184262 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1
ONE CIVIC SQUARE FASTENAL COMPANY
CARMEL, INDIANA 46032 PO BOX lies CHECK AMOUNT: $19.25
WANONA MN 55987 -1286
CHECK NUMBER: 184262
CHECK DATE: 411412010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 2136552 19.25 OTHER EXPENSES
Remit to INVOICE
Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
For billing questions 03/23/2010 ININ2136552
14775 Herriman Blvd
Gust. No. ININ20169 NOBLESVILLE, IN 46060 Due Date Invoice Total
Cust. P.O. United States 04/22/2010 19.25 USD
Job No. Phone (317)770 -0649
Sold To Fax (317)770 -4279
0007820 01 AB 0,360 "AUTO Ti 1 1015 46074 -8 -07820
Ship To
CARMEL UTILITIES Picked up at branch
3450 W 131 ST 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 2 2 0 DF EYE NUT 3/4 P 120008891 42286 962.5000 1925
Fastenal now has the ability to email or fax invoices. To enroll please tail 866 880 -3278.
Received By Tax Exemption Subtotal 19.25
0031 201 50001 0 G Shipping Handling 0.00
IN State Tax 0.00
Comments County Tax 0.00
City Tax 0.00
Total 19.25
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.
0007820 -01- 0025045 Invoice: ININ2136552 cust INJN20169
VOUCHER 101260. WARRANT ALLOWED
92000 ��;r IN SUM OF
FASTENAL���`
P.O. BOX 1286 a
WINONA, MN 55987 -1286
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT* AMOUNT Audit. Trail Code
2136552 01- 6200 -04 $19.25
Voucher Total $19.25
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 VOUCHED
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
FASTBNAL Purchase Order No.
P.O. BOX 1286 Terms
WINONA, MN 55987 -1286 Due Date 4/1/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/1/2010 2136552 $19.25
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
Date Officer