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216393 01/15/2013 --------------------- -------------------------------------------- --------------- ---------- ---------------- `' CITY OF CARMEL INDIANA VENDOR: 092000 _�. ONE CIVIC SQUARE CARMEL, INDIANA 46032 FASTENAL COMPANY Page 1 Of 1 ° PO BOX 1286 WINONA MN 55987-1286 CHECK AMOUNT: $46.45 CHECK NUMBER: 216393 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER CHECK DATE: 1/15/2013 2201 AM 4350100 ININ2 OUNT DESCRIPTION 4350100 ININI89-927 2201 24 . 29 BUILDING REPAIRS & MA 927 22 . 16 BUILDING REPAIRS & MA ® Remit to INVOICE rA S TB VA L Fastenal Company P.O. Box 1286 Page 1 of 1 Winona, MN 55987-1286 Date Invoice No. Cust. No. ININ20009 For billing questions 01/03/2013 ININ2157004 Cust. P.O. Shop 14775 Herriman Blvd Job No. NOBLESVILLE, IN 46060 Due Date Invoice Total Contract No. QPA# 11179 phone (317)770-0649 02/02/2013 24.29 USD Sold To Fax (317)770-4-279 0008102 01 MB 0.404 -AUTO T7 0 1002 46074-6.06102 l���l'�I�Il�lllll�llllllll'I'I�III�II�I��Illll�lllll�l.l..l"I�I� Ship To CARMEL STREET DEPT. CARMEL STREET DEPT. 3400 W 131 ST ST 3400 WEST 131 ST STREET CARMEL, IN 46074-8267 i CARMEL, 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 20 20 0 7/8-9 NYLOCK NE Z COINK0002 1137042 66.5400 13.31 Y 2 5 5 0 HCS 5/8-11 X 2 3/4 Y IP077172 20729 219.6000 10.98 Y I it Received By Tax Exemption Subtotal 24.29 Shipping & Handling 0.00 Comments IN State Tax 0.00 County Tax 0.00 Contact:JEFF STEWART City Tax 0.00 Total 24.29 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. 0008102.01-0022499 Invoice: ININ2157004 Cust: ININ20009 ---------------------------------------------------------------Remit to Fastenal Company INVOICE P.O. Box 1286 Winona, MN 55987-1286 Page 1 of 1 Cust. No. ININ80003 Cust. P.O. TRUCK 57 For billing questions Date Invoice No. Job No. 430 Alpha Drive, Suite 300 01/02/2013 ININ89927 Contract No. QPA# 11179 WESTFIELD, IN 46074 Ph Due Date Invoice Total Sold To one 317-867-5259 02/01/2013 Fax 317-867-5394 22.16 USD 0008103 01 M8 0.404 "ALFr0 T7 0 1002 46074.8-08103 I���I'�I�II�IIIII1IIIIIIII'I'I�III�II�ll�lllllllllll�llllll oil �l� CARMEL STREET DEPT. Ship To 3400 W 131 ST ST Picked up at branch WESTFIELD, IN 46074-8267 430 Alpha Drive, Suite 300 t WESTFIELD, IN 46074 This Order and Document is subject to the "Terms of Purchase-Line Quantity Quanti — _ No Ordered Quantity posted on www.fastenal.com. 1 50 Sh Shipped Backordered Description Control 2 50 50 0 Part 0 S/S FW 5/16x7/8 o.d. 1No. 0092788 No. Price/ 3 8 8 HCS5/16-18X3112 Z5 Hundred Amount 0 120114173 1171016 QUIK LNK 3/16 110120335 30000 1.50 Y 134961 45212 33.1600 16.58 Y 51.0000 4.06 Y Received By Tax Exemption Comments 0031201550-020 Subtotal G Shipping& Handling 2 Contact:Brad Henderson IN State Tax 0.00 County Tax 0.00 City Tax 0.00 0.00 Total 22.16 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. ycjuarerequired to maintain Please pay from this invoice. 4u Ce p 1 ' ' �0 the�011SUmeC o�tnis product. oM Or1�1� lnvoice. 1N\N09927 CUSt'. \N\NB0003 �0 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)) 01/02/13 I N I N89927 $22.16 01/03/13 I N I N2157004 $24.29 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Fastenal IN SUM OF $ P. O. Box 978 Winona, MN 55987-0978 $46.45 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 ININ89927 43-501.00 j $22.16 1 hereby certify that the attached invoice(s), or 2201 ININ2157004 43-501.00 $24.29 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 AN A rlday,Jlanuary 11, 2013 �V 46T a S4rS��ee,)pp n �ssl�oper Title Cost distribution ledger classification if claim paid motor vehicle highway fund