HomeMy WebLinkAbout209140 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1
ONE CIVIC SQUARE FASTENAL COMPANY
CARMEL, INDIANA 46032 PO BOX 1286 CHECK AMOUNT: $69.25
WINONA MN 55987 -1286
CHECK NUMBER: 209140
CHECK DATE: 5/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 87806 4.01 OTHER EXPENSES
601 5023990 87807 41.24 OTHER EXPENSES
2201 4239032 ININ87708 9.55 POSTS HARDWARE
2201 4239032 ININ87709 5.50 POSTS HARDWARE
2201 4239032 ININ87763 5.50 POSTS HARDWARE
2201 4239032 ININ87793 3.45 POSTS HARDWARE
Remit to
JIL57EAML
Fastenal Company INVOICE
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
Cust. No. ININ80003 For billing questions 04/24/2012 ININ87708
Cust. P.O. 430 Alpha Drive, Suite 300
Job No. WESTFIELD, IN 46074 Due Date Invoice Total
Contract No. QPA 11179 Phone 317- 867 -5259 05/24/2012 5.50 USD
Fax 317- 867 -5394
Sold To
0005967 01 AB 0.374 "AUTO T9 1 1025 46074.8 -05967
l l �I�I I' I�III�II� "I Ship To
CARMEL STREET DEPT. Picked up at branch
3400 W 131 ST 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.fastenal.com.
Line Quantity Quantity Quantity Control Part Price
No Ordered Shipped Backordered Description No. No. Hundred Amount
1 1 1 0 3 /4 "SrwPinAnchrShkle QQINDE 0599906 550.0000 5.50 Y
Received By Tax Exemption Subtotal 5.50
MIKE 0031201550 020 G Shipping Handling 0.00
IN State Tax 0.00
Comments County Tax 0.00
Contact: Mike Henricks City Tax 0.00
Total 5.50
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.
0005967 -01. 0018293 Invoice: ININ87708 cust: ININB0003
i
Remit to INVOICE
Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
Cust. No. ININ80003 For billing questions 04/24/2012 ININ87709
Cust. P.O. Truck 0 430 Alpha Drive, Suite 300
Job No. WESTFIELD, IN 46074 Due Date Invoice Total
Contract No. QPA 11179 Phone 317- 867 -5259 05/24/2012 9.55 USD
Fax 317 867 -5394
Sold To
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.fastenal.com.
Line Quantity Quantity Quantity Control Part Price
No Ordered Shipped Backordered Description No. No. Hundred Amount
1 50 50 0 12 -10 CLS END CON CT IDEALI 58532 19.0900 9.55 Y
Received By Tax Exemption Subtotal 9.55
BRAD 0031201550 -020 G Shipping Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
Contact: Brad Henderson City Tax 0.00
Total 9.55
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.
0005967.03 0016295 Invoice: ININ87709 Cust: ININ80003
Remit to INVOICE
Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
Cust. No. ININ80003 For billing questions 04/27/2012 ININ87763
Cust. P.O. 430 Alpha Drive, Suite 300
Job No. WESTFIELD, IN 46074 Due Date Invoice Total
Contract No. QPA 11179 Phone 317- 867 -5259 05/27/2012 5.50 USD
Fax 317- 867 -5394
Sold To
Ship To
CARMEL STREET DEPT. Picked up at branch
3400 W 131 ST 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.fastenal.com.
Line Quantity Quantity Quantity Control Part Price
No Ordered Shipped Backordered Description No. No. Hundred Amount
1 1 1 0 3 /4 "SrwPinAnchrShkle QQINDE 0599906 550.0000 5.50 Y
Received By Tax Exemption Subtotal 5.50
MIKE CLARK 0031201550 -020 G Shipping Handling 0.00
IN State Tax 0.00
Comments County Tax 0.00
Contact: Mike Clark City Tax 0.00
Total 5.50
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.
0005967 -05- 0018297 Invoice: ININ87763 Cust: ININ80003
Remit to INVOICE
FASIEVAL Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
Cust. No. ININ80003 For billing questions 05/01/2012 ININ87793
Cust. P.O. Truck 57 430 Alpha Drive, Suite 300
Job No. WESTFIELD, IN 46074 Due Date Invoice Total
Contract No. QPA 11179 Phone 317 867 -5259 05/31/2012 3.45 USD
Fax 317 -867 -5394
Sold To
000417301 AB 0.374 "AUTO H2O 1027 46074 -8-04173
I���I' �I�I I' I�II .I.. Ship To
CARMEL STREET DEPT. Picked up at branch
3400 W 131 ST ST r 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.fastenal.com.
Line Quantity Quantity Quantity Control Part Price
No Ordered Shipped Backordered Description No. No. Hundred Amount
1 100 100 0 PPH MS 10 -24 X 1/2 Z 220007238 1128957 1.5000 1.50 Y
2 100 100 0 PPH MS 10 -24 X 3/4 Z 220006537 1128969 1.9500 1.95 Y
Received By Tax Exemption Subtotal 3.45
BRAD 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 3.45
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.
0004173 -01- 0012223 Invoice: ININ87793 Cust: ININ80003
VOUCHER NO. WARRANT NO.
ALLOWED 20
Fastenal
IN SUM OF
P. O. Box 978
Winona, MN 55987 -0978
$24.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
2201 ININ87708 42- 390.32 $9.55 1 hereby certify that the attached invoice(s), or
2201 ININ87709 42- 390.32 $5.50 bill(s) is (are) true and correct and that the
2201 ININ87763 42- 390.32 $5.50
materials or services itemized thereon for
2201 ININ87793 1 42 390.32 $3.45
which charge is made were ordered and
received except
Th drsday/May 17, 2012
9
o l g�
Y Street Commissioner
I r
Street Co- e issioner
Cost distribution ledger classification if
claim paid motor 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 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))
04/24/12 ININ87708 $9.55
04/24/12 ININ87709 $5.50
04/27/12 I N I N 87763 $5.50
05/01/12 I NIN87793 $3.45
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
,20
Clerk- Treasurer
FAST Remit to INVOICE
Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
Cust. No. ININ80004 For billing questions 05/03/2012 ININ87806
430 Alpha Drive, Suite 300
Cust. P.O. Greg Hollander WESTFIELD, IN 46074 Due Date Invoice Total
Job No.
Contract No. QPA 11179 Phone 317- 867 -5259 06/02/2012 4.01 USD
Fax 317 867 -5394
Sold To
0004176 01 AB 0.374 "AUTO H2 0 1027 46074 -8 -04176
Ill�llnlllluul�lll�ll�ll�l�u�l�lllll�lln�llnlllll�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 5 5 0 HCS5 /8 -11x3 Z 5 120117102 110120421 80.1000 4.01 Y
Received By Tax Exemption Subtotal 4.01
0031201560 -020 G Shipping Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
Contact: Greg Hollander City Tax 0.00
Total 4.01
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.
0004176 -01. 0012235 Invoice: ININ87806 Cust: ININ80004
smug Remit to INVOICE
Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987 -1286
Date Invoice No.
Cust. No. ININ80004 For billing questions 05/03/2012 ININ87807
Cust. P.O. Bruce Bucksot 430 Alpha Drive, Suite 300
Job No. WESTFIELD, IN 46074 Due Date Invoice Total
Contract No. QPA 11179 Phone 317- 867 -5259 06/02/2012 41.24 USD
Fax 317 867 -5394
Sold To
Ship To
CARMEL UTILITIES CARMEL UTILITIES
3450 W 131 ST ST 3450 W 131 ST 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 1,250 1,250 0 ARROW T50 1/2 "STAPLE ARROWF 313 -50848 0.4400 5.50 Y
2 1 1 0 24 "x42" BrwnBibApron TGOH11226 0853829 2,753.5200 27.54 Y
Received By Tax Exemption Subtotal 33.04
0031201560 -020 G Shipping Handling 8.20
Comments IN State Tax 0.00
County Tax 0.00
Contact: Bruce Bucksot City Tax 0.00
Total 41.24
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.
0004176 03.0012237 Invoice: ININ87807 Cust: ININ80004
VOUCHER 114536 WARRANT ALLOWED
92000 IN SUM OF
FASTENAL
P.O. BOX 1286
WINONA, MN 55987 -1286
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
87806 01- 6200 -06 $4.01
1 6 79b
A
I
Voucher Total
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 Purchase Order No.
P.O. BOX 1286 Terms
WINONA, MN 55987 -1286 Due Date 5/10/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/10/2012 87806 $4.01
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
Date Officer