192432 12/07/2010 CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1
ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $331.82
CARMEL, INDIANA 46032 PO BOX 1286
WINONA MN 55987 -1286 CHECK NUMBER: 192432
CHECK DATE: 12/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 82398 221.65 OTHER EXPENSES
2201 4239032 ININ2139430 11.65 POSTS HARDWARE
2201 4239032 ININ2140303 20.00 POSTS HARDWARE
2201 4239032 ININ82506 78.52 POSTS HARDWARE
4 FXU Box 12?U_,
NQ
FA91EAML Date Reference Page
No.
The-store servi -you i s T };T!.i 1 3 f" 3 t
Cust. No.
ust. P. O.
Job No.
Sold To Ship,To
7. 7
T A
7 i 7 7 7 F
j 1 dr tp li H
Line Cir I 0. 1j. 4
Quantity Quantity Quantity Control Price
Ordered Shipped B ackorder Description No. Part No. Amount
�a
1
1
i 01
1,1v A n,
Received By Tax Exemption Subtotal
Shipping Handling
Comments State Tax
County Tax
City Tax
T
TOTAL U P I nj
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t
1 a F� r12P r 1' q 4
a H
v L U� ".H .,t 1 1'
JJJOWR. f P C t t +.l xi City
;i]i 1. b2 availabl WJ f h. v
Reasonable collection and attorneys fees will be
assessed to all accounts placed for collection. TILan YEiu!
2 5 ;;aB i�oil EIL 1 s c 0 u T', t Tj 1 i C P
No materials accepted for return without our permission.
All discrepancies must be reported within 10 days.
Printed in USA
Fastenal Gor7pany
P.O iF
1;nx 1.28f
WINONA, MN 55`:x221 -1296 Date Reference Page
No.
The store serving you is
19775 Harriman Blvd 5 I11I112140303 1
bust. No. IHIN2O001
Cust. P.O. Shop NOBLESVILLE, IN 46060 DUE DATE: 10/27/2010
Job No.
Sold To Fa., (317} 770 -4275 Ship To
CrFIIEL STREET DEFT. Picl::ea, up at Fastenal Slate.
211 ;.ND S S W
Gar��I ?1, i11 46032 -4014
317- 571-207
l
This Order vnd Document are subject to the terns of Purchase vosted on =w.fastenal.com
Line Quantity Quantity Quantity Description Control Part No. Price Amount
No. Ordered Shipped Backorder No. Hundred,
I
1 1 1 0 31/64 S;rD Drill Bit topest 0316239 2,000.4600 20.00
I
I
I
i
I
i
k
a
Received By Tax Exemption Subtotal
..0.00
Government Shipping Handling 0.00
Comments IN State Tax 0.00
Contact: Gary County Tax 0.00
City Tax 0.00
TOTAL USD
i f vau a a e a ra 11 this E1uck au fli.,e�i
i inn a i f 9Sri.ly Ui our, ry o ri l t l o t ire zee Cori
hts a od
Reasonable col ection and attorneys fees will be An electronic invoice will to available within two days.
assessed to all accounts placed for collection.
Thank. You!
indicates part was sold at a promotional or special d'iscd?ant price
FORM II103 No materials accepted for return without our permission.
`Alt discrepancies must be reported within 10 days.
Prinlgr! in I ISA
Remit to
FAS7EAIAL Fastenal Company INVOICE
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
For billing questions 11/15/2010 ININ82506
430 Alpha Drive, Suite 300
Cust. No. ININ80003 WESTFIELD, IN 46074 Due Date Invoice Total
Cust. P.O. United States 12/15/2010 78 -52 USD
Job No. truck 57 Phone 317- 867 -5259
Fax 317 867 -5394
Sold To
000723801AB0.360 "AUTO T5 1 1069 46074.6 -07238
IIIIILIIulInIInIIII►, IIIIIJIIIIIIII1 11111IIIr,1Ilr,n11"1 Ship To
CARMEL STREET DEPT. Picked up at branch
3400 W 131 ST ST 430 Alpha Drive, Suite 300
WESTFIELD, IN 46074 -8267 WESTFIELD, IN 46074
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 Shipped Backo rdered Descr No. No Hundred A
1 50 50 0 HCSS /16 -18X2 Z 5 1 10044599 110120329 20.1700 10.09
2 50 50 0 5 /16x1x1 /871ncFender 220003906 11103735 58.4200 29.21
3 50 50 0 HCS5/16 -18X2 Z 5 110044599 110120329 20.1700 10.09
4 100 100 0 5/16 -18 FHNz5 120085194 1136304 4.5100 4.51
5 50 50 0 12 -10 PIGTAIL 220004280 58532 17.0000 8.50
6 25 25 0 16 -14 BUTT CNCTR H/S NSPAAA 58590 31.3400 7.84
7 25 25 0 20 -18 BUTT CNCTR H/S 220005787 58591 33.1100 8.28
Received By Tax Exemption Subtotal 78.52
BRAD HENDERSON 0031201550 -020 G Shipping Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
Contact: <Default> City Tax 0.00
Total 78.52
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.
0007238 -01- 0022845 Invoice: INM82506 CUM: ININ60003
VOUCHER NO. WARRANT NO.
ALLOWED 20
Fastenal
IN SUM OF
P. O. Box 978
Winona, MN 55987 -0978
$110.17
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 ININ2139430 42- 390.32 $11.65 1 hereby certify that the attached invoice(s), or
2201 ININ2140303 42- 390.32 $20.00 bill(s) is (are) true and correct and that the
2201 1 ININ82506 1 42- 390.32 $78.52
materials or services itemized thereon for
which charge is made were ordered and
received except
F
1 /Thursday,.December 02, 2010
Street Commissio r
Title
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))
08/16/10 ININ2139430 $11.65
09/27/10 I NIN2140303 $20.00
11/15/10 IN I N82506 $78.52
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
l
N Remit to INVOICE
FAS7FAL Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
For billing questions 11/08/2010 ININ82398
430 Alpha Drive, Suite 300
Gust. No. ININ80004 WESTFIELD, IN 46074 Due Date Invoice Total
Gust. P.O. Jeff cooper United States 12/08/2010 237.17 USD
Job No. 96th Hazel De Phone 317 -867 -5259
Fax 317- 867 -5394
Sold To
0007203 01 AB 0.360 "AUTO T4 1 1067 46074.8.07203 f
1 1 111 111111111111 111111111111111111111111 11111 1111111111111111 Ship To
CARMEL UTILITIES CARMEL UTILITIES
3450 W 131 ST ST r 3450 W 131 ST ST
CARMEL, IN 46074 WESTFIELD, IN 46074
This Order and Document is subject to the "Terms of Purchase" posted on www.fastenal.com.
Line Quantity Quantity Quantity Control Part Price
No Ordered Shipped Backordered Description No. No. Hu Amount
1 1 1 0 M8x1.25DIN975 Z TRod 110073282 0162073 321.7800 3.22 T
2 10 10 0 3 /4 "x8- 1 /2 "304SSWdge 120087714 50273 1,550.0000 155.00 T
3 10 10 0 S/S TRIUBOLT 5/8 X 6 RAMSET 52066 634.2600 63.43 T
Received By Tax Exemption Subtotal 221.65
ERIC Shipping Handling 0.00
IN State Tax --4-5
Comments County Tax 0.00
Contact: Jeff Cooper City Tax 0.00
Total 2 7
Reasonable collection and attorneys fees will be No materials accepted for return without our permission.
assessed to all accounts placed for collection. All discrepancies must be reported within 10 days.
If you re- package or re -sell this product, you are required to maintain Please pay from this invoice.
integrity of Country of Origin to the consumer of this product.
0007203 -01- 0022945 Invoice: ININ82398 Cust. ININS0004
i
VOUCHER 106649 WARRANT ALLOWED
92000 IN SUM OF
FASTENAL COMPANY
PO BOX 978
WINONA, MN 55987 -0978
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
82398 01- 7202 -06 v$�7
21.6
Voucher Total
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 COMPANY Purchase Order No.
PO BOX 978 Terms
WINONA, MN 55987 -0978 Due Date 11/29/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/29/201( 82398 $237.17
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
J
Date Officer