192806 12/15/2010 CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1
ONE CIVIC SQUARE FASTENAL COMPANY
CARMEL, INDIANA 46032 PO sox 1286 CHECK AMOUNT: $66.05
*L WINONAMN 55987 -1286 CHECK NUMBER: 192806
„op
CHECK DATE: 12/1512010
DEPARTMENT ACC PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 2141303 57.93 MATERIALS SUPPLIES
2201 4239032 ININ82648 10.12 POSTS HARDWARE
i
AGEM Remit to INVOICE
Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
Cust. No. ININ80003 For billing questions 11/29/2010 ININ82648
Cust. P.O. truck 57 430 Alpha Drive, Suite 300
Job No. WESTFIELD, IN 46074 Due Date Invoice Total
Contract No. United States 11/29/2010 10.12 USD
Phone 317 867 -5259
Sold To Fax 317 -867 -5394
0001813 01 A8 0.360 "AUTO HO 1 1077 46074 8.01813
I1l 1J111111l1111l111111 1dIldL1J1l111111111 11111111111111111 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.fastenal.com.
Line Quantity Quantity Quantity Control Part Price
No Ordered Shipped Backordered Description No. No. Hundred Amount
1 24 24 0 TEB 1/4 X 1 112 220004993 42209 42.1800 10.12
Received By Tax Exemption Subtotal 10.12
BRAD 0031201550-020 G Shipping Handling 0.00
IN State Tax 0.00
Comments County Tax 0.00
Contact: <Default> City Tax 0.00
Total 10.12
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.
0001813.01.0005237 Invoice: ININ82648 Cust: ININ80003
VOUCHER NO. WAR NO.
ALLOWED 20
Fastenal
IN SUM OF
P. O. Box 978
Winona, MN 55987 -0978
$10.12
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT# /TITLE AMOUNT
p Board Member:
2201 ININ82648 42- 390.32 $10.12 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
n Friday! Dece be 10, 2010
r f
Street Commissio>ler
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))
11/29110 ININ82648 $10.12
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
Remit to INVOICE
PXLS7FJM Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
For billing questions 11/15/2010 ININ2141303
14775 Herriman Blvd
Cust. No. ININ20169 NOBLESVILLE, IN 46060 Due Date Invoice Total
Gust. P.O. Plant 5- Ciearwell I United States 12/15/2010 57 -93 USD
Job No. Phone (317)770 -0649
Sold To Fax (317)770 -4279
000 184 01 AB 0.360 "AUTO T5 1 1069 46032 -2 -07184
1 1111111111111 11111111fJ11LI111111 111111111111111111111111 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.fastenal.com.
Line Quantity Quantity Quantity Control Part Price
No Ordered Ship Bac kordered Desc ription No. No. Hun dre d Amount
1 10 10 0 S/S HCS 3/4 -10X3 1/2 BB032886 70367 407.3400 40.73
2 2 2 0 S/S HCS 3/4 -10X3 1/2 120083399 70367 407.3400 8.15
3 10 10 0 3/4 -10 S/S FHN 120084850 1170717 90.5200 9.05
Fastenal now has the ability to email or fax invoices. To enroll please call 866- 880 -3278.
Received By Tax Exemption Subtotal 57.93
0031201500010 G Shipping Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
Contact: Unknown City Tax 0.00
Total 57.93
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.
0007184 -01. 0022687 Invoice: ININ2141303 Cust INW20169
VOUCHER 103522 WARRANT ALLOWED
92000 IN SUM OF
FASTENAL
P.O. BOX 1286 WAS
0PERAn0NS 1
WINONA, MN 55987 -1286
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
i
PO INV ACCT AMOUNT Audit Trail Code
2141303 01- 6200 -04 $57.93
Voucher Total $57.93
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 12/6/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/6/2010 2141303 $57.93
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