245892 06/03/15 +of C,IIF'h
v^/ CITY OF CARMEL, INDIANA VENDOR: 00351017
® ,,, CHECK AMOUNT: $ 274.12
�, ONE CIVIC SQUARE KIRBY RISK CORPORATION
=a CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 245892
.9M,_ CHICAGO IL 60673-1275 CHECK DATE: 06/03/15
�iON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 107761038001 16.08 OTHER EXPENSES
601 5023990 107764019001 59.55 OTHER EXPENSES
601 5023990 107840686001 25.63 OTHER EXPENSES
651 5023990 107968042001 130.26 OTHER EXPENSES
601 5023990 108076261001 26.37 OTHER EXPENSES
601 5023990 108098170001 16.23 OTHER EXPENSES
_______ _
- ---------------------------------------------------------------------------------------------------------------------------------------------------------------------
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER • •• NUMBER RELEASE NUMBER TERMS
11788 TJ 05.21.2015 NET 30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
DARREN HARING PK PICK-UP AMADOU DIALLO(TJ) FISHERS 317-598-6170 05/21/15
ORDER QTY SHIP QTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
100ea 100ea IDEA 30-072 55.26 1000ea 5.53
WIRENUT 72B BLUE 10OPC BX
100ea 100ea IDEA 30-071 54.41 1000ea 5.44
WIRENUT 71B GRAY 100PC BX
50ea 50ea T&B TV18-250FD-L 10.51 100ea 5.26
VINYL INSUL FEMALE DISCONNECT 22-1
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 512U20158:46:10AM 6108068170.001 Invoice Number S108098170.001
Subtotal 16.23
S&H Charges 0.00
Invoice is due by 06/20/15. " ` Sales Tax 0.00
AMADOU DIALLO(TJ)
AMOUNT16.23
0002:0002 N( 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 01, SALE WHICH FOLLOW:
(1) Stock Merchandise is subject to a return charge. No goods may be returned WithOUt a shipping ticket
and/or invoice nurnber and prior authorization.
(2) Non-Stock Merchandise is not returnable unless We can secure a"Returned Goods Authority"'frorn
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 Custorneragrees that Seller will not be liable for any consequential and incidental damages arising
_,n=,, -,associated with-the =.cods aurchased-froru-Seller'..
(5) 'Faxes—Prices shown do not include sales or other taxes imposed on the sale of.'goods. Taxes now,or
hereafter imposed upon sales or shipi-Lients will be added to the purchase price. Buyer agees 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 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 riot be deemed to be a waiver of such terms,
condition-,orri(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 tern-is,or conditions,shall be
binding on Seller without Seller's written Consent.
:luV.1�:Vi9C:K•:r'v::19U1'IGCG:
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11788 2214A CWI BRIAN 417-5063
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MWILSON WC51 BRIAN TOLAN FISHERS 317-598-6170 10/22/14
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24 24ea 3M 11228-00000-100 3M Virtua 0 .67 lea 16 . 08 0 00
Protective Eyewear, Clear
Uncoated Lens, Clear Temple
100 ea/case
100tZ014 84712 AM 5107781038.001
--------- ---1-----------------
kD
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Billing Questions: Bi liing_request@kirbyrisk.com (765)446-3054 '--------
:�.':�:--------- 0 .00
16.0 8
Invoice is due by .
11
/21 14/ s: :aes::: ' 0 00
A service charge of 21 per month will be charged if not paid by 11/21/14 �j16.08
Please detach, retain the top portion for your records and return the bottom portion wi Your rm - --"-
- •your remittance.
--
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Remit To: 27561 NETWORK PLACE
CHICAGO IL 60673-1275 THANK YOU FOR YOUR BUSINESS
Invoice is due by 11/21/14.
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MMORRIS WC51 BRIAN TOLAN FISHERS 317-598-6170 12/08/14
-: -------------- ------ - -- .____ -_--._ _ _ - - ----- -- - - - -- - - - -
31ff1�0T D..SCRiP.714K :>::•:•:: :::>::•»::•:::; ::•:::::<•::•I:teo �cfre ;< Ik t: :i:;::Exi Fcioz t :CASIt:lff C:t:
1 lea EGS E050E 0 .050KVA 120X240-24 25 .63 lea 25.63 0.00
2112120141 MAI AM 5107840686.001
BR1AdiTOL ily
----------- - -
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Billing
----- -
Billing Questions; Billing request@kirbyrisk.com (765)446-3054 :'5.7,4x-- ---------2--------
5.63
0.00
Invoice is due by 01/07/15. as 'a 0.00
v �• �� �•�� L•;a L•� -------------------
A service charge of 21 per month will be charged if not paid by 01/07/15 •AX:
`1' 3: 2t1R,: 25.63
Please detach, retain the to __
p portion for your records and return the bottom portion wi your remi�iance -------------------
c---------------
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I( -Please -Kirby>Fisk-ETectrfcal-�uppTy----------------- LEASE-DETACR_ARD-�UBMT-WITF-YODR"FA7MERT---`----------
I Remit To: 27561 NETWORK PLACE
CHICAGO IL 60673.1275 THANK YOU FOR YOUR BUSINESS
Invoice is due by 01/07/15.
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MWILSON WC51 BRIAN TOLAN FISHERS 317-598-6170 10/22/14
::--�:- - ----- - --•---------------- ----•----•----•-------•-------- --� -- - -- ----- -- -- -- - - -- -- -- - -- -
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C�7 �Zo
--------------------------------- BR1AlUTOLAIU _____ ___
Billing Questions: Billing_request@kirbyrisk.com (765)446-3054 '=,---------59.55
...........................
Invoice is due by 11/21/14 . ;vi 0.00
-------------------
A service charge of 29 per month will be charged if not paid by 11/21/3.4 :'`y'#3: : t1@:<: 59.55
__•• _
Please detach, retain the top portion for your records and return the bottom portion wi your remffi;ance. --------- --------
::.;.;4U�ZtJttER:, ;,;;;,;,,,,,,,,,,•;.;;1N9A1GE:#: :>::::i: :: 9NYE(ICE:•Dkii::::::::::•::ifl3kl•:•6.41E: :: :•;:•:•:;•;:•»DktEillfE:;;; :::•: :•hnlpllA3:ftEIff33:Et1
Y___-11788 5107764019 .-001 10. 22 14:: _ -V :5-9 55 11: 21 .14
--- - -- - --- ----------------------------- ------ -- ---------- ------ - - ------ ----�- -- ------------
--PTease----K Fr�by Rfsk-ETectrfcaTliuppTy ------ CEASE-DETACTf I ND-1;UMT-WIIHYOUR--PAYMENT---------------
Remit To: 27561 NETWORK PLACE
CHICAGO IL 60673-1275 THANK YOU FOR YOUR BUSINESS
Invoice is due by 11/21/14.
--------------------------------------------------------------------
-------------------------------7------------------------------------------------------------------------------
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER . •. NUMBER RELEASE NUMBER TERMS
11788 BT050715CHARLEY NET 30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
ELIZABETH A HARDEN WC51 WILL-CALL BRIAN TOLAN FISHERS 317-598-6170 05/07/15
ORDERQTYJ SHIPQTY
lea lea AB 700-HHF62A1 26.37 lea 26.37
700-HHF GENERAL PURPOSE FLANGE
COVER POWER RELAY
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 512112015 8:47:37 AM s108076261.001 Invoice Number S108076261.001
Subtotal 26.37
S&H Charges 0.00
Invoice is due by 06/06/15. "' �i Sales Tax 0.00
BRIAN TOLAN 26.37
0001:0002 IiI� Kirby Risk Page 1 of 1
TERMS AND CONDITIONS OF SALE
ACCEPTANCE OF THE GOODS PURCHASED CSN 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 Customer acknowledges and agrees that inall-purchases of goods and services from Seller,Seller
(Jives no express warranties,or implied warranties of merchantability and fluiess for any particular
Purpose.
(4) The Customer agrees,that Seller will not be liable for any consequential and incidental damages arising
front anN.,cause associated with the good.�
_L)urchased froni-Seller.
(5.) 'Faxes—Prices shown do not include sales or other taxes imposed on the sale of goods.Taxes now or
I
hereafter imposed upon sales or shipments w-ill 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 Delivery—Seller is not to be accountable for delays in delivery occasioned by acts of 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
dairiages 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 de.eined 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.
VOUCHER # 151965 WARRANT# ALLOWED
351017 IN SUM OF $
KIRBY RISK ELECTRICAL SUPPLY
27561 NETWORK PLACE
CHICAGO, IL 60673-1275
1
i
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
108098170.1 01-6200-04 , $16.23
i
►b�F� X84.1 5.�3
i o�-� �4bi�•� L , 5°r•Sj ,
I
Voucher Total 1 L 3 S
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 5/27/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/27/2015 108098170.1 $16.23
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
------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER • -• NUMBER RELEASE NUMBER TERMS
74918 S14871 PT 10TH PROX NET 30TH
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
KEVIN R FORD 23 INDIANAPOLIS DUANE JARVIS FISHERS 317-598-6170 05/01/15
ORDER CITY SHIP QTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
2ea Zea COOP VT24DR-100%-DEEP-U 65.13 lea 130.26 1.30
REPL LENS VT2-248HO
KRPNM
*`SUBJECT TO VENDOR RETURN POLICY"
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S107968042.001
Subtotal 130.26
If paid by 06/10/15 you may deduct$1.30 S&H Charges 0.00
Invoice is due by 06/30/15 net of any cash discount. Sales Taxi0.00
wwrry� • 9 130.26
0001:0001 /iI( Kirby Risk Page 1 of 1
TERMS AND CONDITIONS OF Sit-LE
(I) Stock Memliandise is sub
ject to s return charge. No goods ixay lie returriecl.�vztiit}tk<<t shipping ticket
. €$-€>.r invoice irtiiiili=ur iirr.cl 3ri.ui ata l:<i.i iati€ari.
(2) 'ion-Block Merchandise is not returnable ci.r'tless we can secure a"Returned G€:mfs:-authority"fr€ern
the vendor.
(3) Th,Customer ac kr'i€:m ledges an€l tigr€es that in all purcliases o't goods and services firo r Seller, SeJl.e.r
cyiv°;s'lio xl.Sic:s5 warranties,or inipliod Lt'arrarifies ot'nieri;hantabillt,and iiiiies' br a11}%particular
The .e,
s . F �
{�) '.�.�fua���m.cr:ari��,cs t}rat ficlltr. dill not lx liable, 9ssr any c.tr,��Lclt�.c,nti�l ancx incidental clanikgrcs arising
- -— - ---- 1'rurri-any>-cause as'locuited w.the the"_':oocis purchased born,`feller. - — — ----
-- - -- {5) axes Prices l own do not include sales or other fres imposedon n the sale o 'o;oodsl T mes now or - -- -
hercaifter.i-np€used upon sales€r shipiri nts will be added to the purchase price. Buyer wutirces to
reimburse Seller liar any such tax carprovide Seller v ith acceptable tsix exemption certificate.
( ) Delay in Delivery—seller is.not to be accountable 6or delays in delivery occasio i€d by acts€><(s«cl or
other circumstances over which Sellar has no direct control. Factory shipment or delivery Unites are the
lest estimates of our strlililiers.aril in.n.ci ease shall Seller lie liable Cor any consequential or special
damages arisiijF,y t,om any delay-in dclll'ery.
(7) Waiver— the:l flurc ol'Seller to iusist upon the perl'brniarice o9.'any of the terms or condidous€:i?'thi
contract or to exercise any right hereunder shrill not be doorriecl to be a�A.aiver€l'sric;h t.crms.
conditions or right in the✓iUt€rte,nor shall it be cl.eei ieu to be a waiver of any other term.,condition,or
right under this contract.
(8) sr itmali€an of '€r°g is and Conditions--No teras thiel conditions gather than.dhose stated herein,and
110 kgreetri€nt or understanding.in fifty-way purl o.riing to.111odik;these t.erms,,car cond;t;.€ns, shall be
binding on Seller N ithout Seller's written consent.
l -
f
VOUCHER # 155559 WARRANT # i ALLOWED
351017 { IN SUM OF $
KIRBY RISK ELECTRICAL SUPPLY
PO BOX 664117
INDIANAPOLIS, IN 46266
i�
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
1
f
Board members
fl
PO# INV# ACCT# AMOUNT Audit Trail Code
I
S107968042.f 01-7202-06 $130.26
,I
I,
'I
Voucher Total $130.26 !1
Cost distribution ledger classification if I
claim paid under vehicle highway fund
f
I
i
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 5/27/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/27/2015 S107968042. $130.26
e
F
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