HomeMy WebLinkAbout303710 09/30/16 1/ulApMR�.
CITY OF CARMEL, INDIANA VENDOR: 092000
. �b r.• ONE CIVIC SQUARE FASTENAL COMPANY
CHECK AMOUNT: $*********8.40*
s. ?� CARMEL, INDIANA 46032 PO Box 1286 CHECK NUMBER: 303710
9M,1roN,i�� WINONA MN 55987.1286 CHECK DATE: 09/30/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 ININ823849 8.40 OTHER EXPENSES
VOUCHER # 162814 WARRANT# ALLOWED
92000 IN SUM OF $
FASTENAL
P.O. BOX 1286
WINONA, MN 55987-1286
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
823849 01-6200-06 8.40
Voucher Total 8.40
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 Purchase Order No.
P.O. BOX 1286 Terms
WINONA, MN 55987-1286 Due Date 9/26/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/26/2016 823849 8.40
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
Date Officer
® Remit to INVOICE
Fastenal Company Page 1 of 1
P.O. Box 1286
Winona, MN 55987-1286 Invoice Date Invoice No.
For billing09/15/2016 ININ823849
Cust. No. ININ80004 questions Invoice Total
Cust.P.O. 1010 Kendall Court, Suite 3
Job No. WESTFIELD, IN 46074 8.40 USD
Contract No. QPA 13090 Phone 317-804-8035 Due Date
Fax 317-804-8037 10/15/2016
Sold To
0003442 01 AB 0.396 "AUTO T9 1 1059 46074-8-03445
IIIIIIIIIIIIIIIIIIIIIII'IIIII'I'I"llll'Illl'IIIIII"IIIII'Ill�l� Ship To
CARMEL UTILITIES Picked up at branch
3450 W 131 ST ST1010 Kendall Court, Suite 3
CARMEL, IN 46074 � 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 Cutter Wheel 12pk WEIN1853 12728-00480 840.0000 8.40
Received By Tax Exemption Subtotal 8.40
0031201560-020 G Shipping&Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
Contact:Mike Luper City Tax 0.00
Total 8.40
m
n
N
0
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.
N
4
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: ININ823849 Cust: ININ80004
Packing Slip
Reference
Date Page
The store serving you is 9/15/16 IN N823849 1
CUSt. No. ININ80004
1010 Kendall Court,Suite 3 DUE DATE: 10/15/2016
Cust. P.O.
,lob No. WESTFIELD,IN 46074
Phone#:317-804-8035 Contract No:
Sold To Fax#:317-804-8037 Ship To QPA 13090
CARMEL UTILITIES Pic ed up at Fastenal Store.
3450 W 131ST ST
CARMEL,IN 46074
317-733-2855;317-733-2053(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 Cutter Wheel 12pk wein1853 12728-00480 840.0000 8.40 G
Z- z2G S
Received By Tax Exemption Subtotal 8.40
Government Shipping&Handling 0.00
Comments
IN State Tax 0.00
Contact:Mike Luper County Tax 0.00
City Tax 0.00
TOTAL USD 8.40
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
zssessed to all accounts placed forcollectipn
o 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 -IN 13