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Home My WebLink About301053 07/25/16 `�m gyp\ CITY OF CARMEL, INDIANA VENDOR: 00351017 (i� `; ® �; ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: $*****9,394.29* :. � CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 301053 9M�<poN/�' CHICAGO IL 60673-1275 CHECK DATE: 07/25/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 1087286721 584.52 OTHER EXPENSES 601 5023990 1087393461 37.44 OTHER EXPENSES 601 5023990 1087477891 132.78 OTHER EXPENSES 601 5023990 1087477892 177.04 OTHER EXPENSES 601 5023990 1087477893 132.78 OTHER EXPENSES 601 5023990 1087544661 581.35 OTHER EXPENSES 601 5023990 1087692201 101.44 OTHER EXPENSES 651 5023990 S108610668 7,100.37 OTHER EXPENSES 651 5023990 S108682793 13.20 OTHER EXPENSES 652 5023990 S108743299 181.21 OTHER EXPENSES 1206 4350400 S108744913 113.48 GROUNDS MAINTENANCE 651 5023990 S108761999 23.20 5108761999.001 652 5023990 5108764223 17.10 S108764223.001 1206 4350400 S108768713 198.38 GROUNDS MAINTENANCE 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 7/18/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/18/2016 108754466.1 581.35 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 "CUST•M ER-NUMBERf CUST-OM ER •• NUMBER NUMBER- _ :�MS, 11788 KR63016 NET 30 DAYS SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE MARCIA WESTER PAR PARCEL DLVY KEN RHODES FISHERS 317-598-6170 06/30/16 ORDERQTYJ SHIPQTY 5ea 5ea BUSS CCP-3-30CC 76.99 lea 384.95 Compact Circuit Protector 3Pole Class CC 20ea 20ea BUSS LP-CC-1 9.82 lea 196.40 LOW-PEAK CC TD FUSE Billing Questions:Billing request@kirbyrisk.com(765)446-3054 Invoice Number S108754466.001 Subtotal 581.35 S&H Charges 0.00 Invoice is due by 07/30/16. Sales Tax 0.00 "kj 581.35 0001:0001 Kirby Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER • •• NUMBER RELEASE NUMBER TERMS 11788 KR 62116 NET 30 DAYS SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE DAVID RADCLIFF WC51 WILL-CALL KEN RHODES FISHERS 317-598-6170 07/06/16 ORDERQTYJ SHIPQTY I DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC 4ea 4ea FLUK FUSE-440MA/1000VB1 9.36 lea 37.44 FUSE,440MA, 1000V, FAST, B.PK,QTY 1 "SUBJECT TO VENDOR RETURN POLICY" Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 7/11/2016 S10B739346_001 Invoice Number S108739346.001 Subtotal 37.44 S&H Charges 0.00 Invoice is due by 08/05/16. Sales Tax 0.00 ��rr,,,, 3MN aaon�S 6-3w • I 37.44 0004:0005 K( Kirby Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER • •• NUMBER RELEASE NUMBER TERMS 11788 KR71116 NET 30 DAYS SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE DARREN HARING PK PICK-UP KEN RHODES FISHERS 317-598-6170 07/11/16 ORDERQTYJ SHIPCITY 2ea 2ea HOFF AS075 6.46 lea 12.92 HOLE SEALS FOR 0.75"CONDUIT 10ea 10ea HOFF AS050 5.13 lea .51.30 HOLE SEALS FOR 0.5"CONDUIT 100ea 100ea T&B TY527MX 37.22 100ea 37.22 CABLE TIES Billing Questions:Billing request@kirbyrisk.com(765)446-3054 7/11/2016 s10e769220-001 Invoice Number S108769220.001 Subtotal 101.44 OAS, Sales Charges 0.00 Invoice is due by 08/10/16. q Sales Tax 0.00 xFsr axovB.s a•'��rAMOUNTME 101.44 0005:0005 lV( Kirby Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT - o e •o 11788 1 KR61416 NET 30 DAYS SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE IDMS-XML PAR PARCEL DLVY KEN RHODES FISHERS 317-598-6170 07/05/16 ORDERQTYJ SHIPQTY I DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC lea lea AB 1492-XIM20120-8R 297.75 lea 297.75 20-Pin Relay Master Digital IFM, 120V AC, 8 Relays "SUBJECT TO VENDOR RETURN POLICY" lea lea AB 1492-XIM120-8R 286.77 lea 286.77 Relay Expander Module, 120V AC, 8 Relays "SUBJECT TO VENDOR RETURN POLICY`* Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S108728672.001 Subtotal 584.52 S&H Charges 0.00 Invoice is due by 08/04/16. Sales Tax 0.00 `��, • 584.52 0001:0001 � Kirby Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER • •• NUMBER RELEASE NUMBER TERMS 11788 JA06272016 WELL 28 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 07/01/16 ORDER QTY SHIP CITY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC 3ea 3ea NSI IT-350 44.26 lea 132.78 350MCM INSULATED TAP CONN Billing Questions:Billing request@kirbyrisk.com(765)446-3054 7/11/2016 S109747789-001 Invoice Number S108747789.001 Subtotal 132.78 S&H Charges 0.00 Invoice is due by 07/31/16. �/ 391 Sales Tax 0.00 BRIAN soznN • 132.78 Page 1 of 1 0001:0005 Kirby Risk DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER • •• NUMBER RELEASE NUMBER TERMS 11788 JA06272016 WELL 28 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 07/01/16 ORDERQTYJ SHIPQTY I DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC 3ea 3ea NSI IT-350 44.26 lea 132.78 350MCM INSULATED TAP CONN Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 7/11/2016 9108747789-003 Invoice Number S108747789.003 Subtotal 132.78 S&H Charges 0.00 Invoice is due by 07/31/16. A�� a �� Sales Tax 0.00 sarnrr raMnrr • 132.78 0003:0005 Kirby Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER • •• NUMBER RELEASE NUMBER TERMS 11788 JA06272016 WELL 28 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 07/01/16 ORDERQTYJ SHIPOTY 4ea 4ea NSI IT-350 44.26 lea 177.04 350MCM INSULATED TAP CONN Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 7/11/2a16 S108747789_002 Invoice Number S108747789.002 Subtotal 177.04 S&H Charges 0.00 Invoice is due by 07/31/16. 39/+a Sales Tax 0.00 11R_1M 7al"IN • 177.04 0002:0005 Kirby Risk Page 1 of 1 I(R KirbyRisk1. PAR KIRBY RISK DISTRIBUTION CENTER900 S108728672 . 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 11788 KR61416 .....................................:.:::::::::.�.th.I.�S; IDMS-XML KEN RHODES S108728672 . 001 900 07/05/16 4X': SHI:::a.......... KIM : ...............................................:::::::::::::. 5 ********* Shipping Instructions *** ****** * EXPEDITE IF POSSIBLE * ********************************* **** * * SHIP COMPLETE * ********************************* **** * ******************PHONE#*********** ****** * 317-571-2669 *********************************** ****** 1 1 ea AB 1492-XIM20120-8R 297 . 75 lea 297. 75 20-Pin Relay Master Digital IFM, 120V AC, 8 Relays **SUBJECT TO VENDOR RETURN POLICY** 1 1 ea AB 1492-XIM120-8R 286 . 77 lea 286 . 77 Relay Expander Module, 120V AC, 8 Relays **SUBJECT TO VENDOR RETURN POLICY** Carton: BOX-368987 Loc: 7 584.52 Date: 0.00 0.00 0.00 ACCT #: :X4. 3] 5 8 4 .5 2 Use: :....... ...................... . ALL ITEMS BEING RETURNED COULD BE SUBJECT TO A RESTOCKING CHARGE.,(ti 077 5� 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 ** I(R Kirb Disk Y PAR KIRBY RISK DISTRIBUTION CENTER900 S108754466 . 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 ATTN: KEN R. CARMEL, IN 46033-3800 317-733-2855 fax 317-733-2053 ........ NUMBS................................:.. �;:. .:.: : ;:.;:.;:.;;:.;;:.::.;;;:.::.:.;.... .; :. ............................................................:�UTQtfiBN•. pBR.:NEBR.::::::::::::..:::.:::................:::::::::::. ... ....: :::::::::::::._.:.:.:::: ...........:.:SU?P3.� :QUAtr.:::::::::::::::::.:...::::. 11788 KR63016 ....: .............................................::::::::.:::::::.................................... BBNEp....BY.::::::............................................. . P . MARCIA WESTER KEN RHODES 5108754466 . 001 900 06/30/16 ::.......;:.;;:.;;.........;...................... :: . :::::::::::.........:...........::::::::::::::::::::::.:::::::::::::::::::.:::.::::::::::.:.:.;.::,.,:::::.....::.....>::>::>::..:.;.::»::>::>::>:::::::::::<.;;:.;;;:.: .; ********* Shipping Instructions *** ****** * MARK SHIPMENT ATTN: KENR * ********************************* **** * * SHIP COMPLETE * ********************************* **** * ******************PHONE#*********** ****** * 317-571-2669 *********************************** ****** 5 5 ea BUSS CCP-3-30CC 76 . 99 lea 384 . 95 Compact Circuit Protector 3Pole Class CC 20 20 ea BUSS LP-CC-1 9 . 82 lea 196 .40 LOW-PEAK CC TD FUSE Carton: BOX-398414 Loc: 7 Receiv Date: 81.3 5 >< 0. 00 PO #: ® » a>< a €> 0. 00 0. 00 ACCT #: .............a Use: t� << nl `< l 581.35 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. ** Reprint ** Reprint ** Reprint ** I(R Kirby Risk WC51 KIRBY RISK DISTRIBUTION CENTER900 S108739346 . 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 . . � :::::>:::>MONM ...... �:> ::.... :: ::::....:: ::::>.:::::::::::::: : : : 11788 KR 62116 :<:>:>«:><:<:i€::i:>:>:>::::: :>::i::::i::::i::::i::::ii»:::<::i::<:ii;:>>:<:ii:::....:........:... :..,:::.::.:: :<::: :::: .. ,;,.:.::::::::....:..........i:::i::i ........................................................... ..08ERRD.:SY::::::::::::::::::.:.:. ::::::::::::::::::::::...$/1EF .ARD R.. ::...................... :::::::::::::::::::::::::::....:::::::::::.:_:::::::::::::::::::::.::::...............................:....:......:......: ... .::::.::::..:..:.::::::5Et7Ep::$ +HCH...::.:::::::::::$}1.#P.:DATE DAVID RADCLIFF KEN RHODES S108739346 . 001 900 07/11/16 RD ..:.:.:.... : IS . ;.;:.;:............ ..N . .. .. ;....:......SYtY .. . HT .... 0 ..... .............. ........ M . .. mo ********* Shipping Instructions *** ****** * ********************************* **** * * SHIP COMPLETE * ********************************* **** * * CWI KEN 317-750-3564 ******************PHONE#*********** ****** * 317-733-2855 *********************************** ****** 4 4 ea FLUK FUSE-440MA/1000VB1 9 . 36 lea 37 . 44 FUSE, 440MA, 1000V, FAST, B.PK, QTY 1 **SUBJECT TO VENDOR RETURN POLICY** Carton: BAG-381406 Loc : 51 FISHER E /1.112016 SIQ6739395_001 04'(� aa' axons &3`f 1 5b < a ><<> 37 . 44 ........................................ ........................................ Receive ; c >< 0.00 0.0 0 Date: ; .... ' >< 0. 00 ttra 37 . 44 GGT . ALL ITEMS BEING RETURNED COULD BE SU ECT TO A RESTOCKING CHARGE. ` C /r, !�/u'& efc �""66 %� CUSTOMER-PLEASE NOTE: ALL CLAIMS FOR SHORTAGE OR DAMAGE MUST BE MADE WITHIN 5 DAYS AND MUST REFERENCE THE SALES ORDER NUMBER. 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KIRBY RISK 51 ELECTRICAL SUPPLY S108769220 . 001 11110 ALLISONVILLE ROAD FISHERS IN 46038-1837 Page 1 of 1 317-598-6170 Fax 317-598-6171 SOLD TO: SHIP TO: CARMEL WATER TREATMENT CARMEL WATER TREATMENT 3450 W 131ST ST 4915 E 106TH ST CARMEL, IN 46074-8267 CARMEL, IN 46033-3800 317-733-2855 fax 317-733-2053 ttS ' Ik5T(ME��i.ii.Diff..AUMB )f..............................................REEEI4S� PEU ff iFR1#ER..GflD :::::::::::::::::::::::::::.::.:::::.::::......................:...........................................................................:.........:.:.:..................::...MHS.::::.::::.:..:..::::::...,...:.::.::.:..:..::.,::::::::-. .P.....:..........: :.::::.....:.:..::...:.:::. 11788 KR71116 ;:: •>::::>::::::><:>:.::.........Rif FR...................... ...... ................................4Rt�ffR£D.BY........................::::::::::::::::::::::::::.$ACES:.ARDEIt.: :::::::::::::::..:::::::::SEEbF.:.6tt/k ..:::::::::.$}I.#F:.3��kTE.::::::::: DARREN HARING KEN RHODES 5108769220 . 001 51 07/11/16 Q................P 9 OSGitIP3I�Ft....... : rce::::..:::: UES#t:::::::::::::::. 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It' �� Xpr KR KirbyRisk PK KIRBY RISK 51 ELECTRICAL SUPPLY S108769220 . 001 11110 ALLISONVILLE ROAD FISHERS IN 46038-1837 Page 2 of 1 317-598-6170 Fax 317-598-6171 SOLD TO: SHIP TO: CARMEL WATER TREATMENT CARMEL WATER TREATMENT 3450 W 131ST ST 4915 E 106TH ST CARMEL, IN 46074-8267 CARMEL, IN 46033-3800 317-733-2855 fax 317-733-2053 :::::.:.::.:.:::::.:.::::.::::.::::.:.::::::::::::::::::::::::::.::::::::::::::::::::::::::::::::.:.:...:::::::::::::::::::::::::::::::::::::::::.:.:::::::.::::::::::::::.:::::::..:::::.::::::::::::::::::,::::.:::::::::: : ::i:::s::::>::::>::::>::> ......................Ct15tf1Et3i<::tt :: ::>::::>::::>::::>::::>::»:«<;:>:::>;:: »::>::>::>::::>::»:<:::> z:>::::>::::>::::>::::>::>::>::»:i:>::::>.::>:::<:>:«:::>"s:::::>::::>::>:::;:. ........... »:.................................................................................. ..I EIE..NUM� H..................................................REE S.:NUMD�[t........................................................SEfFL......:>GOD..........::::::::::>::»::::>::::>: 11788 KR71116 R ...........................:..:..::::::::::::::::::SRI?fI£R.85....................................................$�kEEStt�2RE.R. .........................SRI DARREN HARING KEN RHODES S108769220 . 001 51 07/11/16 8. 7Y.:::..::::. Ak$ P#i0N item Pr.1 ........tkntE........................Ext..Fr3.�e......... J11J2�16 510975922�_�01 xxonss Subtotal 101. 44 S&H CHGS 0. 00 Sales Tax 0. 00 Payments 0. 00 Total Amount Due 101. 44 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 Disk WC51 KIRBY RISK DISTRIBUTION CENTER900 S108747789 . 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 :.:.: »:.:..:: .:.:iU. 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SAEES..QRDE...#.........................SE. .... : ...........i:EF::QAT:B«># DARREN HARING BRIAN TOLAN 5108747789 . 001 900 0........X w..7w.;.:. /... 111/1-- --6 Q...:..:..::::.NZF�.:!C�tY.:::.:: U.M::::::.::::::::.:::::...:.:...............................�7kSC&AFF.ibFl............................::.:..:.:::._.:::::::::::::..::Stam.:Pr..t: .:::::::::::::::.U.ntt::::::::::.::..:::::::::.EiC::Pr.-i.ce.::::.::: ********* Shipping Instructions *** ****** * ********************************* **** * * SHIP COMPLETE * ********************************* **** * ******************PHONE#*********** ****** * 317-733-2855 *********************************** ****** 3 3 ea NSI IT-350 44 . 26 lea 132 . 78 350MCM INSULATED TAP CONN Carton: BAG-390390 Loc : 51 FISHER E /11/2015 910B147799_001 44-00 BRIAN TOLAN R e C e 1 v'.e d o 132 .78 Datesr>`> c << 0. 00 o"i € 0.00 0.00 ra ``] 132 .78 Use Liz C-c a 8. ALL ITEMS BEING RETURNED COULD BE SUBJECT TO A RESTOCKING CHARGE. 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NO MATERIAL MAY BE RETURNED WITHOUT PRIOR APPROVAL. I(R Kirby Risk WC51 KIRBY RISK 51 ELECTRICAL SUPPLY S108747789 . 002 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 CARMEL, IN 46033-3800 317-733-2855 fax 317-733-2053 ...................................I ........ GIk TE1TtE3i t�Arlt#iUJIO Jf....... :..........................REEEAS NUk1@�Et................................... . ......... X. SffP 1 3t..�QDE 11788 JA06272016 WELL 28 ................................................................bAil k D.I!F.::::::.::::::::::::::::::::::::::::::.::::::.:_::.5110 :Q�iR.: .::::::::.::::..::::::::: H.F..::6 :::::::::.k1.i.F..XXX ::I1hT.E...... . f?!r.................................................... 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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. 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 7/15/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/15/2016 S108764223. 17.10 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 CUSTOMERCUSTOMER NUMBER •• NUMBER RELEASE NUMBER TERMS 74918 S16270 PT 10TH PROX NET 30TH SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE DARREN HARING PK PICK-UP LARRY SCHIMMEL FISHERS 317-598-6170 07/07/16 ORDERQTYj SHIPQTY 2ea 2ea CARL LT43H 855.13 100e 17.10 0.34 1-1/2"STRAIGHT LIQUIDTIGHT FTG. Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 7/7/2016 9109764223.001 Invoice Number S108764223.001 Subtotal 17.10 If paid by 08/10/16 you may deduct$0.34 S&H Charges 0.00 invoice is due by 08/31/16 net of any cash discount. AFQSales Tax0.00 .mow 1ABBY 9exIt3ffL ' • 17.10 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 7/15/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/15/2016 S108761999. 23.20 1 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 CUSTOMER • '• NUMBER RELEASE NUMBER TERMS 74918 Admin Bldg PT 10TH PROX NET 30TH SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE RICH R COLLINS 23-2 ROUTE 2 JOE FAUCETT FISHERS. 317-598-61.70 07/07/16 ORDER QQTY DESCRIPTION ITEM PRICE I UNIT EXTAMOUNT CASH DISC 14ea 14ea ARLI CP3540 165.68 100ea 23.20 0.46 COVER PLATE Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 07-07-201611:44:12AM Invoice Number S108761999.001 x106761999.001 Subtotal 23.20 If paid by 08/10/16 you may deduct$0.46 S&H Charges 0.00 Invoice is due by 08/31/16 net of any cash discount. Sales Tax, 0.00 +per Dev,5yne J • 9 23.20 0001:0001 i Kirby RISk Page 1 of 1 Kirby Risk I NVOIC E INVOICE DATE INVOICE 1815 Sagamore Pkwy - NUMBER - Lafayette, IN 47904 06/23/16 S108682793.002 74918 _ DUE DATE TOTALDUE AMOUNT ■ 07/31/16 13.20 r3.a0 KIRBY RISK CORPORATION 27561 NETWORK PLACE CHICAGO IL 60673-1275 2301 AB 0.399 E0220X 10350 D1778298521 S2 P3344037 0001:0001 SHIP TO: Illl��r�lll�ll��lllllllllll�ll�l"III�'I�I'��I�I'IIIII�I��IIII�I� CARMEL WWTP CARMEL WWTP ATTN: DUANE JARVIS ATTN: PAUL ARNONE 9609 HAZEL DELL PKWY 9609 HAZEL DELL PKWY INDIANAPOLIS IN 46280-2935 INDIANAPOLIS IN 46280-2935 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT _ • e -e 74918 S16105 PT 10TH PROX NET 30TH SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATJ IDMS-XML 23-2 ROUTE 2 DUANE JARVIS FISHERS 317-598-6170 06/23/16 ORDERQTYJ SHIPCITY lea lea PHIL 12T8/48-4000 IF 10/1 13.20 lea 13.20 0.26 453605 Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S108682793.002 Subtotal 13.20 If paid by 07/10/16 you may deduct$0.26 S&H Charges 0.00 Invoice is due by 07/31/16 net of any cash discount. Sales Tax0.00 • • 1 13.20 0001:0001 Kirby Risk Page 1 of 1 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER KIRBY RISK CORPORATION 27561 NETWORK PLACE IN SUM OF$ 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. $113.48 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Street Department Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT S108744913.001 43-504.00 $113.48 1 hereby certify that the attached invoice(s),or 7/1/16 S108744913.001 $113.48 1206 101 1206 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Tuesday,July 12,2016 Dave Huffman Director I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT • • i R.P• 95776 241 motor NET 30 DAYS SALESPERSONORDERED BY SALES OFFICE PHONE RICH R COLLINS WC51 WILL-CALL Mike Kalogeros FISHERS 317-598-6170 07/01/16 ORDER QTY SHIP QTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC lea lea AB 80OFM-LSM33 21.87 lea 21.87 80OF ILLUMINATED SELECTOR SWITCH, METAL lea lea AB 800F-N5G 35.51 lea 35.51 Integrated LED, Latch Mount, 120V AC/DC, Green LED 4ea 4ea AB 80OF-X10 12.29 lea 49.16 80OF CONTACT BLOCK, LATCH MOUNT, SCREW TERMINATION lea lea AB 80OF-ALM 6.94 lea 6.94 Metal Latch Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 7/5/2016 9108744913-001 Invoice Number S108744913.001 Subtotal 113.48 S&H Charges 0.00 Invoice is due by 07/31/16. + Sales Tax 0.00 Mite Rsloyeroe "gifirSTURM 113.4$ 0001:0001 Kirby Risk Page 1 of 1 I(R- Kirby Risk :::::.............:.... WC51 KIRBY RISK DISTRIBUTION CENTER900 S108744913 . 001 5501 W 52ND ST INDIANAPOLIS IN 46254-1637 Page 1 of 2 317-687-0015 Fax 317-298-2888 SOLD TO: SHIP TO: CITY OF CARMEL STREET DEPARTMENT CITY OF CARMEL STREET DEPARTMENT 3400 W 131ST STREE 3400 W 131ST STREET WESTFIELD, IN 46074-8267 WESTFIELD, IN 46074-8267 317-733-2001 fax 317-733-2005 U$: .ER::::IUM R ..TOM AEE:::::: :.s::::::::::::::::::::::::::: >:GU511R1DR..D.DIt:: HtMt9lE>::»::::»>::::>:::::::>::::::>::.>::»:........... ..... R�:EEl4 �`E:P1UMBftt?<:::>:::<:>«:>::?:s:i<:>::!<::::::<:<s>::>E:::>:s<><::»::E:::<:::<::SIlR.P 95776 241 motor ................... :..:::::::,::::::::::::.:::::7RUh£�.BY..:::::,.:.:::...........:.....................:::514L€S..#RUE�t. ........................SEES?..BRANC[#....................fJ.IP..31ATE......... RICH R COLLINS Mike Kalo eros S108744913 . 001 900 07/05/16 GiiPiQk:..........................................................btem..Prlce.:..::.. Unit.:.:::::::::..::. Ext Pr��e ********* Shipping Instructions *** ****** * call Mike when in 317-443-0841 ******************PHONE#*********** ****** * 317-443-0841 *********************************** ****** 1 1 ea AB 80OFM-LSM33 80OF ILLUMINATED SELECTOR SWITCH, METAL 1 1 ea AB 800F-N5G Integrated LED, Latch Mount, 120V AC/DC, Green LED 4 4 ea AB 80OF-X10 80OF CONTACT BLOCK, LATCH MOUNT, SCREW TERMINATION 1 1 ea AB 80OF-ALM Metal Latch Carton: BOX-421066 Loc: 51 FISHER E Carton: BAG-372491 Loc: 51 FISHER E Lj-of- AWL- a l(R- KirbyRisk wC5i KIRBY RISK DISTRIBUTION CENTER900 S108744913 . 001 5501 W 52ND ST INDIANAPOLIS IN 46254-1637 Page 2 of 2 317-687-0015 Fax 317-298-2888 SOLD TO: SHIP TO: CITY OF CARMEL STREET DEPARTMENT CITY OF CARMEL STREET DEPARTMENT 3400 W 131ST STREE 3400 W 131ST STREET WESTFIELD, IN 46074-8267 WESTFIELD, IN 46074-8267 317-733-2001 fax 317-733-2005 «<:: ttSG. : :�IItt:NUMB $:.;;.;::.;:.;::<::::::::::.:.:::::::::::::::::::..:: :::::::::::::::::::::::::,.:::::::::::::::::::::: : . :::::::::::::::::....:.:::..:...............................................................................:...:....:.:::::::.::.:.:::::::::.:::. .:..:.,.:R LEl4S ..NUM...... .....................................................SfIF.PLI.�R:•;49DE.;:<.;;:.;;:.;:.;:.;:.:;.;:.;:.;:.;:; 95776 241 motor ...................... ............ ..:..:.........SAE€5:. tti�t.:�F:::::::::::::::.::•:::::::SEi F..:.BR/iNG :::::::::..::.::::::..SH.IA:.D#�T.E.::::::::: RICH R COLLINS Mike Kalo eros 5108744913 . 001 900 07/05/16 ER QTY $flZP.:RTY•::::. U.M :::::. 7�k51; i!iiON t#gym Priee.:::::::::::.::Unfit:..:....:::::.:.::::..::Ext::Prl.ce..:.::::: 15)216 5109794913_�O7 ar iYe Raloge=oe .......................................... ....................................... ......................................... ........................................ ......................................... ........................................ ......................................... ........................................ ......................................... ........................................ ......................................... ........................................ ......................................... ........................................ ......................................... ........................................ ......................................... ........................................ ......................................... ........................................ ......................................... ........................................ ......................................... ........................................ ......................................... ........................................ ......................................... ........................................ ......................................... ........................................ ........................................ ........................................ ........................................ ........................................ ........................................ ........................................ ......................................... ........................................ ......................................... ........................................ ......................................... ........................................ ........................................ 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. 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. $198.38 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Street Department Terms Date Due PO.# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT S108768713.001 43-504.00 $198.38 1 hereby certify that the attached invoice(s),or 7/11/16 S108768713.001 $198.38 1206 101 1206 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, July 19,2016 Dave Huffman Director 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 20Cost 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 95776 241 Chand NET 30 DAYS SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE RICH R COLLINS WC51 WILL-CALL Mike Kalogeros FISHERS 317-598-6170 07/11/16 ORDER CITY SHIP CITY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC 3ea lea AB 80OFM-LSM33 21.87 lea 21.87 80OF ILLUMINATED SELECTOR SWITCH, METAL 3ea 3ea AB 800F-N5G 35.51 lea 106.53 Integrated LED, Latch Mount, 120V AC/DC,Green LED 4ea 4ea AB 80OF-X10 12.29 lea 49.16 80OF CONTACT BLOCK, LATCH MOUNT, SCREW TERMINATION 3ea 3ea AB 80OF-ALM 6.94 lea 20.82 Metal Latch Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 701202016 7:00:37 AM 6108768713.001 Invoice Number S108768713.001 Subtotal 198.38 S&H Charges 0.00 Invoice is due by 08/10/16. Sales Tax 0.00 ��jj�� Mike Kalogeros • 198.38 0001:0001 ti( Kirby Risk Page 1 of 1 I(R Kirby Risk :::.:::.::::::::......................................... WC51 KIRBY RISK DISTRIBUTION CENTER900 S108768713 . 001 5501 W 52ND ST INDIANAPOLIS IN 46254-1637 Page 1 of 2 317-687-0015 Fax 317-298-2888 SOLD TO: SHIP TO: CITY OF CARMEL STREET DEPARTMENT CITY OF CARMEL STREET DEPARTMENT 3400 W 131ST STREE 3400 W 131ST STREET WESTFIELD, IN 46074-8267 WESTFIELD, IN 46074-8267 317-733-2001 fax 317-733-2005 :.::.............. ....................................................................................................... . . ;:<.;:.;:.........................:.....::........::::....:::::::::::::::: >;.::>: :<s:> ::::: ISfC R:: `s HE :::: :........?:::::::::....:::>::>:':::`:€::::::'€i ;::>::: 'Pt :: ::::>::::>:::::: 95776 1241 Chand ;;;:.:............................. : .....................::::::....................................:::::::::::::::::::::::::::::::::...................... . . ::>:: IfFiX:»:..... :>>:s>::>:: >::>::::>::>::>::::>::::> >::::::::::>::::::>::ORRF 4>:�Y:'::::>:::>::::::::>:::::>:::::::>::::::::?::::<::<::?::?:<>5A��:'Q1t0�:'�:>> >:<::> RICH R COLLINS Mike Kalogeros S108768713 . 001 900 07/12/16 k:<::<:::::.: <:::>:::>:::::f� ::;:>::::»»:>:>::>::;::>::::::>::::::::>:.........:>::>::>::>::>::>::>::»::>::>::>::I TP..Ii�N>>:>':::>::::>::::>::::>:::::::::>:::::::::::::>::::>::>::> :<::<:>:<::::::::::: ra::: i ;::>:::::>:::::::>::>F1 :::::::»::<»::»::::::::»::::>...::< .. ::>::::::>::>: :.:.:nt .:::..:::::::.::.::: :. c :: .:. :::::::::::::::::::::::::..:::::::::..::::::::::::::::::.:::::.::::::::::::::::::.::::::.:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::...::::::::::::._:::::::::.:::::.:;.............................................................. ********* Shipping Instructions *** k****** * Call Mike when in 317-443-0841 ******************PHONE#*********** ****** * 317-733-2001 *********************************** ****** 3 ea AB 80OFM-LSM33 80OF ILLUMINATED SELECTOR SWITCH, METAL 3 3 ea AB 800F-N5G Integrated LED, Latch Mount, 120V AC/DC, Green LED 4 ea AB 80OF-X10 80OF CONTACT BLOCK, LATCH MOUNT, SCREW TERMINATION 3 3 ea AB 80OF-ALM Metal Latch Carton: BOX-353126 Loc : 51 FISHER E Carton: BAG-176086 Loc : 51 FISHER E * The ollowi g ' tems are scheduled for backorder: 2 B/O AB 80OFM-LSM33 80OF ILLUMINATED SELECTOR SWITCH, METAL LaQ eu�o5 Gs� -�y� 10R, Kirb Risk Y WC 51 KIRBY RISK DISTRIBUTION CENTER900 S108768713 . 001 5501 W 52ND ST INDIANAPOLIS IN 46254-1637 Page 2 of 2 317-687-0015 Fax 317-298-2888 SOLD TO: SHIP TO: CITY OF CARMEL STREET DEPARTMENT CITY OF CARMEL STREET DEPARTMENT 3400 W 131ST STREE 3400 W 131ST STREET WESTFIELD, IN 46074-8267 WESTFIELD, IN 46074-8267 317-733-2001 fax 317-733-2005 :...............:................................................................. ................ ....................... .................................................................. ................. . ....... ...... .... .. :' T € Rk ?Nf# I ::>:>:>'.:::s»>::;>:>:::::>':>::>:s>::>::>:::>:::Rh ':kttfil ::>::>:<:>:::>:`::::>:::>:::`: :':::::>3a:>:'::>:>`:>`: '::: 'P(<FI «< < :`; »> 95776 241 Chand ::>..: .:. :.::::..................................................................................................................................................................................................................................................... RICH R COLLINS Mike Kalogeros 5108768713 . 001 900 07/12/16 .... t�.................................................................................................................................................................................................................................................................................... :::............................................................................................................................................................................................................................................................................................. 711212016 7:00:37 AM S108768713.001 Mike Kalo eros Ell: 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 7/5/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/5/2016 S108743299. 181.21 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 s e •® 74918 S16231 PT 10TH PROX NET 30TH SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE IDMS-XML 23 INDIANAPOLIS DUANE JARVIS FISHERS 317-598-6170 06/27/16 ORDERQTYJ SHIPQTY I DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC 25ft 25ft CORD SOOW-4/4-BLA-UL-KRWP 7248.58 1 000f 181.21 3.62 4/4 SOOW UUCSA-BLK 16084.40.01 Billing Questions:Bill!ng_request@kirbyrisk.com(765)446-3054 06-27-2016 01:07:54 PM Invoice Number S108743299.002 S108743299. 2 1 Subtotal 181.21 If paid by 07/10/16 you may deduct$3.62 I n 1� � S&H Charges 0.00 Invoice is due by 07/31/16 net of any cash discount. L1 �JJJ Y Sales Taxi 0.00 D"d T A • 3 181.21 0001:0001 MAM Kirby Risk Page 1 of 1 9 .................................. Kirby Ma 23 KIRBY RISK CORPORATION 950 5108743299 . 002 1940 STOUT FIELD EAST DRIVE INDIANAPOLIS IN 46241-4011 Page 1 of 1 317-687-0015 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 M :::::.::::::......:.:::::::.:_:::�� ..............................::::::::::::::::::.:..:::::::::::::.::.:::..:..:s :: 74918 S16231 ......................::: : :::::>:: ;:.;:.;:.;;:.;:.;:.;:;.;;:.:;;;:;.;::......;;:.;:.;::...:.........::.....................:::::::::.:::.::..::::::::::::.::..:..:....::.........::.:::::.::::::::::::::::::.......::.....:....:..:::..... ......::........:..:.....:::::::::. .......... {JfEi? p.. ..................................................... R1S.ARp ::#:::::>::>::>::>::::>:::::::»:::::::.SHI....BfN ...................SH ...11A..�.......... IDMS-XML DUANE JARVIS � S108743299 . 002, 950 06/27/16 :::::::::::.:.::::::::.::::::::::::::::.:::::::.........:...........:..::::::::::::::::::.::::::::.::::.::::::::::::::::::::.:..::_::..::.:..:::..:::::::::::..:::..::::::.::::::::::::.::..::..:.:::.:::::::::::::. €3Rll l..t}............SH1...a............OM............ ........................................................... I ................ .it::>::;:::>:;:<:»:>:::«::....::t::::P:':: >::::»: :::: ::::::::::.:::...3 SfRt`.I. t...........................................................I1�t..i?i..L................E It...........................Fx......r .......... ::..:........: ::::::: .:::..:............:..;.::•::;:..,.;;;:::::::::.;:<.; ;::;: ;:;: :::::.;:::,:;>::.;: .... .::::<::......::.::::............ ;:;<:.;:< ********* Shipping Instructions *** ****** * ********************************* **** * * SHIP COMPLETE * ********************************* **** * ******************PHONE#*********** ****** * 317-571-2634 1640 *********************************** ****** 25 25 ft CORD SOOW-4/4-BLA-UL-KRWP 7248 .58 1000ft 181 .21 4/4 SOOW UL/CSA-BLK 16084 .40 . 01 Packag s : P GS : 1 BNDL: 0 REEL: 0 SKID: 0 RLRL: AFRM: lt1[<«€ 181.21 ......................................... ........................................ ......................................... 0.00 ........................................ ........................................ ........................................ ........................................ ........................................ ......................................... an =€t > > > 0. 00 3 € 181.21 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. 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 7/6/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/6/2016 S108610668. 7,100.37 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 -CUSTOMER-NUMBER'l- ® •• - 74918 1 S16060 I PT 10TH PROX NET 30TH SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE TOM MYERS DIRECT JEFF COOPER FISHERS 317-598-6170 06/27/16 ORDER QTY SHIP QTY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC 12ea 12ea HITA HSTD10026 328.98 lea 3947.76 17T SPKT KRPNM "SUBJECT TO VENDOR RETURN POLICY" DELIVERY:4-6 WEEKS A.R.O. 720 HMAX Style, 16.59 PD,Split, CS Rim, Idler, 4.00 LTB, bored for static sleeve HSTD10071 12ea 12ea HITA HSTD10071 247.94 lea 2975.28 STATIC SLEEVE BEARING KRPNM "SUBJECT-TO VENDOR RETURN POLICY`* DELIVERY:4-6 WEEKS A.R.O. HMAX, Nyloil, Bolt Assembly,4.10 Face,Split,2-15/16"bore Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S108610668.001 Subtotal 6923.04 S&H Charges 177.33 Invoice is due by 07/31/16. Sales Tax 0.00 10�• M 7100.37 0001:0001 tIV( Kirby Risk Page 1 of 1 Packing Slip SENQCIA MARCO, Ltd. 3529 N.W.Yeon Ave SHIP TO: CARMEL WWTP Portland,OR 97210 1 ATTN: DUANE JARVIS 800-241-8209 770-424-9350 Fax:800-241-9145 9609 HAZEL DELL PKWY www.senqciamaxco.com TAG: *516060* i INDIANAPOLIS IN 46280-2935 SOLD TO: KIRBY RISK-FISHERS 1110 ALLISONVILLE RD f FISHERS IN 46038 : � me.. 7nted Dake :Pxa r Ced <:Customex...#. S ? To #::: P k[<r$J Y Order..:: .... 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