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250926 10/22/15 ,t49 CITY OF CARMEL, INDIANA VENDOR: 00351017 ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: $*****3,185.54* ,._ CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 250926 CHICAGO IL 60673-1275 CHECK DATE: 10/22/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 108279495001 2,125.00 OTHER EXPENSES 651 5023990 108291383001 22.14 OTHER EXPENSES 2201 4239034 108319705001 226.92 LANDSCAPING SUPPLIES 2201 4239034 108319705002 139.39 LANDSCAPING SUPPLIES 2201 4239034 108319705003 317.73 LANDSCAPING SUPPLIES 651 5023990 108328026002 354.36 OTHER EXPENSES ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT • W, Ego w- R 0 .0 A 95776 ROUND ABOUT CHRISTMA NET 30 DAYS RICH R COLLINS WC51-WILL-CALL BRIAN TOLAN FISHERS 317-598-6170 10/02/15 1 Oea 4ea HUBB HBL5269C 21.94 lea 87.76 15A 125V FEMALE CONN NEMA 5-15R 20ft 20ft CORD SJOOW-12/3-CUT 800.94 1 000ft 16.02 BLK NEO 90C .430 OD —SUBJECT TO VENDOR RETURN POLICY** 1 Oea 1 Oea BUSS MDL-5-R 1.55 lea 15.50 BUSS SMALL DIMENSION FUSE 25ea 25ea IDEA 30-454 424.44 1 000ea 10.61 WINGINUT 454 BLUE 25PC BOX lea lea CRC 14055 18.24 lea 18.24 CLEAR 8-OZ SILICON ADH/SEALANT 1 00ea I 00ea T&B L-7-50-0-C 3.94 1 00ea 3.94 7" ULTRA-VIOLET TY-RAP 1 00ea 1 00ea T&B L-1 1-50-0-C 8.76 1 00ea 8.76 CABLE TIE 50LB 11 UV BILK 1-PC DIST I Oea I Oea HUBB SHC1023 5.63 lea 56.30 1/2" .375- .5 ALUMINUM CORD CONN 1 Oea 1 Oea T&B LN-101 SC 9.07 1 00ea 0.91 112 IN LOCKNUT,RGD/IMC,STL-ZINC PLD Zea Zea 3M 33PLUS-SUPER-3/4X66FT 4.44 lea 8.88 Billing Questions: Bill ing_request@kirbyrisk.com(765)446-3054 10020159:54:52 AM S108319705.001 Invoice Number S108319705.001 Subtotal 226.92 S&H Charges 0.00 Invoice is due by 11/01/15. TO'-w a z Sales Tax 0.00 BRIAN TOLAN 226.92 0001:0001 Kirby Risk Page 1 of 1 ------------------------------------------------ - DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT 95776 ROUND ABOUT CHRISTMA NET 30 DAYS RICH R COLLINS DIRECT BRIAN TOLAN FISHERS 317-598-6170 10/03/15 10ea 10ea BUSS HFA 30.21 lea 302.10 BUSSFUSEHOLDER '"SUBJECT TO VENDOR RETURN POLICY" Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S108319705.003 Subtotal 302.10 S&H Charges 15.63 Invoice is due by 11/02/15. Sales Taxi 0.00 ® ® 317.73 0002:0002 Kirby Risk Page 1 of 1 ------------------------------ --------------- -------------------------------------------------------------------------------------'= '=====`==.'�'��--'�==��=`'==�=��`-'-_' DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT 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 service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 10/02/15 S108319705.001 $226.92 10/02/15 S108319705.002 $139.39 10/03/15 S108319705.003 $317.73 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 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Kirby Risk IN SUM OF $ P. O. Box 664117 Indianapolis, IN 46266-4117 $684.04 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 S108319705.001 42-390.34 $226.92 1 hereby certify that the attached invoice(s), or 2201 S108319705.002 42-390.34 $139.39 bill(s) is (are) true and correct and that the 2201 S108319705.003 42-390.34 $317.73 materials or services itemized thereon for which charge is made were ordered and received except �Neclnes'day,#ber 14, 2015 Street CommissloKer Ctmet imicginnQr Title Cost distribution ledger classification if claim paid motor vehicle highway fund ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT LaMi 74918 S15462 PT 10TH PROX NET 30TH MM, Rm KEVIN R FORD PAR PARCEL DLVY DUANE JARVIS FISHERS 317-598-6170 10/06/15 3ea 3ea NORM Q40DC 4.06 lea 12.18 0.24 40 WATT QUARTZ DC BASE KIRPNM —SUBJECT TO VENDOR RETURN POLICY** GOOD FACTORY STOCK Billing Questions: Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S1108291383.001 Subtotal 12.18 If paid by 11/10/15 you may deduct$0.24 S&H Charges 9.96 Invoice is due by 11/30/15 net of any cash discount. Sales Tax, 0.00 22.14 0001:0001 'Kirby Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT \� 'e u0. .o ,sem 74918 S155507 PT 10TH PROX NET 30TH CRAIG E WHEASLER WC51 WILL-CALL JEFF COOPER FISHERS 317-598-6170 10/07/15 6ea 6ea PHIL MH1500/U 6PK 59.06 lea 354.36 7.09 131623 Billing Questions: Billing_request@kirbyrisk.com(765)446-3054 100201510:58:55 AM x108328026.002 Invoice Number S108328026.002 Subtotal 354.36 If paid by 11/10/15 you may deduct$7.09 S&H Charges 0.00 Invoice is due by 11/30/15 net of any cash discount. Sales Tax 0.00 JeFF ' ® 0 354.36 0001:0001 Kirby Risk Page 1 of 1 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ �1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT e o •o 74918 S15450 PT 10TH PROX NET 30TH e CHRISTINE HUDSON DIRECT JEFF COOPER FISHERS 317-598-6170 09/29/15 b 12ea 12ea HITA6"(NOMINAL)X18 FRP 157.99 lea 1895.88 FLIGHTS BLANK NO HOLE OR DAPS KRPNM —SUBJECT TO VENDOR RETURN POLICY" Billing Questions: Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S108279495.001 Subtotal 1895.88 S&H Charges 229.12 Invoice is due by 10/31/15. Sales Tax, 0.00 ® ® 2125.00 0001:0001Kirby 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 10/13/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/13/201! S108279495. $2,125.00 i 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 # 156478 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 S108279495.( 01-7202-06 $2,125.00 S 108 398o91.,a a 01.-7a09.05 35q,3to S 10,3 x91303.001 O o a a. ►y aS��.So Voucher Total Cost distribution ledger classification if claim paid under vehicle highway fund