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CITY OF CARMEL, INDIANA VENDOR: 092000 CHECK AMOUNT: $•'...**133.99; _ ONE CIVIC SQUARE FASTENAL COMPANY CARMEL, INDIANA 46032 PO Box 1286 CHECK NUMBER: 306423 WINONA MN 55987-1286 CHECK DATE: 12/21/16 N DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 ININ824893 128.70 REPAIR PARTS 2201 4237000 ININ825001 5.29 REPAIR PARTS -u -n < 0) § \ 3 2 / coq ? O m n % 0 f m n r I X \ _ O 2 % 0 2 Z $ 2 0 % k g R ¥ _ \ m CD -n/ * e K) } � q % N32 / 3 / / B § E o 2 m 3 \ # J 2 ° z CL z z > -n m / \ q = w | S. . ! g 7 - 2 A \ 0 W C / § ` 2 E \ / / / m CD (Dm 0 2 n _ CD § 7 _ /CL CD \ at ƒ = 2 2 § \ # \ \ 3 \ E / ° m k 0 < a � . i CD \ 0 \ / / « E f - k ƒ § ) / � - , y T }CD § \ \ � - CL C7 / m \ [ CD " � D \ \$ 0 \ ) g § \ k -n < e4 o 7 k C § k k k a m m _ C o m ' ^ � 3 / �/ \ / / cn0D e� / }f � _ � D §_/ ) _ CL > °° } §/ / » � \ f � Q } j E C S \ \ O E f 7 2 CD4CD & R C; 0 § / $ E n m / & n CD k 2 _ \ 8 aCD ] f � � z C > \ \ a 0 C / / ° \ ® Remit to INVOICE fiq Fastenal Company Page 1 of 1 P.O. Box 1286 Winona, MN 55987-1286 Invoice Date Invoice No. 12/15/2016 I N I N825001 Cust.No. ININ80003 For billing questions Invoice Total Cust.P.O. 1010 Kendall Court,Suite 3 5.29 USD Job No. WESTFIELD, IN 46074 Contract No. QPA 13090 Phone 317-804-8035 Due Date Fax 317-804-8037 01/14/2017 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 1 1 0 HCS 7/8-9 x 6 YZ8 IB068338 15425 528.7500 5.29 Y Received By Tax Exemption Subtotal 5.29 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 5.29 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: ININ825001 Cust: ININ80003 Packing Slip Reference Date Page The store serving you is IM-8250011 Cust. No. Cust. P.O. Job No. 1010 Kendall Court,Suite 3 DUE DATE:01/14/2017 ININ80003 WESTFtELD,IN 46074 Phone#:317-804-8035 Contract No: $Old To Fax#:317-804-8037 $hlq TO QPA 13090 CARMEL STREET DEPT. Picked 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.fastenat.com. Line Quantity Quantity Quantity Contra! Price/ No. Ordered Shipped Backorder Description No Part No. Hundred Amount l 1 l 0 HCS 7/8-9 x 6 YZ8 ib068338 15425 528.7500 5.29 G Received By Tax Exemption Subtotal 5.29 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 VSD if ycw 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 accguntsplaeed for collectign Nn mutenals accepted or retu without our permission. iridi,'atu;:pact is a hazardous material All discrepancies must be reported within 10 days. *14757* unol(.aiu..pari was sold at a promotional or special discount price 1111111 VIIIIIIIIIIII)(IIIIIIIIIIII o = k 0 > 0 } § )_ § z / c � O m n \ 0 / / m \ O ƒ 7 0 § k k $ 2 \ § / R w % > 0 2 a § R -n f \ E - 9 % / X20 ? q 7 / 2 d C m ƒ 3 \ * 3 2 ° 2 \ 0 ° z 4 > z-n . 169 K / co | § \ 5 q w £ 62 \ \ \ $ M \ \ E o / k g ƒ E 2 / m n -n _ 9 x /\ \ _ $ m m = 2 -- m # / E / ) / [ 9 % O + _ s - § ƒ ) 3 3 / \ ƒ i 0 k } 0 q (D ƒm } k (k < } g \ E k± a 2 \ a § \ / kG § ` f 7 ro � CD 2j 0 - » m m \ \ cr CD 3 � D \ CD / - ) \ E § \ k ® < CD a4 o 7 EL C R k k k ° $ ® \ 2 [ � 0 ° m / 2 N ;4:ID \ / / 0< 0 > e0. ©/ �cn CD \ �/ ) c §E ° \ CD2 CD 0 o } § _E / \ E r O CD 2 ) \ C f ® \ c " S � ¥ E CD e / / n d k 2/ m \ cn 8 -CD ] f « J m \ § \ \ e \ \ CD > 7 m E $ \ z ) ® Remit to INVOICE Fastenal Company Page 1 of 1 P.O. Box 1286 FASTBV64L Winona, MN 55987-1286 Invoice Date Invoice No. 12/07/2016 ININ824893 Cust.No. ININ80003 For billing questions Cust.P.O. Shop 1010 Kendall Court,Suite 3 Invoice Total Job No. WESTFIELD, IN 46074 128.70 USD Contract No. QPA 13090 Phone 317-804-8035 Due Date Fax 317-804-8037 01/06/2017 Sold To 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 1 200 200 0 3/8"-16x1/2"HWSLTCS 120081162 32423 64.3500 128.70 Y Received By Tax Exemption Subtotal 128.70 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 128.70 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: ININ824893 Cust: ININ80003 Packing Slip FAWW" Reference Date �p� Page The store serving you is ININ824893 1 Cust. No. Cust. P.O. Job No. 1010 Kendall Court,Suite 3 DUE DATE:01/06/2017 ININ80003 Shop WESTFIELD,IN 46074 Phone#:317-804-8035 Contract No: $old Tp Fax#:317-804-8037 h�77^^o QPA 13090 CARMEL STREET DEPT. sCAffM> 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 Quantity Quantity Description Control Part No. Price Amount No. Ordered Shipped Backorder No. l 200 200 0 3/8"-16x1/2"HWSLTCS 120081162 32423 Received By Tax Exemption Subtotal Shipping&Handling Comments State Tax Contact:Jim Bentley County Tax City Tax TOTAL USD If you re-package or re-sell this product,you are required to maintain intediity of Country of Origin to the consumer of this product. Reasonable collection and attorneys fees will be t,')aU accLlnts plaQed forcolleCtiQn rpted for retu n without our permission. hiizr:rdous material All discrepancies must be reported within 10 days. *14702* ;a i promotional or special discount price I IIIIII II�+I VIII VIII VIII(II)IIII I,oklI -LVI3