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Home My WebLink About259610 06/14/16 �� ,q,�� CITY OF CARMEL, INDIANA VENDOR: 00351017 {; ® i'. ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: $""""5,800.94* ice; CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 259610 9,;,�TON.�� CHICAGO IL 60673-1275 CHECK DATE: 06/14/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4350100 33762 S10849764400 4,469.00 STAIRWELL LIGHTING 651 5023990 S108681442 178.43 OTHER EXPENSES 651 5023990 S108687856 53.85 OTHER EXPENSES 601 5023990 S108691791 162.70 OTHER EXPENSES 651 5023990 S108694623 234.24 OTHER EXPENSES 651 5023990 S108702072 702.72 OTHER EXPENSES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) KIRBY RISK CORPORATION ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 27561 NETWORK PLACE IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service CHICAGO, IL 60673-1275 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $4,469.00 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Carmel Police Terms Date Due &XACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT .3 6. S108497644.001 43-501.00 $4,469.00 1 hereby certify that the attached invoice(s),or 4/26/16 S108497644.001 LED lights for stairwell $4,469.00 1110 101 1110 101 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 Tuesday,June 07,2016 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER • •• NUMBER RELEASE NUMBER TERMS 74918 33762 PT 10TH PROX NET 30TH SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE KEVIN R FORD DIRECT DUANE JARVIS FISHERS 317-598-6170 04/26/16 ORDERQTYJ SHIPQTY 10ea 10ea LITH WL4 40L EZ1 EL7L LP835 446.90 lea 4469.00 LED FIXTURE EMER LIGHTING 700 LUMEN KRPNM "SUBJECT TO VENDOR RETURN POLICY" Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S108497644.001 Subtotal 4469.00 S&H Charges 0.00 Invoice is due by 05/31/16. Sales Tax0.00 iyj Lel ON DIM 4469.00 0001:0001 Kirby Risk Page 1 of 1 INDIANA RETAIL TAX EXEMPT Page 1 of 1 City ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 33762 ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 3/24/2016 00351017 Lighting for Stairwells KIRBY RISK CORPORATION Carmel Police VENDOR 27561 NETWORK PLACE SHIP 3 Civic Square TO Carmel, IN 46032- CHICAGO, IL 60673--1275 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 1110 Account: 43-501.00 Fund: 101 General Fund 1 Each LED lights $4,469.00 $4,469.00 Sub Total $4,469.00 p"i Y 4 Send Invoice To: Carmel Police } 3 Civic Square Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT PAYMENT $4,469.00 SHIPPING INSTRUCTIONS 'AIP 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 'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN 'C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATI UFFICIENT TO PAY FOR THE ABOVE ORDER. 'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABE .THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY TITLE CONTROL NO. 33762 CLERK-TREASURER VOUCHER # 161687 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 108691791.1 01-6200-02 $162.70 Voucher Total $162.70 Cost distribution ledger classification if claim paid under vehicle highway fund ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER • •• NUMBER RELEASE NUMBER TERMS 11788 BT52016B NET 30 DAYS SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE DAVID BENNETT DIRECT BRIAN TOLAN 77 FISHERS 317-598-6170 05/21/16 ORDERQTYJ SHIPQTY lea lea AB 140G-K-TC3H' 125.16 lea 125.16 140G CIRCUIT-BREAKER ACCESSORY COVER "SUBJECT TO VENDOR RETURN POLICY" IN STOCK AT THE FACTORY Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 5/23/2016 5109691791-001 Invoice Number S108691791.001 Subtotal 125.16 TOLAg ZZO SAH Charges 37.54 Invoice is due by 06/20/16. Sales Tax 0.00 162.70 gy�pp.�,, 2Ax r=,M • 0002:0002 ;iV( Kirby Risk Page 1 Of 1 ........ ... :«<:>:<....... I(RKirby Risk ..................... DIRE KIRBY RISK 51 ELECTRICAL SUPPLY S108691791 . 001 11110 ALLISONVILLE ROAD FISHERS IN 46038-1837 Page 1 of 1 317-598-6170 Fax 317-598-6171 SOLD TO: SHIP TO: CARMEL WATER TREATMENT CARMEL WATER TREATMENT 3450 W 131ST ST 4915 E 106TH ST CARMEL, IN 46074-8267 ATTN: BRIAN TOLAN CARMEL, IN 46033-3800 317-733-2855 fax 317-733-2053 :::::: :.:.....::.......:.:..:....::.....................:..:.:::::::::::::,................................................:.:..:..;;:.;:.;:.;:::.:::.;;:.;:.;:.;:.:RE.EAS ..Mt1M�Elt....................::::.:....:::::::::.::::........... . . SEFF.!I I.ER.:G9D ::: ::::::::::::::::::. 11788 BT52016B ........... R. ...........::.. : SEER±:.�RhNCEI:::::::::..:::::.... ::::::. 511.##!.:3�RT :.... ::. DAVID BENNETT BRIAN TOLAN 5108691791 . 001 51 05/23/16 :..:::SHZP.. TY.........UM...........::::::::::.:•:::::::::::::.:.................... ::::::::::::::::::::::::................................ . ......:9.:::::::::.::::::::::..:::..............................:.:::::::::::::::::::: €SGkIPiiON...........................:::::::::::::::::::::::::::::..:: tam..... ................ :::::::::::::...;:..... ::::..... ********* Shipping Instructions *** ****** * ********************************* **** * * SHIP COMPLETE * ********************************* **** * ******************PHONE#*********** ****** * 317-733-2855 *********************************** ****** 1 1 ea AB 140G-K-TC3H 125 . 16 lea 125 . 16 140G CIRCUIT-BREAKER ACCESSORY COVER **SUBJECT TO VENDOR RETURN POLICY** IN STOCK AT THE FACTORY /23J2016 SSOfl591791_0�1 Received ".* _i oc A,1of >s 125 . 6 Date : / 3W.�6 ::: ........................................ ........................................ P 0 # : ;Dr 5-2,PJlol3 Via:":`;' 0.00 >'> > ACCT # : 62v`2 tri ' a 162 . 70 ALL IT rlaAeB�ft ARGE. CUSTOMER-PLEASE NOTE: ALL CLAIMS FOR SHORTAGE OR DAMAGE MUST BE MADE WITHIN 5 DAYS AND MUST REFERENCE THE SALES ORDER NUMBER. NO MATERIAL MAY BE RETURNED WITHOUT PRIOR APPROVAL. ** Reprint ** Reprint ** Reprint ** VOUCHER # 165406 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 S108702072.( 01-7202-06 $702.72 510`30%1 l col )3` J4 �ie8�glyy�.ee� 1--21(l Voucher Total Cost distribution ledger classification if claim paid under vehicle highway fund DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT e . •• 74918 S16114 PT 10TH PROX NET 30TH SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE KEVIN R FORD PAR PARCEL DLVY DUANE JARVIS FISHERS 317-598-6170 05/26/16 ORDERQTYj SHIPQTYDESCRIPTION lea lea M I LW 23-66-1237 43.60 lea 43.60 0.87 HANDLE/SWITCH KIT KRPNM "SUBJECT TO VENDOR RETURN POLICY" Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S108687856.001 Subtotal 43.60 If paid by 06/10/16 you may deduct$0.87 S&H Charges 10.25 Invoice is due by 06/30/16 net of any cash discount. Sales TaX 0.00 ITI • 53.851 0001:0002 Kirby Risk Page 1 of 1 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER • •• NUMBER RELEASE NUMBER TERMS 74918 S16109 PT 10TH PROX NET 30TH SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER I SHIP DATE KEVIN R FORD PAR PARCEL DLVY DUANE JARVIS FISHERS 317-598-6170 1 05/23/16 ORDERQTYJSHIPQTY lea lea SIEM BF130 168.18 lea 168.18 3.36 BOLT-ON GFI CB 1P 30A "SUBJECT TO VENDOR RETURN POLICY"* Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S108681442.001 Subtotal 168.18 If paid by 06/10/16 you may deduct$3.36 S&H Charges 10.25 Invoice is due by 06/30/16 net of any cash discount. Sales Tax 0.00 ��jj��, im—, • 178.43 0001:0001 1� Kirby Risk Page 1 of 1 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT -CUSTOMER NUMBER ----CUSTOMER-PO-NUMBER-- TERMS 74918 S16130 PT 10TH PROX NET 30TH SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE KEVIN R FORD WC29 WILL-CALL JEFF COOPER FISHERS 317-598-6170 05/24/16 ORDERQTYJ SHIPQTY I DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC 24ea 24ea ADVA ICN2P32N351 9.76 lea 234.24 ELE BALLAST(2)F32T8 120-277V Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 S1086946P3-001 Invoice Number S108694623.001 Subtotal 234.24 S&H Charges 0.00 Invoice is due by 06/30/16. ``7 Sales TaX 0.00 JEFF C0019M A • 234.24 0001:0001 MRKirby Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT • • -• 74918 S16130 PT 10TH PROX.NET 30TH SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE ELIZABETH A HARDEN WC29 WILL-CALL JEFF COOPER FISHERS 317-598-6170 05/27/16 ORDER QQTY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC 72ea 72ea ADVA ICN2P32N351 9.76 lea 702.72 ELE BALLAST(2)F32T8 120-277V Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 6l27 zoi6 910e702072_001 Invoice Number S108702072.001 Subtotal 702.72 S&H Charges 0.00 Invoice is due by 06/30/16. Sales Taxi 0.00 JEFF COOPER a 702.72 0002:0002 Kirby Risk Page 1 of 1 K irbDisk KIRBY RISK DISTRIBUTION CENTER900 S108687856 . 001 5501 W 52ND ST INDIANAPOLIS IN 46254-1637 Page 1 _of4i 317-687-0015 Fax 317-298-2888 SOLD TO: SHIP TO: CARMEL WWTP CARMEL WWTP ATTN: PAUL ARNONE ATTN: DUANE JARVIS 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PKWY wY INDIANAPOLIS, IN 46280-2935 INDIANAPOLIS, IN 46280-2935. 317-571-2634 X1643 fax 317=.732_`O 'uCn n r ::;:... s��T..�!7Gn::>� �.......................... .....fr n�::.'.'t�.n.:::qq��.tfA:::::::::::i:: 2G:�i::::::>�:?:2:::::::2:Y:::::::::: ..:: ..:::: ... .��...R..�E.+.l.f}W'1P.£Rt............ ... ';;'+.::�5:2: ::::::;is2:::>::>::i::i::is:::>::i::::::::i::>::i::i::i::: ;%gw 74918 S 16114 ................ .:. ... ......... .. .:..:... ::::::::::::.:::::::.:::..::::::.:::::.:::5A{1 S:t>lipF1:1'::::::::::.::_:..:::..::..S�II....�RAR1G...:.........-....5#IT.. .�......... :......,,:.:,....................:...............::......:.,:::::,..,,,.,.............. KEVIN R FORD DUANE JARVIS ..:. ...:..Uil.. .. 5.1.;:08687856 .f�0A�0Pr1yee.....:. 9»:0:»»005 -:.. ....... ..: . : : :: :: ::::::::.::: . : t.......................Fzc .Rt .:::..:::. ********* Shipping Instructions *** ****** * SHIP COMPLETE At * 317-571-2634 X1643 1 1 ea MILW 23-66-1237 43 . 60 lea 43:60 HANDLE/SWITCH KIT ' KRPNM **SUBJECT TO VENDOR RETURN POLICY** Carton: BAG-358095 Loc: 7 I . x x� >> 43 .60 01 ies fax 0 0 0, 081 ALL_,I•T.EMS BEING RETURNED COULD BE SUBJECT TO A RESTOCKING CHARGE. CuStOMER-PLEASE NOTE: ALL CLAIMS FOR SHORTAGE OR DAMAGE MUST BE MADE WITHIN 5 DAYS AND MUSTt;f3EFERENCE THE SALES ORDER NUMBER. NO MATERIAL MAY BE RETURNED WITHOUT PRIOR APPROVAL. ** Reprint ** Reprint ** Reprint ** l(RKirbyRisk ::::: : : PK KIRBY RISK 51 ELECTRICAL SUPPLY S108677676 . 002 11110 ALLISONVILLE ROAD FISHERS IN 46038-1837 Page 1 of 1 317-598-6170 Fax 317-598-6171 SOLD TO: SHIP TO: CARMEL WWTP CARMEL WWTP ATTN: PAUL ARNONE ATTN: DUANE JARVIS 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PKWY INDIANAPOLIS, IN 46280-2935 INDIANAPOLIS, IN 46280-2935 317-571-2634 X1643 fax 317-732-20 ::>: U5i0Mk>PIUMBff:>>::>::>::::::>::<:::> >::::::>:::GU5T43Ft$:•: E dRl� ti..fltiM9£ ::>»::::>::::>::::>::::>::::>::::>::::::::::::::>::::><:>:::>::::>:::>::::>:R:G 14 :<: UM9ElE::::::::>:>:::::::::::::....:....:....:....:....>::::::::::>::>::::>::::::>::::<:>:SifHY:1IE�I::::GAA :::::><:zE:iE::<>:<:>::::>::»>::::> :.:..:.............. .:: .............................................................................................. 74918 S16101 ...................................................... . ... .... ... :.:. : ...:.::.>.::.::::::.::>: . : : ::: :::: :... :::. 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Item Prue..... ........U� t... ..............Ext..@rice ********* Shipping Instructions *** ****** * ********************************* **** * * SHIP COMPLETE * ********************************* **** * ******************PHONE#*********** ****** * 317-571-2634 1640 *********************************** ****** -1 -1 ea SIEM B130 17 . 36 lea -17 . 36 SP 30A CKT BRKR ** Original Sale S108677676 . 001 BROKE BY UPS INZIAstizo�:anPrn swee�zsrson2 DUANE JARVIS SllbtEta ` —17 . 3 6 ........................................ ........................................ ........................................ ........................................ ........................................ ........................................ ......................................... 0. 00 ......................................... ........................................ ......................................... ........................................ s> .. 0. 00 ii i r . -17 .36 ALL ITEMS BEING RETURNED COULD BE SUBJECT TO A RESTOCKING CHARGE. CUSTOMER—PLEASE NOTE: ALL CLAIMS FOR SHORTAGE OR DAMAGE MUST BE MADE WITHIN 5 DAYS AND MUST REFERENCE THE SALES ORDER NUMBER. NO MATERIAL MAY BE RETURNED WITHOUT PRIOR APPROVAL. KirbRisk Y PAR KIRBY RISK DISTRIBUTION CENTER900 5108681442. 001 5501 W 52ND ST INDIANAPOLIS IN 46254-1637 Page 1 of 1" 317-687-0015 Fax 317-298-2888 SOLD TO: SHIP TO: CARMEL WWTP CARMEL WWTP ATTN: PAUL ARNONE ATTN: DUANE JARVIS '` `''' 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PKWY INDIANAPOLIS, IN 46280-2935 INDIANAPOLIS, IN 46280-2935:__,2L.t _ 317-571-2634 X1643 fax 317 73: Rq S�t7Mm NfN.ER........... GifS34MER.�R131?•. I P, �t' I 74 918 S16109 �., id ............................................... © ::«<:>::>::>:::::::>::>::>::>::>::>:: :»::::»»:>:<:»::>::>: . .:.:.: . .:.; >:.:;;:.:;.;>:.; .:.::.:: : .. :...:: .: R.:BY::::::::.:::::::::::::::::::::::::::::::::::::::::5AlS:aRf#Fit. ..:.......................SHI....BRANC...... ............ P.�T�:......... ..:.�..:s,:...,.:.....:.:..:.::................................. Vii............ KEVIN R FORD DUANE JARVIS 5108681442 . 001 900. 05/23 /�_6 .; I _...,_ ........::::...:...................................................::::..::.::::::::::::.::::::::::::::: Sf ttt'T N:::::::.::::::::::::::::::::::::::::.::.::....:,:,....:....Ik�f...P . e................E�ttif..................,.... ********* Shipping Instructions *** ****** * SHIP COMPLETE 317-571-2634 X1643 1 1 ea SIEM BF130 168 . 18 lea 16&8 ._3;s?I BOLT-ON GFI CB 1P 30A **SUBJECT TO VENDOR RETURN POLICY** �I Carton: BAG-368322 Loc: 7 368I S8HGS Z?� ALL..ITEMS BEING RETURNED COULD BE SUBJECT TO A RESTOCKING CHARGE. CUSTOMER-PLEASE NOTE: ALL CLAIMS FOR SHORTAGE OR DAMAGE MUST BE MADE WITHIN 5 DAYS AND MUSTJREFERENCE THE SALES ORDER NUMBER. NO MATERIAL MAY BE RETURNED WITHOUT PRIOR APPROVAL. ,2 ** Reprint ** Reprint ** Reprint r� ><<; IP ICS>`><« `<`< I(R Kirby disk � :::....:.::: .......: . . .... .. WC2 9 KIRBY RISK DISTRIBUTION CENTER900 S108702072 . 001 5501 W 52ND ST INDIANAPOLIS IN 46254-1637 Page 1 of 1 317-687-0015 Fax 317-298-2888 SOLD TO: SHIP TO: CARMEL WWTP CARMEL WWTP ATTN: PAUL ARNONE ATTN: DUANE JARVIS 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PKWY INDIANAPOLIS, IN 46280-2935 INDIANAPOLIS, IN 46280-2935 317-571-2634 X1643 fax 317-732-20 :::: ::::>:::<::<>:>::> :::>::>::::: : 74918 516130 ::::...........:::::....::.:..:::::::::::.::..::::::......::::::::::::::::::::::...::.......:;...;:.;:;.;:.;:.;:.;:.;;:.;:.;:.;:.;:.;:.;:.;;:.;.;:;:.;.:;:.;:;:.;:::.>:..:.... ........::...... ::.:. :......:::.....::. ..: ..:::::::::::::.:::::.......::..:.....:::::::.. ..........................................................:.............................................................:.,.......:::::::::::::::::::::"s1,£S: F :#:........................SHS....�kAN ..................... #i...DATA..:.:..... ELIZABETH A HARDEN JEFF COOPER S108702072 . 001 900 05/27/16 :• ............................:::::::::::::::: SCR F #1N:::::::..::::.............................................I ��t..#? 3CLQ............:::E�iti ..:::::::::. ::::::::::ext.: `i.��:::::::::. :.:.:, ...:::::.:..............:.:...:..:::.:...............:.:.............,.,.,............. ...:..........:...:.........:.;;....::,;:,,,<;,:: ::•:::::::.,;:.;:::::::.. ********* Shipping Instructions *** ****** * ********************************* **** * * SHIP COMPLETE * ********************************* **** * ******************PHONE#*********** ****** * 317-571-2634 X1637 *********************************** ****** 72 72 ea ADVA ICN2P32N35I 9 . 76 lea 702 . 72 ELE BALLAST (2) F32T8 120-277V Carton: BOX-149448 Loc: CT 702.72 ei 0.00 ' ........ 0. 00 702 .721 ALL ITEMS BEING RETURNED COULD BE SUBJECT TO A_RESTOCKING CHARGE. CUSTOMER-PLEASE NOTE: ALL CLAIMS FOR SHORTAGE OR DAMAGE MUST BE MADE WITHIN 5 DAYS AND MUST REFERENCE THE SALES ORDER NUMBER. NO MATERIAL MAY BE RETURNED WITHOUT PRIOR APPROVAL. I(R Kirby Risk ::. .......::. : ...:: ..::............:. WC 2 9 KIRBY RISK DISTRIBUTION CENTER900 S108694623 . 001 5501 W 52ND ST INDIANAPOLIS IN 46254-1637 Page 1 of 1 317-687-0015 Fax 317-298-2888 SOLD TO: SHIP TO: CARMEL WWTP CARMEL WWTP ATTN: PAUL ARNONE ATTN: DUANE JARVIS 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PKWY INDIANAPOLIS, IN 46280-2935 INDIANAPOLIS, IN 46280-2935 317-571-2634 X1643 fax 317-732-20 eE3r0Ez:::Eau ::::::::>::»::::::>:::::::>::::>:::::>::<>:::>: s 74918 S16130 »::>;::>::>:::> ..............................................:........................................................................................................................:.....::..:..:::: RAt1H::::.:::..::::::::: #I:.:EJIt.:E:......... KEVIN R FORD JEFF COOPER S108694623 . 001 900 05/24/16 :;:.:.............:.;:;.:.;:.:,.......::..............:........:::: : ....::::.::::.::.::::..::.::::::::..::::..:::..:::..::::::::.:::::::::::::::..::.:. .:::.:::::::::::::. ...........................................................:...:....::...:.:::::::::::::::::::.�::::::::::::::::::.�::D£Sf:3tTE'�'�UH...::......................................................�:k�t�..1'i:3 CL:...............R�..1;.......................E:x....►?�:i�.......... ********* Shipping Instructions *** ****** * ********************************* **** * * SHIP COMPLETE * ********************************* **** * ******************PHONE#*********** ****** * 317-571-2634 X1643 *********************************** ****** 24 24 ea ADVA ICN2P32N35I 9 . 76 lea 234 .24 ELE BALLAST (2) F32T8 120-277V Carton: BOX-149611 Loc: C- 30-04-A-02 t 3 .. 234 .24 ........................................ 0. 00 0.00 ........................................ ........................................ ........................................ ........................................ hit # `:« 0.00 234.24 ALL ITEMS BEING RETURNED COULD BE SUBJECT TO A RESTOCKING CHARGE. CUSTOMER-PLEASE NOTE: ALL CLAIMS FOR SHORTAGE OR DAMAGE MUST BE MADE WITHIN 5 DAYS AND MUST REFERENCE THE SALES ORDER NUMBER. NO MATERIAL MAY BE RETURNED WITHOUT PRIOR APPROVAL.