243754 03/31/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 00351017
ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECKAMOUNT: $""""""'539.41"
CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 243754
CHICAGO IL 60673-1275 CHECK DATE: 03/31/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 S107975075 97.20 S107975075.001
651 5023990 S107979242 442.21 S107979242.001
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
11788 KR31215 NET 30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
KEVIN R FORD DIRECT KEN RHODES FISHERS 317-598-6170 03/17/15
ORDER QTY SHIP QTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
lea lea PROS A2403NBH-OC 80.00 lea 80.00
3 dBi Omni N-BH jack whipless
2.4G Hz
"SUBJECT TO VENDOR RETURN POLICY"
6 IN STOCK AT THE FACTORY
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S107975075.001
Subtotal 80.00
S&H Charges 17.20
Invoice is due by 04/16/15. Sales Tax 0.00
WETOOMMM 97.20
0001:0001 Kirby Risk Page 1 of 1
TERMS AND CONDITIONS OF SALE
ACCEPTANCE O 'l`HE GOODS PURCHASED O THIS INVOICE CONSI'IfUr S AND
ACCEPTANCE OF TI:I-Is TERMS AND C:ONDITit' NS OF SALE WHICii.Ff)d.:LOW:
(l.) Stock Merchandise is sttbject tea a return charge. � odds may be returned.without a shipping ticket
.ind/or in-vaice.nriznber an.cl prier authorization.
(2) Non-Stock Merchandise is not rc turnable-unless Nve can secure a".Reiurn.eci C:i<:iods.Authority"from
the vendor.
(3) The€:ustorner acknowledges anal agrees that in all purchases of goods and services from Seller, Seller
fives ix�cxpi•ess vv,rranties.ar implied warranties c�F'znc rclz<zntal7ility antl fttncsw for any particular
Purpose.
(4) The Customer at ees that Seller will not be liable: for any,conSe:gUential and incidental dainages arising
from any cause associated with.the Goods purchased from Seller.
(5) Taxes -Prices shown do not incittde sales or other taxes imposed on the sale of-oods.Taxes rzosv or
- -- -- - - - ---h.creafter unposed'€al-ton-sales or shi ,.vents will be added to the purchase price. 1.uw r aar •es 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 fear delays in delivery occasioned by,acts of God or
other circumstances over which Seller has no(lit-Oct control. Factory shipment or delivery hates are the
best estimates of our suppliers,and in Iao case shall Seller be liable f:or any consequential or special
dama.;es arising from any delay in delivery.
(fi) Waiver- 1:°lae failure of Seller to hisist upon the performance of.'a.rr}�of thet4.r.ms or conditions of this
contract or to exercise any right:hereunder shall not be deenied to be a waiver of':such terms,
conditions or ri.-h.t in the future.nor shall it be d.cenied to be a waiver ofany other term.,condition,or
right'tindtrrfhis ctrni'rCL
(8) Modificaafion of•`Ferns and Conditions-'oto terms and conditions other than.those stated herein.and
no akgreemcnt:or understanding,ln.any vvay p€.ir17orfij1M to modify ffiesc.terms,or conditlion>,:shall be:
binding on Seller without Seller's written consent.
I
VOUCHER# 151346 WARRANT# ALLOWED
351017 IN SUM OF $
KIRBY RISK ELECTRICAL SUPPLY
27561 NETWORK PLACE
CHICAGO, IL 60673-1275
i
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
i
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
107975075.0 01-6200-04 $97.20
f
i
II
i
I
1
I
1
Voucher Total $97.20
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 3/25/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/25/2015 107975075.1 $97.20
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 ✓ 0ffi er
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
---------------------------------------------------------------------------------
CUSTOMER- o •• --
74918 S14919 PT 10TH PROX NET 30TH
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
KEVIN R FORD PAR PARCEL DLVY DUANE JARVIS FISHERS 317-598-6170 03/17/15
ORDERQTYJ SHIPQTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT C ASH DISC
250ft 250ft CORD STOOW-12/3-YELLOW-250 1067.84 1000ft 266.96
12-65 3/C CU STOOW N/F YELLOW 105C
600V
56070801
"*SUBJECT TO VENDOR RETURN POLICY"*
25OFT IN STOCK
6ea 6ea HUBB HBL5266C 9.08 1 e 54.48 1.09
15A 125V MALE PLUG NEMA 5-15P
6ea 6ea HUBB HBL5269C 15.49 lea 92.94 1.86
15A 125V FEMALE CONN NEMA 5-15R
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S107979242.001
Subtotal 414.38
If paid by 04/10/15 you may deduct$2.95 S&H Charges 27.83
Invoice is due by 04/30/15 net of any cash discount. Sales Tax0.00
• 442.21
0001:0002 Kirby Risk Page 1 of 1
TERMS AND CONDITIONS OF SALE
ACCEPTANCE . 7+"1`llE GOODS 1'6RC;BJ. sl i3 ON THIS l:ti 'CiiC =;CDTi'1'tJ'i'F..;S, : D
ACCEPTANCE CE OF THE TERMS AN D C'ONDD:11'1ONS OF SALE WR'.. !.FOLLOW.
(i.) Stock Merchandise is sut).jeCt to ci return charge. No goody may,be returned.%?Jthout a shipping ticket
and./or invoice number and prior f,uthorizatior3.
(?) Non-Stock 1`tl.erchaudise is not returnable unless we can secure a"Returned C:Cods authority"from
the vendor.
(3) '.Ilse t:;ustom.er acknowledges anal agrees that iuu all purchases o:f'goods and ser-,,ices from.Seller,Selte.r
.;ives no express warranties,or implied warranties ref incrchantability and tiviess fir any particular
purpose.
( ) The C:ustt}m.cr a Tees that Seller will not be liable for any consequential and incidental domage:s arising;
lroni-any cause associated with.th.e.goods purchased frorn Seller,
ri. tss�4ti�rt�u�nztiitclticli� s'isritl�4rt�a�si€i�pc—r5� ren i�e5a1�f'�ocitfi�,` �rc���i
hcreaf€cr imposed upon sales or shiptuents will he added to the puirc.hase price. Buyer agrees to
reimburse Seller liar zany such tax or provide Seller with acceptable tax exemption certificate.
(Ci) belay in Delivery - Seiler is riot to be siccoun.t:able:For delays.in delivery occasioned by acts c:t t3od or
oilier circumstances over which Seller has no direct control. la'aetory shipment or delivery dates are the
best estit nates(.)four suppliers,and i.n ri.E:e case shall Seller be liable for any consequential or special
d$illi3?eS aZl lel t oln ally delay in delivery.
(7) Wadver—The failure of Seller to insist upon the Performance of any of the te.rnts or cond.idous of this
contract or to exercise any right hereunder shell riot be deemed to be;a waiter ofsuch terms,
conditions or ridlit in the:f:uture..nor shall it be deemed.to be a�wiiver of any other term.,couidition,or
right,under this contract.
(8) Modification o rernrs and Conditions _.Nlo terms tend conditions other than.those stated herein,and
no a�,rcement or understanding,in any Nxay purporting to modify these terms,oi-conditions. shall.lase
biridin,T on Seller tvichout Sellers writtea ctttiaciit,
VOUCHER # 155195 WARRANT # ALLOWED
351017 IN SUM OF $
KIRBY RISK ELECTRICAL SUPPLY
PO BOX 664117
INDIANAPOLIS, IN 46266
I
i
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
` I
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
i
S107979242.0 01-7202-06 $442.21 S
1 Ii
� I
f
Voucher Total $442.21
t
Cost distribution ledger classification if
claim paid under vehicle highway fund
r
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAWAKE 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 3/24/2015
i
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/24/2015 S107979242, l $442.21
i
i
i
c
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 601cer