/2/2016 ININ823600 20.37 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 ® Remit to INVOICE Fastenal Company Page 1 of 1 P.O. Box 1286 Winona, MN 55987-1286 Invoice Date Invoice No. 08/26/2016 I N I N 823600 Cust. No. ININ80387 For billing questions Cust.P.O. S16437 1010 Kendall Court, Suite 3 Invoice Total D Job No. WESTFIELD, IN 46074 20.37 US Contract No. QPA 13090 Phone 317-804-8035 Due Date Fax 317-804-8037 09/25/2016 Sold To 0003881 01 AB 0.396 "AUTO T9 2 1053 46280-2-03884 11111'1111111'II�I��I�IIII""lll'III�IIIIlllllllllllllll'll'I'll 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 wwwjastenal.com. Line Quantity Quantity Quantity Control Part Price/ No Ordered Shipped Backordered Description No. No. Hundred Amount 1 50 50 0 3/8-16 X 1 S/S HCS 120222916 1170105 25.7400 12.87 Y 2 50 50 0 3/8"-16 S/S FHN 120252603 1170712 8.3100 4.16 Y 3 100 100 0 S/S FW 3/8x7/8 o.d. 480003349 1171017 3.3400 3.34 Y Received By Tax Exemption Subtotal 20.37 0031201550-020 G Shipping &Handling 0.00 Comments IN State Tax 0.00 County Tax 0.00 Contact:Jeff Cooper City Tax 0.00 Total 20.37 Reasonable collection and attorneys fees will be No materials accepted for return without our permission. s assessed to all accounts placed for collection. All discrepancies must be reported within 10 days. m m 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: ININ823600 Cust: ININ80387