242029 2 /10/2015 (9, )
CITY OF CARMEL, INDIANA VENDOR: 00351017
ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECKAMOUNT: $*****2,577.20*
CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 242029
CHICAGO IL 60673-1275 CHECK DATE: 02/10/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 107895204 117.83 S107895204.001
651 5023990 107908301 82.11 S107908301.001
651 5023990 107908593 81.75 S107908593.001
652 5023990 107909620 1,066.41 S107909620.001
652 5023990 107909620 56.27 S107909620.002
652 5023990 107909620 1,070.78 S107909620.003
652 5023990 107909620 102.05 S107909620.004
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER NUMBER CUSTOMER ., NUMBER RELEASE NUMBER S
74918 S14754 PT 10TH PROX NET 30TH
SALESPERSONORDERED
IDMS-XML PK51 PICK UP DUANE JARVIS I FISHERS 1 317-598-6170 01/23/15
'ORDER . I I ITEM PRICE UNIT EXT AMOUNT CASH DISC
CITY DESCRIPTION
100ft 100ft COND E034 38.25 1 00f 38.25 0.76
EMT 3/4"10 FT
2ea Zea GREE 333A 21.93 lea 43.86
HACKSAW(12"")(POP)
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 1123120151:37:09 PM S107908301.001 Invoice Number S107908301.001
Subtotal 82.11
If paid by 02/10/15 you may deduct$0.77 �r 56 S&H Charges 0.00
Invoice is due by 02/28/15 net of any cash discount. ddr Sales Tax 0.00
DUANE JARVIS Wn Pi WINI 82.11
0001:0002 ;iV� Kirby Risk Page 1 of 1
TERMS AND CONDITIONS Or SALE
ACCEPTANCE OF THE GOODS PURCHASED ON THIS INVOICE CONSTITLi
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER • •• NUMBER
Li- ___---.-- ____I_ . E 5
T RM
74918 S14754 PT 10TH PROX NET 30TH
SALESPERSONORDERED B
IDMS-XML WC29 WILL-CALL DUANE JARVIS FISHERS. 317-598-6170 01/23/15
ORDERQTYJ SHIPCITY
Sea 5ea AB 1492-SJ6A-50 16.35 lea 81.75
SIDE JUMPER
t
Billing Questions:Billing_request@kirbydsk.com(765)446-3054 11231201512--07:31 PM S107908593.001 Invoice Number s1107908593.001
Subtotal 81.75
S&H Charges 0.00
Invoice is due by 02/28/15. Sales Tax 0.00
DUANE J VIS AMOUNTME 81.75
0002:0002 r Kirby Risk Page 1 of 1
TERIMS AND CONDITIONS OF SALE
ACCEPTANCEOF THE GOODS PURCHASED ON THIS INVOICE CONSTITUTES AND
ACCEPTANCl'(DF THE TERMS AND CONDITIONS£8;i+SALE WHICH FOLLOW:
(1) Stock Merchandise is subject to a return charge. No goods may be returned without a shipping ticket
and/or invoice number and prior authorization.
(2) Non-Stock;�1erch andise is not returnable unless we can secure is"Returned Goods Authority"from
the vendor.
(3) The Customer acknowledges and agrees that in all purchases of goods and services frons Seller,Seller
crives no express warranties.or implied warranties of merchantability and fitness fo.r any particular
purpose.
(4) The Customer agrees that Seller will not be liable for any.consequential and incidental damages arising
fron.i any cause associated with the goods purchased from Seller.
(S) Taxes—Pr-ices shown do not include sales or-other taxes imposed on the sale of goods. Taxes Dow or
hereafter imposed upon sales or shipments ,vill be added.to the purchase price. Buyer agrees to
reimburse Seller for-any such talc or provide Seller with acceptable tax.exemption certificate.
/ ry t gr
ar a tiali'Ei'v—. e11Cr is not to'be aCC4unFahl�Or ae ays 121 gellVer� oCtd:4t
alj acts of(.a'od tiF
other circumstances over which Seller has no direct control. Factory shipment or delivery dates are the
best estimates of ow"suppliers,and in no case shall Sa11er be liable;for any consequential.or special
damages arising from any delay in delivery.
(7) Waiver—The failure of Seller to insist.upon the performance of any of the terms or conditions of this
contract or to exercise any right hereunder shall not be deemed to be a waiver of such terms.
conditions or right in the future,nor shall it be deemed to be a waiver of any other term,condition,or
right under this contract.
(8) Modification of Terms and Conditions—No terms and conditions other than those stated herein,and
no agreement or understanding,in awry may purporting to modify these terms,or conditions,shall be
binding on Seller without Seller's written consent:
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER • •. NUMBER RELEASE NUMBER TERMS
74918 S14739 PT 10TH PROX NET 30TH
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
KEVIN R FORD UPS GROUND DUANE JARVIS FISHERS 317-598-6170 01/28/15
ORDERQTYJ SHIPQTY I DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
lea lea EGS AAGL-1 PR 106.75 lea 106.75 2.13
PRISMATIC GLOBE
*"SUBJECT TO VENDOR RETURN POLICY"
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S107895204.001
Subtotal 106.75
If paid by 02/10/15 you may deduct$2.14 S&H Charges 11.08
Invoice is due by 02/28/15 net of any cash discount. Sales Tax 0.00
NoR • 117.83
000z:000z ;M Kirby Risk Page 1 of 1
TERINUS AND CONDITIONS OF SALE
ACCEPTANCE OF THE GOODS PURCHASED ON THIS INVOICE CONSTITUTES AND.
ACCEPTANCE OF THE TERMS AND CONDITIONS OF SALE WHICH FOLLOW:
(1) Stock Merchandise is subject to a return charge. No goods may be returned without shipping ticket
and/or invoice number and prior authorization.
(2) Non-Stock Merchandise is not returnable unless we can secure a"Returned Goods Authority"frons
the vendor.
(3) The Customer acknowledges and agrees that in all purchases of goods and services from Seller,Seller
gives no express warranties,or implied warranties of merchantability and fitness,for any particular
PLUPOSC.
(4) The Customer agrees tba't Seller will not be liable for any consequential and incidental damages arising
froni any cause associated with the goods purchased from Seller.
(5) T"(n—Prices shoxvil do-not include sales or-other-taxes imposed on-the sale of goods. Taxes-now or
hereafter imposed upon sales or shipments will be added.to the purchase price. Buy&agrees to
reimburse Seller for any such tax or provide Seller with acceptable tax exemption certificate.
(6) Delay in Delivery—Seller is not to be accountable for delays in delivery occasioned by acts of God or
other circumstances over which Seller has no direct control. Factory,shipment or delivery dates are the
best estimates of our suppliers, and in no case shall Seller be liable for any consequential or special
damages from any delay in delivery.
(7) Walver—The failure of Seller to insist upon the performance of any of the terms or conditions of this
contract or to exercise any right herewider shall not be deemed to be a waiver of such terms,
conditions or right in the future,nor shall it be deemed to be a waiver of any other term,condition,or
right under this contract.
(8) Modification of Terms and Conditions—No terms and conditions other than those stated herein,and
no agreement or understanding,in any way purporting to niodift,these terms, or conditions,shall be
binding on Seller witho-ut Seller's written consent.
i
VOUCHER # 146635 WARRANT # ALLOWED
351017 IN SUM OF $
KIRBY RISK ELECTRICAL SUPPLY
PO BOX 664117
INDIANAPOLIS, IN 46266
!i.
Carmel Wastewater Utility =1
ON ACCOUNT OF APPROPRIATION FOR
Board members
r
PO# INV# ACCT# AMOUNT Audit Trail Code
S1 07908301.A1-7202-06 $38.25
�I 4
S107908301.(P 01-720T-06 $43.86
5 lo-7got5?3.oo j
a
S(o1$�Sao4,Qoo ,,i
a$I d lob I
Voucher Total "'r°I
Cost distribution ledger classification if �
claim paid under vehicle highway fund }
I
I
r I
r
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 I Terms
INDIANAPOLIS, IN 46266 f Due Date 2/4/2015
Invoice Invoice Description
Date Number (or note attached invoices) or bill(s)) Amount
2/4/2015 S107908301. $82.11
I
l
a �
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
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER • •• NUMBER RELEASE NUMBER TERMS
74918 S14758 PT 10TH PROX NET 30TH
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
CRAIG E WHEASLER PAR PARCEL DLVY DUANE JARVIS FISHERS 317-598-6170 01/27/15
ORDERQTYJ SHIPQTY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC
2ea 2ea AB 140M-F8E-C45 529.85 lea 1059.70
MPCB,Standard Magnetic Trip(Fixed
at 13 x le), 32-45 A, High
Performance, Frame Size F
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S107909620.003
Subtotal 1059.70
S&H Charges 11.08
Invoice is due by 02/28/15. Sales Tax 0.00
• 1070.78
0001:0002Kirb Page 1 of 1
Y Risk
TERINIS SND CONDITIONS OF SALE
ACCEPTANCE OF THE GOODS PURCHASED ON THIS INVOICE CONSTITUTES AND
ACCEPTANCE OF THE TERMS AND CONDITIONS OF SALE WHICH FOLLOW: .
(l) Stock Merchandise is subject to a return charge. No goods may tic returned without a shipping ticket
and/or invoice nurnber and prior authorization.
(2) Non-Stock Merchandise is not returnable unless we can secure a"Returned Goods Authority"fi-om
the vendor.
(3) The Customer acknowledges and agreesthat in all purchases of goods and services from Seller,Seller
gives no express warranties,or implied warranties of merchantability and fitness for any particular
purpose.
(4) The Customer agrees that Seller will.not be liable for any consequential and incidental damages arising
from any cause associated with the goods purchased from Seller.
(9) Taxes—Prices showm do not include sales or other taxes imposed on the sale of goods.Taxes now or
hereafter imposed upon sales or shipi-tients'will be added.to the purchase price. Buyer agrees to
reimburse Seller for any such tax or provide Seller with acceptable tax exemption certificate.
(6) Delay in Delivery—Seller is not to be accountable for delays in delivery occasioned by acts of God or
other circumstances over which Seller has no direct control. Factory shipment or delivery dates are the
best estimates of our suppliers, and in no case shall Seller be liable far any consequential or special
damages arising from auy delay in delivery.
(7) Waiver—T.he fad.ure of Seller to insist upon the per.fo.rmance of any of the terms or conditions of this
contract or to exercise any right hereunder shall not be deemed to be a waiver of such terms,
conditions or right in the future,nor shall it be deemed to be a waiver of any other term,condition;or
right inkier this contract.
(8) Modification of Terms and Conditions—No terms and conditions other than those stated herein,and
no agreement or understanding;in.any way purporting to modify these terms,or condition,shall be
binding on Seller without Seller's written consent.
----- - ----------------------------
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER • •• NUMBER RELEASE NUMBER TERMS
74918 S14758 PT 10TH PROX NET 30TH
SALESPERSONORDERED BY SALES OFFICE
CRAIG E WHEASLER PAR PARCEL DLVY DUANE JARVIS FISHERS 317-598-6170 01/23/15
ORDERQTYj SHIPQTY I DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC
8ea 8ea AB 700-HA32Z24 20.78 lea 166.24
700-HA GENERAL PURPOSE TUBE BASE
RELAY
8ea 8ea AB, 700-HN125 . 8.27 lea 66.16
700-HN125,8-PIN TUBE BASE SOCKET
6ea 6ea BUSS LPS-RK-200SP 88.10 lea 528.60 10.57
600V RK1 TD FUSE
50ea 50ea AB 1492-J4 1.23 lea 61.50
FEED THROUGH SCREW TERMINAL BLOCK
4MM GRAY
10ea 10ea AB 1492-EBJ3 0.84 lea 8.40
END BARRIER GRAY
4ea 4ea AB 1492-CJJ6-10 6.45 lea 25.80
SCREW CENTER JUMPER-10 POLE
25ea 25ea AB .1492-EAJ35 - 2.24 lea 56.00
SCREW END ANCHOR-STD FOR 35MM DIN
500ft 500ft CORD MTW-16-WHT-50OFT 88.30 1000ft 44.15
16-26 CU TEW/AWM/l 0 1 5/1230/1032/MTW
WHITE
65306301
500ft 500ft CORD MTW-16-GRN-50OFT 88.30 1000ft 44.15
16-26 CU TEW/AWM/1015/1230/1032/MTW
GREEN
65310501
6ea 6ea AB 1492-JG4 5.75 lea 34.50
IEC 1-CKT FEED-THROUGH GRD BLK,4MM
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S107909620.001
Subtotal 1035.50
If paid by 02/10/15 you may deduct$10.57 S&H Charges 30.91
Invoice is due by 02/28/15 net of any cash discount. Sales Tax0.00
• 1 1066.41
0001:0002 Kirby Risk Page 1 of 1
TERMSAND CONDITIONS OF SALE
ACCEP I_�.SCKOF I HE GOODS PURCHASE6 O THIS IN OIC E C�9.Nh'I'ITI I S f� I?
ACCEPTANCE NCE O3r THE TERMS NII CONDITIONS OF SALE WHICH FOLLOW:
(I) Stock Merchandise is subject to a return charge. No;odds may be returned without a slipping ticket
and,lor invoice number and prior authorization.
(2) Non-Stock iik°lerchaaaiise is not returnable unless we can secure a"Returned Goods AutlroritV`fi•otn
the Vendor.
(3) The(...ustomer acknc:rw-ledgcs and agrees that in all purchases ofgoods and.services from Seller; Seller
-�
gives no express warrantics,or implied warranties of mcrehantabihty and fitness for any particular
Purpose.
(4) The Customer agrees that Seller will not be liable for any consequential and incidental damages arising
fi-om any cause associated with the goods purchasedfrom Seller.
(5) faxes—Prices shown do not include sales or other taxes unposed on the sale of goods. Taxes now or
hereafter imposed.upon sales or shipments will be added to the purchase price. Buyer agrees to
reimburse Seller for any such tax or provide Seller with acceptable tax exemption certificate.
(Ci) Delay in Delivery—Seller is not to be accountable for delays in delivery occasioned by acts of God or
other circumstances over which Seller has no direct control. Factory shipment or delivery dates are the
best estimates of our suppliers;and in no case shall Seller be liable for any consequential or special
damages arisin from.any delay in delivery.
(7) Waiver—The failure of Seller to insist:upon the performance of any of the terms or conditions of this
contract or to exercise any right hereunder shall not be dcerned to be a waiver of such ter•.tns,
conditions or right in the future.nor shall it be deemed to be a waiver of any other tern,condition.or
right under this contract.
(3) Modification of Terms and Conditions—No terms and conditions other than those stated.herein.and
no agreement ar irnclerstanding,.in arry w•ay purporting to modify these terns, or.conditions,shall be
binding on Seller without Seller's written consent.
------------------------------------------------------------------ --------- ------------------- ------------------- ------------------------=------------------------------------------------
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER • •• NUMBER RELEASE NUMBER TERMS
74918 S14758 PT 10TH PROX NET 30TH
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
CRAIG E WHEASLER PAR PARCEL DLVY DUANE JARVIS FISHERS 317-598-6170 01/28/15
ORDER QTY SHIP QTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
1000ft 1000ft CORD MTW-16-BLU-50OFT 88.30 1000ft 88.30
16-26 CU TEW/AWM/1 01 5/1230/1032/MTW
BLUE
65311301
0
�.a��'0b
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S107909620.004
Subtotal 88.30
S&H Charges 13.75
Invoice is due by 02/28/15. Sales Taxi 0.00
�r., • 102.05
0001:0001 r Kirby Risk Page 1 of 1
TERAS AND CONDITIONS OF SALE
ACCEPTANCE O 1 HE C OODS.PURC11ASJID ON THIS INVOICE CONSTITUTES AND
ACCEPTANCE OF THE TERMS AND CONDITIONS OF SALE WHICH FOLLOW: .
(1) Stock Merchandise is subject to a..return charge. No goads may be returned without a.L shipping ticket
and/or invoice nunrber-and prior authorization.
(2) Non-Steep Menhatririise is not returnable unless we can secure a"Returned Goods Authority" from
the vendor.
(3) The Custonrer°acknowl.edges and agrees that'rn al].purchases of goods and services from Seller,Seller
gives.no express warrlutties,or implied warranties of merchantability anti fitness for any-particular
purpose.
(4) The Customer agrees.That Seller will not be liable for any consequential and incidental darnages arising
from any cause associated with the goods purchased from Seller.
(S) 'Faxes --.Prices shown do not include sales or other tares imposed on the sale of goods.Taxes now,,or
hereafter imposed.upon sales or shipments will be added to the purchase price. Buyer agrees to
reimburse Seller for any such tax or provide Seller wvith acceptable tax-exemption certificate.
(6) Delay in Delivery—:Seller is not to be accountable for delays in delivery occasioned by acts of God or
other circumstances over which Seller has no direct control. Factory shipment or delivery dates are the
best estimates of our suppliers,and in no case shall Seller be liable for any consequential or special
damages arising from any delay in delivery.
(7) Waiver—The failure of Seller to insist upon the performance of any of the terms or conditions of this
contract or to exercise any right hereunder shall not be deemed to be a waiver of such terms;
conditions or right in the future,nor shall it be deemed to be a waiver of any other term,condition,or
right under this contract.
(8) Modilication'of Terns and Cionditions-No teens and conditions other than those stated'herein,and
no agreement or understanding,in tiny way purporting to modify these terms,or conditions,shall be
binding on Seller w=ithout Seller's wri.tten consent.
- - - ----------------------------------------------------------------------------
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER • PO,NUMBER RELEASE NUMBER TERMS
74918 S14758 PT 10TH PROX NET 30TH
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
CRAIG E WHEASLER PAR PARCEL DLVY DUANE JARVIS FISHERS 317-598-6170 .01/26/15
ORDER CCITY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
500ft 500ft CORD MTW-16-RED-50OFT 88.30 -1000ft 44.15
16-26 CU TEW/AWM/1015/1230/1032/MTW
RED
65307101
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number 9107909620.002
Subtotal 44.15
S&H Charges 12.12
Invoice is due by 02/28/15. Sales Tax 0.00
• 56.27
0002:0002 AKirby Risk Page 1 of 1
TERMS AND CONDITIONS OF S
ACCEPTANCE OF THE GOODS PURCHASED ON THIS INVOICE CONSTITUTES AND
ACCEPTANCE OF THE TERNIS AND CONDITIONS OFSALE WHICH FOLLOW:
(1) Stock Merchandise is subject to return charge. No goods may be retureturnedwithouto shipping ticket
C�
and/or invoice nurnber and prior authorization,
(2) Non-Stock Merchandiscis not returnable unless we can secure a"Returricd Goods Authority"fi-orn
the vendor.
(3) The.Customer acknowledges and agrees that in all purchases of goods and services from Seller, Seller
gives no express warranties,or implied warranties of merchantability and fitness for any particular
purpose.
(4) The Customer agrees that Seller will not be liable for any consequential and incidental damages arising
fi-orn any cause associated with the goods purchased from Seller.
(5) Taxes—.Prices shown do not include sales or other taxes imposed on the sale ol'goods. Taxes now or
hereafter imposed.upon sales or shipments will be added to the purchase price. Buyer agrees to
reimburse Seller for any such tax or provide Seller xvith acceptable tax exemption certificate.
(6) Delay in Delivery—Seller is not to be accountable for delays in delivery occasioned by acts of God or
7
other circumstances over which Seller has no direct control. Factory shipment or delivery dates are the
best estimates of our suppliers,and in no case shall Seller be liable for any consequential or special
damages arising from any delay in delivery.
(7) Waiver—The failure of Seller to insist upon.the perlormance of any of the terms or conditions of this
contract or to exercise any right hereunder shall not be deemed to be a waiver of such.terms.
conditions or right in the future.nor shall it be deemed.to be a waiver of any other term,condition,or
right under this contract.
(8) Modification of Terms and Conditions—No terms and conditions other than those stated.herein.and
no agreement or understanding, in any way purporting to modify these term,,;.or conditions,shall be
binding on Seller without Seller's written consent.
i
VOUCHER # 146632 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
S107909620.0 02-2308-00 $1,066.41
Depreciation
5;10'79oct ba0o 003 0q-a3oq-0 o i
Si0-"gog690.c0a oa-a30$-00 1
6b�r-Oct CA P1 r-f
5 i0-7gog6)000'4
na-a3�� -00
�ipc`a�toa 10)'Os
Voucher Total
Cost distribution ledger classification if
claim paid under 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 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 j Terms
INDIANAPOLIS, IN 46266 Due Date 2/4/2015
i
Invoice Invoice Description
Date Number (or note attached invoices) or bill(s)) Amount
2/4/2015 S107909620. ` $1,066.41
I
j
i
i
i
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 J
Date Officer