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Home My WebLink About224866 10/08/2013 �,qyf CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1 ONE CIVIC SQUARE FASTENAL COMPANY CARMEL, INDIANA 46032 PO BOX 1286 CHECK AMOUNT: $269.66 WINONA MN 55987-1286 CHECK NUMBER: 224866 CHECK DATE: 10/8/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 ININ2162616 239 . 69 REPAIR PARTS 2201 4237000 ININ2162680 29 . 97 REPAIR PARTS ® Remit to INVOICE FASTBIML Fastenal Company P.O. Box 1286 Page 1 of 1 Winona, MN 55987-1286 Date Invoice No. Cust. No. ININ20009 For billing questions 09/23/2013 ININ2162680 Cust. P.O. verbal 14775 Herriman Blvd Job No. NOBLESVILLE, IN 46060 Due Date Invoice Total Contract No. QPA# 11179 Phone (317)770-0649 10/23/2013 29.97 USD Sold To Fax (317)770-4279 Ship To CARMEL STREET DEPT. Picked up at branch 3400 W 131 ST ST 14775 Herriman Blvd CARMEL, IN 46074-8267 NOBLESVILLE, IN 46060 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 7940 P100 FltrDsk Pr 120177410 1032392 749.2100 29.97 Y Received By Tax Exemption Subtotal 29.97 Shipping & Handling 0.00 Comments IN State Tax 0.00 County Tax 0.00 Contact:JEFF STEWART City Tax 0.00 Total 29.97 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. 0006489-03-0020009 Invoice: ININ2162680 oust: ININ20009 ® Remit to INVOICE FASTBIML Fastenal Company P.O. Box 1286 Page 1 of 1 Winona, MN 55987-1286 Date Invoice No. Cust. No. ININ20009 For billing questions 09/20/2013 ININ2162616 14775 Herriman Blvd Cust. P.O. Chemical Safety Job No. NOBLESVILLE, IN 46060 Due Date Invoice Total Contract No. QPA# 11179 Phone (317)770-0649 10/20/2013 256.47 USD Sold To Fax (317)770-4279 0006489 01 AB 0.384 "AUTO 112 0 1057 46074-8-06469 11111'llllllllllllllllllll'I'lllll�Il�l�llllll�lllllll'I"I"1111 Ship To CARMEL STREET DEPT. Picked up at branch 3400 W 131 ST ST 14775 Herriman Blvd CARMEL, IN 46074-8267 NOBLESVILLE, IN 46060 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 9002 MedFullFaceResp 120179844 1032369 11,984.2800 239.69 T Y Uit t a.ltn Received By Tax Exemption Subtotal 239.69 i & Handlin fou State Tax 16.78 Comments nty Tax Contact:Ralph City Tax 0.00 Total 256.47 - 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. 0006489-01-0020007 Invoice: ININ2162616 Cust: ININ20009 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)) 09/20/13 I N I N2162616 $239.69 09/23/13 I N I N2162680 $29.97 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 1286 Winona, MN 55987-0978 $269.66 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 ININ2162616 42-370.00 $239.69 1 hereby certify that the attached invoice(s), or 2201 ININ2162680 42-370.00 $29.97 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 Thur y, t er 03, 2.013 IV Title Cost distribution ledger classification if claim paid motor vehicle highway fund