180421 12/16/2009 CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1
ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $29.02
CARMEL, INDIANA 46032 PO BOX 1286
WINONA MN 55987 -1286 CHECK NUMBER: 180421
CHECK DATE: 12/16/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239032 ININ2134564 29.02 POSTS HARDWARE
Remit to INVOICE
Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
For billing questions 12/02/2009 ININ2134564
14775 Herriman Blvd
Cust. No. ININ20009 NOBLESVILLE, IN 46060 Due Date Invoice Total
Cust. P.O. Truck 57 United States 01/01/2010 29.02 USD
Job No. Phone (317 )770 -0649
Sold To Fax (317 )770 -4279
000 7 ,95901 AB0.360 "AUTO T6 1 1073 46074 -B -07959
IIluIIIIII llnIlu, 11lulluln1I111111 1l111ll1111llu1111111 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 is subj act to the "Terms of posted on Art.vw.fastanahcom.
Line Quantity Quantity Quantity Control Part Price
No Ordered Shipped Backordered Description No. No. Hundred Amount
1 100 100 0 HC35/16- 18X2112 Z5 120030041 110120331 21.4644 21.46
2 100 100 0 5/16 USS F/W Z 120043859 1133006 3.5154 3.52
3 100 100 0 5/16 -18 FHN Z 18067895 1136104 4.0424 4.04
Fastenal now has the ability to email or fax invoices. To enroll please call 866 880 -3278.
Received By Tax Exemption Subtotal 29.02
7771 G Shipping Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
City Tax 0.00
Total 29.02
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.
0007,959 -01- 0025655 Invoice: ININ2134564 cust: ININ20009
Prescribed by State Board of Accounts City Form No. 261 (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))
12/02/09 I N I N2134564 $29.02
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
VOU NO. WARRANT NO.
ALLOWED 20
Fastenal
IN SUM OF
P. O. Box 978
Winona, MN 55987 -0978
$29.02
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
2201 ININ2134564 42- 390.32 $29.02 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
Friday, er 11, 2009
4
Street Commissioner
r
bireei
t l'itle
Cost distribution ledger classification if
claim paid motor vehicle highway fund