181886 02/03/2010 CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1
4
y ONE CIVIC SQUARE FASTENAL COMPANY
I CHECK AMOUNT: $113.21
k, A, CARMEL, INDIANA 46032 PO BOX 1286
WINONA MN 55987 -1286 CHECK NUMBER: 181886
CHECK DATE: 2/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 2135025 83.70 OTHER EXPENSES
601 5023990 2135047 29.51 MATERIALS SUPPLIES
Ni Remit to INVOICE
tie; �r Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
For billing questions 01/05/2010 ININ2135025
14775 Herriman Blvd
Cust. No. ININ20169 NOBLESVILLE, IN 46060 Due Date Invoice Total
Cust. P.O. Call United States 02/04/2010 83.70 USD
Job No. 716 -3933 Phone (317)770 -0649
Sold To Fax (317)770 -4279
0005522 01 AB 0.360 "AUTO T8 1 1003 46074 -8 -05522
III Ship To
CARMEL UTILITIES Picked up at branch
3450 W 131ST ST 14775 Herriman Blvd
WESTFIELD, 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 75 75 0 5/8 -11 Bras FHN 120025750 75120 111.6000 83.70
Fastenal now has the ability to email or fax invoices. To enroll please call 866 880 -3278.
Received By Tax Exemption Subtotal 83.70
0031201500010 G Shipping Handling 0.00
IN State Tax 0.00
Comments County Tax 0.00
City Tax 0.00
Total 83.70
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.
0005522 0017235 Invoice: IN1N2135025 Cust: ININ20169
i I Remit to INVOICE
4 Q1
n it F. Fastenal Company
,4''' r A ,A—ii- ys P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
For billing questions 01/06/2010 ININ2135047
14775 Herriman Blvd
Cust. No. ININ20169 NOBLESVILLE, IN 46060 Due Date Invoice Total
Cust. P.O. United States 02/05/2010 29.51 USD
Job No. Phone (317)770 -0649
Sold To Fax (317)770 -4279
Ship To
CARMEL UTILITIES Picked up at branch
3450 W 131ST ST 14775 Herriman Blvd
WESTFIELD, 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 10 10 0 S/S HCS 5/6 -11 X 4 PB067098 70319 295.1200 29.51
Fastenal now has the ability to email or fax invoices. To enroll please call 866 -880 -3278.
Received By Tax Exemption Subtotal 29.51
0031201500010 G Shipping Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
City Tax 0.00
Total 29.51
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.
0005522 03.0017237 I nvoice: 1N1N2135047 Cust: ININ20169
VOUCHER 094200 WARRANT ALLOWED
920
00 IN SUM OF
FASTENAL
P.O. BOX 1286
WINONA, MN 55987 -1286 9
R
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
2135047 01- 6200 -04 $29.51
L\35hZ5 CA< ,p( g3.7O
Voucher Total 1 f 51 a i
Cost distribution ledger classification if
laim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
92000
FASTENAL Purchase Order No.
P.O. BOX 1286 Terms
WINONA, MN 55987 -1286 Due Date 1/25/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/25/2010 2135047 $29.51
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
/0
Date Officer