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Home My WebLink About319129 11/30/17 (9, CITY OF CARMEL, INDIANA VENDOR: 092000 ONE CIVIC SQUARE FASTENAL COMPANY CHECKAMOUNT: $*"*"****94.68* CARMEL, INDIANA 46032 PO Box 1286 CHECK NUMBER: 319129 WINONA MN 55987-1286 CHECK DATE: 11/30/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 2205148 94.68 OTHER EXPENSES Voucher # 173442 Warrant # Prescribed by State Board of Account City Form No.201(Rev 1995) ALLOWED 20 92000 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER FASTENAL CITY OF CARMEL P.O. BOX 1286 An invoice or bill to be properly itemized must show, kind of service, where WINONA, MN 55987-1286 performed, dates of services rendered, by whom, rates per day, number of units price per unit, itc. Payee Carmel Water Utility 92000 Purchase Order No. ON ACCOUNT OF APPROPRIATION FOR FASTENAL Terms P.O. BOX 1286 Due Date Board Due Date Members WINONA, MN 55987-1286 Description Audit Trail INVOICE (or note attached invoice(s) or PO # INV # ACCT# AMOUNT Code DATE INVOICE NUMBER bill(s)) AMOUNT 2205148 01-6200-04 $94.68 11/22/2017 2205148 $94.68 Voucher Total $94.68 Cost distribution ledger classification if claim paid under vehicle highway fund 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 Date Officer ® Remit to INVOICE Fastenal Company P.O. Box 1286 Page 1 of 1 Winona, MN 55987-1286 Invoice Date Invoice No. 11/08/2017 ININ2205148 Cust.No. ININ20169 For billing questions Cust. P.O. 14775 Herriman Blvd Invoice Total Job No. NOBLESVILLE, IN 46060 94.68 USD Contract No. QPA 13090 Phone (317)770-0649 Due Date Sold To Fax (317)770-4279 12/08/2017 0001773 01 AB 0.400 "AUTO T9 1 1071 46074-8-01774 Illl'llllllll'llll'lllllllllll'111"lllllllllllll'll'lllll'lllll' Ship To CARMEL UTILITIES Picked up at branch 3450 W 131 ST ST 14775 Herriman Blvd CARMEL, IN 46074-8267 NOBLESVILLE, IN 46060 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 1 0 5gal Fixmstr Mgncret LOCTIT 0151025 9,468.0000 94.68 Y Received By Tax Exemption Subtotal 94.68 0031201550-020 G Shipping&Handling 0.00 Comments IN State Tax 0.00 County Tax 0.00 Contact:Jimbo City Tax 0.00 Total 94.68 aN N O 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: ININ2205146 Cust: ININ20169 Packing Slip Fastenal Company ° P.O Box 1286 Reference WINONA, MN 55987-1286 Date Page INN&2205148 1 The store serving you is - DUE DATE: 12/08/2017 Cust. No. Cust. P.O. Job No. 14775 xerriman Blvd ININ20169 NOBLESVILLE,IN 46060 Phone#:(317)770-0649 Contract No: Sold Tp Fax#:(317)770-4279 hl�TO QPA 13090 CARMEL UTILITIESicked up at Fastenal Store. 3450 W 131ST ST CARMEL,IN 46074-8267 317-571-2443;317-571-2462(Fax) This Order and Document are subject to the "Terms of Purchase"posted on www.fastenal.com. Lige Quantity Quantity Quantity Control Price/ No. Ordered Shipped Backorder Description No Part No. Flu,idrerr Amount 1 1 1 0 5gal Fixmstr Mgncret loctit 0151025 9,468.0000 94.68 G Re.eiwed : 3 Date : - PO # : (7 ACCT #: Use : P1,7-m(-3 Received By Tax Exemption Subtotal 94.68 Shipping&Handling Comments This packing slip may State Tax Contact:Jimbo may be subject to County Tax tax depending on City Tax your status. TOTAL USD /f 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 aassessed to all accounts Bladed for collection No materials accepted for return without our permission. X indicates part is a hazardous material All discrepancies must be reported within 10 days. *121818* *indicates part was sold at a promotional or special discount price 1111111 VIII I III VIII VIII VIII IIII IIII FORM -IN13