169421 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1
0 ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $34.03
�,f `o CARMEL, INDIANA 46032 Po Box 978
giro; �o WINONA MN 55987 -0978 CHECK NUMBER: 169421
CHECK DATE: 3/4/2009
DEPARTMENT ACC PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239032. ININ21228584 34.03 POSTS HARDWARE
�r
3.
A a Remit to INVOICE
Fastenal Company
P.O. Box 978 Page 1 of 1
Winona, MN 55987 -0978
Date Invoice No.
For billing questions 02/12/2009 ININ2128584
14775 Herriman Blvd
Cust. No. ININ20009 NOBLESVILLE, IN 46060 Due Date Invoice Total
Cust. P.O. Sign Truck United States 03/15/2009 34.03 USD
Job No. Phone (317)770 -0649
Sold To Fax (317)770 -4279
00 17746 01 AB 0.351 "AUTO T4 1 1011 46074 -B -17746
i iiniiiiuiiniiuiiilnllnllifiI11 �n�u��F�n�uuu� 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.fastonal.com.
Line Quantity Quantity Quantity Control Part Price
No Ordered Shipped Backordered Description No. No. Hundred Amount
1 38 38 D TEB 1/4 X 1 1/2 110023461 42209 62.9910 23.94
2 100 100 0 1/4 SAE F/W Z IB067469 1133078 3.5190 3.52
3 100 100 0 1/4 -20 Nylock Z IB067898 1137018 6.5700 6.57
Received By Tax Exemption Subtotal 34.03
7771 O Shipping Handling 0.00
IN State Tax 0.00
Comments County Tax 0.00
City Tax 0.00
Total 34.03
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.
001i746.01.00S6353 Invoice: ININ2128584 oust. 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))
02/12/09 I N I N 21228584 $34.03
1 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 N O.
ALLOWED 20
Fastenal
IN SUM OF
P: O. Box 978
Winona, MN 55987 -0978
$34.03
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member
2201 ININ21228584 42- 390.32 $34.03 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
Fri ay, February 27, 200!
r
Street Cotnmigspher
Street Cornr�4�ioer
Cost distribution ledger classification if
claim paid motor vehicle highway fund