202981 10/25/2011 CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1
ONE CIVIC SQUARE FASTENAL COMPANY
CARMEL, INDIANA 46032 PO Box 1286 CHECK AMOUNT: $129.65
WINONA MN 55987 -1286
CHECK NUMBER: 202981
CHECK DATE: 10125/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 2147256 92.38 OTHER EXPENSES
601 5023990 2147257 37.27 OTHER EXPENSES
Remit to INVOICE
Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
Cust. No. ININ20169 For billing questions 09/26/2011 ININ2147257
14775 Herriman Blvd
Cust. P.O. Pit 5 Water
NOBLESVILLE, IN 46060 Due Date Invoice Total
Job No.
Contract No. QPA 11179 United States Phone (317)770 -0649 10/26/2011 37.27 USD
Sold To Fax (317)770 -4279
Ship To
CARMEL UTILITIES Picked up at branch
1 CIVIC SQ 14775 Herriman Blvd
CARMEL, IN 46032 -2584 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 50 50 0 S/S FW 3/8x7/8 o.d. 120099489 1171017 5.1300 2.57 Y
2 25 25 0 3/8 -16X1 1 /4S /S HCS 120081290 1170107 41.6400 10.41 Y
3 50 50 0 DROP -IN 3/8 RAMSET 50403 42.0300 21.02 Y
4 1 1 0 SET TOOLS 3/8 RAMSET 50413 327.3600 3.27 Y
Fastenal now has the ability to email or fax invoices. To enroll please call 866 880 -3278.
Received By Tax Exemption Subtotal 37.27
0031201500010 G Shipping Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
Contact: James City Tax 0.00
Total 37.27
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.
0009488 -03- 0031135 Invoice: ININ2147257 Cust: ININ20169
Remit to INVOICE
Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
ININ20169 For billing questions 09/26/2011 ININ2147256
Cust. No.
Cust. P.O. INI 5 Water 14775 Herriman Blvd
Job No. NOBLESVILLE, IN 46060 Due Date Invoice Total
Contract No. QPA 11179 United States Phone (317)770 -0649 10/26/2011 92.38 USD
Sold To Fax (317)770 -4279
0009488 01 AB 0.368 "AUTO T3 1 1059 46032 -2 -09488
Ship To
CARMEL UTILITIES Picked up at branch
1 CIVIC SID 14775 Herriman Blvd
CARMEL, IN 46032 -2584 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 25 25 0 X- Press200LiteAnchor 120091899 0217350 369.5200 92.38 Y
Fastenal now has the ability to email or fax invoices. To enroll please call 866 880 -3278.
Received By Tax Exemption Subtotal 92.38
0031201500010 G Shipping Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
Contact: James City Tax 0.00
Total 92.38
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.
0009488 -01- 0031133 Invoice: ININ2147256 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 1286 Terms
WINONA, MN 55987 -1286 Due Date 10/18/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/18/201' 2147257 $37.27
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
to 1 11 /9 C'- 11t--
Date Officer
0
VOUCHER 112667 WARRANT ALLOWED
92000 IN SUM OF
FASTENAL
P.O. BOX 1286 WATM
WINONA, MN 55987 -1286 OPERATIONS
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
2147257 01- 6200 -04 $37.27
�It- ZZSIo Cc ��.�g
Voucher Total(
Cost distribution ledger classification if
claim paid under vehicle highway fund