252340 12/08/15 CITY OF CARMEL, INDIANA VENDOR: 00351017
:1 ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: $*•""•1,835.78'
CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 252340
y�TON�O' CHICAGO IL 60673-1275 CHECK DATE: 12/08/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 108305114002 1,835.78 OTHER EXPENSES
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DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER NUMBER CUSTOMER •• NUMBER RELEASE NUMBER TERMS
74918 S15602 TERESA LEWIS PT 10TH PROX NET 60TH
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER I SHIP DATE
JEREMIAH S ELY DIRECT DUANE JARVIS FISHERS 317-598-6170 1 11/19/15
ORDERQTYj SHIPQTY I DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC
lea lea RAB SLIM12 148.58 lea 148.58 2.97
SLIM 12W COOL LED 120V TO 277V
WALLMOUNT BRONZE
"*SUBJECT TO VENDOR RETURN POLICY"
Zea 2ea RAB WP2LED24 297.15 lea 594.30 11.89
WALLPACK 24W COOL LED 120-277V WITH
GLASS LENS BRONZE
5ea 5ea RAB SLIM26 218.58 lea 1092.90 21.86
SLIM 26W COOL LED 120V TO 277V
WALLMOUNT BRONZE
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S108305114.002
Subtotal 1835.78
If paid by 12/10/15 you may deduct$36.72 S&H Charges 0.00
Invoice is due by 01/31/16 net of any cash discount. Sales Taxi 0.00
11111-1016970T I 1835.78
0001:0001 MR Kirby Risk Page 1 of 1
TERMS AND CONDrrIONS OF SALE
ACCEPTANCE PTANC E C. :it°THE GOODS PURCHASED ON'l`.H S.I '01C E,CONS '.l".n 1- TES AND
AC..C,'Ei'TANC E OF THE TERMS AND CONDITIONS OF SALE WHICH H 'OLl.OW7:
(i) Stock l� erchan iso:i;sub.lect to a return charge. o goods may be Ietttrne£l ��itl�c}��t<t lippi tiulcei
and:/or invoice.nurnber and prior attthor'Ilation.
(2) €n-Stock JN-Ierchandise s not returnable unless Nve can secure u"Returned C ioods Authority`' rom.
the vendor_
(3) The Customer ackrlow-ledges andagrees that i.r:r all.purchases of goods and services:lr£:trn Seller. SC,Jler
gives no express warrandes.or implied warranfies or merchantability and htness for any particular
purpose.
The Customer zt reds th.�tt Seller��-ill not be liable lbr ani-consecluet�tral and incidental damages�arisina
from a:ny cause associated.wiflh the goods purchased born Seller.
(5) Taxes I'riee,�sli6€`n do trot ibcftidc's<flesor
bereaf:ter imposed-up gra sales or shipinents will be added to the purchase pric;. -i yer aarces ix>
reimburse Seller fbr any such tax or provide Seller ti�,itb acceptable tax exemption certificate.
(6) Delay in D iiveq--Seiler isnot to be aceOttxttablc:for delays in delivery occayioried by acts€:rf(Jod or
other circumstances over which Seller has no direct control. Factory shipment or delivery dates are the
best estirrrates of our suppliers,and in no case shall Seller be liable.l:or any consequential or special
damages arising trom any delay in delivery,
(7) Waiver—The:ft lure of.Seller to insist upon the pcAbr'rltance of any ol'the;terms or conditions oftbis
contract or to exercise any rid lat'lrerc.ttn<ier shall trot lie deLtn£_cl to be a waiver of such terlxl5,
conditions or ri"',jit In tic ruture,iter shall it be deemed to be a waiver of any other term.,condition,or
right under this contract.
(8) Moditic atilon gal"'erms and Conditions—:o t;.rims and conditions other than.those stated herein,and
DO agrcernent or rnrderstanding.in any way purporting to modify these torus,or conditions. shall.be
binding on Seller without Seller's written consent.
VOUCHER # 156758 WARRANT # ALLOWED
351017 IN SUM OF $
KIRBY RISK ELECTRICAL SUPPLY
PO BOX 664117
INDIANAPOLIS, IN 46266
1
}i
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
if
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
S108305114.f 01-720H-08 $1,835.78
' I
�i
1
Voucher Total $1,835.78
Cost distribution ledger classification if
claim paid under vehicle highway fund
i
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 12/1/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/1/2015 S108305114. $1,835.78
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