HomeMy WebLinkAbout176735 09/02/2009 CITY OF CARMEN, INDIANA VENDOR: 092000 Page 1. of 1
ONE CIVIC SQUARE FASTENAL COMPANY
CARMEL, INDIANA 46032 PO Box 1286 CHECK AMOUNT: $86.79
WINONA MN 55987 -1288
CHECK NUMBER: 776735
CHECK DATE: 912/2004
PARTMENT ACC OUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION W
2200 4350900 ININ2131966 86.79 OTHER CONT SERVICES
Remit to INVOICE
Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
For billing questions 07/28/2009 ININ2131966
14775 Herriman Blvd
Cust. No. ININ20169 NOBLESVILLE, IN 46060 Due Date Invoice Total
Cust. P.O. Rob Lovell United States 08/27/2009 86.79 USD
Job No. Phone (317)770 -0649
Sold To Fax (317)770 -4279
0012520 01 AB 0.360 "AU70 T5 1 1046 46074 -8 -12520
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CARMEL UTILITIES CARMEL UTILITIES
3450 W 131 ST ST 3450 W. 131 ST STREET
WESTFIELD, IN 46074 -8267 WESTFIELD, IN 46074
This Order and Document is subject to the "Terms of Purchase" posted on www.fastanal.com.
Line Quantity Quantity Quantity Control Part Price
No Ordered Shipped Backordered Description No. No. Hundred Amount
1 2 2 0 SDS+ 5/16" x 6" OAL BOSCHH 54272 814.5000 16.29
2 150 150 0 3/8X1 3/4 LDT RAMSET 0136072 43.8000 65.70
Fastenal now has the ability to email or fax invoices. To enroll please call 866 880 -3278.
Received By Tax Exemption Subtotal 81.99
0031201500010 G Shipping Handling 4.80
Comments IN State Tax 0.00
County Tax 0.00
City Tax 0.00
Total 86.79
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.
0012520 -01- 0041323 Invoice- JNIN2131966 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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Fastenaf
Purchase Order No.
P.O. Box 1286
Terms
Winona, MN 55987 -1286
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
07/28/09 fNJN2131966 Keystone Field Office $86.79
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Fastenal IN SUM OF
P.O. Box 1286
Winona, MN 55987 -1286
$86.79
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
Pon or INVOICE NO. ACCT /TJTLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
bills) is (are) true and correct and that the
na 4:3509
materials or services itemized thereon for
which charge is made were ordered and
received except
=,�31 20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund