163726 09/17/2008 \�f CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1
ONE CIVIC SQUARE FASTENAL COMPANY
CARMEL, INDIANA 46032 PO BOX 978 CHECK AMOUNT: $205.52
WINONA MN 55987 -0978 CHECK NUMBER: 163726
CHECK DATE: 9/17/2008
DEPARTMENT ACCOUNT PO NUMBER INV NUMBE AMOUNT DESCRIPTION
601 5023990 2125064 205.52 OTHER EXPENSES
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Remit to INVOICE
FASTBIML Fastenal Company
P.O. Box 978 Page 1 of 1
Winona, MN 55987 -0978
Date Invoice No.
For billing questions 08/25/2008 ININ2125064
14775 Herriman Blvd
Cust. No. ININ20169 NOBLESVILLE, IN 46060 Due Date Invoice Total
Cust. P.O. Rob United States 09/15/2008 205.52 USD
Job No. Phone (317)770 -0649
Sold To Fax (317)770 -4279
Ship To
CARMEL UTILITIES Picked up at branch
3450 W 131 ST ST 14775 Herriman Blvd
WESTFIELD, IN 46074 -8267 NOBLESVILLE, IN 46060
This Order and Document is subject to the "Terms of Purchase" posted on www.fastonal.com.
Line Quantity Quantity Quantity Control Part Price
No Ordered Shipped Backordered Description No. No. Hundred Amount
1 400 400 0 8 X 3DRWL CORS PB068871 1132177 5.3550 21.42
2 1 1 0 SPLINE 4CUT 3/4 X 16 1092707 54442 4,871.3500 48.71
3 1 1 0 7/8 x 16 Spline 4Cut BOSCHH 54445 5,606.6000 56.07
4 1 1 0 SPLINE SH 1/2X16 OAL IQ071252 54804 3,300.5500 33.01
5 1 1 0 SPLINE 4CUT 5/8 X 16 BOSCHH 54438 4,630.8000 46.31
Received By Tax Exemption Subtotal 205.52
0031 201 50001 0 G Shipping Handling 0.00
IN State Tax 0.00
Comments County Tax 0.00
City Tax 0.00
Total 205.52
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 consumer of this product.
0012447 -03- 0046063 Invoice: ININ2125064 Cust: ININ20169
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VOUCHER 083892 WARRANT ALLOWED
9.2000 IN SUM OF
FASTENAL
P.O. BOX 978
WINONA, MN 55987- 09794ZRpsNN®
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
2125064 01- 6200 -02 $205:52
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1
Voucher Total $205.52
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 978 Terms
WINONA, MN 55987 -0978 Due Date 9/10/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/10/2008 2125064 $205.52
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