225358 10/23/2013 CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1
ONE CIVIC SQUARE FASTENAL COMPANY
4 CHECK AMOUNT: $195.70
�,. CARMEL, INDIANA 46032 PO BOX 1286
WAONAMN 55987-1286 CHECK NUMBER: 225358
CHECK DATE: 10/23/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239032 ININ812382 111 . 99 POSTS & HARDWARE
2201 4237000 ININ812392 9 .27 REPAIR PARTS
2201 4239032 ININ812444 43 . 84 POSTS & HARDWARE
2201 4239032 ININ812937 30 . 60 POSTS & HARDWARE
® Remit to INVOICE
FASMW Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987-1286
Date Invoice No.
Cust.No. ININ80003 For billing questions 10/10/2013 ININ812444
Cust.P.O. Sign Posts 1010 Kendall Court, Suite 3
Job No. WESTFIELD, IN 46074 Due Date Invoice Total
Contract No. QPA#11179 Phone 317-804-8035 11/09/2013 43.84 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 3 3 0 LENOX 38EW14 BANDSAW 220006005 57030 1,461.4600 43.84 Y
Received By Tax Exemption Subtotal 43.84
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 43.84
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: ININ812444 oust: ININ80003
® Remit to INVOICE
FASTBIML Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987-1286
Date Invoice No.
NIN80003 For billing questions 10/03/2013 ININ812382
Cust. No. I
Cust.P.O. NIN807 1010 Kendall Court,Suite 3
Job No. WESTFIELD, IN 46074 Due Date Invoice Total
Contract No. QPA#11179 Phone 317-804-8035 11/02/2013 111.99 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
1 100 100 0 HCS5/16-18X21/2 Z5 120162445 110120331 19.6200 19.62 Y
2 100 100 0 5/16"-18 FHNz5 120145376 1136304 3.5100 3.51 Y
3 100 100 0 5/16 X 1 FEND Z 220013122 1133213 5.8300 5.83 Y
4 20 20 0 TEB 1/4 X 1 1/2 220010780 42209 27.9200 5.58 Y
5 10 10 0 TEB 1/4 X 2 220010780 42211 28.8900 2.89 Y
6 1 1 0 29Pc HD JL 135sp Set TOPEST 0303044 7,006.0000 70.06 Y
7 50 50 0 S/S FW 5/16x7/8 o.d. 120136355 1171016 3.0000 1.50 Y
8 50 50 0 1/4-20S/S NYLOCK 120164903 1170860 6.0000 3.00 Y
Received By Tax Exemption Subtotal 111.99
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 111.99
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: ININ812382 Cust: ININ80003
FASTBIML® 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 10/04/2013 ININ812397
Cust.P.O. NIN807 1010 Kendall Court,Suite 3
Job No. WESTFIELD, IN 46074 Due Date Invoice Total
Contract No. QPA#11179 Phone 317-804-8035 11/03/2013 30.60 USD
Fax 317-804-8037
Sold To
Ship To
CARMEL STREET DEPT. CARMEL STREET DEPT.
3400 W 131ST ST 3400 W 131ST ST
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 60 0 QUIK LNK 3/16 134961 45212 51.0000 30.60 Y
Received By Tax Exemption Subtotal 30.60
0031201550-020 G Shipping&Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
Contact:Brad Henderson City Tax 0.00
Total 30.60
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: ININ812397 Cust: ININ80003
® Remit to INVOICE
FASTBV.4L Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987-1286
Date Invoice No.
Cust.No. ININ80003 For billing questions 10/04/2013 ININ812392
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 11/03/2013 9.27 USD
Fax 317-804-8037
Sold To
Ship To
CARMEL STREET DEPT. CARMEL STREET DEPT.
3400 W 131 ST ST 3400 W 131 ST ST
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 HCS 5/8-18 x 3 YZ8 120160068 18964 127.3500 5.09 Y
2 4 4 0 5/8-18 Nylok NE YZ 8 120173267 37086 104.4000 4.18 Y
Received By Tax Exemption Subtotal 9.27
0031201550-020 G Shipping&Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
Contact:Jeff Stewart City Tax 0.00
Total 9.27
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: ININ812392 Cust: ININ80003
VOUCHER NO. WARRANT NO.
ALLOWED 20
Fastenal
IN SUM OF $
P. O. Box 1286
Winona, MN 55987-0978
$195.70
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 ININ812382 42-390.32 $111.99 1 hereby certify that the attached invoice(s), or
2201 ININ812397 42-390.32 $30.60
bills) is (are) true and correct and that the
2201 ININ812392 42-370.00 $9.27
materials or services itemized thereon for
2201 ININ812444 42-390.32 $43.84
which charge is made were ordered and
received except
edne y, ber 1 013
S�reeett
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))
10/03/13 I N I N812382 $111.99
10/04/13 I N I N812397 $30.60
10/04/13 I N I N812392 $9.27
10/10/13 I N I N812444 $43.84
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