HomeMy WebLinkAbout251619 11/18/15 ,Coq .
*f CITY OF CARMEL, INDIANA VENDOR: 00351017
® i; ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: $""""'981.04'
}, =a CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 251619
"y,_oN.�o. CHICAGO IL 60673-1275 CHECK DATE: 11/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 108324489001 17.86-' OTHER EXPENSES
651 5023990 108360874001 332.34 OTHER EXPENSES
601 5023990 108363929001 2.50- OTHER EXPENSES
601 5023990 10836926001 81.10 OTHER EXPENSES
601 5023990 108371353001 429.10' OTHER EXPENSES
2201 4239034 108377676001 118.14 LANDSCAPING SUPPLIES
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER • • RELTERMSEASE' MBER'
95776 ROUNDABOUT CHRISTMAS NET 30 DAYS
SALESPERSON •-. • • ,.
DARREN HARING PK PICK-UP BRIAN TOLAN FISHERS 317-598-6170 11/04/15
• . . • . • UNIT CASH DISC
Sea 5ea BUSS MDL-5-R 1.55 lea 7.75
BUSS SMALL DIMENSION FUSE
5ea 5ea BUSS MDL-10-R 1.93 lea 9.65
BUSS SMALL DIMENSION FUSE
lea lea HUBB HBL5266C 12.86 1 e 12.86
15A 125V MALE PLUG NEMA 5-15P
lea lea HUBB HBL5269C 21.94 lea 21.94
15A 125V FEMALE CONN NEMA 5-15R
20ft 20ft CORD SJOOW-12/3-CUT 800.94 1 000f 16.02
BLK NEO 90C .430 OD
"SUBJECT TO VENDOR RETURN POLICY"
2ea 2ea EGS CG-3750 811.02 1 00e 16.22
1/2 ALUM STIR CORD CONN
lea lea T&B IH4-1-LM 473.01 1 00e 4.73
1/2 INCH D-T DEV BX W/MNT 4 HOLE
lea lea T&B CCB 94.68 1 00e 0.95
DRY-TITE BLANK CVR DEVICE MNT
lea lea INTE K4251 12.61 lea 12.61
120V PHOTOCONTROL
15ea 15ea T&B TV10-BS-XV 22.98 1 00e 3.45
VINYL INSULATED BUTT SPLICE
50ea 50ea T&B TV10-250FD-L 23.92 1 00e 11.96
VINYL INS FEMALE DISCONNECT 10-12
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 111412015 2:23:21 PM s108377876.001 Invoice Number S108377676.001
Subtotal 118.14
-t s� S&H Charges 0.00
Invoice is due by 12/04/15. r G�' „ Z� U Sales Tax 0.00
BRIAN TOLAN ® ® 118.14
0001:0001 Kirby Risk Page 1 of 1
TERMS AND CON®l<TIONS OF SALE
- ACCEPTANCE OF THE GOODS PURCHASED ON THIS INVOICE; CONSTITUTES AND
ACCEPTANCE OF THE TERMS AND CONDITIONS OF SALE WHICH FOLLOW:
(1) Stuck Merchandise is subject to a return charge. No goods nr<<y be returned without a shipping ticket
and:or invoice number and prior authorisation.
(2) Non-Slock.Merchandise is not returnable unless we can secure a"Returned Goods -'luthority" from
the vendor.
(i) The Customer acknotivledges and agrees that in all purchases of goods and services Isom Seller; Seller
gives no express wvar•anties,or implied warranties of merchantability and fitness fir any particular
purpose.
(4) '1 he Customer agrce� that Seller will not be liable for any consequential and incidental damages arising
f orn any cause associated tivi(h the goods purchased frorn Seller.
(�) Taxes— Pritics shown do not include ;ales or other taxes imposed uu the;alc of goods. "fakes now or
hereafter imposed upon sales or shipments-,vill be added to the purchase price. Buyer agrees to
reimburse Seller for any such tax or provide Seller with acceptable tax exemption certificate.
(6) Delay in Delivery—Seller is not to be accountable for delays in delivery occasioned bv-acts of God or
other circumstances over which Seller has no direct control. Factory shipment or delivery dates are the
best estimates of Our suppliers, and in no case shall Seller be liable for any consequential or special
tlamage5 arising Ironf any delay in delivery.
(7) Waiver—The failure of Seller to insist upon the performance of any of the terms or conditions of this
contract or to exercise any right hereunder shall not be deemed to be a waiver of such terms,
conditions or right in the future, nor shall it be deemed to be a waiver of anv other term,condition.or
right raider this contract.
(8) Modification of`Perms and Conditions—No terms and conditions other than tlro�'e stated herein,and
no agreement or understanding, in any way purporting to modify these terms; or conditions;shall be
binding on Seller without 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 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))
11/04/15 S108377676.001 $118.14
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Kirby Risk
IN SUM OF $
P. O. Box 664117
Indianapolis, IN 46266-4117
$118.14
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
2201 'IS108377676.001 I 42-390.341 $118.14 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday Nov er 12, 2015
v g
Street Commissiongr
�trtle3t 4RWN,M.0, �._
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
- - -----------------------------------------
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
74918 S15555 PT 10TH PROX NET 30TH
Man
17KEVIN FORD WC29 WILL-CALL DUANE JARVIS FISHERS 317-598-6170 11/02/15
Zea 2ea HUBB HBL4560 15.68 lea 31.36 0.63
LOCKING SGL RCPT NEMA L6-15R
4ea lea HUBB PC100 40.58 1e 40.58 0.81
CLOSURE CAP FOR 100A P&S PLUGS&
INLETS
lea lea HUBB HBLDS6 260.40 1e 260.40 5.21
60A UNFUSED DISCONNECT SW.TYPE 4X
I
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 110212015 7:18:57 AM 3108360874.001 Invoice Number S108360874.001
Subtotal 332.34
If paid by 12/10/15 you may deduct$6.65 ( S&H Charges 0.00
Invoice is due by 12/31/15 net of any cash discount. ` Sales Tax 0.00
DUAN JARVIS .c ® ® 332.34
0001:0001 Kirby Risk Page 1 of 1
'raws v, c(ONDITIONS OF SALE
ACCTPTANUE OF 'R GOODS PLACKASED(IN THIS AND
ACCEPT ANCE TERNIS --kN- -D(OND[TiONS Of SALF NV'Ht(;"'-1 F( LLI,'AV:
11) Stock Mere handise in Qjeci i:) a ren :-n charg,:. No .,00ds ilial.' be rctui ;cd "ithout a shipp;ng, tikct
and OF inVOii-:TlUTflbCl-and prior authim dation.
(2) Vin Mock NlerchantHse is nui returnaHe unless kte -Rc-turoed Go,;' Auth,;"ly'- fiukn
the .,:odor.
I In ( tislomvackno- ..€id agrck2s that ill :131 pumhaws orymds and nervW5 Boni Sailer, Seller
ghTs no expvss war-rarvics,or implied warradi��ot"'llerchantah,*11y W litness Aw any particulai,
PM Pme.
(4) 1 he(AlStOnWr agWCS LnUt Selor will not be Able Air aq cojiscqwntial av,d
from :int'c,moassot':ned With 1110 gOOCIS PLO-Chased Boni Sellci-.
15) Tums-- Psi%n tills"n do mm HICIMIC Or OlAnT UnesIiT2pil.0 .I UI2
U;)k'nl S2!e4 t,rshipm,-.!its AH be aWd to Me purchaw juke. .iia lanigr=s w
reiin',urse Sc;!or for wiy such tax or provide Seller with acceptable tax exmiption certificatc,
(6) Way in DcHnery--A&is mvi to be acaninmble for delays in del vuy uceaskmcd by acs of God or
circum,iinces oxvir ivhkli `Seller lws no direct control. Factory shipment or dchvery dam are the
hen vaimates of our appliury and in ito case sIwH SOW be HaWe for ani consequential oi-special
dailiages aris,ng From ally delay-in
Q) 'Allver--I he 111w, of Seller to insist upon the perkinnance oTwV of the wnm(w cmdWom oi'tlli,,
contract or io exercis-any dghl hereunder sMH No be dtoned to he a"mwr orstwh to
conditions or right in the Uwe. nm MwH h be deemed in he a waiver of any ether term,condiUnn,or
right under t,6s contract.
IN) lklodificadon of ferns and Condkions-No wrms and conlilwin othulan Tom stated her6n, and
no =memern or wid"mandrip in any xuy purporting to modilj, these terms; or,onditiow, shall he
Whig on Seller without Seller's tyriticn con:,cnt.
-----------------------------------------------------------------------------------------
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
• • •• --
74918 S15574 Duane Jarvis PT 10TH PROX NET 30TH
SALESPERSON ••� . ..
RICH R COLLINS PK PICK-UP JEFF COOPER FISHERS 317-598-6170 10/30/15
ORDER . • • • e
2ea 2ea HUBB HBL5369C 20.31 lea 40.62 0.81
20A 125V FEMALE CONN NEMA 5-20R
2ea 2ea HUBB HBL5366C 12.26 lea 24.52 0.49
20A 125V MALE PLUG NEMA 5-20P
2ea 2ea BATO PS-6401=1 7.98 lea 15.96 0.32
6 volt 4.5 AH SLA battery
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 101301201511:54:46AM s108369260.001 Invoice Number S108369260.001
Subtotal 81.10
If paid by 11/10/15 you may deduct$1.62 CJ 1 (9 S&H Charges 0.00
Invoice is due by 11/30/15 net of any cash discount. Sales Tax 0.00
JEFF COOPER ® s 81.10
0001:0001 Kirby Risk Page 1 of 1
TERMS AND CONDITIONS OF SALE
ACCEPTANCE OFTHE GOODS PURCHASED CDN THIS INVOICE CONSTITUTES AND
ACCEPTANCE OF"THE TERM IS ANT)CONDITIONS OF SALE WHICH FOLLOW:
(1) Stock Merchandise is subject 10 a return charge. No goods mai be returned without a shipping ticket
and/01,invoice F1UFllbcr mid prior J1.01011/ati011,
(2) Non-Stock Merchandise is not returnable unless we can secure a-Returned Goods Authority"froill
the vcndor.
(3) The C.U.StoincracknoNvIedges and agrees that trial]purchases of,-,00d,,,and services firorn Scher. Seller
gives no exprcs, warranties,or implied warranties of merchantability and tillic.ss for any
IvirticUlal'
l)LlFPOSC.
(4) The(AlStornor agrees that Sellk:r,,%-Ill not be liable lir any consequential and inCICIL-11tal damages arising
1rorrt any cause associated with the goods purchased from Seller.
(5) 'Faxes- friss;, shown do not iliclude sales or other taxes imposed oil the Calc ol',L>ods. T:ixes nook or
hereafter imposed upon sales or shipments will be added to the purchase price. Buyer agrees to
reirriburse Seller for any such tax or provide Seller with acceptable tax exemption certificate.
(6) Delay in Delivery-Seller is not to be accountable for delays in delivery occasioned by acts of God or
other circutwmilces over which Seller has no direct control. Factory shipment OF deliVCr%-dates are the
best e,,tlinaic,,Of Our suppliers, and in no case shall Seller be liable for any consequential or special
damages arising from any delay in delivery.
(7) Waiver-The tailure of Seller to insist upon the performance oi'any of the terms or conditions of this
contract or to exercise ally Fight hereunder shall not be deemed to be a Nvaiver of such terms,
conditions or right in the future. ]IOr shall it be deemed to be a waiver of any other term, condition.or
right Under this contract.
(8) Modification of Terms and Conditions-No terms and conditions othei,than those stated herein,and
no agreement or purportmg to
way understanding,in any modify these terms; Or conditions. shall be
0 ,
binding on Seller\ViLllOLlt 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 11/5/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/5/2015 S108369260. $81.10
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 # 156617 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
S108369260.( 01-7202-05 $15.96
S108369260.( 01-7202-06 $65.14
5 rD$36o8��.00I
01 --?(q0
q-bfo 3-30-),3q
1
Voucher Total — 1
Cost distribution ledger classification if
claim paid under vehicle highway fund
Kirby RiskINV®I C E
• . • •
1815 Sagamore Pkwy
Lafayette, IN 47904 10/26/15 S108324489.001 11788
DUE . • . AMOUNT
11/25/15 17.86
EASE REMIT PAYM ENT TO--.,
KIRBY RISK CORPORATION
27561 NETWORK PLACE
CHICAGO IL 60673-1275
46 1 AB 0.416 E0037X 10049 01516761066 P2913194 0001:0001 SHIP TO:
III'll'III'III�III�IIIIIIIII�IIIII"I�I'I�'I�III'��II�I��I'�"I'I CARMEL WATER TREATMENT
CARMEL WATER TREATMENT 4915 E 106TH ST
3450 W 131ST ST CARMEL IN 46033-3800
CARMEL IN 46074-8267
-----------------------------------------------------------------------
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
• • •• :
11788 GROUND STOREAGE NET 30 DAYS
ORDERED BY TE
SALESPERSON
ROGER VICTOR WC51 WILL-CALL BRIAN TOLAN FISHERS 317-598-6170 10/26/15
WIN
1 ea1 ea TPI ETD5STS 17.86 lea 17.86
Single Pole, Double Throw,
Heat/Cool ,With Thermometer Line
volt.Thermostat
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 l01281201510:45:16 AM 6108324488.001 Invoice Number S108324489.001
Subtotal 17.86
SBH Charges 0.00
Invoice is due by 11/25/15. TGL-A`` 2ZSales Taxi 0.00
W
BRIAN TOLAN HE
® 17.86
000t:000t Kirby Risk Page 1 of 1
TERMS Y0411, CONDITIONS OF SALE
ACCEPTAN(T OF HE WOWS PURCHASED ON THIS 'N'V0ICF CONsITITTi.:S ANV�
AVCEPTkNCE C'FTHETERNiIS AND CONDITIONS OFSAILL WHICH FOLLOW:
j 1) Shm, Nierchindise k sul)jc:c; !o a reitirn charge, 140 gUNS lllL1'bc returricd v,ithout a Shipp�ng tit .,(
and or invoice nurnbcr mid prior authoi izatiou-
(2) .-Nori-Stock .Merchandise is nal rournable mi1css vve am secure a-Rcturm:d(Joo(NA lit]lo!;tY*,- Will
be vondor.
(3) IIIc that in all putKins ofgwds and savius hom SJWq SO
giv,,, no cxprc» kvarninties,or OMAN 11-_UTUrni0s of fllorChanulj:ijity and hiness t. r any Particular
pwpo,c.
i i) I he Customer agrees 'hat Sclicr NNI not he HOW for any conscq�ucntialxnd incicLntal damzigesarihing
from jnY ca!'Is",associated with the go(kis purchased from Sellor,
(5) Tays-- Prins, sinwo do no Piclude halos or ..ar Laxcs 6"osed on to nL tWpods. l;?,'os w" ,r
licrc,'I'I.cr innpr.-�cd up-n mks u;shQnrnvwiIHv the p,,�z,,�hasc price. Bu,,�ragrccsto
reinburse SAW for mw such tax or prox ide Saler with�IccepLablc tax cxomption c:ertjficute.
(6) Way in DO cry—Seiler is nal to be ZICCQLIntabIC fOr O.lays in&Ii-very,)ccasioncd byac-(i of God or
FaMyshipmwrto"Werydates arc the
bat ustirilaws of our suppliers, and in no case shall Sellar be liab!e fc)r arty consequential or spechil
d,IlNagCS M-iSillg frorn any delay in delivery.
(7) Waiver--The (allure of Seller to insist upon the pert'brinance ofany ofthe terms or conditions of Illis
contract oro)exerciss any NgY he umder W not be deemed to be a"a ter of mlch tetuh.
Conditions or right in the future, not-shall h be dmrnul M he a wKer of other wrtm coMWou,or
right under this contract.
(m) modification or Terms and (WndUhns.10 anus and conci-iiiwis other than low stated herein,and
no a,irceinent or Linderstanxiin, in any any purporting to iuodil},-these lernis.or conditions. shall be
bint!ing on Scll,rr without Scller's written consent.
--------------------------------------------------------------
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
• •1 '• u= -
11788 KR110214 NET 30 DAYS
• . �.
IDMS-XML PAR PARCEL DLVY KEN RHODES FISHERS 317-598-6170 11/02/15
Zea Zea AB 1747-BA 173.05 lea 346.10
Lithium Battery(For RAM Memory
Retention)
200ea 200ea T&B TC5345A 41.50 1 00e 83.00
CABLE TIE 1 NAT MTG BASE-ADH 4-WAY
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S108371353.001
Subtotal 429.10
S&H Charges 0.00
Invoice is due by 12/02/15. Sales Tax 0.00
e ® 429.10
0001:0001 Kirby Risk Page 1 of 1
THOIS AND CONDITIONS OFSALE
ACCFPTANCE OF ME (AADS PURCHASI-,'D ON AND
ACCEPT kNCE OF THF TERMS-AND( ONDH IONS OVSALF WHKAH FOLA,OW:
No goods nay he roumed"Muta Abying
and,oi-in\oic,- nurnbc.r and plfor R111101-i/ati0fl,
(2) 'Saul-Stock Merchandise is mit imunwble unloss Fee am secure a Actumed {hoods AwNply" from
the -,-ndor.
The Customer ackno,,%ledges and agrcc;that in all purchases of goods anal services from SMq Sellor
ghvs no expvss wanamies. or inThed wamamvN of merchantability am! Oninss Aw any partkular
PWPSC.
The Astome:agree,:hat Sclkr will no be We Rw any consequential wid Awdaroml Wages mofq-,
Rom alit"came mmyf wd wit the gox0s Mn-Rased Rom Seller.
Taws . Prion sMwn do ma include >Os or Awr taxes ifilp0ii,:,; On the .d C' 01 �-,oOdS, fli)V, .ir
IICYUt!J'Wr iMI)OSOd 1111-!l Slalc,, 1W adds! to the p"Irchase Hii�vr agrees to
rejurthmse Seller for ny such wx or pri.,vide Seller),vilh accepLab ', tax cvm1ption certjficat,-,.
t6) Delay in EWHi cry--Seller is nom to be accountable for delays in delivery occasioncol byacts of Geld or
other circuin>I:jnccs oirr which Seller has no direct control. FaCtOry Slli-M)Ont Jaate S are ell-te
best Q,,,tirrienc-of our supplicry and in no caw shall SOW be liable for any consequential or special
danl,.144CSarii,ifl4! frorn any delay in delivery.
17) Walver--I he UK,;of SOW to insist upon the perkmiance of any of'the lcnns or conditions of titin
corviract or in oxerdne any right hereunder W not be deemed Io bea,,vaiver of*Such terms.,
conditions or right in the Go= nor skH h be dmnwd w be a widver of .iny other term, condition,or
right under 11115 contract.
g
M) WHHcadon of Terms and CAnditions--No ter'w and condbions oth,v thrui bow stied henh;and
no agnamew or WarvianIng, in an) my pupwing to nwdHy these terms, or condtiotv,, shall l u
hWdMg On S:;ller WithOUt ScIter's,,Nriton consent.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
• • •• NUMBER RELEASE NUMBER TERMS
11788 BT102815A/FIREBUILD 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 10/28/15
• . . • • • • DISC
Zea Zea SIEM B363A 1.25 lea 2.50
KEY FOR PANEL FRONT LOCK
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 1012812015 8:58:01 AM 5108363929.001 Invoice Number S108363929.001
Subtotal 2.50
S&H Charges 0.00
Invoice is due by 11/27/15. �Q�Aw ZZ � Sales Tax 0.00
BRIAN TOLAN 2.50
0001:0001 Kirby Risk Page 1 of 1
TERMS AND CONDITIONS OF SALE
ACCEPTANCE OF THE GOODS PURCHASED ON THIS INVOICE CONSTITUTES AND
ACCEPTANCE OF THETERMS AND CONDITIONS OF SALE WHICH FOLLOW:
(1) Stock Merchandise is subject 10 a return chard;. No goods nlav be returned without a shipping ticket
and/or invoice number and prior authorization.
(2) Non-Stock:1lerchandise is not returnable unless eve can secure a"Returned Goods Authority" frons
the vendor.
(3) The Customer acknowledges and agrees that in all purchases of goods and services from Seller; Seller
gives no express wan-antics,or iniplied warranties of merchantability and fitness tier any particular,
purpose.
(4) The Customer agrees that Seller will not be liahle i«r any consequential in(] incidental damages arising
from any cause associated with the goods purchased from Seller.
(5) Taxes- PricL�s sho,,t•n do not 'nclLlde .,l 1,25,01'caller taNkes imposed on the sale ofi' ods. Taxes now or
hereadlter imposed upon sales or shipments will be added to the purchase price. Buyer a'-'recs to
reimburse Seller for any such tax or provide Seller with acceptable tax exemption certificate.
(6) Delay in Delivery—Seller is not to lie accountable for-delays in delivery occasioned by acts of God or
other cireulnstances over which Seiler has no direct control. Factory shipment or delivery dates ane the
best estimates of our suppliers, and in no case shall Seller be liable for any consequential or special
damages arising born any delay in delivery.
(7) Waiver—'I lie failure of Seller to insist upon the performance of any of the terms or conditions of'this
contract or to exercise any t iglit hereunder shall not be deemed to be a waiver of such terms;
conditions or richt in the future. nor shall it be deemed to be a waiver of anv other term,condition,or
right under this contract.
(8) Modification of"hcrms and Conditions—No terms and conditions other than those stated herein,and
no agreement or understanding,in any way purporting to modify these terms;or conditions. shall be
binding on Seller without 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.
27561 NETWORK PLACE Terms
CHICAGO, IL 60673-1275 Due Date 11/9/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/9/2015 108371353.1 $429.10
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
u
Date Officer
VOUCHER # 153533 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
108371353.1 01-6200-04 $429.10
tpg�3ga`� .i � �•��
I01Z32-4499.1 U 1'Z•8�
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund