185239 05/11/2010 CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 'I
ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $19.94
CARMEL, INDIANA 46032 PO Box 1286
WINONA MN 55987 -1286 CHECK NUMBER: 185239
CHECK DATE: 511112010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239032 ININ81047 19.94 POSTS HARDWARE
Remit to INVOICE
rASTBM Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
For billing questions 04/20/2010 ININ81047
430 Alpha Drive, Suite 300
Cust. No. ININ80003 WESTFIELD, IN 46074 Due Date Invoice Total
Cust. P.O. United States 05/20/2010 19.94 USD
Job No. Phone 317 867 -5259
Fax 317- 867 -5394
Sold To
0009789 01 AB 0 -360 "AUTO T5 1 1077 46074 -8 -09789
�1�11E1��1r��111�r11�1�11��r1111r�1����11�ri1F��ttr�lttrl��1�� Ship To
CARMEL STREET DEPT. Picked up at branch
3400 W 131 ST ST 430 Alpha Drive, Suite 300
WESTFIELD, IN 46074 -8267 WESTFIELD, IN 46074
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 Desc ription No. No. Hundred Amount
1 4 4 0 HCS 3/4 -10 x 9 YZ8 KB068332 15381 498.4800 19.94
Received By Tax Exemption Subtotal 19.94
UNKNOWN G Shipping Handling 0.00
IN State Tax 0.00
Comments County Tax 0.00
City Tax 0.00
Total 19.94
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.
0009789 -01- 0032077 Invoice: ININ81047 cust: ININ80003
f
VO NO. WARRANT NO.
ALLOWED 20
Fastenal
IN SUM OF
P. O. Box 978
Winona, MN 55987 -0978
$19.94
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO Dept. fNVOICE NO. ACC AMOUNT Board Member!
2201 ININ81047 42- 390.32 $19.94 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
T I ursd ay 06, 2010
Street Commjssjo r
5trr -i (:ornmissloner
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, 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))
04/20/10 ININS1047 $19.94
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