191627 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1
e w, ONE CIVIC SQUARE FASTENAL COMPANY
CARMEL, INDIANA 46032 PO BOX 1286 CHECK AMOUNT: $1,503.35
WINONA MN 55987 -1286
CHECK NUMBER: 191627
CHECK DATE: 11/10/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2140748 31.97 MATERIALS SUPPLIES
651 5023990 2140754 12.78 MATERIALS SUPPLIES
651 5023990 82249 13.23 MATERIALS SUPPLIES
1093 4237000 ININ82106 510.82 REPAIR PARTS
1093 4237000 ININ82174 137.32 REPAIR PARTS
1125 4237000 23966 INTN82235 709.55 HAND DRYER
1093 4237000 ININ82236 87.68 REPAIR PARTS
Remit to INVOICE
PASTEM Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
For billing questions 10/13/2010 ININ82174
430 Alpha Drive, Suite 300
Cust. No. ININ80083 WESTFIELD, IN 46074 Due Date Invoice Total
Cust. P.O. 23999 United States 11/12/2010 137.32 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.fastonal.com.
Line Quantity Quantity Quantity Control Part Price
No Ordered Shipped Backordered Description No No. Hundred Amount
1 48 48 0 20X25x2StdCapP1tF1tr 110072318 0400038 249.0000 119.52
Purchase t1 II �fj
Description
P.O. #9 -.C�� OCT 21 2010
G.L. 9 3 y�.?D1 C�
Budged
Line Descr BY:
Purchaser Date
Approval Date
Received By Tax Exemption Subtotal 119.52
WILLIAM 0119683083 -001 G Shipping Handling 17.80
IN State Tax 0.00
Comments County Tax 0.00
Contact: SERRA GRANSKE City Tax 0.00
Total 137.32
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.
0008551 -03- 0027611 Invoice: ININ62174 Cust: ININ80083
.y
0 Remit to INVOICE
FASTBVAL Fastenai Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
For billing questions 10/12/2010 ININ82106
430 Alpha Drive, Suite 300
Gust. No. ININ80083 WESTFIELD, IN 46074 Due Date Invoice Total
Cust. P.O. 23999 United States 11/11/2010 510.82 USD
Job No. Phone 317 -867 -5259
Fax 317 867 -5394
Sold To
0006551 01 AS 0.360 "AUTO T5 1 1062 46032 -3 -08551 f
III IIIIIIIII III 11 III Belli ill Ship To
CARMEL CLAY PARKS RECREATION CARMEL CLAY PARKS RECREATION
1411 E 116TH ST Y 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.fastanal.com.
Line Quantity Quantity Quantity Control Part Price
No Ordered Shipped Backordered Description No. No. Hundred Amount
1 108 108 0 16X25x2StdCapPltFItr 120094284 0400036 288.7400 311.84
2 12 12 0 24X24x2StdCapPl1FItr 120094284 0400039 276.0000 33.12
3 24 24 0 12X24X2StdCapPltFltr 120089491 0452035 200.0000 48.00
4 12 12 D 20X2Ox2StdCapPItFItr 120092264 0400037 216.0000 25.92
5 12 12 0 16X20x2StdCapPItFItr 14060364 0400035 322.0000 38.64
Purchase
Description.
P.O.
P,�rF
G.L.
Budget OCT 1 201
Line Descr
Purchaser Date
Approval Date
Received By Tax Exemption Subtotal 457.52
TMYERS 0119683083 -001 G Shipping Handling 53.30
Comments IN State Tax 0.00
County Tax 0.00
Contact: SERRA GRANSKE City Tax 0.00
Total 510.82
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.
It 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.
0008551 -01- 0027609 Invoice: INkN82106 Cust: ININ80083
2-
Remit to INVOICE
FASTENAL Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
For billing questions 10/20/2010 ININ82236
430 Alpha Drive, Suite 300
Cust. No. ININ80083 WESTFIELD, IN 46074 Due Date Invoice Total
Cust. P.O. 23999 United States 11/19/2010 87.68 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 Order Shipped Backor Descri No, No. Hu ndred Amount
1 12 12 0 18 "X33 "X1" PLEATED A WEINO202 12728 -00095 312.0000 37.44
2 12 12 0 1 "X21.5"X 18.25' PLE WEINO202 12726 -00096 312.0000 37.44
PurchaseiRI L'TS
Description
4
P.O. n f, PO F
G.L.# �o
Buda OC 2 8 1010
Line esc
Purchaser Date
Ap proval Date By:
Received By Tax Exemption Subtotal 74.88
WILLIAM 0119683083-001 G Shipping Handling 12.80
IN State Tax 0.00
Comments County Tax 0.00
Contact: SERRA GRANSKE City Tax 0.00
Total 87.68
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.
0008123 03. 0025629 Invoice: ININ82236 oust: ININ80083
Remit to INVOICE
Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
For billing questions 10/20/2010 ININ82235
430 Alpha Drive, Suite 300
Cust. No. ININ80083 WESTFIELD, IN 46074 Due Date Invoice Total
Cust. P.O. 23966 United States 11/19/2010 709.55 USD
Job No. Phone 317- 867 -5259
Fax 317 -867 -5394
Sold To
000812301 AB 0.360 "AUTO T8 1 1063 46032-3 -OB123
I1II 11111 111111111111111 111111111 1111I11LI111J111111,111J 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.fastanal.com.
Line Quantity Quantity Quantity Control Part Price!
No Ordered Shipped B Descr N o. No, H undred Amount
i 1 1 0 2870- 280000 HndDryer WEINO224 0606247 69,354.6700 693.55
Purchase
lescription
�scr
Date By O O 0s00 000 00090000000000
Date
Received By Tax Exemption Subtotal 693.55
WILLIAM 0119683083 -001 G
Shipping Handling 16.00
Comments IN State Tax 0.00
County Tax 0.00
Contact: SERRA GRANSKE City Tax 0.00
Total 709.55
Reasonable collection and attorneys fees will be No materials accepted for return without our permission.
assessed to all accounts placed for collection. Ali 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.
0008123 -01- 0025627 Invoice: ININ82235 Gust. ININ80083
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
10113/10 ININ82174 Air filters 23999 137.32
10112110 ININ82106 Air filters 23999 510.82
10/20/10 ININ82236 Air filters 23999 87.68
10/20/10 ININ82235 Hand dryer 23966 709.55
Total 1,445.37
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
Voucher No. Warrant No.
092000 Fastenal Company Allowed 20
P.O. Box 1286
Winona, MN 55987 -1286
In Sum of
1,445.37
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund 1 109 Monon Center
PO# or INVOICE NO. ACCT 4MTLE AMOUNT Board Members
Dept
1093 ININ82174 4237000 137.32 1 hereby certify that the attached invoice(s), or
1093 iNIN82106 4237000 510.82 bill(s) is (are) true and correct and that the
1093 ININ82236 4237000 87.68 materials or services itemized thereon for
23966 F ININ82235 4237000 709.55 which charge is made were ordered and
received except
4 -Nov 2010
?a /Amoy
Signature
1,445.37 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
i
Remit to INVOICE
FASYB Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
For billing questions 10/21/2010 ININ82249
430 Alpha Drive, Suite 300
Cust. No. ININ80004 WESTFIELD, IN 46074 Due Date Invoice Total
Cust. P.O. JEFF COOPER United States 11/20/2010 14.16 USD
Job No. Phone 317- 867 -5259
Fax 317- 867 -5394
Sold To
0008 17 5 01 AB 0.360 "AUTO T8 1 1063 46074 -8 -08175
LI,J1ILJI1„I,1. 1111, J1„ 1111111111r,1n111111111r,n11111 Ship To
CARMEL UTILITIES Picked up at branch
3450 W 131ST ST t 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.com.
Lme Quantity Duantity Quantity Control Part Price
No Ordere Shipped Backordered Desc ription No. No. Hundred Amount
1 0 6 -1.0 SPP Tap TOPEST 0326833 669.1300 6.69 T
2 1 1 0 6 -1.0 Bottom Tap TOPEST 0326907 653.7300 6.54 T
Received By Tax Exemption Subtotal 13.23
BRAD OLIVER Shipping Handling 0.00
Comments IN State Tax �A3�
County Tax 0.00
Contact: Jeff Cooper City Tax 0.00
Total 1
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.
It 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.
0005175 -0- 0025801 Invoice: ININ82249 Cust! NIN80004
Remit to INVOICE
FASTENAL Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
For billing questions 10/19/2010 ININ2140754
14775 Herriman Blvd
Cust. No. ININ20169 NOBLESVILLE, IN 46060 Due Date Invoice Total
Cust. P.O. United States 11/18/2010 12.78 USD
Job No. Phone (317)770 -0649
Sold To Fax (317)770 -4279
Ship To
CARMEL UTILITIES Picked up at branch
1 CIVIC SQ 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.
Line Quantity Quantity Quantity Control Part Price
No O rdered Shipped Backordered Descripti No. No. Hund Amou
1 100 100 0 M6 16 12.9 SHCS 126 073258 139566 12.7800 12.78
Fastenal now has the ability to email or fax invoices. To enroll please call 866 -880 -3278.
Received By Tax Exemption Subtotal 12.78
0031201500010 G Shipping Handling 0.00
IN State Tax 0.00
Comments County Tax 0.00
Contact: Blaine City Tax 0.00
Total 12.78
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.
0006124 -03- 0025633 Invoice: INiN2140754 Cust: ININ20169
Remit to INVOICE
Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
I
Date Invoice No.
For billing questions 10/19/2010 ININ2140748
14775 Herriman Blvd
Gust. No. ININ20169 NOBLESVILLE, IN 46060 Due Date Invoice Total
Gust. P.O. Blaine United States 11/18/2010 31.97 USD
Job No. Phone (317 )770 -0649
Sold To Fax (317 )770 -4279
0008124 01 AS 0.360 "At TO T8 1 1063 46032 -2 -08124
11 111 111111 111111 111uIlIIIII IIIIIIJIBLI11111111111111111111 Ship To
CARMEL UTILITIES Picked up at branch
1 CIVIC SQ 14775 Herriman Blvd
CARMEL, IN 46032 -2584 NOBLESVILLE, IN 46060
S
This Order and Document is subject to the "Terms of Purchase" posted on www.fastonal.com.
Line Quantity Quantity Quantity Control Part Price
No Ord ered Shippe Backordered Description No. No. Hun dred Amount
1 1 1 0 DIN975 8.8 TROD M16 220005906 47876 2,644.3000 26.44
2 10 10 0 M16 -2.0 DIN934HexNut IP107271 1190711 55.2700 5.53
.xx Fastenal now has the ability to email or fax invoices. To enroll please call 866 880 -3278.
Received By Tax Exemption Subtotal 31.97
0031201500010 G Shipping Handling 0.00
IN State Tax 0.00
Comments County Tax 0.00
Contact: Blaine City Tax 0.00
Total 31.97
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.
0008124 -01- 0025631 Invoice: ININ2140748 oust: ININ20169
VOUCHER 106480 WARRANT ALLOWED
92000 IN SUM OF
FASTENAL COMPANY
PO BOX 978
WINONA, MN 55987 -0978
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
2140748 01- 7202 -06 S31.97
g j y075 LI d 7��z,r�i tz.-73
Voucher Total 97
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1 995)
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 COMPANY Purchase Order No.
PO BOX 978 Terms
WINONA, MN 55987 -0978 Due Date 11/1/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/1/2010 2140748 $31.97
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 Officer