HomeMy WebLinkAbout322698 03/12/18 CITY OF CARMEL, INDIANA VENDOR: 092000
b ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $**'*****30.11'
a CARMEL, INDIANA 46032 PO BOX 1286 CHECK NUMBER: 322698
9 (YDN^L�� WINONA MN 55987-1286 CHECK DATE: 03/12/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 ININ830267 30.11 OTHER EXPENSES
VOUCHER NO. 177501 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 092000 IN SUM of$ ACCOUNTS PAYABLE VOUCHER
FASfENAL 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
30.11 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
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
ININ830267 01-7202-06 $30.11 and received except 2/28/2018 ININ830267 $30.11
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
FASTBIML
Fastenal Company Page 1 of 1
P.O. Box 1286
Winona, MN 55987-1286 Invoice Date Invoice No.
02/14/2018 ININ830267
Cust. No. ININ80387 For billing questions Invoice Total
Cust. P.O. S18133 1010 Kendall Court, Suite 3
Job No. WESTFIELD, IN 46074 30.11 USD
Contract No. QPA 13090 Phone 317-804-8035 Due Date
Fax 317-804-8037 03/16/2018
Sold To
0001933 01 AB 0.405 -AUT0 T9 2 1012 46280-2-01934
'I'IITIII�IIII'I��I�I'IIIIIIIIII'I�I'lll"'llllllllll'I�����I'� Ship To
CARMEL WASTEWATER TREATMENT CARMEL WASTEWATER TREATMENT
9609 HAZEL DELL PKWY 9609 HAZEL DELL PKWY
INDIANAPOLIS, IN 46280-2935 INDIANAPOLIS, IN 46280-2935
This Order and Document is subject to the"Terms of Purchase" posted on wwwjastenal.com.
Line Quantity Quantity Quantity Control Part Price/
No Ordered Shipped Backordered Description No. No. Hundred Amount
1 1 1 0 63911-1/2FaceRespAssy 120316663 1001901 3,010.7000 30.11 Y
Received By Tax Exemption Subtotal 30.11
0031201550-020 G Shipping&Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
Contact:Duane Jarvis City Tax 0.00
Total 30.11
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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.
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.
Invoice: ININ830267 Cust: ININ80387