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HomeMy WebLinkAbout332796 11/27/18 4a W C�yMf CITY OF CARMEL, INDIANA VENDOR: 092000 ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $********27.76* CARMEL, INDIANA 46032 PO BOX 1286 CHECK NUMBER: 332796 ''�ior�°• WINONA MN 55 987-1 28 6 CHECK DATE: 11/27/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 ININ833950 27.76 OTHER EXPENSES VOUCHER NO. 186911 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995) Vendor # 092000 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER FASTENAL COMPANY CITY OF CARMEL PO 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 27.76 092000 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR FASTENAL COMPANY Terms Carmel Wasterwater Utility PO BOX 1286 Due Date BOARD MEMBERS I hereby certify that that attached invoice WINONA, MN 55987-1286 (s), or bill(s)is(are)true and correct and that PO# ACCT# the materials or services itemized thereon DATE INVOICE# Description DEPT# INVOICE# Fund# AMOUNT for which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT ININ833950 01-7202-06 $27,76 and received except 11/21/2018 ININ833950 $27.76 �0-- 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 Fastenal Company Page 1 of 1 P.O. Box 1286 Winona, MN 55987-1286 Invoice Date Invoice No. 11/07/2018 ININ833950 Cust.No. ININ80387 For billing questions Invoice Total Cust.P.O. S19082 1010 Kendall Court, Suite 3 Job No. WESTFIELD, IN 46074 27.76 USD Contract No. QPA 13090 Phone 317-804-8035 Due Date Fax 317-804-8037 12/07/2018 Sold To 0001367 01 AB 0.405 "AUT0 T6 2 1072 46280-2-01368 Ship To CARMEL WASTEWATER TREATMENT Picked up at branch 9609 HAZEL DELL PKWY 1010 Kendall Court, Suite 3 INDIANAPOLIS, IN 46280-2935 WESTFIELD, IN 46074 This Order and Document is subject to the "Terms of Purchase" posted on www.fastonal.com. Line Quantity Quantity Quantity Control Part Price/ No Ordered Shipped Backordered Description No. No. Hundred Amount 1 250 250 0 12-14x1.25HH SDScrew 136790 12544506 8.2800 20.70 Y 2 100 100 0 5/16BOND SEAL GALV 220008826. 1133156 7.0600 7.06 Y Received by Date: ^ n -a,- iK PO #e S lgoga- Cct #: © L `7909.0(0 Use: Reor Pegr,,,r gards 5,)6v Auer Received By Tax Exemption Subtotal 27.76 0031201550-020 G Shipping&Handling 0.00 Comments IN State Tax 0.00 County Tax 0.00 Contact:Jeff Cooper City Tax 0.00 Total 27.76 r e 0 v 0 Reasonable collection and attorneys fees will be No materials accepted for return without our permission. 9 assessed to all accounts placed for collection. All discrepancies must be reported within 10 days. g 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: ININ833950 oust: ININ80387 Packing Slip ASM ® Reference Date NNpp.. Page 11/7/18 99833950 1 The store serving you is DUE DATE: 12/07/2018 CuSt. No. Cust. P.O. Job No. 1010 Kendall Court,Suite 3 ININ80387 S19082 WESTFIELD,IN 46074 Contract No: Phone#:317-804-8035 QPA 13090 ftoo Fax#:3l7-804-8037 picked up at Fastenal Store. m WASTEWATER TREATMENT 9609 HAZEL DELL PKWY INDIANAPOLIS,IN 46280-2935 This Order and Document are subject to the "Terms of Purchase"posted on www.fastenal.com. Line Quantity. Quantity Quantity Description Coro! Puce Amount rcf Palf NO. rice rl No. Ordered Shipped Backo er 1 100 100 0 5/16BOND SEAL GALU 220008826 1133156 7.0600 7.06 G 2 250 250 0 12-14xl.25HH SDScrew 136790 12544506 8.2800 20.70 G Please fax exemption cert&cust#to 507494-7511 Received By Tax Exemption Subtotal 27.76 Shipping&Handling Comments This packing slip may State Tax Contact:Jeff Cooper may be subject to County Tax tax depending on City Tax your status. 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 assessed to all acp�unts glaped for collectipn No materials accepted for return without our permission. All discrepancies must 6e reported within 10 days. *19735' X indicates part is a hazardous material *indicates part was sold at a promotional or special discount price 1111111 VIII VIII VIII VIII IIII IIII FORM -EV13