HomeMy WebLinkAbout220597 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
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� 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