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220597 06/04/2013 CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1 ONE CIVIC SQUARE FASTENAL COMPANY s. io CARMEL, INDIANA 46032 PO Box 1286 CHECK AMOUNT: $194.16 WWONA MN 55987-1286 <„ CHECK NUMBER: 220597 CHECK DATE: 614/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4237000 ININ811005 102 . 52 REPAIR PARTS 1205 4237000 ININ811069 75 . 18 REPAIR PARTS 2201 4350080 ININ811170 16 .46 STREET LIGHT REPAIRS AFM Remit to INVOICE 17CS7F" Fastenal Company D�l P.O. Box 978 Page 1 of 1 ��-j 0 �pWinona, MN 55987-0978 Date Invoice No. Cust. No. ININ80269 p For billing questions 05/03/2013 ININ811005 Cust. P.O. Jeff Barnes 1010 Kendall Court, Suite 3 Job No. WESTFIELD, IN 46074 Due Date Invoice Total Contract No. Phone 317-804-8035 06/15/2013 109.7 SD Sold To Fax 317-804-8037 (�a`�'y 0005223 01 AB 0.364 "AUTO H5 1 1029 46032-2-05223 I'll'llll'llll��l�l�lll'I'III"II'lllllllllllll"lllllllllll'llll Ship To CITY OF CARMEL(BUILDING MAINTENANCE) Picked up at branch 1 CIVIC SID 1010 Kendall Court, Suite 3 CARMEL, IN 46032-2584 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 1 100 100 0 12"NATRELEASABLETIE GBELEC 63465 14.2400 14.24 T 2 100 100 0 15 BLK RELEASABL TIE YCABLE 63470 26.1400 26.14 T 3 100 100 0 15"HD ELK CABLE TIE YCABLE 63132 32.9800 32.98 T 4 100 100 0 14 1/2"HD NATCBLTIE GBELEC 63131 29.1600 29.16 T Received By Tax Exemption Subtotal 102.52 Shipping & Handling 0 Comments IN State Tax 7.18 County Tax 0.00 Contact:Jeff Barnes City Tax 0.00 Total 109.70 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. 0005223-01-0015795 Invoice: ININ811005 Cust: ININ80269 ®.� �� v v� s �� e �® `� a�� ® �� ® s® Remit to ASMW1)370® Fastenal Company INVOICE �(� P.O. Box 978 Page 1 of 1 � v Winona, MN 55987-0978 � Date Invoice No. Cust. No. ININ80269 I Z�S� For billing questions 05/09/2013 ININ811069 Cust. P.O. 1010 Kendall Court, Suite 3 Job No. WESTFIELD, IN 46074 Due Date Invoice Total Contract No. Phone 317-804-8035 06/15/2013 80. SD Fax 317-804-8037 b Sold To Ship To CITY OF CARMEL(BUILDING MAINTENANCE) Picked up at branch 1 CIVIC SQ 1010 Kendall Court, Suite 3 CARMEL, IN 46032-2584 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 3/8"SrwPinAnchrShk1e QQINDE 0599902 848.0000 16.96 T 2 1 1 0 10'1t2StrgtMachChain 220010860 0503876 1,039.0000 10.39 T 3 100 100 0 10-24 FLNG LK REG Z 220005021 1137334 11.6100 11.61 T 4 2 2 0 QUIK LNK 5/16 220007838 45214 454.0000 9.08 T 5 2 2 0 TB EYE-EYE 5/16X4.5 120076977 43020 1,357.0000 27.14 T D Q � JUN 0 3 2013 By Received By Tax Exemption Subtotal 75.18 Shipping & Handling 00 Comments IN State Tax 05.26 County Tax 0'00 Contact:Jeff Barnes City Tax 0.00 Total 80. 7 ', �� Reasonable collection and attorneys fees will be No materials accepted for return without our perm) 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. 0005223-03-0015797 Invoice: ININ811069 Cust: ININ80269 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)) 05/03/13 I N I N 811005 $102.52 05/09/13 I N I N 811069 $75.18 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 Company IN SUM OF $ PO Box 978 Winona, MN 55987-0978 $177.70 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1205 ININ811005 42-370.00 $102.52 1 hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and that the 1205 I N I N811069 42-370.00 $75.18 materials or services itemized thereon for which charge is made were ordered and received except Monday, June 03, 2013 Director, Administratio Title Cost distribution ledger classification if claim paid motor vehicle highway fund ® Remit to INVOICE FASTBIML Fastenal Company P.O. Box 1286 Page 1 of 1 Winona, MN 55987-1286 Date Invoice No. 003 For billing questions 05/21/2013 ININ811170 Cust.No. ININ80 Cust.P.O. Truck 0 1010 Kendall Court, Suite 3 Job No. WESTFIELD, IN 46074 Due Date Invoice Total Contract No. QPA#11179 Phone 317-804-8035 06/20/2013 16.46 USD Fax 317-804-8037 Sold To Ship To CARMEL STREET DEPT. Picked up at branch 3400 W 131 ST ST 1010 Kendall Court,Suite 3 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 20 20 0 TEB 1/4 X 1 112 220007777 42209 27.9200 5.58 Y 2 20 20 0 TEB 1/4 X 2 220007360 42211 28.8900 5.78 Y 3 10 10 0 QUIK LNK 3/16 134961 45212 51.0000 5.10 Y Received By Tax Exemption Subtotal 16.46 0031201550-020 G Shipping&Handling 0.00 IN State Tax 0.00 Comments County Tax 0.00 Contact:Brad Henderson City Tax 0.00 Total 16.46 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: ININ811170 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)) 05/21/13 I N I N811170 $16.46 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 $16.46 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 2201 I ININ811170 1 43-500.801 $16.46 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 o T r ay, May 30, 2013 Street Copfryffssioner Str" Cerx�x ;ner Title Cost distribution ledger classification if claim paid motor vehicle highway fund