184740 04/27/2010 CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1
ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $77.76
CARMEL, INDIANA 46032 PO BOX 1286
WANONAMN 55987 -1286 CHECK NUMBER: 184740
CHECK DATE: 4/2712010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239032 ININ2136715 77.76 POSTS HARDWARE
Remit to INVOICE
FASMW Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
For billing questions 03/31/2010 ININ2136715
14775 Herriman Blvd
Cust. No, ININ20009 NOBLESVILLE, IN 46060 Due Date Invoice Total
Cust. P.O. Truck 57 United States 04/30/2010 77.76 USD
Job No. Phone (317 )770 -0649
Sold To Fax (317 )770 -4279
0010271 01 A130.360 "AUTO T6 1 1021 46074.8.10271
11LJ, 11��11, �11111I�L�11��I ,��I�1�II�1111111111111111111111 Ship To
CARMEL STREET DEPT. Picked up at branch
3400 W 131ST ST x; 14775 Herriman Blvd
WESTFIELD, IN 46074 -8267 NOBLESVILLE, IN 46060
S
This Order and Document is subject to the "Terms of Purchase" posted on www. #astenal.COM.
Line Quantity Quantity Quantity Control Part Price
No Order Ship Backordered D esc ri pti o n No. No Hundred Amou
1 10 10 0 5/16 -18 X 4 S/S HCS 120035328 1170069 86.8000 8.68
2 100 100 0 5/16 -18S /S NYLOCK 120038452 1170861 15.6178 15.62
3 100 100 0 S/S FW 5/160/4 o. d. 220001142 1171015 5.5552 5.56
4 25 25 0 HCS 5/16 18x4.5 YZ8 WW040625 0115071 59.1480 14.79
5 100 100 0 HC55 /16- 18X21/2 Z5 120027637 110120331 227540 22.75
6 100 100 0 5/16 -18 FHNz5 120000458 1136304 4.1230 4.12
7 100 100 0 5/16 X 1 FEND Z 220003424 1133213 6.2372 6.24
Fastenal now has the ability to email or fax invoices. To enroll please call 866 -880 -3278.
Received By Tax Exemption Subtotal 77.76
7771 G Shipping Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
City Tax 0.00
Total 77.76
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.
0010271.01. 0034078 Invoice: ININ2136715 Cust. ININ20009
1
t
VOUCHER NO. WARRANT NO.
ALLOWED 20
Fastenal
IN SUM OF
P. O. Box 978
Winona, MN 55987 -0978
$77.76
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT# /TITLE I AMOUNT Board Member:
2201 ININ2136715 42- 390.32 $77.76 1 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
n Thur 6ay,�A prrii 22, 2010
f 1
W et Commissioner
'p{�r
Title
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, biy
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))
03/31/10 ININ2 136715 $77.76
1 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