242993 03/11/15 CITY OF CARMEL, INDIANA VENDOR: 00351017
ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: $*******159.19*
s� CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 242993
'M,�To��e CHICAGO IL 60673-1275 CHECK DATE: 03/11/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 107952197001 44.15 OTHER EXPENSES
651 5023990 107954484001 115.04 OTHER EXPENSES
r _ - _ I Ism _ --------
-------------------------------------------------_________________
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER • •• NUMBER RELEASE NUMBER TERMS
74918 S14854 PT 10TH PROX NET 30TH
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
IDMS-XML UPS GROUND DUANE JARVIS FISHERS 317-598-6170 02/20/15
.•. • QTY SHIP .
3ea 3ea AB 1492-N39 35.00 lea 105.00
SIDE JUMPER
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S107954484.001
Subtotal 105.00
S&H Charges 10.04
Invoice is due by 03/31/15. Sales Tax 0.00
��rr.�, • 115.04
I0001:0001 IV( Kirby Risk Page 1 of
TERNIS 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 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 CusforiierickiiowleCigesiiid agrees that in purchases of goods and services from Seller.
Z:� Seller
gives no express warranties,or implied warranties of merchantability and fitness for any particular
purpose.
(4) The Customer agrees that Seller Nvillnot be liable for any consequential and incidental damages arising
from any cause associated with the goods purchased from Seller.
(S-) `X'axes—Prices--showirdo not incladu—sale�or ottier-t—,u-es imposed-on-the-saleofgoods-.-Taxes now or
hereafter imposed upon sales or shipments will be added to the purchase price. Boyer 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(.)I-'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) 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.
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER . •• NUMBER RELEASE NUMBER TERMS
74918 ELECT.STOCK PT 10TH PROX NET 30TH
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE I PHONE NUMBER S HIP DATE
MIKE E WILSON WC51,WILL-CALL LARRY SCHIMMEL FISHERS317-598-6170 02/19/15
ORDERQTY� SHIPCITY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
500ft 500ft CORD MTW-16-PUR-50OFT 88.30 1000ft 44.15
16-26 CU TEW/AWM/1 0 1 5/1230/1032/MTW
PURPLE
65920101
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 212012015 9:25:32 AM S107952197.001 Invoice Number S107952197.001
Subtotal 44.15
S&H Charges 0.00
Invoice is due by 03/31/15. 4titIJ Sales Tax 0.00
LARRY SCHIMMEL 44.1!rJ
0001:0001 Kirby Risk Page 1 of 1
TERTYIS AND CONDITIONS OF SINLE
AC"cE --,&.Nc 1 O t HE GOODS PURCHASED ON THIS UNIVOICE C,C;tNS,I I fur'sOND
ACCEPTANCE(4-117.14E TERMS AND C'OND.t'I ONS OF SALE WHICH.FOLwW-,
(I) Stock Merchandise is Stfiiject t£)a return rliarge. leo goods ni by be returned.Witllont a Shil)pill .tiCk't
c1I.diO.€'€€"1V0iCC.nL'111 bC alld rTi.017<tf1:Il"lt).€"iZ`3ti(:)n.
(2) Non-Stock 34 rchattdise is ii.t)t returnable tudess we can secure,,;"Returned Goods,ods Autl3.t)d "f l-or
the 1':;-T&)r.
(3) I°he C;ustorner ac:ri<:wledges and agrees that hi.Ill,purchases of goods and services from Sel-ler; SAW
gives 110 express Warranties,or€13 plied warranties of lllerchantabilityInd I1t:ne ss for Iiny particular
t)Llri?C)li',.
( ) lihe Chistomer agrees that Scl`mWl not be l'€€able Rn any co:iyccluepiial sand incidental dtt€na ves arising
troni i y cause astociated.Wei.Mr pods purchased frC)ri.l Seiler.
(5) &axe5 -Prices,TtltLn do not iile,'hlcfiv-, lex-or wher taxis imposed on die sale oI'g ods, i axes-now or
1].Crea t'r 1€7iposc'd€pon soles or slli:l.merits will be added to the purchase price. 1.3€ayer agreLS to
reirrib rse Soller ;or any such tax or provide Seller with acceptable tax exemption certificau,,
(6) Way in Delivery Seller isnot to be accountable for delays in delivery occasioncd by acts(if God or
Oihe?•617CLIIIISta.i3C OS OVer wilich`eller 1-as no direct control. f"-acloly silll)nlent or delivery dates are the
Best Walatcs of our mll)I)liers,aii.d in.no case shall `seller be liable forarty consequential orspecial
dainages arising dioln any delay in delivery,
(7) Walver---lThe €€ilure of Seller to i.i€sist np ori the 1 ci,forniance£)t'airy of the terms or Conditions. of this
cionlraci or to exercise.:any figlit.ilerCUnder shf:Ill not be do erned to be a waiver ol'such terms,
Gond.itao.ns or ri."lain die Luture—nor shall it be deemed.CC) be a waiver of any odier term,Ct)Ilditl.Con,for
dgin€€uIr this canuact_
(3) Modification of Terms and Conditions s—.No tarns and conditions other thaii.those stated hcre.in;and
no a;iverrimn or undmitanIng in my may p ry7rNig to modi.j tli se terms,or conditions,shall be
bindhi„on Seller,,vithout Sellers ,,ritten consent,
'I
VOUCHER # 155050 WARRANT # i ALLOWED
351017 ',�
IN SUM OF $
KIRBY RISK ELECTRICAL SUPPLY
PO BOX 664117 i
INDIANAPOLIS, IN 46266
�I
Carmel Wastewater Utility I
ON ACCOUNT OF APPROPRIATION FOR
i
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
,j
i
S1 07954484.( 01-7202-06 $115.04
5 io-19573197,oa l
-790.9. eb
'1
�i
'i
I� lal�
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.
I
Payee
351017
KIRBY RISK ELECTRICAL SUPPLY Purchase Order No.
PO BOX 664117 Terms
INDIANAPOLIS, IN 46266 Due Date 3/4/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/4/2015 S107954484. $115.04
i
f
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
V*Y
Date Ohicer