178684 10/23/2009 a CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1
ONE CIVIC SQUARE FASTENAL COMPANY
?o CARMEL, INDIANA 46032 PO Box 1266 CHECK AMOUNT: $60.99
WINONA MN 55987 -1286 CHECK NUMBER: 178684
CHECK DATE: 10/2812009
DEPARTMENT ACCOU PO NUMBE INVO NUMBER AMOUNT DESCRIPTION
601 5023990 2133435 32.03 MATERIALS SUPPLIES
601 5023990 2133435 -9.39 OTHER EXPENSES
601 5023990 2133439 38.35 OTHER EXPENSES
Remit to INVOICE
J107EAML Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
For billing questions 10/05/2009 ININ2133435
14775 Herriman Blvd
Cust. No. ININ20169 NOBLESVILLE, IN 46060 Due Date Invoice Total
Cust. P.O. Jimbo United States 11/04/2009 32.03 USD
Job No. Phone (317)770 -0649
Sold To Fax (317)770 -4279
0022615 01 MB 0.382 "AUTO T1 0 1060 46074 -8 -22615
I IIII 1111111114111111111111111111111111111 1111111111111111111111 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 Cuantity Quantity quantity Control Part Price
No Ordered Shipped Backo Descr iption No. No. H undred Amount
1 1 1 0 BKS 2" Hole Saw 220003480 0207187 993.3000 9.93
2 1 1 0 HOLE SAW 2 [32L1 LENOXX 57055 1,270.5000 12.71
3 1 1 0 BKS Arbor 3/8 HexShk 220003480 0207217 939.4000 9 -39
"x Fastenal now has the ability to email or fax invoices. To enroll please call 866 -880 -3278.
Received By Tax Exemption Subtotal 3203
0031201500010 O Shipping Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
City Tax 0.00
Total 32.03
Reasonable collection and attorneys fees will be No materials accepted for return without our permission.
assessed to alf 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.
0022615 -01- 0073823 Invoice: ININ2133435 Cust ININ20169
1 Irr oice
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Date reference Page
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34`0 +4 131 "s S 3450 131st tit��et
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17 733 2 8 5 5s 3 1 7-7 3: 2053!
Tbis Order and Document are subject to ttte terifis of '[11reliase BoStEv'. an Tw'u,fv= Canal, =o(fl
Line Quantity Quantity Quantity Control Price
No. Ordered Shipped Backorder Description No Part No. M e ,a Amount s
-KL' Arbor f'L 1. :J` ff:: L.7 1")I.'% 11 r1439 4 0
13t� ki:. �a ,1„ .il iJ E'i!�h J.I I'.. '.IUJ �J; �1 1C
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Received By Tax Exemption Subtotal -9 3
k,Vt r li if. ET1L 0 s Oil
Shipping &Handling
T1 State Tax 0.00
Comments r
County Tax 0
City Tax 0.00
TOTAL
i
f o-_ e- Pd_k.fi e ri} fw Sg S prod t GU e ec
t; 1i E11A ill Iqr_ V 01 i ou r OS U 1't 0 t"'a Can ui,1C
Reasonable collection and attorneys fees will be
assessed to all accounts placed for collection. 'hank Yoaul
A indi= =ate5 part was Sol at Q p orfzotional OT special disc prie.a
MGR "E I1103 No materials accepted for return without our permission.
All discrepancies must be reported within 10 days.
Printed in USA
Remit to INVOICE
)JL91EANL Fastenal Company
P.O. Box 1286 Page 1 of i
Winona, MN 55987 -1286
Date Invoice No.
For billing questions 10106/2009 ININ2133439
14775 Herriman Blvd
Cust. No. ININ20169 NOBLESVILLE, IN 46060 Due Date Invoice Total
Cust. P.O. Jimbo United States 11/05/2009 38.35 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.fastenal.com.
Line Quantity Quantity Quantity Control Part Price
No Ordered Shipped Backordered Description No. No, Hundred Am ount
1 1 1 0 SELF EJECTING ARBOR LENOXX 0203793 3,834.6000 38.35
Fastenal now has the ability to email or fax invoices. To enroll please call 866- 880 -3278.
Received By Tax Exemption Subtotal 38.35
0031201500010 G Shipping Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
City Tax D.00
Total 38.35
Reasonable collection and attorneys fees will be No materials accepted for return without our permission.
assessed to alf 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.
0022515 -03- 0073825 Invoice: ININ2133439 Cust: ININ20169
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, qq
price per unit, etc. l�
Payee
92000
FASTENAL Purchase Order No.
P.O. BOX 978 Terms
WINONA, MN 55987 -0978 Due Date 10/20/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/20/2005 2133435 $22.64
I hereby certify that the attached invoice(s), or bill(s) is (are) true and �1
correct and I have aud same in accordance with IC 5- 11- 10 -1.6
io /i3 /`i
Date Officer
V7UCHER 093352 WARRANT ALLOWED
92000 IN SUM OF
FASTENAL
P.O. BOX 978
WINONA, MN 55987 -0978 11*R�,�
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
3�•q3
2133435 01- 6200 -04
U j 33ct 7 5 q, 3q.
133q -S9 0l �Z C -1 3g 3S
Voucher Total �1 �6
Cost distribution ledger classification if
claim paid under vehicle highway fund