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Home My WebLink About325869 05/31/,18 %'�� '• - CITY OF CARMEL, INDIANA VENDOR: 092000 ® 41 ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $*****�***58.28* CARMEL, INDIANA 46032 PO Box 1286 CHECK NUMBER: 325869 WINONA MN 55987-1286 CHECK DATE: 05/31/,18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4238900 ININ831576 58.28 OTHER MAINT SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 092000 FASTENAL COMPANY IN SUM OF$ 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 $58.28 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(sj or bill(s)) AMOUNT ININ831576 42-389.00 $58.28 1 hereby certify that the attached invoice(s),or 5/17/18 ININ831576 $58.28 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 Wednesday, May 30, 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. 05/17/2018 I N I N 831576 Cust.No. ININ80003 For billing questions Invoice Total In baskets Cust.P.O. hanging 1010 Kendall Court,Suite 358.28 USD g g WESTFIELD, IN 46074 Job No. Contract No. QPA 13090 Phone 317-804-8035 Due Date Fax 317-804-8037 06/16/2018 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 70 70,, 0 TEB 5/16 X 4 220022682 42227 83.2500 58.28 Y Received By Tax Exemption Subtotal 58.28 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 58.28 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: ININ831576 Cust: ININ80003 Packing Slip FASW" Reference Date 5/17/18 �pI� Page ININ831576 1 ' The store serving you is Cust. No. Cust. P.O. Job No. 1010 Kendall Court,Suite 3 DUE DATE:06/16/2018 ININ80003 hanging baskets WESTFIELD,IN 46074 Phone#:317-804-8035 Contract No:, Sold To Fax#:317-804-8037hlp TO QPA 13090 CARMEL STREET DEPT. icked up at Fastenal Store. 3400 W 131 ST ST WESTFIELD,IN 46074-8267 317-733-2001;317-733-2005(Fax) i 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 70 70 0 TEB 5/16 X 4 220022682 42227 83.2500 58.28 G I Received By Tax Exemption Subtotal 58.28 Shipping&Handling Comments This packing slip may State Tax Contact:Jim Bentley 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 aossessed to all accountsrplaced forcollectign materials accepted for retu n without our permission. X indicates part is a hazardous material All discrepancies must be reported within 10 days. *18469* *indicates part was sold at a promotional or special discount price I Iillll I III VIII VIII VIII IIII IIII FORM -1N13