HomeMy WebLinkAbout304004 10/10/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 092000 #;ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: S 171.67CARMEL, INDIANA 46032 PO BOX 1286 CHECK NUMBER: 304004
WINONA MN 55987-1286 CHECK DATE: 10/10/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 ININ823935 114.47 OTHER EXPENSES
651 5023990 ININ823956 57.20 OTHER EXPENSES
VOUCHER # 166285 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
ININ823956 01-7202-06 57.20
:rjv,Ttjr)-3935 0)-7P,1-o6 ))q,47 311,
Voucher Total !1tT
Cost distribution ledger classification if r J
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 10/3/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/3/2016 ININ823956 57.20
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
FASTBIML Fastenal Company Page 1 of 1
P.O. Box 1286
Winona, MN 55987-1286 Invoice Date Invoice No.
For billing questions 09/22/2016 ININ823935
CusCust. No. 387 1010 Kendall Court, Suite 3 Invoice Total
Job No.P.O. 5 S165016506 WESTFIELD, IN 46074 114.47 USD
Job
Contract No. QPA 13090 Phone 317-804-8035 Due Date
Fax 317-804-8037 10/22/2016
Sold To
0003628 01 AB 0.396 "AUTO T9 2 1060 46280-2-03631
lu.lul�lrllll�lllll�lln�ll��lllllrllrllll,��ulllllllllnlnl Ship To
CARMEL WASTEWATER TREATMENT Picked up at branch
9609 HAZEL DELL PKWY1010 Kendall Court, Suite 3
INDIANAPOLIS, IN 46280-2935 4 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 5/16-18 X 1 S/S HCS 120225939 1170055 17.1900 8.60 Y
2 50 50 0 3/8-16 X 1 S/S HCS 480003253 1170105 25.7400 12.87 Y
3 25 25 0 1/4-20 X 3 S/S HCS 120249146 1170015 30.9400 7.74 Y
4 50 50 0 S/S FW 3/8x7/8 o.d. 480003349 1171017 3.3400 1.67 Y
5 75 75 0 36"HD UVBLK CBL TIE YCABLE 0715845 35.1800 26.39 Y
6 24 12 12 RUSTO 2179 GLOSS BLK RUSTOL 67220 476.6800 57.20 Y
Received By Tax Exemption Subtotal 114.47
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 114.47
0
Reasonable collection and attorneys fees will be No materials accepted for return without our permission.
m
assessed to all accounts placed for collection. All discrepancies must be reported within 10 days.
N
ID
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: ININ823935 Cust: ININ80387
FASTBINLO
Remit to INVOICE
Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987-1286 Invoice Date Invoice No.
Cust. No. ININ80387
For billing questions 09/23/2016 ININ823956
Cust. P.O. 1010 Kendall Court, Suite 3 Invoice Total
Job No. WESTFIELD, IN 46074 57.20 USD
Contract No. QPA 13090 Phone 317-804-8035 Due Date
Sold To Fax 317-804-8037 10/23/2016
Ship To
CARMEL WASTEWATER TREATMENT CARMEL WASTEWATER TREATMENT
9609 HAZEL DELL PKWY 9609 HAZEL DELL PKWY
INDIANAPOLIS, IN 46280-2935 INDIANAPOLIS, IN 46280-2935
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 12 12 0 RUSTO 2179 GLOSS BLK RUSTOL 67220 476.6800 57.20 Y
Received By Tax Exemption Subtotal 57.20
0031201550-020 G Shipping&Handling 0.00
IN State Tax 0.00
Comments County Tax 0.00
Contact:Duane Jarvis City Tax 0.00
Total 57.20
0
Reasonable collection and attorneys fees will be No materials accepted for return without our permission.
m
assessed to all accounts placed for collection. All discrepancies must be reported within 10 days.
N
fD
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: ININ823956 Cust: ININ80387