177647 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1
ONE CIVIC SQUARE FASTENAL
CHECK AMOUNT: $28.76
CARMEL, INDIANA 46032 PO BOX 978
WWONA MN 55987 -0978
CHECK NUMBER: 177647
CHECK DATE: 9129/2009
DEPAR ACCOUN PO NUMBER INVOICE NUMB AMOU DESCRIPTION
2201 4239032 ININ2132490 28.76 POSTS HARDWARE
I
MONTH -END STATEMENT
For 1ii11ing questions Statement Date 08/31/2009
Remit Address
14775 Merriman Btvd Page No. 1 Of 1
Fastenal Company NOBLESVILLE, TIN 46060 Due Date
P.Q. Bor. 978 united states 09/15/2009
Winona, M11 55907
Phone (317)770 -0649
Fax (31.7)770 -4279
Sold To
000708901AT0357 "AUTO T6 2 1052 46074.8.07089 Cult. No.. ININ20009
11111111111111111 1111111111 Statement No.: 6488050
CARMEL STREET DEPT.
3400 W 131ST ST
WES
WESTFIELD, IN 46074 -8267
PLEASE INCLUDE STATEMENT NO(S) ON REMITTANCE ADVICE.
Invoice No. Invoice Dt P.Q. Type Check Subtotal Freight State Tax County Tax City Tax Total
ININ2130698 06/05/2009 Statue CG 230.43 230.43
ININ2130899 07/23/2009 S'ta Lue PA 177313 230.43 230.43
IN fN2132121 08/03/2009 Statue MR -76.81 1 -61
INTN2132490 08/20/2009 Sign Truck CG 28.76 28.75✓
Total 46.05 0.00 0.00 0,00 0.00 -48.05
I►�I�a►3a� s raa ,a
Frio, to receiving or i.ne.luded with this statement, you received by mail the invoices for your aec0unt. On a semi monthly basis you
Will continue to receive your invoices in the mail.. These invoices will be due and payable by the 15th of rh-t month. If you wish C5-
acee55 invoice copies electrozi .ca.11y, phrase go to wvrvi. fasteral.com and Select 'Monthly Statement Detail.' under Quick Links.
Tha is you, �Z
The Pas Lenal Company
Fastenal now has the ability to email or fax invoices. To enroll please call 866 880 -3278.
r AU Adjust Under Payment CR Credit Memo MT Match Customer DRs to CRs
Consolidated Invoice UR Dobit Mein. OA Ou Account
Charge Sales MR Merchandise ReLwrn PA Payment
4001089 -45- 0425423
Remit to INVOICE
Fastenal Company
P.O. Box 978 Page 1 of 1
Winona, MN 55987 -0978
Date Invoice No.
For billing questions 08/20/2009 ININ2132490
14775 Herriman Blvd
Cust. No. ININ20009 NOBLESVILLE, IN 46060 Due Date Invoice Total
Cust. P.O. Sign Truck United States 09/1512009 28.76 USD
Job No. Phone (317)770 -0649
Sold To Fax (317)770 -4279
Ship To
CARMEL STREET DEPT. Picked up at branch
3400 W 131ST ST 14775 Herriman Blvd
WESTFIELD, fN 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
1 100 100 0 5 /16 -18HEV HX Z PBO38444 1136504 6.7680 6.77
2 100 100 0 5/16 USS F/W Z 120043859 1133006 5.1030 5.10
3 50 50 0 5/16 18x2 -3/4 Z5HCS IB058241 110120332 33.7770 16.89
Fastenal now has the ability to email or fax invoices. To enroll please call 866 -880 -3278.
Received By Tax Exemption Subtotal 28.76
7771 G Shipping Handling 0.00
IN State Tax 0.00
Comments County Tax 0.00
City Tax 0.00
Total 28.76
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.
4007086 -o3. 0025425 Invoice: ININ2132490 cust: ININ20009
Remit to INVOICE
FASTENAL Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
For billing questions 09/08/2009 ININ2132154
14775 Herriman Blvd
Cust. No.. ININ20009 NOBLESVILLE, IN 46060 Due Date Invoice Total
Cust. P.O. Statue United States 10/08/2009 102.18 USD
Job No. Phone (317)770 -0649
Sold To Fax (317)770 -4279
0006996 01 AB 0.360 "AUTO H4 0 1054 46074 -8 -06996
Ship To
CARMEL STREET DEPT. Picked up at branch
3400 W 131 ST ST 14775 Herriman Blvd
WESTFIELD, IN 46074 -8267 NOBLESVILLE, IN 46060
T ris OFdeand Document is subject to th`e "Terms of Purchase` posted on WWW.fastenal.com.
Line Quantity Quantity Quantity Control Part Price
No Ordered Shipped Backordered Description No. No. Hundr Amount
1 4 4 0 GRANITE5 CART 220Z RAMSET 0136076 2,266.7200 90.67
2 4 4 0 G5 NOZZLE FOR 220Z RAMSET 0136077 287.6800 11.51
Fastenal now has the ability to email or fax invoices. To enroll please call 866 880 -3278.
Received By Tax Exemption Subtotal 102.18
7771 G Shipping Handling 0.00
IN State Tax 0.00
Comments County Tax 0.00
City Tax 0.00
Total 102.18
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.
0006996.01- 0021705 Invoice: ININ2132154 Cust: ININ20009
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 y
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
08/20/09 I N I N 2132490 $28.76
09/01/09 ($48.05)
09/08/09 I N I N 2132154 $102.18
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Fastenal
IN SUM OF
P. O. Box 978
Winona, MN 55987 -0978
$82.89
ON ACCOUNT OF APPROPRIATION FOR
Carmel .Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
2201 ININ2132490 42- 390.32 $28.76 1 hereby certify that the attached invoice(s), or
2201 42- 390.32 ($48.05)
bill(s) is (are) true and correct and that the
2201 ININ2132154 1 42- 390.32 $102.18
materials or services itemized thereon for
which charge is made were ordered and
received except
i bthursdAy, 4eiber 24, 2009
Street Commiss'der
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Remit to INVOICE
FASTBIML Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
For billing questions 09/03/2009 ININ2132778
14775 Herriman Blvd
CUst. No. ININ20169 NOBLESVILLE, IN 46060 Due Date Invoice Total
Cust. P.O. Larry United States 10/03/2009 25.91 USD
Job No. Phone (317)770 -0649
Sold To Fax (317)770 -4279
0010992 01 AB 0.360 "AUTO Ti 1 1053 46074.8.1
IIIIIIIIII pill I Bill II11111 IIIt11I1I1lIIII lIIIIIIIIIIIIIIIIIII 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 1 1 0 Spline 3/8"x 11 "CAL 1111706 54800 2,591.0500 25.91
Fastenal now has the ability to email or fax invoices. To enroll please call 866 880 -3278.
Received By Tax Exemption Subtotal 25.91
0031201500010 G Shipping Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
City Tax 0.00
Total 25.91
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.
0010992 -01- 0035899 Invoice ININ2132778 Cust: ININ20169
i
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 COMPANY Purchase Order No.
PO BOX 978 Terms
WINONA, MN 55987 -0978 Due Date 9/17/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/17/2009 2132778 $25.91
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
91-ul3 (2--� u-,
Date Officer
VOUCHER 096403 WARRANT ALLOWED
92000 IN SUM OF
FASTENAL COMPANY
PO BOX 978
WINONA, MN 55987 -0978
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
2132778 01- 7202 -06 $25.91
Voucher Total $25.91
Cost distribution ledger classification if
claim paid under vehicle highway fund