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311702 05/30/17 CITY OF CARMEL, INDIANA VENDOR: 092000 ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $**.....196.20* CARMEL, INDIANA 46032 PO Box 1286 CHECK NUMBER: 311702 ,M WINONA MN 55987-1286 CHECK DATE: 05/30/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 ININ826308 196.20 OTHER EXPENSES L E C� C M� W 1 1 0 D co yg° 0 ZMe �- Q } 1 i i N 0 N LL Z p O= � Q — Z O ¢ v a Q L 04 3 � a ti z 3 a 04 0 _ reL ++ U m C U LL a o prn C0 OD )O Z Z V c y Y J N > (D d a�No c = Z X Z E U Z Z g ~ /mom O V a Z m a i N <C0 � 0 O y m cA ti 4 3 a v Remit to INVOICE Fastenal Company Page 1 of 1 P.O. Box 1286 Winona, MN 55987-1286 Invoice Date Invoice No. 03/27/2017 ININ826308 Cust. No. ININ80387 For billing questions Invoice Total Cust. P.O. S17058 1010 Kendall Court, Suite 3 Job No. S17058 WESTFIELD, IN 46074 196.20 USD Contract No. QPA 13090 Phone 317-804-8035 Due Date Fax 317-804-8037 04/26/2017 Sold To 0004695 01 AB 0.400 "AUTO Tt 2 1021 46280-2-04699 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 1 1,000 1,000 0 12-24x2-3/4FPhTk4w/W BUILDE 1132087 19.6200 196.20 Y Received By Tax Exemption Subtotal 196.20 0031201550-020 G Shipping&Handling 0.00 Comments IN State Tax 0.00 County Tax 0.00 Contact:Duane Jarvis CONTRACT:QPA 13090 City Tax 0.00 Total 196.20 N N t� gReasonable 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. h 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: ININ826308 Cust: ININ80387