HomeMy WebLinkAbout333069 12/11/18 CITY OF CARMEL, INDIANA VENDOR: 092000
• ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $*******229.49*
•49` ,=a� CARMEL, INDIANA 46032 PO BOX 1286CHECK NUMBER: 333069
MUTON�. WINONA MN 55987-1286 CHECK DATE: 12/11/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 834102 69.99 OTHER EXPENSES
2201 4239032 ININ834243 159.50 POSTS & HARDWARE
VOUCHER NO. 183479 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor # 92000 IN SUM OF$ 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
69.99 92000 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR FASTENAL Terms
Carmel Water Utilitv 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
834102 01-6200-06 $69,99 and received except 11/27/2018 834102 $69.99
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.
11/16/2018 ININ834102
Cust. No. ININ80004 For billing questions
Cust. P.O. 1010 Kendall Court, Suite 3 Invoice Total
Job No. WESTFIELD, IN 46074 69.99 USD
Contract No. QPA 13090 Due Date
Phone 317-804-8035
Fax 317-804-8037 12716/2018
Sold To
0001184 01 AB 0.405 "AUTO T6 1 1074 46074-8-01185
IIP-d- �llIII�I�IIII�IIIIIll�ll�lll�lnllll� Ship To
CARMEL UTILITIES Picked up at branch
3450 W 131 ST ST 1010 Kendall Court, Suite 3
WESTFIELD, IN 46074 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 3 3 0 5/8-11 x 1 S/S HCS 123456 1170305 122.4000 3.67 Y
2 50 50 0 1/2"-13 FHN Z 120305932 1136110 6.7300 3.37 Y
3 50 50 0 HCSi/2-13X2 1/2 Z 5 120322965 110120384 55.3500 27.68 Y
4 30 30 0 HCS5/8-11x3 Z 5 120309192 110120421 101.7000 30.51 Y
5 30 30 0 5/8"-11 FHNz 5 120314906 1136314 15.8700 4.76 Y
Received By Tax Exemption Subtotal 69.99
0031201560-020 G Shipping&Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
Contact:Steve Callahan City Tax 0.00
Total 69.99.
m
Reasonable collection and attorneys fees will be No materials accepted for return without our permission.
a
assessed to all accounts placed for collection. All discrepancies must be reported within 10 days.
m
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: ININ834102 Cust: ININ80004
Packing Slip
FAS "o Reference
Date //gy�p. Page
The store serving you is 1 UE D MI�J8018 1
Cust. No. Cust. P.O. Job No.
1010,Kendall Court,Suite 3 DUE DATE: 12/16/2018
ININ80004 WESTFIELD,IN 46074
Phone#:317-804-8035 Contract No:
Fax#:317-804-8037 Ship To QPA 13090
MR UTILITIES. Picked up at Fastenal Store.
3450 W 131ST ST
WESTFIELD,IN 46074
317-733-2855;317-733-2053(Fax)
This Order and Document are subject to the "Terms of Purchase"posted on www.fastenaLcom.
Line Quantify Quantity Quantity Control Price/
No. Ordered Shipped Backorder Description No. Part No. Amount
1 50 50 0 HCS 1/2-13X2 1/2 Z 5 120322965 110120384
2 3 3 0 5/8-11 x I S/S HCS 123456 1170305
3 30 30 0 HCS 5/8-11x3 Z 5 120309192 110120421
4 50 50 0 1/2"-13 FHN Z 120305932 1136110
5 30 30 0 5/8"-11 FHNz 5 120314906 1136314
V
Received By Tax Exemption Subtotal
Shipping&Handling
Comments State Tax
Contact:Steve Callahan 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 act unts�plaeed for collection
o materials accepte orretu n withou ourpermission.
Xindicates part is a hazardous material All discrepancies must be reported within 10 days. *19799*
*indicates part was sold at a promotional or special discount price I IIIIII VIII VIII VIII VIII IIII IIII c������
FORM -IN13
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 092000 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
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
$159.50
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
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
ININ834243 42-390.32 $159.50 1 hereby certify that the attached invoice(s),or 11/30/18 ININ834243 Hardware $159.50
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
Tuesday, December 04,2018
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.
11/30/2018 I N I N 834243
Cust.No. ININ80003 For billing questions ns 1010 Kendall Court,Suite 3 Invoice Total
Cust. P.O. Signs WESTFIELD, IN 46074 159.50 USD
Job No.
Contract No. QPA 13090 Phone 317-804-8035 Due Date
Fax 317-804-8037 12/30/2018
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 3 3 0 LENOX 38EW14/18 BAND 190066007 57102 1,232.7700 36.98 Y
2 5 5 0 9"Lenox Lazer 14TPI LENOXX 0235462 758.4500 37.92 Y
3 100 100 0 S/S HCS 5/16-18X4.5 MIMT0874 70071 84.6000 84.60 Y
Received By Tax Exemption Subtotal 159.50
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 159.50
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: ININ834243 Cust: ININ80003
Packing Slip
Reference
FAsm"a
Date11/30/18 IMNNpp..834243 Page
1
The store serving you is DUE DATE: 12/30/2018
Cust. No. Cust. P.O. Job No. 1010 Kendall Court,Suite 3
ININ80003 Signs
WESTFIELD,IN 46074
Phone#:317-804-8035 Contract No:
old p $h' To .QPA 13090
Fax# :3l7-804-8037 RMEL STREET DEPT. Picked up at Fastenal Store.
3400 W 131 ST 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.fastenat.com.
Line Quantity Quantify Quantity Description Control Part No. Pnce Amount
No. Ordered Shipped Backorder No.
1 100 100 0 S/S HCS 5/16-18X4.5 mimt0874 70071
2 3 3 0 LENOX 38EW14/18 BAND 190066007 57102
3 5 5 0 9"Lenox Lazer 14TPI lenoxx 0235462
5,91,,Et��
Received By Tax Exemption Subtotal
Shipping&Handling
Comments State Tax
Contact:Jim Bentley 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
assessed to all aFguntsrplaeed/or colleotlon
o materials accepte or retu n withou our permission.
X indicates part is a hazardous material All discrepancies must be reported within 10 days. *19860*
*indicates part was sold at a promotional or special discount price. I IIIIII IIIA VIII VIII VIII IIII IIII
FORM-IN13