HomeMy WebLinkAbout216690 01/29/2013 ♦°�'���4f CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1
ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $109.80
i•,�%. CARMEL, INDIANA 46032 PO BOX 1286
WINONAMN 55987-1286 CHECK NUMBER: 216690
CHECK DATE: 1/29/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 ININ89967 109 . 80 REPAIR PARTS
® Remit to INVOICE
FASIFAML Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987-1286
Date Invoice No.
Cust. No. ININ80003 For billing questions 01/07/2013 ININ89967
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 02/06/2013 109.80 USD
Fax 317-867-5394
Sold To
0005089 01 AB 0.374 "AUTO T6 1 1003 46074-8-05089
I���l'�I�II�IIIII�llllllll'I'I�III'll'I'�lllll'lllll�l'I..I"I�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 50 50 0 HCS 5/8-11 X 2 3/4 Y WEIN1053 20729 219.6000 109.80 Y
Received By Tax Exemption Subtotal 109.80
0031201550-020 G Shipping& Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
Contact:Jeff Stewart City Tax 0.00
Total 109.80
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.
0005089-01-0015717 Invoice: ININ89967 Cust: ININ80003
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))
01/07/13 I N I N89967 $109.80
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Fastenal
IN SUM OF $
P. O. Box-97-8— 12-F/0
Winona, MN 559878'
$109.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
T
2201 I ININ89967 I 42-370.00 $109.80 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
�1 A .,,c
Friday,,�January 25, 2013
_Street:Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund