218030 03/13/2013 CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1
i. ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $443.91
CARMEL, INDIANA 46032 PO BOX 1286
WWONA MN 55987-1286 CHECK NUMBER: 218030
CHECK DATE: 3/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 810360 50 . 68 OTHER EXPENSES
2201 4237000 ININ2157909 5 . 99 REPAIR PARTS
2201 4237000 ININ2157962 135 . 01 REPAIR PARTS
2201 4239032 ININ2158163 4 . 87 POSTS & HARDWARE
2201 4239032 ININ2158208 12 . 67 POSTS & HARDWARE
2201 4238000 ININ810496 234 . 69 SMALL TOOLS & MINOR E
Remit to INVOICE
FASMW Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987-1286
Date Invoice No.
Cust. No. ININ20009 For billing questions 02/18/2013 ININ2157909
Cust. P.O. lights 14775 Herriman Blvd
Job No. NOBLESVILLE, IN 46060 Due Date Invoice Total
Contract No. QPA# 11179 Phone (317)770-0649 03/20/2013 5.99 USD
Sold To Fax (317)770-4279
0004750 01 AB 0.384 "AUTO I 0 1012 46074-8-04750
IIIII'1111I IIIIIIII'I'III I'1'lllll�ll�l1llllll1llllll1 11111"!111 Ship To
CARMEL STREET DEPT. Picked up at branch
3400 W 131 ST ST 14775 Herriman Blvd
CARMEL, IN 46074-8267 NOBLESVILLE, IN 46060
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
1 100 100 0 PPHMS 1/4-20 X1 3/4Z 220011332 1129200 5.9900 5.99 Y
Received By Tax Exemption Subtotal 5.99
Shipping & Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
Contact:Damien City Tax 0.00
Total 5.99
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.
0004750-01-0014587 Invoice: ININ2157909 Cust: ININ20009
® Remit to INVOICE
Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987-1286
Date Invoice No.
Gust. No. ININ20009 For billing questions 02/20/2013 ININ2157962
Gust. P.O. Ron 14775 Herriman Blvd
Job No. 3177147517 NOBLESVILLE, IN 46060 Due Date Invoice Total
Contract No. QPA# 11179 Phone (317)770-0649 03/22/2013 135.01 USD
Sold To Fax (317)770-4279
Ship To
CARMEL STREET DEPT. Picked up at branch
3400 W 131 ST ST 14775 Herriman Blvd
CARMEL, IN 46074-8267 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 7 7 0 ECON.FACESHIELDFRM. 120161050 0201744 1,802.5700 126.18 T
Received By Tax Exemption Subtotal 126.18
Shipping & Handling 0.00
Comments IN State Tax 8.83
County Tax 0.00
Contact:JEFF STEWART City Tax 0.00
Total 135.01
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.
0004750.03-0014589 Invoice: ININ2157962 Cust. ININ20009
® Remit to INVOICE
FASIEAML Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987-1286
Date Invoice No.
Cust. No. ININ20009 For billing questions 02/28/2013 ININ2158163
Cust. P.O. Lights 14775 Herriman Blvd
Job No. NOBLESVILLE, IN 46060 Due Date Invoice Total
Contract No. QPA# 11179 Phone (317)770-0649 03/30/2013 4.87 USD
Sold To Fax (317)770-4279
0006180 01 AB 0.384 "AUTO H1 0 1013 46074-8-06180
Illll�lllllllulllllllnll�rllnl�lrl�llnll�lnlllrl��l��llll Ship To
CARMEL STREET DEPT. Picked up at branch
3400 W 131 ST ST 14775 Herriman Blvd
CARMEL, IN 46074-8267 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 50 50 0 1/4-20 WING CF Z 220011174 1137745 9.1000 4.55 T Y
Received By Tax Exemption Subtotal 4.55
Shipping & Handling 0.00
Comments IN State Tax 0.32
County Tax 0.00
Contact:Damien City Tax 0.00
Total 4.87
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.
0006180-01-0019145 Invoice: ININ2158163 Cust: ININ20009
® Remit to INVOICE
FAS7EAML Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987-1286
Date Invoice No.
NIN20009 For billing questions 03/01/2013 ININ2158208
Cust. No. I
Cust. P.O. h2 14775 Herriman Blvd
Lights NOBLESVILLE, IN 46060 Due Date Invoice Total
Job No.
Contract No. QPA# 11179 Phone (317)770-0649 03/31/2013 12.67 USD
Sold To Fax (317)770-4279
Ship To
CARMEL STREET DEPT. Picked up at branch
3400 W 131 ST ST 14775 Herriman Blvd
CARMEL, IN 46074-8267 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 30 30 0 RPhMS 1/4-20x4 z KEG 220010892 29219 11.8400 3.55 T Y
2 70 70 0 RPhMS 1/4-20x4 z KEG 120154464 29219 11.8400 8.29 T Y
Received By Tax Exemption Subtotal 11.84
Shipping & Handling 0.00
Comments IN State Tax 0.83
County Tax 0.00
Contact:Damian City Tax 0.00
Total 12.67
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.
0006180-03-0019147 Invoice: ININ2158208 oust: ININ20009
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))
02/18/13 ININ2157909 $5.99
02/20/13 I N I N2157962 $135.01
02/28/13 I N I N2158163 $4.87
03/01/13 I N I N2158208 $12.67
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 978
Winona, MN 55987-0978
$158.54
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 ININ2157909 42-370.00 $5.99 1 hereby certify that the attached invoice(s), or
2201 ININ2157962 42-370.00 $135.01 bill(s) is (are) true and correct and that the
2201 ININ2158163 42-390.32 $4.87
materials or services itemized thereon for
2201 ININ2158208 1 42-390.32 $12.67
which charge is made were ordered and
received except
o F y, March 08, 2013
�t�r�e
StreetSComml°ssl n��s�sioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
® Remit to INVOICE
FAS7FAfAL Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987-1286
Date Invoice No.
ININ80004 For billing questions 02/14/2013 ININ810360
Cust. No.
Cust. P.O. ININ80 430 Alpha Drive, Suite 300
Job No. WESTFIELD, IN 46074 Due Date Invoice Total
Contract No. QPA# 11179 Phone 317-867-5259 03/16/2013 50.68 USD
Fax 317-867-5394
Sold To
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.fastanal.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 3.5 Z5 120140614 13317 91.3500 45.68 Y
2 50 50 0 5/8"-11 FHN Z 5 120142958 36314 10.0000 5.00 Y
Received By Tax Exemption Subtotal 50.68
0031201560-020 G Shipping & Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
Contact:Mike Luper City Tax 0.00
Total 50.68
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.
0005022.05-0015743 Invoice: ININ810360 Cust: ININ80004
a
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 Purchase Order No.
P.O. BOX 1286 Terms
WINONA, MN 55987-1286 Due Date 3/5/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/5/2013 810360 $50.68
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 # 131022 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
PO# INV# ACCT# AMOUNT Audit Trail Code
810360 01-6200-06 $50.68
Voucher Total $50.68
Cost distribution ledger classification if
claim paid under vehicle highway fund
® 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 03/08/2013 ININ810496
430 Cust.P.O. Tarkington Parking Garage WE Alpha Drive,Suite 300
Job No. WESTFIELD, IN 46074 Due Date Invoice Total
Contract No. QPA#11179 Phone 317-867-5259 04/07/2013 234.69 USD
Fax 317-867-5394
Sold To
Ship To
CARMEL STREET DEPT. CARMEL STREET DEPT.
3400 W 131 ST ST 3400 W 131 ST 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 1 1 0 T5-1000 Elect Tester FLUKEE 0712648 17,204.1100 172.04 Y
2 1 1 0 WIRE STRIPPER CUTTER KLEINT 1693-11045 1,042.0000 10.42 Y
3 1 1 0 InsSdrivCGRdShP#2 KLEINT 0709085 2,579.5000 25.80 Y
4 1 1 0 InsSdrivCGHDRdShKe4 KLEINT 0709082 2,643.4100 26.43 Y
Received By Tax Exemption Subtotal 234.69
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 234.69
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.
Invoice: ININ810496 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))
03/08/13 I N I N 810496 $234.69
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
$234.69
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I ININ810496 1 42-380.001 $234.69 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
ti nd arch 11, 2013
St Ste Com i si ner ler
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund