198079 06/06/2011 CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1
F �G ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $156.63
CARMEL, INDIANA 46032 PO BOX 1286
WINONAMN 55987 -1286 CHECK NUMBER: 198079
CHECK DATE: 616/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 2144469 156.63 OTHER EXPENSES
Remit to INVOICE
FASTEAML Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
Cust. No. ININ20169 For billing questions 05/06/2011 ININ2144469
Cus P.O. Dan 14775 Herriman Blvd
Job No. NOBLESVILLE, IN 46060 Due Date Invoice Total
Contract No. QPA 11179 United States Phone (317)770 -0649 06/05/2011 156.63 USD
Sold To Fax (317)770 -4279
0006264 01 AB 0.368 "AUTO TO 1 1028 46032.2.06264
111n11l1111111111111IIIILIIII11 11111111111111111111111111111 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.fastanal.com.
Line Quantity Quantity Quantity Control Part Price
No Ordered Shipped Backordered Description No. No. Hundred Amount
1 50 50 0 5/16 VW 316 S/S IPO47263 1178065 12.9900 6.50 Y
2 100 100 0 S/S FW 5/16x7/8 o.d. P107101 1171016 3.0100 3.01 Y
3 100 100 0 5/16 -18 S/S HevHxNut PB047312 1170761 21.5400 21.54 Y
4 100 100 0 S/S FW 3/8x7/8 o.d. 120087504 1171017 5.1300 5.13 Y
5 100 100 0 3/8 -16S /S FHN IP107222 1170712 14.7200 14.72 Y
6 50 50 0 1/4 VW 316 S/S 220002524 1178063 5.9100 2.96 Y
7 25 25 0 7/16 -14 S/S FHN 120089468 1170713 34.1500 8.54 Y
8 25 25 0 1/2 -13 S/S FHN 120084850 1170714 31.4000 7.85 Y
9 10 10 0 1/2 -13 X 2 HCS S/S 120085951 1170211 57.0400 5.70 Y
10 25 25 0 3/8 -16X1 HCS 316 S/S PB077043 1177105 63.8600 15.97 Y
11 20 20 0 1/2 -13X1 1 /2S /S HCS 120097290 1170209 79.3600 15.87 Y
12 50 50 0 1/4 -20X1 HCS 316 S/S PB067028 1177005 29.1600 14.58 Y
13 25 25 0 3/8- 16X1.75HCS316S/S PB057031 1177110 85.5600 21.39 Y
14 100 100 0 1/4 -20 FHN 316 S/S 120074988 1177710 12.8700 12.87 Y
Fastenal now has the ability to email or fax invoices. To enroll please call 866 -880 -3278.
Received By Tax Exemption Subtotal 156.63
0031201500010 G Shipping Handling 0.00
IN State Tax 0.00
Comments County Tax 0.00
Contact: Daniel City Tax 0.00
Total 156.63
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.
0006264 -01- 0018311 Invoice: ININ2144469 Cust iNIN20169
I
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 5/31/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/31/2011 2144469 $156.63
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
VOUCHER 111306 WARRANT ALLOWED
92000 IN SUM OF
FASTENAL
P.O. BOX 1286 7 10
WINONA, MN 55987 -1286
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
oD`
2144469 $156.63
Voucher Total $156.63
Cost distribution ledger classification if
claim paid under vehicle highway fund