HomeMy WebLinkAbout218835 04/09/2013 CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1
ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $347.55
CARMEL, INDIANA 46032 PO Box 1286
WINONA MN 55987-1286 CHECK NUMBER: 218835
CHECK DATE: 4/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239012 ININ2158427 170 . 81 SAFETY SUPPLIES
601 5023990 ININ810515 64 . 98 OTHER EXPENSES
651 5023990 ININ810558 111 . 76 OTHER EXPENSES
® Remit to INVOICE
FASTBIML Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987-1286
Date Invoice No.
Cust. No. ININ80004 For billing questions 03/13/2013 ININ810558
Cust. P.O. Waste and Water 430 Alpha Drive, Suite 300
Job No. WESTFIELD, IN 46074 Due Date Invoice Total
Contract No. QPA# 11179 Phone 317-867-5259 04/12/2013 111.76 USD
Fax 317-867-5394
Sold To
0004648 01 AB 0.384 "AUTO T4 1 1017 46074-8-04648
Ship To
CARMEL UTILITIES Picked up at branch
3450 W 131 ST ST i 430 Alpha Drive, Suite 300
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 70 70 0 HCS 1/2-13x4 1/2 YZ8 120138644 0115221 114.3000 80.01 Y
2 75 75 0 1/2-13 YZ8 NE Nylock 120126135 1137187 23.6700 17.75 Y
3 140 140 0 USS THRU HD 1/2YZ KG 120146541 33861 10.0000 14.00 Y
Received By Tax Exemption Subtotal 111.76
0031201560-020 G Shipping& Handling 0.00
IN State Tax 0.00
Comments County Tax 0.00
ontact:Jeff Cooper City Tax 0.00
Total 111.76
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.
0004648-01-0014245 Invoice: ININ810558 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 COMPANY Purchase Order No.
PO BOX 978 Terms
WINONA, MN 55987-0978 Due Date 4/1/2013
Invoice Invoice Description
Date Number, (or note attached invoice(s) or bill(s)) Amount
4/1/2013 ININ810558 $111.76
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
Date Officer
VOUCHER # 135226 WARRANT # ALLOWED
92000 IN SUM OF $
FASTENAL COMPANY
PO BOX 978
WINONA, MN 55987 70978
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
ININ810558 01-7200-02 $111.76
Voucher Total $111.76
Cost distribution ledger classification if
claim paid under vehicle highway fund
Remit to INVOICE
f„ ® Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987-1286
Date Invoice No.
Cust. No. ININ80004 For billing questions 03/21/2013 ININ810515
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 04/20/2013 64.98 USD
Fax 317-867-5394
Sold To
0005697 01 AB 0.384 "AUTO H9 0 1018 46074-8-05697
IIII'lllllllllllllrlll'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 25 25 0 4.5x7/8 36g ZircDisc 220012846 0812762 114.4800 28.62 Y
2 1 1 0 BR CYL.N/F 1/2 X1/4 120124159 0301796 3,635.9400 36.36 Y
Received By Tax Exemption Subtotal 64.98
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 64.98
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.
0005697.01-0017593 Invoice: ININ810515 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 Purchase Order No.
P.O. BOX 1286 Terms
WINONA, MN 55987-1286 Due Date 4/2/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/2/2013 810515 $64.98
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 # 131266 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
810515 01-6200-06 $64.98
Voucher Total $64.98
Cost distribution ledger classification if
claim paid under vehicle highway fund
® Remit to INVOICE
FASIFAML Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987-1286
Date Invoice No.
For billing questions 03/13/2013 ININ2158427
Cust. No. ININ20009
14775 Herriman Blvd
Cust. P.O. call when in
Job No. NOBLESVILLE, IN 46060 Due Date Invoice Total
Contract No. QPA# 11179 Phone (317)770-0649 04/12/2013 170.81 USD
Sold To Fax (317)770-4279
000464701 AB 0.384 "AUTO T4 1 1017 46074-8-04647
11111'llllllllllllllllllll'I'11111'll'I'llllll'lllllll'I"I"1111 Ship To
CARMEL STREET DEPT. Picked up at branch
3400 W 131 ST ST 14775 Herriman Blvd
CARMEL, IN 46074-8267 [Y� 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 3 3 0 ECON.FACESHIELD FRM. 120162950 0201744 1,802.5700 54.08 Y
2 3 3 0 ECON.FACESHIELD FIRM. 120161050 0201744 1,802.5700 54.08 Y
3 6 6 0 POLYCARB.VISOR CLEAR CQIN 0201706 1,044.1200 62.65 Y
Received By Tax Exemption Subtotal 170.81
Shipping & Handling 0.00
IN State Tax 0.00
Comments County Tax 0.00
Contact:Ron City Tax 0.00
Total 170.81
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: ININ2158427 Cust: ININ20009
0004647-01-0014243
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))
03/13/13 I N I N2158427 $170.81
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
$170.81
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 1 ININ2158427 1 42-390.121 $170.81 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
W 2013
Street Comm isnlnnftit
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund