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313785 7/18/2017
CITY OF CARMEL, INDIANA VENDOR: 092000 FASTENAL COMPANY CHECK AMOUNT: S'""'"""73.09* ONE CIVIC SQUARE CHECK NUMBER: 313785 CARWINON r' MEL, INDIANA 46032 ties ' A MN 55987-1286 CHECK DATE: 07/18/17 9Ml T0M Gam. DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTREPAIR PARTS ION 2201 4237000 ININ827582 73.09 / � � k / > CD 0 § § § 2 k 0 = q 0 E / ^ 0 ) / > ® k n e r o m n 2 % / 2 E k $ 2 E O ƒ 000 ® (0C) 0 00 j k CD O ƒ CIL � - e « c D / 00� (D � 2 � a0 3 3 / \ � � � 0 CD k 3 - C) J f � 2 \ 0 o 2 E > -n \ \ k | =o a % w e LT / \ [ ( f f k d } } ƒ a m k § / 0 g - 7 a CD (D - $ # f ® ® ; \ � CL \ § \ \ \ q ƒ 0 / E ° k k 0 CD § ƒ k 0:1- E w % \ J [ E § k ƒ o » 2 e ) [ k( R / . ki e \ ) _ - (\ - Q. CD / \ E/ ) \ t ; ( c < o / a J ® § § @ g R t\) o q ƒ k k C o RE § ^ # D J C) Z 0> n m / § ) N � CCD', / \ } 0< 0 > e� ® / §o & 0 cn CD \ D % § r 0 2 \ 0 / \ j E / \ \ r O E ¥ ? ) \ CD C o » / % CD ƒ § q / CD o © = O $ ] M / k \ \ / \ ] § k ^ � e > /) § \ > . a e op CD \ § § ® o ® Remit to INVOICE FASTBV64LFastenal Company Page 1 of 1 P.O. Box 1286 Winona, MN 55987-1286 Invoice Date Invoice No. 07/05/2017 ININ827582 Cust.No. ININ80003 For billing questions Invoice Total Cust.P.O. Stock 1010 Kendall Court,Suite 3 Job No. WESTFIELD, IN 46074 73.09 USD Contract No. QPA 13090 Phone 317-804-8035 Due Date Fax 317-804-8037 08/04/2017 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 3 3 0 2x30'Red/WhtRflctvTp 136471 1056240 2,436.2800 73.09 Y Received By Tax Exemption Subtotal 73.09 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 73.09 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: ININ827582 Cust: ININ80003 Packing Slip FAVEML Reference Date Page The store serving you is ININ827582 I Cust. No. Cust. P.O. Job No. 1010 Kendall Court,Suite 3 DUE DATE:08/04/2017 ININ80003 Stock WESTFIELD,IN 46074 Phone#:317-804-8035 Contract No: old T� Fax#:317-804-8037 j�n Tp QPA 13090 ARMS STREET DEPT. S A 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 Control Price/ No. Ordered Shipped Backorder Description No Part No. Hundred Amount 1 3 3 0 2x30'Red/WhtRflctvTp 136471 1056240 2,436.2800 73.09 G owe �q-bO5 Received By Tax Exemption Subtotal 73.09 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 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 assessed to all a hunts glaped for colleCtipn No materials accepte�or return►without our permission. X indicates part is a hazardous material All discrepancies must be reported within 10 days. *16160' *indicates part was sold at a promotional or special discount price I illlll VIII VIII VIII VIII(III IIII FORM -1N73