HomeMy WebLinkAbout200848 08/30/2011 CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1
ONE CIVIC SQUARE FASTENAL COMPANY
CARMEL, INDIANA 46032 PO Box 1286
CHECK AMOUNT: $83.08
WINONA MN 55987 -1286 CHECK NUMBER: 200848
CHECK DATE: 8/3012011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239032 ININ85386 83.08 POSTS HARDWARE
Remit to
Fastenal Company INVOICE
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
Cust. No. ININBOD03 For billing questions 08/18/2011 ININ85386
Cust. P.O. truck 57 430 Alpha Drive, Suite 300
Job No. WESTFIELD, IN 46074 Due Date Invoice Total
Contract No. QPA 11179 United States 09/17/2011 83.08 USD
Phone 317 -867 -5259
Fax 317 -867 -5394
Sold To
0006 170 01 AS 0.368 "AUTO T21105046074 -8 -06770
I II111 IIIII 1111111111 III �IIII�III 11111111111111 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 HCS5 /16- 18x2 -1/4 Z5 240038675 110120330 24.7700 12.39 Y
2 50 50 0 HC55 /16 -18X2 112 Z5 120073464 110120331 27.0400 13.52 Y
3 i0 10 0 QUiK LINK 3/16 120108404 45212 184.0300 18.40 Y
4 100 100 0 5/16 X 1 FEND Z 220002447 1133213 8.0400 8.04 Y
5 100 100 0 5/16 -18 FHNz5 120085194 1136304 4.8500 4.85 Y
6 1 1 0 13" DBLXStrghtPliers 220006756 0258012 2.587.9700 25.88 Y
Received By Tax Exemption Subtotal 83.08
BRAD 0031201550 -020 G Shipping Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
Contact: Brad Henderson City Tax 0.00
Total•. 83.08
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.
0006770 -01- 0021155 Invoice: IMN85386 Cu5t. ININ80003
VOUCHER NO. WARRANT NO.
ALLOWED 20
Fastenal
IN SUM OF
P. O. Box 978
Winona, MN 55987 -0978
$83.08
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 IN1N85386 42- 390.32 $83.08 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
Thursd y�August 25, 2011
Street Commissioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by Slate 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))
08/18/11 ININ85386 $83.08
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