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Home My WebLink About305549 11/28/16 CITY OF CARMEL, INDIANA VENDOR:. 092000 ® ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $*******144.01* CARMEL, INDIANA 46032 PO Box 1286 CHECK NUMBER: 305549 9 �TONWINONA MN 55987-1286 CHECK DATE: 11/28/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4238900 ININ824693 102.96 OTHER MAINT SUPPLIES 2201 4238900 ININ824697 41.05 OTHER MAINT SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) FASTENAL COMPANY ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 1286 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service WINONA, MN 55987-1286 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $144.01 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 ININ824697 42-389.00 $41.05 1 hereby certify that the attached invoice(s),or 11/17/16 ININ824693 $102.96 2201 201 2201 201 ININ824693 42-389.00 $102.96 bill(s)is(are)true and correct and that the 11/17/16 ININ824697 $41.05 2201 1 1 201 materials or services itemized thereon for 2201 201 which charge is made were ordered and received except Monday, November 21, 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 Fastenal Company Page 1 of 1 P.O. Box 1286 Winona, MN 55987-1286 Invoice Date Invoice No. 11/17/2016 ININ824697 For billing questions Cust.No. ININ80003Invoice Total Cust.P.O. christmas lights 1010 Kendall Court,Suite 3 Job No. WESTFIELD, IN 46074 41.05 USD Contract No. QPA 13090 Phone 317-804-8035 Due Date Fax 317-804-8037 12/17/2016 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 10 10 0 M16-2.0X60 8.8 HCS Z 120245967 1138763 100.8000 10.08 Y 2 10 10 0 M16-2.0X80 8.8 HCS Z 220013499 1138767 142.6500 14.27 Y 3 1 1 0 11/16"xi/2"135S&D Dr 220020369 0316246 1,670.0800 16.70 Y Received By Tax Exemption Subtotal 41.05 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 41.05 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: ININ824697 Cust: ININ80003 ® Remit to INVOICE FASTBVALFastenal Company Page 1 of 1 P.O. Box 1286 Winona, MN 55987-1286 Invoice Date Invoice No. 11/17/2016 I NI N824693 Cust.No. ININ80003 For billing questions Invoice Total Cust.P.O. Shop1010 Kendall Court,Suite 3 WESTFIELD, IN 46074 102.96 USD Job No. Contract No. QPA 13090 Phone 317-804-8035 Due Date Fax 317-804-8037 12/17/2016 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 1 160 160 0 3/8"-16x1/2"HWSLTCS 120081162 32423 64.3500 102.96 Y Received By Tax Exemption Subtotal 102.96 0031201550-020 G Shipping&Handling 0.00 IN State Tax 0.00 Comments County Tax 0.00 Contact:James Bentley City Tax 0.00 Total 102.96 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: ININ824693 Cust: ININ80003 Packing Slip 0 FAS7E- ML Reference Date Page The store serving you is 11/17/16 IN-824697 1 CUSt. N0. 1-1-80003 1010 Kendall Court,Suite 3 DUE DATE: 12/17/2016 CUSt. P.O, christmas lights ,lob No. WESTFIELD,IN 46074 Phone#:317-804-8035 Contract No: Sold To Fax#:317-804-8037 �jipp To QPA 13090 CARMEL STREET DEPT. IN&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.fastenal.com. Line Quantity Quantity Quantity Description Control Part No. Price Amount No. Ordered Shipped Backorder No. 1 10 10 0 M16-2.0X60 8.8 HCS Z 120245967 1138763 2 10 10 0 M16-2.0X80 8.8 HCS Z 220013499 1138767 3 1 1 0 11/16"xl/2"1355&D Dr 220020369 0316246 Received By Tax Exemption Subtotal Shipping&Handling Comments State Tax Contact:Jim Bentley County Tax City rax 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 accounts placed for collegtipn No 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 -IN13 Packing Slip FASN"o Reference Date No. Page The store serving you is ININ824693 1 Cust. No. Cust. P.O. Job No. 1010 Kendall Court,Suite 3 DUE DATE: 12/17/2016 ININ80003 Shop WESTFIELD,IN 46074 Phone#:317-804-8035 Contract No: Sold To Fax#:317-804-8037hlpp TO QPA 13090 CARMEL STREET DEPT. 'icked 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 Description Control Part No. Price Amount No. Ordered Shipped Backorder No. 1 160 160 0 3/8"-16x1/2"HWSLTCS 120081162 32423 Received By Tax Exemption Subtotal Shipping&Handling Comments State Tax Contact:James Bentley County Tax City Tax 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. r� Reasonable collection and attorneys fees will be assessed to all accounts�plaeed for colleptrpn o materials accepted for retu n without our permission. X indicates part is a hazardous material All discrepancies must be reported within 10 days. *14605* *indicates part was sold at a promotional or special discount price I VIII I I I I III II I VIII IIII IIII FORK/ -IN 13