HomeMy WebLinkAbout319825 12/21/17 CITY OF CARMEL, INDIANA VENDOR: 092000
d ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $*******770.08*
CARMEL, INDIANA 46032 PO Box 1286 CHECK NUMBER: 319825
WINONA MN 55987-1286 CHECK DATE: 12/21/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 2205170 18.33 OTHER EXPENSES
601 5023990 2205524 94.68 OTHER EXPENSES
601 5023990 2205556 284.04 OTHER EXPENSES
2201 4237000 ININ2205643 373.03 REPAIR PARTS
VOUCHER NO. 173598 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor # 92000 IN SUM OF$ 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
397.05 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
or bill(s)is(are)true and correct and that
PO# ACCT# 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
2205170 01-6200-04 $18.33 and received except 12/6/2017 2205170 $18.33
2205524 01-6200-04 $94.68 12/7/2017 2205524 $94.68
2205556 01-6200-04 $284.04 12/7/2017 2205556 $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
® Remit to INVOICE
FAS7EAML Fastenal Company Page 1 of 1
P.O. Box 1286
Winona, MN 55987-1286 Invoice Date Invoice No.
Jm101For billing questions 11/09/2017 ININ2205170
Cust. No. 169 14775 Herriman Blvd
Cust.P.O. m101217 Invoice Total
Job No. NOBLESVILLE, IN 46060 18.33 USD
Contract No. QPA 13090 Phone (317)770-0649 Due Date
Sold To Fax (317)770-4279 12/09/2017
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 30 30 0 SQHD 3/8-16 X 3 220017613 20115 54.9000 16.47 Y
2 50 50 0 3/8"-16 FHNz 5 120280856 1136306 3.7200 1.86 Y
Received By Tax Exemption Subtotal 18.33
0031201550-020 G Shipping&Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
Contact:john m City Tax 0.00
Total 18.33
N
O
Reasonable collection and attorneys fees will be No materials accepted for return without our permission.
9
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: ININ2205170 Cust: ININ20169
® Remit to - INVOICE
FASTBIML Fastenal Company Page 1 of 1
P.O. Box 1286
Winona, MN 55987-1286 Invoice Date Invoice No.
11/28/2017 I N I N2205524
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
Fax (317)770-4279 12/28/2017
Sold To
0002547 01 AB 0.400 "AUTO T2 1 1075 46074-8-02549
I��Illllll�lr��ll�ll��llllulllullll�ll�lllulllll�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.fastonal.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
m
m
r
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.
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: ININ2205524 Cust: ININ20169
® Remit to INVOICE
Fastenal Company Page 1 of 1
P.O. Box 1286
Winona, MN 55987-1286 Invoice Date Invoice No.
11/29/2017 ININ2205556
Cust. No. ININ20169 For billing questions Invoice Total
Cust. P.O. JA112817B 14775 Herriman Blvd
Job No. NOBLESVILLE, IN 46060 284.04 USD
Contract No. QPA 13090 Phone (317)770-0649 Due Date
Sold To Fax (317)770-4279 12/29/2017
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-Documeriti 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 2 2 0 5gal Fixmstr Mgncret LOCTIT 0151025 9,468.0000 189.36 Y
2 1 1 0 5gal Fixmstr Mgncret 1112817 0151025 9,468.0000 94.68 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:Jimbo City Tax 0.00
Total 284.04
m
m
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.
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: ININ2205556 Cust: ININ20169
® Remit to INVOICE
Fastenal Company Page 1 of 1
P.O. Box 1286
'ASTF" Winona, MN 55087-1216 Invoice Date Invoice No.
For billing questions J 11/09/2017 ININ2205170
Cust No. ININ20169 14775 Herriman Blvd ` Invoice Total
Cust P.O. Jm101217 NOBLESVILLE, IN 46060 18.33 USD
Job No.
Contract No. QPA 13090 Phone(317)770-0649 li Due Date
Sold To
Fax (317)770-4279 i 12/09/2017
I _
i ,.• .
Ship To
CARMELUTILITIES y Picked up at branch
3450 W 131 ST ST 14775 Herriman Blvd
CARMEL, IN 46074-8267. r NOBLESVILLE,IN 46060
This Order and Document is subject to the°Terms of Purchase"posted on www.fastanal.com.
Line Quantity Quantity Quantity Control Part Price/
No Ordered Shipped Backordered Description No. No. Hundred Amount
1 30 30 0 SQHD 3/8-16 X 3 220017613 20115 54.9000 16.47 Y
2 50 50_ 0 3/8"-16 FHNz 5 120280856 j; 1136306 3.7200 1.86 Y
Re0ei-ved : �
Date :
PO # : __/'min 2-917 -
Use : .ash
� # 1 � Od
: # Od
_ : area
: paAlGO0
Received By Tax Exemption Subtotal 18.33
0031201550-020 G Shipping&Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
Contact:john m City Tax 0.00
Total 18.33
g 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.
g 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.
i
Invoice: ININ2205170 oust: ININ20169
Fastenal Company Packing Slip
° R O Box 1286
Reference
WINONA, MN 55987-1286 Date Page
No.
The store serving you is ININ2205524 1
CUst. No. CUst. P.O. Job No. 14775 Herriman Blvd DUE DATE: 12/28/2017
ININ20169.
NOBLESVILLE,IN 46060
Phone#:(317)770-0649 Contract No:
Sold To Fax#:(317)770-4279 hlq 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.
Line Quantity Quantity Quantity Control Pf9ce/
No. Ordered Shipped Backorder Description No Part No. Hundred Amount
1 1 1 0 5ga1 Fixmstr Mgncret loctit 0151025 9,468.0000 94.68 G
1 G
date;. _.
ACCT # � y
Ale
Received By Tax Exemption Subtotal 94.68
Shipping&Handling
Comments This packing slip may State Tax
Contact:Jimbo maybe subject to County Tax
tax depending on City Tax
your status. TOTAL VSD
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
ZssesseI to all accountsrplaoed for collection
o materials accepted for retu n without our permission.
X indicates part is a hazardous material All discrepancies must be reported within 10 days. *122043*
*indicates part was sold at a promotional or special discount price I IIIIII I III VIII VIII VIII VIII IIII IIII
FORM -IN13
Packing Slip
Fastenal Company
° P.O Box 1286
Reference
WINONA, MN 55987-1286 Date Page
The store serving you is ININ2205556 1
Cust. No. Cust. P.O. Job No.
14775 Herriman Blvd DUE DATE: 12/29/2017
ININ20169 JA112817B
NOBLESVILLE,IN 46060
Phone#:(317)770-0649 Contract No:
Sold To Fax#:(317)770-4279 hipp TO QPA 13090
CARMEL UTILITIES 'd 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.fastenaLcom.
Line Quantity Quantity Quantity Control Price/
No. Ordered Shipped Backorder Description No Part No. Hundred Amount
1 1 1 0 5gal Fixmstr Mgncret i112817 0151025 9,468.0000 94.68 G
2 2 2 0 5gal Fixmstr Mgncret loctit 0151025 9,468.0000 189.36 G
*z
D-a to :
PO 8
L -CT -4 4/
AC
:--HCl ( D
Received By Tax Exemption Subtotal 284.04
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
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 accounts�plaoed for collection
o materials accepted for retu n without our permission.
X indicates part is a hazardous material All discrepancies must be reported within 10 days. *122057`
*indicates part wassold at a promotional or special discount price I IIIIII VIII VIII VIII VIII VIII IIII IIII
FORM -IN13
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts city Form No.201 (Rev.1995)
Vendor# 092000 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
FASTENAL COMPANY IN SUM OF$ CITY OF CARMEL
PO BOX 1286 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
WINONA, MN 55987-1286
Payee
$373.03
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Street Department Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members - DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
ININ2205643 42-370.00 $373.03 1 hereby certify that the attached invoice(s),or 12/1/17 ININ2205643 $373.03
2201 2201 2201 2201
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday, December 13,2017
Huffman, Dave
Director
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
, 20—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
® Remit to INVOICE
FASTBIML Fastenal Company Page 1 of 1
P.O. Box 1286
Winona, MN 55987-1286 Invoice Date Invoice No.
12/01/2017 ININ2205643
Cust. No. ININ20009 For billing questions Invoice Total
Cust.P.O. Center Green 14775 Herriman Blvd
Job No. NOBLESVILLE, IN 46060 399.14 USD
Contract No. Phone (317)770-0649 Due Date
Sold To Fax (317)770-4279 12/31/2017'
0002544 01 AB 0.400 "AUTO T2 1 1075 46074.8-02546
I���lll�l���l�'I�'�I'I��III�I�I�I�IIIIIII�����l�lllllll�l�'�III�I Ship To
CARMEL STREET DEPT. Picked up at branch
3400 W 131 ST ST 14775 Herriman Blvd
CARMEL, IN 46074-8267 RM NOBLESVILLE, IN 46060
-~ ---This Orr er and Document-is subject to-the"Terms-of Purchase" posted-on-ww-w.fastenal:com. .- - —
Line. Quantity Quantity Quantity Control Part Price/
No Ordered Shipped Backordered Description No. No. Hundred Amount
1 70 70 0 3"Barrel Bolt 220024151 0130020 532.9000 373.03 T
Received By Tax Exemption Subtotal 373.03
Jame R. Shipping&Handling 0.00
Comments
IN State Tax 26.11
County Tax 0.00
Contact:Steve City Tax 0.00
Total 399.14
N
n
m
ti
0
Reasonable collection and attorneys fees will be No materials accepted for return without our permission.
S 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: ININ2205643 oust: ININ20009
Fastenal Company Packing Slip,
° P.O Box 1286
Reference
WINONA, MN 55987-1286 Date IiIN0N�22Page
1
The store serving you is,
Cust. No. Cust. P.O. Job No. 14775 Herriman Blvd DUE DATE: 12/31/201177
ININ20009 Center Green
NOBLESVILLE,IN 46060
Phone#:(317)770-0649
Sold To Fax#:(317)770-4279h1p TO
CARMEL STREET DEPT. �icked up at Fastenal Store.
3400 W 131ST ST
CARMEL,IN 46074-8267
317-571-2637
This Order and Document are subject to the "Terms.of Purchase"posted on www.fastenal.com.
Line Quantity Quantify Quantity Control Price/
No. Ordered Shipped BackorcYer Description No Part No. Hundred Amount
1 70 70 0 3"Barrel Bolt 220024151 0130020 532.9000 373.03 N
Received By Jame R. Tax Exemption Subtotal 373.03
Shipping&Handling
Comments This packing slip may State Tax
Contact:Steve 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 planed 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. *122120'
*indicates part was sold at a promotional or special discount price I IIIIII VIII VIII VIII I III VIII IIII IIII
FORM -IN13