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Home My WebLink About328512 08/09/18 (9, CITY OF CARMEL, INDIANA VENDOR: 092000 ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $********32.52* CARMEL, INDIANA 46032 PO BOX 1286 CHECK NUMBER: 328512 WINONA MN 55987-1286 CHECK DATE: 08/09/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4238900 ININ832413 32.52 OTHER MAINT SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 092000 FASTENAL COMPANY IN SUM OF$ 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 $32.52 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Terms Street Department Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT ININ832413 42-389.OQ $32.52 1 hereby certify that the attached invoice(s),or 7/23/18 ININ832413 $32.52 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,August 01,2018 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 20Cost 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. 07/23/2018 ININ832413 Cust.No. ININ80003 For billing questions Invoice Total Cust.P.O. Stock 1010 Kendall Court,Suite 3 Job No. WESTFIELD, IN 46074 32.52 USD Contract No. QPA 13090 Phone 317-804-8035 Due Date Fax 317-804-8037 08/22/2018 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 1 200 200 0 XL NS40857 Glove 139171 1047470 16.2600 32.52 Y Received By Tax Exemption Subtotal Shipping&Handling 32.52 0.00 0031201550-020 C' INS ate Tax g 0.00 Comments County Tax 0.00 Contact:Jim Bentley City Tax 0.00 Total 32.52 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: ININ832413 Gust: ININ80003 Packing Slip Reference DateNNpp.. Page 7/23/18 IM832413 1 The store serving you is DUE DATE:08/22/2018 CUst. NO. ININ80003 1010 Kendall Court,Suite 3 Cust. P.O. Stock Job NO. WESTFIELD,IN 46074 Phone M 317-804-8035 Contract No: p Ship To QPA 13090 oAR�ITL STREET DEPT. Fax M 317-804-8037 Picked 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.fastenal.com. Line Quantity Quantity Quantity Control Price/ No. Ordered Shipped Backorder Description No Part No. Hundred Amount 1 200 200 0 XL NS40857 Glove 139171 1047470 16.2600 32.52 G Received B Tax Exemption Subtotal 32.52 Government Shipping&Handling 0.00 Comments IN State Tax 0.00 Contact:Jim Bentley / � '�" County Tax 0.00 City Tax 0.00 TOTAL USD 32.52 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 assessed to all acuntsplaped/or collegtipn o materials accepte or retu n withou our permission. An invoice will be mailed in approximately five days. X indicates part is a hazardous material All discrepancies must be reported within 10 days. *0* *indicates part was sold at a promotional or special discount price Thank You ! FORM -1N73