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Home My WebLink About308105 02/13/17 CITY OF CARMEL, INDIANA VENDOR: 092000 ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $********51.00* CARMEL, INDIANA 46032 PO Box 1286 CHECK NUMBER: 308105 M�raN.�o, WINONA MN 55987-1286 CHECK DATE: 02/13/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4239032 ININ825449 51.00 POSTS & HARDWARE VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 092000 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER FASTENAL COMPANY IN SUM OF$ CITY OF CARMEL PO BOX 1286 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. WINONA, MN 55987-1286 Payee $51.00 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 ININ825449 42-390.32 $51.00 1 hereby certify that the attached invoice(s),or 1/23/17 ININ825449 $51.00 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,January 31,2017 Huffman, Dave 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 5-11-10-1.6 120- Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer FASTBINE Remit to INVOICE Fastenal Company Page 1 of 1 P.O. Box 1286 Winona, MN 55987-1286 Invoice Date Invoice No. Cust.No. ININ80003 For billing questions 01/23/2017 ININ825449 Cust.P.O. Signs 1010 Kendall Court,Suite 3 Invoice Total Job No. WESTFIELD, IN 46074 51.00 USD Contract No. QPA 13090 Phone 317-804-8035 Due Date Sold To Fax 317-804-8037 02/22/2017 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 1 100 100 0 QUIKLNK3/16 220022153 45212 51.0000 51.00 Y Received By Tax Exemption Subtotal 51.00 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 51.00 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: ININ825449 cust: ININ80003 Packing Slip FASN"o Reference Date ININ��I�825449 Page 1 ' The store serving you is DUE DATE:02/22/2017 Cust. No. Cust. P.O. Job No. 1010 Kendall Court,Suite 3 ININ80003 Signs WESTFIELD,IN 46074 Phone#:317-804-8035 Contract No: Sold To Fax#:317-804-8037 Sh1TO QPA 13090 CARMEL STREET DEPT. Pic ed 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 Control Price/ No. Ordered Shipped Backofrdder Description No. Part No. Amount 1 100 100 0 QUIK LNK 3/16 220022153 45212 r� 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 integrity of Country of Origin to the consumer of this product. Reasonable collection and attorneys fees will be essed to all accounts Placed for collegtign - mMsatera/s accepted for return without our permission. X indicates part is a hazardous material All discrepancies must be reported within 10 days. *15017* *indicates part was sold at a promotional or special discount price I Iillll I III VIII VIII I III IIII IIII FORM -1N13