HomeMy WebLinkAbout323935 04/06/18 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.
WINO.NA,_MN-55987_186 -
Payee
$11.41
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
ININ830857 42-390.32 $11.41 1 hereby certify that the attached invoice(s),or 3/28/18 ININ830857 $11.41
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
Tuesday,April 03, 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
® Remit to INVOICE
Fastenal Company Page 1 of 1
P.O. Box 1286
Winona, MN 55987-1286 Invoice Date Invoice No.
03/28/2018 ININ830857
For billing questions
Cust.No. ININ80003Invoice Total
Cust.P.O. hanging baskets 1010 Kendall Court,Suite 3
Job No. WESTFIELD, IN 46074 11.41 USD
Contract No. QPA 13090 Phone 317-804-8035 Due Date
Fax 317-804-8037 04/27/2018
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
I
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 II ount
1 100 100 0 5/16"-18 FHN Z 120230931 1136104 1.0500 1.05 Y
2 25 25 0 HCS5/16-18X 4 Z 5 120222786 110120337 41.4300 10.36 Y
Received By Tax Exemption Subtotal 11.41
0031201550-02b G Shipping&Handling, 0.00
IN State Tax 0.00
Comments County Tax 0.00
Contact:crystal e City Tax 0.00
Total 11.41
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. 11
Invoice: ININ830857 Cust: ININ80003
Packing $
: p
FAsiEmLo Reference
Date Page
The store serving you is 3/28/18 IN 14830857 1
Cust. No. Cust. P.O. Job No.
1010 Kendall Court,Suite 3 DUE DATE: 4/27/2018
ININ80003 hanging baskets
WESTFIELD,IN 46074
Phone M 317-804-8035 Contract No:,
SoldTo Fax M 317-804-8037 hlq QPA 13090
CARMEL STREET DEPT. IN&TO 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.faste r'al.com.
Line Quantity Quantity Quantity Control Price/
No. Ordered Shipped Backomer Description No Part No. 1Yund,,d Amount
II
1 100 100 0 5/16"-18 FHN Z 120230931 1136104 110500 1.05 G
2 25 25 0 HCS5/16-18X 4 Z 5 120222786 110120337 4114300 10.36 G
W
Received By Tax Exemption Subtotal I 11.41
Shipping&Handling
Comments This packing slip may State Tax
Contact:crystal a may be 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 fl
integrity of Country of Origin to the consumer of this product.
Reasonable collection and attorneys fees will be
assessed
mto all accountsrplaoed forcolleotion
o aterials accepted for retu n without our permission.
X indicates part is a hazardous material All discrepancies must be reported within 10 days. *18024*
*indicates part was sold at a promotional or special discount price 1111111 VIII VIII VIII VIII I II IIII
FORM -IN13