252031 12/02/15 ,>; CITY OF CARMEL, INDIANA VENDOR: 00351017
® *'{ ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: $*****4,381.55*
?� CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 252031
4j'�rorv'�O, CHICAGO IL 60673-1275 CHECK DATE: 12/02/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 108305114001 3,189.36 OTHER EXPENSES
651 5023990 108340460001 603.90 OTHER EXPENSES
651 5023990 108360874002 234.09 OTHER EXPENSES
1110 4238900 108372198001 186.80 OTHER MAINT SUPPLIES
651 5023990 108382339001 33.98 OTHER EXPENSES
651 5023990 108382339002 18.45 OTHER EXPENSES
601 5023990 108396535001 66.60 OTHER EXPENSES
601 5023990 108397823001 48.37 OTHER EXPENSES
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DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
---- • e
9847 Blaine Mallaber PT 10TH PROX NET 30TH
SHIP VIA . . .•
KEVIN R FORD 23 INDIANAPOLIS BLAINE MALLABER FISHERS 317-598-6170 11/13/15
ORDER CITY SHIP OTY . • AMOUNTCASH DISC,:
10ea 10ea PHIL 16.5T8/24-5000 IF-6U 10/1 18.68 lea 186.80 3.74
452698 16.5T8/24-5000 IF-6U 10/1
—SUBJECT TO VENDOR RETURN POLICY"`
BOXES OF 10
Billing Questions: Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S108372198.001
Subtotal 186.80
If paid by 12/10/15 you may deduct$3.74 SAH Charges 0.00
Invoice is due by 12/31/15 net of any cash discount. Sales Tax 0.00
® = 186.80
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 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))
I 11/13/15 S108372198.007 light bulbs $186.80
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
i
with IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Kirby Risk
IN SUM OF $
1815 Sagamore Pkwy
Lafayette, IN 47904
$186.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 I S108372198.007I 42-389.00 I $186.80 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
Monday, November 23, 2015
-40711
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
7DARRE
8 S15597 PT 10TH PROX NET 30TH
N HARING WC51 WILL-CALL LARRY SCHIMMEL FISHERS 317-598-6170 11/06/15
• . • . . o •
3ea 3ea HUBB SHC1043 6.15 lea 18.45 0.37
1" .875- 1
ALUM. CORD CONN
Billing Questions: Billing_request@kirbyrisk.com(765)446-3054 1102015 10:13:46 AM 5108382339.002 Invoice Number S108382339.002
Subtotal 18.45
If paid by 12/10/15 you may deduct$0.37 �� S&H Charges 0.00
Invoice is due by 12/31/15 net of any cash discount. ' Sales Tax 0.00
LARRY SCHIMMEL ® 9 18.45
0001:0002 Kirby Risk Page 1 of 1
-- --- ------------
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
74918 S15597 PT 10TH PROX NET 30TH
DARREN HARING PK PICK-UP LARRY SCHIMMEL FISHERS 317-598-6170 11/06/15
20ea 20ea CARL LT43D-NEW 139.13 100ea 27.83 0.56
PVC 1/2"STRAIGHT LIQUIDTIGHT FTG
lea 1 e HUBB SHC1043 6.15 lea 6.15 0.12
1" .875- 1
ALUM. CORD CONN
Billing Questions: Billing_request@kirbyrisk.com(765)446-3054 1116120151:43:17PM 5108382339.001 Invoice Number S108382339.001
Subtotal 33.98
If paid by 12/10/15 you may deduct$0.68 SBH Charges 0.00
Invoice is due by 12/31/15 net of any cash discount. Sales Taxi 0.00
LARRY SCHIMMEL MEM® s 33.98
0002:0002 Kirby desk Page 1 of 1
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DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
;74918 S15555 PT 10TH PROX NET 30TH
IN R FORD 23-2 ROUTE 2 DUANE JARVIS FISHERS 317-598-6170 11/05/15
•'1 P P 1 • • 1
5ea 5ea CRSH Al 00601-17 22.47 lea 112.35 2.25
El 016 M PROT CAP W/CORD BK
"*SUBJECT TO VENDOR RETURN POLICY"*
3ea 3ea HUBB PC100 40.58 lea 121.74 2.43
CLOSURE CAP FOR 100A P&S PLUGS&
INLETS
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S108360874.002
Subtotal 234.09
If paid by 12/10/15 you may deduct$4.68 S&H Charges 0.00
Invoice is due by 12/31/15 net of any cash discount. Daces is Sales Tax 0.00
ig e
234.09
0001:0002 Kirby Risk Page 1 of 1
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DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
74918 S15546 PT 10TH PROX NET 30TH
. .
KEVIN R FORD 23 INDIANAPOLIS DUANE JARVIS FISHERS 317-598-6170 11/09/15
lea lea RAB ALED4T150SF 603.90 lea 603.90 12.08
ALED150 TYPE IV W/SLIPFITTER COOL
LED BRONZE
—SUBJECT TO VENDOR RETURN POLICY"`
Billing Questions: Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S108340460.001
Subtotal 603.90
If paid by 12/10/15 you may deduct$12.08 S&H Charges 0.00
Invoice is due by 12/31/15 net of any cash discount. vkl 11
11
9 Sales Tax 0.00
i at �Date
603.90
0002:0002 Kirby Risk Page 1 of 1
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
• • o NUMBER RELEASENUMBLR TERMS
.CUST74918 S15602 TERESA LEWIS PT 10TH PROX NET 30TH
SALESPERSON
SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
JEREMIAH S ELY 23 INDIANAPOLIS DUANE JARVIS FISHERS 317-598-6170 11/12/15
DER
• . - ITEM PRICE EXT AMOUNT CASH DISC QTY SN UNIT
8ea 8ea LITH IBH 18L MVOLT 398.67 lea 3189.36 31.89
LED HIGHBAY
D9C) 14, 08
Billing Questions: Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S108305114.001
Subtotal 3189.36
If paid by 12/10/15 you may deduct$31.89 SAH Charges 0.00
Invoice is due by 12/31/15 net of any cash discount. - U'jQ� �� iz is Sales Tax 0.00
gna re Date
Pr
�` "� "t'��S o e 3.189.3.6
Name Tim �
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.
PO BOX 664117 Terms
INDIANAPOLIS, IN 46266 Due Date 11/19/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/19/201! S108305114. $3,189.36
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 # 156700 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
S108305114.( 01-720H-08 $3,189.36
,
5i0$3yt)j60.o0J 01--)90'g-0G (003,10
51093(oDs-)y.00a 01--7,aoa-o(. �L34.oq
S 1CV93Sa33q.00t, o►--79oa-off 33.?g
S 10$38a339.00h pi -?0109-06
"10-R
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund
I
-------------------------------------------------------------------------DETACH UPPER-PORTION--AND--RETURN--WITH-YOUR--P-A--Y-M--E-N-T-----------------------------------------------------------
11788 BT1 1 1715A/GST NET 30 DAYS
Ems
RICH R COLLINS PK PICK-UP BRIAN TOLAN FISHERS 317-598-6170 11/17/15
100ea 100ea CULL 79008J 6.14 100ea 6.14
10-16 X 1/2 HWH TEK SCREWS ZP
lea lea ADVA ICN2P60SC35I 23.82 lea 23.82
ELE BALLAST(2) F96T12 120-277V
KRDP
—SUBJECT TO VENDOR RETURN POLICY**
2ea Zea LEV12536 528.30 100ea 10.57
LAMPHLDR CPO/10/100
2ea 2ea LEV12537 392.14 100ea 7.84
LAMPHLDR CPO/l 0/100
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 1101V2015 9:07:25 AM S108397823.001 Invoice Number S108397823.001
Subtotal 48.37
S&H Charges 0.00
Invoice is due by 12/17/15. TG Url -z 5-2
I Sales Tax, 000
EIRIANTOIA11 MIMMMM 48371
Kirby Risk Page 1 of 1
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DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
_ • •i e
11788 BT111615A/GROUND S STORAGE NET 30 DAYS
• .•
DARREN HARING PK PICK-UP BRIAN TOLAN FISHERS 317-598-6170 11/16/15
•• . •.•. e
15ea 15ea PHIL F96T12/CW Supreme/ALTO 15PK 4.44 lea 66.60
423194 F96T12/CW SUPREME/ALTO 15PK
Billing Questions: Bill ing_request@kirbyrisk.com(765)446-3054 11116120151:38:20 PM 5108396535.001 Invoice Number S108396535.001
Subtotal 66.60
To S&H Charges 0.00
Invoice is due by 12/16/15. Sales Tax 0.00
BRIAN TOLAN ® ® 66.60
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 11/20/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/201201,' 108396535.1 $66.60
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 # 153645 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
108396535.1 01-6200-04 $66.60
Voucher Total I `,(•' 1 C 7 :m
Cost distribution ledger classification if/ G_
claim paid under vehicle highway fund