313357 7/10/2017 CITY OF CARMEL, INDIANA VENDOR: 092000
ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $**.....194.80*
CARMEL, INDIANA 46032 PO Box 1286 CHECK NUMBER: 313357
' WINONA MN 55987-1286 CHECK DATE: 07/10/17
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 ININ827346 194.80 OTHER EXPENSES
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® Remit to INVOICE
Fastenal Company Page 1 of 1
P.O. Box 1286
Winona, MN 55987-1286 Invoice Date Invoice No.
06/13/2017 ININ827346
Cust. No. ININ80387 For billing questions
Cust. P.O. S17310 1010 Kendall Court, Suite 3 Invoice Total
Job No. S17310 WESTFIELD, IN 46074 194.80 USD
Contract No. QPA 13090 Phone 317-804-8035 Due Date
Fax 317-804-8037 07/13/2017
Sold To
0002429 01 AB 0.400 "AUTO T1 2 1039 46260-2.02431
�llll'�I111�111�11��11�11111���11�1��1��1111�111�11111���""Ill Ship To
CARMEL WASTEWATER TREATMENT CARMEL WASTEWATER TREATMENT
9609 HAZEL DELL PKWY RU 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 ntr o-1 Part Price/
No Ordered Shipped Backordered Description No. No. Hundred Amount
1 50 50 0 1/2x3-3/4SSWedgAnchr 220017032 2140566 234.9000 117.45 Y
2 1 1 0 SDS+1/2"x 12"OAL 120264648 0234889 1,041.9500 10.42 Y
3 1 1 0 SDS+1/2"x 6"OAL BLACKD 0234886 584.0100 5.84 Y
4 1 1 0 SDS+5/8"x 8"OAL BLACKD 0234894 933.0000 9.33 Y
5 1 1 0 SDS+5/8"x 12"OAL BLACKD 0234896 3,092.3200 30.92 Y
6 1 1 0 SDS+3/4"x 8"OAL 120278638 0234900 2,083.9000 20.84 Y
Received By Tax Exemption Subtotal 194.80
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 194.80
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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.
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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: ININ827346 Cust: ININ80387