HomeMy WebLinkAbout213911 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1
ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $1,542.11
CARMEL, INDIANA 46032 PO BOX 1286
WINONA MN 55987-1286 CHECK NUMBER: 213911
CHECK DATE: 10/23/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
920 4350900 ININ89151 1, 542 . 11 OTHER CONT SERVICES
Remit to INVOICE
FASTEME Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987-1286
Date Invoice No.
Gust. No. ININ80003 For billing questions 09/28/2012 ININ89151
Cust. P.O. v-Eric 430 Alpha Drive, Suite 300
Job No. WESTFIELD, IN 46074 Due Date Invoice Total
Contract No. QPA# 11179 Phone 317-867-5259 10/28/2012 1,542.11 USD
Fax 317-867-5394
Sold To
Ship To
CARMEL STREET DEPT. CARMEL STREET DEPT.
3400 W 131ST ST 3400 W 131ST ST
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 2 2 0 52"Flex Bollard wit WEIN0978 12728-00286 34,298.0000 685.96
2 2 2 0 52"Flex Bollard wit WEIN0978 12728-00287 34,298.0000 685.96
3 4 4 0 Black Post WEIN0978 12728-00285 1,999.0000 79.96
C. l L/l,r L r► l
Received By Tax Exemption Subtotal 1,451.88
0031201550-020 G Shipping & Handling 90.23
IN State Tax 0.00
Comments County Tax 0.00
Contact:Eric R. City Tax 0.00
Total 1,542.11
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.
0008474-03-0026525 Invoice: ININ89151 Cust: ININ80003
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No materials accepted for return without our permission.
All discrepancies must be reported within 10 days.
Printed in USA
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
Fastenal Company Purchase Order No. NA
PO Box 1286 Terms
Winona, MN 55987-1286 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
09/28/12 ININ89151 Keystone Reconstruction Project $1,542.11
98th & Keystone Signal Decommission
Total $1,542.11
1 hereby certify that the attached invoice(s), or bills(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.
Fastenal Company ALLOWED 20
PO Box 1286 IN THE SUM OF $
Winona, MN 55987-1286
6) - 1,542.11
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PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
DEPT.#
NA ININ89151 4350900 $1,542.11
1 hereby certify that the attched 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
22-Oct 20 12
Total $1,542.11 Signature
Cost distribution ledger classification if City Engineer
claim paid motor vehicle highway fund Title