HomeMy WebLinkAbout216024 01/09/2013 CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1
�` ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $1,740.24
? CARMEL, INDIANA 46032 PO Box 1286
WINONAMN 55987-1286 CHECK NUMBER: 216024
CHECK DATE: 1/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 R4350100 26318 ININ89815 1, 740 . 24 LED LIGTHS
® Remit to INVOICE
FASTBIML Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987-1286
Date Invoice No.
Cust. No. ININ80003 For billing questions 12/13/2012 ININ89815
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 01/12/2013 1,740.24 USD
Fax 317-867-5394
Sold To
0005154 01 AB 0.374 "AUTO H6 0 1073 46074-8-05154
11111'IIIIIIIIIIIIIIIIIIII'I'IIIII'll'I'IIIIII�lllllll'I"I"1111 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 24 24 0 4'15W LED351201-amp WEINK0001 0749963 7,251.0000 1,740.24 Y
Received By Tax Exemption Subtotal 1,740.24
0031201550-020 G Shipping & Handling 0.00
IN State Tax 0.00
Comments County Tax 0.00
Contact:Eric Russell City Tax 0.00
Total 1,740.24
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.
0005154-01.0015875 Invoice: ININ89815 Cust: ININB0003
VOUCHER NO. WARRANT NO.
Fastenal ALLOWED 20
IN SUM OF $
P. O. Box 978
Winona, MN 55987-0978
$1,740.24
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
26318 I ININ89815 I 43-501.00 $1,740.24 1 hereby certify that the attached 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
�f !FUiday�/January 04, 2013
r
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))
12/13/12 I N I N 89815 $1,740.24
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