199915 08/03/2011 a CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1
ONE CIVIC SQUARE FASTENAL COMPANY
CHECK AMOUNT: $35.36
PO BOX 1286
CARMEL, INDIANA 46032 CHECK NUMBER: 199915
VVINONA MN 55987 -1286
CHECK DATE: 8/3/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239032 ININ2145804 22.97 POSTS HARDWARE
2201 4239032 ININ85091 12.39 POSTS HARDWARE
Remit to INVOICE
Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
Cust. No. ININ8DOD3 For billing questions 07/21/2011 ININ85091
Cust. P.O. TRUCK 57 430 Alpha Drive, Suite 300
WESTFIELD, IN 46074 Due Date Invoice Total
Job No.
Contract No. QPA 11179 United States Phone 317 867 -5259 08/20/2011 12.39 USD
Fax 317- 867 -5394
Sold To
0006926 01 AB 0.366 "AUTO T4 1 1044 46074-6 -06926
111., 1111u1l Dille 11111 11411n1l1111ln1181l11u1l1nr,1f"1 Ship To
CARMEL STREET DEPT. Picked up at branch
3400 W 131ST 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 HCS5/16- 187(2 -1/4 Z5 120099157 110120330 24.7700 12.39 Y
Received By Tax Exemption Subtotal 12.39
0031201550 -020 G Shipping Handling 0.00
IN State Tax 0.00
Comments County Tax 0.00
Contact: Brad Henderson City Tax 0.00
Total 12.39
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.
0006926.01. 0022071 Invoice: ININ85091 cust: ININB0003
Remit to INVOICE
Fastenal Company
1ASTBIML P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
Cust. No. ININ20009 For billing questions 07/11/2011 ININ2145804
Cust. P.O. Jim Hobbs -CALL HIM 14775 Herriman Blvd
Job No. 3177332001 NOBLESVILLE, IN 46060 Due Date Invoice Total
Contract No. OPA 11179 United States 08/10/2011 22.97 USD
Phone (317)770 -0649
Sold To Fax (317)770 -4279
0006889 01 AB 0,366 "AUT0 T2 1 1042 46074 -8 -06889
IIIIII11111 1111, Iu1IIIu1II ,ILIIIIIIIIIINIIIII Neill nn1IIII 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 Ord Shipped Bac Description No. No. Hundred Amount
1 1 1 0 NON- SPARKDRUMWRENC COIN18566 7015956 1,614.6900 16.15 Y
H
Fastanal now has the ability to email or fax invoices. To enroll please call 866 880 -3278.
Received By Tax Exemption Subtotal 16.15
Shipping Handling 6.82
W State Tax 0.00
Comments County Tax 0.00
Contact: Jeff Stewart City Tax 0.00
Total 22.97
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.
0006989 -01. 0021859 Invoice: ININ2145804 Cust: ININ20009
VOUCHER NO. WARRANT NO.
ALLOWED 20
Fastenal
IN SUM OF
P. O. Box 978
Winona, MN 55987 -0978
$35.36
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 ININ2145804 42- 390.32 $22.97 1 hereby certify that the attached invoice(s), or
2201 ININ85091 42- 390.32 $12.39 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
f /Fnday� J ly 29, 2011
Street Commissiclner
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))
07/11/11 ININ2145804 $22.97
07/21111 ININ85091 $12.39
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