243999 04/08/15 Coq
>`.`� *f. CITY OF CARMEL, INDIANA VENDOR: 00351017
ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: $""""'*'101.84"
;M CARMEL, INDIANA 46032 27561 NETWORK 3LA275 CHECK NUMBER: 243999
��oN�°' CHECK DATE: 04/08/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
652 5023990 S107984393 88.97 S107984393 . 001
2201 4237000 S108005285 12.87 S108005285. 001
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
95776 SHOP 765-425-7856 NET 30 DAYS
ROGER VICTOR PK PICK-UP SCOTT TOWNSEND FISHERS 317-598-6170 03/25/15
r
3ea 3ea LEVI 8681 429.02 1 00e 12.87
REDUCER PKD
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 31251201511:11:45 AM S108005285.001 Invoice Number S108005285.001
Subtotal 12.87
S&H Charges 0.00
Invoice is due by 04/24/15. Sales Taxi 0.00
SCOTT TOWNSEND ® ® 12.87
0001:0001 Kirby Risk Page 1 of 1
TERMS 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�,yithout a shipping ticket
and:or inyoic,�number and prior autlwriZation.
?) `von-Stock Xlerchandise is not returnable unless eie can secure a"Rctur:ed Goods :authority" froth
the vendor.
(i) The Customer acknowledges and agrees that in all purchase,of goods and services from Scher. Seller
gives no express; warranties,or implied war'ratrties of mere hantahiliiy and fitness for anv pzlrticular
purpo-'e.
(4) The Customer agree,that Seller .rill not be liable for any consequential and incidental damages arising
from any cat,sc associated with the goods purchased from Seller.
(7} I arcs - l'rr�cs shown do not include sal.s or utltcI 1<t`e': unposed urr the ale of (}Deis. I ,xes tlf7v.'(1r
hcreafter imposed upon sales or shipments will be added to the purchase price. 13uyer agrees to
reimburse Seller for any such tax or provide Seller willl acceptable tax exemption certificate,
(6) Delay in IDetivery—Seller is not to be accountable ftu-delays in deliverN c}ccaSicnted by arts of God or
other circumstances over wylrich Seller has no direct control. Factoryshipment or delivery dates are the
best c�timates of our suppliers, and in no case;hall Seller be liable for any consequential or special
damages arising frorn uny delay in delivery.
(7) Waiver—The failure of Seller to insist upon the performance ofany of the terms or conditions of this
contract or to exercise any right hereunder shall not be deemed to be a-��aiver of such term,,
conditions or riiLdit 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 oil 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 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))
03/25/15 S108005285.001 $12.87
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Kirby Risk
IN SUM OF $
Cmca-K i6_ ��3-r�zs
I ndtat�a�e +Pd-�fr�66=�-1-�,z-=
$12.87
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
2201 I S108005285.001 I 42-370.001 $12.87 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
fN
r
r
/Ths ay, A ril 02, 2015
V(AA/LG/ fr' ----
StreeP"M%Aor�nloner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
74918 S14923 PT 10TH PROX NET 30TH
KEVIN R FORD DIRECT LARRY SCHIMMEL FISHERS 317-598-6170 03/24/15
lea lea ABB OHB80J6E011 73.77 lea 73.77
BLACK 80MM CROSS OVER PISTOL HANDLE
KRPNM
`SUBJECT TO VENDOR RETURN POLICY"
I
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S107984393.001
Subtotal 73.77
S&H Charges 15.20
Invoice is due by 04/30/15. Sales Tax 0.00
�,����•,, a
0001:0001 (�Jti Kirby Risk Page 1 of 1
TERMS AND qC(;,N'D1'1J0NS ()F SALE
ACT EPIANCE OF THE (;,.JODS PURCHASED tib 'PHIS INVOICL CON'S AND
ACCEPTANCE 11IONS M`SAIA, WHICT1 FOLLOW:
01 Slovk Merchandise in sub, w a r(i�!m chrow. No goods rua,,,'be n!twricd�AiLk,'Lrl J �Ilppirl' fi 'kct
2) Nw'-Stock ),t erchs rMse is i al remuible uni,o "w a v secum a Wclt i n,c:d Go,:,'N Aut 6: its W,ai
tho' '.oidor.
13) 1 hc Custmiar aAmmledgy in agw;;that ill;til purchises of ymds"d suvin4 from S a Her, SLAr
glows no oxymss wwi woW to imphal warranAn of nwrchanukdQAtud Fitn"s Rw mV IwAcAir
Pw yve
(4) 1 he Custornur agree, .hat Sclkr ovill lici be li,::,Ic for.iiv "'vi-�Llg
a argnowc awamed wh A Ow In&prrAwind IYA sale..,
13) Two-- Ws Mwwr do n," ,delude ",':'his orwher was Arnmcd on Wo sale Q-40m Wos nko, isr
ho, Awr Loosed uponisales v,,'hipnv,,jas ovill b,!added to the purchas,,price. B-'yer to
mAwAirse So IQr for mW such mx or provide Sulkr-o-Vilf, ;ICCCPWIIJ,, tax c:,xrnp6(-.i
(o) intelhery--A& is to In amommbIc AY MYS V' dQIJVCT OCCIShOW bj WIS Of Wd Or
o i ht.,r c i rcu in uc ,s o%vr xv h K I i Seller ;las no direct co i i t ro 1. 1's',a LOry 5111; i TIOnt 6(l I i VC rti- dates a 1" the
of our nrpoiwr� W in no case AmB A%be AM for aqcon:vqim±a1 or speciA
cktwages xri-iug from oily dc:,i) in dcIivcry.
(7) %Nwer..i he mdurz or sdin to hwi 4 upon Me per1nnance WatV of Ne wnw tv ommom orim.,
cofitract or to cxercka wV rg& hmeuudershill not b,:deemed to be a Ss: k,er of mob lcmN,
conditions or right W the flwwo nor' H h be Wmed to be a "wiver of I ony othu lernL - andMon.,or
ri !'!t undcr this cowract.
(H) ModificatAn of Krms and (OndhNns—No wrtns and cmuJiMns aMur Van dme stawd hMehn and
Vp t 1,--11T(T1nC�a Or Und(TrWrIT111 in any way p�irporting to rnodifS-!hese i;,rnis,or condili",-114: "shall I'c
town,c is OHM MiLhout ScTor's 1',r;Qen ctnl,�;cnt.
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 4/1/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/1/2015 S107984393. $88.97
1 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.
Date fficer
VOUCHER # 155237 WARRANT # ALLOWED
IN SUM OF $
351017
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
S107984393.( 02-2308-00 $88.97
Depreciation
Voucher Total $88.97
Cost distribution ledger classification if
claim paid under vehicle highway fund