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HomeMy WebLinkAbout312439 06/13/17 ;ta.°•ygMF CITY OF CARMEL, INDIANA VENDOR: 00351017 ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: 9**"**2,602.87" CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 312439 + CHICAGO IL 60673-1275 CHECK DATE: 06/13/17 M,1 SON� DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 347.27 S109239633.001 601 5023990 38.92 S109256736.001 601 5023990 25.94 5109259269.001 601 5023990 38.92 S109261272 .001 601 5023990 20.22 S109261274 . 001 601 5023990 150.87 S109267889.001 601 5023990 1,670.00 5109268125.001 652 5023990 33.71 S109270208 .001 652 5023990 4.29 S109270208. 002 2201 4239034 S109272226 179.66 S109272226.001 651 5023990 S109272575 93.07 5109272575.001 n ? e 3 « « } \ -0 ° k 3 ƒ f k £ > « k n § /f # :3 » 0 e k R I S > c q q ? / 0 7 § ? � % 2 n % m @ Q 9 0 w ( \ # (D - N) > _ 0 E p q \ \ ID � 0) k / § 0 0 , § e \ o m m 3 CL ^ �_ z 2 0 fz 2 e K O iO 0 ) \ X | \ m Z % 3 § t 2 / \ / / ` � 2 2 CD d e f or g m I . � \ / / c \ 2 7 § ( 9 ƒ f m _ Z - § 3 G / E 0m k $ ± �- k \ k CD } w ° R [ ƒ EL & 7 - a ƒ B » 2 § � \ K/ 2 § C \ CL % a - CT - w # m _ CO) ; / CD cr 2 t = D \ Cl) ) / 0 \ § \ § � $ CD � 4 0 0 § 7 d z g &\ B % 2 m J � o Rg 9 # � f z Q § \_\ / \ ( cr < SR O }ƒ ( \ / D §/ & - � e = � aD } M { Q / PD / } 2 / / \ = O m ® ® & rr CD C § / GCD CD B CL / / / \ M \ S 2 - X ] CD § 0CD i � > \ f K J Q \ 0 m k + ® \ ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER • •• NUMBER RELEASE NUMBER TERMS 95776 REFLECTING POND NET 30 DAYS SALESPERSONORDERED BOFFICE PHONE • DATE DARREN HARING PK PICK-UP ERIC ROBINSON FISHERS 317-598-6170 05/18/17 ORDER QTY SHIP QTY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC 90ft 90ft CORD SJOOW-12/3-BLA-UL-250FT 841.75 1000ft 75.76 12/3 SJOOW 30OV-BLK-250 RL 01380.35T.01 Zea 2ea HUBB SHC1023 6.10 lea 12.20 1/2".375-.5 ALUMINUM CORD CONN 2ea 2ea HUBB CR20WHI 1.68 lea 3.36 20A 125V WHITE DPLX RCPT NEMA 5-20R lea lea T&B CKPM 671.18 100ea 6.71 lG NM WIU MEDIUM COVER,XDUTY, CLR 2ea 2ea HUBB HBL5266C 13.25 lea 26.50 15A 125V MALE PLUG NEMA 5-15P lea lea CARL E943E 22.11 100ea 0.22 3/4""SCH 40 MALE ADAPTER lea lea IDEA 46-400 20.55 lea 20.55 OF SPLICE KIT lea lea 3M 33PLUS-SUPER-3/4X66FT 4.09 lea 4.09 lea lea 3M ITCSN-1100-9 7.93 lea 7.93 HT SHRINK SLEEVE lea lea 3M 130C-1 X30FT 22.34 lea 22.34 SPLICING TAPE Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 5/18/2017 5109272226.001 Invoice Number S109272226.001 Subtotal 179.66 �q S&H Charges 0.00 Invoice is due by 06/17/17. -4� r Sales Tax 0.00 �r., Ziric ROB179.66 0001:0001 by Riskixsoar Page 1 of 1 .. f(RKirbyRisk Jill P'K KIRBY RISK 51 ELECTRICAL SUPPLY S109272226. 001 11110 ALLISONVILLE ROAD FISHERS IN 46038-1837 Page 1 of 2 317-598-6170 Fax 317-598-6171 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 STONlilvlk C{Stk' IC:�ItIN3Ek 1tIkSt;.�(tlllt IoPt#EB Cant 95776 REFLECTING POND 1f ffk�ft ORIz O k _SJF ;0Rb0t i SH ..IiRANt SKIP BRIE DARREN HARING ERIC ROBINSON 5109272226. 001 51 05/18/17 OKA 4TY UP WMES P��ON:. itt�?rim. ::: Urvii :Ezt 100 90 90 ft CORD SJO0W-12/3-BLA-UL-250FT 12/3 SJOOW 30OV-BLK-250 RL 01380.357. 01 2 2 ea HUBB SHC1023 1/2" . 375 - .5 ALUMINUM CORD CONN 2 2 ea HUBB CR20WHI 20A 125V WHITE DPLX RCPT NEMA 5-20R 1 1 ea T&B CKPM 1G NM WIU MEDIUM COVER, XDUTY, CLR 2 2 ea HUBB HBL5266C 15A 125V MALE PLUG NEMA 5-15P 1 1 ea CARL E943E 3/411 " SCH 40 MALE ADAPTER 1 1 ea IDEA 46-400 OF SPLICE KIT 1 1 ea 3M 33PLUS-SUPER-3/4X66FT 1 1 ea 3M ITCSN-1100-9 HT SHRINK SLEEVE ** Contitmeo on Next Page *** ** Reprint ** Reprint ** Reprint ** I(R KirbyRisk PK KIRBY RISK 51 ELECTRICAL SUPPLY S109272226. 001 11110 ALLISONVILLE ROAD FISHERS IN 46038-1837 Page 2 Of 2 317-598-6170 Fax 317-598-6171 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 95776 REFLECTING POND .. aia: ses axon:#. rr ;: wu►; $ISP DATE .. 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TOLPV Sales Tax 0.00 BRIAN T01M • 150.87 0001:0002 /Vi Kirby Risk Page 1 of 1 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER NUMBER CUSTOMER PO NUMBER RELEASE NUMBER TERMS 11788 AD 04-28-2017 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 05/03/17 ORDERQTY� SHIPOTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC lea lea SOUT 15190T 347.27 lea 347.27 MaintenancePRO Color Screen "SUBJECT TO VENDOR RETURN POLICY" Billing Questions:Bill ing_request@kirbyrisk.com(765)446-3054 Invoice Number S109239633.001 Subtotal 347.27 S&H Charges 0.00 Invoice is due by 06/02/17. Sales Tax 0.00 ''rr,�, • 347.27 0001:0001 N( Kirby Risk Page 1 of 1 -------------------------------------------------------------------------------------------------------------------------------------------------------------------- DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER • •• NUMBER RELEASE NUMBER TERMS 11788 BT051617A/WELL23 NET 30 DAYS SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE RICH R COLLINS WC51 WILL-CALL BRIAN TOLAN FISHERS 317-598-6170 05/16/17 ORDER QTY SHIP CITY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC lea lea AB 100-D180ED11 1670.00 lea 1670.00 MCS 100-D CONTACTOR, IEC, 180 A, 110-130V 50/60HZ Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 5/17/2017 9109268125.001 Invoice Number S109268125.001 Subtotal 1670.00 S&H Charges 0.00 Invoice is due by 06/15/17. TIL AI ?.ZSR Sales Tax 0.00 .�A ERIAN T.nx • 1670.00 0002:0002 Kirby Risk Page 1 of 1 ­­­­­............. ...... .... KirbyRisk SHTICIfEi PK KIRBY RISK 51 ELECTRICAL SUPPLY S109261274 . 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 EltSidNR:Neff �hSitIF4R�i$BOER y1Nd0EB IEELEASI .tEE1MHER StfFPi IEB GQDE 11788 BT051117B tiit dRtlEits 0 8`� SALES xtROER # SHIP BRANCH SztP HATE DARREN HARING BRIAN TOLAN 5109261274 . 001 51 05/11/17 0.0.ER .qI1( SH R 1►tY UM ESC PiEdN tem::pr{ca $nit: Ext.>Rrice.... .. ********* Shipping Instructions *** ****** * ********************************* **** * * SHIP COMPLETE * ********************************* **** * ******************PHONE#*********** ****** * 317-733-2855 *********************************** ****** 2 2 ea 3M 33PLUS-SUPER-3/4X66FT 4 . 09 lea 8 . 18 1 1 ea 3M 130C-3/4X30FT 12 . 04 lea 12 . 04 SPLICING TAPE /11/2017 SIOS261274_001 -p('A" im TOLM ubtdta1 20. 22 ........................................ ........................................ ............I........................... ........................................I s HGa 0. 00 DELIVERED M Y 26 ales ..fax 0.00 P..a .. 0. 00 TKt�i1 .:. . _ . .; ........................................ ......................................... ........................................ ......................................... 22 ALL ITEMS BEING RETURNED COULD BE SUBJECT TO A RESTOCKING CHARGE. Date :a`e : CUSTOMER-PLEASE NOTE: ALL CLAIMS FOR SHORTAGE OR DAMAGE MUST BE MADE WITHIN 0 A#D: BTDS►ll 73 MUST REFERENCE THE SALES ORDER NUMBER. NO MATERIAL MAY BE RETURNED WITHOUT P IOR APPROVAL. ACCT # : 020 - Use : TA PG!012 PkIr -.SHIP 71XiKE't ........... ........ ........... XkKirbyRisk PK KIRBY RISK 51 ELECTRICAL SUPPLY S109259269 . 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 EUSTON &NUMBER GUST.{ff4R �iR�1ER;NUhIeER REEEASR.►IUMb£& S4FPf!iER G9DE 11788 TJ................................ 05 . 10 . 17 MRiTFR bRtRiti&Y 31lEES DRDER # SHIP BRANCEE $►1F DATE DARREN HARING AMADOU DIALLO TJ S109259269 . 001 51 05/10/17 .:. . dkD QiY SBIP QTY :.LIM O SGRxPiidN It�m'Rriee Uo't Ext:Prim ********* Shipping Instructions *** ****** * ********************************* **** * * SHIP COMPLETE * ********************************* **** * ******************PHONE#*********** ****** * 317-733-2855 *********************************** ****** 6 6 ea T&B 1H 229 . 16 100ea 13 . 75 S-BOLT 2 STR - 6 SOL CU 6 6 ea T&B 2H 203 . 09 100ea 12 . 19 SPLIT BOLT CONNECTOR /ICA(2C117 5104259269.0 1 .4, �` R DELIVERED MAY 2 61017 ROCeived : 4 bz- 6 sub, a1 25. 94 s . . 0.00 Date : al�s T o.00 a Lt............ 0.00 ACCT #: k 2 n.runt; nue:i 25 .94 Fq ALL ITEMS BEING RETURNt BE SU9JECT T 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. SHiA..�ICK£T i(R Kirby Risk WC51 KIRBY RISK DISTRIBUTION CENTER900 S109256736 . 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 GiISTIXiG1t IEEIM9R G�STti�(R E&;Ni1M1E.: RFLkAS# 1(UMGGR S[FFPIIER GQDE 11788 WELL 28 :XXX...T ORIXE O 8Y AE1 S mot # SHF 6RA}IGH 3H#F ORTE RICH R COLLINS BRIAN TOLAN 5109256736 . 001 900 05/11/17 :;SF R Qt'Y SHIR qtr UM :.,:;. QESCR�PtiOk idem Prtee ttntt Ext::Pr1ee .. .......... ....... ********* Shipping Instructions *** ****** * ********************************* **** * * SHIP COMPLETE * ********************************* **** * ******************PHONE#*********** ****** * 317-733-2855 *********************************** ****** 1 1 ea SIEM QF120A 38 . 92 lea 38 . 92 BREAKER 20A 1P 120V 10K QPF2 GFCI 5 Carton: BAG-476006 Loc : 51 FISHER F J11J2011 S1092SMG-001 7"ot-Au Z.-zrR- IAN 5ubtdtal 38. 92 ........................................ ......................................... ........................................ 0.00 ........................................ _.. ............._ .. __._.. .............__. a1 g.»!Tu e . 0.00 ..... DELIVERED 2 6 2017 ' 0.00 Tt��tal lrunt... ue 38.92 ......................................... ' ved : toLbd 2zS� 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 �YRPPRAL. NJ(s(LLY MUST REFERENCE THE SALES ORDER NUMBER. NO MATERIAL MAY BE RETURNED WITHOUT PR ACCT # : 4222- Use : 22- Use : SyAW PUA&P OAGAKen- $N#F 7TCl(E. 1(RKirbyRiskPK KIRBY RISK 51 ELECTRICAL SUPPLY S109261272 . 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 GitS?dMR Ntq�BER CftSTd $' R NIIM9ER �FEG€ASE NUMBER ;SffF..t;IER CODE 11788 IBT051117A/WELL 27 YIIF#TFR.:. ORIC B'f SAE€$:ttRDER SRIF.BRApGH SNP DATE::::: DARREN HARING BRIAN TOLAN 5109261272 . 001 51 05/11/17 dR R..QTY. SH S Utt :: .UM dBSGR P..ida' Item:primo Unit Ext Price . .. ********* Shipping Instructions *** ****** * ********************************* **** * * SHIP COMPLETE * ********************************* **** * ******************PHONE#*********** ****** * 317-733-2855 *********************************** ****** 1 1 ea SIEM QF120A 38 . 92 lea 38 . 92 BREAKER 20A 1P 120V 10K QPF2 GFCI 5 111/2017 9109261272_001 7ovA+4Ltf� iAN TM Ax S: bi✓ xa l ; ; 38.92 S 0.00 _._. ...._.................. ........................................ a1ee Tax 0.00 ........................._......_..... ........................................ r� .... 2 6 2017 Fa wl 0.00 ` DELIVERr� �Qtal ni u t:1 U e:: 38. 92 ......................................... e d : TOMS 2258 ALL ITEMS BEING RETURNED COULD BE SUBJECT TO A RESTOCKING CHARGE. Date : 5"'1"1-7 CUSTOMER-PLEASE NOTE: ALL CLAIMS FOR SHORTAGE OR DAMAGE MUST BE MADE WITHIN i DS D w 7 MUST REFERENCE THE SALES ORDER NUMBER. NO MATERIAL MAY BE RETURNED WITHOUT Ob'APOVAL. ACCT # : ��•Z Use : wGU.27 SvµA 8te Qt ;$j�ip.TICIEET i(R Kirb Risk YJill 111111 PK KIRBY RISK 51 ELECTRICAL SUPPLY S109267889 . 001 11110 ALLISONVILLE ROAD FISHERS IN 46038-1837 Page 1 of 1 317-598-6170 Fax 317-598-6171 SOLD TO: SHIP TO: CARMEL WATER TREATMENT CARMEL WATER TREATMENT 3450 W 131ST ST 4915 E 106TH ST CARMEL, IN 46074-8267 CARMEL, IN 46033-3800 317-733-2855 fax 317-733-2053 USi ICR NdM9 ff CD5tf114ER$R1lER.NUM!£R IEEC ASE Ntq R ...... i IER:CQD£ 11788 BT051617B/FORLARRY RiER. : : 9$h0 8Y 511E1ES DRDEt # HIF BRA34CH SHI.?DRi£ RICH R COLLINS BRIAN TOLAN S109267889 . 001 51 05/16/17 �?ESC �'1 i0H Itemt�e Unifi Ext;Brice ... ********* Shipping Instructions *** ****** * ********************************* **** * * SHIP COMPLETE * ********************************* **** * ******************PHONE#*********** ****** * 317-733-2855 *********************************** ****** 1 1 ea IDEA 61-521 149 . 24 lea 149 . 24 3 PHASE MOTOR ROTATION TESTER 1 1 ea SELE EN22 1 . 63 lea 1 . 63 Energizer Industrial 9 Volt Battery 11612417 5109267894.001 TOLP,V im TOLM Sib4a1 150. 87 rFI : C, 0.00 ......................................... Za1es Tax...... 0. 00 DELIVERED h4l�Y 2 61011 ga ents 0.00 T+cal 150, 371 e d : Ti o�.�� sf 7-7- ALL ITEMS BEING RETURNED COULD BE SUBJECT TO A RESTOCKING CHARGE. D a y e : CUSTOMER-PLEASE NOTE: ALL CLAIMS FOR SHORTAGE OR DAMAGE MUST BE MADE WITHIN 5 P)E)ANX : iw-1 13 MUST REFERENCE THE SALES ORDER NUMBER. NO MATERIAL MAY BE RETURNED WITHOUT PR ACCT L Use : Tx fFaf�!adsC I�- V Z i(RKirbyRiskSDIRE KIRBY RISK 51 ELECTRICAL SUPPLY S109239633 . 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 c/o Kirby Risk Supply CARMEL, IN 46074-8267 11110 Allisonville Rd FISHERS, IN 46038-1837 317-733-2855 fax 317-733-2053 GUSTOlARR tEtlMHIF CDSfE1FSAg1R NUMBER REC€ASS:NtIMBi R $DpPi IER GfiiDE 11788 AD 04-28-2017 4Nt#fF�l ORRED 1�Y S14E£S FtRP# SHiP DAFE :.; RICH R COLLINS AMADOU DIALLO TJ /05/17 fIR6ER IT:7( 3HP QF'f DM SkSGRIPFidN xtFrice ********* Shipping InstrL �• * SHIP COMPLETE t * *********************** * TJ 317-515-3085 ******************PHONE#*; * 317-733-2855 *********************** ** n•Q 1 1 ea SOUT 15190T �UA='l, 47 . 27 MaintenancePRO Color Scree. **SUBJECT TO VENDOR RETURN ReCeivea : 2 3 Date : _ ID - l7 P O : 77 tTd25_1 V A C C T # 2,0 ` , Use : _S 't 347 .27 0.00 ......................................... tea] .; ax 0.00 ........................................ P # t0. 0.00 _T0tal t�runt,,,bu 347 . 271 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. T DELIVERED f14V �R1 IFTl( T> I(R KirbyRiskIIIIIIJillWC51 KIRBY RISK DISTRIBUTION CENTER900 S109268125 . 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 iiE . IMIBEIE:.;:.;:.;;:<.;;:.;;:.;:.;:.;;;:.:.;:.:;;.;;::.::::.::::..:..............................................::.. >::_;>::c:GUSTE���i.;tER1X ER.:N.:...........................................::::::::::::.:..................... L11788 BT051617A/WELL23 w. RICH R COLLINS BRIAN TOLAN S109268125 . 001 900 05/17/17 yce>:..::.:;:.; ;;:........;:;;::;;:::::::::::;::;::;;;::;::;;:i::;s::;':;::::::::::::.::::::::::::::::. ********* Shipping Instructions *** ****** * ********************************* **** * * SHIP COMPLETE * ********************************* **** * ******************PHONE#*********** ****** * 317-733-2855 *********************************** ****** 1 1 ea AB 100-D180ED11 L670 . 00 lea 1670 . 00 MCS 100-D CONTACTOR, IEC, 180 A, 110-130V 50/60HZ Carton: BOX-891929 Loc: 51 FISHER F /1?)201? 519258125_001 IER sari xarrrl Sa >>'<` 1670. >> 0.00 0.00 ' 0.00 :::::............. ..:............. 00 ed : zAtPtLj2zsy ALL ITEMS BEING RETURNED COULD BE SUBJECT TO A RESTOCKING CHARGE. "te CUSTOMER-PLEASE NOTE: ALL CLAIMS FOR SHORTAGE OR DAMAGE MUST BE MADE WITHIN rS 1oS 14,17A MUST REFERENCE THE SALES ORDER NUMBER. NO MATERIAL MAY BE RETURNED WITHOUT P IORAPPROVAL. 6 7— Z ACCT # : ,Use : N N E N co O - I m i O W co O ? IM co h o � Z °' rn Z o D CL — Z o _ U co O v, t a U N rn a.+ a V r U N co y Q U o v LV ti Cc U. co .. w - Y ZN V r LUJ U 13 Z , O in tD U Z a O MYNU a o co U � ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER NUMBER CUSTOMER •• NUMBER RELEASE NUMBER TERMS 74918 S17247 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 05/18/17 .-. - . SHIPQTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC 2ea 2ea LITH LQM S W 3 R 120/277 EL N M6 40.79 lea 81.58 0.82 Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S109272575.001 Subtotal 81.58 If paid by 06/10/17 you may deduct$0.82 S&H Charges 11.49 Invoice is due by 06/30/17 net of any cash discount. Sales Tax 0.00 • 93.07 0001:0001 N( Kirby Risk Page 1 of 1 1 Z O U Q W J_ Q H W O h �g J � H v m z mCC w ¢ 4, ¢� Z L a — d a3 z o1 41 aZ 3 N� —. > Q Z N W LLL t N O c o m a2 o o E r 4 ? E 0 0 A E E N m m Zi " ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER • •• NUMBER RELEASE NUMBER TERMS 74918 S17239 PT 10TH PROX NET 30TH SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUM13ER SHIP DATE DARREN HARING PK PICK-UP BEN DONALD FISHERS 317-598-6170 05/17/17 ORDERQTY� SHIPOTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC 8ea 5ea EGS PLG-50R 1.43 lea 7.15 0.14 1/2 RECESSED PLUG 16ea 16ea EGS PLG-75R 1.66 lea 26.56 0.53 3/4 RECESSED PLUG Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 5/17/2017 5109270208-001 Invoice Number S109270208.001 Subtotal 33.71 If paid by 06/10/17 you may deduct$0.67 d— S&H Charges 0.00 Invoice is due by 06/30/17 net of any cash discount. �X Sales TeX 0.00 ��rr.�, MIX • 33.71 0001:0001 /L/( Kirby Risk Page 1 of 1 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER • •• NUMBER RELEASE NUMBER TERMS 74918 S17239 PT 10TH PROX NET 30TH SALESPERSONORDERED BY SALES OFFICE DARREN HARING WC51 WILL-CALL BEN DONALD FISHERS 317-598-6170 05/17/17 ORDER QTY SHIP QTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC 3ea 3ea EGS PLG-50R 1.43 lea 4.29 0.09 1/2 RECESSED PLUG Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 5/23/2017 5109270208-002 Invoice Number S109270208.002 Subtotal 4.29 If paid by 06/10/17 you may deduct$0.09 ~� S&H Charges 0.00 Invoice is due by 06/30/17 net of any cash discount. Sales Tax 0.00 mom 'r., MIN nMMX • l 4.29 0001:0001 IV( Kirby Risk Page 1 of 1