HomeMy WebLinkAbout253912 01/26/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 00351017
ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: $***t*7,671.64*
CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 253912
CHICAGO IL 60673-1275 CHECK DATE: 01/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4238900 108447265002 7,352.00 S108447265002
651 5023990 108483218001 319.64 S108483218001
PT 10TH PROX NET 30TH
ORDEREDSALESPERSON SHIP VIA
KEVIN R FORD DIRECT DUANE JARVIS FISHERS 317-598-6170 01/15/16
ORDER QTY I SHIP QTY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC
10ea 10ea AB 700HLF1U24 30.28 lea 302.80
700-HLF1 U24 term bik time
"*SUBJECT TO VENDOR RETURN POLICY"
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S108483218.001
Subtotal 302.80
S&H Charges 16.84
Invoice is due by 02/29/16. Sales Tax 0.00
p 319.64
0001:0001 Kirby Risk Page 1 of 1
1"ERMS AND CONDITIONS OFSALE
ACCEPTANCE OF IME GUMS PURCHASED(IN THIS INVOICE CONSTITUTES AND
ACCEPTANCE COFTRE TERMS AND CONDITIONS CMI SALEMUCH FOILLI OW:
(1) Stock MerchaucUse is su.b�ject to is return charge. No pods may be retumed vMhmR a slit Thig ddzt
�a :at, -
nd.,"or invoice wainber and prioj thorization-
(2) Non-Stock.A.erchandise is not returnable unlcss,vc can secure a"Returned(iood.s,Authority"fi-oin.
ke veridor,
(3) The CuMmer acknovdedges an.d agyrecs,the in Q pumhoses of goods and services fronlSeHer;Seller
give• lit.)express warranties.or implied wnirranties ofthe retnintabiliLy and Fitness foranyparticular
purpose.
(4) The Customer agrees At Sky %NHI not be Ibble Ar any amsequential and incidmal damages arising
frou'lany cau-se as ociatcd.With.the goods part liasedfrotu Stler.
(5) Tows--Prices Owwn do nm Klude sal s or other taxes innposed oil the sale ofgoods.'Taxes. now or
hcl-ca."Rcr imposed u1joll sales or sjlip.tr:cn(s vvill be added to the-pal-chase price, Buycr agurces to
I-OiMbL1l-.S'Seller 110-ially such tax or provide Seller wldi ac"ptable tax exemption celiiflc,ate.
(6) Deby in Delivery.-Se1hr is not to beaccouialablc'for delays in delb,,cry occaskmad by acts of God ol:
outer cirewnstaluss overwhioh Selle,-has no direct control. F'�,M.ory shipment or delivery dates are the
best€sthuate4 of our suppliers;mid in no case shall Seflci-be liable fbrany co.nsequential or special
dann,,,tges arising tram any difelay in delivery,
(7) Waiver -- Thefailurc of`Seller to insist upon the perforinance of any of the terryis or conditiojas of this
colill-nei or it)C'Nercise my dght haomly W not be det:nned to be a,,vaiver ofsllch lorms�
condifio.ris or riglit in the Anurn nor sh.aH it be Wmed to be a waiver of any other term,condition,or
righl.under this cone-net.
(8) Mudillcallon of Terms and Conditions -No terms and condilions other than ton smted hucin_and
no apyetsment or imdmolandl&in any way purporting to mods y these terms, or canditions, shall be
binding on SeHer without Seller's "Wren 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 1/21/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/21/2016 S108483218, $319.64
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 # 157072 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
S108483218.( 01-7200-04 $319.64
Voucher Total $319-64
Cost distribution ledger classification if
claim paid under vehicle highway fund
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER NUMBER CUSTOMER •• NUMBER RELEASE NUMBER TERMS
74918 33325 ATTN BLAINE PT 10TH PROX NET 30TH
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
JEREMIAH S ELY 23 INDIANAPOLIS JOE FAUCETT FISHERS 317-598-6170 01/05/16
ORDER QTY SHIP QTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
400ea 400ea PHIL 15T8/48-5000 IF DIM 10/1 18.38 lea 7352.00 147.04
456921 15T8/48-5000 IF DIM 10/1
*"SUBJECT TO VENDOR RETURN POLICY"
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S108447265.002
Subtotal 7352.00
If paid by 02/10/16 you may deduct$147.04 S&H Charges 0.00
Invoice is due by 02/29/16 net of any cash discount. Sales Taxi 0.00
MIMI M 7352.00
0001:0001 Kirby Risk Page 1 of 1
TERNIS AND CONDITIONS OF SA.L-E
ACCEPTANCE OF THE GOODS PURCHASED ON TEAS INVOICE CONSTITUTES AND
ACCEPTANCE OF THE TERMS AND CONDITIONS OF SALE M,RICH FOLLOW:
(1) Stock Merchandise is subject to a return charge. No goods may be returned without a shipping ticket
andlor invoice number and prior authorization.
(2) Non-Stock Merchandise is not returnable unless we can secure a"Returned Goods Authority" from
the vendor.
(3) The Customer acknwvleclges and agrees that in all purchases of goods and services 17roni Seller, Seller
gives 110 express warranties,or implied warranties of merchantability and Fitness for any particular
PUrPOSC.
(4) The Customer agrees that Seller will not be liable for any consequential and incidental damages arising
from any cause assoclatedxith the goods purchased fi-olu Seller.
Taxes— Prices shown do not include sales or other taxes imposed on the sale of goods. Taxes now or
hereafter imposed upon sales or shipments wit] be added to the purchase price. Buyer agrees to
reimburse Seller for any such tax or provide Seller with acceptable tax exemption certificate.
1
(6) Delay in Delivery—Seller is not to be accountable for delays in delivery occasioned by acts of(jiod 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
damages arising firorn any delay in delivery.
(7) Waiver—Tlie failure of Seller to insist upon.the pertI)rmance of any of the terms or conditions of this
contract or to exercise any fight hereunder shall not be deemed to be waiver Of such W1111S.,
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.
(8) Modification of Ternis anti Conditions—No terns 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 011 Seller without Seller's written consent.
Cit ,
®�° ������ INDIANA RETAIL TAX EXEMPT PAGE,Jlf CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT ,
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A
CARMEL, INDIANA 46032-2584VOUCHER, DELIVERY MEMO, PACKING SLIP
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENC
JRCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
217012015
Kirby RIG* Carmel Pollco Department
VENDOR SHIP 3 Citric Square
7895 sag2rllave Pktroy TO Carol, IN 4M3,02
Lafayo t@, IN AMM 577°2550
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Lecount 42-389.00
f Each Upgrade LECA Lighting $9,552.95 $9,552.75
Sub Total: $9,552.96
�S�
�p a
I
Send Invoice To: ` -�_ _M
Carmel Police Department
Attn: Pat Young
3 Chic squam
Carmol, IN 460329 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT T PROJECT PROJECT ACCOUNT AMOUNT
arvra ! Police Dept. c_ PAYMENT $9,552.16
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY T�ATTHERE IS AN UNOBLIG9AED/ALANCE IN
THIS APPROPRIA ION SU FICIENT TO PAY FO MIF E1ABOVE ORDER.
•SHIP REPAID. iy�,,s,,r
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. i/ �+'✓
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY / / dddd
SHIPPING LABELS. a�l�Cf of Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE (9/E i �&)
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
3 3 3�5 A.P.V.LERK-TREASURER
DOCUMENT CONTROL NO. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$ j
3�1
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# 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
20
Signature.
�'_ ----— Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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 da number of hours, rate per hour, number of units; price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Date Invoice# Description Amount
Dept. Fund# (or note attached invoices)or bill(s))
01/05/16 S108447265.002 LED lights $7,352.00
1110 101
----------------
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20 .
Clerk-Treasurer
VOUCHER NO. . WARRANT NO.
ALLOWED. 20
KIRBY RISK CORPORATION
27561 NETWORK PLACE IN SUM OF$
CHICAGO, IL 60673-1275:
'$7,352.00
ON ACCOUNT,OF APPROPRIATION TOR
Carmel Police
Dept. .INVOICE NO. ' ACCT#/Fund. AMOUNTa
Board,Members
5 c s108447265.602 42-389.00 $7,352.00 1 hereby certify that the attached invoice(s), or
1110. ed, :� 101.-
bills) is.'(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, January 22, 2016
Cost distribution ledger classification if
claim paid motor vehicle.highway fund