249334 09/09/15 9, u!.��qy
CITY OF CARMEL, INDIANA VENDOR: 00351017
1 ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: $ .....240.06"
CHICAGO�a CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 249334
M_raN CHICAGO IL 60673-1275 CHECK DATE: 09/09/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 S108238596 240.06 OTHER EXPENSES
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DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER • • IS16MBER��-_; RELEASE NUMBER
74918 S15376 PT 10TH PROX NET 30TH
N SHIP VIA
. .•
IDMS-XML UPS GROUND DUANE JARVIS FISHERS 317-598-6170 08/18/15
••D - CITY SHIP CITY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
10ea 10ea AB 700-HLT2Z24 23.01 lea 230.10
700-HL Electromechanical Relay
Output, SPDT(1 C/O), w/Spring
Clamp Connections, 24V DC, Pkg.
Qty. of 10
OUTPUT
Billing Questions: Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S108238596.001
Subtotal 230.10
S&H Charges 9.96
Invoice is due by 09/30/15. Sales Taxi 0.00
e e 240.06
0001:0001 Kirby Risk Page 1 of 1
TERMS AND CONDITIONS OF SALE
ACCEPTANCE OF THE GOODS PURCHASED ON THIS INVOICE COINSTITUTES AND
ACCEPTANCE OFTUIETERMS AND CONDITIONS OFS.-XLE WHICH FOLLOW:
1) Stock Mcrchandiscissubject toa returncli.artw.
pricer authorization.
an&or invoic, number and pi
(2) Non-Stock M ercha n disc is not returnable Unless kke can "ecurca-Returned
the vendor.
(,I) 'I he agn-':s that ill all purchlase:'ot'goodsand ,Crvicc"" fir-Orn Scllcr, Scher
gives no express vvarranncs, or implied warranties of merchantability and fitness lorany partiCUlar.
,4) '1 he CUStOu'lur.igrec,,that Selk:r will not be liable for alfa consequential —id incidmital(Lw ,gcs
front any cause associated with the Lwds PUIVII41sed from Sell'2r.
Taxes- Pric,' sfiovrn do not i!iclLIdC ales Or 0111CY Lat.ez, iitipus,,'d on the dale Ta:,s mm or
lici-C,111,cr imposed up"m ':ales(�! ShipliMlIS'Will be, addCd tO the j)LID�hUS,' :rice. BM-T tO
reimburse Seller for any such tax or provide Seller with acceptable tax exemption certificate.
(0) Delay in Delivery—Seller is not to be accountable for delays in delivery occasioned by acts of(jod or
other circum-lances Over Which Seller has no direct control. Factory shipment Or delivery dates are the
best estimates Of our suppliers. and in no case shall Seiler be liable for any consequential or special
&ITWL'el, front Luiv dck% in delivery.
(7) Waiver—]ht, failurc of Seller to insist upon the performance oCany of the tcrill."or conditions offlu",
contract or to exercise any right hereunder shall not be deemed to be a',VaiVer 017such ternis.
conditions or right in the future, not-shall it be decilicd to be a kvaiver ofany other term, c.,')ndition,or
right under this contract.
(8) Modification of Terms and Conditions—No terin.,and conditions other than those stated herein,and
no agreement or understanding. in any way pui- ng-rig to modify these terms, or conditions. shall be
binding oil Seller' ithotu Seller's written'consent. "'
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 9/1/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/1/2015 S108238596. $240.06
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 # 156210 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
S108238596.( 01-7200-04 $240.06
f
Voucher Total $240.06
Cost distribution ledger classification if
claim paid under vehicle highway fund