207855 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1
ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $16.28
CARMEL, INDIANA 46032 PO Box 1286
MONAMN 55987 -1286 CHECK NUMBER: 207855
CHECK DATE: 4/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 2150194 16.28 OTHER EXPENSES
Remit to INVOICE
FASMW Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
ININ21773 For billing questions 02/24/2012 ININ2150194
Cust. No.
Cust. P.O. ININ21 A 14775 Herriman Blvd
Job No. NOBLESVILLE, IN 46060 Due Date Invoice Total
Contract No. Phone (317)770 -0649 03/25/2012 65.23 USD
Sold To Fax (317)770 -4279
0005685 01 AB 0.374 "AUTO 17 1 1012 46074 -8 -05685
IIII' IIIllllllllll' lll' II' II' I' II' I'11111'IIII'IIIIIIIII'I'Illl�l Ship To
CARMEL WATER Picked up at branch
3450 W 131 ST ST 14775 Herriman Blvd
CARMEL, IN 46074 -8267 NOBLESVILLE, IN 46060
This Order and Document is subject to the "Terms of Purchase" posted on www.fastanal.com. K I
Line Quantity Quantity Quantity Control Part Price
No Ordered Shipped Backorderyd'�Description No. No. Hundred Amount
1 1 1 0 6XL3PcYIwRainSuit CBOH17520 1023965 1,628.0000 1-6
2 50 50 0 RAMSET 52007 85.0500 42.5
Fastenal now has the ability to email or fax invoices. To enroll please call 866- 880 -3278.
o�
Received By Tax Exemption Subtotal 58.81
Shipping Handling 6.42
Comments IN State Tax 0.00
County Tax 0.00
Contact: James City Tax 0.00
Total 65.23
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.
0000037.01.0000137 Invoice: ININ2150194 Cust: ININ21773
VOUCHER 114154 WARRANT ALLOWED
92000 IN SUM OF
FASTENAL
P.O. BOX 1286
WINONA, MN 55987 -1286
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
j
Board
PO INV ACCT AMOUNT Audit Trail Code
2150194 01- 6200 -03 $16.28
i
4
Voucher Total $16.28
Cost distribution ledger classification if
claim paid under vehicle highway fund
City Form No. 201 (Rev 1995)
UNTS PAYABLE VOUCHER
CITY OF CARMEL
Dmized must show, kind of service, where
e red, by whom, rates per day, number of units,
Purchase Order No.
Terms
Due Date 4/3/2012
members
Description
o r note attached invoice(s) or bill(s)) Amount
I $16.28
h
f ed invoice(s), or bill(s) is (are) true and
me in accordance with IC 5- 11- 10 -1.6
Officer