217127 02/13/2013 CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1
ONE CIVIC SQUARE FASTENAL COMPANY
L CHECK AMOUNT: $194.91
CARMEL, INDIANA 46032 Po eox lzas
WINONA MN 55987-1286 CHECK NUMBER: 217127
CHECK DATE: 2/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 2157286 69 .28 OTHER EXPENSES
601 5023990 2157321 69 . 73 OTHER EXPENSES
601 5023990 810147 60 .43 OTHER EXPENSES
601 5023990 CR2157320 -4 . 53 OTHER EXPENSES
® Remit to
PASTBIML
® Fastenal Company INVOICE
P.O. Box 1286 Page 1 of 1
Winona, MN 55987-1286
Date Invoice No.
Cust. No. ININ20169 For billing questions 01/16/2013 ININ2157286
Cust. P.O. TJ 01-16-2013 Plan 1 14775 Herriman Blvd
Job No. NOBLESVILLE, IN 46060 Due Date Invoice Total
Contract No. QPA# 11179 Phone (317)770-0649 02/15/2013 69.28 USD
Sold To Fax (317)770-4279
0005020 01 AS 0.374 "AUTO H6 0 1005 46032-2-05020
I'll'llll'llll"1'1'111'1'III"II'lllllllllllll��lllllllllll'llll Ship To
CARMEL UTILITIES Picked up at branch
1 CIVIC SQ 14775 Herriman Blvd
CARMEL, IN 46032-2584 .4 NOBLESVILLE, IN 46060
This Order and Document is subject to the "Terms of Purchase" posted on www.fastonal.com.
Line Quantity Quantity Quantity Control Part Price/
No Ordered Shipped Backordered Description No. No. Hundred Amount
1 25 25 0 HCS1/2-13x1 1/2 Z 5 120140614 110120380 29.1700 7.29 T Y
2 25 25 0 1/2"-13 FHN Z 120145376 1136110 8.6500 2.16 T Y
3 25 25 0 1/2 USS F/W Z 120135900 1133012 4.0000 1.00 T Y
4 100 100 0 S/S TRUBOLT 1/4X2.25 RAMSET 52052 52.5100 52.51 T Y
5 2 2 0 5/16"x4"ScrEye NATION 11101360 89.5500 1.79 T Y
Received By Tax Exemption Subtotal 64.75
TJ Shipping & Handling 0.00
Comments IN State Tax 4.53
County Tax 0.00
Contact:Jimbo City Tax 0.00
Total 69.28
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.
0005020-01-0015415 Invoice: ININ2157286 Cust: ININ20169
® Remit to INVOICE
FASIEML Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987-1286
Date Invoice No.
Cust. No. ININ20169 For billing questions 01/17/2013 ININ2157320
14775 Herriman Blvd
Cust. P.O. TJ 01-16-2013 Plan 1
Job No. NOBLESVILLE, IN 46060 Invoice Total
Contract No. QPA# 11179 Phone (317)770-0649 -4.53 USD
Fax (317)770-4279 MERCHANDISE
Sold To RETURN
Ship To
CARMEL UTILITIES Picked up at branch
1 CIVIC SQ 14775 Herriman Blvd
CARMEL, IN 46032-2584 NOBLESVILLE, IN 46060
Original Invoice: ININ2157286
This Order and Document is subject to the "Terms of Purchase" posted on www.fastonal.com.
Line Quantity Quantity Quantity Control Part Price/
No Ordered Shipped Backordered Description No. No. Hundred Amount
0 0 0 Restock Charge rstock 0.0000 0.00
-100 -100 0 Early Payment Disc DISCOUNT 4.5300 -4.53
Received By Tax Exemption Subtotal -4.53
Ti Shipping & Handling 0.00
IN State Tax 0.00
Comments County Tax 0.00
Contact:Jimbo City Tax 0.00
Total -4.53
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.
0005020-03.0015417 Invoice: ININ2157320 Cust: ININ20169
i
FASMM® Remit to
Fastenal Company INVOICE
P.O. Box 1286
Page e 1 of
Winona, MN 55987-1286 g 1
Cust. No. ININ20169 For billing questions Date Invoice No.
14775 Herriman Blvd
Cust. P.O. TJ 01-17-2013 Plan 1 01/17/2013 ININ2157321
Job No. NOBLESVILLE, IN 46060
Contract No. QPA# 11179 Due Date Invoice Total
Phone (317)770-0649 02/16/2013 69.73 USD
Sold To Fax (317)770-4279
i
CARMEL UTILITIES Ship To
1 CIVIC SQ Picked up at branch
CARMEL, IN 46032-2584 14775 Herriman Blvd
NOBLESVILLE, IN 46060
This Order and Document is subject to the "Terms of Purchase"
Line Quantity Quantity Quantity posted on www.fastenal.com.
No Ordered Shipped Backordered Description Control Part Price/
1 6 6 0 S/S U-BLT 1/2X4 PIPE No No' Hundred
2 25 25 220010781 74645 F�rTloU7.
3 25 0 1/2°-13 S/S FHN 954.9000 57.29 Y
25 0 120101923 1170714
S/S FW 1/2x1 3/8 od IP127164 1171022 22.7800 5.70 Y
26.9700 6.74 Y
Received By
Tax Exemption
Subtotal 69.73
Comments Shipping & Handling 0.00
Contact:Jimbo IN State Tax 0.00
County Tax 0.00
City Tax
Total 0.00
69.73
Reasonable collection and attorneys fees will be
assessed to all accounts placed for collection.. No materials accepted for return without our permission.
All discrepancies must be reported within 10 days.
If you re-package or re-sell this product, you are required to maintain
integrity of Country of Origin to the consumer of this product. Please pay from this invoice.
X005020.05.0015419
Invoice: ININ2157321 Cust: ININ20169
I
® Remit to INVOICE
FASMW Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987-1286
Date Invoice No.
Cust. No. ININ80004 For billing questions 01/22/2013 ININ810147
430 Alpha Drive, Suite 300
Cust. P.O. v-greg
Job No. WESTFIELD, IN 46074 Due Date Invoice Total
Contract No. QPA# 11179 Phone 317-867-5259 02/21/2013 60.43 USD
Fax 317-867-5394
Sold To
0004822 01 AB 0.374 "AUTO M 0 1006 46074-8.04822
IIII'lllllllllllll'lll'll'll'I'll'I'lllll'llll'lllllllll'I'llll�l Ship To
CARMEL UTILITIES CARMEL UTILITIES
3450 W 131ST ST 3450 W 131ST ST
CARMEL, IN 46074 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 6"ECONOMY C-CLAMP WILTON 0202062 3,021.4800 60.43 Y
Received By Tax Exemption Subtotal 60.43
0031201560-020 G Shipping & Handling 0.00
IN State Tax 0.00
Comments County Tax 0.00
Contact.Greg Hollander City Tax 0.00
Total 60.43
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.
0004822-01-0014661 Invoice: ININ810147 Cust: ININ80004
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
92000
FASTENAL Q Purchase Order No.
P.O. BOX 1286 Terms
WI.NONA, MN 55987-1286 Due Date 2/5/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/5/2013 810147 $60.43
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
Date Officer
VOUCHER # 123499 WARRANT # ALLOWED
92000 IN SUM OF $
FASTENAL
P.O. BOX 1286
WINONA, MN 55987-1286
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
i
PO# INV# ACCT# AMOUNT Audit Trail Code
810147 01-6200-06 $60.43
C f s-r 3:0 &53�
Voucher Total $ .43
Cost distribution ledger classification if
claim paid under vehicle highway fund