242336 02/17/15 'Id
' f. CITY OF CARMEL, INDIANA VENDOR: 00351017
4 r ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: $*****2,021.69*
r, ? CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 242336
'I CHICAGO IL 60673-1275 CHECK DATE: 02/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 107892486001 1,968.84 OTHER EXPENSES
601 5023990 107915072001 17.48 OTHER EXPENSES
651 5023990 107927184001 35.37 OTHER EXPENSES
I •
---------------------------------------------------------------------------- -----------------------------------------
DETACH UPPER PORTION AND RETURN WITH r
• S
MER NUMBER TOMER ••
11788 bt012815a NET 30 DAYS
SALESPERSON �IP VIA •-• • • •
STEVE GADING WC51 WILL-CALL BRIAN TOLAN FISHERS 317-598-6170 01/28/15
ORDERCITYJ SHIPQTY
2ea 2ea HUBB GF20LA 8.74 lea 17.48
20A 125V COMM LED GFCI, BR
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 V291201510:22:53 AM S107915072.001 Invoice Number S107915072.001
Subtotal 17.48
S&H Charges 0.00
Invoice is due by 02/27/15. f Sales Taxi0.00
BRIAN TOLAN 6mgslurm 17.48
0001:0001 MR Kirby Risk Page 1 of 1
Prescribed by State Board of Accounts
Form No.301(Rev.1995) ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
Invoice Date Invoice Number Item Amount
I 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
Mo. Day Yr. Signature Title
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.
Mo. Day Yr. Officer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ACCT.
�°>IDiZ CARMEL, INDIANA NO.
Z;j!�t Favor Of
Z7sb� nt x�c� Pl aC4
Total Amount of Voucher $
Deductions
1612115 b'7Z. l
(Con. L4
b
Amount of Warrant $ LIT
Month of Yr
Acct.
VOUCHER RECORD No.
Source of Supply
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
Operation-Maintenance
1
Utility Plant in Service
Constr.Work in Progress
Materials and Supplies
Customers Deposits
Total
Allowed i
Board of Control
Filed
Official Title
BOYCE FORMS•SYSTEMS 1-800-382-8702 325
------------------ - - -- - ---- --------------------------- - - -------------- - ---- -
`=� `'.DETACH UPPER PORTION ANDRETURN NATH:YOURPAYMENT:
95776 96st street. . , w.._..: NET.30 DAYS.
MARK GATES, PK PICK-UP,. LARRY,`• FISHERS' = '`317-598-6170'
. .
6ea 6ea,' T&B CTL2-38,, 193.99 -100ea' ` ' 11.64:
1-HOLE:6U COMPR LUG
I 10ea 10ea TB�B.GTL6-99 104.36 -1 00&a%: 10.44
1-HOLE,CU COMPR•LUG
6ea 6ea T&B. ADR11-21 - 221.42 100ea 13:29
ALUM.DUAL RATED LUG'2CD1H
rj O
0�
�a
Billing Questions.Billing_*uest@kirbydsk:coni(765)4464054 21412015.100:30 AM sw7927184.001 InVOice Number:S1107927184.001
Subtotal 35.37
S&H.Charges; 0.00
Invoice is due by 03/06/15. Sales•Tak 0.00
LARRY ® 35.37
0001.0001Kirby..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 2/11/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/11/2015 S107927184. $35.37
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 # 146731 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
I
PO# INV# ACCT# AMOUNT Audit Trail Code
S107927184.f 02-2308-00 $35.37
Depreciation
i
i
i
Voucher Total $35.37
Cost distribution ledger classification if
claim paid under vehicle highway fund
i
-------------------------------------------------
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
• ••
74918 S14718 PT 10TH PROX NET 30TH
• ORDERED BY SALES OFFICE PHONEDATE
KEVIN R FORD 23 INDIANAPOLIS DUANE JARVIS FISHERS 317-598-6170 02/03/15
ORDERITEM PRICE UNIT EXT AMOUNT CASH DISC
4ea 4ea RAB BAYLED104W 492.21 lea 1968.84 39.38
104W HIGHBAY 10K LUMENS 5100K
KRPNM
**SUBJECT TO VENDOR RETURN POLICY**
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S107829468.001
Subtotal 1968.84
If paid by 03/10/15 you may deduct$39.38 S&H Charges 0.00
Invoice is due by 03/31/15 net of any cash discount. ' b30 02/03/15 Sales Tax 0.00
1yEt— A
Printe�m � o 1968.84
i+ame Yime �
0001:0001 Kirby Risk Page 1 of 1
"I ERNI flS AND CONDITIONS OF SALE:
ACCEPTANCE OF THE GOODS PURCHASED CDN THIS INVOICE CONSTITUTES AND
ACCEPTANCE OF THE TERMS AND CONDITIONS OF SALE WHICH FOLLOW:
(1) Stock Merchandise is subject to a return charge. No goody may be returned without a shipping ticket
andi"or invoice number and prior authorization.
(2) Non-Stock Merchandise is riot returnable unless we can secure a"Returned Goods Authority' from
the vendor.
(i) The Customer acknowledges and agrees that in all punrhases ofgoods and services from Seiler, Seller
gives no express warranties,or implied \aarrantics ofinerchantability and fitness iin any particular
purPO',e.
(4) The Customer agrees that Seller hill not be liable [or any consequential and incidental damages arising
from any cause associated \with the goods purchased from Seller.
(5) Taxes— Prices shown do not include sales or other tares imposed on the sale of goods. Taxes now or
hereafter imposed upon sales or shi"Imcn!S will be idded to th-purchase price. Bever aa-ru s to
reimb:use Sellzr 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 deliver dates are the
best estimaics 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 !allure 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 vraiver 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.
(S) 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 conditions, shall be
binding on Seller Without Seller's written consent.
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 2/11/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/11/2015 S107829468. $1,968.84
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 # 146707 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
S107829468.( 01-7202-05 $1,968.84
('0�l a- LjI 62 1
Voucher Total $1,968.84
Cost distribution ledger classification if
claim paid under vehicle highway fund