222925 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1
ONE CIVIC SQUARE FASTENAL COMPANY
% CARMEL, INDIANA 46032 PO Box 1286 CHECK AMOUNT: $205.26
WINONA MN 55987-1286
CHECK NUMBER: 222925
CHECK DATE: 8/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 ININ811741 161 . 82 OTHER MAINT SUPPLIES
2201 4239032 ININ811787 43 . 44 POSTS & HARDWARE
® Remit to INVOICE
FASTBIML Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987-1286
Date Invoice No.
Cust. No. ININ80003 For billing questions 07/26/2013 ININ811741
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 08/25/2013 161.82 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 12 12 0 Blue Wiper Pail 72ct GEORPF 0608930 1,348.4800 161.82 Y
Received By Tax Exemption Subtotal 161.82
0031201550-020 G Shipping&Handling 0.00
IN State Tax 0.00
Comments County Tax 0.00
Contact:Eric Russell City Tax 0.00
Total 161.82
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: ININ811741 Cust: ININ80003
ML Remit to INVOICE
FASTBI Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987-1286
Date Invoice No.
Cust.No. ININ80003 For billing questions 07/29/2013 ININ811787
Cust.P.O. truck 57 1010 Kendall Court, Suite 3
Job No. WESTFIELD, IN 46074 Due Date Invoice Total
Contract No. QPA#11179 Phone 317-804-8035 08/28/2013 43.44 USD
Sold To Fax 317-804-8037
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 50 50 0 S/S FW 5/16x7/8 o.d. 120136355 1171016 3.0000 1.50 Y
2 10 10 0 5/16x4 316 SS HCS PBO67112 1177069 95.8500 9.59 Y
3 5 5 0 316 HCS 5/16-18x4.5 IB067031 1177071 124.6500 6.23 Y
4 50 50 0 HCS5/16-18X21/2 Z5 120117102 110120331 19.6200 9.81 Y
5 50 50 0 HCS5/16-18X2112 Z5 120117102 110120331 19.6200 9.81 Y
6 10 10 0 QUIK LNK 3/16 134961 45212 51.0000 5.10 Y
7 5 5 0 TEB 1/4 X 1 1/2 220007777 42209 27.9200 1.40 Y
Received By Tax Exemption Subtotal 43.44
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 43,44
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: ININ811787 Cust: ININ80003
VOUCHER NO. WARRANT NO.
ALLOWED 20
Fastenal
IN SUM OF $
P. O. Box 1286
Winona, MN 55987-0978
$205.26
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO, ACCT#/TITLE AMOUNT Board Members
2201 ININ811741 42-389.00 $161.82 1 hereby certify that the attached invoice(s), or
2201 ININ811787 42-390.32 $43.44 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
` Au ust 09, 2013
Street&5?i�qifflo€sioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
07/26/13 I N I N811741 $161.82
07/29/13 I N I N811787 $43.44
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