198498 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1
ONE CIVIC SQUARE FASTENAL COMPANY
CARMEL, INDIANA 46032 PO BOX 1286 CHECK AMOUNT: $281.70
WINONA MN 55987 -1286 CHECK NUMBER: 198498
CHECK DATE: 6/22/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 2144759 32.21 MATERIALS SUPPLIES
2201 4239032 ININ2144912 11.31 POSTS HARDWARE
2201 4239032 ININ2145141 113.83 POSTS HARDWARE
2201 4239032 ININ84518 20.62 POSTS HARDWARE
2201 4239032 ININ84655 103.73 POSTS HARDWARE
Remit to INVOICE
Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
Cust. No. ININ20009 For billing questions 05/26/2011 ININ2144912
Cust. P.O. Gary 14775 Herriman Blvd
Job No. NOBLESVILLE, IN 46060 Due Date Invoice Total
Contract No. QPA 11179 United States 06/25/2011 11.31 USD
Phone (317)770 -0649
Sold To Fax (317)770 -4279
0006929 01 AS 0.368 "AUTO H4 0 1032 46074 -8 -06929
Ship To
CARMEL STREET DEPT. Picked up at branch
3400 W 131 ST ST 14775 Herriman Blvd
CARMEL, IN 46074 -8267 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 Shipped Backordered Description No. No. Hundred Amount
1 11 11 0 TEB 5/16 X 4 IB041927 42227 96.1000 10.57 T Y
Fastenal now has the ability to email or fax invoices. To enroll please call 866- 880 -3278.
Received By Tax Exemption Subtotal 10.57
Shipping Handling 0.00
IN State Tax 0.74
Comments County Tax 0.00
Contact: Unknown City Tax 0.00
Total 11.31
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.
0006929 -01- 0021535 Invoice: ININ2144912 oust: ININ20009
i
Remit to INVOICE
FASIBIML Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
Cust. No. ININ80003 For billing questions 05/26/2011 ININ84518
Cust. P.O. shop 430 Alpha Drive, Suite 300
Job No. WESTFIELD, IN 46074 Due Date Invoice Total
Contract No. QPA 11179 United States 06/25/2011 20.62 USD
Phone 317 867 -5259
Sold To
Fax 317 867 -5394
0006930 01 AB 0.368 "AUTO H4 0 1032 46074.8 -06930
Ship To
CARMEL STREET DEPT. Picked up at branch
3400 W 131 ST ST F 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 17 17 0 TEB 5/16 X 4 220002264 42227 96.1000 16.34 Y
2 100 100 0 5/16 -18 FHN Z 120071391 1136104 4.2800 4.28 Y
Received By Tax Exemption Subtotal 20.62
JEFF STEWART 0031201550 -020 G Shipping Handling 0.00
IN State Tax 0.00
Comments County Tax 0.00
Contact: <Default> City Tax 0.00
Total 20.62
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.
0006930 01.0021531 Invoice: ININ84518 oust: ININ80003
II
RIMN Remit to INVOICE
PASYE" Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
Cust. No. ININ20009 For billing questions 06/08/2011 ININ2145141
Cust. P.O. Street Plate 14775 Herriman Blvd
Job No. NOBLESVILLE, IN 46060 Due Date Invoice Total
Contract No. QPA 11179 United States 07/08/2011 113.83 USD
Phone (317)770 -0649
Sold To Fax (317)770 -4279
000648501 AB 0.368 "AUTO T1 1 1035 46074.8 -06485
Ship To
CARMEL STREET DEPT. CARMEL STREET DEPT.
3400 W 131 ST ST r 3400 WEST 131 ST STREET
CARMEL, IN 46074 -8267 CARMEL, 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 3 3 0 Fastlock Plate /Sciss COIN18525 10128 -04912 2,974.5000 89.24
Fastenal now has the ability to email or fax invoices. To enroll please call 866- 880 -3278.
Received By Tax Exemption Subtotal 89.24
UPS NDA FROM AMERICAN DRILL Shipping Handling 24.59
IN State Tax 0.00
Comments County Tax 0.00
Contact: Jeff Stewart City Tax 0.00
Total 113.83
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.
0006485 -01- 0020509 Invoice: ININ2145141 Cust: ININ20009
Remit to INVOICE
FASIFJVAL Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
Cust. No. ININ80003 For billing questions 06/10/2011 ININ84655
Cust. P.O. SHOP 430 Alpha Drive, Suite 300
Job No. WC WESTFIELD, IN 46074 Due Date Invoice Total
Contract No. QPA 11179 United States 07/10/2011 103.73 USD
Phone 317 867 -5259
Fax 317 867 -5394
Sold To
000648601 AS 0.368 "AUTO T1 1 1035 46074.8.06486
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 50 50 0 M10X100 6921- 10.9FBZ 120085449 11115691 177.3200 88.66 Y
2 1 1 0 10106F Ylw PaintMrkr 220007561 0205479 246.4000 2.46 Y
3 1 1 0 242 THRDLCKR 10 ml PERMTX 62400 1,261.2600 12.61 Y
Received By Tax Exemption Subtotal 103.73
0031201550 -020 G Shipping Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
Contact: Gary Jones City Tax 0.00
Total 103.73
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.
0006486 -01- 0020511 Invoice: ININ84655 Cust: ININ80003
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))
05/26/11 I N I N2144912 $11.31
05/26/11 I N I N84518 $20.62
06/08/11 ININ2145141 $113.83
06/10/11 I N I N84655 $103.73
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
VOUCHER NO. WA NO.
ALLOWED 20
Fastenal
IN SUM OF
P. O. Box 978
Winona, MN 55987 -0978
$249.49
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
2201 ININ2144912 42- 390.32 $11.31 1 hereby certify that the attached invoice(s), or
2201 ININ84518 42- 390.32 $20.62
bill(s) is (are) true and correct and that the
2201 ININ2145141 42- 390.32 $113.83
materials or services itemized thereon for
2201 ININ84655 42 390.32 $103.73
which charge is made were ordered and
received except
l l Thbr� day, J� ne 16, 2011
Street Commission r
LI G L Vvi i IJJivi v.
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Sam PA67BIML Remit to INVOICE
Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
Cust. No. ININ20169 For billing questions 05/19/2011 ININ2144759
Cust. P.O. tj592511 14775 Herriman Blvd
Job No. NOBLESVILLE, IN 46060 Due Date Invoice Total
Contract No. QPA 11179 United States Phone (317)770 -0649 06/18/2011 32.21 USD
Sold To Fax (317)770 -4279
0006447 01 AS 0.368 "AUTO TO 1 1031 46032.2.06447
Ship To
CARMEL UTILITIES Picked up at branch
1 CIVIC SID 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 Shipped Backordered Description No. No. Hundred Amount
1 4 4 0 S/S HCS 5/8 -11 X 2 120076275 70311 189.1000 7.56 Y
2 4 4 0 S/S HCS 5/8 -11X2 1/2 120032883 70313 228.1600 9.13 Y
3 10 10 0 5/8 -11 S/S HevHxNut 220002288 1170766 128.3400 12.83 Y
4 10 10 0 S/S FW 5/8x1 -1/2 od 120090675 1171025 26.9200 2.69 Y
Fastenal now has the ability to email or fax invoices. To enroll please call 866 880 -3278.
Received By Tax Exemption Subtotal 32.21
0031 201 50001 0 G Shipping Handling 0.00
IN State Tax 0.00
Comments County Tax 0.00
Contact: Unknown City Tax 0.00
Total 32.21
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:
0006447 -01. 0020089 Invoice: ININ2144759 Cust: ININ20169
VOUCHER 111482 WARRANT ALLOWED
92000 IN SUM OF
FASTENAL WA7t-W
P.O. BOX 1286 77QVS
WINONA, MN 55987 -1286
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
2144759 01- 6200 -04 $32.21
Voucher Total $32.21
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 6/13/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/13/2011 2144759 $32.21
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
6� /7�!
Date Officer