HomeMy WebLinkAbout304564 10/31/16 *'��p" CITY OF CARMEL, INDIANA VENDOR: 092000
J4� Y(
ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $*******493.53*
s\ �� CARMEL, INDIANA 46032 PO Box 1266 CHECK NUMBER: 304564
9M,iTON.�� WINONA MN 55987-1286 CHECK DATE: 10/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 ININ823983 131.26 OTHER EXPENSES
651 5023990 ININ824004 20.13 OTHER EXPENSES
601 5023990 ININ824052 9.24 OTHER EXPENSES
601 5023990 ININ824156 172.02 OTHER EXPENSES
2201 4237000 ININ824219 160.88 REPAIR PARTS
VOUCHER # 162961 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
824052 01-6200-06 9.24
Voucher Total met,3-7 19°
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 10/6/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/6/2016 824052 9.24
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.
09/27/2016 ININ824004
Cust.No. ININ80004 For billing questions Invoice Total
Cust. P.O. 1010 Kendall Court, Suite 3
Job No. WESTFIELD, IN 46074 20.13 USD
Contract No. QPA 13090 Phone 317-804-8035 Due Date
Fax 317-804-8037 10/27/2016
Sold To
0005329 01 AS 0.396 "AUTO T7 1 1061 46074.8.05334 '
111��11���11����11��11�111�11�111�'I'��III1�11��1""I�IIIIII�I�' Ship To
CARMEL UTILITIES Picked up at branch
3450 W 131 ST ST 1010 Kendall Court, Suite 3
WESTFIELD, 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 10 10 0 S/S HCS 5/8-11X2 1/2 120196109 70313 165.6000 16.56 Y
2 10 10 0 5/8"-11 S/S FHN 120252603 1170716 35.7000 3.57 Y
Received By Tax Exemption Subtotal 20.13
0031201560-020 G Shipping&Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
Contact:Steve Callahan City Tax 0.00
Total 20.13
rz
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
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: ININ824004 Cust: ININ80004
® Remit to INVOICE
lil
Fastenal Company Page 1 of 1
P.O. Box 1286
Winona, MN 55987-1286 Invoice Date Invoice No.
09/29/2016 ININ824052
Cust.No. ININ80004 For billing questions Invoice Total
Cust. P.O. 1010 Kendall Court, Suite 3
Job No. WESTFIELD, IN 46074 9.24 USD
Contract No. QPA 13090 Phone 317-804-8035 Due Date
Fax 317-804-8037 10/29/2016
Sold To
Ship To
CARMEL UTILITIES Picked up at branch
3450 W 131 ST ST 1010 Kendall Court, Suite 3
WESTFIELD, IN 46074 WESTFIELD, IN 46074
This Order and Document is subject to the "Terms of Purchase" posted on wvmfastenal.com.
Line Quantity Quantity Quantity Control Part Price/
No Ordered Shipped Backordered Description No. No. Hundred Amount
1 2 2 0 HCS 5/8-11 x 4.5 YZ8 120249824 15321 162.0000 3.24 Y
2 3 3 0 HIALLOY UW 5/8YZ KG 134497 2133897 100.0000 3.00
3 2 2 0 5/8"-11 FHN YZ 8 136865 2136414 150.0000 3.00
Received By Tax Exemption Subtotal 9.24
0031201560-020 G Shipping&Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
Contact:Steve Callahan City Tax 0.00
Total 9.24
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.
N
(7
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: ININ824052 cust: ININ80004
Packing Slip
FASMMO Reference
Date Page
The store serving you is 9/27/16 ININ824004 1
CUSt. N0. ININ80004
1010 Kendall Court,Suite 3 DUE DATE: 10/27/2016
Cust. P.O.
Job N0. WESTFIELD,IN 46074
Phone#:317-804-8035 Contract No:
Sold Tp Fax#:317-804-8037 hlpp To QPA 13090
CARMEL UTILITIES Ricked up at Fastenal Store.
3450 W 131ST ST
WESTFIELD,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 Puce/
No. Ordered Shipped Backorder Description No Part No. Hey:dred Amount
1 10 10 0 S/S HCS 5/8-11X2 1/2 120196109 70313 165.6000 16.56 G
2 10 10 0 5/8"-11 S/S FHN 120252603 1170716 35.7000 3.57 G
Received By .� Tax Exemption Subtotal 20.13
Government Shipping&Handling 0.00
Comments
IN State Tax 0.00
Contact:Steve Callahan County Tax 0.00
City Tax 0.00
TOTAL USD 20.13
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
assessed to all accounts .ed for collection
o materials accepted for rete 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
Thank You I
FORM -IN13
Packing Slip
FAWIEMLO Reference
Date No. Page
The store serving you is 9/29/16 ININ824052 1
CUSt. N0. ININ80004
1010 Kendall Court,Suite 3 DUE DATE: 10/29/2016
Cust. P.O.
Job NO. WESTFIELD,IN 46074
Phone#:317-804-8035 Contract No:
Sold To Fax#:317-804-8037 S Il To QPA 13090
CARMEL UTILITIES Piced up at Fastenal Store.
3450 W 131ST ST
WESTFIELD,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 Puce/
No. Ordered Shipped Backorder Description No,. Part No. Hundred Amount
1 2 2 0 HCS 5/8-11 x 4.5 YZ8 120249824 15321 162.0000 3.24 G
2 3 3 0 HIALLOY L/W 5/8YZ KG 134497 2133897 100.0000 3.00 G
3 2 2 0 5/8"-11 FHN YZ 8 136865 2136414 150.0000 3.00 G
Received By v7 S"a Tax Exemption Subtotal 9.24
Government Shipping &Handling 0.00
IN State Tax 0.00
Comments
Contact:Steve Callahan County Tax 0.00
City Tax 0.00
TOTAL USD 9.24
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
assessed to all accounts placed for collection
No materia/s 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 I
FORM -1N13
VOUCHER # 166340 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
ININ823983 01-7200-04 131.26
Voucher Total 131.26
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 10/7/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/7/2016 I N I N823983 131.26
1 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
_ -
ML
Fastenal Company Page 1 of 1
P.O. Box 1286
Winona, MN 55987-1286 Invoice Date Invoice No.
09/26/2016 ININ823983
Cust. No. ININ80387 For billing questions Invoice Total
Cust.P.O. S16517 1010 Kendall Court, Suite 3
Job No. WESTFIELD, IN 46074 131.26 USD
Contract No. QPA 13090 Phone 317-804-8035 Due Date
Fax 317-804-8037 10/26/2016
Sold To
0005481 01 AB 0.396 "AUTO T7 2 1061 46280-2-05486
Ship To
CARMEL WASTEWATER TREATMENT CARMEL WASTEWATER TREATMENT
9609 HAZEL DELL PKWY 9609 HAZEL DELL PKWY
INDIANAPOLIS, IN 46280-2935 INDIANAPOLIS, IN 46280
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
2 100 100 0 1/4x3-1/4SSWedgAnchr 220017032 2140558 78.7500 78.75 Y
100 100 0 S/S TRUBOLT 1/4X2.25 BUILDE 52052 52.5100 52.51 Y
Received By Tax Exemption Subtotal 131.26
0031201550-020 G Shipping &Handling 0.00
IN State Tax 0.00
Comments County Tax 0.00
Contact:Duane Jarvis CONTRACT:QPA 13090 City Tax 0.00
Total 131.26
m
m
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.
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: ININ823983 cust: ININ80387
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
FASTENAL COMPANY IN SUM OF$ CITY OF CARMEL
PO BOX 1286
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.
$160.88. 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
ININ824219 42-370.00 $160.88 1 hereby certify that the attached invoice(s),or 10/12/16 ININ824219 $160.88
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
Tuesday, October 18,2016
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
i
® Remit to INVOICE
FASTBIMLFastenal Company Page 1 of 1
P.O. Box 1286
Winona, MN 55987-1286 Invoice Date Invoice No.
Cust.No. ININ80003
For billing questions 10/12/2016 ININ824219
Cust.P.O. 317-691-6725 1010 Kendall Court,Suite 3 Invoice Total
Job No. WESTFIELD, IN 46074 160.88 USD
Contract No. QPA 13090 Phone 317-804-8035 Due Date
Sold To Fax 317-804-8037 11/11/2016
Ship To
CARMEL STREET DEPT. CARMEL STREET DEPT.
3400 W 131 ST ST 3400 W 131 ST ST
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
1 250 250 0 3/8"-16x1/2"HWSLTCS 120081162 32423 64.3500 160.88 Y
Received By Tax Exemption Subtotal 160.88
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 160.88
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: ININ824219 Gust: ININ80003
Packing Slip
Reference.
Date No. Page
The store serving you is 10/12/16 ININ824219 1
Cust. No. Cust. P.O. Job No. 1010 Kendall Court,Suite 3 DUE DATE: 11/11/2016
ININ80003 317-691-6725
WESTFIELD,IN 46074
Phone 4:317-804-8035 Contract No:
Sold T� Fax#:317-804-8037 S/��n roo QPA 13090
CARME STREET DEPT. A EL STREET DEPT.
3400 W 131ST ST 3400 W 131ST ST
WESTFIELD,IN 46074-8267
317-733-2001;317-733-2005(Fax)
WESTFIELD,IN 46074
This Order and Document are subject to the "Terms of Purchase"posted on www.fastenaLcom.
Line Quantity Quantify Quantittyy Control Price/
No. Ordered Shipped Backotrler Description No Part No. Hundred Amount
1 250 250 0 3/8"-16x1/2"HWSLTCS 120081162 32423 64.3500 160.88 G
Received By Tax Exemption Subtotal 160.88
Shipping&Handling
Comments This packing slip may State Tax
Contact:Jim Bentley may be subject to County Tax
tax depending on City Tax
your status. TOTAL USD
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
assessed to all accounfs�placed for colleGtrgn
No materials accepted for retu n without our permission.
X indicates part is a hazardous material All discrepancies must be reported within 10 days. *14354*
*indicates part was sold at a promotional or special discount price 1111111 VIII I III I II I III IIII III
FORM -IN13
VOUCHER # 163037 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
824156 01-6200-06 172.02
Voucher Total 172.02
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 10/17/2016
Invoice Invoice Description -
Date Number (or note attached invoice(s) or bill(s)) Amount
10/17/201( 824156 172.02
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
FASTBINE
Remit to INVOICE
Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987-1286 Invoice Date Invoice No.
10/07/2016 I NI N 824156 '
Cust. No. ININ80004 For billing questions
Cust. P.O. 1010 Kendall Court, Suite 3 Invoice Total
Job No. WESTFIELD, IN 46074 172.02 USD
Contract No. QPA 13090 Phone 317-804-8035 Due Date
Fax 317-804-8037 11/06/2016
Sold To
Ship To
CARMEL UTILITIES CARMEL UTILITIES
3450 W 131ST ST 3450 W 131 ST ST
WESTFIELD, 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 14x.125x1/20mmAIIPrp 1100616 0809356 17,201.9600 172.02 Y
Received By Tax Exemption Subtotal 172.02
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 172.02
g Reasonable collection and attorneys fees will be No materials accepted for return without our permission.
o assessed to all accounts placed for collection. All discrepancies must be reported within 10 days.
N
N
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: ININ824156 oust: ININ80004