HomeMy WebLinkAbout320958 01/17/18 �F�>' �C� - CITY OF CARMEL, INDIANA VENDOR: 092000
ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $********14.21
a4 CARMEL, INDIANA 46032 PO Box 1286 CHECK NUMBER: 320958
v.., _..-o, WINONA MN 55987-1286 CHECK DATE: 01/17/18
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 ININ2205677 14.21 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 092000
FASTENAL COMPANY IN SUM OF$ 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
$14.21
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
ININ2205677 42-370.00 $14.21 1 hereby certify that the attached invoice(s),or 12/28/17 ININ2205677 $14.21
2201 2201 Prior Year 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
Monday, January 15, 2018
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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
FASTBINLO
Remit to INVOICE
Fastenal Company Page 1 of 1
P.O. Box 1286
Winona, MN 55987-1286 Invoice Date Invoice No.
For billing questions 12/28/2017 ININ2205677
CusCust. No. CallINIwhen
14775 Herriman Blvd Invoice Total
Job P.O. Call when parts arrive NOBLESVILLE, IN 46060 15.20 USD
Job No.
Contract No. Due Date
Phone (317)770-0649 01/27/2018
Sold To Fax (317)770-4279
0001018 01 A130.400 "AUTO H6 0 108146074-8-01019
'1111"I.II�IIIIIII��I�IIIIII��II��I�III���������II��II��'I���II� Ship To
CARMEL STREET DEPT. Picked up at branch
3400 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 2 2 0 #24 Comp.Spring 134922 110166689 110.2500 2.21 T
2 20 20 0 M6 X 16 SHCS A-2 120162397 11545665 60.0000 12.00 T
Received By Tax Exemption Subtotal 14.21
Shipping&Handling 0.00
Comments IN State Tax 0.99
County Tax 0.00
Contact:James City Tax 0.00
Total 15.20
s
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.
s
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: ININ2205677 Cust: ININ20009