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Home My WebLink About222384 07/30/2013 CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1 ONE CIVIC SQUARE FASTENAL COMPANY CARMEL, INDIANA 46032 PO BOX 1286 CHECK AMOUNT: $56.20 VMNONAMN 55987-1286 CHECK NUMBER: 222384 CHECK DATE: 7/30/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 ININ811719 56 . 20 REPAIR PARTS ® Remit to INVOICE Fastenal Company P.O. Box 1286 Page 1 of 1 Winona, MN 55987-1286 Date Invoice No. Cust.No. ININ80003 For billing questions 07/22/2013 ININ811719 Cust.P.O. 1010 Kendall Court,Suite 3 Job No. WESTFIELD, IN 46074 Due Date Invoice Total Contract No. QPA#11179 Phone 317-804-8035 08/21/2013 56.20 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 60 30 30 3/8-16 X 2 S/S HCS 220001061 1170111 47.7000 14.31 Y 2 20 20 0 3/8-16 X 2 S/S HCS 120127933 1170111 47.7000 9.54 Y 3 100 100 0 3/8-16S/S NYLOCK 120117617 1170862 17.6500 17.65 Y 4 7 7 0 3/8-16x2-1/4 S/S HCS 220007691 1170112 54.4500 3.81 Y 5 20 20 0 3/8-16x2-1/4 S/S HCS 160061471 1170112 54.4500 10.89 Y Received By Tax Exemption Subtotal 56.20 0031201550-020 G Shipping&Handling 0.00 IN State Tax 0.00 Comments County Tax 0.00 Contact:Steve Zeller City Tax 0.00 Total 56.20 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: ININ811719 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)) 07/22/13 I N I N811719 $56.20 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 1286 Winona, MN 55987-0978 $56.20 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 1 ININ811719 1 42-370.001 $56.20 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 ` i a J , 2013 Stre�tr�# ��ner Title Cost distribution ledger classification if claim paid motor vehicle highway fund CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1 ONE CIVIC SQUARE FASTENAL COMPANY CARMEL, INDIANA 46032 PO BOX 1286 CHECK AMOUNT: $56.20 VMNONAMN 55987-1286 CHECK NUMBER: 222384 CHECK DATE: 7/30/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 ININ811719 56 . 20 REPAIR PARTS ® Remit to INVOICE Fastenal Company P.O. Box 1286 Page 1 of 1 Winona, MN 55987-1286 Date Invoice No. Cust.No. ININ80003 For billing questions 07/22/2013 ININ811719 Cust.P.O. 1010 Kendall Court,Suite 3 Job No. WESTFIELD, IN 46074 Due Date Invoice Total Contract No. QPA#11179 Phone 317-804-8035 08/21/2013 56.20 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 60 30 30 3/8-16 X 2 S/S HCS 220001061 1170111 47.7000 14.31 Y 2 20 20 0 3/8-16 X 2 S/S HCS 120127933 1170111 47.7000 9.54 Y 3 100 100 0 3/8-16S/S NYLOCK 120117617 1170862 17.6500 17.65 Y 4 7 7 0 3/8-16x2-1/4 S/S HCS 220007691 1170112 54.4500 3.81 Y 5 20 20 0 3/8-16x2-1/4 S/S HCS 160061471 1170112 54.4500 10.89 Y Received By Tax Exemption Subtotal 56.20 0031201550-020 G Shipping&Handling 0.00 IN State Tax 0.00 Comments County Tax 0.00 Contact:Steve Zeller City Tax 0.00 Total 56.20 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: ININ811719 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)) 07/22/13 I N I N811719 $56.20 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 1286 Winona, MN 55987-0978 $56.20 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 1 ININ811719 1 42-370.001 $56.20 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 ` i a J , 2013 Stre�tr�# ��ner Title Cost distribution ledger classification if claim paid motor vehicle highway fund