185722 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1
ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $21.87
CARMEL, INDIANA 46032 PO BOX 1286
WINONAMN 55987 -1286 CHECK NUMBER: 185722
CHECK DATE: 5/26/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 2137469 21.87 MATERIALS SUPPLIES
Remit to INVOICE
iAS-T-EANL Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
For billing questions 05/06/2010 ININ2137469
14775 Herriman Blvd
Cust. No. ININ20169 NOBLESVILLE, IN 46060 Due Date Invoice Total
Cust. P.O. Plant 5 United States 06/05/2010 21.87 USD
Job No. Phone (317 )770 -0649
Sold To Fax (317)770 -4279
0007096 01 AB 0.360 "AUTO T4 1 1026 46074 -6- 07096
1i Ln I. H ..11..1 111111111111111 1111111 11111 11111 11111111111111111 snip 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 is subject to the "Tsrrns of Purchase" posted on www.fastenal.com.
Line Quantity Quantity Quantity Control Part Price
No Or Shipped Bac Descripti N o. No. Hundred A mount
1 100 100 0 10x1 HWH SIDS 410 S/S 220002646 4 1131952 _21.8700 21.87
Fastenal now has the ability to email or fax invoices. To enroll please call 866- 880 -3278.
Received By Tax Exemption Subtotal 21.87
0031201500010 G Shipping Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
City Tax 0.00
Total 21.87
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.
0007096 -01- 0022615 Invoice: ININ2137469 oust: ININ20169
l
VOUCHER 101622 WARRANT ALLOWED
92090 IN SUM OF
FASTENAL
P.O. BOX 1286
WINONA, MN 55987 -1286 o
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
2137469 01- 6200 -04 $21.87
Voucher Total $21.87
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
An invoice or bill to be properly itemized must show, Find 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 5/18/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/18/2010 2137469 $21.87
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
Date er