241317 01/22/15 `y �,qf CITY OF CARMEL, INDIANA VENDOR: 00351017
4; y1
® `;
ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: $*********6.78*
49, ?� CARMEL, INDIANA 46032 27651 NETWORK PLACE CHECK NUMBER: 241317
�,�roN..�o` CHICAGO IL 60673-1275 CHECK DATE: 01/22/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 S107834674 6.78 OTHER EXPENSES
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER NUMBER-- - CUSTOMER •.
NUMBER NUMBER TERMS
95776 STOCK NET 30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
MIKE E WILSON PK PICK-UP T ERIC ROBINSON FISHERS 317-598-6170 12/04/14
ORDER QTY SHIP QTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
4ea 4ea CARL UA9AJ 169.54 100ea 6.78
2"SCH 40 STD 90 DEG ELBOW
Billing Questions:Billing-request@kirbyrisk.com(765)446-3054 121412014 9:55:23 AM S107834674.001 Invoice Number S107834674.001
Subtotal 6.78
S&H Charges 0.00
Invoice is due by 01/03/15. Sales Tax 0.00
ERIC ROBINSON 6.78
0001:0001 Kirby Risk Page 1 of 1
TERMS AND CONDITIONS OF SALE
h.6.;1:.E1''i'ANCE OF THE GOODS PURCHASED. ON THIS INVOICE CONSTITUTES AN
A :ciz,'T. NC1 f3T?THE`i'l:RMS AND CONDITIONS OF SALE,WHICH.FOLLOW.
(i) Stock Merchandise i.y subject to a return ch,urge. No goods may be returned Without za shipping,ticket
and or invoice ininiber.ind prior authorization.
(2) Non-Stock Merchandise is riot returnable unless%ve can:secure a"Returned(;bods authority" from
the vendor.
(3) The Customer acknowledges and threes that in all purc•liases of goods and service: from:Seller. Seller
fives no express warranties,or implied warranties of merchantability and fitness for any particular
purpose. ••
(4) 'I'h £Yustom-er,cress that Selle-r wi.l not 1?e liGihl.e L'cjr tzny'cc.5€�;cduenii.il tirzci inc,i�leuttil daitrages ztrising
from fury cause associxlted with (he goods purchased from Seller.
(S) 'I tapes—1't ices shor n do not include s<t.los or other taxes inihosed.ern the sale cif_roods._T=wxes now or
- hcrcafter imposed.upon sales or shipments will be added to Ilic purchase price. Buyer agrees to --
reimburse Seller for atiy Ouch tax or provide Seller with'accz°ptable tax e;xempt.ion certificate.
( ) Delray-in Delivery—:Seller is not to be accountUble for delays in delivery-occasioned by act.of God or
othc r-circErmsta€rc;cy over which Seller has no direct:control. l actoiT shipment or delivery dates are the
best estimates of our suppliers.and in.no case shall Seller be liable for any consequential or special
damag s arising from any-delay in delivery.
(7) Waiver—The failure of:Seller to insist upon the performance o:t'any o:t'the terms or conditions of this
contrs ct or to exercise any,right:hereunder shall rant:be deerned tea be;a waiver of such terms,
conditions or right in the future, nor shall it be deerrred to be a waiver of any other terra,condition,or
rryht 1111(101-thrS Contract.
(8) Modif'icati€rn of Terins and Conditit?lis—No lentis and conditions other than those Stated herd,.and
no agre:c;ment or understarrdin�.in any��tz purporting to riiodify€hese terms, or conditions, shall be
binding on Seller v ithout Seller's written consent.
VOUCHER # 146467 WARRANT # ALLOWED
351017IN SUM OF $
I
KIRBY RISK ELECTRICAL SUPPLY
I NQANAP PL,I S.,-�Q y6_Fi
Carfihel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
�I
t
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
l
I
I
S107834674.( 01-7202-06 $6.78
( I
I
I
I
i
I
i
Voucher Total $6.78
Cost distribution ledger classification if
claim paid under vehicle highway fund
f
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 i Purchase Order No.
PO BOX 664117 Terms
INDIANAPOLIS, IN 46266 Due Date 12/30/2014
Invoice Invoice Description
Date Number (or note attached nvoice(s) or bill(s)) Amount
.i
12/30/201, S107834674. $6.78
r
I
r
i
i
i
I
t
I
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
Ile,/s
Date Officer