181192 01/13/2010 CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1
ONE CIVIC SQUARE FASTENAL COMPANY
s CARMEL, INDIANA 46032 PO BOX 1286 CHECK AMOUNT: $38.06
'c„ o WINONAMN 55987 -1286 CHECK NUMBER: 181192
CHECK DATE: 1/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239032 ININ2134782 38.06 POSTS HARDWARE
Remit to
s t a� INVOICE
k xA a Fastenal Company
i ti s P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
i Date Invoice No.
For billing questions 12/14/2009 1NIN2134782
14775 Herriman Blvd
Cust. No. ININ20009 NOBLESVILLE, IN 46060 Due Date Invoice Total
Cust. P.O. Truck 57 United States 01/13/2010 38.06 USD
Job No. Phone (317)770 -0649
Fax (317)770 -4279
Sold To
0007984 01 AB 0.360 "AUTO T9 1 1076 46074 8.07984
1 6 11 11• IIu IInIIin 11111 1Ir• I n111111111111111111111111•II•II Ship To
CARMEL STREET DEPT. Picked up at branch
3400 W 131ST ST 14775 Herriman Blvd
WESTFIELD, IN 46074 -8267 ,,4 NOBLESVILLE, IN 46060
This Order iiid 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 5/16 -18 FHN Z 4B067860 1136104 4.0424 8.08
2 100 100 0 2 -56 Z MachScrw Nut PB047319 1136006 1.1222 1.12
3 100 100 0 HCS5/16- 18X3/4 Z 5 IB068355 110120323 9.0272 9.03
4 50 50 0 HCS5 /16- 18X21/2 Z5 120030041 110120331 21.4644 10.73
5 50 50 0 HCS5 /16 -18X2 Z 5 120030041 110120329 18.1908 9.10
Fastenal now has the ability to email or fax invoices. To enroll please call 866- 880 -3278.
Received By Tax Exemption Subtotal 38.06
7771 G Shipping Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
City Tax 0.00
Total 38.06
Reasonable collection and 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.
0007984 -01. 0025339 Invoice: ININ2134782 Cust: ININ20009
VOUCHER NO. WARRANT NO.
ALLOWED 20
Fastenal
IN SUM OF
P. O. Box 978
Winona, MN 55987 -0978
$38.06
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
�I�
PO# Dept. INVOICE NO. ACCT /TIT E AMOUNT Board Members
2201 ININ2134782 42- 390.32 $38.06 I hereby certify that the attached invoice(s), or
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
Thursday, January/ 2010
1 f/bt.4,14
Street Comm
StreoPtIez
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
Payee
Purchase Order No.
Terms
Date Due
Invoice invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/14/09 1N1N2134782 $38.06
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
Clerk- Treasurer