306846 1/06/17 CITY OF CARMEL, INDIANA VENDOR: 00351017
q CHECK AMOUNT: $"'"""'891.07'
(, ONE CIVIC SQUARE KIRBY RISK CORPORATION
CARMEL, INDIANA 46032 NETWORK PLACE CHECK NUMBER: 30684
CHIC
s CHICAGO IL 60673-1275 CHECK DATE: 01106/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 431.20 S108998799.001
601 5023990 136.22 S108999655.002
601 5023990 136.22 S109000089.001
601 5023990 17.94 S109024746.001
651 5023990 5109017702 169.49 5109017702.001
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CUSTOMER • •• NUMBER RELEASE NUMBER TERMS
74918 SMOKEY KNOLL LIFT PT 10TH PROX NET 30TH
SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
SALESPERSON
DARREN HARING WC29 WILL-CALL JOE FAUCETT FISHERS 317-598-6170 12/08/16
ORDER CITY SHIP CITY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
lea lea HOFF DAH1001A 169.49 lea 169.49 3.39
115V,50/60HZ,100W,0.9A
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 12/e/2016 5109017702-001 Invoice Number S109017702.001
Subtotal 169.49
If paid by 01/10/17 you may deduct$3.39 �Q S&H Charges 0.00
Invoice is due by 01/31/17 net of any cash discount. cam' ! Sales Tax 0.00
j,,, JOR FHACKTr • 169.49
0001:0001 /V( Kirby Risk Page 1 of 1
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DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER • •• NUMBER RELEASE NUMBER TERMS
11788 TJ 12-13-16 NET 30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
CAMERON CLANTON PK PICK-UP AMADOU DIALLO(TJ) FISHERS 317-598-6170 12/13/16
ORDERQTY� SHIPCITY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC
lea lea FISK L0520-057 17.94 lea 17.94
1 GAL DARL NO.2 CUTTING OIL
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 12/13/2016 5104024746.001 Invoice Number S109024746.001
Subtotal 17.94
S&H Charges 0.00
Invoice is due by 01/12/17. `^ 9^""+e Sales TaXI 0.00
,,rr,,,,, AMM IOU DIA1,n (TJ) • p 17.94
0001:0001 i�/� Kirby Risk Page 1 of 1
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DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER • •• NUMBER RELEASE NUMBER TERMS
11788 BT112916B NET 30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONEDATE
RICH R COLLINS DIRECT BRIAN TOLAN FISHERS 317-598-6170 12/07/16
ORDER QTY SHIP QTY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC
lea lea PECO TF1 15-001 SPDT4X 107.89 lea 107.89
40-110 DEGREE THERMOSTAT
KRPNM
"SUBJECT TO VENDOR RETURN POLICY"
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S109000089.001
Subtotal 107.89
S&H Charges 28.33
Invoice is due by 01/06/17. Sales Tax 0.00
im • 136.22
0002:0002 N[ Kirby Risk Page 1 of 1
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DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
rUSTOMFR NUMBER CUSTOMER •• NUMBER RELEASE NUMBER TERMS
11788 TJ 11/29/2016A NET 30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
RICH R COLLINS DIRECT AMADOU DIALLO(TJ) FISHERS 317-598-6170 12/07/16
ORDERCITY� SHIPCITY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
lea lea PECO TF1 15-001 SPDT4X 107.89 lea 107.89
40-110 DEGREE THERMOSTAT
KRPNM
"*SUBJECT TO VENDOR RETURN POLICY"
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S108999655.002
Subtotal 107.89
SAH Charges 28.33
Invoice is due by 01/06/17. Sales Tax0.00
`�,,,
OEM= 136.22
0001:0002 /V( Kirby Risk Page 1 of 1
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER • •• NUMBER RELEASE NUMBER TERMS
11788 BT112916A NET 30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
RICH R COLLINS DIRECT BRIAN TOLAN FISHERS 317-598-6170 12/09/16
ORDERQTY� SHIPCTY DESCRIPTION ITEM PRICE UNIT
EXTAMOUNT CASH DISC
lea lea HW MS412OF1006 389.33 lea 389.33
ACTUATOR
**SUBJECT TO VENDOR RETURN POLICY**
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S108998799.001
Subtotal 389.33
S&H Charges 41.87
Invoice is due by 01/08/17. Sales Tax 0.00
• 431.20
0001:0001 Kirby Risk Page 1 of 1
11788 TJ 12-13-16
CAMERON CLANTON AMADOU DIALLO TJ S109024746 . 001 900 12/13/16
.............:
.....::.... ......................... ......
********* Shipping Instructions ***
* ********************************* k**** *
* SHIP COMPLETE
* ********************************* **** *
******************PHONE#*********** ******
* 317-733-2855
*********************************** k******
1 1 ea FISK L0520-057 17 . 94 lea 17 . 94
1 GAL DARL NO. 2 CUTTING OIL
Received :
Date :
r - j
Li �b
2/13/2015 5104024 9pP 5901#
ACCT
Dln�.o LTJ)
; Ikt ;` . 17 .94
0.00
a1 0.00
0.00
3 .4". a 17 . 94
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.
11788 BT112916B
SALESPERSON TERMS ORDERING PARTY SHIP DATE FREIGHT ALLOWED
RCOLLINS-51 NET 30 DAYS BRIAN TOLAN 112/23/16 Yes
ORDER QTY DESCRIPTION Item Price Unit Ext Price
********* Shipping Instructions *** ******
* ********************************* **** *
* SHIP COMPLETE
* ********************************* **** *
*
*********************************** ******
lea PECO TF115-001 SPDT 4X 107 . 89 lea 107 . 89
40-110 DEGREE THERMOSTAT
KRPNM
**SUBJECT TO VENDOR RETURN POLICY**
Received :
27 7
Date : rr �t --i_
Po # : �
T'd 2-q ! � R
ACCT
Use :
FLo r j al olQo 49 w
Subtotal 107 .89
S&H CHGS 10.00
Sales Tax 0.00
-Payments 0.00
Total
-Amount Due 117 .89
NO MATERIAL MAY BE RETURNED WITHOUT PRIOR APPROVAL.
ALL MATERIALS BEING RETURNED COULD BE SUBJECT TO A RESTOCKING CHARGE.
11788 BT112916A
. ..................................................:.::..:::::::. :. ::::.:........................................::,.::.JFEES:.�3RQElt.: ::::::...................SHF.. (W9G .:::::::::::._::::........................::.::
.:::::::...:.:.........bRI�F Rett.�i....:,:::::::::::::::::::::::::::::..:::::::::...................... .............:.:::::::.:::::::::::::::::._:.:..........................................:..:.:. .
RICH R COLLINS BRIAN TOLAN 5108998799 . 001 51 12/12/16
#�A..Pr(5 ..........::::.:UR .:::::::::::::::.:::...........................::.
.::::11Ma:::::::::::.:::::.::.:::::::::::::::::::..................::.::: . :.....................::::.:..:.....;...:.::. ........:.;:.:::......:.:.:::........:.:.:.:......:.:.::.:..
********* Shipping Instructions *** ******
* ********************************* **** *
* SHIP COMPLETE
* ********************************* **** *
******************PHONE#*********** ******
* 317-417-5063
*********************************** ******
1 1 ea HW MS412OF10O6 389 . 33 lea 389 . 33
ACTUATOR
**SUBJECT TO VENDOR RETURN POLICY**
2/12/2016 S1�B999799_�O1
ZAN T(um
I 389.33
41.87
a >`>
i3 0.00
0.00
...................:.....................
423
20
ed : 1 12111 725__k
ALL ITEMS BEING RETURNED COULD BE SUBJECT TO A RESTOCKING CHARGE. rte CUSTOMER—PLEASE NOTE: ALL CLAIMS FOR SHORTAGE OR DAMAGE MUST BE MADE WITHIN
MUST REFERENCE THE SALES ORDER NUMBER. NO MATERIAL MAY BE RETURNED WITHOUT P O
ACCT AL. : Z�r
Use :