176227 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1
e ONE CIVIC SQUARE FASTENAL COMPANY
CARMEL, INDIANA 46032 PO Box 12B6
CHECK AMOUNT: $246.49
VVINONAMN 55987.1286 CHECK NUMBER: 176227
CHECK DATE: 8!19!2009
DEPARTMEN ACCOUNT PO NUMBER INVOIC NUMBER AM OUNT D
601 5023990 ININ2132048 246.49 OTHER EXPENSES
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Remit to INVOICE
Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
For billing questions 07/30/2009 ININ2132048
14775 Herriman Blvd
Cust. No. ININ20169 NOBLESVILLE, IN 46060 Due Date Invoice Total
Gust. P.O. Jack United States 08/29/2009 246.49 USD
Job No. CALL 716 -3933 Phone (317)770 -0649
Sold To Fax (317)770 -4279
Ship To
CARMEL UTILITIES Picked up at branch
3450 W 131ST 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 75 75 0 5/8 -11 Bras FHN 220002598 75120 153.0000 114.75
2 50 50 0 S/S HCS 5/8 -11X2 1/2 190018285 70313 253.3000 126.65
Fastenal now has the ability to email or fax invoices. To enroll please call 866 -880 -3278.
Received By Tax Exemption Subtotal 241.40
0031201500010 G Shipping Handling 5.09
Comments IN State Tax 0.00
County Tax 0.00
City Tax 0.00
Total 246.49
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.
0012520.03- 0041325 Invoice. ININ2132048 Oust: ININ20169
i
I Prescribed by State Board of Accounts City Form No. 241 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where T
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
92000
FASTENAL Purchase Order No.
P.O. BOX 978 Terms
WINONA, MN 55987 -0978 Due Date 8/10/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/10/2009 I NI N2132048 $246.49
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
L 191
Date Officer
VOUCHER 092591 VARRANT ALLOWED
92000 1N SUM OF
,I
FSTENAL��
t llN BOX 9 78 ONA, MN 55987 -0978 RAl�}�
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
ININ2132048 01- 6200 -06 $246.49
Voucher Total $246.49
I
Ce' st distribution ledger classification if
claim paid under vehicle highway fund