311144 5/9/2017 CITY OF CARMEL, INDIANA VENDOR: 00351017
?: CHECK AMOUNT: $*****4,760.65*
ONE CIVIC SQUARE KIRBY RISK CORPORATION
?� CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 311144
CHICAGO IL 60673-1275 CHECK DATE: 05/09/17
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
659 5023990 215.69 S109219654 .001
659 5023990 29.97 S109219654 .002
659 5023990 99.29 S109219654 .003
659 5023990 151.82 S109223636.001
1110 4350100 100366 S109216731 4,263.88 S109216731.001
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CUSTOMER • •• NUMBER RELEASE NUMBER TERMS
74918 S17133 PT 10TH PROX NET 30TH
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE_
ANTHONY CARTER WC51 WILL-CALL T BEN DONALD FISHERS 317-598-6170 04/17/17
SHIPQTY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC
100ft 100ft "PVC 1"SCH 40 NM CONDUIT 10' 29.97 100ft 29.97 0.90—
PRI M E
.60PRIME 49008-010 OR CTX A52BA12
QUEEN CITY 1101031
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 4/18/2017 9109219654-002 Invoice Number S109219654.002
Subtotal 29.97
If paid by 05/10/17 you may deduct$0.60 7-,30 S&H Charges 0.00
Invoice is due by 05/31/17 net of any cash discount. Sales Tax 0.00
sRM DMA= • 1 29.97
0001:0002 /�/� Kirby Risk Page 1 of 1
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER •• NUMBER RELEASE NUMBERTERMS
74918 S17133 PT 10TH PROX NET 30TH
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE � PHONE NUMBER SHIP DATE
ANTHONY CARTER PK PICK-UP BEN DONALD FISHERS317-598-6170 04/17/17
ORDER CTY SHIP OTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
6ea 6ea CARL E942F 24.74 100ea 1.48
1"SCH 40 FEMALE ADAPTER
6ea 6ea BLIN B2010PASS4(1 RGD) 507.27 100ea 30.44
B2010PASS4 1"Rigid
70ft 70ft *PVC 1-1/2"SCH 40 NM CONDUIT 10' 50.37 1 00f 35.26 0.71
PRIME 49010-010 OR CTX A52BE12
QUEEN CITY 1101531
loft 1Oft COND R112 370.31 1 00f 37.03 0.74
RIGID 1-1/2"CONDUIT
lea lea EGS LB150-M 18.36 lea 18.36 0.37
1-1/2 MALL LB COND BODY
lea lea EGS K125&150 3.02 lea 3.02 0.06
1-1/4-1-1/2 COVER
lea lea EGS GK125-150-N 2.07 lea 2.07 0.04
1-1/4&1-1/2 NEO GSKT
2ea 2ea PICO/WHEA 6360(GEL11290) 1537.07 100ea 30.74
1-1/2"90 GALVANIZED ELBOW
2ea 2ea PICO/WHEA 8460(GCPL112) 490.52 100ea 9.81
1-1/2"GALVANIZED COUPLING
4ea 4ea BLIN B2012PASS4(1 1/2 RGD) 699.25 100ea 27.97
B2012PA SS4(1 1/2 RGD)RIGID
CONDUIT CLAMP
2ea 2ea CARL E942H 35.83 100ea 0.72
1-1/2"SCH 40 FEMALE ADAPTER
2ea 2ea CARL E943H 34.40 100ea 0.69
1-1/2"SCH 40 MALE ADAPTER
lea lea CARL UA9AJ 119.40 100ea 1.19
2"SCH 40 STD 90 DEG ELBOW
2ea 2ea CARL E940J 34.63 100ea 0.69
2"SCH 40 COUPLING
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054
If paid by 05/10/17 you may deduct$1.92
Invoice is due by 05/31/17 net of any cash discount.
000z:0003MR Kirby Risk Page 1 of 2
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CUSTOMER • •• NUMBER RELEASE NUMBER TERMS
74918 S17133 PT 10TH PROX NET 30TH
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
ANTHONY CARTER PK PICK-UP BEN DONALD FISHERS 317-598-6170 04/17/17
ORDERQTYj SHIPQTY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC
3ea 3ea CARL E943J 48.44 1 00e 1.45
2"SCH 40 MALE ADAPTER
2ea 2ea BLIN 132013PASS4(2 RGD) 738.54 100ea 14.77
B2013PASS4(2RGD)
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 4/17/2017 S109219664_001 Invoice Number s109219654.001
Subtotal 215.69
If paid by 05/10/17 you may deduct$1.92 S&H Charges 0.00
Invoice is due by 05/31/17 net of any cash discount. Sales Tax 0.00
�r�, ERNDONA= A • D 215.69
0003:0003 Kirby Risk Page 2 of 2
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CUSTOMER •• NUMBER RELEASE NUMBER TERMS
74918 S17142 PT 10TH PROX NET 30TH
SALESPERSONORDERED BY SALES OFFICE PHONE
ANTHONY CARTER WC51 WILL-CALL BEN DONALD FISHERS 317-598-6170 04/18/17
R • •TY� SHIPGTY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT
lea lea CARL E942L 133.49 100ea 1.33 0.03
3"SCH 40 FEMALE ADAPTER
10ea 10ea CARL E943D 9.94 100ea 0.99
1/2"SCH 40 MALE ADAPTER
6ea 6ea CARL E942D 11.91 100ea 0.71 0.01
1/2"SCHEDULE 40 FEMALE ADAPTER
lea lea CARL VC9962 644.54 100ea 6.45
STANDARD CLEAR CEMENT-QUART 31355
lea lea 3M 3939-48MMX54.8M 9.16 lea 9.16 0.18
DUCT TAPE
lea lea IDEA 42-201 80.65 lea 80.65
TAPE-CAUT ELEC LN BURI RD
Billing Questions:Bi Iling_request@kirbyrisk.com(765)446-3054 4/1B/2017 S105219664_003 Invoice Number S109219654.003
Subtotal 99.29
If paid by 05/10/17 you may deduct$0.22 S&H Charges 0.00
Invoice is due by 05/31/17 net of any cash discount. �(Z3D Sales Taxj 0.00
E, DW„LDMILTINORMSM 99.29
0002:0002 N( Kirby Risk Page 1 of 1
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CUSTOMER • •• NUMBER RELEASE NUMBER TERMS
74918 S17149 PT 10TH PROX NET 30TH
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
DARREN HARING PK PICK-UP ERIC ROBINSON FISHERS 317-598-6170 04/19/17
ORDER QTY SHIP QTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
500ft 500ft SOUT THHN-STR-12-RED-50OFT 102.03 1000ft 51.02
12-19 CU THHN-THWN MTW-AWM RED
22966601
500ft 500ft SOUT THHN-STR-14-RED-CU-500FT 67.20 1 000f 33.60
14-19 SD CU THHN-THWN-MTW-AWM
UL/c(UL)RED 500 FT
22957501
500ft 500ft SOUT THHN-STR-14-WHT-CU-500FT 67.20 1 000f 33.60
14-19 SD CU THHN-THWN-MTW-AWM TE
UL/c(UL)WHITE 500 FT
22956701
500ft 500ft SOUT THHN-STR-14-BLU-CU-500FT 67.20 1 000f 33.60
14-19 SD CU THHN-THWN-MTW-AWM
UL/c(UL)BLUE 500 FT
22958301
Billing Questions:Billing request@kirbyrisk.com(765)446-3054 4/19/2017 5109223636-001 Invoice Number S109223636.001
Subtotal 151.82
f -j �� S&H Charges 0.00
Invoice is due by 05/31/17. GJ�- Sales Tax, 0.00
MIC naBINS1121 ' • � 151.82
0002:0002 Kirby Risk Page 1 of 1
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DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER NUMBER CUS[OMER ••NUMBER RELEASE NUMBER TERMS
74918 100366 ATTN BLAINE PT 10TH PROX NET 30TH
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
JEREMIAH S ELY DIRECT NO FEE PAUL ARNONE FISHERS 317-598-6170 04/20/17
ORDERCITY SHIPCITYAMOUNT
6ea 6ea RAB FXLED150SF 470.84 lea 2825.04 56.50
FLEXFLOOD 150W COOL LED SLIPFITTER
BRONZE
DLC LISTED
4ea 4ea RAB WP3LED82 358.96 lea 1435.84 28.72
WALLPACK 82W COOL LED 120-277V
KRPNM
"SUBJECT TO VENDOR RETURN POLICY" j
NOT DLC LISTED
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voice Numbers_S109216731.001
Billing Questions.Billingrequest@kirbyrisk.com(765)446-3054 In
Subtotall 4260.88
If paid by 05/10/17 you may deduct 585.22 SBH Chargesi 0.00
Invoice is due by 05/31/17 net of any cash discount. Sales Tax0.00
_ AMOUNT DUE, - _ 4260.881
0001:0001 Kirby RiSk Page 1 of 1