HomeMy WebLinkAbout304061 10/10/16 CITY OF CARMEL, INDIANA VENDOR: 00351017
ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: $****"*497.52-
CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 304061
CHICAGO IL 60673-1275 CHECK DATE: 10110/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 5108884231 497.52 OTHER EXPENSES
VOUCHER# 162858 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
108884231.1 01-6200-02 497.52
Voucher Total 497.52
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 10/3/2016
Invoice Invoice Description
Date Number .(or note attached invoice(s) or bill(s)) Amount
10/3/2016 108884231.1 497.52
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
I(RKirby Risk ----INVOICE
1815 Sagamore Pkwy �, . .
Lafayette, IN 47904 09/19/16 S108884231.001 11788
DUE DATE TOTALDUE AMOUNT
10/19/16 497.52 �.rj'o�
KIRBY RISK CORPORATION
27561 Network Place
CHICAGO IL 60673-1275
SHIP TO:
49 1 AB 0.399 E0036X 10057 01879223244 S2 P3487880 0001:0001
I'I' I"I"III'�I"I'll'I�IIII'�'III"'I'I'�'ll�'�"�III�II'�I"I CARMEL WATER TREATMENT
CARMEL WATER TREATMENT 4915 E 106TH ST
3450 W 131ST ST CARMEL IN 46033-3800
CARMEL IN 46074-8267
-------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
'CUSTOMER -CUSTOM •• v r BIER' TERMS
11788 KR91916 NET 30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATI
JOAN HEBNER PAR PARCEL DLVY KEN RHODES FISHERS 317-598-6170 09/19/16
ORDER QQTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
lea lea AB 1769-OF2 497.52 lea 497.52
OUTPUT CARD
--- ------- ----- ---- - -
'rERN1S AND C011IDiTIONS OF SALE
ACCEPTANCE OP THE GOODS PURCHASED'ON THIS INVOICE CONSTI UYTES AND
ACCEPTANCE OF THE TERMS AND CONDITIONS OF SALE WHICH 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 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
frons 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
I(R Kirby Risk
PAR
KIRBY RISK DISTRIBUTION CENTER900 S108884231. 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
U
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::.::.......................................................:..:.:.. iES7(�htER .NIS£R......:::.:::::::::......:......................R{ 5 Nutt...:::.::::._:::::::::::::::::::::::.:: aF
11788 KR91916
:..:.:.....:.:::::::::::::::...::::::::.:::::::::::::::::::.:..:.:..:...........................................................:...::.:::::::::::::::::::::::::.::::°frhl£S:aRq : ::::.....................SHI....t#I AN €.............:::::.
JOAN HEBNER KEN RHODES S108884231 . 001 900 09/19/16
�............U ............................:...:.::::.:::::::::::::::::::.
********* Shipping Instructions *** ******
* ATTN KENR
* ********************************* **** *
* SHIP COMPLETE
* ********************************* **** *
* 317-571-2669
*********************************** ******
1 1 ea AB 1769-OF2 497 . 52 lea 497.52
OUTPUT CARD
Carton: BAG-355353 Loc: 7
er. .�ved.
-_
ACCT >>>' A07.52
0. 00
Use:
a 0. 00
. 00
497.52
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.
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