173816 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1
ONE CIVIC SQUARE FASTENAL COMPANY
CARMEL, INDIANA 46032 PO BOX 1286 CHECK AMOUNT: $129.89
WINONAMN 55987 -1286 CHECK NUMBER: 173816
CHECK DATE: 6/24/2009
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 ININ2130725 2.40 OTHER EXPENSES
2201 4239032 ININ2130730 40.00 POSTS HARDWARE
601 5023990 ININ2130756 67.51 OTHER EXPENSES
601 5023990 ININ2130770 11.48 OTHER EXPENSES
601 5023990 ININ2130814 8.50 OTHER EXPENSES
Remit to INVOICE
Fastenal Company
P.O. Box 978 Page 1 of 1
Winona, MN 55987 -0978
Date Invoice No.
For billing questions 05/28/2009 ININ2130730
14775 Herriman Blvd
Cust. No. ININ20009 NOBLESVILLE, IN 46060 Due Date Invoice Total
Cust. P.O. Umbrella Statue United States 06/15/2009 40.00 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
WESTFIELD, IN 46074 -8267 NOBLESVILLE, IN 46060
This Order and Document is subject to the "Terms of Purchase" posted on www.tastenal.com.
Line Quantity Quantity Quantity Control Part Price
No Ordered Shipped Backordered Description No. No. Hundred Amount
1 1 1 0 CERAMIC 6 CARTRIDGE RAMSET 51903 3,999.6000 40.00
Received By Tax Exemption Subtotal 40.00
777 Q Shipping Handling 0.00
IN State Tax 0.00
Comments County Tax 0.00
City Tax 0.00
Total 40.00
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.
0008502 -03- 0029389 Invoice: ININ2130730 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.
Term s
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05/28/09 I N I N 2130730 $40.00
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
I
VO NO. WA R R ANT NO.
ALLOWED 20
Fastenal
IN SUM OF
P. O. Box 978
Winona, MN 55987 0978
$40.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PC)# Dept. INVOICE NO. ACCT /TITLE J AMOUNT Board Members
•2201 ININ2130730 42- 390.32 $40.00 1 hereby certify that the attached invoice(s), or
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
Thur #y, J 18, 2009
f� E
Street Commissionyr
Stre �r tV i
Tltle
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Remit to d INVOICE
FAS7EW Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
For billing questions 06/02/2009 ININ2130814
14775 Herriman Blvd
Cust. No. ININ20169 NOBLESVILLE, IN 46060 Due Date Invoice Total
Gust. P.O. United States 07/02/2009 8.50 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.tast6nal.com.
Line Quantity Quantity Quantity Control Part Price
No Ordered Shipped Backordered Description No. No. Hundred Amount
1 1 1 0 13OPC Asst Ski Set PBO67437 0161599 849.5500 8.50
Received By Tax Exemption Subtotal 8.50
0031201500010 G Shipping 8 Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
City Tax 0.00
Total 8.50
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.
0009646 -03- 0031421 Invoice: ININ2130814 cust: ININ20169
Remit to INVOICE
Fastenal Company
-P-ASTE" P.Q. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
For billing questions 05/28/2009 ININ2130725
14775 Herriman Blvd
Cust. No. ININ20169 NOBLESVILLE, IN 46060 Due Date Invoice Total
Cust. P.O. Plant 5 United States 06/27/2009 2.40 USD
Job No. Phone (317)770 -0649
Sold To Fax (317)770 -4279
0010655 01 AB 0 -360 "AUTO T9 1 1032 46074 -8 -10655
It III IIIIII III 11ln111111lli11 oil IIIIII11I111III1I11I1 III 11III 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.fastanal.com.
Line Quantity Quantity Quantity Control Part Price
No Ordered Shipped B Description No. N o. Hundred Amount
1 12 12 0 M6-1 -0X30 HCS 10.9Z 120043730 0153965 19.9710 2.40
Received By Tax Exemption Subtotal 2.40
0031201500010 G Shipping Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
City Tax 0.00
Total 2.40
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.
0010655.01. 0034117 Invoice: ININ2130725 oust: IN[N20169
Remit to INVOICE
IXSYEJM Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MIN 55987 -1286
Date Invoice No.
For billing questions 05/29/2009 ININ2130756
14775 Herriman Blvd
Cust. No. ININ20169 NOBLESVILLE, IN 46060 Due Date Invoice Total
Cust. P.O. Plant 4 GA United States 06/28/2009 67.51 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 Back Description No. No. H Amount
1 15 15 0 3/4 -10x3 172 HCS Z 5 120014220 110120439 229.5000 34.43
2 10 10 0 3/4 -10 FHNz 5 120021447 1136316 59.7690 5.98
3 10 10 0 3/4 -10 FHN Z 18067881 1136116 49.5990 4.96
4 6 6 0 41/2x.045x7/8T1A60TX META80 0850001 369.0000 22.14
Received By Tax Exemption Subtotal 67.51
0031201500010 G Shipping Handling 0.00
IN State Tax 0.00
Comments County Tax 0.00
City Tax 0.00
Total 67.51
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.
0010555 -03- 0034119 Invoice: ININ2130756 Cust: JNIN20169
Remit to INVOICE
FASTEAML Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
For billing questions 06/01/2009 ININ2130770
14775 Herriman Blvd
Cust. No. ININ20169 NOBLESVILLE, IN 46060 Due Date Invoice Total
Cust. P.O. Plant 4 GA United States 07/01/2009 11.48 USD
Job No. Phone (317)770 -0649
Sold To Fax (317)770 -4279
0009646 01 AS 0.360 "AUTO T6 1 1034 46074 -8 -09646
1 111111111111111l111I1I11' 1111111 111J1111I111I1I111I111���� 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 Amount
1 5 5 0 3/4 -10x3 112 HCS Z 5 120030041 110120439 229 -5000 11.48
Received By Tax Exemption Subtotal 11.48
0031201500010 G Shipping Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
City Tax 0.00
Total 11.48
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.
0009646-01.0031419 Invoice: ININ2130770 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,
price per unit, etc.
Payee
92000
FASTENAL Purchase Order No.
P.O. BOX 978 Terms
WINONA, MN 55987 -0978 Due Date 6/10/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/10/2009 I N I N2130756 $67.51
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
Date Officer
VOUCHER 0.92055 WARRANT ALLOWED
92000 IN SUM OF
FASTENAL
P.O. BOX 978 O
WINONA, MN 55987 -0978 ��R��
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
ININ2130756 01- 6200 -04 S67.51
r�IV X56 -7 ag
b�.1�arA•Cff
ot,lsa D<1 i AR
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund