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Home My WebLink About326913 06/29/18 J`%' CITY OF CARMEL, INDIANA VENDOR: 092000 ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $*******104.15* �� % CARMEL, INDIANA 46032 PO Box 1286 CHECK NUMBER: 326913 �y«oN_. `' WINONAMN 55987-1286 CHECK DATE: 06/29/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4238900 ININ831878 104.15 OTHER MAINT SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 092000 FASTENAL COMPANY IN SUM OF$ 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 $104.15 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 ININ831878 42-389.00 $104.15 1 hereby certify that the attached invoice(s),or 6/11/18 ININ831878 $104.15 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 r received except Tuesday,June 19,2018 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 5-11-10-1.6 120 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. 06/11/2018 I N I N831878 Cust.No. ININ80003 For billing questions Invoice Total Cust.P.O. Signs 1010 Kendall Court,Suite 3 104.15 USD 9 WESTFIELD, IN 46074 Job No.. Contract.No. QPA 13090 Phone 317-804-8035 Due Date Fax 317-804-8037 07/11/2018 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 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 1 1 0 MAKE-A-CLAMP4005 KIT 110260413 62075 4,286.0000 42.86 Y 2 20 20 0 MAKE-A-CLAMP 4004 120316010 62074 806.4600 61.29 Y r Received By Tax Exemption Subtotal 104.15 0031201550-020 G Shipping&Handling 0.00 IN State Tax 0.00 Comments County Tax 0.00 Contact:Rick Alden City Tax 0.00 Total 104.15 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: ' ININ831878 Cust: ININ80003 Packing Slip FAsiEmL Reference Date NNp. Page The store serving you is 6/11/18 IM831878 1 Cust. No. Cust. P.O. Job No. 1010 Kendall Court,Suite 3 DUE DATE:07/11/2018 ININ80003 Signs WESTFIELD,IN 46074 Phone#:317-804-8035 Contract No: p C MT, STREET DEPT. To QPA 13090 Fax#:317-804-8037 Pic$hiked up at Fastenal Store. 3400 W 1131ST 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.fastenal.com. Line Quantity Quantity Quantity Description Control part No. Price Amount No. Ordered Shipped Backorder No. 1 20 20 0 MAKE-A-CLAMP 4004 120316010 62074 2 1 1 0 MAKE-A-CLAMP4005 KIT 110260413 62075 Received By Tax Exemption Subtotal Shipping&Handling Comments State Tax Contact:Rick Alden 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 zssessed to all acunfslaeed for colleCtipn _ o materials accepte or retu n without our permission. X indicates part is a hazardous material All discrepancies must be reported within 10 days. *18650* indicates part was sold,at a promotional or special discount price I IIIIII VIII VIII VIII illll IIII IIII FORM -IN13