225809 11/05/2013 ,qyf CITY OF CARMEL, INDIANA VENDOR: 092000 Page 1 of 1
ONE CIVIC SQUARE FASTENAL COMPANY CHECK AMOUNT: $151.15
CARMEL, INDIANA 46032 PO BOX 1286
?° WINONANIN 55987-1286 CHECK NUMBER: 225809
M14 ioH ion
CHECK DATE: 11/5/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 2162895 20 . 76 OTHER EXPENSES
601 5023990 2162927 11 . 48 OTHER EXPENSES
2201 4237000 ININ812498 118 . 91 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. ININ80003 For billing questions 10/16/2013 ININ812498
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 11/15/2013 118.91 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 1 1 0 HOLE SAW 5[80L] LENOXX 57075 7,132.1600 71.32 Y
2 5 5 0 FD 7x7/8 36Z T27 123456 0818980 790.5600 39.53 Y
3 1 1 0 FW 2X1 X1/4 60 G SUNDIS 0281260 403.2000 4.03 Y
4 1 1 0 FW 2X1 X1/4 80 G 120158428 0281261 403.2000 4.03 Y
Received By Tax Exemption Subtotal 118.91
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 118.91
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: ININ812498 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))
10/16/13 I N I N 812498 $118.91
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
120
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Fastenal
IN SUM OF $
P. O. Box 1286
Winona, MN 55987-0978
$118.91
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 I ININ812498 I 42-370.001 $118.91 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
T sda 2013
Std�c�'��i rst3sS e r
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
® Remit to INVOICE
)%97BV64L Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987-1286
Date Invoice No.
Cust. No. ININ20169 For billing questions 10/02/2013 ININ2162927
Cust. P.O. JA100113B 14775 Herriman Blvd
Job No. NOBLESVILLE, IN 46060 Due Date Invoice Total
Contract No. QPA# 11179 Phone (317)770-0649 11/01/2013 11.48 USD
Sold To Fax (317)770-4279
0006724 01 MB 0.405 "AUTO T3 0 1059 46032-2-06724
l�ll�llll�llll��l�l�lll�l�lll��ll�llllillllllll„111111111111111 Ship To
CARMEL UTILITIES Picked up at branch
1 CIVIC SQ 14775 Herriman Blvd
CARMEL, IN 46032-2584 NOBLESVILLE, IN 46060
I
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 10 10 0 1/2-13 X 3 HCS S/S 120167727 1170215 114.7500 11.48 Y
` _ I
Received By Tax Exemption Subtotal 11.48
Shipping & Handling 0.00
Comments IN State Tax 0.00
County Tax 0.00
Contact:Jimbo City Tax 0.00
Total 11.48
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._
00067,24-01.0017697 Invoice: ININ2162927 Cust: ININ20169
Remit to INVOICE
ll � ' II ® Fastenal Company
P.O. Box 1286 Page 1 of 1
Winona, MN 55987-1286
Date Invoice No.
ININ20169 For billing questions 10/01/2013 ININ2162895
Cust. No.
Cust. P.O. ININ 01 69 14775 Herriman Blvd
Job No. NOBLESVILLE, ;N 46060 Due Date Invoice Total
Contract No. QPA# 11179 Phone (317)770-0649 10/31/2013 20.76 USD
Sold To Fax (317770-4279
0013307 01 M80.405 "AUTO T1 0 1085 46032-2-13307
11111 1111'1111 11I1I1III1 I'III"II'lllllllllllll��lllllllllll°1111 Ship 7o
CARMEL UTILITIES Picked up Lit branch
1 CIVIC SQ 14775 Herriman Blvd
CARMEL, IN 46032-2584 NOBLESVILLE, IN 46060
I
This Order and Document is subject to the "Terms of Purchase" posted on www.fastonal.com.
Line Quantity Quantity Quantity Control Part Price/
No Ordered Shipped Backordered Description No. No. Hundred Amount
1 5 5 0 1/2-13 X 3 HCS S/S 120144979 1170215 114.7500 5.74 Y
2 25 25 0 S/S FW 1/2x1 3/8 od 120075666 1171022 26.9700 6.74 Y
3 10 10 0 1/2-13S/S NYLOCK 120153767 1170864 41.3900 4.14 Y
4 10 10 0 1/2-13S/S NYLOCK 120153767 1170864 41.3900 4.14 Y
Received By Tax Exemption Subtotal 20.76
Shipping &Handling 0.00
IN State Tax 0.00
Comments County Tax 0.00
Contact:J;mbo I City Tax 0.00
� Total 20.76
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 of this product.
0013301-01-0038603
Invoice: 1NIN2162895 Cust: ININ20169
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
92000
FASTENAL Purchase Order No.
P.O. BOX 1286 Terms
WINONA, MN 55987-1286 Due Date 10/29/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/29/201: 2162927 $11.48
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
Date Officer
VOUCHER # 133174 WARRANT# ALLOWED
92000 IN SUM OF $
FASTENAL
P.O. BOX 1286
WINONA, MN 55987-1286
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
2162927 01-6200-04 $11.48
ac>.-1C.
Voucher Total 3,:� D[
/
Cost distribution ledger classification if
claim paid under vehicle highway fund