202102 09/27/2011 CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1
ONE CIVIC SQUARE FASTENAL COMPANY
CHECK AMOUNT: $22.01
CARMEL, INDIANA 46032 PO BOX 1286
WINONAMN 55987 -1286 CHECK NUMBER: 202102
CHECK DATE: 9/27/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239032 ININ85623 22.01 POSTS HARDWARE
Remit to INVOICE
FASTBIML Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
Cust. No. ININ80003 For billing questions 09/08/2011 ININ85623
Cust. P.O. 430 Alpha Drive, Suite 300
Job No. WESTFIELD, IN 46074 Due Date Invoice Total I
Contract No. QPA 11179 United States 10/08/2011 22.01 USD
Phone 317- 867 -5259
Fax 317 867 -5394
Sold To
I
0003614 01 AB 0.368 "AUTO H9 1 1054 46074 8.03614
III III IIII III IIIIIIIlIlnllnl111I1111 111ln1llln1111111llul 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 HEXNUTSLV 3/8 X 3 120080639 50306 44.0200 22.01 Y
Received By Tax Exemption Subtotal 22.01
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 22.01
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.
0003614.01.0011035 Invoice: ININ85623 cust: ININ80003
VOUCHER NO. WARRANT NO.
ALLOWED 20
Fastenal
IN SUM OF
P. O. Box 978
Winona, MN 55987 -0978
$22.01
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
2201 ININ85623 42- 390.32 $22.01 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
T Thursday,,Sept e ber 22, 2011
Street Commissiorier
vu �.vi ii ,oawi X41
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))
09/08/11 I N I N85623 $22.01
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