207039 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1
ONE CIVIC SQUARE FASTENAL COMPANY
CARMEL, INDIANA 46032 PO BOX 1286 CHECK AMOUNT: $175.28
WINONA MN 55987 -1286
CHECK NUMBER: 207039
CHECK DATE: 3/1312012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2150120 6.14 OTHER EXPENSES
651 5023990 87023 169.14 OTHER EXPENSES
0 Remit to INVOICE
FAS7BIML Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
Cust. No. ININ20169 For billing questions 02/22/2012 ININ2150120
Cust. P.O. 14775 Herriman Blvd
Job No. NOBLESVILLE, IN 46060 Due Date Invoice Total
Contract No. QPA 11179 Phone (317)770 -0649 03/23/2012 6.57 USD
Sold To Fax (317)770 -4279
0005635 01 AB 0.374 "AUTO T7 1 1012 46032 -2 -05639
III l' llll' llll I' I Il lr ll! ll °ll "IIIIII!lIII'!!I! Ship To
CARMEL UTILITIES Picked up at branch
1 CIVIC SQ 14775 Herriman Blvd
CARMEL, IN 46032 -2584 NOBLESVILLE, IN 46060
This Order and is subject to the "Terms of Purchase" p6sted on www.fastenal.com.
Line Quantity Quantity Quantity T Control Part Price
No Ordere shipped Backorder D N o. N o. Hundred Amount
1 50 50 0 M5 x 10 SHCS A -2 220004546 MS254001OA200 12.2700 6.14 T Y
00
Fastenal now has the ability to email or fax invoices. To enroll please call 866 -880 -3278.
Received By Tax Exemption Subtotal 6.14
Shipping Handling 00
IN State Tax 0.43)
Comments County Tax
Contact: Blaine City Tax 0.00
Total
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.
0005639-01-0017567 y, Invoice: ININ2150120 Cust: ININ20169
f
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0 Remit to INVOICE
PAS7FAML Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
Cust. ININ80004 For billing questions 02/07/2012 ININ87023
Cus O. Jeff Cooper 430 Alpha Drive, Suite 300
Job WESTFIELD, IN 46074 Due Date Invoice Total
Contract No. 11179 Phone 317 867 -5259 03/08/2012 169.14 USD
Fax 317 867 -5394
Sold To
0005726 01 AB 0.374 "AUTO H8 0 1009 46074 -8 -05726
Illlllllnllunl�nl�ll�llllrl�lllll�llnllullul�l�lnl�l Ship To
CARMEL UTILITIES CARMEL UTILITIES
3450 W 131ST ST 3450 W 131ST ST
CARMEL, IN 46074 WESTFIELD, IN 46074
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 12 12 0 17.5x10.87GrayStakBn WEIN0826 7024604 1,210.4400 145.25 Y
Received By Tax Exemption Subtotal 145.25
0031201560 -020 G Shipping Handling 23.89
IN State Tax 0.00
Comments County Tax 0.00
Contact: Aldwin Castaneda City Tax 0.00
Total 169.14
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.
0005726 -01- 0017837 Invoice: ININ87023 oust: ININ80004
I
VOUCHER 116909 WARRANT ALLOWED
92000 IN SUM OF
FASTENAL COMPANY
PO BOX 978
WINONA, MN 55987 -0978
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
87023 01- 7202 -06 $169.14
Voucher Total $1 .14
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,
price per unit, etc.
Payee
92000
FASTENAL COMPANY Purchase Order No.
PO BOX 978 Terms
WINONA, MN 55987 -0978 Due Date 3/5/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/5/2012 87023 $169.14
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer