248418 08/12/15 i
CITY OF CARMEL, INDIANA VENDOR: 00351017
® ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: $*****1,974.00*
CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 248418
'MrroN CHICAGO IL 60673-1275 CHECK DATE: 08/12/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
652 5023990 108127899001 1,859.80 OTHER EXPENSES
601 5023990 108194065002 29.42 OTHER EXPENSES
651 5023990 108205646001 32.28 OTHER EXPENSES
651 5023990 108205646002 52.50 OTHER EXPENSES
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
1IRN411iiiii IRA:!
• a •e
11788 BT072115B NET 30 DAYS
DARREN HARING WC51 WILL-CALL BRIAN TOLAN FISHERS 317-598-6170 07/21/15
80ft 80ft COND E034 36.78 1 00f 29.42
EMT 3/4" 10 FT
Billing Questions: Billing_request@kirbyrisk.com(765)446-3054 712202015 10:54.11 AM s108184065.002 Invoice Number S108194065.002
Subtotal 29.42
nI SAH Charges 0.00
Invoice is due by 08/20/15. !�aw-D ?n15 Sales Tax 0.00
BRIAN TOLAN o ® 29.42
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.
27561 NETWORK PLACE Terms
CHICAGO, IL 60673-1275 Due Date 8/7/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/7/2015 S108194065, $29.42
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 5-11-10-1.6
L'a,47 --
Date Officer
VOUCHER # 152715 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
S108194065.( 01-6200-06 $29.42
Voucher Total $29.42
Cost distribution ledger classification if
claim paid under vehicle highway fund
------------------------------------------------------------------------------------------------------------ --------------------------------------------------------------------------------
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
AM11=004s e
74918 S15328 PT 10TH PROX NET 30TH
IDMS-XML 23 INDIANAPOLIS DUANE JARVIS FISHERS 317-598-6170 07/29/15
30ea 30ea PHIL F32T8/TL741 ALTO 30PK 1.75 1 e 52.50 1.05
281576 F32T8/TL741 ALTO 30PK
KRDP
"SUBJECT TO VENDOR RETURN POLICY"
Billing Questions: Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S108205646.002
Subtotal 52.50
If paid by 08/10/15 you may deduct$1.05 S&H Charges 0.00
Invoice is due by 08/31/15 net of any cash discount. Sales Tax, 0.00
29 15
ig re ➢a%g,�� 5 '
rinte Name Time ® ® 52.50
0001:0001
Kirby Risk Page 1 of 1
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DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
811 1
11:1 51
o • •
74918 S15328 PT 10TH PROX NET 30TH
IDMS-XML UPS GROUND DUANE JARVIS FISHERS 317-598-6170 07/28/15
6ea 6ea BUSS FNM-30 3.72 lea 22.32 0.45
32V MIDGET TD FUSE
Billing Questions:Bill ing_request@kirbyrisk.com(765)446-3054 Invoice Number S108205646.001
Subtotal 22.32
If paid by 08/10/15 you may deduct$0.45 S&H Charges 9.96
Invoice is due by 08/31/15 net of any cash discount. Sales Tax 0.00
Emusmm 32.28
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 8/5/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/5/2015 S108205646. $52.50
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
VOUCHER # 156037 WARRANT # ALLOWED
351017 IN SUM OF $
KIRBY RISK ELECTRICAL SUPPLY i
PO BOX 664117
INDIANAPOLIS, IN 46266
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
f
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
S108205646.( 01-7202-06 $52.50
Posodostm-001
o —701oa-o(o 3o.on
8�,1g
s
i
Voucher Total r$ '
Cost distribution ledger classification if
claim paid under vehicle highway fund
--------------------------------------------------------------------------------------------- -------- ---- --
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
• o •e
74918 515211 PT 10TH PROX NET 30TH
• s-• o e o •�
KEVIN R FORD DIRECT JEFF COOPER FISHERS 317-598-6170 07/28/15
lea lea SEW R57R37AM143-SPECIAL SHAFT 1730.38 lea 1730.38
REF QUOTE Q196630
KRPNM
—SUBJECT TO VENDOR RETURN POLICY**
STANDARD DELIVERY 4 WEEKS
MAYBE 3 WEEKS SPECIAL SHAFT CANNOT
BE EXPITED
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S108127899.001
Subtotal 1730.38
S&H Charges 129.42
Invoice is due by 08/31/15. Sales Tax 0.00
® 4 1859.80
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 8/6/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/6/2015 S108127899, $1,859.80
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 5-11-10-1.6
Date Officer
VOUCHER # 156053 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
S108127899.( 02-2308-00 $1,859.80
Depreciation
t
I
Voucher Total $1,859.80
Cost distribution ledger classification if
claim paid under vehicle highway fund