247925 07/28/15 CITY OF CARMEL, INDIANA VENDOR: 00351017
I, ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: $ .....167.90*
?a, CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 247925
9M,roN� CHICAGO IL 60673-1275 CHECK DATE: 07/28/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 108098170002 7.14 OTHER EXPENSES
601 5023990 108162996001 12.31 OTHER EXPENSES
601 5023990 108163921001 13.65 OTHER EXPENSES
651 5023990 108174070001 134.80 OTHER EXPENSES
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
11788 BT070115A/TEXAS NET 30 DAYS
DARREN HARING PK PICK-UP BRIAN TO LAN FISHERS 317-598-6170 07/01/15
10ea 10ea EGS 6200S 123.11 1 00e 12.31
2-IN STL COMP EMT CPLG
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 7111201510:41:12 AM 6108162996.001 Invoice Number S108162996.001
Subtotal 12.31
S&H Charges 0.00
Invoice is due by 07/31/15. To4a�_,�
Sales Tax 0.00
BRIAN TOLAN ® ® 12.31
0001:0002 Kirby Risk Page 1 of 1
------------------------------------
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
11788 bt070115b texas NET 30 DAYS
SA SHIP VIA . . ..
DON MAIN PK PICK-UP BRIAN TOLAN FISHERS 317-598-6170 07/01/15
.•. • .
50ft 50ft BLIN ATR-1/4-20 ZN PLTD 120" 27.30 100ft 13.65
THREAD ROD
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 70V2015 2:47:41 PM x108163921.001 Invoice Number S108163921.001
Subtotal 13.65
Invoice is due by 07/31/15. Te?l..aw S&H Charges 0.00
Z2f�
Sales Tax 0.00
BRIAN TOLAN ® 13.65
0002:0002 Kirby Risk Page 1 of 1
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 7/17/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/17/2015 108098170.2 $7.14
I hereby certify that the attached invoice(s), or bill(s) is (are)true and
correct and I have audited same in accordance with IC5-11-10-1.6
S
Date Officer
VOUCHER # 152505 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
108098170.2 01-6200-04 $7.14
�b����ggc�..1 �zo � - la•3l
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund
----------------------------------------------------- -------------
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
74918 S15288 PT 10TH PROX NET 30TH
IDMS-XML WC51 WILL-CALL DUANE JARVIS FISHERS 317-598-6170 07/08/15
•-• . law
10ea 10ea ADVA I0P2P32N351 13.48 lea 134.80
ELE BALLAST(2) F32T8 120-277V
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 7110f201512:58:53PM S108174070.001 Invoice Number S108174070.001
Subtotal 134.80
�j
S&H Charges 0.00
'v (z
Invoice is due by 08/31/15. Sales Tax 0.00
DUANE JARVIS ® 134.80
0001:0001 Kirby Risk Page 1 of 1
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 7/22/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/22/2015 S108174070. $134.80
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
7/4 Y115
Date Officer
VOUCHER # 155959 WARRANT # ALLOWED
351017 IN SUM OF $
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
S108174070.f 01-7202-06 $134.80
I
I
Voucher Total $134.80
Cost distribution ledger classification if
claim paid under vehicle highway fund