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242776 03/03/15 CITY OF CARMEL, INDIANA VENDOR: 00351017 °1 ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: $*****3,330.08* CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 242776 CHICAGO IL 60673-1275 CHECK DATE: 03/03/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 107853442 3,070.81 S107853442 .001 601 5023990 107924995 196.85 5107924995.001 601 5023990 107927463 12.36 S107927438.001 2201 4238900 107950517 50.06 S107950517.001 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT o • -a NUMBER— —RELEASE-NUMBER -----rERmS-- 95776 SHOP NET 30 DAYS SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUM13ER SHIP DATE MIKE E WILSON PK PICK-UP TRAVIS FISHERS 317-598-6170 02/18/15 .-. - . SHIP . 6ea 6ea LEVI 8681 429.02 100ea 25.74 REDUCER PKD 4ea 4ea PHIL F54T5/850/HO/ALTO 40PK 6.08 lea 24.32 135103 Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 2118120152:45.17PM 5107950517.001 Invoice Number S107950517.001 Subtotal 50.06 S&H Charges 0.00 Invoice is due by 03/20/15. Sales Tax 0.00 TRAVIS ' • 50.06 0001:0001 Kirby Risk Page 1 of 1 TERAIS AND CONDITIONS OF SALE ACCEPTAXCE OFINE COODS PURCHASFI)ONTHIS IN VOICT ANID ACCEPTANCI&OF THETFAMS AND CONDITHMS OF SAIT WIHCAI F01,1,0W. 'No good P1[,Iy 11,',-C3 re!urned 1�ii I koir",a S!I Vic],Ci. ,mc-orinvo, cy nuinber and prior aanhorizllion. 'Noti-SllockMgerubandise is not renunabic imless wu can secum a Mourned GaM Audwrity-Rorn. we vm&n (Q Ile and agyrccs tha", iii��,Ilj.purchams of go MA moms cam Sdoo SdIc4- _'4i veS NO 0%Ptu',,s 14'arra tiu.s,o I,inip"i';,d-wn n it ioti o C nml.i I i th and .1!1 of ', l'or any,pn ttic u lar purpose. Ile Ustowwr agreem that Selley Wim not bf� liable to an"v cmd iucidemal dumage.arising WD MW Cause amciatKd "vith the goods kv in";.Prins Awwn do include sales or other me s iaxes nov;v. �,;hipmvcnm YAH bc AM io flic, C 12c, iii y' agocs iL TAMbUrNe SAW 10 njlysuch tax or piuvidu SAW xv4hacct3pt,,ibleux r.,mnnption ceQW, (6) Deb y in DeRvery - Sellor is not iobc in t1mmy ommkmcd by acts ofGod or odvcircumsiances E3ver vddch Sellz.r has no dinx� contloL Fixtory Shiprioni or dehvery dl,'.ites are iht: c"Cour Slypiorn anvi in no mW shyl. Sclicr bo!ial-,je 6r sin cons,.,querittail or hroril<mvCit:Lly in P; Waiver--Ile Whge nf AM to Win upim the perknuonce t)1aary ofthe lcrn,�S •W,c0nditi.oi,ii;itshis cumn ,.ci m,,o c-xerc.`mac: .. -_r AOA hmmmdu shall nN he dmrwd ki be a "miur ail ynh tams, con"dn io.1 i's or in the l'uhun.mr Amb h bw deumAI to".e ,11i< u;,anothc. t�.-,-T-,-'_ o;- righ� "Indor nnis coolrnct, a of ia i ion, Arms and Und HW ri s—14) tcrn is and cund it ions odor amn Wc an md }tut" and M4WHfic noagm1 en!or mdemandly in any way purpoliq io,rnodii'y Oil sc lcrms. or candniony.. shaji b;C bindling on &�Ihn-vvithwi-.S,,ajer's VOUCHER NO. WARRANT NO. ALLOWED 20 Kirby Risk IN SUM OF$ (oo`t'73-�ZZS Irad+etlCIFO%j ;-I - $50.06 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#IrITLE AMOUNT Board Members 2201 S107950517.001 42-389.00 $50.06 1 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 Fri, 4 15 A14 7 ire t,�rillei Street Commissioner Title Cost distribution ledger classification if claim paid motor 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 service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s)or bill(s)) 02/18/15 S107950517.001 $50.06 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 20 Clerk-Treasurer DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER • •• NUMBER RELEASE NUMBER TERMS 74918 S14641 PT 10TH PROX NET 30TH ORDEREDSALESPERSON SHIP VIA KEVIN R FORD DIRECT DUANE JARVIS FISHERS 317-598-6170 02/19/15 ORDERQTYI • DESCRIPTION ITEM PRICE UNIT EXT AMOUNT lea lea HITA NH78,42T SEGMENTED BULL 3070.81 lea 3070.81 KRPNM "SUBJECT TO VENDOR RETURN POLICY" NH78,42T Segmented Bull Sprocket, 5-1/2"Offset,2-3/4"Bore,All NI-178,42T Segmented Bull Sprocket, 5-1/2"Offset,2-3/4"Bore,All Nylon Body and Tooth Sections, 316SS Hardware At this time, item#2 can ship in approximately 4-5 weeks ARO by factory,not including holiday shut down Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S107853442.001 Subtotal 3070.81 S&H Charges 0.00 Invoice is due by 03/31/15. Sales Taxi0.00 • 3070.81 0002:0002 Kirby Risk Page 1 of 1 L ACCEPTANCE ANCE O -""IIS..YERMS AND CONDITIONS(i4`-SALT ( Stock S"c h sndis€ is s";"'J .t:9 to""return charge. No goods m.,l, be€'t;liit"ned t,'t€1€)13.9.<'t Shipping f i€ket ci.'.1(i-€)."t 7t`f)itt ttt?iIz°?u".x17Id prior anfl?ori7:a on. (2) N()in;"to ek i;;.er£,°hand isi`is 1X11'.ieu rnabl.e €irdess can its;":"P'(:#TTI. be (3) The C1i iC{:#YS.i.i ack.iltwkdps s4Il:C`I dC}r es that 1.1:1 purchases t f g'()":Id i and sent i'::,: f-cal-I x,l_it;T;S'cflc'r y?13-es no�.q t ,<,s L4'Fl,imretie&or iTTl ted w.;:rrar1{e s a93 mc:wh1121t`<2I`Hty and jwss `e)Z any pm't:iei.h 4) TV,,,, lt:tiB C agrees Chat,Selor%viii n(.0be hablk' fox any consequentialand. tc; d£nta.j ilt fl.cige clii;;m *um anyc awe iS:tit Iilf'wL:. itch,Ilia 1t1t?y { ) loxes xes Prices Sbiiwu do not t4?e;OW sales or We is X-;, .fi }1.1osec.`-:n cnti Sal of"goods,ds, .xes nok or 11crCaft'r Ii'T2p€ised upio l sales or ship.micnis be added fst the iftf#'chase p.ic w. Buyer aggeos to Tf'�iin#..1i1;e We- Ir mV such ofx or I11'ovide SAW with ac e pta1b!e c,?(;'mption ceri.iRc att:., (6) Delay in DCNvery ScHer is i1£)'t to be wL'cii.titablC Or Lh.l ys.in delivery by au, C}:God i)1' other c irGu 4(zi.i"ces Seller has no d-ireQL control. . rtcv,, y';hipmenf or delivery Cates aro(he but cs-th ate.: of our Suppliers,and I ti.t:}case ;haH S:Hef be 11ble _()i'any conse'xac end al or spoci tl dar 'ges arising 1.€)t:i any dolay, in'delivery, (f) Waiver-11, ti1.i#t,1 T LIi3t)ti 1�1.1C p,..1 if=.incl a.i''t1i a.Lt'f3t ft c, t1;;.,lm tw c.f7tlf.idt31.as(#f 1114 fidinir ct or ta)enmoe vV f}iN.t?dYoili'zLlf'1li zdI"noi be(Iteiz'i'€d t£)be a ,vaivei-€';3'q',uc z terms. 4;fJ['#C`,Sif.ms or t.iw?lil n till VAmon.tz€`.> W11 it be de',€,.ned to be s9 titer L? vi'„a7#;ather r t(:am,condition.,or ( ) uT'.€:e°diVeztfi4m of Terms and C{) idhion ... No 9:('t"ms and Conditions other t h_i 1St.lscd Xlt'nd in.c?:E£.� - It€3:z.,is.t;i7is:Ili t1i"hilt.istaii€1irl in any may p€1i"p1T f ng i£)iT"io t t- ,i?.>x It'.irnq or„*siifliii€)i`}, be i)iiltlh (rn SAW Whom S WO w itrui cons ut. VOUCHER # 155027 WARRANT # ALLOWED i 351017 IN SUM OF $ KIRBY RISK ELECTRICAL SUPPLY PO BOX 664117 i INDIANAPOLIS, IN 46266 r Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR i Board members PO# INV# ACCT# AMOUNT Audit Trail Code jfl S107853442.f 01-7202-06 $3,070.81 i i i' Voucher Total $3,070.81 i Cost distribution ledger classification if claim paid under vehicle highway fund I i Prescribed by State Board of Accounts City Form No.201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL i 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 2/26/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/26/2015 S107853442. $3,070.81 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 ------------------------ DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT • CUSTOMER •• NUMBER RELEASE NUMBER 11788 BT020315A/WELLS NET 30 DAYS SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE MIKE E WILSON WC51 WILL-CALL BRIAN TOLAN FISHERS 317-598-6170 02/03/15 , ORDER OTYJ SHIP QTY I DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC Sea Sea 3M 130C-3/4X30FT 11.94 lea 59.70 SPLICING TAPE 5ea 5ea 3M 2520-3/4X60FT 23.34 lea 116.70 YEL VC TAPE 5ea 5ea 3M 33PLUS-SUPER-3/4X66FT 4.09 lea 20.45 Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 2141201510:53:43 AM S107924995.001 Invoice Number S107924995.001 Subtotal 196.85 Y S&H Charges 0.00 Invoice is due by 03/05/15. J OL �' � ? Sales Tax 0.00 �j,�, BRIAN TOLAN 196.85 ilm 0001:0002 I\R Kirby RISK Page 1 of 1 TERMS AND CONDITIONS OF SALE ACCEPTANCE OF THE GOODS PURCHASED ON THIS INVOICE CONSTI`T'UTES 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 a shipping ticket and/or invoice number and prior authorization. (2). Non-Stock Merchandise is not returnable unless we can secure a"Returned Goods.Authority"from 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 merchantabilityand fitness for any particular Purpose. (4) The Customer agrees that Seller will not be liable for any consequential and incidental damages arising frons any cause associated with the goods purchased from Seller. (5) Taxes-Prices shown 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. Buyer agrees to reimburse Seller for any such tax or provide Seller with acceptable tax exemption certificate. (ti) Deitry—in D0ivery=Seiler is trot to be acco0ntablb for deIays`in detMe- occasiuFie- oy-acts of Gid-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. (S) Modification of Ternis 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. iDETACHUPPER PORTION AND RETURN WITH YOUR PAYMENT • • '• B�RRE EASE NUMBER -T 11788 BT020415B NET 30 DAYS SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER I SHIP DATE MIKE E WILSON PK PICK-UP BRIAN TOLAN FISHERS 317-598-6170 02/04/15 ORDERQTYJ SHIPQTY I DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC lea lea HUBB GF20WLA 8.74 lea 8.74 20A 125V COMM LED GFCI,WH lea lea �HUBB RR201W 2.63 lea 2.63 RES] SGL RCPT,20A 125V,SELF GRND, WH lea lea HUBB SS7 0.99 lea 0.99 WALLPLATE 1 G, 1.40 SS Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 2141201510:59:49 AM 6107827438.001 Invoice Number S107927438.001 Subtotal 12.36 S&H Charges 0.00 Invoice is due by 03/06/15. Sales Taxj 0.00 BRIAN TOLAN 2 Dili=1 12.36 000z:000z Kirby Risk Page 1 of 1 TERMS AND CONDITIONS OF SALE ACCEPTANCE OF THE GOODS PURCHASED ON THIS INVOICE CONS'T'ITUTES AND ACCEPTANCE OF THE TERMS ANIS CONDITIONS OF SALE WHICH FOLLOW: (2) 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 Merchandise is not returnable unless we can secure a"Returned Goods Authority" fi•om 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 from any cause associated with the goods purchased from Seller. (i) Taxes—Prices shown 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. Buyer agrees to reimburse Seller for any such tax or provide Seller with acceptable tax exemption certificate. (6) Delay in DeIivery=Seller is not to be accountable for detays in delivery occasroneed acts of-(:icor -- 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 riglit in the future,nor shall it be deenied 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 ou Seller without Seller's written consent. VOUCHER # 151049 WARRANT# ALLOWED 351017 IN SUM OF $ KIRBY RISK ELECTRICAL SUPPLY 27561 NETWORK PLACE CHICAGO, IL 60673-1275 I ' i Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR 1 I Board members PO# INV# ACCT# AMOUNT Audit Trail Code I i 107924995.1 01-6200-02 $196.85 5 i i II I 'f Voucher Total b9 IDA 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. 27561 NETWORK PLACE Terms CHICAGO, IL 60673-1275 Due Date 2/23/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/23/2015 107924995.1 $196.85 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 Date Officer