HomeMy WebLinkAbout250311 10/07/15 oI
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CITY OF CARMEL, INDIANA VENDOR: 00351017
® ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: $***...*458.19*
?4 CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 250311
';��roN.�, CHICAGO IL 60673-1275 CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 108234503001 178.71 OTHER EXPENSES
601 5023990 108280415001 279.48 OTHER EXPENSES
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DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER • PO:NUM,BER RELEASE NUMBERTERMS
11788 BT081315B NET 30 DAYS
SALESPERSON . ,.
DARREN HARING WC51 WILL-CALL BRIAN TOLAN FISHERS 317-598-6170 09/01/15
ITEM PRICE
ORDER QTY �SHIP' TY DESCRIPTION.
lea lea EGS SDN912100P 178.71 lea 178.71
108W 12V DIN P/S 115/230V IN
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 8r15Q0152:08:14PM S108234503.001 Invoice Number S108234503.001
Subtotal 178.71
�r S&H Charges 0.00
Invoice is due by 10/01/15. ��� �2 �JQ
Sales Tax 0.00
""��..,, BRIAN TOLAN ® _-M® 178.71
0002:0002 MR Kirby Risk Page 1 of 1
TERMS AND CONDITIONS OF SA-LE
AC:C:EI"'I'ANCE OF THE GOODS PURCHASED ON THIS INVOICE CONSTITUTES AND
ACCEPTANCE OF THE TERMS AND CONDITIONS OF SALE, «'"ICH FOLLOW
(1) Stock Merchandise is subject t.?o return charge. No gond,may be returned withoat a shipping ticket
and.`or invoice number and prior authorization.
(2) tion-Stock Merchandise is not returnable unless We can Secure a"Returned Goods Autltcority from
the vendor.
(3) The Customer acknowledges ani! a�reeS that in all purchase,of goods and services from Seller. Seller
gives no express warranties,or implied warranties of merchantability and fitness for any particular
purpose.
(4) The Custorner agree,that Seller-will not be liable for any consequential and incidental damages wising
from any cause associated with the goods purchased from Seller.
(9) Taxes— Prices shown clo not include sales or other taxes imposed on the ,tile oi'goads. Taxes now or
hereafter imposed upon ,ales or Shipments-vvill be added to the purchase price. Buyer agrees to
reimburse Seller for any such tax or provide Seller with acceptable taxx exemption certificate.
(0) Delay in Deli,�ery—Seller is not to be accountable; for delays in delivery occasioned by acts ot'God or
other circumstances over which Seller leas no direct control. Factory shipment or delivery states are the
best estimates of our suppliers, and in no case shall Seller be liable for any consequential or Special
damages arising frons any delay in delivery.
(7) Waiver—The failure of'Seller to insist upon the periormanc:e of any of the term,or conditions of this
contract or to exercise any right hereunder shall not be deerned to be a )&giver 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 under this contract.
(K) Modification of Terms and Conditions—No terms and conditions other than those Stated herein,and
no agreement or u.nderstandrng, in any way purporting to modify these terms; or conditions, shall be
bidding on Seller without Seller's written consent.
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DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
o • •• NMI 11!1111
11788 KR91015-C NET 30 DAYS
IDMS-XML PAR PARCEL DLVY KEN RHODES FISHERS 317-598-6170 09/17/15
•'• P • • • 0
3ea 3ea AB 700-HJ32Al 72.35 lea 217.05
700-HJ General Purpose Magnetic
Latching Relay, 10 Amp Contact,
DPDT, 120V 50/60Hz
LATCHING RELAY
3ea 3ea AB 700-HN153 20.81 lea 62.43
700-HN153, 11-Blade Base Socket,
Screw Terminals, Guarded Terminal
Construction (Pkg. Qty. 1)
SCREW TERMINALS
Billing Questions: Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S108280415.001
Subtotal 279.48
S&H Charges 0.00
Invoice is due by 10/17/15. Sales Tax 0.00
® 0 279.48
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 9/28/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/28/2015 108234503.1 $178.71
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 # 153166 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
108234503.1 01-6200-04 $178.71
I og xb y[s,►
Voucher Total 5T?�4
Cost distribution ledger classification if
claim paid under vehicle highway fund