HomeMy WebLinkAbout197625 05/26/2011 CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1
ti ONE CIVIC SQUARE FASTENAL COMPANY
CHECK AMOUNT: $43.39
PO BOX 1286
1, CARMEL, INDIANA 46032 VVINONA MN 55987 -1286 CHECK NUMBER: 197625
CHECK DATE: 5/26/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239032 84299 43.39 POSTS HARDWARE
Remit to INVOICE
VASYEJM Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
Cust. No. ININ80003 For billing questions 05/04/2011 ININ84299
Cust. P.O. truck 57 430 Alpha Drive, Suite 300
Job No. WESTFIELD, IN 46074 Due Date Invoice Total
Contract No. OPA 11179 United States Phone 317- 867 -5259 06/03/2011 43.39 USD
Fax 317.867 -5394
Sold To
0006319 01 AB 0.166 "AUTO TO 1 1028 46074 8.06919
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
1 100 100 0 5/16 -18 FHN Z 120080482 1136104 4.2800 4.28 Y
2 10 10 0 5/16 18X3.5 S/S HCS P6067050 1170067 78.1200 7.81 Y
3 10 10 0 5/16 -18 X 4 S/S HCS 220001776 1170069 93.6200 9.36 Y
4 50 50 0 S/S FW 5/16x7/8 o.d. 120082357 1171016 3.0100 1.51 Y
5 50 50 0 HCS5 /16- 18x2 -1/4 Z5 190024117 110120330 24.7700 12.39 Y
6 100 100 0 5/16 X 1 FEND Z PBO38014 1133213 8.0400 8.04 Y
Received By Tax Exemption Subtotal 43.39
0031201550 -020 C Shipping Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
Contact: Brad Henderson City Tax 0.00
Total 43.39
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.
0006319.01. 0019479 Invoice: ININ84299 Cust: iNIN80003
VOUCHER NO. WAR NO.
Fastenal ALLOWED 20
IN SUM OF
P. O. Bo* -97
Winona, MN 55987 9-7�8
$43.39
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
2201 inin84299 42- 390.32 $43.39 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
Th rsd ay 19, 2011
treet Co mis to �r
Street lid /f ft ssloner,
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))
05/04/11 inin84299 $43.39
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