191194 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1
ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $333.03
CARMEL, INDIANA 46032 PO BOX 1286
WINONAMN 55987 -1286 CHECK NUMBER: 191194
CHECK DATE: 10/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 82044 201.24 OTHER EXPENSES
1125 4238000 ININ81969 27.07 SMALL TOOLS MINOR E
1125 4238000 ININ82061 1.54 SMALL TOOLS MINOR E
1093 4238900 ININ82084 103.18 OTHER MAINT SUPPLIES
M Remit to INVOICE
AS 7B Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
For billing questions 09/27/2010 ININ81969
430 Alpha Drive, Suite 300
Gust. No. ININ80083 WESTFIELD, IN 46074 Due Date Invoice Total
Gust. P.O. Central Park United States 1012712010 27.07 USD
.lob No. WC- 710 -5671 Phone 317- 867 -5259
Fax 317 -867 -5394
Sold To
0008860 01 AB 0.360 "AUTO T1 1 1059 46032.3 -08660
111 1111 1111111111111111 11111 11 1111111 11 111 Snip To
CARMEL CLAY PARKS RECREATION Picked up at branch
1411 E 116TH ST x 430 Alpha Drive, Suite 300
CARMEL, IN 46032 -7611 WESTFIELD, IN 46074
Rf z
This Order and Document is subject to the Tarms of Purchase" pushed on 'www:iasienal.corn.
Line Quantity Quantity Quantity Control Part Price
No Ordered Shipped Ba D No. No. Hundred Amount
1 2 2 D CHIOAGOFIT FEMALEI /2 120084373 0400574 299.5300 5.99
2 1 1 0 3 /8INDPLUG3 /8NPT FEM SINPPA 430026 204.0500 204
3 1 1 0 1 /41NDPLUG3 /8NP1 FEM SINPPA 430018 160.9300 1.61
4 2 2 0 401 HexBush 1/2X3/8GIv 220004421 466589 69.7900 1.40
5 4 4 0 3 /4x3 /8G1v401HexBush 220005762 466590 198.6600 7.95
6 4 4 0 3/8 X CLOSES40GLV NA031205 66720 77.0000 3.08
Purchase
Description
P.O.# PorF
Budget
OCT 0 7 20 Line Descr f QJ
Purchaser Date
Approval
Date
Received Received By Tax Exemption Subtotal 22.07
ANDREW 0119683083 -001 G Shipping Handling 5.00
Comments IN State Tax 0.00
County Tax 0 -00
Contact: Todd Snyder City Tax 0.00
Total 27.07
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-
0008860-01-0028305 Invoice: ININ81969 Cust: ININ80083
Remit to
FAST
Fastenal Company INVOICE
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
For billing questions 10/06/2010 ININ82061
430 Alpha Drive, Suite 300
Cust. No. ININ80083 WESTFIELD, IN 46074 Due Date Invoice Total
Cust. P.O. United States 11/05/2010 1.54 USD
Job No. WC Phone 317- 867 -5259
Fax 317- 867 -5394
Sold To
0005626 01 A$ 0.360 "AUTO T7 1 1060 46032-3-05626
1 11111 oil 111111111 11111 1111111111 111111 11111 11 111 111 Ship To
CARMEL CLAY PARKS RECREATION CARMEL CLAY PARKS RECREATION
1411 E 116TH ST 1411 E. 116TH ST.
CARMEL, IN 46032 -7611 CARMEL, IN 46032
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 Description No. No, Hundred Amount
1 2 2 0 3/8 X CLOSES40GLV NA031205 66720 77.0000 1.54
Purchase
Description
P.O.# U em IV PorF
G.L. oZ 42,5&&0
Budget
Line
escr S
Purchaser
Approval BY:
Date
Received By Tax Exemption Subtotal 1.54
REBECCA 0119683083 -001 G Shipping Handling 0.00
N State Tax 0.00
Comments County Tax 0.00
Contact: Andrew Burnett City Tax 0.00
Total 1.54
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.
0005628 -01- 0011361 Invoice: ININ82061 CUM: ININ80083
y
Remit to
FAMBIML
Fastenal Company INVOICE
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
For billing questions 10/08/2010 ININ82084
430 Alpha Drive, Suite 300
Cust. No. ININ80083 WESTFIELD, IN 46074 Due Date Invoice Total
Cust. P.O. United States 11/07/2010 103.18 USD
Job No. Phone 317 -867 -5259
Fax 317 867 -5394
Sold To
Ship To
CARMEL CLAY PARKS RECREATION CARMEL CLAY PARKS RECREATION
1411 E 116TH ST 1411 E. 116TH ST.
CARMEL, IN 46032 -7611 CARMEL, IN 46032
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 Description No. N Hu ndred Amount
1 12 12 0 12oz Zinc Galvanize AMREPP 0605051 761 5300 91.36
Purchase
Description
P.O.# PorF
G.L.#
Budget JJ te.
¢m�l�l
Line Descr
Purchaser Date
Approval Date
Received By Tax Exemption Subtotal 91.38
0119683083 -001 G Shipping Handling 11.80
Comments IN State Tax 0.00
County Tax 0.00
Contact: SERRA GRANSKE City Tax 0.00
Total 103.18
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.
0005626 -03- 0017363 Invoice: ININ82084 cust: ININ80083
Z
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
092000 Fastenal Company Terms
P.O. Box 1286
Winona, MN 55987 -1286
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
9/27110 ININ81969 Compressor fittings 27.07
1016110 ININ82061 Parts for compressor 1.54
1018/10 ININ82084 Maintenance supplies
103.18
Total 131.79
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
Voucher No. Warrant No.
092000 Fastenal Company Allowed 20
P.O. Box 1286
Winona, MN 55987 -1286
In Sum of
131.79
ON ACCOUNT OF APPROPRIATION FOR
101 General 1 109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 ININ81969 4238000 27.07 1 hereby certify that the attached invoice(s), or
1125 ININ82061 4238000 1.54 bill(s) is (are) true and correct and that the
1093 ININ82084 4238900 103.18 materials or services itemized thereon for
which charge is made were ordered and
received except
21 -Oct 2010
Signature
131.79 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
QD Remit to INVOICE
FAsTEvAL Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
For billing questions 10/05/2010 ININ82044
430 Alpha Drive, Suite 300
Cust. No. ININ80004 WESTFIELD, IN 46074 Due Date Invoice Total
Cust. P.O. we United States 11/04/2010 215.33 USD
Job No. Phone 317 867 -5259
Fax 317 -867 -5394
Sold To
0005660 01 AB 0.360 "AUTO T7 1 1060 46074 605660
Ship To
CARMEL UTILITIES Picked up at branch
3450 W 131ST ST rw: 430 Alpha Drive, Suite 300
CARMEL, IN 46074 WESTFIELD, IN 46074
This Order and Document is subject to the "Terms of Purchase" posted on www.fastanal.corn.
Line Quantity Quantity Quantity Control Part Price
No Ordered Shipped Backordered Description No. No. Hundred Amount
1 60 60 0 5/8 -11 Bras FHN 220005420 75120 126.3400 77 -00 T
2 30 30 0 S/S HCS 5/8 -11X2 1/2 120069006 70313 207.0800 62.12 T
3 30 30 0 S/S HCS 5/8 -11X2 1/2 100019001 70313 207.0600 62.12 T
Received By Tax Exemption Subtotal 201.24
Shipping Handling 0.00
IN State Tax z; 1 °4- 09—
Comments County Tax 0.00
Contact: Jack Spears City Tax 0.00
Total 21
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.
0005660 -01- 0017465 Invoice: ININ82044 Cust: ININ80004
1
VOUCHER 103042 WARRANT ALLOWED
920100 IN SUM OF
FASTENAL
P.O. BOX 1286
WINONA, MN 55987 -1286
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
All;
82044 01- 6200 -06
All;
Voucher Total $215.33
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 CARREL
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 10118/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/181201( 82044 $215.33
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
Date Officer