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319479 12/12/17 CITY OF CARMEL, INDIANA VENDOR: 092000 ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $*******340.76* . 4 CARMEL, INDIANA 46032 PO BOX 1286 CHECK NUMBER: 319479 WINONA MN 55987-1286 CHECK DATE: 12/12/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 2205391 284.04 OTHER EXPENSES 651 5023990 ININ829289 56.72 OTHER EXPENSES VOUCHER NO. 173498 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor# 92000 IN SUM OF$ 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 performed, WINONA, MN 55987-1286 dates service rendered, by whom, rates per day, number of hours, rate per hour, numbers of units, price per unit,etc. Payee 284.04 92000 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR FASTENAL Terms Carmel Water Utility P.O. BOX 1286 Due Date BOARD MEMBERS I hereby certify that that attached invoice(s), WINONA, MN 55987-1286 PO# ACCT# or bill(s)is(are)true and correct and that the materials or services itemized thereon for DATE INVOICE# Description DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 2205391 01-6200-04 $284.04 and received except 11/30/2017 2205391 $284.04 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_ Clerk-Treasurer FASTBVALO Remit to INVOICE Fastenal Company Page 1 of 1 P.O. Box 1286 Winona, MN 55987-1286 Invoice Date Invoice No. 11/20/2017 ININ2205391 For billing Cust.No. ININ20169 g questions Cust.P.O. JM112017 14775 Herriman Blvd Invoice Total Job No. NOBLESVILLE, IN 46060 284.04 USD Contract No. QPA 13090 Phone (317)770-0649 Due Date Sold To Fax (317)770-4279 12/20/2017 0000822 01 AB 0.400 "AUTO H5 0 1074 46074.9-00622 '��I'�tl'II.'II"�I'II��'��I'�II111�.II"�I�I�III�II�I�II'�I'�I 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 3 3 0 5gal Fixmstr Mgncret LOCTIT 0151025 9,468.0000 284.04 Y Received By Tax Exemption Subtotal 284.04 0031201550-020 G Shipping&Handling 0.00 Comments IN State Tax 0.00 County Tax 0.00 Contact:John mascari City Tax 0.00 Total 284.04 LoL 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. N N gIf 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: ININ2205391 Cust: ININ20169 Fastenal Company Packing Slip P.O Box 1286 Reference WINONA, MN 55987-1286 Date No. Page The store serving you is ININ2205391 1 Cust. No. Cust. P.O. Job No. 14775 Herriman Blvd DUE DATE: 12/20/2017 ININ20169 JM112017 NOBLESVILLE,IN 46060 Phone#:(317)770-0649 Contract No: Sold To Fax#:(317)770-4279hl�pA+TO QPA 13090 CARMEL UTILITIES Ri ed 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. Line Quantity Quantity Quantity Control Price/ No. Ordered Shipped Backo er Description No Part No. Hundred Amount 1 3 3 0 5gal Fixmstr Mgncret loctit 0151025 9,468.0000 284.04 G Reeiv-ed : Date : — 2-0 –f7 PO # J"-M 1z0c7 ACCT # - Received By Tax Exemption Subtotal 284.04 Shipping&Handling Comments This packing slip may State Tax Contact:John mascari 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 aassessed to all accounts placed for collection - No materials accepted for retuln without our permission. X indicates part is a hazardous material All discrepancies must be reported within 10 days. *121962* *indicates part was sold at a promotional or special discount price I IIIIII VIII I III VIII III I I III IIII IIII FORM -IN13 VOUCHER NO. 176848 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995) Vendor # 092000 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER FASTENAL COMPANY CITY OF CARMEL PO BOX 1286 An invoice or bill to be properly itemized must show: kind of service,where performed, WINONA, MN 55987-1286 dates service rendered, by whom, rates per day, number of hours, rate per hour, numbers of units, price per unit, etc. Payee 56.72 092000 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR FASTENAL COMPANY Terms Carmel Wasterwater Utility PO BOX 1286 Due Date BOARD MEMBERS I hereby certify that that attached invoice WINONA, MN 55987-1286 (s), or bill(s)is(are)true and correct and that PO# ACCT# the materials or services itemized thereon DATE INVOICE# Description DEPT# INVOICE# Fund# AMOUNT for which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT ININ829289 01-7202-06 $52.59 and received except 11/28/2017 ININ829289 $52.59 ININ829289 01-7502-06 $4.13 11/28/2017 ININ829289 $4.13 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_ Clerk-Treasurer ® Remit to INVOICE FASTBVAL Fastenal Company Page 1 of 1 P.O. Box 1286 Winona, MN 55987-1286 Invoice Date Invoice No. Cust.No. ININ80387 For billing questions 11/16/2017 ININ829289 Cus1010 Kendall Court, Suite 3 Invoice Total Job No. S17830 P.O. S17830 WESTFIELD, IN 46074 56.72 USD Job Contract No. QPA 13090 Phone 317-804-8035 Due Date Sold To Fax 317-804-8037 12/16/2017 - 0002505 01 AB 0.400 "AUTO T2 2 1073 46280-2-02507 'III"'I"I'Illlllllllll"I'III'111111'II'IIIIIIIIIIIIII'llllllll 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 50 50 0 1/2 USS F/W Z 120266251 1133012 8.9900 4.50 Y 2 10 10 0 5/8-11 Nylock Z 120258237 1137036 24.9300 2.49 Y 2 20 20 0 5/8-11 Nylock Z 120261147 1137036 24.9300 4.99 Y 3 25 25 0 3/8-16X1 1/2S/S HCS 120201990 1170109 39.0900 9.77 Y 4 50 50 0 3/8-16 A194 2H HxNut 120217518 1136548 17.4600 8.73 Y 5 6 6 0 3/16 YZ Lynch Pin 220025318 0120710 68.8500 4.13 Y 6 15 15 0 1/2-13 X 3 HCS S/S 120290603 1170215 126.4500 18.97 Y 7 1 1 0 SF202AS Gray Glasses 3MMMMM 1048546 314.2500 3.14 Y Received By Tax Exemption Subtotal 56.72 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 56.72. . 0 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. U 0 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: ININ829289 Cust: ININ80387