187286 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1
ONE CIVIC SQUARE FASTENAL COMPANY
CARMEL, INDIANA 46032 PO Box 1286 CHECK AMOUNT: $5.70
WINONA MN 55987 -1286 CHECK NUMBER: 187286
CHECK DATE: 7/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239032 ININ81220 5.70 POSTS HARDWARE
Remit to INVOICE
Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
For billing questions 06109/2010 ININ81220
430 Alpha Drive, Suite 300
Cust. No. ININ80003 WESTFIELD, IN 46074 Due Date Invoice Total
Gust. P.O. United States 07/09/2010 5.70 USD
Job No. Phone 317- 867 -5259
Fax 317- 867 -5394
Sold To
0008756 01 AB 0.360 "AUTO T1 1 1035 46074 -6 -08756
Ship To
CARMEL STREET DEPT. Picked up at branch
3400 W 131 ST ST ',;44 430 Alpha Drive, Suite 300
WESTFIELD, IN 46074 -8267* WESTFIELD, IN 46074
I his Order and Document is subject to the "Terms of Purchase" posted on www.fastenal.com.
Line Quantity Quantity Quantity Control Part Price
No O rdered Shipped Backo rdered Descript No. No. Hun Amount
1 100 100 0 M5- 0.8x25 12.9 SHCS 220001090 1139548 5.7000 5.70
I
Received By Tax Exemption Subtotal 5.70
0031201550 -020 G Shipping Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
City Tax 0.00
Total 5.70
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.
GGOB756.01- G028o "2, Invoice- ININ81220 Cust: MIN80003
VOUCHER NO. WARR NO.
ALLOWED 20
Fastenal
IN SUM OF
P: O. Box 978
Winona, MN 55987 -0978
$5.70
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 ININ81220 42- 390.32 $5.70 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
R TKursda July 01, 2010
Street CommiOi h er
Street Orr l ssicner
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))
06/09/10 ININ81220 $5.70
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