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HomeMy WebLinkAbout236437 08/27/14 ,CAA . CITY OF CARMEL, INDIANA VENDOR: 00351017 ® ONE CIVIC SQUARE KIRBY RISK ELECTRICAL SUPPLY CHECK AMOUNT: $*****1,433.00* r. =4 CARMEL, INDIANA 46032 PO BOX 664117 CHECK NUMBER: 236437 INDIANAPOLIS IN 46266 CHECK DATE: 08/27/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 107354177001 2.78 OTHER EXPENSES 651 5023990 107527671003 116.78 OTHER EXPENSES 601 5023990 107565827001 39.99 OTHER EXPENSES 609 5023990 107591939001 15.69 OTHER EXPENSES 609 5023990 107591970001 25.99 OTHER EXPENSES 609 5023990 107592000001 62.56 OTHER EXPENSES 609 5023990 107594218001 74.75 OTHER EXPENSES 609 5023990 107594240001 129.59 OTHER EXPENSES 609 5023990 107595464001 29.68 OTHER EXPENSES 601 5023990 107595525001 144.44 OTHER EXPENSES 609 5023990 107597133001 148.90 OTHER EXPENSES 609 5023990 107600162001 4.98 OTHER EXPENSES 609 5023990 107613386001 96.46 OTHER EXPENSES 609 5023990 107616365001 -221.33 OTHER EXPENSES 609 5023990 107619138001 133.26 OTHER EXPENSES 601 5023990 107621951001 20.46 OTHER EXPENSES 609 5023990 107622190001 55.00 OTHER EXPENSES 609 5023990 107630522001 459.28 OTHER EXPENSES 601 5023990 107630613002 71.88 OTHER EXPENSES 601 5023990 107638848001 21.86 OTHER EXPENSES DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT -CUSTOMER-NUMBER-1--'--'-�-'CUST-OMER-PO;NUMBER-,----I-irll---.—..--�-'--'RELEASE 11788 KR8514A NET 30 DAYS — SALESPERSON ���'�"S'HIP VIA ORDERED BY ALES6�FICL �1�*-PkONE NUMBER SH!�:DATEk?�.,-, IDMS-XML 23 INDIANAPOLIS KEN RHODES FISHERS 317-598-6170 08/08/14 ORDERQTYJ SHIPCITY I DESCRIPTION ITEM PRICE E�T AMOUNT`-".J kSWDISdA lea lea AB 802T-W14 30.85 lea 30.85 LOOPED ROD ARM 2ea 2ea AB 802T-W2D 38.52 lea 77.04 ADJ NYL ROLLER ARM 2ea 2ea AB 802T-HP 160.27 lea 320.54 LIMIT SWITCH lea lea AB 802T-W3A 30.85 lea 30.85 SS ROD ARM Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S107630522.001 Subtotal 459.28 S&H Charges 0.00 Invoice is due by 09/07/14. '246ySSS 08/08/14 Sales Tax 0.00 r ature B` ( Date S. ��rr.�,, rm ea ame TlmLoll � 459.28 000i:000i AK Kirby Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT . s •o 11788 TJ 8/1/14 NET 30 DAYS ROGER VICTOR PK PICK-UP AMADOU DIALLO(TJ) FISHERS 317-598-6170 08/01/14 20ft 20ft BLIN B52-SH-10FT-GALV 149.38 1 00f 29.88 SLOT CHANNEL 3ea 3ea BLIN B2014PA-2-1/2 143.22 1 00e 4.30 PLTD CND CLAMP 1 00e 1 00e IDEA 30-341 95.19 1 000e 9.52 341 TWISTER WIRENUT CONN. - lea lea HOFF A8P8 4.98 lea 4.98 PANEL 6.75X6.88 FITS 8.00X8.00 lea 1 e CULL 37530 6.32 lea 6.32 100% CLEAR SILICONE SEALANT Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 81V201410:51:36 AM s107622190.001 Invoice Number S107622190.001 Subtotal 55.00 � SBH Charges 0.00 Invoice is due by 08/31/14. a Sales Taxi0.00 AMADOU DIALLO(TJ) 55.00 0002:0002 Kirby Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT 11788 KR73114 NET 30 DAYS IDMS-XML 23 INDIANAPOLIS KEN RHODES FISHERS 1317-598-617C 08/07/14 2ea Zea PAND RMH4BL 23.99 lea 47.98 RIBBON, HYBRID, 4 WIDE, FOR USE WITH TD 2ea 2ea HOFF AL48 29.21 lea 58.42 (2)QUICK-RELEASE LATCH KIT **SUBJECT TO VENDOR RETURN POLICY** 200ea 200ea T&B TY526MX 13.43 100ea 26.86 TIE,TY-RAP,SELF-LOCK Billing Questions: Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S107619138.001 Subtotal1133.26// S&H ChargesInvoice is due by 09106114. oe av is Sales Taxature Daterinte Name 5'"ie� 000L000tMR Kift Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT 11788 TJ080614 NET 30 DAYS MIKE E WILSON PK PICK-UP AMADOU DIALLO(TJ) FISHERS 317-598-6170 08/06/14 lea lea ADVA 71 A5492001 D 71.88 lea 71.88 MH BAL 150W M102/142 QUAD KIT Billing Questions: Billing—request@kirbyrisk.com(765)446-3054 8f6f20141:45:27PM S107630613.002 Invoice Numberl S107630613.002 Subtotal 71.88 S&H Charges 0.00 Invoice is due by 09/05/14. ?tet Sales Tax 0.00 AMADOU DIALLO(TJJ � ® e 71.88 000l:000t Kirby Risk Page 1 of 1 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT 0 0 11788 BT080114A NET 30 DAYS MARK S BAYS PK PICK-UP BRIAN TOLAN FISHERS 317-598-6170 08/01/14 lea lea I NTE K4021 C 8.23 lea 8.23 120V PHOTO CONTROL lea lea INTE K4251 11.63 lea 11.63 120V PHOTOCONTROL lea lea EGS 4SEK 41.79 1 00e 0.42 4X1-1/2D SQ lea 1 ea EGS 8465 17.82 1 00e 0.18 41N SQ FLAT BLANK COVER Billing Questions: Billing_request@kirbyrisk.com(765)446-3054 9f1120149:54:07AM 5107621951.001 Invoice Number S107621951.001 Subtotal 20.46 S&H Charges 0.00 Invoice is due by 08/31/14. �L / Sales Taxi 0.00 BRIAN TOLAN f�`� 0 20.46 0001:0002 R Kirby Riser Page 1 of 1 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT 11788 BT0812141A NET 30 DAYS MARK S BAYS PK PICK-UP BRIAN TOLAN FISHERS 317-598-6170 08/12/14 11AMI 1"'I'likiiiia 2ea 2ea HUBB 12231 4.22 lea 8.44 SWITCH, HUBPRO, 3-WAY, 20A 120/277V, IV lea lea HUBB 12211 3.70 lea 3.70 SELECT SPEC IVORY 20A SP TOGGLE SW 25ea 25ea IDEA 30-3480 38.89 1 00e 9.72 8"GRN 12 AWG THHN STR 10 FORK Billing Questions: Billing_request@kirbyrisk.com(765)446-3054 801212014 8:43:13 AM S107638848.001 Invoice Number S107638848.001 Subtotal 21.86 SBH Charges 0.00 Invoice is due by 09/11/14. Sales Taxi 0.00 BRIAN TOIAN AMOUNT 21.86 000t:000t Kirby Disk Page 1 of 1 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT ;117:88 BT071714B NET 30 DAYS MARKS BAYS DIRECT BRIAN TOLAN FISHERS 317-598-6170 07/22/14 Sea 3ea T&B H400GR-TB 4348.10 100ea 130.44 NUT **SUBJECT TO VENDOR RETURN POLICY** Cmc �I n Billing Questions: Billing—request@kirbyrisk.com(765)446-3054 Invoice Number S107595525.001 Subtotall 130.44 S&H Charges 14.00 Invoice is due by 08/21/14. Sales Taxi 0.00 0 a 144.44 0001:0001 Kirby Risk Page 1 of 1 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 351017 KIRBY RISK ELECTRICAL SUPPLY Purchase Order No. PO BOX 664117 Terms INDIANAPOLIS, IN 46266 Due Date 8/19/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/19/2014 107622190.1 _ $55.00 1 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 Offi r VOUCHER # 141516 WARRANT # ALLOWED 351017 IN SUM OF $ KIRBY RISK ELECTRICAL SUPPLY PO BOX 664117 INDIANAPOLIS, IN 46266 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 16711,3C>5;?.'2-Xfa"'szaz 454,x$ 107622190.1 07-1052-14 $55.00 to7��9i38.1 � 1:33•�ls 0A l� to3�4t�•,� (d�� �1.8(� l p1 to3bl��3•� n --71_fig Voucher Total Cost distribution ledger classification if claim paid under vehicle highway fund ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT • 7,T31•o - 11788 W09937 NET 30 DAYS SALESPERSON, .•. . . .• MIKE E WILSON WC51 WILL-CALL BRIAN TOLAN FISHERS 317-598-6170 06/01/14 ORDER QTY SHIP 010TY ..ITEM PRICE AMOUNT * CASH DIS'C',� Zea 2ea CARL LT43D-NEW 139.13 100ea 2.78 PVC 1/2"STRAIGHT LIQUIDTIGHT FTG W Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S107354177.001 Subtotal 2.78 S&H Charges 0.00 Invoice is due by 07/01/14. Sales Taxi0.00 6 9 2.78 0001:0001 Kirby Risk Page 1 of 1 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUST• o 11788 KR62714A NET 30 DAYS IDMS-XML 23 INDIANAPOLIS KEN RHODES FISHERS 317-598-6170 07/01/14 3ea 3ea HOFF A16P14 13.33 lea 39.99 PANEL 14.75X12.88 FITS 16.00X1 V Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S107565827.001 Subtotal 39.99 S&H Charges 0.00 Invoice is due by 07/31/14. A& Sales Tax 0.00 /Q8'S'b7/01/14 i �1 tore nate• nJi�p� 13 mss' ....... ante • 39.99 ame T me 0002:0002 Kirby Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT 11788 BT071414A NET 30 DAYS MIKE E WILSON WC51 WILL-CALL BRIAN TOLAN FISHERS 317-598-6170 07/15/14 760ft 0ft 20ft PVC 4"SCH 80 NM CONDUIT 10' 277.54 1 00f 55.51 PRIME 49415-010 OR CTX A53EA12 60ft PVC 4"SCH 40 NM CONDUIT 10' 176.29 1 00f 105.77 PRIME 49015-010 OR CTX A52EA12 4ea 4ea CARL UA9FN 1893.44 100ea 75.74 CL UA9FN 4"SCH 40 90 DEG X 36" ELB Billing Questions:Billing—request@kirbyrisk.com(765)446-3054 7117120149:38:55AM S107591939.001 Invoice Number S107591939.001 Subtotall 237.02 S&H Charges 0.00 Invoice is due by 08/14/14. T 1z;1 C-4 k1 Z 5 Sales Tax 0.00 BRIAN TOLAN ® e 237.02 0001:0006 Kirby Risk Page 1 of 1 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT • • • 11788 CK#234332/234563 PAYABLE ON RECEIPT KARLA Y WHITE ACCOUNTING JERRY CLOUD FISHERS 317-598-6170 07/29/14 -lea -1 ea ^PREVIOUSLY PAID INVOICE 221.33 lea -221.33 S107490115.001, S107530464.001, S107544757.001 ON CK#234332 DATED 7-11-14 DUPPLICATE PMT ON CK#234563 DATED 7-8-14 PLEASE REFERENCE CREDIT ON NEXT REMITTANCE Billing Questions:Billing—request@kirbyrisk.com(765)446-3054 Invoice Number S107616365.001 Subtotal -221.33 S&H Charges 0.00 Sales Tax 0.00 0002:0002 Kirby Risk Page 1 of 1 -------------------------------------------------------------------------------------------------`------------------------------------------------------------------------------------ DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT s • • 11788 TJ072114 NET 30 DAYS SALESPERSO •-. . • PHONE MIKE E WILSON PK PICK-UP AMADOU DIALLO(TJ) FISHERS 317-598-6170 07/21/14 ORDERCITYJ SHIPQTY . • ASH DISC lea lea HOFF A8P8 4.98 lea 4.98 PANEL 6.75X6.88 FITS 8.00X8.00 Billing Questions: Billing_request@kirbyrisk.com(765)446-3054 71211201410:21.53 AM S107600162.001 Invoice Number S107600162.001 Subtotal 4.98 SAH Charges 0.00 ,al Invoice is due by 08/20/14. rbff Sales Tax 0.00 AMADOU GIALLO(TJ) AMOUNTME 4.98 0002:0002 Kirby Risk Page 1 of 1 ------------------------------------------------------------------------------------------------------------------------------------------------------------- DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT • • -. 11788 BT071614A NET 30 DAYS MIKE E WILSON WC51 WILL-CALL BRIAN TOLAN FISHERS 317-598-6170 07/16/14 10ft 1Oft COND R400 1295.851 1 00f 129.59 RIGID 4"CONDUIT Billing Questions: Billing—request@kirbyrisk.com(765)446-3054 7f17120149:39:43AM s107594240.001 Invoice Numberl S107594240.001 Subtotall 129.59 S&H Chargesi 0.00 Invoice is due by 08/15/14. l "�� r 2- 251? Sales Tax 0.00 BR .' ®IAN TOLAN ® 129.59 0005:0006 Kirby Risk Page 1 of 1 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT 11788 T071614A NET 30 DAYS • MR49Y1901ii ,. MIKE E WILSON WC51 WILL-CALL BRIAN TOLAN FISHERS 317-598-6170 07/16/14 Sea 3ea EGS GIB-400L-25AC 2356.56 100ea 70.70 4"GROUND BUSHING lea lea CARL VC9963 STANDARD CLEAR CEMENT- 405.47 100ea 4.05 PINT 31354 Billing Questions:Billing—request@kirbyrisk.com(765)446-3054 711712014 3:40:11 AM 5107594218.001 Invoice Number S107594218.001 Subtotal 74.75 aL�, r 2259 S&H Charges 0.00 Invoice is due by 08115114. Sales Tax 0.00 q ® ® BRIAN TOLAN 74.7 5 � 0004:0006 Kerby Risk Page 1 of 1 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT 11788 BT071714A NET 30 DAYS MIKE E WILSON PK PICK-UP BRIAN TOLAN FISHERS 317-598-6170 07/17/14 12ft 12ft WIRE THHN-STR-1/0-BLA-CUT REEL 1675.59 1000ft 20.11 4ea 4ea SIEM ECCS1 1.70 lea 6.80 GRND BAR COLLAR STRAP lea lea SIEM EC2GB12 2.77 lea 2.77 GROUND BAR KIT-12 POS Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 7117020149:38:22AM S107595464.001 Invoice Number S107595464.001 Subtotal 29.68 Toc-Akr Z Z 5$ S&H Charges 0.00 Invoice is due by 08116114. Sales Taxi 0.00 BRIAN TOLAN ® ® 29.68 0006:0006 Kirby RISS( Page 1 of 1 ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT 11788 BT071414A NET 30 DAYS • �. MIKE E WILSON WC51 WILL-CALL BRIAN TOLAN FISHERS 317-598-6170 07/15/14 74ea4ea CARL UA7FN 1564.03 100ea 62.56 4"SCH 40 45 DEG X 36" ELBOW ELB **SUBJECT TO VENDOR RETURN POLICY** Billing Questions: Billing-request@kirbyrisk.com(765)446-3054 711712014 9:39:20 AM s107592000.001 Invoice Number S107592000.001 Subtotal 62.56 fS&H Charges 0.00 Invoice is due by 08114114. j�t-�tif �� Sales Taxi0.00 BRIAN TOLAN s ® ® 62.56 0003:0006 (� Kirby Risk Page 1 of 1 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT 11788 BT071414A NET 30 DAYS MIKE E WILSON WC51 WILL-CALL BRIAN TOLAN FISHERS 317-598-6170 07/15/14 72ea 8ea 8ea BLIN B2017PA-4 199.02 100ea 15.92 PLTD CND CLAMP 2ea CARL E943N 217.92 100ea 4.36 4""SCH 40 MALE ADAPTER 2ea 2ea EGS L-1000 182.02 100ea 3.64 4-IN STEEL LOCKNUT 2ea 2ea EGS PB-1000-D 103.63 100ea 2.07 4-IN 105D PLS INSBSH Billing Questions:Billing—request@kirbyrisk.com(765)446-3054 7117r20149:40:40AM 6107591970.001 Invoice Number S107591970.001 Subtotall 25.99 S&H Charges 0.00 Invoice is due by 08114114. 7a��~� 2 Sales Tax 0.00 BRIAN TOLAN ® ® 25.99 0002:0006 Kirby Risk Page 1 of 1 -------------------------------------------------------------------------------------------------------------------------------7---------------------------------------------------------------- DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT • 15 11788 bt072814A NET 30 DAYS MARK=GATES WC51 WILL-CALL BRIAN TOLAN FISHERS 317-598-6170 07/28/14 0 0 MCI mlmm 2ea 2ea EGS BLSG-400 1622.63 100ea 32.45 4-IN SEALING LOCKNUT lea lea EGS RB400-300 690.92 100ea 6.91 4X3 RED BUSH lea lea PICO[WHEA 8465(GCPL400) 1521.51 100ea 15.22 4"GALVANIZED COUPLING lea lea EGS CN-400 4188.06 100ea 41.88 4-IN MALL BUSHED NIPPLE Billing Questions: Billing-request@kirbyrisk.com(765)446-3054 712912014 8:27:53 AM S107613386.001 Invoice Numbed S107613386.0011 Subtotal l 96.461 S&H Charges 0.001 Invoice is due by 08/27/14. OC-A,( �7 Sales Taxi 0.00 6111AIlTOIAN 0 96.461 0001:0002 Kirby Risk Page 1 of 1 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT ,CUSTOOMERtP• RELEASE-NUMBER-:: 11788 KR71714 NET 30 DAYS SALESPERSON HIP VIA ORDERED OFFICE PHONE NUMBER SHIP DATE IDMS-XML PAR PARCEL DLVY KEN RHODES FISHERS 317-598-6170 07/21/14 ORDERQTYJ • AMOUNT CASH DISC 5ea 5ea PAND S10OX150VAC 29.78 lea 148.90 P1 CASSETTE, SELF-LAM LABEL, VINYL, 1.00 WIRE MARKER Billing Questions:Billing-request@kirbyrisk.com(765)446-3054 Invoice Number S107597133.001 Subtotal 148.90 S&H Charges 0.00 Invoice is due by 08120/14. Sales Tax 0.00 am" • 148.90 0001:0002 Kirby Risk Page 1 of 1 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 351017 KIRBY RISK ELECTRICAL SUPPLY Purchase Order No. PO BOX 664117 Terms INDIANAPOLIS, IN 46266 Due Date 8/4/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/4/2014 107591939.1 $15.69 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 --)A4 Date fficer VOUCHER # 141351 WARRANT# ALLOWED 351017 IN SUM OF $ KIRBY RISK ELECTRICAL SUPPLY PO BOX 664117 INDIANAPOLIS, IN 46266 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code Z37.0-Z 107591939.1 07-1052-12 $15.69 1�'1 S4�-t t Cs 2. I0"15 C-3Icl,-) ICS'z iz I D-7 59 5000 1 t Lr 5lP [r'- x'1.59 (e7C -j L D>� Voucher Total Cost distribution ledger classification if claim paid under vehicle highway fund Kirby is INVOICE 1815 Sagamore Pkwy Lafayette, IN 47904 08/04/14 S107527671.0031 74918 -DAi E TODUEAMOUNT 09/30/14 116.78 KIRBY RISK CORPORATION P.O. BOX 664117 INDIANAPOLIS IN 46266-4117 SHIP TO: 1541 1 AB 0.406 E0202X 10301 D1043372514 P2095367 0001:0001 CARMEL WWTP CARMEL WWTP ATTN: JEFF COOPER ATTN: PAUL ARNONE 9609 HAZEL DELL PKWY 9609 HAZEL DELL PKWY INDIANAPOLIS IN 46280-2935 INDIANAPOLIS IN 46280-2935 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER • • 74918 S14056 PT 10TH PROX NET 30TH • . . . .• KEVIN R FORD DIRECT JEFF COOPER FISHERS 317-598-6170 08/04/14 Qw ORDER CITY "SHIP ITEM PRICE lea lea IDEA 4050-1 116.78 lea 116.78 SK 17PIECE 1/2"DR, 6PT IMP SCK SET KRPNM "SUBJECT TO VENDOR RETURN POLICY** Billing Questions:Billing request@kirbyrisk.com(765)446-3054 Invoice Number S10752767i.003 Subtotall 116.78 S&H Charges 0.00 Invoice is due by 09/30/14. Sales Tax 0.00 ® 0 116.78 0001:0001 Kirby Risk Page 1 of 1 TERMS AND CCADITIONS OF SALE AC(TPTANCE OF THE (AWDS PURCHASED ON THIS AVCHC F CON't']'ITUTES AN!,° ACCEPT.kNCE OF THE TERMS AND CONDFINONS OF SALE WHICH FOU.OW: ki) Stuck Nlerchaudisc ":, -,Ljb�jcc to a relornNogoods he retu,-nc(kNi�hou!a an,, w int frit,: nunibc.-and illriUr Mnthk,;ization, t,) Nou-StockAlerchandise is raA retMllble Un CSS We (?owk thi 'xndor, 09 The Wouwr ackno,;Aclgos Alld agrc,:s flua ir all pumhow,of-,:)ods ai:d �,ervices 1roril Seller, soicr gV,no cxlnvss wrAn6en cf VIA& WWTOIDICS of nu whamariiitynn,l ;Inlcys i PQ . NO 141 T!, Uslouw igrco, that SO&will not he hah;lo lor,iiz: on! incKywl daindpw uYing Cr Wl Sny WOO WWC".n,LA \Vna lair; `.Ased troll-,, Seller (5) TaNes-- Pril'Wh ShO%Vl J)not unluxle <alCs or other taxes irupond on to We ofgmxh. Fywh no" ,r hereafter irnfroned LII)oll SaICS 1,11'ShipMCM WHHX alRd to W PLIrchasc Ivice. lir ycr agrco,"to ren,!burse Si-jlcr for cliffy W Mx or pu'vide Seller with acceptallic tax CxCillplioll j)) Delay in De:2i ery--ScIler in w to Q accoumuble Or Alays in delArl cocuRned by aw oft.od or other circum,ances over whit it Sell n-has no c!ircct control. Factory shipnent ca-deliver_% dales ac,! the bcsT tiiTlalC (if our nupplOrc and in no case shall Sellor be WIN lbr mq,consequondal w speciat 'kuoy-cs an ,inn fron-; my&,lay in delivery. 17) NNAiler--1 Q Wime of Sck,- it) insi�t upon it. peAmNutce of:iii y of to tems cn cordoWns of AW, i:O"A'zXt Or 10 excrckw my Nghl humpWor W not be i,,,cmcd io he a N�,irvcr of,uch loi-l', : :ight W Me thur" nor:.`N! It be Eleemed To be a cr o! -;riy odwi,term. .-,r rig,W and 6j;,comr,-:',. oq Ninaincatian or Inns and 0WHON—No mnus juo comIltions othci than ::!Id no �recrncnt Or LUI,L VOWNAPP in my Any pmporting to nuxil Qthese tonns, or w,uhhAm, WH tlaldilli;oil S,-'1101-t61,110U( SCIICI'*S \NrittCn COnSellt. 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 351017 KIRBY RISK ELECTRICAL SUPPLY Purchase Order No. PO BOX 664117 Terms INDIANAPOLIS, IN 46266 Due Date 8/21/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/21/2014 S107527671. $116.78 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 fficer VOUCHER # 145396 WARRANT # ALLOWED 351017 IN SUM OF $ KIRBY RISK ELECTRICAL SUPPLY PO BOX 664117 INDIANAPOLIS, IN 46266 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code S107527671.( 01-7202-06 $116.78 Voucher Total $116.78 Cost distribution ledger classification if claim paid under vehicle highway fund i