HomeMy WebLinkAbout193736 01/19/2011 CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1
ONE CIVIC SQUARE FASTENAL COMPANY
CARMEL, INDIANA 46032 PO BOX 1286 CHECK AMOUNT: $55.48
WINONA MN 55987 -1286
CHECK NUMBER: 193736
CHECK DATE: 1/19/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239032 ININ82896 55.48 POSTS HARDWARE
1
Remit to INVOICE
FAS7EAML Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
Cust. No. ININ80003 For billing questions 12/28/2010 ININ82896
Cust. P.O. 430 Alpha Drive, Suite 300
Job No. WESTFIELD, IN 46074 Due Date Invoice Total
Contract No. United States 01/27/2011 55.48 USD
Phone 317 867 -52.59
Fax 317 -867 -5394
Sold To
00 01 AB 0.360 "AUTO HO 1 1001 46074- 8.03729
111111111 11111111'i111111111111111111111111111111 111111111111111 Ship To
CARMEL STREET DEPT. Picked up at branch
3400 W 131ST 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 10 10 0 5/16 -18 X 4 S/S HCS 120035328 1170069 88.0400 8.80
2 50 50 0 S/S FW 5/16x7/8 o.d. 120082357 1171016 3.0100 1.51
3 100 100 0 5/16 X 1 FEND Z 220002447 1133213 7.0400 7.04
4 50 50 0 HCS5 /16- 18x2 -1/4 Z5 220002609 110120330 22.0500 11.03
5 50 50 0 HCS5 /16 -18 X 3 Z 5 120077140 110120333 30.1200 15.06
6 SO 50 0 HCS5 /16- 18X2112 Z5 120073464 110120331 24.0700 12.04
Received By Tax Exemption 55.48
0031201550 -020 G Shipping Handling 0.00
IN State Tax 0.00
Comments County Tax 0.00
Contact: <Default> City Tax 0.00
Total 55.48
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.
0003729 -01- 0011335 Invoice: ININ82896 Gust: ININ80003
VOUCHER NO. WARRANT NO.
ALLOWED 20
Fastenal
IN SUM OF
P. O. Box 978
Winona, MN 55987 -0978
$55.48
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
2201 ININ82896 42- 390.32 $55.48 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
JI Thursday, January 13, 2011
Street Commissioner
.7EICCt ULAItIe"16" ier
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))
12/28/10 I N I N 82896 $55.48
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and 1 have audited same in accordance
with IC 5- 11- 10 -1.6
2a
Clerk- Treasurer