307201 1/20/17 CITY OF CARMEL, INDIANA VENDOR: 092000
i. CHECK AMOUNT: $**"****179 88*
ONE CIVIC SQUARE FASTENAL COMPANY
CARMEL, INDIANA 46032 PO Box 1286 CHECK NUMBER: 307201
WINONA MN 55987-1286 CHECK DATE: 01/20/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 ININ825269 179.88 OTHER MAINT SUPPLIES
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Fastenal Company Page 1 of 1
P.O. Box 1286
Winona, MN 55987-1286 Invoice Date Invoice No.
01/09/2017 ININ825269
Cust.No. ININ80003 For billing questions In Total
Cust.P.O. Shop1010 Kendall Court,Suite 3 179.88 USD
WESTFIELD, IN 46074
Job No.
Contract No. QPA 13090 Phone 317-804-8035 Due Date
Fax 317-804-8037 02/08/2017
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 10 10 0 CleanChoiceWipe 72Ct GEORPF 0613000 1,499.0000 149.90 Y
2 2 2 0 CleanChoiceWipe 72Ct GEORPF 0613000 1,499.0000 29.98 Y
Received By Tax Exemption Subtotal
i 7988
0031201550-020 G Shipping&Handling .
00
IN State Tax 0.00
Comments County Tax 0.00
Contact:Jim Bentley City Tax 0.00
Total 179.88
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: ININ825269 Cust: ININ80003