248899 08/26/15 9�W�C^�NM
/ \� CITY OF CARMEL, INDIANA VENDOR: 00351017
�{ ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: $*******294.09*
=a CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 248899
��TpN cad CHICAGO IL 60673-1275 CHECK DATE: 08/26/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1082034611 6.18 OTHER EXPENSES
601 5023990 1082306891 258.45 OTHER EXPENSES
601 5023990 S1081940650 29.46 OTHER EXPENSES
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------- - -
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
QY!5�TOMER NUMBER CUSTOMER •• E NUMBER TERMS
11788 F KR81115 NET 30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
IDMS-XML WC51 WILL-CALL KEN RHODES FISHERS 317-598-6170 08/11/15
ORDERQTYJ SHIPQTY I DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC
3ea 2ea HOFF ATEMNC 51.69 lea 103.38
120/150V,AC/DC
3ea 3ea HOFF ATEMNO 51.69 lea 155.07
120/150V,AC/DC
Billing Questions:Billing request@kirbyrisk.com(765)446-3054 811212015 9:12:44 AM 3108230689.001 Invoice Number S108230689.001
Subtotal 258.45
S&H Charges 0.00
Invoice is due by 09/10/15. p1.�dSales Tax 0.00
own,P., KEN RHODES , elffl� 258.45
0001:0001 Kirby Risk Page 1 of 1
TERMS AND CONDITIONS OF SALE
ACCEPTANCE OF THE GOODS PURC14ASED ON THIS INVOICE CONSTITUTES AND
ACCEPTANCE OF THE TERIMS AND CONDITIONS OF SALE WHICH FOLLOW:
(1) Stock Merchandise is subject ton return charge. No goods nIaV be returned without a shipping ticket
and er invoice nUrnber and prior authorization.
(2) Non-Stock Merchandise is riot returnable unless we can secure a-Returned Goods Authorit-y"from
the vendor.
(3) The
and aor-cos that in 4111 parchises of goods and service,-,from-Seller, Seller
gives 110 express warranties.or implied warranties of merchantability and fitness for any particular
PLWPOSC.
(4) The Customer agree.,that Scllcr,,k,;ill not be liable for any consequential and Incidental damages arising
frons any cause associated with the goods purchased froni Seller.
(5) Taxes-Prices shown do not include sales or other taxes imposed on the sale of goods. Taxes now or
hereafter imposed- ed upon snles orshipments xill beaddedto the-pUrchnse
reirnburse Seller for any such tax or provide Seller with acceptable tax exeniption certificate.
(6) Delay in Delivery-Seller is not to be accountable for delays in delivery occasioned by acts ot.'God or
other circumstances over which Seller has no direct control. Factory shipment ordelivery dates are the
best estimates of our suppliers., and in no case shall Seller be liable forany consequential or special
damages arising from any delav in delivery.
(7) Waiver-The failure of Seller to insist upon the performance of any of the ternis or condition"';of this
contract or to exercise any right hereundershall not be deemed to be a waiver of such torms,
conditions or 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 Ternis and Conditions-No ternis and conditions other flian thosestated herein, and
no ageement or understanding;in any way purporting to modity these terms,or conditions,shall be
binding on Seller�,vithout Seller's written.consent.
fI
nETACH S)PPCR PORTION AND RET URN WITH YOUR PAYMF,N'r
• • •
11788 BT07.27.15B NET 30 DAYS
! DARKEN HARING WC51 WILL-CALL BRIAN TOLAN FISFIERS 317-598-6170 07/27/15
•-• P •
bESPRIf7rION •UT 'CAS1iDISC%
I
lea lea JEGS 8499 617.71 100ea fi.18
14-11!16 RAISED CVR
t
S
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I I i 1
i 1
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1 I
1............... ____.__......-__..........................................._.
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 f;9f3bi;it14-NAM sto zr�_trtnm � � invoice Number; S109203461.001i
Subtotal 6.181
S&H Charges 0.001
Invoice is due by 08126115. ' Sales Tax 0.00
eRl;ra rorAr ' t 6.181
—._................
0001:0001 4 Kirby Risk Page 1 of 1
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
• euSTOMER -•
11788 BT072115B NET 30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
DARREN HARING WC51 WILL-CALL BRIAN TOLAN FISHERS 317-598-6170 07/21/15
ORDER CCITY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
2ea 2ea EGS 8499 617.71 100ea 12.35
4-11/16 RAISED CVR
Bea Bea T&B 521711234E 76.07 100ea 6.09
4 SQ BOX
14ea 14ea EGS 7075S 18.26 100ea 2.56
3/4 STL COMP EMT CONN
4ea 4ea EGS 6075S 22.23 100ea 0.89
3/4 STL COMP EMT CPLG
10ea 10ea MINE 1B 43.40 100ea 4.34
HANGER W/BOLT-3/4" EMT/3/4"
RIGID
lea lea EGS 8361 64.47 100ea 0.64
41N SQ 1 TOGGLE SURF COV
lea lea HUBB CS1201 2.59 lea 2.59
IVORY 20A 120-277VAC SP SWITCH
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 71220201510:53:58 AM s108184085.001 Invoice Number s108194065.001
Subtotal 29.46
S&H Charges 0.00
Invoice is due by 08/20/15. COz �a Sales Taxj 0.00
BRIAN TOLAN A 0 1 29.46
0001:0001 Kirby Risk Page 1 of 1
TERMS AND CONDITIONS OF SALE
ACC EP'rANCE OF THE GOODS PURCHASED ON'nus INVOICE CONSTITUTES AND
ACCEPTANCE OFTHE TERMS AND COND.FrIONS OF SALE WHICTI FOLLOW:
(1) Stock Merchandise is subject to at return charge. No goodS,Maybe WtUrTACC1.WithOWL ZI ShiPI)iTIL,fiCl,ef
It�evor invoice nunibernial prior authorization.
(2) Non-Siock Merchandise is not returnable unless we can secure a"Returned(..roods Authorify"from
flit.vendor.
(3) The Customer ackrikowledges and agrees that ii-i all purchases ofgoods aridservices from.Seller. Seller
(Yives no express. 4varrandcs,or irnplicd warranties ofinct-charimbility, and fitnc.;s T'Z)r any particular
(4) The Custorner agree that Seller%vill not be liable flor any consequential and Incidental damages arisirto
front Bialy cause associated.�v.rtfi (hegoods purchased fi-Orri,Scller.
(5) Taxes Ili-ices shown do not include-sales or other to unposed on the sale of'Loods. faxes now or
upon salles or shipirimts W111 he added to the purchase price. Buyer agrees W
reimburse Seller for anysuch tax or,provide Seller with acceptable tax e_Aernption certificate,
(6) Delay in Defiveiy—Seller is.not to be accountable for delays in OCCCIS1011ed by acts of'Go(] 01-
other circumstances overm'.11 ich `;ellen has no direct control. Factory shipm-ent ordelivery dates ale the
best estimates of our suppliers,and in.DO case shall Seller be liable for my consequential or special
damages arising trom any delay in delivery.
(7) Waiver—Thefailure of Seller to insist upon the perfortriance of an of the terms or condidoi-is ofthis
contract or to exercise ariv right hereunder shall not be doerned to he w-aiver of such torms,
cotiditiorr or
right under this conMICL
(8) Mudi!i cation cif' l'erms and Co n d Itions—No terms and condi lions other tha i i.those stated bcrein.arid
IM ag 0 1 - -cond dons, shall be
greerricrit or understanding,in way purporting to modd'v these terms.of I
bindinlcan Seller tiNi thout Seller's WI-ILten ConSerit.
VOUCHER# 152786 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
Lo.Zo'
S1081940650 01-6200-06 $29.46
i
I
4
Voucher Total a q y•D� �'
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 8/13/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/13/2015 S1081940651 $0.00
I hereby certify that the attached invoice(s), or bill(s) is(are)true and
correct and I have audited same in accordancewith IC 5-11-10-1.6
Date Officer