HomeMy WebLinkAbout195414 03/16/2011 f CITY OF CARMEL, INDIANA VENDOR: 092000 Page 7 of 1
ONE CIVIC SQUARE FASTENAL COMPANY
CARMEL, INDIANA 46032 PO BOX 1286
CHECK AMOUNT: $759.39
VANONA MN 55987 -1286 CHECK NUMBER: 195414
CHECK DATE: 3/1612011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4238900 ININ83469 734.36 OTHER MAINT SUPPLIES
1120 4237000 ININ83552 25.03 REPAIR PARTS
Remit to INVOICE
F ASM M Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
Gust. No. ININ80083 For billing questions 02/21/2011 ININ83469
28160 430 Alpha Drive, Suite 300
Gust WESTFIELD, IN 46074 Due Date Invoice Total
Job P.O. P.
Contract No. United States Phone 317- 867 -5259 03/23/2011 734.36 USD
Fax 317 867 -5394
Sold To
0006444 01 A6 0.360 "AUTO T1 1 1013 46032 -3 -06444
1 1 1111111n11r��r�I11 111111, ILrlr11111L1111 111111111111 Ili 11 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.
ice
Line Quantity Quantity Quantity Control Part Price
No Orde red Shippe B De scription No. No. Hundre A mount
1 108 108 0 16X25x2StdCapPItFItr 110081643 0400036 288.7400 311.84
2 48 48 0 20X25x23tdCapP1tFItr 120098359 0400038 249.0000 119.52
3 12 12 0 24X24x2StdCapPItFI1r 120100814 0400039 276.0000 33.12
4 12 12 0 20X20x23tdCapPItFltr 1020711 0400037 216,0000 25.92
5 12 12 0 16X20x2StdCapPItFItr 120100814 0400035 322.0000 38.64
6 12 12 0 18 "X33 "X1" PLEATED WEIN0482 12728 -00095 312.0000 37.44
7 24 24 0 1 "X21.5'X 18.25" PILE WEIN0482 12728 -00096 312.0000 74.88
8 24 24 0 12X24X2StdCapPItFltr WEINK0001 0452035 200.0000 48.00
Purchase
Description AIA Fl LTEgS
P.O.# Po(E ZO
G.L. 1oc) 5 239 MAR 0
Budget c �•�PIiB'ttYla `j I3 CLI 6
Line Des r 'fit.
Purchaser Date
Approval Date
Received By Tax Exemption Subtotal 689.36
JEFF 0119683083 001 G Shipping Handling 45.00
Comments IN State Tax 0.00
County Tax 0.00
Contact: SERRA GRANSKE City Tax 0.00
Total 734.36
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.
0006444 0020055 Invoice: ININ83469 Cust: ININ80083
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.o®
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
2/21/11 ININ83469 Air filters 28160 734.36u
Total 734.36
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
734.36
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or Board Members
Dept ept INVOICE NO. ACCT #/TITLE AMOUNT
1093 ININ83469 4238900 734.36 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
10 -Mar 2011
Signature
734.36 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Remit to
INVOICE
FASTBIML Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
Cust. No. ININ80017 For billing questions 02/23/2011 ININ83552
Cust. P.O. 430 Alpha Drive, Suite 300
Job No. 664 0958 -WC WESTFIELD, IN 46074 Due Date Invoice Total
Contract No. United States 03/25/2011 25.03 USD
Phone 317- 867 -5259
Sold To
Fax 317 867 -5394
0006445 01 AB 0.360 "AUTO Ti 1 1013 46032 -2 -06445
Ship To
CARMEL FIRE DEPARTMENT Picked up at branch
2 CIVIC SQ 430 Alpha Drive, Suite 300
CARMEL, IN 46032 -7543 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 Ordere Shi ppe d B Descri ption No. No. Hundred Amount
1 1 1 0 380131ackMax. 1oz Btl 100020792 62371 2,5012700 25.03
rNState al 25.03
Received By Tax Exemption g Handling 0.00
BOB Tax 0.00
Tax 0.00
Comments x 0.00
Contact: Bob VanVoorst 25.03
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. I n voice: ININ83552 cust: ININ80017
0006445-01- 0020057
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a
13 'ER1ffiAi �f ��rri�� ����'aeen
1 I�f11L Yy T��l J F��
VOUCHER NO. WARRANT NO.
ALLOWED 20
Fastenal
IN SUM OF
P.O. Box 1286
Winona, MN 55987
$25.03
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #ITITLE I AMOUNT Board Members
1 120 I ININ113552 I 42- 370.00 I $25.03 1 hereby certify that the attached invcice(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
I.A R 14 91119
T
1
Fire Chief
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))
I N I N83552 $25.03
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