173318 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1
ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $14.76
s CARMEL, INDIANA 46032 PO Box 1286
•ti�.ce -o. WINONA MN 55987 -1286 CHECK NUMBER: 173318
CHECK DATE: 6/10/2009
DEPARTMENT ACCOUNT PO NUM BER I NVOIC E NUMBER AMOUNT DESCRIPTION
601 5023990 2130648 14.76 OTHER EXPENSES
Remit to INVOICE
Fastenal Company
,,FASTEANL P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
For billing questions 05/22/2009 ININ2130648
14775 Herriman Blvd
Cust. No. ININ20169 NOBLESVILLE, IN 46060 Due Date Invoice Total
Cust. P.O. United States 06/21/2009 14.76 USD
Job No. Phone (317)770 -0649
Sold To fax (317)770 -4279
0010331 01 AB 0360 "AUTO T7 1 1031 46074 -8 -10331 r
1111111111, IIn1' 11111111II11I1 11I1III'lllllllllllFI�11IIIII 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 Backordered Description No, No. Hundred Amount
1 4 4 0 41/2x.045x7/8T1A60TX METABO 0850001 369.0000 14.76
Received By Tax Exemption Subtotal 14.76
0031 201 50001 0 G Shipping Handling 0.00
IN State Tax 0.00
Comments County Tax 0.00
City Tax 0.00
Total 14.76
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.
0010331 0034001 Invoice: ININ2130648 Cust: ININ20169
VOUCHER 091977 WARRANT ALLOWED
92000 X IN SUM OF
F'ASTENAL 1�
P.O. BOX -gy
WINONA, MN 55987 -99�9— 0
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
2130648 01- 6200 -04 $14.76
Voucher Total $14.76
Cost distribution ledger classification if
claim paid under vehicle highway fund
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, V�
price per unit, etc.
Payee
92000
FASTENAL Purchase Order No.
P.O. BOX 978 Terms
WINONA, MN 55987 -0978 Due Date 6/2/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/2/2009 2130648 $14.76
I hereby certify that the attached invoice(s), or bills) is (are).true and
correct and I have audited same in accordance with IC 55- 11 10 1.6
Date Officer