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HomeMy WebLinkAbout332657 11/21/18 CITY OF CARMEL, INDIANA VENDOR: 092000 ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $*********4.68* CARMEL, INDIANA 46032 PO Box 1286 CHECK NUMBER: 332657 v �r6el:, WINONA MN 55987-1286 CHECK DATE: 11/21/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 2212534 4.68 OTHER EXPENSES t VOUCHER NO. 183414 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor# 92000 IN SUM OF$ 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 4.68 92000 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR FASTENAL Terms Carmel Water Utility 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 2212534 01-6200-04 $4.68 and received except 11/15/2018 2212534 $4.68 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 Company Page 1 of 1 P.O. Bo P.O. Box 1286 Winona, MN 55987-1286 Invoice Date Invoice No. 09/28/2018 ININ2212534 Cust. No. ININ20169 For billing questions Cust. P.O. 14775 Herriman Blvd Invoice Total Job No. NOBLESVILLE, IN 46060 4.68 USD Contract No. QPA 13090 Phone (317)770-0649 Due Date. Fax 10/28/2018 Sold To ax (317)770-4279 0002502 01 AB 0.405 "AUTO T2 1 1062 46074-8-02504 �'I.�I'I"III'I..Illlr�Ilrl����llll�l'lllll�l"'l�l�ll'�l�'lll'I Ship To CARMEL UTILITIES Picked up at branch 3450 W 131 ST ST 14775 Herriman Blvd CARMEL, IN 46074-8267 NOBLESVILLE, IN 46060 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 2 2 0 BRPIPE HX PLUG 1/2 120299624 68615 156.0000 3.12 Y 2 1 1 0 BRPIPE HX PLUG 1/2 120321944 68615 156.0000 1.56 Y vo Received By Tax Exemption Subtotal 4.68 0031201550-020 G Shipping &Handling 0.00 Comments IN State Tax 0.00 County Tax 0.00 Contact:Jimbo City Tax 0.00 Total 4.68 m = 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. N O 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: ININ2212534 cust: ININ20169