247358 07/15/15 0y u1_4�q*
�( � CITY OF CARMEL, INDIANA VENDOR: 00351017
® ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: $*******165.91*
r• ?� CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 247358
9�,i�oN CHICAGO IL 606 73-1 27 5 CHECK DATE: 07/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
609. 5023990 108117270001 33.17 OTHER EXPENSES
609 50123990 108121426001 48.98 OTHER EXPENSES
609 5023990 108126334001 34.74 OTHER EXPENSES
609 5023990 10813068001 39.59 OTHER EXPENSES
609 5023990 108131298001 9.43 OTHER EXPENSES
i
Kirby 'Risk INVOICE
1815 Sagamore Pkwy
Lafayette,IN 47904 06/09/15 S108126334.001 11788
DUE DATE . DUE AMOUNT
® 07/09/15 �34.74
•
0
KIRBY RISK CORPORATION
6
2751 NETWORK PLACE
CHICAGO IL 60673-1275
491 AB 0.416 E0045 10073 01386348073 P2645347 0002;0002 SHIP TO:
Il'�Il�rll'III,�IJill l,1Jill Ilirl�ll�l1l„II,II�„Ilrinl�ll���l CARMEL WATER TREATMENT
CARMEL WATER TREATMENT 4915 E TH ST
CARMELL I
3450 W 131ST ST N 46033
CARMEL IN 46074-8267
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
• ••
11788 TALL TIMBER NET 30 DAYS
.•. . :
DARREN HARING PK PICK-UP BRIAN TOLAN FISHERS 317-598-6170 06/09/15
'6RDtR"4ty"1j %f1p-.Q1:y":1" ITEM PRICE UN EXT-�MCIUNT CASH Disc
D.ESCRIPTION, IT
24ft 24ft WIRE THHN-STR-4-BLA-CUT REEL 609.64 1000ft 14.63
24ft 24ft WIRE THHN-STR-4-BLA-CUT REEL 609.64 1 000f 14.63
lea lea MINE 6B 118.88 100ea 1:19
HANGER W/BOLT-2-1/2"EMT/2-1/2"
RIGID _
lea lea MINE 513L@15A 102.87 100ea 1:03
HANGER W/BOLT---2"-EMT/2"RIGID _AMD
lea lea MINE 113 43.40 100ea 0.43
HANGER W/BOLT-3/4"EMT/3/4"
RIGID
lea lea MINE 3B 66.12 100ea 0.66
HANGER W/130 LT-1-1/2"EMT 11-1/4"
RIGID
lea lea MINE 4B 82.91 100ea 0.83
HANGER W/BOLT-1-1/2"RIGID
Zea Zea CARL E943D 10.31 100ea 0.21
1/2'1'SCH 40 MALE ADAPTER
Sea 3ea MINE OB 37.52 100ea 1.13
HANGER W/BOLT-1/2"EMT/
3/8"-112"RIGID
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054
619120151:19:18PM S108126334.001 Invoice Number 5108126334.001
Subtotal 34.74
S&H Charges 0.00
Invoice is due by 07/09/15. Sales Tax 0.00
RIAN ro�AN ' o 34.74
B
0002:0002 Kirby(Risk Page 1 of 1
i
INVOICE
Kirby Risk _ _
1815 Sagamore Pkwy
Lafayette,.IN 47904 1 06/08/15 S108121426.00:1.1 1 11788
DUE DATE TOTALDUE, AMOUN'T'PAID
07/08/15 48.98
KIRBY RISK CORPORATION
27561 NETWORK PLACE
CHICAGO IL 60673-1275
SHIP TO:
491 AB 0.416 MAU 10072 01366348072 P2645347 0001:0002
II'IIII'llllll'III'll�'III"'III'IIIIIIII"II�III,�II�I��IIIIIIII CARMEL WATER TREATMENT
CARMEL WATER TREATMENT 4915 E 106TH ST
3450 W 131STI ST CARMEL IN 46033
CARMEL IN 46074-8267
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
a •.
11788 Tall Timber NET 30 DAYS
.•. . : • ..
DON MAIN WC51 WILL-CALL BRIAN TOLAN FISHERS 317-598-6170 1 06/08/15
'61i. - . • .
30ft 30ft WIRE THHN-STR-6-BLA-CUT REEL 394.36 1000ft 11.83
30ft 30ft WIRE THHN-STR-6-RED-REEL CUT 394.36 1000ft 11.83
30ft 30ft WIRE THHN-STR-6-GRN-CUT REEL 394.36 1000ft 11.83
COPPER BUILDING WIRE
30ft 30ft SCUT THHN-STR-6-BLU-KRWP 449.52 1000ft 13.49
6-19 CU SIMpull(TM)THHN-THWN-2 - - -
MTW-AWM BLU
20496699
"SUBJECT TO VENDOR RETURN POLICMA
PAID
'C
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 61912015 E17:16 PM S1060126.001 Invoice Number S108121426.001
Subtotal 48.98
S&H Charges 0.00
Invoice is due by 07/08/15. raL 22 Sales Tax 0.00
I
BRIAN TOLAN i 48.98
001:0002Kirby Risk
Pagel of 1
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER • •• NUMBER RELEASE NUMBER TERMS
11788 TALL TIMBER NET 30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE I PHONE NUMBER SHIP DATE
DON MAIN PK PICK-UP BRIAN TOLAN FISHERS 317-598-6170 06/11/15
ORDER QTY SHIP QTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
lea lea CARL E987R 943.41 100ea 9.43
6X6X4 JUNCTION BOX
i
I
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 6111020151:49:43 PM s106131296.001 Invoice Number S108131298.001
Subtotal 9.43
g S&H Charges 0.00
Invoice is due by 07/11/15. LGvv ZZ4 b Sales Taxj 0.00
�r,, BRIAN TOLAN 9.43
000s:000s r Kirby Risk Page 1 of 1
I
`I'ERINIS ND CONDITIONS F SALE
ACCEPTANCE CII THE GOODS PURCHASED Oil THIS INVOICE CONSTITUTES ITUTES_ND
ACCEPTANCE OF THE TERMS AND CONDITIONS OF SALE WHICH FOLLOW:
(1) Stock Merchandise is subject to a return charge. No goods maybe returned without a shipping ticket
and/or-invoice number tend prior authorization.
(2) ikon-Stock Merchandise is not returnable unless we can secure a"Returned Goods:authority"from
the vendor.
(3) The Customer acknowledges and.agrees that in a1.1 purchases of goods and services from Seller.Seiler
C
ives.no express warranties,or implied warranties ofmerchantability and fitness l:or 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 showwin 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. 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
darnages arising from any delay in delivery.
(7) Waiver—The fid lure of Seller to insist upon the performance of any of the terns or conditions of this
contract or to exercise any right.hereunder shall not be deemed to be a wwaiver of such terms,
conditions or right in the future,nor s.lnall it be deemed to be a waiver of any other term,condition.or I
right Linder this contract.
(8) Modification o1 Terms and Conditions—No terms and conditions other than those stated herein,and
no agreement or understanding,in.any ivay 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
11788 TALL TIMBER NET 30 DAYS
SALESPERSON I SHIP VIA ORDERED BY SALES OFFICE PHONE • DATE
DON MAIN PK PICK-UP BRIAN TOLAN FISHERS 317-598-6170 06/11/15
ORDERQTYJ SHIPQTY
2ea 2ea CARL UA9AG 76.03 100ea 1.52
1-1/4""SCH 40 STD 90 DEG ELBOW
2ea 2ea CARL LT43G 614.29 100ea 12.29
PVC 1 11/4"STRAIGHT LIQUIDTIGHT FTG
lea lea CARL LT20G 1336.69 100ea 13.37
CL LT20G 1-1/4"90 DEG LIQUIDTIGHT
6ft Eft ELEF NM14-1-1/4"NON METALLIC-CUT 126.09 1 00f 7.57
GRAY I1-1/4 LIQUATITE
4ea 4ea T&B 6H 121.09 100ea 4.84
SPLIT-BOLT BRONZE
i
Billing Questions:Billing_requesi@kirbyrisk.com(765)446-3054 61111201511:23:13 AM s108130664.001 Invoice Number S108130684.001
Subtotal 39.59
S&H Charges 0.00
Invoice is due by 07/11/15. 7°Go"d `z Sales Tax 0.00
BRIAN TOLAN 39.559
0002:0003 lV!( Kirby RISK Page 1 of 1
TERMS AND CONDITIONS OF SALE
ACCEPTANCE OF THE GOODS I URCHASED'GN THIS INVOICE CONS`€`ITUTES AND
ACCEPTANCE OF THE TERMS I2MS AidD CONDITIONS OF SALE WHICH FOI:I.OW:
(1) Stock Rlerchandise 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"Returnee{Goods Authority„ froth
the vendor.
(3) The.Customer acknowledges anti 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 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 unposed on the sale of goods.Taxes now or
hereafter imposed.upon sales or shipinents will.be added to the purchase price. Buyer am-ees 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 fol-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 ri.ght.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,ender this contract.
(8) I Iodificat;ion of Perms 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 WI h ,
XUSTO • ••
NUMBER RELEASE NUMBER -
11788 Tall Timber NET 30 DAYS
SALESPERSON, SHIP,VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
DON MAIN WC51 WILL-CALL BRIAN TOLAN FISHERS 317-5984,170 06/03/15
ORDERCITYJ SHIPCITV1DESCRIPTION
12
1 ea lea CARL E985J 824.80 100ea 8.25
2"TYPE LR CONDUIT BODY
lea lea CAR E984J 834.52 100ea 8.35
2"TYPE LL CONDUIT BODY
lea lea CRSH 305DC 1033.98 100ea 10.34
2 RGD OFSET COND NIPPLES DC
lea lea EGS!L-600 34.31 100ea 0.34
STEEL LOCKNUT 21N
lea lea EGS j PB-600-D 33.96 100ea 0.34
PLASTIC INSUL BUSH 21N
lea lea CARL E942J 48.84 100ea 0.49
2"SCH 40 FEMALE ADAPTER
4ea 4ea BLIN.B2013PA-2 126.57 100ea 5.06
2"PLTD COND CLAMP
i
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 8f5MM820:55AM s108117270.001 Invoice Number S108117270.001
Subtotal 33.17
_ S&H Charges . O.00
Invoice is due by 07/03/15. 4LQ�/ Z 5 g Sales Tax 0.0C
��gg,,,,,, BRIAN TOLAN 1 33.17
0001:0002 lam( Kirby Risk Page 1 of 1
VOUCHER # 152316 WARRANT # ALLOWED
351017 IN SUM OF $
KIRBY RISK ELECTRICAL SUPPLY
27561 NETWORK PLACE
CHICAGO, IL 60673-1275
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
00(
S108117270.1 07-1051-85 $33.17
S Ir,�1a633�{.ddi 1r 31.7y
1 00 If ql�18r
CoNtiecfl"o,✓
165 .q�
Voucher Total 17
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 7/6/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/6/2015 S108117270, $33.17
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 lAl
Date icer