182335 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1
ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $41.29
+a CARMEL, INDIANA 46032 PO BOX 1286
WWONAMN 55987 -1286 CHECK NUMBER: 182335
CHECK DATE: 2/17/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 2135350 41.29 OTHER EXPENSES
r Remit to INVOICE
Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
For billing questions 01/25/2010 ININ2135350
14775 Herriman Blvd
Cust. No. ININ20169 NOBLESVILLE, IN 46060 Due Date Invoice Total
Cust. P.O. James United States 02/24/2010 41.29 USD
Job No. Phone (317)770 -0649
Sold To Fax (317)770 -4279
000964; 01 A130.360 "AUTO T5 1 1007 46074.8.09647
1, 1111, 111111 1IIIl i 1111111„i 11111111111.111 Ship To
CARMEL UTILITIES Picked up at branch
3450 W 131 ST ST 14775 Herriman Blvd
WESTFIELD, IN 46074 -8267 NOBLESVILLE, IN 46060
This Ord r and Document is subject to the "Terms of Purchase" posted on www.fastenal.com.
Line Quantity Quantity Quantity Control Part Price
No Ordered Shipped B Description No. No. Hundred Amount
1 1 1 0 Hydraulic Cement 50N 120023294 0207282 4,128.74D0 41.29
Fastenal now has the ability to email or fax invoices. To enroll please call 866 880 -3278.
Received By Tax Exemption Subtotal 41.29
0031201500010 G Shipping Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
City Tax 0.00
Total 41.29
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.
Oo0sa47.0t- 0031079 Invoice: ININ2135350 Cust: 1NIN20169
VOUCHER 094294 WARRANT ALLOWED
92000 IN SUM OF
FASTENAL
P.O. BOX 1286
WINONA, MN 55987 -1286 A 0
i
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
2135350 01- 6200 -04 $41.29
Voucher Total $41.29
Cost distribution ledger classification if
claim paid under vehicle highway fund:
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
k
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 2/9/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/9/2010 2135350 $41.29
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
corrFCi and I have audited same in accordance with IC 5 11- 10 -1.6
Date Officer