190742 10/13/2010 *ti CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1
ONE CIVIC SQUARE FASTENAL COMPANY
I CHECK AMOUNT: $47.07
CARMEL, INDIANA 46032 Ro sox lzes
MONA MN 55987 -1288 CHECK NUMBER: 190742
CHECK DATE: 10/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 2140078 13.28 MATERIALS SUPPLIES
601 5023990 81851 33.79 MATERIALS SUPPLIES
Remit to INVOICE
Fastenal Company
FA S7 E NAL
P.O. Box 1286 Page 1 Of 1
Winona, MN 55987 -1286
Date Invoice No.
For billing questions 09/15/2010 ININ2140078
14775 Herriman Blvd
Cust. No. ININ20169 NOBLESVILLE, IN 46060 Due Date Invoice Total
Cust. P.O. Plt 5 maint United States 10/15/2010 13.28 USD
,lob No. Phone (317)770 -0649
Sold To Fax (317)770 -4279
0009669 01 AB 0.360 "AUTO T5 1 1056 46032.2. 09669
1 .111111111 1111111111111 VIII II 1 11111111111111111 1 11111 Ship To
CARMEL UTILITIES Picked up at branch
1 CIVIC SQ Y 14775 Herriman Blvd
CARMEL, IN 46032 -2584 NOBLESVILLE, IN 46060
This Order and Document is subject to the "Terms of Purchase" posted on www.fastGnal.com. T
Line Quantity Quantity Quantity Control Part Price
No Order Shipped B ackord ered Desc ription N o. N Hundred Amount
1 25 25 0 ZERK 1 /4NPT STRAIGHT GROZZZ 58760 53.1300 13.28
Fastenal now has the ability to email or tax invoices. To enroll please call 866 -880 -3278.
ti
Received By Tax Exemption Subtotal 13.28
0031 201 50001 0 G Shipping Handling 0.00
IN State Tax 0.00
Comments County Tax 0.00
Contact: James City Tax 0.00
Total 13.28
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-
0009669-01-0031869 Invoice. ININ2140078 oust: ININ20169
I
FASTBIML Remit to INVOICE
Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
For billing questions 09/13/2010 ININ81851
430 Alpha Drive, Suite 300
Cust. No. ININ80004 WESTFIELD, IN 46074 Due Date Invoice Total
Cust. P.O. Greg United States 10/13/2010 33.79 USD
Job No. Deliver Friday Phone 317 867 -5259
Fax 317- 867 -5394
Sold To
0009720 01 AB 0.360 "AUTO TS 1 1056 46074 8.09720
I In11111111111111111111,11 1111111 11,11 11111111111111111111111 Ship To
CARMEL UTILITIES CARMEL UTILITIES
3450 W 131 ST ST 3450 W 131 ST ST
CARMEL, IN 46074 WESTFIELD, IN 46074
This Order and Document is subject to the "Terms of Purchase" posted on www.fastanal.com.
Line Quantity Quantity Quantity Control Part Price
No Ordere Shipped Backordered Description No. N o. Hund Amount
1 25 25 0 1/4 -26 S/S STRGT FIT GROZZZ 0496013 68.5300 17.13 T
2 25 25 0 1 /8x5 /16S /S PipePlug 120093632 73390 57.8000 14.45 T
Received By Tax Exemption Subtotal 31.58
SEAN Shipping Handling 0.00
Comments IN State Tax 2.21
County Tax 0.00
City Tax 0.00
Total 33.79
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.
0009720-0 1-0032041 Invoice: ININ81851 Gust: ININ80004
VOUCHER 102914 WARRANT ALLOWED
92000 IN SUM OF
FASTENAL
P.O. BOX 1286
WINONA, MN 55987 -1286
e
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
2140078 01- 6200 -04 $13.23
Voucher Total Lt 7,
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, kind 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 10/4/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/4/2010 2140078 $13.28
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
/I Yl
Date Offfer