174313 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1
6 ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $309.78
CARMEL, INDIANA 46032 PO BOX 1286
WINONA MN 55987 -1266 CHECK NUMBER: 174313
CHECK DATE: 7/8/2009
DEPARTMENT AC COUNT PO NU MBER I NUMBER AM OUNT D
2201 4239032 ININ2130822 79.35 POSTS HARDWARE
2201 4239032 ININ2130898 230.43 POSTS HARDWARE
Remit to INVOICE
FAsYBVAL Fastenal Company
P.O. Box 978 Page 1 of 1
Winona, MN 55987 -0978
Date Invoice No.
For billing questions 06/05/2009 ININ2130898
14775 Herriman Blvd
Cust. No. ININ20009 NOBLESVILLE, IN 46060 Due Date Invoice Total
Cust. P.O. Statue United States 07/15/2009 230.43 USD
Job No. Phone (317)770 -0649
Sold To Fax (317)770 -4279
Ship To
CARMEL STREET DEPT. Picked up at branch
3400 W 131 ST ST 14775 Herriman Blvd
WESTF €ELD, IN 46074 -8267 NOBLESVILLE, IN 46060
This Order and Document-is subject to the "Terms of Purchase" frosted on www.fastenbi..com.
Line Quantity Quantity Quantity Control Part Price
No Ordered Shipped Backordered Description No No. Hundred Amount
1 6 6 0 CERAMIC 6 CARTRIDGE RAMSET 51903 3,299.0000 197.94
2 6 6 0 EPCON NOZZLE 1/2" OD 120023923 51904 541.4500 32.49
Received By Tax Exemption Subtotal 230.43
7771 G Shipping Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
City Tax 0.00
Total 230.43
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.
0017244 -03- 005402; Invoice: ININ2130898 Cust: ININ20009
i
Remit to INVOICE
PILS7 EAML Fastenal Company
P.O. Box 978 Page 1 of 1
Winona, MN 55987 -0978
Date Invoice No.
For billing questions 06/02/2009 ININ2130822
14775 Herriman Blvd
Cust. No. ININ20009 NOBLESVILLE, IN 46060 Due Date Invoice Total
Cust. P.O. Truck 57 United States 07/15/2009 79.35 USD
Job No. Phone (317)770 -0649
Sold To Fax (317)770 -4279
0017244 01 AB 0.360 "AUTO T1 1 1036 46074-8-17244
1111111111 �1����������1� l�J���111111111n1111n111uul1n1 Ship To
CARMEL STREET DEPT. Picked up at branch
3400 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.fastenal.com.
Line Quantity Quantity Quantity Control Part Price
No Ordered Shipped Backordered Description No. No. Hundred Amount
1 100 100 0 5/16 -18X2 112 HCS Z5 120014220 110120331 31.1580 31.16
2 100 100 0 5/16 USS F/W Z 120023942 1133006 5.1030 5.10
3 100 100 0 5/16 -18 FHN Z 120016062 1136104 5.8680 5.87
4 25 25 0 TEB 1/4 X 1 1/2 220000609 42209 56.6910 14.17
5 5 5 0 TEB 114X 1 112 110023461 42209 56.6910 2.83
6 100 100 0 1/4 -20 Nylock Z 8067883 1137018 5.9130 5.91
7 10 10 0 QUIK LINK 3/16 IB068960 45212 143.1000 14.31
Received By Tax Exemption Subtotal 79.35
7771 G Shipping Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
City Tax 0.00
Total 79.35
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.
0017244 -01- 0054025 Invoice: ININ2130822 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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
06/02/09 ININ2130822 $79.35
06/05/09 ININ2130898 $230.43
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. WAR NO.
ALLOWED 20
Fastenal
IN SUM OF
P. O. Box 978
Winona, MN 55987 -0978
$309.78
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PQ# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
2201 ININ2130822 42- 390.32 $79.35 1 hereby certify that the attached invoice(s), or
2201 ININ2130898 42- 390.32 $230.43
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
Wganes &a July 01, 2009
Street Commis ner
6 ta e t to i gsioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund