HomeMy WebLinkAbout204554 12/13/2011 CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1
0 ONE CIVIC SQUARE FASTENAL COMPANY
CARMEL, INDIANA 46032 PO BOX 1286 CHECK AMOUNT: $37.08
WINONA MN 55987 -1286
CHECK NUMBER: 204554
CHECK DATE: 12/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239032 ININ86402 37.08 POSTS HARDWARE
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))
11/28/11 I N I N86402 $37.08
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 NO.
ALLOWED 20
Fastenal
IN SUM OF
P. O. Box 978
Winona, MN 55987 -0978
$37.08
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 ININ86402 42- 390.32 $37.08 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, December 09, 2011
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Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Remit to INVOICE
FASIFMAL Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
Cust. No. ININ80003 For billing questions 11/28/2011 ININ86402
Cust. P.O. Truck 57 430 Alpha Drive, Suite 300
Job No. WESTFIELD, IN 46074 Due Date Invoice Total
Contract No. QPA 11179 United States 12/28/2011 37.08 USD
Phone 317 867 -5259
Fax 317 867 -5394
Sold To
0003683 01 AB 0.368 "AUTO H9 1 1081 46074 -8 -03683
Ship To
CARMEL STREET DEPT. Picked up at branch
3400 W 131ST ST 430 Alpha Drive, Suite 300
WESTFIELD, IN 46074 -8267 WESTFIELD, IN 46074
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 10 10 0 QUIK LNK 3/16 IB068755 412 184.0300 18.40 Y
52
2 10 10 0 5/16- 18X3.5 S/S HCS MTILK0001 1170067 78.1200 7.81 Y
3 50 50 0 S/S FW 5/16x7/8 o.d. 120082357 1171016 3.0100 1.51 Y
4 10 10 0 5/16 -18 X 4 S/S HCS PBO67043 1170069 93.6200 9.36 Y
Received By Tax Exemption Subtotal 37.08
0031201550 -020 G Shipping Handling 0.00
IN State Tax 0.00
Comments County Tax 0.00
Contact: Brad Henderson City Tax 0.00
Total 37.08
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.
0003683 -01- 0010997 Invoice: ININ86402 Cust: ININ80003