HomeMy WebLinkAbout317910 10/31/17 ♦°,Coq*
CITY OF CARMEL, INDIANA VENDOR: 092000
D ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $**.....536.22
CARMEL, INDIANA 46032 PO Box 1286 CHECK NUMBER: 317910
v WINONA MN 55987-1286 CHECK DATE: 10/31/17
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 828728 536.22 OTHER EXPENSES
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® Remit to INVOICE
Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987-1286 Invoice Date Invoice No.
10/05/2017 ININ828728
Cust. No. ININ80004 For billing questions Invoice Total
Cust.P.O. JM091817 1010 Kendall Court, Suite 3
Job No. WESTFIELD, IN 46074 536.22 USD
Contract No. QPA 13090 Phone 317-804-8035 Due Date
Fax 317-804-8037 11/04/2017
Sold To
0001632 01 AS 0.400 "AUTO T8 1 1063 46074.8.01633
Ship To
CARMEL UTILITIES CARMEL UTILITIES
3450 W 131 ST ST 3450 W 131 ST ST
WESTFIELD, IN 46074 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 8.6floz FixmasterKit SSTX5721 0612137 5,250.0000 157.50
2 4 4 0 5gal Fixmstr Mgncret LOCTIT 0151025 9,468.0000 378.72 Y
Received By Tax Exemption Subtotal 536.22
0031201560-020 G Shipping&Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
Contact:John Master City Tax 0.00
Total 536.22
N
O
N
Reasonable collection and attorneys fees will be No materials accepted for return without our permission.
g assessed to all accounts placed for collection. All discrepancies must be reported within 10 days.
N
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: ININ828728 Cust: ININB0004
Packing Slip
FASW"o Reference
Date Page
The store serving you is ININ828728 1
Cust. No. Cust. P.O. Job No.
1010 Kendall Court,Suite 3 DUE DATE: 11/04/2017
ININ80004 JM091817
WESTFIELD,IN 46074
Phone#:317-804-8035 Contract No:
Surd TFax#:317-804-8037 //��nn��'pp QPA 13090
CARMI.:I-p UTILITIES S(NUL UTILITIES
3450 W 131ST ST 3450 W 131ST ST
WESTFIELD,IN 46074
317-733-2855;317-733-2053(Fax)
WESTFIELD,IN 46074
317-733-2855;317-733-2053(Fax)
This Order and Document are subject to the "Terms of Purchase"posted on www.fastenal.com.
Line Quantity Quantity Quantity Description Control Part No. Price/ Amount
No. Ordered Shipped Backorder No.
1 4 4 0 5gal Fixmstr Mgncret loctit 0151025
2 3 3 0 8.6floz FixmasterKit sstx5721 0612137
R e c e i v e d : 1-7
------
Date :
ACCT #: CMZ°`
Use :
Received By Tax Exemption Subtotal
Shipping&Handling
Comments
DELIVERED OCT 2 3 2017 State Tax
Contact:John Master 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
aossessed to all acentsi planed for collection
materials accept& or r&tu n without our permission.
X indicates part is a hazardous material All discrepancies must be reported within 10 days. '16795•
indicates part was sold at a promotional or special discount price I Ililli VIII VIII VIII VIII IIII IIII
FORM -W i3