221496 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1
ONE CIVIC SQUARE FASTENAL COMPANY
CARMEL, INDIANA 46032 PO Box 1286 CHECK AMOUNT: $515.31
,o„ WINONA MN 55987-1286
CHECK NUMBER: 221496
CHECK DATE: 712/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4238000 ININ811357 497 . 00 SMALL TOOLS & MINOR E
2201 4237000 ININ811449 18 . 31 REPAIR PARTS
I
Remit to
FASIEAML
® Fastenal Company INVOICE
P.O. Box 1286 Page 1 of 1
Winona, MN 55987-1286
Date Invoice No.
Cust.No. ININ80003 For billing questions 06/20/2013 ININ811449
Cust.P.O. truck#411 1010 Kendall Court,Suite 3
Job No. WESTFIELD, IN 46074 Due Date Invoice Total
Contract No. QPA#11179 Phone 317-804-8035 07/20/2013 18.31 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 4 4 0 M10 X 55 HCS A-2 220009912 M82600055A200 82.3500 3.29 Y
00
2 50 50 0 M10 LOCK WASHER A-2 160062103 ML640000OA200 7.3100 3.66 Y
00
3 25 25 0 M10 X 30 HCS A-2 220004388 M8260003OA200 45.4500 11.36 Y
00
Received By Tax Exemption Subtotal 18.31
0031201550-020 G Shipping&Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
Contact:Mike Henricks City Tax 0.00
Total 18.31
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: ININ811449 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))
06/20/13 I N I N811449 $18.31
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
$18.31
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I ININ811449 I 42-370.001 $18.31 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
1hur##, June 27, 2013
Street Com oner
Street omrrjli��loner
Cost distribution ledger classification if
claim paid motor vehicle highway fund
® Remit to INVOICE
FASUMM Fastenal Company
P.O. Box 1286 Page 1 of 1
�00
v Winona, MN 55987-1286
Date Invoice No.
Cust. No. ININ80269 For billing questions 06/12/2013 ININ811357
Q,0 1010 Kendall Court, Suite 3
Cust. P.O. Jbarnes t WESTFIELD, IN 46074
Job No. Due Date Invoice Total
Contract No. Phone 317-804-8035 07/12/2013 531.79 USD
Sold To Fax 317-804-8037
0005351 01 AB 0.384 "AUTO T8 1 1035 46032-2-05351
I�Ilrllll'llll��l�l�lll'I'III"II'lllllllllllll��lllllllllll'llll 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
—,R
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 COTTER PINS KIT WEINK0001 99339 6,883.0000 68.83 T
2 1 1 0 300Pc Roll Pin Kit AGGA5651 7041076 5,929.0000 59.29 T
1 1 0 24 COMPART.W/LATCH 120145044 63006 4,060.0000 40.60 T
1 1 0 CP BINCARDS W052813 99340 141.0000 1.41 T
1 1 0 2603-22 Drill Driver 120145848 0228521 31,899.0000 318.99 T
D Q a
JUL 0 12013
By
Received By Tax Exemption Subtotal 489.12
Shipping & Handling 7.88
IN State Tax '
Comments County Tax 0.00
Contact:Jeff Barnes City Tax 0.00
Total
4`
Reasonable collection and attorneys fees will be No materials accepted for return without our permismDTT-. ----
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.
X005351-01-0016383 Invoice: ININ811357 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))
06/12/13 I N I N811357 $497.00
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 Company
IN SUM OF $
PO Box 978
Winona, MN 55987-0978
$497.00
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1205 I ININ811357 I 42-380.00 I $497.00 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
Friday, June 28, 2013
Director, Administration(
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund