244942 05/05/15 ♦�u(..Q.IgbP
i CITY OF CARMEL, INDIANA VENDOR: 00351017
5 �I ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: $"""""1,233.60"
?q CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 244942
+�;�__, CHICAGO IL 60673-1275 CHECK DATE: 05/05/15
f TON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 510799242700 20.48 S107992427.004
651 5023990 S10799941400 1,166.00 S107999414.001
651 5023990 S10805278500 47.12 S108052785.001
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER • •• NUMBER RELEASE NUMBER TERMS
74918 S14930 I PT 10TH PROX NET 30TH
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
BOB J ZIMMERMAN 23 INDIANAPOLIS DUANE JARVIS FISHERS 317-598-6170 04/16/15
ORDERQTYj SHIPQTY
4ea 4ea CRSH 1 BSS316 512.07 1 00e 20.48 0.41
3/4 RGD HANGER SS
"*SUBJECT TO VENDOR RETURN POLICY"
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S107992427.004
Subtotal 20.48
If paid by 05/10/15 you may deduct$0.41 S&H Charges 0.00
Invoice is due by 05/31/15 net of any cash discount. /04/16115 Sales Tax 0.00
s store n�at�tey�
�r�int ame 'time'r 20.48
0001:0002 Kirby Risk Page 1 of 1
b'E NIS AND CONUITIONS OF SALE
:�CE'l•I'��_� C'I OF THE GOODS$'trFit`3f.: t .t E 'I`I .IS INVOICE E ES'I'I U'I' i AND
ACt;I1F''i`ANCE OF THE`I.>i1RMS AND COND.t'6.'O NSO.F SALE W.ttl.CH FOLLOW:
(L) Stock Merchandise is subject to a return charge. No goods may be returned,without a shipping ticket
.Iz.d/or invoice.nr�mber andprior at:rthorizafiiort.
(2) Noir-Stock Merchaiidise is not returnable ttniess'aVe can secure-t:"Returned Goods Authority.'from.
the vendor.
(3) 'l'he Cu,tcurt.er acknowledges and agrees that in all.purchases of goods and services.lrotn`eller; Seller
«ivies no express warranties,or implied warranties ofnaerchantability and fitness f"or any part:icula
purix�se.
(4) 1.he Custotre-r agrees that Seller will not be liable for any consequential.arid incidental datuages arising
iron] anyCa'IS t (? Itlt d.t�'i11a th.E:{7t1t)� 1311 alas- rt?I.11 S_e�lt1�---
(5) Taxes -Prices shown do not include sales or other taxes imposed on the sale oj'g nods. Taxes now or
hcreafter.Imposed upon sales or S1l:I. mcnts Still.be added to the purchase price. buyer agrees to
reimburse Seller ;or any,such tax or provide Seller with acceptable tax exemption c;ertifzcat:e.
(6) .Delray in Delivery—Seller isnot to be accomnable for delays in deliVery occasl.olsed by acts c:ll'`-God or
oilaer s:i2cunlstatactseovet tivilich Sell r(aas ni)direct ccxatrol. Factory shipment or delivery dates are the
best estimates of out-suppliers,and ii:l.no case shall Seller be liable forany co.nseq erttial or special
damages arisimz from any delay in delivery.
(7) Waiver-The:lbilure of Seller to insist upon the pci'fornlance ofarty of the terms or conditions o i this
contract or to exercise any,right hereunder shall not be catered to be a waiver of such terms,
cond.itio is or right in the nature,Itor shall it be deemed to be a waiver of any other term,condition-- or
right under this contract.
(8) Modification ot"I'erms and Conditions- .No teens and conditions other than.those stated herchl.and
no agreement or under Landing.in filly��ay`purporti'Ia;;to rnodi v these term,,or conditions. shall be l
binding on Seller without Seller's written consent.
-----------------------------------------------------------------------------------------------------------------------------------------------------------
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER • •• NUM13ER RELEASE NUMBER TERMS
74918 S15044 PT 10TH PROX NET 30TH
SALESPERSONORDERED BY SALES OFFICE PHONE
DARREN HARING PK PICK-UP ERIC ROBINSON FISHERS 317-598-6170 04/23/15
ORDER QQTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
3ea 3ea HUBB HBL5366C 12.26 lea 36.78 0.74
20A 125V MALE PLUG NEMA 5-20P
2ea 2ea 3M ITCSN-0800-9 5.17 lea 10.34 0.21
HEAT SHRINK SLEEVE
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 4123+201510:21:56 Ann S108052785.001 Invoice Number S108052785.001
Subtotal 47.12
If paid by 05/10/15 you may deduct$0.95 S&H Charges 0.00
Invoice is due by 05/31/15 net of any cash discount. Sales Tax 0.00
ERIC ROBINSON 47.12
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 THETER1N1S 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 securea,"Returned Goods Authority"from
the vendor.
(3) The Customer acknowledges and agrees that in all.purchases of goods and sevvices from Seller, Seller
C�
gives.no express warranties,or implied warranties of merchantability and fitness lbr 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.
(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. Briyer 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 of God or
other circurnstanec.,s 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 arisins.,from any delay in delivery.
(7) Waiver—The failurc 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 tennis,
conditions or right in the future.,nor shall it be deerned,to be a waiver of any other term,condition,or
right Linder 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 illod.ifv these terms,or conditions,shall be
binding on Seller without Seller's written consent.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER NUMBER CUSTOMER •• NUMBER RELEASE NUMBER TERMS
74918 S14933 3800244753 PT 10TH PROX NET 30TH
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
SHERRY L SHORES DIRECT DUANE JARVIS FISHERS 317-598-6170 04/17/15
ORDER CITY SHIP CITY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC
lea lea AB 9800DC8AUTOA 758.00 lea 758.00
DIRECTCONNECT SUPPORT(8-5 M-F)
TC QUOTE#3800244753
CONTRACT#800225022
WON:3/20/2015
lea lea AB 9800DC8HMICOM 408.00 lea 408.00
DIRECT CONNECT HMI&COMMUNICATION
KRPNM
TC QUOTE#3800244753
CONTRACT#800225022
WON: 3/20/2015
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S107999414.001
Subtotal 1166.00
S&H Charges 0.00
Invoice is due by 05/31/15. Sales Taxi 0.00
mr—ITUTTS,MILINNITM 1166.00
0002:0002 Kirby Risk Page 1 of 1
TERNIS AND CONDITIONS OF SALE
_SCC I.1'1_- NC,i'.Col+ 'ri CYC)ObS PURCHASED ONIT"I IUS INVOICE CON4 r I`U1-TF-;S AND
ACCEPTANCE€I9E 7'I-6>"T RMS AND CONDITIONS OF SALE WI-;slC I-1.FOLLOW:
(l) Stock Merchandise is yt€.bject to a return charge. No goods may be I•eturned.without a shipping ticket
attd./ invoice nrinlbcr a3.3d prior a:tttho.rization.
(2) o t-S€cacti i.ea claattdisf is i3.ot returnable'runless%vc can secure a'."Returned Ci{:ods Authority"Born.
the vendor.
(3) The Customer acknowled j.e..s and agrees that in;:Ill.
purchases,of gf:}£)cls aE1Cl slervices fr{}nt Seller, Seller
gives Ittexpress warranties,or implied warranties t:)i'inerchantabilitr;and fitness ibr an}!partic•tllar
purpose.
(d) Hie Customer agrees that Sellar will riot be liable lot,any consequentialand incidental damages arisi.ztM
ri_an}_cause associated with-the goods purchased l'rcxnSeller._
(S) Taxes--7'rices shown do not include sales or other taxes imposed on the sale-ofwoods.Taxes now or
hcreaficrimposed tapon sales or shipments %ill he added to the parchase price. 1: uycr agrees to
reiraburse Seller for any such tax or provide Seller with acceptable tax exemption certificate.
(6) Delay in .Delivery Seller is not to he accountable l'or delays in delivery occasioned by acis{:)f(..iod or
outer which Seller has no direct.control. 'f"actory shipment or delivery dates are tate
best estimates of our sul)pliers,and in.no case.shall Seller be liable for any consequential orspecial
darriacre-s arislnu from any'delay in delivery.
(7) Waiver--The failure ol'Seller to hasist upon the performance of any of the ter ms or conditions of th.i.s
contra et or to exercise any right heret€oder shall riot be deemed to be a waiver ol'sttch term,;,
c{:nditlo.ns or rig-b.t.in the Buture.n.or ah.all it be dee•nted to he a waiver,{.)i any ogler term,condition.,{}r
rialit under this contract.
(8) Modification of Terms?asci Conditions–No harms and conditions other than those stated herein-and
1.10 a,;reementt or,undonsiandinla, in atry way purporting to modify these terms, or conditions. shall be
binding on Seller without Seller's written consent,
VOUCHER # 155410 WARRANT # ALLOWED
351017 IN SUM OF $
KIRBY RISK ELECTRICAL SUPPLY
PG 02-7Sb 1 n0�-f W -P►'.
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
J/, 73111, c.'j
S107999414.( 01-7-202-0-5- $1,166.00
S101oSa7g5.00i e) l.-7doq-e(-
+
1
I
Voucher Total ,1�6-8fl
I
Cost distribution ledger classification if
claim paid under vehicle highway fund 11
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 4/28/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/28/2015 S107999414. $1,166.00
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