211273 07/31/2012 CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1
I ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $239.00
CARMEL, INDIANA 46032 PO Box 1286
WINONAMN 55987-1286 CHECK NUMBER: 211273
CHECK DATE: 7/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239032 ININ88377 7 . 00 POSTS & HARDWARE
2201 4239032 ININ88392 32 . 00 POSTS & HARDWARE
2201 4239032 ININ88409 200 . 00 POSTS & HARDWARE
i
mom ® Remit to INVOICE
PAS7EJW Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987-1286
Date Invoice No.
Cust. No. ININ80003 For billing questions 07/09/2012 ININ88377
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 08/08/2012 7.00 USD
Fax 317-867-5394
Sold To
000617901 AB 0.374 "AUTO TO 1 104146074-8-06179
I���I'�I�Il�lllll�llllllll'I'I�III�II�I��IIIII�IIIII�I.I..I"l�l� 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
1 100 100 0 5/16"-18 FHNz5 120108413 1136304 4.0000 4.00 Y
2 100 100 0 5/16 USS F/W Z 120113714 1133006 3.0000 3.00 Y
Received By Tax Exemption Subtotal 7.00
0031201550-020 G Shipping & Handling 0.00
IN State Tax 0.00
Comments County Tax 0.00
Contact:nathan Stapleton City Tax 0.00
Total 7.00
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.
0006179-01-0019173 Invoice: ININ88377 Cust: ININ80003
BMW ® Remit to INVOICE
PASTBIUL Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987-1286
Date Invoice No.
Cust. No. ININ80003 For billing questions 07/11/2012 ININ88392
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 08/10/2012 32.00 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
1 300 300 0 5/16"-18 FHNz5 120123606 1136304 4.0000 12.00 Y
2 200 200 0 5/16"-18 FHNz5 120108413 1136304 4.0000 8.00 Y
3 400 400 0 5/16 USS FAN Z 120113714 1133006 3.0000 12.00 Y
Received By Tax Exemption Subtotal 32.00
0031201550-020 G Shipping & Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
Contact:Nathan Stapleton City Tax 0.00
Total 32.00
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.
0006179-03-0019175 Invoice: ININ88392 Cust: ININ80003
i
® Remit to INVOICE
PASW" Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987-1286
Date Invoice No.
Cust.No. ININB0003 For billing questions 07/13/2012 ININ88409
Cust. P.O. V-Cameron Mason 430 Alpha Drive, Suite 300
Job No. WESTFIELD, IN 46074 Due Date Invoice Total
Contract No. QPA# 11179 Phone 317-867-5259 08/12/2012 200.00 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
1 500 500 0 5/16"-18 FHNz5 120123606 1136304 4.0000 20.00 Y
2 500 500 0 5/16 USS F/W Z 120123463 1133006 3.0000 15.00 Y
3 500 500 0 HCS5/16-18X31/2 Z5 120122598 110120335 33.0000 165.00 Y
Received By Tax Exemption Subtotal 200.00
0031201550-020 G Shipping&Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
Contact:Cameron Mason City Tax 0.00
Total 200.00
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.
0006179.05.0019177 Invoice: ININ88409 Cust: ININ80003
VOUCHER NO. WARRANT NO.
ALLOWED 20
Fastenal
IN SUM OF $
P. O. Box 978
Winona, MN 55987-0978
$239.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 ININ88377 42-390.32 $7.00 1 hereby certify that the attached invoice(s), or
2201 ININ88392 42-390.32 $32.00 bill(s) is (are)true and correct and that the
2201 ININ88409 42-390.32 $200.00
materials or services itemized thereon for
which charge is made were ordered and
received except
� f
Thursday J,6ly 26, 2012
UQ�A/l /
Street Commissioner
Title
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))
07/09/12 I N I N88377 $7.00
07/11/12 I N I N 88392 $32.00
07/13/12 I N I N88409 $200.00
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