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Home My WebLink About324990 05/09/18 CITY OF CARMEL, INDIANA VENDOR: 092000 a ® ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $**```"**`4.74* CARMEL, INDIANA 46032 PO Box 1286 CHECK NUMBER: 324990 sc�;,roN,�o WINONA MN 55987-1286 CHECK DATE: 05/09/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 2209156 4.74 OTHER EXPENSES VOUCHER NO. 181447 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor# 92000 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER FASTENAL CITY OF CARMEL P.O. 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 4.74 92000 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR FASTENAL Terms Carmel Water Utility P.O. BOX 1286 Due Date BOARD MEMBERS I hereby certify that that attached invoice(s), WINONA, MN 55987-1286 or bill(s)is(are)true and correct and that PO# ACCT# the materials or services itemized thereon for DATE INVOICE# Description DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 2209156 01-6200-02 $4,74 and received except 5/3/2018 2209156 $4.74 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 FAS7EVALFastenal Company P.O. Box 1286 Page 1 of 1 Winona, MN 55987-1286 Invoice Date Invoice No. 04/23/2018 ININ2209156 Cust. No. ININ20169 For billing questions Cust. P.O. LSO42318 14775 Herriman Blvd Invoice Total Job No. NOBLESVILLE, IN 46060 4.74 USD Contract No. QPA 13090 Phone (317)770-0649 Due Date Sold To Fax (317)770-4279 05/23/2018 0002024 01 AB 0.405 "AUTO TO 1 1028 46074-8-02026 llll'I'lll'1111'1'11111'111111111"11'I'111111111111'I'lll'II'111 Ship To CARMEL UTILITIES Picked up at branch 3450 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.fastenal.com. Line Quantity Quantity Quantity Control Part Price/ No Ordered Shipped Backordered Description No. No. Hundred Amount 1 50 50 0 3/8"MedSplit L/W SS 220023513 1171067 5.9800 2.99 Y 2 25 25 0 S/S FW 3/8x1"o.d. 140121783 1171018 7.0000 1.75 Y Received By Tax Exemption Subtotal 4.74 0031201550-020 G Shipping&Handling 0.00 IN State Tax 0.00 Comments County Tax 0.00 Contact:Jimbo City Tax 0.00 Total 4.74 s 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. v N 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: ININ2209156 oust: ININ20169 Fastenal Company Packing Slip ° P.O Box 1286 Reference WINONA, MN 55987-1286 Date No. Page The store serving you is 4/23/18 ININ2209156 1 Cust. No. Cust. P.O. Job No. 14775 Herriman Blvd DUE DATE:05/23/2018 ININ20169 LSO42318 NOBLESVILLE,IN 46060 Phone#:(317)770-0649 Contract No: pp Fax#:(317)770-4279 $ in'�p QPA 13090 $OiludvlEL UTILITIES MA�MEL UTILITIES 3450 W 131ST ST 3450 W.131st Street CARMEL,IN 46074-8267 317-571-2443;317-571-2462(Fax) Westfield,IN 46074 317-571-2443;571-2462(Fax) 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. Hundred Amount 1 25 25 0 S/S FW 3/8x1"o.d. 140121783 1171018 7.0000 1.75 G 2 50 50 0 3/8"MedSplit L/W SS 220023513 1171067 5.9800 2.99 G Received : S Date : y-2.3 A PO # : ,C� 0g231 ACCT # : 6z0, , Received By Tax Exemption Subtotal 4.74 Shipping&Handling Comments- This packing slip may State Tax Contact:Jimbo 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 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. "124130* "indicates part was sold at a promotional or special discount price I III II I III VIII VIII I III VIII IIII IIII FORM -IN13