HomeMy WebLinkAbout334467 01/18/19 a, CITY OF CARMEL, INDIANA VENDOR: 092000
® ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $*******298.71*
;� ?� CARMEL, INDIANA 46032 PO BOX 1286 CHECK NUMBER: 334467
M,��eN�. WINONA MN 5598 7-1 28 6 CHECK DATE: 01/18/19
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 ININ834351 298.71 OTHER EXPENSES
VOUCHER NO. 187145 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 092000 IN SUM OF$ 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
298.71 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
ININ834351 01-7202-06 $298.71 and received except 12/30/2018 ININ834351 $298.71
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 2
P.O. Box 1286
Winona, MN 55987-1286 Invoice Date Invoice No.
12/11/2018 ININ834351
Cust No. ININ80387 For billing questions' Cust. P.O. S19173 1010 Kendall Court, Suite 3 Invoice Total
Job No. stock WESTFIELD, IN 46074 298.71 USD
Contract No. QPA 13090 Due Date
Phone 317-804-8035 01/10/2019 ,. "
Fax 317-804-8037
Sold To
0001287 01 AB 0.405 "AUTO T6 1 1079 46280.2-01286
III��III�I��'III'II'I��'ll�"II'IIIII�II��II'�IIIII"�'ll'I�IIII� Ship To
CARMEL WASTEWATER TREATMENT CARMEL WASTEWATER TREATMENT
9609 HAZEL DELL PKWY 9609 HAZEL DELL PKWY
INDIANAPOLIS, IN 46280-2935 INDIANAPOLIS, IN 46280
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 50 50 0. M10 FLAT WASHER A-2 120165754 MW640000OA200 8.9100 4.46 Y
00
2 50 50 0 M6 X 16 HCS A-2 480004335 M82550016A200 12.3300 6.17 Y
00
3 50 50 0 M6 X 25 HCS A-2 120231927 M82550025A200 14.7700 739 Y
00
4 25 25 0 M6 X 30 HCS A-2 220005460 M82550030A200 16.6000 4.15 Y
- 00
5 100 100 0 5/16"-18 FHNz5 120305179 1136304 2.7300 2.73 Y
6 100 100 0 5/16 SAE F/W Z 140127551' 1133080 0.5300"' 0.53 "Y
7 50 50 0 7/16 USS F/W.Z 120302416 1133010, 16.2200 3.11 Y
8 200 200 0 1/4"MedSplit L/W Z 480004289 1.133618 . 0.6400 1.28, Y
9 200 200 01 5/16"MedSplit L/W Z' 480003278 1133620 ' 1.0000 2.00 Y
10 200 200 0 HCS1/4-20X1'1/2 Z 5 120276421 110120306 11.6800 23.36 Y
11 50 50 0 HCS3/8-16X3/4 Z 5 120286398 110120342 14.5200 7.26 Y
12 15 15 0 HCSS/8-11X 2-1/2 Z5 120303794 110120419 79.2000 11.88 Y
13 50 50 0 S/S,FW 3/8x7/8 o.d. 120291729 1171017 3.3400 1.67 Y
13 50 50 0 S/S FW 3/8x7/8 o.d. 120299398 1171017 3.3400 1.67 Y
14 - 100 100 0 5/16"MedSplh L/W SS 220024177 1171065 6.2700 6.27 Y
15 100 100 0 3/8"MedSplit L/W SS 120318996 1171067 5.9800- 5.98 Y.,
16 20 20 0 5/8"MedSplit L/W SS 220019809 1171075 32.2900 6.46 Y
17 50 50 0 1/4-20X1 1/2S/S HCS 120282682 1170009 19.7400 9.87. Y
18 20 20 0 1/4-20X3 HCS 316 S/S 220014527 1177015 59.8500 11.97 Y
19 50 50 0 5/16-18X3/4 S/S HCS 120216018 1170053 18.4600 9.23 Y
20 50 50 0 5/16-18X1 HCS 316S/S 240088919 1177055 39.2700 19.84 Y
21 50 50 0 5/16-18X1.5HCS316S/S 180097479 1177059 55.3500 27.68 Y
22 75 75 0 3/8-16 X 1 S/S HCS 140122834 1170105 32.5600 .24.42 Y
23 50 50 0 3/8-16X1 1/2S/S MCS 120280862 1170109 44.8600 22.43 Y
- --- -
__.-._�----24- _- .._.10.-._, _" - 10•------ - -�- 0� -" --3/8-1.6�X2�%BRCS= V---�200D92"9T0=-=-1-17091�=_ :-__-------.--60:3000�`"'_ ..6.03-_-Y. -_-- '_---_
24 10 10 0 3/8-16 X 2 S/S HCS 120290603 1170111 60.3000 6.03 Y +
25 10 10 0 3/8-16 X 3 S/S HCS 120275153 1170115 80.5500 8.06 Y
26 2 2 0 S/S HCS 5/8-11 X 4 110054003 70319 334.3500 6.69 Y
26 4 4 0 S/S HCS 5/8-11 X 4 120252417 70319 334.3500 13.37 Y
27 25 25 0 1/2-13 A194 2 H 120258030 1136550 29.3000 7.33 Y
28 10 10 0 3/4"-10 FHNz 5 120312563 1136316 25.9800 2.60 Y
28 10 10 0 3/4"-10 FHNz 5 120314956 1136316 25.9800 2.60 Y
29 30 30 0 3/4 USS F/W Z 120318236 1133018 24.9500 7.49 Y
30 25 25 0 HCS 1/2-13 x 1.25YZB 180095842 0115207 22.0000 5.50 Y
31 10 10 0 HCS 1/2-13 x 3 YZB 120298712 0115215 44.0000 4.40 Y
32 5 5 0 HCS 5/8-11 x 3 YZ8 120192829 0115315 70.0000 3.50 Y
32 5 5 0 HCS 5/8-11 x 3 YZ8 120246588 0115315 70.0000 3.50 Y
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® Remit to INVOICE
FASTBIML Fastenal Company Page 2 of 2
P.O. Box 1286
Winona, MN 55987-1286 Invoice Date Invoice No.
12/11/2018 ININ834351
Cust. No. ININ80387 For billing questions Invoice Total
Cust. P.O. S19173 1010 Kendall Court, Suite 3
Job No. stock WESTFIELD, IN 46074 298.71 USD
Contract No. QPA 13090 Phone 317-804-8035 Due Date
Fax 317-804-8037 01/10/2019
Sold To
Ship To
CARMEL WASTEWATER TREATMENT CARMEL WASTEWATER TREATMENT
9609 HAZEL DELL PKWY 9609 HAZEL DELL PKWY
INDIANAPOLIS, IN 46280-2935 INDIANAPOLIS, IN 46280
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
Received by :____.
Date: PO #:
cct #:
Use: 4A, as\h,
Received By Tax Exemption Subtotal 298.71
0031201550-020 G Shipping&Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
Contact:Duane Jarvis CONTRACT:QPA 13090 City Tax 0.00
Total 298.71
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t+,
0
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.
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: ININ834351 Cust: ININ80387
Packing Slip
Reference
Date Page
The store serving you is 12/10/18 IN11�1NNpp.834351 1
CUSr. NO. ININ80387
010 Kendall Court,Suite 3 DUE DATE:01/09/2019
CUSt. P.O. S 19173
WESTFIELD,IN 46074
Job NO. stock
II�� pp Phone#:317-804-8035 Contract No:
�AI AT?WASTEWATER TREATMENT Fax#:317-804-8037 SCPAT�WAASTEWATER TREATMENT
9609 HAZEL DELL PKWY 9609 Hazel Dell Pkwy
INDIANAPOLIS,IN 46280-2935
INDIANAPOLIS,IN 46280
317-571-2634;317-571-2636(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 50 50 0 M10 FLAT WASHERA-2 120165754 MW640000OA20000
2 50 50 -0 M6 X 16 HCS A-2 480004335 M82550016A20000
3 50 50 --.-0 M6 X 25 HCS A-2 120231927 M82550025A20000
4 25 25 ---D M6 X 30 HCS A-2 220005460 M8255003OA20000
5 100 100 -:. 0 5/16"-18 FHNz5 120305179 1136304
6 100 100 710 5/16 SAE F/W Z 140127551 1133080
7 50 50 0 7/16 USS F/W Z 120302416 1113010
8 200 200 0 1/4"MedSplit L/W Z 480004289 1133618
9 200 200 -0 5/16"MedSplit L/W Z 480003278 1133620
10 200 200 --i0 HSS1/4-209I 1/2Z5 120276421 110120306
11 50 50 . O HCS3/8-16X3/4 Z 5 120286398 110120342
12 15 15 --0 HCS5/8-11X 2-1/2 Z5 120303794 110120419
13 50 50 —0 S/S FW 3/8x7/8 o.d. 120291729 1171017
14 50 50 0 S/S FW 3/8x7/8 o.d. 120299398 1171017
15 100 100 0 5/16"MedSplit L/W SS 220024177 1171065
16 100 100 0 3/8"MedSplit L/W SS 120318996 1171067
17 20 20 —0 5/8"MedSplit L/W SS 220019809 1171 075
18 50 50 --0 1/4-20X1 112S/S HCS- 120282682 1170009
19 20 20 �0 1/4-20X3 HCS 316 S/S 220014527 1177015
20 50 50 a 0 5/16-18X3/4 S/S HCS 120216018 1170053
21 50 50 0 5/16-18X1 HCS 316S/S 240088919 1177055
22 50 50 —0 5/16-18X1.5HCS316S/S 180097479 1177059 -
23 75 75 --0 3/8-16 X 1 S/S HCS 140122834 1170105
24 50 50 0 3/8-16X1 1/2S/S HCS 120280.862 1170109
FORM -IN/3
Packing Slip
Reference
Date �(pp.. 34351 2 Page
The store serving you is ININ8 12/10/18
Cust. No. ININ80387 1010 Kendall Court,Suite 3 DUE DATE:01/09/2019
CUst. P.O. S 19173
Job No. stock WESTFIELD,IN 46074
yQ��/�7pp Phone#:317-804-8035 Contract No:
l°MT?WASTEWATER TREATMENT Fax#:317-804-8037 Sc ERI,WAASTEWATER TREATMENT
9609 HAZEL DELL PKWY 9609 Hazel Dell Pltivy
INDIANAPOLIS,IN 46280-2935
INDIANAPOLIS,IN 46280
317-571-2634;317-571-2636(Fax)
This Order and Document are subject to the "Terms of Purchase"posted on www.fastenaLcom.
Line Quantity Quantify Quantity Descri lion Control Part No. Price/ Amounf
No. Ordered Shipped Backo er p No.
25 10 10 e'0 3/8-16 X 2 S/S HCS 200092910 1170111
26 10 10 —0 3/8-16 X 2 S/S HCS 120290603 1170111
27 10 10 '*0 3/8-16 X 3 S/S HCS 120275153 1170115
28 2 2 ---0 S/S HCS 5/8-11 X 4 110054003 70319
29 4 4 c 0 S/S HCS 5/8-11 X 4 120252417 70319
30 25 25 —0 1/2-13 A194 2 H 120258030 1136550
31 10 10 —0 3/4•'-10 FHNz 5 120312563 1136316
32 10 10 46-0 3/4"-10 FHNz 5 120314956 1136316
33 30 30 —%-0 3/4 USS F/W Z 120318236 1133018
34 25 25 —0 HCS 1/2-13 x 1.25YZ8 180095842 0115207
35 10 10 ---0 HCS 1/2-13 x 3 YZ8 120298712 0115215
36 5 5 0 HCS 5/8-11 x 3 YZ8 120192829 0115315
37 5 5 y-0 HCS 5/8-11 x 3 YZ8 120246588 0115315
Please fax exemption cert&cust#to 507494-7511
Received By Tax Exemption Subtotal
Shipping&Handling
Comments State Tax
CONTRACT:QPA 13090 Contact:Duane Jarvis 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
Nosmatenalto
accepted for eturntwithout our perlmission. An invoice will be mailed in approximately rive 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!
FORAM -IN13