26318 Fastenal ',City' of ,Cariiiiel , :012155 002 0 PURCHASE ORDER NUMBER
:E FEDERAL EXCISE TAX EXEMPT 26318
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997,
'URCHASE ORDER DATE . DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12/13/2012
Fastenal Street Department
VENDOR SHIP 3400 W. 131st Street
P. O. Box 978 TO Carmel, IN 46074
Winona, MN 55987-0978 (317) 733-2001
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 0043-501.00
1 Each LED Lights $1,740.24 $1,740.24
Sub Total: $1,740.24
‘Of-- CA A, '-'4e0,....dp.,
.... . .., 'iiir/ ..-
.,...
c 4,
-„,...., „„,,
:,,, LP °
u e
Al * ,,, a
O
" '
'
%11114
` , 7 4/iii
�� �� �
1.Send l( \
• U
Se d Invoke To:
Street Department
3400 W. 131st Street
Carmel, IN 46074-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT . PROJECT PROJECT ACCOUNT AMOUNT
•h:l
Carmel Street Department PAYMENT $1,740.24
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY Iii 1�! 4 / 1 1
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL -
SHIPPING LABELS. J e Al //��
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Lt_ `}� /A 1-Lekt.
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. V`•
"CLERK-TREASURER
DOCUMENT CONTROL NO. 26„18 OFFICE COPY