HomeMy WebLinkAbout301406 07/28/16 rt,4q-
�%" "'' CITY OF CARMEL, INDIANA VENDOR: 00351017
j; ® ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: $*******631.88*
?�
CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 301406
9�'�frus-Eos CHICAGO IL 60673-1275 CHECK DATE: 07/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 S108766552 182.47 OTHER EXPENSES
601 5023990 S108776820 198.50 OTHER EXPENSES
651 5023990 S108777694 140.64 OTHER EXPENSES
601 5023990 S108780287 72.60 OTHER EXPENSES
651 5023990 5108780757 37.67 OTHER EXPENSES
VOUCHER # 165786 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
S108766552.( 01-720T-06 182.47
���87��bg�l•®oa
S tdg7$C)'7S?.00 a
oi.-79n9•o(� `37, b, ,
S 1 Oq-7-7-7,0q. 0o l
.. Ao.-72
Voucher Total2'
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service,where
performed, dates 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 7/25/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/25/2016 S108766552. 182.47
I hereby certify that the attached invoice(s), or bill(s)Js(are)true and
correct and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
CUSTOMER NUMBER CUSTOMER •.
NUMBER RELEASE NUMBER TERMS.-
74918 S16275 PT 10TH PROX NET 30TH
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
KEVIN R FORD UPS GROUND DUANE JARVIS FISHERS 317-598-6170 07/18/16
ORDERQTYJ SHIPQTY I DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC
2ea 2ea MILW 48-11-2230 85.37 lea 170.74 3.41
BATTERY 18V 2.4 Ah
**SUBJECT TO VENDOR RETURN POLICY**
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S108766552.001
Subtotal 170.74
If paid by 08/10/16 you may deduct$3.41 S&H Charges 11.73
Invoice is due by 08/31/16 net of any cash discount. Sales TaX 0.00
• � 182.47
0001:0004 Kirby Risk Page 1 of 1
rERAIS AND CONDITIONS OF SALE
ACCEPTANCE OFTHE GOODS PURCHASED ON THIS INVOICE CONSTITUTES AND
ACCEPTANCE OF THE TERMS AND CONDITIONS OF SALE'vArHICH FOLLOW:
(I) Stock Merchandise is subject to a return charge. No goods may be returned without a shipping ticket
and/Or invoice number and prior authorization. V
(2) Non-Stock Merchandise is not returnable unless;we can secure a"Returned Goods Authority"from
the vendor.
(3) The Customer acknowledges acrd agrees that in all purchases of goods and services from Seller,Seller
gives no express warranties,or implied walTanties of merchantabil.i.ty and fitness for any particular
purpose.
(4) The Customer agrees that Seller will not be liable for any consequential and incidental damages arising
from any cause associated with the goods purchased from Seller.
(5) Taxes—Prices show-a do not include sales or other taxes imposed on the sale of goods.Taxes now or
hereafter imposed.upon sales or shipments will be added to the purchase price. Buyer agrees to
_ reimburse Seller for any such tax or provide Seller with acceptable tax exemption certificate.
(6) Delay in Delivery—Seller is not to be accountable,for delays in delivery occasioned by acts of God or
Other circumstances over which Seller has no direct control. Factory shipment or delivery dates are the
best estimates of our suppliers,and in no case shall Seller be liable for any consequential or special
damages arising from any delay in delivery.
(7) Waiver—The failure of Seller to insist upon the performance of any of the terms or conditions of this
contract or to exercise any right hereunder shall not be deemed to be a waiver of such terms,
conditions or right in the future,nor shall it be deemed to be a waiver of any other term,condition,or
right under this contract.
(8) Modification of Terms and Conditions—No terms and conditions other than those stated herein,and
no agreement or it.riderstanding,in.any way purporting to modify these terms;or conditions,shall be
binding on Seller without Seller's written consent.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOOMER •• NUMBER j RELEASE NUMBER TERMS,
74918 S16299 I I PT 10TH PROX NET=
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
KEVIN R FORD 23 INDIANAPOLIS LARRY SCHIMMEL FISHERS 317-598-6170 07/18/16
ORDER QTY SHIP QTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
10ea 10ea CARL E940H 25.63 100ea 2.56
1-1/2"SCH 40 COUPLING
6ea 6ea CARL E942H 34.04 100ea 2.04
1-1/2"SCH 40 FEMALE ADAPTER
6ea 6ea CARL UA9AH 85.15 100ea 5.11
1-1/2"SCH 40 STD 90 DEG ELBOW
4ea 4ea CARL E986H 331.27 100ea 13.25
1-1/2"TYPE LB CONDUIT BODY
6ea 6ea HUBB SHC1034 4.66 lea 27.96 0.56
3/4" .5-.625 CONN
ALUMINUM CORD CONN
6ea 6ea HUBB SHC1041 6.15 lea 36.90 0.74
1" .625-.75 ALUMINUM CORD CONN
10ea 10ea HUBB SS13 1.56 lea 15.60 0.31
10LLPLATE, 1-G, BLANK,SS
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 07-18-201612:45:17 PM Invoice Number s108777694.002
Subtotal 103.42
If paid by 08/10/16 you may deduct$1.61 f S&H Charges 0.00
Invoice is due by 08/31/16 net of any cash discount. !� lJ Sales Tax 0.00
..,,,,
• 103.42
0002:0004 A Kirby Risk Page 1 of 1
TERMS AND CONDITIONS OF SALE
ACCEPTANCE OF THE GOODS PURCHASED ON THIS INVOICE CONSTITUTES AND
ACCEPTANCE OF THE TERMS AND CONDITIONS OF SALE WI-HCH FOLLOW:
(1) Stock Merchandise is subject to a return charge. No goods may be returned without a shipping ticket
and/or invoice number and prior authorization.
(2) Non-Stock Merchandise is not returnable unless we can secure a"Returned Goods Authority"from
the vendor.
(3) The.Customer acknowledges and agrees that in all,parchases of goods and services from Seller Seller
gives no express warranties.or implied warranties of merchantability and fitness for any,particular
PLWPOSe.
(4) The Customer agrees that Seller will not be liable for any consequential and incidental damages arising
from any cause associated with the goods purchased frorn Seller.
(5) Taxes—Prices shown do not include sales or other taxes imposed on the sale of goods. Taxes now or
hereafter imposed upon sales or shipments will be added to the purchase price. Buyer agrees to
reimburse Seller far any such tax or provide Seller-with acceptable tax exemption certificate.
(0) Delay in Delivery—Seller is not to be accountable for delays in deliverv,occasioned by acts of God or
other circumstances over which Seller has no direct control. Factory shipment or delivery dates are the
best estimates of our suppliers.,and in no case shall Seller be liable for any consequential or special
damages arising from any delay in delivery.
(7) Waiver—The failure of Seller to insist upon the performance of any of the terms or conditions of this
contract or to exercise any right herewider shall not be deemed to be a waiver of such terms,
conditions or right in the future, nor shall it be deci!�ncd to be a waiver of any other term,condition,or
right L111dCr this contract.
(8) Modification of Terms and Conditions—No terms and conditions other than those stated herein,and
no agreement or anderstaucting,in.any way purporting to modify these terms, or condition-,;,shall be
binding on Seller without Seller's written consent.
----------------------- M ------------ ------------- ----------------------------------- - =
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER • •• I ..-RELEASE.NUMBER TERMS
74918 S16303 PT 10TH PROX NET 30TH
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
JOAN HEBNER UPS GROUND DUANE JARVIS FISHERS 317-598-6170 07/18/16
ORDERQTYl SHIPQTY I DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
5ea 5ea T&B CKPM 525.69 100e 26.28 0.53
1G NM WIU MEDIUM COVER,XDUTY,CLR
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S108780757.001
Subtotal 26.28
If paid by 08/10/16 you may deduct$0.53 S&H Charges 11.39
Invoice is due by 08/31/16 net of any cash discount. Sales Tax 0.00
I • 37.67
0004:0004 �p� Kirby Risk Page 1 of 1
TERMS AND CONDITIONS OF SALE
ACCEPTANCE OF THE GOODS PURCHASED Oil THIS INVOICE CONSTITUTES AND
ACCEPTANCE OF THE TER NXIS,4ND CONDITIONS OF SALE WHICH FOLLOW:
(1) Stock Merchandise is subject to a return charge. No goods may be returned without shipping ticket
and/or invoice number and prior authorization.
(2) Non-Stock Merchandise is not returnable unless we can secure a"Returned Goods Authority"fl-orn
the vendor.
(3) The Customer acknowledges and agrees that 111,111 purchases of goods and services from Seller, Seller
gives no express warranties,or implied warranties of merchantability and Fitness for any particular
purpose.
(4) The Customer agrees that Seller will not be liable for any consequential and incidental damages arising
from any cause associated with the goods purchased from Seller.
(5) Taxes—Prices shown do not inchide sales or other taxes imposed on the sale of goods.Taxes now or
hereafter imposed upon sales or shipmentsxi.1.1 be added to the purchase price. Buyer agrees to
reimburse Seller tior any such tax or provide Seller with acceptable tax exemption certificate.
(6) Delay in Delivery—Seller is not to be accountable for delays in delivery occasioned by acts of God or
other circumstances over which Seller has no direct control. Factory shipment or delivery dates are the
best estimates of our suppliers., and in no case shall Seller be liable for any consequential or special
damages arising from any delay in delivery.
(7) Waiver—The failure of Seller to insist upon the performance of any of the terms or conditions of this
contract or to exercise any right hereunder shall not be deemed to be a waiver of such terms,
conditions or right in the future, nor shall it be deemed to be a waiver of any other term,condition,or
right under this contract.
(8) Modification of Terns and Conditions—No term.,and conditions other than those stated herein,and.
no agreement or understanding, in any way purporting to modify these terms,or conditions,shall be
binding on Seller without Seller's written consent.
- -----------------------------------------------------------
DETACH UPPER PORTION AND R N WITH YOUR PAYMENT
CUSTOMER • •• NUMBER RELEASE NUMBER TERMS
74918 S16299 PT 10TH PROX NET 30TH
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER I SHIP DATE
KEVIN R FORD 23 INDIANAPOLIS LARRY SCHIMMEL FISHERS 317-598-6170 1 07/18/16
ORDERQTYJ SHIPQTY
6ea 6ea HUBB SHC1022 4.10 lea 24.60 0.49
1/2".25-.375
ALUMINUM CORD CONN
20ft 20ft *PVC 2"SCH 40 NM CONDUIT 10' 63.11 100ft 12.62 0.25
PRIME 49011-010 OR CTX A52CA12
QUEEN CITY 1102031
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 071 s-201612:45:17 PM Invoice Number S108777694.003
Subtotal 37.22
If paid by 08/10/16 you may deduct$0.74 J 3 S&H Charges 0.00
Invoice is due by 08/31/16 net of any cash discount. �0 Sales Taxl 0.00
► • 37.22
0003:0004 OVA Kirby Risk Page 1 of 1
'I'ERIMS AND CONDITIONS OF SALE
ACCEPTANCE OF THE GOODS PURCHASED ON THIS INVOICE CONSTITUTES AND
ACCEP'T'ANCE OF THE TE RIMS AND CONDITIONS OF SALE WHICH FOLLOW:
(l) Stock Merchandise is subject to a return charge. No goods ma_y be returned without a shipping ticket
andior invoice number and prior authorization.
(2) Non-Stock Merchandise is riot returnable unless we can secure a"Returned Goods Authority"from
the vendor.
(3) The Customer acknowledges and agrees that in all purchases of goods and services from Seller, Seller
gives no express warranties,or implied warranties of merchantability and fitness for any particular.
purpose.
(4) 17lre.Customer agrees that Seller will not be liable for any consequential and incidental damages arising
from any cause associated with the goods purchased from Seller.
(5) Taxes—Prices shown do not include sales or other taxes imposed on the sale of goods. Taxes now or
hereafter imposed upon sales or shipments will be added to the purchase price. Buyer amrees to.
reimburse Seller for any such.tax or provide Seller with acceptable tax exemption certificate.
(G) Delay in Delivery—Seller is not to be accountable for delays in delivery occasioned by acts of God or
other circumstances over which Seller has no direct control. Factory shipment or delivery dates are the
best estimates of our suppliers,and in no case shall Seller be liable for any consequential or special
damages arising from any delay in delivery.
(7) Waiver—The failure of Seller to insist upon the performance of any of the terms or conditions of this
contract or to exercise any right hereunder shall not be deemed to be a waiver of such terms,
conditions or right in the future.nor shall it be deemed to be a waiver of any other term.condition,or
right under this contract.
(8) Modification of Terms and Conditions—No terms and conditions other than those stated herein,and
no agreement or uriderstanding,in.any way pu.rporing to modify these terms, or conditions, shall be
binding on Seller without Seller's written.consent. :
VOUCHER # 162137 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
1087802/(817.11 01-6200-02 772.60 '
I(�VVnuC- ix I Gz.�
Voucher Total tr 72.60
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts 'City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates 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 7/23/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/23/2016 108780287.1 72.60
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
11788 KR71816-B NET 30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER I SHIP DATE
JOAN HEBNER PAR PARCEL DLVY KEN RHODES FISHERS 317-598-61707707/18/16
ORDER QTY I SHIP QTY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT I CASH DISC
3ea 3ea AB 800T-N42 12.10 lea 36.30
PILOT LIGHT CAP, PUSH-TO-TEST,AMBER
3ea 3ea AB 800T-N40 12.10 lea 36.30
RED COLOR CAP
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S108780287.001
Subtotal 72.60
S&H Charges 0.00
Invoice is due by 08/17/16. Sales Tax 0.00
• 72.60
0001:0001 Iia1( Kirby Risk Page 1 of 1
TERMS AND CONDITIONS OF SALE
ACCEPTANCE OF THE GOODS PURCHASED ON THIS INVOICE CONSTITUTES AND
ACCEPTANCE OF THE TERMS.SND CONDITIONS OF SALE WITICH FOLLOW:
(l) Stock Merchandise is subject to a return charge. No goods may be returned without a shipping ticket
and/
or invoice number and prior authorization.
(2) Non-Stock Merchandise is not returnable unless:we can secure a"Returned Goods Authority"from
the vendor.
(3) The Customer acknowledges and agrees that in all'purchases of goods and services from Seller,Seller
gives no express warranties.or implied Warranties of merchantability and fitness for any particular
purpose.
(4) The Customer agrees that Seller will.not be liable for any consequential and incidental damages arising
from anv cause associated with the goods purchased from Seller.
(a) Taxes—Prices shown do not include sales or other.taxes imposed on the sale of.'goods.Taxes now or
hereafter imposed.upon sales or shipments,,vil_t be added to the purchase price. Buyer agrees to
reimburse Seller for any such tax or provide Seller with acceptable tax exemption certificate.
(6) Delay in Delivery—Seller is not to be accountable for delays in delivery occasioned by acts of God or
other circumstances over which Seller has no direct control. Factory shipment or delivery dates are the
best estimates of our suppliers,and in no case shall Seller be liable forany consequential or special
damages arising from any delay in deliverv.
(7) Waiver—The t:ailure of Seller to insist upon the performance of any of the terms or conditions of this
contract or to exercise any right hereunder shall not be deemed to be a waiver of such terms,
conditions or right.in the future, nor shall it be deemed to be a waiver of any other term, condition,or
right udder this contract.
(8) Modification of Terms and Conditions—No terms and conditions other than those stated herein,and
no agreement or understanding,.in.any way purporting to modify these terms,or conditions, shall.be
binding on Seller without Seller's written consent.
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER • •• NUMBER RELEASE NUMBER TERMS
11788 KR71416 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 07/14/16
ORDERQTYJ SHIPQTY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC
3ea 2ea HOFF CWHPTO 99.25 lea 198.50
PADLOCK HANDLE
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S108776820.001
Subtotal 198.50
S&H Charges 0.00
Invoice is due by 08/13/16. Sales Tax0.00
• 198.50
000i:000l p.
Kirby Risk Page 1 of 1
TERMS AND CONDITIONS OF SALE
ACCEPTANCE OF THE GOODS PURCHASYD ON THIS INVOICE CONSTITUTFES AND
ACCEPTANCE tela'THET MNISANI) CONDITIONS OF SALE WHICH. FOLLOW
(1) Stock idembsudbe is subject to a return charge. No good;slay be returned.WithOU1 al_,'hippin,� i
1d/or invoice iruniber and p,-i )j-atith,,rizatior
(2) Non-Stock Aterchandise is not returnable LLnICs,'."we can secure a'Returned.Cioods Audoritv"f1rorn
Uwvcridor.
(3) Ite Customer-acknowledges and igrees that in aII Purcliascs ofgoods and.services frorn.Seller, Seller
gives Ilk)cNprcss. or impHed warran.10 ofmci-charitability, and lf�itncss fbran�y,rn:rtiotflar
ptrqpose.
(4) The CuMmer agrees that Seller %vill not be it W ally consequential and Acidental damages irking
frorn 'IL
good
(5) Taxes--Pricesshown do,not include sales 01,other mxes ilrposed on thesale of goods. Taxes TIW-V OV
hereaRer imposed upwi sales or shi priients will be atelcled to the purchase price. Buyer ag - s
reimburse Seller lbr anysuoh tax oi-provide Scllcr,,vith acceptable tax c%orription certificate,
(6) DeMy in IWIlivery--A%A riot to be accountablet'or delays delivery occaskied by acts of Gad or
other eirc.rinslances weer-,vhich Seller has no direct control. Factory shipment or delivery dates aro the
bmt wimmes of our mTobrst and in no cwn sball Seller be Hat)le :or,,lily consequeritial or special
dwmges Wng, Cron-, any dcIny in delivcry
(7) Waiver--TV fAhre of SdIer to insist upon the perforinance of any of the terrri.s or conditious ofthis
contract or it)cNercise any right.hammder hall riot be dcorriod to be a waiver ol'such terms,
conditions or ri.,ghf in he Arture.nor sliall 4 be deenwd W be a waiver of any,.niter term,condition,or
right under this coridwN.
(8) Modificadion or Terms and Undkions-No terrns and conditions 0111er than.ITIOSe stated herein,and
no agreement or undmNrandbg in any way purporting to modify these terms,or conditions, shall be
bidding on Seller Nvithout Seller's WrilteTl C01ISellL.
I(R Kirby Risk
PAR
KIRBY RISK DISTRIBUTION CENTER900 S108780287 . 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
.:.::...:::::....:.:,:.:.............................................................:.::::::•:::::::::.::::.::............................::::::::.:�:::::•::::.:::........... .:WADI*::::>;:;.:;:;;•>•;;:.;:.;;:.;:.;:.:
11788 KR71816-B
:.:...:::.:.......................................................:.:::::::::::::::::.....................................................................::.�::.�:::::::. y�R�S...aREIF.�.#.........................5€IIS.;�EtANGtE.:::::::::.:_.:::.. .
..................... .... ............
JOAN HEBNER KEN RHODES S108780287. 001 900 07/18/16
RA .:R7Y:::.:...St1�...D............i�h1...................................:::.::::::::::::::::::.:: :....:::::...::. :..... . ::.::::::.
................:.::::::::::::::::::::.::::.::.:::::::::::..................................................:A£SCR�P�:�aN::::::: ...................................I k�m..£r i.c�.::..:::::::::::4tr1i�. ........ . ..P.. .........
********* Shipping Instructions .*** ******
* ATTN: KENR
* ********************************* **** *
* SHIP COMPLETE
* ********************************* **** *
* 317-571-2669
*********************************** ******
3 3 ea AB 800T-N42 12 . 10 lea 36 . 30
PILOT LIGHT CAP, PUSH-TO-TEST,AMBER
3 3 ea AB 800T-N40 12 . 10 lea 36 . 30
RED COLOR CAP
Carton: BAG-382887 Loc: 7
Receiv
Date: 72 .60
0. 00
POd 7/06 IL-.9 0. 00
0 . 00
ACCT 7T■ r Vie. ..
e4 L taz ` le 72 .601
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 **
Is: ::
I(R Kirby Risk .::::::..: ...:.:. . ::.. ::.
PAR
KIRBY RISK DISTRIBUTION CENTER900 S108776820 . 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
:::::::...........................:::::::::::::.:::........... ::..........:....::.........::...... ...:::::::::::::::::::::::..::::::::::::::::::::::::::...:...:....:....
......................::::.::::.:::::::::::......................................................::::::::::::::::::....:...�k�,£�5£.Nle'�£R............................:.:..:::::::::.::. .......
...:.....,..::::. ..:.:.......:::..::.::.::::::.:.::::::::::::::::::::::::.:�: .: :� ;:.;:. SSR?PI.��it;t0i��.:.;:.:::::::::.:::::::::::
11788 KR71416
S ....:.:::::...:.�f�P.;AAT�:.;;:;;;:.;:
IDMS-XML KEN RHODES S108776820 . 001 900 07/14/16
..:.:......::::..:.:..:....:::..........:.::.:....:............:..:.:::::::::::.:: :: ....:.:.::. ::::.:�::.:..::I:k�t�.:P!'::C�::::::.........E�Itf1i....::.::::::.::::::::£x'�.:
********* Shipping Instructions *** ******
* ********************************* **** *
* SHIP COMPLETE
******************PHONE#*********** ******
* 317-571-2669
*********************************** ******
3 2 ea HOFF CWHPTO 99 .25 lea 198 . 50
PADLOCK HANDLE
Carton: BAG-331966 Loc: 7
* The Eollowing ' tems are scheduled for backorder:
1 B/O HOFF CWHPTO
PADLOCK HANDLE
Reee1Ved' a"
Date. 198.50
�zw g. 0 .00
P® c » ? 0. 00
ACCT 0.00
eo ==a «>
USe� i�/�Q ..........
e 198.50
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 **