HomeMy WebLinkAbout321276 01/25/18 CITY OF CARMEL, INDIANA VENDOR: 092000
ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $********62.10*
?4 CARMEL, INDIANA 46032 PO 6Ox 12e6 CHECK NUMBER: 321276
9i�TON.�o` WINONA MN 55987-1286 CHECK DATE: 01/25/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION_
2201 4238900 ININ829933 4.50 OTHER MAINT SUPPLIES
2201 4238900 ININ829958 23.04 OTHER MAINT SUPPLIES
2201 4238900 ININ829968 34.56 OTHER MAINT SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 092000 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
FASTENAL COMPANY IN SUM OF$ 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
$62.10
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
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
ININ829933 42-389.00 $4.50 1 hereby certify that the attached invoice(s),or 1/17/18 ININ829933 $4.50
2201 2201 2201 2201
.ININ829958 42-389.00 $23.04 bill(s)is(are)true and correct and that the 1/18/18 ININ829958 $23.04
2201 2201 materials or services itemized thereon for 2201 2201
ININ829968 42-389.00 $34.56 1/19/18 I ININ829968 I I $34.56
2201 2201 which charge is made were ordered and 2201 2201
received except
Wednesday,January 24, 2018
Huffman, Dave
Director
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
® Remit to INVOICE
Fastenal Company Page 1 of 1
P.O.Box 1286
Winona, MN 55987-1286 Invoice Date Invoice No.
01/17/2018 ININ829933
Cust.No. ININ80003 For billing questions Invoice Total
Cust.P.O. signs1010 Kendall Court,Suite 3 4.50 USD
WESTFIELD, IN 46074
Job No.
Contract No. QPA 13090 Phone 317-804-8035 Due Date
Fax 317-804-8037 02/16/2018
Sold To
Ship To
CARMEL STREET DEPT. Picked up at branch
3400 W 131ST ST 1010 Kendall Court,Suite 3
WESTFIELD, IN 46074-8267 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
1 150 150 0 S/S FW 5/16x7/8 o.d. 480003349 1171016 3.0000 4.50 Y
Received By . Tax Exemption Subtotal 4.50
0031201550-020 G Shipping&Handling 0.00
IN State Tax 0.00
Comments County Tax 0.00
Contact:Rick Aldon City Tax 0.00
Total 4.50
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: ININ829933 oust: ININ80003
® Remit to INVOICE
Fastenal Company Page 1 of 1
P.O. Box 1286
Winona, MN 55987-1286 Invoice Date Invoice No.
01/18/2018 I N I N829958
Cust.No. ININ80003 For billing questions Invoice Total
Cust.P.O. 1010 Kendall Court,Suite 3
Job No. WESTFIELD, IN 46074 23.04 USD
Contract No. QPA 13090 Phone 317-804-8035 Due Date
Fax 317-804-8037 02/17/2018
Sold To
Ship To
CARMEL STREET DEPT. Picked up at branch
3400 W 131 ST ST. 1010 Kendall Court,Suite 3
WESTFIELD, IN 46074-8267 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 20 20 0 5/8-18 YZ 8 Nylok NE 180096252 1137086 115.2000 23.04 Y
Received By Tax Exemption Subtotal 23.04
0031201550-020 G Shipping&Handling 0.00
IN State Tax 0.00
Comments County Tax 0.00
Contact:Jim Bentley City Tax 0.00
Total 23.04
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: ININ829958 Cust: ININ80003
® Remit to INVOICE
Fastenal Company Page 1 of 1
P.O. Box 1286
Winona, MN 55987-1286 Invoice Date Invoice No.
01/19/2018 ININ829968
Cust.No. ININ80003 For billing questions Invoice Total
Cust.P.O. 1010 Kendall Court,Suite 3 34.56 USD
Job No. WESTFIELD, IN 46074
Contract No. QPA 13090 Phone 317-804-8035 Due Date
Fax 317-804-8037 02/18/2018
Sold To
Ship To
CARMEL STREET DEPT. CARMEL STREET DEPT.
3400 W 131ST ST 3400 W 131 ST ST
WESTFIELD, IN 46074-8267 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 30 30 0 5/8-18 YZ 8 Nylok NE 120289714 1137086 115.2000 34.56 Y
r
Received By Tax Exemption Subtotal ng&Handling 34.56
0.00
0031201550-020 C' IN State Tax g 0.00
Comments County Tax 0.00
Contact:Jim Bentley City Tax 0.00
Total 34.56
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: ININ829968 Cust: ININ80003
Packing Slip
Reference
Date o. Page
The store serving you is ININ829933 1
Cust. No. Cust. P.O. Job No.
1010 Kendall Court,Suite 3 DUE DATE:02/16/2018
ININ80003 signs
WESTFIELD,IN 46074
Phone#:317-804-8035 Contract No:
Sold To Fax#:317-804-8037h/p TO QPA 13090
CARMEL STREET DEPT. Ri ed up at Fastenal Store.
3400 W 131ST ST
WESTFIELD,IN 46074-8267
317-733-2001;3.17-733-2005(Fax)
This Order acid Document are subject to-the-"Ter-ms-of Purchase",posted on,www.fastenal.com.
Line Quantity Quantity Quantity Control Price/
No. Ordered Shipped Backorder Description No. Part No. Amount
1 150 150 0 S/S FW 5/160/8 o.d. 480003349 1171016
c�
Received By Tax Exemption Subtotal
Shipping&Handling
Comments State Tax
Contact:Rick Aldon 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
aassessed to all accounts placed 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. *17532*
*indicates part was sold at a promotional or special discount price I IIIIiI VIII VIII VIII I III IIII IIII
FORM -IN13
Packing Slip
FAS
Reference
Date Pae MMO
yr v No. g
ININ829958 1
The Store serving you IS DUE DATE:02/17/2018
Cust. No. Cust. P.O. Job No. 1010 Kendall Court,Suite 3
ININ80003
WESTFIELD,IN 46074
Phone#:317-804-8035 Contract No:
Sold Tp Fax#:317-804-8037 h!pp TO QPA 13090
CARMEL STREET DEPT. �N&up at Fastenal Store.
3400 W 131ST ST
WESTFIELD,IN 46074-8267
317-733-2001;317-733-2005(Fax)
This Order and Document are subject to the "Terms of Purchase"posted on www.fastenal.com.
Line Quantity Quantity Quantityty Description Control Part No. Price/ Amount
No. Ordered Shipped Backorder No.
1
20. 20 0 5/8-18 YZ 8 Nylok NE 180096252 1137086
Received By Tax Exemption Subtotal
Shipping&Handling
Comments State Tax
Contact:Jim Bentley County Tax
City rax
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
tossessed to all accpunts�plaeed for colleCtign
materials accepted or retu n without our permission.
X indicates part is a hazardous material All discrepancies must be reported within 10 days. *17542*
*indicates part was sold at a promotional or special discount price I IIIIII VIII VIII VIII VIII IIII IIII
FORM -BV 13