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Home My WebLink About323404 03/23/18 CITY OF CARMEL, INDIANA VENDOR: 092000 ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $********29.70* Q CARMEL, INDIANA 46032 PO BOX 1286 CHECK NUMBER: 323404 WINONA MN 55987-1286 CHECK DATE: 03/23/18 4 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4239032 ININ630611 29.70 POSTS & HARDWARE VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995) Vendor# 092000 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER FASTENAL COMPANY IN SUM OF$ 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 $29.70 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 ININ830611 42-390.32 $29.70 1 hereby certify that the attached invoice(s),or 3/13/18 ININ830611 $29.70 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 Friday, March 23,2018 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer ® Remit to INVOICE lil Fastenal Company Page 1 of 1 P.O. Box 1286 Winona, MN 55987-1286 Invoice Date Invoice No. 03/13/2018 ININ830611 Cust.No. ININ80003 For billing questions Invoice Total Cust.P.O. 1010 Kendall Court,Suite 3 Job No. WESTFIELD, IN 46074 29.70 USD Contract No. QPA 13090 Phone 317-804-8035 Due Date Fax 317-804-8037 04/12/2018 Sold To Ship To CARMEL STREET DEPT. CARMEL STREET DEPT. 3400 W 131 ST 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 1 100 100 0 5/16-18 Nylock Z 120275668 1137021 2.9700 2.97 Y 2 300 300 0 5/16-18 Nylock Z 120289704 1137021 2.9700 8.91 Y 3 600 600 0 5/16-18 Nylock Z 120289704 1137021 2.9700 17.82 Y Received By Tax Exemption Subtotal 29.70 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 29.70 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: ININ830611 Cust: ININ80003 Packing Slip FASWMLOReference Date Page 3/13/18 ININ830611 1 The store serving you is DUE DATE:04/12/2018 Cust. No. Cust. P.O. . Job No. 1010 Kendall Court,Suite 3 ININ80003 WESTFIELD,IN 46074 Phone#:317-804-8035 Contract No: Sold TQ Fax M 317-804-8037join T QPA 13090 CARMEL STREET DEPT. CAI�MEOL STREET DEPT. 3400 W 131ST ST 3400 W 131ST ST WESTFIELD,IN 46074-8267 317-733-2001;317-733-2005(Fax) WESTFIELD,IN 46074 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 Backorder Description No Part No. Amount 1 100 100 0 5/16-18 Nylock Z 120275668 1137021 2 600 600 0 5/16-18 Nylock Z 120289704 1137021 3 300 300 0 5/16-18 Nylock Z 120289704 1137021 -P64 �- Received By Tax Exemption Subtotal Shipping&Handling Comments State Tax Contact:Jim Bentley 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 aossessed to all acc�unfs�placed for collection materials accepted or retu n without our permission. X indicates part is a hazardous material All discrepancies must be reported within 10 days.. *17906* *indicates part was sold at a promotional or special discount price I IIIIII VIII VIII VIII VIII IIII IIII FORM -IN13