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HomeMy WebLinkAbout260227 06/28/16 0y''49q\ CITY OF CARMEL, INDIANA VENDOR: 00351017 ', 31 ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: S""'3,628.80' ?�; CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 260227 M��uN CHICAGO IL 60673-1275 CHECK DATE: 06/28/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 108721140.1 279.00 OTHER EXPENSES 601 5023990 S108652600 2,939.87 OTHER EXPENSES 601 5023990 S108691139 71.05 OTHER EXPENSES 601 5023990 S108698945 92.33 OTHER EXPENSES 601 5023990 S10869894502 17.97 OTHER EXPENSES 651 5023990 S108706411 98.74 OTHER EXPENSES 601 5023990 S108708865 66.56 OTHER EXPENSES 601 5023990 S108710191 13.29 OTHER EXPENSES 601 5023990 S108711174 17.88 OTHER EXPENSES 652 5023990 S108711721 12.90 OTHER EXPENSES 652 5023990 S108717073 19.21 OTHER EXPENSES 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 6/10/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/10/2016 S108706411. $98.74 hereby certify that the attached invoice(s), or bill(s) is (are) true and ;orrect and I have audited same in accordance with IC 5-11-10-1.6 Date Officer DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT • • •• 74918 S16145 PT 10TH PROX NET 30TH SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE RICH R COLLINS PK PICK-UP LARRY SCHIMMEL FISHERS 317-598-6170 06/01/16 ORDER CITY SHIP CITY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC 4ea 4ea EGS LB75-A 5.41 lea 21.64 0.43 3/4 AL LB COND BODY 4ea 4ea EGS GK75-N 1.22 lea 4.88 0.10 3/4 NEOPRENE GASKET 4ea 4ea EGS K75 1.80 lea 7.20 0.14 3/41N BLANK STEEL COVER 4ea 4ea CARL E989NNJ 474.69 100ea 18.99 0.38 4"X 4"X 2"JUNCTION BOX 50ea 50ea T&B TC122A 17.11 100ea 8.56 0.17 3/4 INCH CONN,SSCREW,EMT,STL 100ea 100ea T&B BU 502 6.61 100ea 6.61 0.13 3/4 105D PLSTC BUSH 100ea 100ea CULL 59412 2.61 100ea 2.61 0.05 10-12 PLASTIC SCREW ANCHOR. Zea Zea MILW 48-20-8811 2.63 lea 5.26 BIT HAMMER-DRILL 1/4"x 4"x 6" 50ft 50ft COND E034 45.97 100ft 22.99 0.46 Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 611f20169:32:31AM S108708411.001 Invoice Number S108706411.001 Subtotal 98.74 If paid by 07/10/16 you may deduct$1.86 S&H Charges 0.00 Invoice is due by 07/31/16 net of any cash discount. Sales Taxi 0.00 ��rr��, LARRYSCHIMMEL 1 9$•74 0001:0001 Ids Kirby Risk Page 1 of 1 I(R Kirby Risk PK KIRBY RISK 51 ELECTRICAL SUPPLY S108706411 . 001 11110 ALLISONVILLE ROAD FISHERS IN 46038-1837 Page 1 of 2 317-598-6170 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 »:G€1S3Qh >ktf :»>::»:>«:»:::»:<:>:>::»::::::::>: ST :»::>::>::::>::::>::::»:::>::>::::>:: : >::>::>::::>::: I4 ::::bit�lt:.':::.' 74918 S16145 > ::::..>::::::::::::::::>::::::::>::>::>::::>::::>::>::::t tF�E �:: '1::>::>;::':: :<:<::::::>:>:::::>:<::.':::<: :«::<:<::::»<:<::5i!4I 5 Q �€R: ::>:>::>::>:::::::::::::::::>;:5EI P::::6Rl :........................................................................... £E.. E1 ......... RICH R COLLINS LARRY SCHIMMEL S108706411 . 001 51 06/01/16 ....:..::::::::::: k . # .......: :.......:::::::::::::::.::::::::.... ::::.::::..:::::::::..::::.:::::.:::::•::::::::::::::::.::..::::::::::::::::::::::::::::::::::::::::::................................::::::::::::::::.•:.:::::::::::..................................................,..................:....:.:... ********* Shipping Instructions *** ****** * ********************************* **** * * SHIP COMPLETE * ********************************* **** * ******************PHONE#*********** ****** * 317-571-2634 X1643 *********************************** ****** 4 4 ea EGS LB75-A 5 .41 lea 21 . 64 3/4 AL LB COND BODY 4 4 ea EGS GK75-N 1 .22 lea 4 . 88 3/4 NEOPRENE GASKET 4 4 ea EGS K75 1 . 80 lea 7 .20 3/4IN BLANK STEEL COVER 4 4 ea CARL E989NNJ 474 . 69 100ea 18 . 99 4" X 4" X 2" JUNCTION BOX 50 50 ea T&B TC122A 17 . 11 100ea 8 . 56 3/4 INCH CONN, SSCREW,EMT, STL 100 100 ea T&B BU 502 6 . 61 100ea 6 . 61 3/4 105D PLSTC BUSH 100 100 ea CULL 59412 2 . 61 100ea 2 . 61 10-12 PLASTIC SCREW ANCHOR 2 2 ea MILW 48-20-8811 2 . 63 lea 5 . 26 ** Conti ue on Next Page *** Kirby Risk . ........11111111111111111 PK KIRBY RISK 51 ELECTRICAL SUPPLY- S108706411 . 001 11110 ALLISONVILLE ROAD FISHERS IN 46038-1837 Page 2 Of 2 317-598-6170 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 »::::>:<::<:>::»::>::::>:::>::>::>:::::::tlSi ::flRAF? 74918 S16145 . . . .....::.:::.;::.;:.;:.;:.;:.;:.:..........;::.:::.;::;:....................::::::::::::::::::::::::::::::::: :....:.... Elh �:> :>:>::»: :>:>:>>:>:>»:'»:> >?=s:>:»:>'>SA '>:>'>::S�EI ........... RICH R COLLINS LARRY SCHIMMEL 5108706411 . 001 51 06/01/16 »:f1 ::>: :>>::>::#��f:>:> :»:>:::>::::>::>::>:'>:::<:»>s:>::»»:'>:::»»::>:><:<:::>:<:::::::> S P TON>". :;::<:::::: <:':>'':>:: '>:>:>'::>:: » ': :>:>:>::>:::»>:f1►its:>::>::: :> BIT HAMMER-DRILL 1/41- x 411 x 6 50 50 ft COND E034 45 . 97 100ft 22 . 99 EMT 3/4" 10 FT 61112016 9:32:31 AM S109706411.001 LARRY SCMMMEL 98.74 # > `` 0.00 lo" aam 0 .00 N. `,....,.... 0 .00 i + ? "> M.R. 98.74 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. 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 6/10/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/10/2016 S108711721. $12.90 hereby certify that the attached invoice(s), or bill(s) is (are)true and :orrect and I have audited same in accordance with IC 5-11-10-.1.6 Date Officer DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT _ffSf• • •• 74918 S16176 PT 10TH PROX NET 30TH SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE DARREN HARING =K PICK-UP LARRY SCHIMME= FISHERS 317-598-6170 06/07/16 ORDER CITY SHIP QTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC i 10ea 10ea T&B CTL1-14 192.14 100ea 19.21 0.38 COMPR TERMINAL Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 6/7/2016 SIOB717073-001 Invoice Number S108717073.001 Subtotal 19.21 If paid by 07/10/16 you may deduct$0.38 S&H Charges 0.00 Invoice is due by 07/31/16 net of any cash discount. Sales Tax 0.00 ��rr��, Y _ • 19.21 0001:0001 N( Kirby Risk Page 1 of 1 I(R Kirby Risk PK KIRBY RISK 51 ELECTRICAL SUPPLY S108717073 . 001 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 ER IE MUMAff..:::.:::::.::.::.............. t�$7EHtRR DkAk NI1MBkB::::::::..:::::::.. :::....................... ...... ::.................................................::.............................................................................. .......................RfE£l4SE..I�EIk1�kk........................................................SSFP .. ........ 74918 S16176 ROS DLl ...:..:....::....:.:.::;:<.:,,,,.,;,:::::::::.:::::::::::::::::::::::::::::::.�:::::::::::::::::::::::::.:...::.::................................................................................................... :........$EI�F~..BR/fNGFE.:;:;.;;:.;:<.;:.;:.;:.;:.:$4i.#P..iFATE......... DARREN HARING LARRY SCHIMMEL 5108717073 . 001 51 06/07/16 >:Qlt1iRR.:T!1 :>«<>` :' ::>::: : :.:.::>:::> :::<::> :>:»>:>:::::E::::>:::::::>:> ::::>:>.z:::::::,,::.::,: ..,::...::::>::::>::::>:::::::::::::.<:::»::>::»»»:::<:::»:::<:::: >:s>:::<::::>:>:::::: .::.;:.; :.;:.:;.;:.;::>::>:>::::>::::>::: «::>?::::> :::s::>:::: Q...:.:..:.::fisHZEF.q#Y.......:UM::. ...................................... �7kSeR�P#iON..... ............................................. .. Pr :..........:............:....::.:::::.......:::::.:::..::::.:::::......:....................................:::.::.:._:::::::::::::::::::::::.:.::._:::.:::::::.ttem...;.1 ................Unfit........................#x C.:tFri.�e.::::::::: ********* Shipping Instructions *** ****** * ********************************* **** * * SHIP COMPLETE * ********************************* **** * ******************PHONE#*********** ****** * 317-571-2634 X1643 *********************************** ****** 10 10 ea T&B CTL1-14 192 . 14 100ea 19 . 21 COMPR TERMINAL /Z/2016 S1�F3717�73_001 LAM Y SCHIRIEL Sb €><> 19 . 21 ........................................ ........................................ ........................................ ........................................ ........................................ 0. 00 ........................................ 0.00 =>T D 1 [ Sgt Iti 19 .21 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. ?itz.ass :�a.e: .^ s. .a's's:zriise : . KirbyRisk _ --_--__-_..___--_-___ 06/07/16 5108717073 . 001 REMIT T0. ...................... ...................... KIRBY RISK CORPORATION 27561 NETWORK PLACE CHICAGO IL 60673-1275 1 of 1 ______________________________ _______________ BILL TO: SHIP T0: 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 cusro-��r fPRI6fR mar ER o-... .................................. ::••::: :. nN... ....m... :::::•:::•: :•::.:•:::•:::::•:::• :..• •... cf... .roz�raa� f atss::t�AN� .......;. :..:.... 74918 516176 __�___ _________ _ ___ ___ _ _ _-__ t. ,tom ,� ,•_ __ t ,• �,,_ :2•(TRDERtifU:f?A3:Y::: :'•::.`•: :.'•: :: ::8ALE8•:JFf.ISE: :: :::: :::::::•:::::9ilfltik•.$:::;•: :•::::•:•::•::,•SttBA.•:•kki ::.;::: DHARING PK LARRY SCHIMMEL FISHERS 317-598-6170 06/07/16 R Eft. ..E........$>fFF ........ pk�CRt. 1�]tF: :::; :: :::•::::::•::•::•: •::• .. .,: �........ ....... ..::•::•:::•:;•::•:::::•: . ......... ... ?�..... ......................::•::::::•::::•::::::::::•..............T.....:....::•...::•.:.:. :.::::::::•::�lnc ......T..... ;:......:. ...•::::::::lke •:;:::•::•:•:•:CAStt•;<S saC:::: 10 10ea T&B CTLl-14 COMPR TERMINAL 1.92 0 .00 - 19 .21 0.38 6�?/2Q16 SZQH?1?Q?3_QQI LBffi S�IEIt�L -- '------------------------------ --------------- -------------- --------------------------------- - Billing Questions: Billing request@kirbyrisk.com (765)446-3054 -- ------- --- 19 .21 ........................... A discount of $0.38 can be taken if paid by 07/10/16 a£ f 0 .00 provided all previous invoices are paid. i 0 .00 vu.w.uw.v.w.v.w.vw ___--____--_ A service charge of 2% per month will be charged 1f not paid by 07/31/16 •• . ' CE1r8 : 3 Fii3: 19 .211 Please detach, retain the top portion for your records and return the bottom portion w1 your remfi nce.:------------------ :::•::TG1K1T�f: :•:•: :::::•::t•:::•3i7�43£E:•Dk . . ::::::::::t<13kt:::lt41E:;:: :'• D1c2 ::f1lfF:;:::::::i:kP7fjG1f :Itkhl43:TE-0::: 7 - - - - - - ----- - - --W-- --- -- -- —---- ------------ -_«—__- 4918 06707 5108717073 . 001 J16 - _ — 19 .21 _-«07731J16 --PTease----KT-rTiy-RT9FETecirTd&T'9uppTY----------------- IIME-DETACffAN -MJBWT-WIITH-YOWPN� AY -------------- Remit To: 27561 NETWORK PLACE CHICAGO IL 60673-1275 THANK YOU FOR YOUR BUSINESS A discount of $0.38 can be taken if paid by 07/10/16 provided all previous invoices are paid. DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT •MER-NUMBERI- - ---CUSTOMERP&N 74918 S16166 PT 10TH PROX NET 30TH SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE IDMS-XML PK PICK-UP DUANE JARVIS FISHERS 317-598-6170 06/03/16 ORDERQTYI SHIPQTY • AMOUNT CASH DISC 3ea 3ea CARL UA9AK-CAR 206.41 100ea 6.19 2-1/2"SCH 40 STD 90 DEG ELB-RETAIL lea lea CARL E943K 81.31 100ea 0.81 2-1/2"SCH 40 MALE ADAPTER lea lea T&B SP-LN107 84.47 100ea 0.84 2 1/2 LNUT,THIN CONSTRUCT,RGD/I MC,S CONSTRUCT,RGD/IMC,STL lea lea T&B BU 507 69.94 100ea 0.70 0.01 SC BU 507 PLASTIC INSUL BUSHING 3ea 3ea BLIN B2014PA-2-1/2 145.39 100ea 4.36 0.04 PLTD CND CLAMP Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 6/3/2016 9108711721-001 Invoice Number S108711721.001 Subtotal 12.90 If paid by 07/10/16 you may deduct$0.05ti �)�� - S&H Charges 0.00 Invoice is due by 07/31/16 net of any cash discount. c�� Sales Tax 0.00 n ��rr,�,, IIaxs JAHV19 • 12.90 0001:0001 �I[ Kirby Risk Page 1 of 1 AffirbyRisk Jill 11 P K KIRBY RISK 51 ELECTRICAL SUPPLY S108711721 . 001 11110 ALLISONVILLE ROAD FISHERS IN 46038-1837 Page 1 of 2 317-598-6170 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 R .;:.;:.05:0Mt :>::>::>::::::::>::::>::::>::::::>:::z:>::::»:::::GU5# t��i..O..D 1#..HtMtB lt:.;:.;;;:.;:.;;;:.;:.;:.;:.;:.;:.:.;:.;:.;:.::.;:.;:.;:.;::.;:.;::.;:.: �E ::::MUM�Ett::::>::::::::>::::>::::::>:::::<:»:::< ><::>::>::>:::i:::»:i::<::::isE: AFF.# :...R.....h......................:................... 74918 S16166 iT . . . . ....................11Ai? NU.B�........:...::..:::.:::::.:::::::::..:...........SIkE :.DRUIR:: ::::::::::::..:..:::::::SfEbF.:.BRAKE#................. .iF:.itTl.::::::::: IDMS—XML IDUANE JARVIS 5108711721 . 001 51 06/03/16 : ... ::.::: .:. .:.:.....iikSGRiPiiON...........................................................�t�m.Pri . ............Unit........................Ext..pr.�.ce......... ********* Shipping Instructions *** ****** * WE WILL PICK UP. NEED TO ADD TO T E * ORDER AS WELL. * ********************************* **** * * SHIP COMPLETE * ********************************* **** * ******************PHONE#*********** ****** * 317-571-2634 1640 *********************************** ****** 3 3 ea CARL UA9AK-CAR 206 . 41 100ea 6 . 19 2-1/2" SCH 40 STD 90 DEG ELB-RETAIL 1 1 ea CARL E943K 81 . 31 100ea 0 . 81 2-1/2" SCH 40 MALE ADAPTER 1 1 ea T&B SP-LN107 84 . 47 100ea 0 . 84 2 1/2 LNUT,THIN CONSTRUCT,RGD/IMC, S CONSTRUCT,RGD/IMC,STL 1 1 ea T&B BU 507 69 . 94 100ea 0 . 70 SC BU 507 PLASTIC INSUL BUSHING 3 3 ea BLIN B2014PA-2-1/2 145 . 39 100ea 4 . 36 PLTD CND CLAMP l(RKirbyRisk PK KIRBY RISK 51 ELECTRICAL SUPPLY S108711721 . 001 11110 ALLISONVILLE ROAD FISHERS IN 46038-1837 Page 2 of 2 317-598-6170 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 .............:....: ::::::::.:::::::::::.. : ::::::.:.,,:.,..::.::. ::. . ::::::::. :.:.:.:::.:,:::,..:::::::::::::::::::::::::::::..: :::::::::.:.........::. ::::::::: < UtOMk:::2tUMaR::::>::::>::::>::::<::::<:>::::>:::::<>:><>::G T. R R. ►}. R....p ff:::NUN10€A:<:»:<:>#>"::>`::>`:z:::s>:::::>::::>:::<:>:::z:>:<:>::>:<:>:::i:>:::REE€14 :>:tdklMA l:<:>::::>::::»»::>:::z:»>::>::>::>::>>::>::>::>::>::>::::>:::<:»»»::>:< !f. GQ. .:>:`::»::::<:»::>:>......: 74918 516166 ::::>::::::<:»::::>::::>::<:>::..........R. ..................................................41lRE . :.$ .::::::::::::::::::::.:::::.::...:::::::::::::::. :: it:::.<:>::»:::::<:>::»>:::::::::>::>::; >:: ;iD . .......... R . . SAEES.:QROE.: ::::::._::::SN.....$t�liC...:::::::::::::::::::r...... hF :::::::::. IDMS—XML DUANE JARVIS 5108711721 . 001 51 06/03/16 R..TY........SHb!!€'.€ )M:::::>::<>::>:::: >:::<:><::<»>::>::>::::>::>:::::::::>:::>::::::=#lESG P.#bt#`:»E<:< s `: ..... :`......:.....:::.....:::»>:<::::<:> :. .....................9................. .. .# . ......................................................... .em..P..t ................Ua#t::»::»:<:>::»>:>:><:::>:«::Ext<Pr:.i:ce:»::>:::z:::> /3/2016 S1aa7111121_Cal ANE JARVIS :s Ot t l'> >< 12 . 90 ........................................ ........................................ ........................................ ........................................ ......................................... 0. 00 ........................................ ......................................... X. 0.00 ........................................ ........................................ ........................................ ........................................ i€ "< 0. 00 > il€>I4 12 .90 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. 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 6/20/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/20/2016 108721140.1 $279.00 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 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT 7• CUSTOMER•• NUMBER RELEASE NUMBER TERMS 11788 KR60916-A 7 NET 30 DAYS SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER IDMS-XML PAR PARCEL DLVY KEN RHODES FISHERS 317-598-6170 06/09/16 ORDER QP QTY DESCRIPTION 3ea 3ea AB 1756-BA2 93.00 lea 279.00 LOGIX5000 BATTERY ASSEMBLY-1756-L6X SERIES B Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S108721140.001 Subtotal 279.00 S&H Charges 0.00 Invoice is due by 07/09/16. Sales Tax 0.00 Lai 279.00 0001:0001 Kirby Risk Page 1 of 1 Kirby Risk PAS i KIRBY RISK DISTRIBUTION CENTER900 S108721140 . 001 5501 W 52ND ST INDIANAPOLIS IN 46254-1637 Page 1 of;-<a 317-687-0015 Fax 317-298-2888 SOLD T0: SHIP T0: CARMEL WATER TREATMENT CARMEL WATER TREATMENT -- - 3450 W 131ST ST 4915 E 106TH ST ' - CARMEL, IN 46074-8267 CARMEL, IN 46033-3800 " 317-733-2855 fax '317-..733-2053 ..................:::....:..:.::.:::::::::..:::::::::::.::::::...�t►ST43M�R:::Q1R131;it:::NEi;R.::::..:::::.:�:::::::..::::::::::::::::::::::.:::R:... ..:::: ............:::::::::..:::::::,:::::::........... ........................ .............. . :::: :::::..:::::::::::::..::::.::::::::::..:::::::::::.: ... :.. ....................... 1.'1788 KR60916-A .<. .. ....................................................... .. ................................................... :::..::........................::.::::::::::.:::::::::.::: Y:::::::::::::::::::::::::::::...................... fl.. ::::::::::::.,: ::::::::.::�:::::::::................................................;::::::..:::::::::::::::5h1.�S.ORE��ft.#.........................SNI....�RAN�#.:................. .. ... IDMS`-XML KEN RHODES S108721140 . 001 900 06/:09Z,16 . -: -..}TY........SNI...aTY........E3kl::.:.:::::::::.:::: N...............................::::::::::.::::.:_::: . :.r.:..::::.:...::.:::............................................................................::.::::: SCitTP ::...........................................................Ix�At..i?T 1CA:..:..:::.::::::E)Ai..:...................... ..P,.. ......... ********* Shipping Instructions *** ****** MARK SHIPMENT ATTN: KENR * i•.i_; * SHIP COMPLETE __. ******************PHONE#*********** ****** .. •,... ,: •i * 317-571-2669 3 3 ea AB 1756-BA2 93 . 00 '' lea " ".27.9 . 00 LOGIX5000 BATTERY ASSEMBLY-1756-L6X I SERIES B i + - : Carton: BOX-394876 Loc: 7 +t' Receive Date: DO 279 . 00 cc _. . . V � Z o i r oie: 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. , + t ** Reprint ** Reprint ** Reprint ** 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 6/9/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/9/2016 108691139.1 $71.05 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 ------------------------------------ DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT eMER­NUMBER-j--CUSTOMER,PONUMBER­ RELEASE NUMBER -TERMS— 11788 BT052516AIWELL 27 NET 30 DAYS SALESPERSONORDERED DARREN HARING WC51 WILL-CALL 7 BRIAN TOLAN FISHERS 317-598-6170 06/01/16 .-. PCITY DESCRIPTION 3ea 3ea T&B ADR25-44 3077.66 100ea 92.33 EXTR ALUM LUG "SUBJECT TO VENDOR RETURN POLICY" Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 6/2/2016 Invoice Number S108698945.002 Subtotal 92.33 S&H Charges 0.00 Invoice is due by 07/01/16. GC7 3�J�� Sales Tax 0.00 ER_„N IaIAN 92.33 0002:0002 Kirby Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT • • PO.NUMBER RELEASE-NUMBER--- TERMS 11788 BT052516AMELL 27 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 06/01/16 ORDER CITY SHIP CITY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC 25ft 25ft SOUT THHN-STR-2-GRN-CU-KRWP 718.61 1 000f 17.97 2-19 CU SIMPULL(TM)THHN-THWN-2 MTW GRN 29583206 Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 6/2/2016 5109698945.001 Invoice Number S108698945.001 Subtotal 17.97 S&H Charges 0.00 Invoice is due by 07/01/16. wL4'oV-> Sales Tax 0.00 BRIAN imm • • 17.97 0001:0002 R Kirby Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT e •. -NUM BER.- —RELEASE NUMBER--_ -TERMS 11788 BT52016A WELL#27 NET 30 DAYS SALESPERSON I SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE DAVID BENNETT DIRECT BRIAN TOLAN FISHERS 317-598-6170 05/24/16 ORDERQTYJ SHIPCITY 5ft 5ft OMNI DLO-262.6 BLACK 10000.00 1000ft 50.00 262.6 KCMIL TINNED CU EPR CPE 2KV KRPNM Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S108691139.001 Subtotal 50.00 S&H Charges 21.05 Invoice is due by 06/23/16. Sales Tax 0.00 ``��,,,,,, • 71.05 0001:0001 1t0( Kirby Risk Page 1 of 1 ---------------- DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER • •• NUMBER RELEASE NUMBER TERMS 11788 KR50916-A NET 30 DAYS SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE KEVIN R FORD UPS GROUND KEN RHODES FISHERS 317-598-6170 05/18/16 ORDERQTY� SHIPQTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC lea lea AB 140G-KTF3-D40 524.16 lea 524.16 140G 400A FRAME TRIP UNIT "*SUBJECT TO VENDOR RETURN POLICY"* REPLACES THE 140U-KTD3-D35 lea lea AB 140G-K-TLA23 70.23 lea 70.23 140G CIRCUIT-BREAKER ACCESSORY, LUG, LUGS lea lea AB 140G-K3X3 1864.80 lea 1864.80 140G 400A MOLDED CASE FRAME "SUBJECT TO VENDOR RETURN POLICY"* REPLACES THE 140U-K3X3 lea lea AB 140G-K-FCX06 443.52 lea 443.52 140G FLEX-CABLE MECHANISM,6FT "SUBJECT TO VENDOR RETURN POLICY" NON METALLIC HANDLE 6'CABLE Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice,Number S108652600.001 Subtotal 2902.71 S&H Charges 0.00 Invoice is due by 06/17/16. Sales Tax, 0.00 2902.71 �r,, 0001:0001 r Kirby Risk Page l of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT • • •• u: 11788 JA060316A NET 30 DAYS SALESPERSON SHIP VIA ORDERED B RICH R COLLINS PK PICK-UP JAMES ALFORD FISHERS 317-598-6170 06/03/16 R QTY SHIP • 12ea 12ea SELE EN22 1.34 lea 16.08 Energizer Industrial 9 Volt Battery 5ea 5ea BUSS AGC-2-R 0.36 lea 1.80 BUSS SMALL DIMENSION FUSE Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 6/3/2016 S100711174_001 Invoice Number S108711174.001 Subtotal 17.88 S&H Charges 0.00 Invoice is due by 07/03/16. �Y�'r�� �Cv Sales Tax 0.00 JAMS ALEWD � • 3 17.88 0003:0003Klirby Risk Page 1 of 1 ------------------------------------ DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUS-fOMER-NUMBEP.1- • -• _N UMBER RELEASE-NUMBER TERMS-- 11788 PLANT ONE 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 06/02/16 ORDERQTYJ SHIPQTY I DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC lea lea HUBB HBL1223 13.29 lea 13.29 BROWN 20A 120-277VAC 3W SWITCH Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 6/3/2015 s10e710191_001 Invoice Number S108710191.001 Subtotal 13.29 SAH Charges 0.00 Invoice is due by 07/02/16. J��-�d�n �� Sales Tax 0.00 BRI'm mina • 13.29 0002:0003 Kirby Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT •MER NUMBER CU&_TOMER -• NUMBER TERMSRELEASE NUMBER- 11788 JA060216A NET 30 DAYS SALESPERSON SHIP VIA ORDERED B RICH R COLLINS PK PICK-UP JAMES ALFORD FISHERS 317-598-6170 06/02/16 ORDER QTY SHIP QTY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC lea lea M I LW 49-22-8510 66.56 lea 66.56 KIT RIGHT ANGLE ATTACHMENT Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S108708865.002 Subtotal 66.56 S&H Charges 0.00 Invoice is due by 07/02/16. Sales Tax 0.00 • 3 66.56 0001:0003 AKKirby Risk Page 1 of 1 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER • •• NUMBER RELEASE NUMBER TERMS 11788 KR50916-A NET 30 DAYS SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER I SHIP DATE KEVIN R FORD DIRECT KEN RHODES FISHERS 317-598-6170 05/20/16 ORDERQTYj lea lea AB 140G-K-TLA13 0.00 lea 0.00 140G CIRCUIT-BREAKER ACCESSORY, LUG Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S108652600.002 Subtotal 0.00 SAH Charges 37.16 Invoice is due by 06/19/16. Sales Tax 0.00 1 AM �r., • 37.16 0001:0002 Kirby Risk Page 1 of 1 I(R Kirby Risk .. WC51 KIRBY RISK DISTRIBUTION CENTER900 S108698945 . 002 5501 W 52ND ST INDIANAPOLIS IN 46254-1637 Page 1 of 1 317-687-0015 Fax 317-298-2888 SOLD TO: SHIP TO: CARMEL WATER TREATMENT CARMEL WATER TREATMENT 3450 W 131ST ST 4915 E 106TH ST CARMEL, IN 46074-8267 CARMEL, IN 46033-3800 317-733-2855 fax 317-733-2053 ::::::::::::...:....::::.:.................. . . . . . . .:. : ......:.:::::::::::::.::::::::::::::::::.:.::::::.;;:.::.::;.:;:::;.:;.:;.;.::;:<;.:.;:.;;: ::::i US7b. :: �......:....... :i ':' :G'::' :: :::::::::::::::::::;:;:::2:::.: .... ..� T MSR..NIBT052516A/WELL ::>::>: :Ctk�574 1�3E.�1.0 Ek..NUMB fE..................................................REEEl4S�..PIUMB ff::>:::i<::<::>:::>::»`:>z:::>:<:>::>::>:::>::>::::»::::>::::::::>::::>::::<:::>::>SEkF.F?!<ISR::::4pD :::»:::<::>::>: >:<?<:»`:< 11788 27 RiTR................................................................i�Rfl�k�lt.��/......................::.......:......:...:.........$AE�S..Q�iBE.R.�.......:.:...............Sd�R..6RANG##....................5fi.iA..��tTE......... DARREN HARING BRIAN TOLAN S10869894 . 0021 900 06/02/16 ........ :::....: ................................................................. .............. ..................... ...............................................:..................:::.::.::. SeR..P..:. .::::::::::::::::.::::::::::::::::.:::::::::::::::..::: tm;;::: �::::..:::::::::::ttnt C.:::::::::::::::::::::::Ext.: r3:e:::::::::. ....:.::..:.....::::::...............:,::....::..::.:......:;....:.. . .. ... ********* Shipping Instructions *** ****** * ********************************* **** * * SHIP COMPLETE * ********************************* **** * ******************PHONE#*********** ****** * 317-733-2855 *********************************** ****** 3 3 ea T&B ADR25-44 3077 . 66 100ea 92 . 33 EXTR ALUM LUG **SUBJECT TO VENDOR RETURN POLICY** Carton: BOX-277548 Loc : 51 FISHER E /2/2015 5108699995_002 Re e1vedi: date ' -2-1� s t tal`.. 92 . 33 ................................................ 0. 00 00. 00 R. Use :. CLLR 7 Vf� �� AD/ E tt733Ie 92 . 33 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(RKirbyRisk WC51 KIRBY RISK CORPORATION 950 S108698945 . 001 1940 STOUT FIELD EAST DRIVE INDIANAPOLIS IN 46241-4011 Page 1 of 1 317-687-0015 SOLD TO: SHIP TO: CARMEL WATER TREATMENT CARMEL WATER TREATMENT 3450 W 131ST ST 4915 E 106TH ST CARMEL, IN 46074-8267 CARMEL, IN 46033-3800 317-733-2855 fax 317-733-2053 .......................................... PEUt7BEf >< >>'< »>jTObiiit�171i>I�1(M6fE> >:> > > ><>< > >> �t�tf4S ?I�IINiCF:":> > ><>>EE > >> <>><> >:><>> >zSEFPIERG4D '#%#'>z`>` 11788 BT052516A/WELL 27 ........::.:.. 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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 ** Acknowledgement I(R Kirby Risk ORDER DATE ORDER NUMBER 05/20/16 5108691139 ORDER TO: PAGE;NO. KIRBY RISK 51 ELECTRICAL SUPPL 11110 ALLISONVILLE ROAD FISHERSIN 46038-1837 1 of 1 317-598-6170 Fax 317-598-6171 SOLD TO: SHIP TO: CARMEL WATER TREATMENT CARMEL WATER TREATMENT 3450 W 131ST ST 11110 ALLISIONVILLE ROAD CARMEL, IN 46074-8267 ATTN BRIAN TOLAN 317-733-2855 fax 317-733-2053 FISHERS, IN 46038 317-733-2855 fax 317-733-2053 CUSTOMER NUMBER CUSTOMER ORDER NUMBER RELEASE NUMBER/JOB=:NAME 11788 BT52016A WELL #27 SALESPERSON; TERMSORDERING PARTY SHIP.DATE FREIGHT%ALLOWED:; DBENNETT-23 NET 30 DAYS BRIAN TOLAN 05/20/16 Yes ORDER:OTY DESCRIPTION' Item Price Unit Ext Price- _.. _ :.. ********* Shipping Instructions *** ****** * ********************************* k**** * * SHIP COMPLETE * ********************************* k**** * * PLS CALL BRIAN 417-5063 *********************************** k****** 5ft OMNI DLO-262 . 6 BLACK 10000 . 00 1000ft 50 . 00 262 . 6 KCMIL TINNED CU EPR CPE 2KV KRPNM R i v e d : V&AA,1 zzrh Subtotal 50. 00 PO # : /?'T L2010.4 M. CHCS , 0. 00 ACCT # : 6�Z 'Sales Tax 0.00 Pa ments 0.00 /Q9 XPU�7- Meru Total V S e ' ���' P,Inount Due: 50. 00 NO MATERIAL MAY BE RETURNED WITHOUT PRIOR APPROVAL. ALL MATERIALS BEING RETURNED COULD BE SUBJECT TO A RESTOCKING CHARGE. ..... .... ............ AR ' Kirby Risk U'P S .." KIRBY RISK DISTRIBUTION CENTER900 5108652600 . 001 5501 W 52ND ST INDIANAPOLIS IN 46254-1637 Page 1 of-,-2= ,-; 317-687-0015 Fax 317-298-2888 SOLD TO: SHIP TO: {yi CARMEL WATER TREATMENT CARMEL WATER TREATMENT 3450 W 131ST ST 4915 E 106TH ST CARMEL, IN 46074-8267 CARMEL, IN 46033-3800 : ; ?. `. '.. . 317-733-2855 fax 317-733-20'53:= e ..QM�R::�uR........ ....................�s7€ R..m .>� �..::::::::::::::::::::..::::::.::.:..:::::::::::::ass:: ur ............................ ...... :::.::::::::.:::. .I�.. 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Gt15TE1iE�R flR1�kE!NUTt9k�E RECE4S NUMSR.....................................................SEAR.3!1i€... 4 .......................... 11788 PLANT ONE .;:.;;:.;:.;:.;:.:.;:.;:.;:.;;;:.;:.;:.;:: ::::>::?::>F4tiT R................................................................i1J3OE P..B?�....................................................SAC£ ..t�t� . ....................::...SHt�..�t�kxG ....................5}1.i#!..#� tC......... ....,.................:...:.::..::.:,....,...... ...... . ........ ...:...::.::.:........ ...... ..... ........... ::::.....::::::.......: :........... :. ......:::::.. .: DARREN HARING BRIAN TOLAN 51O871O191 . 001 900 06/03/16 : >::>:::>::>:>:::» :::..:.:. ' •:: . . PSitIF.T.idN..................................................:........Ix�m..P.. .>:::<::>:::>::::>:::Uifil>:>::><>:>_<:>.....E.t..Pr.•i. �......... ,.............................................................................................................................................................................................................................................. ********* Shipping Instructions *** k****** * ********************************* k**** * * SHIP COMPLETE * ********************************* **** * ******************PHONE#*********** ****** * 317-733-2855 *********************************** ****** 1 1 ea HUBB HBL1223 13 . 29 lea 13 . 29 BROWN 2OA 120-277VAC 3W SWITCH Carton: BAG-376393 Loc: 51 FISHER E 1312015 910ali0191_aU1 Xsl> --;01(0 BRIAN TOLAN yi 13 .2 9 Received �� �q 1� << 0. 00 Date : 0.0 0 . 00 A'C C T 13 .2 9 ALL ITEMS BEING RETURNED COULD IJ SJDZCT 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 PK KIRBY RISK DISTRIBUTION CENTER900 S108708865 . 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 WATER TREATMENT CARMEL WATER TREATMENT 3450 W 131ST ST 4915 E 106TH ST CARMEL, IN 46074-8267 CARMEL, IN 46033-3800 317-733-2855 fax 317-733-2053 :...............................................................G.:.:.Ek( i: :1� ff.:iiUMBR. ::.:::..:::::.::..:...::::.....:..REEEAS ..F�Uklk........................................................SEfPf.LiR..G13DE.......................... 11788 JA060216A ::..:::.; :.,:.;::: :i:::? ?::::: ::::::::::::::::::::::::::>:: :.. :`:::.; :::. ..:'.,:::::;::::: :: :. ............................ D:BY.....................................................hCG$..QRDE.... .........................$HI.P....BRAHGEE. ...:............ RICH R COLLINS JAMES ALFORD S108708865 . 001 900 06/02/16 rICQ:::::::.. Unit... E7 Xo. ********* Shipping Instructions *** ****** * ********************************* **** * * SHIP COMPLETE * ********************************* **** * ******************PHONE#*********** ****** * 317-733-2855 *********************************** ****** 1 1 ea MILW 49-22-8510 66 . 56 lea 66 . 56 KIT RIGHT ANGLE ATTACHMENT /2/2016 S1II9'7IIBB65_IIII1 3AMS ALFORD 9� krQ 66. 56 oho a ' < '<< 0.00Date : ` 0.00'>'P o # : 0.00 Qu Use : .. 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. Kirby:Risk INVOICE 1815 Sagamore Pkwy Lafayette,IN4790405120/16 S1.086b2600:OQ2 11788.. DUE DATE TOTALDUE AMOUNT • { 06/19/16 37.16 , -7-*d! aPLEASE REMIT PAYMENT TO: KIRBY RISK CORPORATION 27561 NETWORK PLACE CHICAGO 1L-60673-1275 SHIP TO: 43 1 AB 0.399: E0038X 1005101741704663 S2 P3286128 0001:0002 11NJ11111'1111HIIIII 111111111II'I��IP111"�In1����1111nil�lll CARMEL WATER TREATMENT 4915E 106TH ST INCARMEL WATER TREATMENT -3800 IC 3450 UV 131ST ST CARMEL IN 4"6033 CARMEL IN 46074-8267 ---------------------------------------------------------m--------------------------------- ------- ------- ----- -------•---------------------•----------------- ---------- DETACH UPPER PORTION ANDRETURN WITH,YOUR PAYMENT LIST OMER NUMBER CUSTOMER••NUMBER RELEASE NUMBER TERMS 11.788 KR50916-A NET 30 DAYS SALESPERSONORDERED BY SALES OFFICE PHONE NUMBER SHIP DATI KEVIN R.FOR[) DIRECT KEN RHODES FISHERS 317=598-6190 05/20/16 ORDER QTY SHIP CITY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC lea 1 ea AB l40G-K7TLA13 0.00 1 ea 0.00 140G CIRCUIT-BREAKER-ACCESSORY,LUG i I a Received: o ` ®ate: PQ #: ACCT#• � C Us Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice,Number S108652600.002 Subtotal 0.00 S&H.Charges 37.16 Invoice is due by 06119/16. Sales Tax 0.00 • s 37.161 0001:0002 'Kirby Risk Pagel of 1