HomeMy WebLinkAbout313823 7/18/2017 CITY OF CARMEL, INDIANA VENDOR: 00351017 CHECK AMOUNT: $*****2,586.59'
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ONE CIVIC SQUARE KIRBY RISK CORPORATION
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rq CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 313823
CHICAGO IL 60673-1275 CHECK DATE: 07/18/17
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 226.32 109266602 . 001
601 5023990 166.63 109275134 .001
601 5023990 56.30 ' 109314463 .001
601 5023990 370.82-** 109319943 .001
601 5023990 12.56 ' 109325054 .001
601 5023990 16.93 109328399.001
601 5023990 1,131.00" 109330351.001
651 5023990 160.27 S109217217 . 001
651 5023990 26.60
651 5023990 169.97 5109333083 .001
1206 4239034 S109326400 249.19--' 5109326400.001
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DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMERCUSTOMER NUMBER -• NUMBER RELEASE NUMBER TERMS
74918 S17346 PT 10TH PROX NET 30TH
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
KEVIN R FORD PAR PARCEL DLVY DUANE JARVIS FISHERS 317-598-6170 06/22/17
ORDER QTY SHIP CITY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
lea lea HUBB HBL460P9W 238.00 lea 238.00 4.76
3P4W 60A 250V PIN&SLEEVE PLUG
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Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S109326400.001
Subtotal 238.00
If paid by 07/10/17 you may deduct$4.76 S&H Charges 11.19
Invoice is due by 07/31/17 net of any cash discount. Sales TaX 0.00
,,jj.�, A • a 249.19
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
74918 S17373 PT 10TH PROX NET 30TH
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
DARREN HARING DIRECT BEN DONALD FISHERS 317-598-6170 06/28/17
.-. - • SHIPQTY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC
500ft 500ft OMNI J562304-DB 271.43 1000ft 135.72
CAT 6 DIRECT BURIAL
KRPNM
"SUBJECT TO VENDOR RETURN POLICY"
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 6/28/2017 5109333083.001 Invoice Number S109333083.001
Subtotal 135.72
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S&H Charges 23.60
Invoice is due by 07/31/17. Sales Tax 0.00
I" DWAM in • e 159.32
0002:0003 lV( Kirby Risk Page 1 of 1
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER NUMBER CUSTOMER •• NUMBER RELEASE NUMBER TERMS
74918 1S17373 I PT 10TH PROX NET 30TH
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
DARREN HARING DIRECT BEN DONALD FISHERS 7 317-598-6170 06/28/17
ORDER CQTY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC
100ea 100ea T&B L-1 1-50-0-C 6.28 100ea 6.28 0.13
CABLE TIE 50LB 11 UV BLK 1-PC DIST
100ea 100ea T&B L-7-50-0-C 2.82 100ea 2.82 0.06
T'ULTRA-VIOLET TY-RAP
100ea 100ea T&B L-4-18-0-C 1.55 100ea 1.55 0.03
CBL TIE 18LB 4 IN UV BLK 1-PC DIST
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 6/28/2017 5109333083.003 Invoice Number S109333083.003
Subtotal 10.65
If paid by 07/10/17 you may deduct$0.22 f_ 30 S&H Charges 0.00
Invoice is due by 07/31/17 net of any cash discount. Sales Tax 0.00
I" DMMM � • � 10.65
0001:0001 Kirby Risk Page 1 of 1
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER •• NUMBER RELEASE NUMBER TERMS
74918 S16983 PT 10TH PROX NET 30TH
SALESPERSON i
SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
KEVIN R FORD DIRECT DUANE JARVIS FISHERS 317-598-6170 04/28/17
ORDER Q HIP QTY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC
8ea 8ea NEWA 66K6967 18.75 lea 150.00
GENTEQ 97F8237RR
Film Capacitor, Motor Run, 39.87
NF, PP(Polypropylene),480 VAC,
GEM III 97F8200 Series, +/-6%
KRPNM
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S109146897.003
Subtotal 150.00
S&H Charges 10.27
Invoice is due by 05/31/17. Sales Tax 0.00
• 160.27
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0001:0001 r Kirby Risk Page 1 of 1
UriMAIUrrtKrURIIUNANDRtIURNWIIHYOURPAYMENT
CUSTOMER • •• NUMBER RELEASE NUMBER TERMS
74918 S17127 PT 10TH PROX NET 30TH
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
RICH R COLLINS WC51 WILL-CALL BEN DONALD FISHERS 317-598-6170 04/14/17
I ORDER QTY SHIP QTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
2ea 2ea INTE K4251 13.30 lea 26.60 0.27
120V PHOTOCONTROL
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Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 4/17/2017 5109217217-002 Invoice Number S109217217.002
Subtotal 26.60
If paid by 05/10/17 you may deduct$0.27 ,Z S&H Charges 0.00
Invoice is due by 05/31/17 net of any cash discount. Sales Tax 0.00
''jj.�, BIM DONA n • I 26.60
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DETACHUPPERPORTIONANDRETURNWITHYOURPAYMENT
CUSTOMER • •• NUMBER RELEASE NUMBER TERMS
11788 LS06.21.2017 NET 30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
DARREN HARING PK PICK-UP LARRY SCHIMMEL FISHERS 317-598-6170 06/21/17
ORDER CITY� SHIP CITY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
200ea 200ea T&B L-1 1-50-0-C 6.28 1 00e 12.56
CABLE TIE 50LB 11 UV BLK 1-PC DIST
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 6/21/2017 5109325054-001 Invoice Number S109325054.001
Subtotal 12.56
S&H Charges 0.00
Invoice is due by 07/21/17. Sales Tax 0.00
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LARRY SCxre� jjj •�� 12.56
0001:0001 Kirby Risk Page 1 of 1
DETACHUPPERPORTIONANDRETURNWITHYOURPAYMENI
CUSTOMER • •• NUMBER RELEASE NUMBER TERMS
11788 SOUTH TOWER NET 30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
DARREN HARING PK PICK-UP BRIAN TOLAN FISHERS 317-598-6170 06/23/17
ORDER QTY� SHIP QTY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC
20ft 20ft SOUT THHN-STR-4-BLA-CU-1000FT 561.53 1 000f 11.23
4-19 CU SIMpull(TM)THHN-THWN-2 MTW
BLACK
20499004
2ea 2ea T&B 2H 203.09 100ea 4.06
SPLIT BOLT CONNECTOR
2ea 2ea T&B L70 81.84 1 00e 1.64
TERMINAL LUG
Billing Questions: Billing_request@kirbyrisk.com(765)446-3054 6/23/2017 9109328399.001 Invoice Number S109328399.001
Subtotal 16.93
ToGv aas-t S&H Charges 0.00
Invoice is due by 07/23/17. Sales Tax 0.00
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IMIAN xaznN AMOUNTME 16.93
0001:0002 N( Kirby Risk Page 1 of 1
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CUSTOMER NUMBER CUSTOMER '• NUMBER RELEASE NUMBER TERMS
11788 BT0530176 NET 30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE I
PHONE NUMBER SHIP DATE
RICH R COLLINS WC51 WILL-CALL BRIAN TOLAN FISHERS 317-598-6170 06/13/17
.-. - . SHIPQTY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC
100ea 100ea CUL 74420J 57.40 100ea 57.40
3/8-16 X 1-1/4 HEX CAP SCREW
**SUBJECT TO VENDOR RETURN POLICY**
100ea 100ea CULL 70135J 16.72 100ea 16.72
3/8-16 HEX NUT 18-8 SS
**SUBJECT TO VENDOR RETURN POLICY**
100ea 100ea CULL 70745J 38.17 100ea 38.17
3/8 X 1-1/2 FENDER WASHER 18-8
**SUBJECT TO VENDOR RETURN POLICY**
100ea 100ea CULL 70535J 11.83 100ea 11.83
3/8 LOCKWASHER 18-8 SS
**SUBJECT TO VENDOR RETURN POLICY**
100ea 100ea CULL 74412J 42.51 100ea 42.51
3/8-16 x 3/4 HEX CAP SCREW SS
**SUBJECT TO VENDOR RETURN POLICY**
Billing Questions: Billing_request@kirbyrisk.com(765)446-3054 6/15/2017 S109275134-001 Invoice Number S109275134.001
Subtotal 166.63
SAH Charges 0.00
Invoice is due by 07/13/17. Sales Tax 0.00
BRIAN TInM • 166.63
0002:0003 Kirby Risk Page 1 of 1
DETACHUPPERPORTIONANDRETURNWIFHYOURPAYMENI
CUSTOMER • •• NUMBER RELEASE NUMBER TERMS
11788 KR61917 NET 30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
JOAN HEBNER PAR PARCEL DLVY KEN RHODES FISHERS 317-598-6170 06/19/17
ORDER CCITY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
2ea 2ea AB 1747-BA 185.41 lea 370.82
Lithium Battery(For RAM Memory
Retention)
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S109319943.001
Subtotal 370.82
S&H Charges 0.00
Invoice is due by 07/19/17. Sales Taxj 0.00
,,rr,�, • 370.82
0001:0001 N( Kirby Risk Page 1 of 1
DETACHUPPERPORTIONANDRETURNWITHYOURPAYMENI
CUSTOMER NUMBER CUSTOMER •• NUMBER RELEASE NUMBER TERMS
11788 BT053017A NET 30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE
RICH R COLLINS WC51 WILL-CALL BRIAN TOLAN FISHERS 317-598-6170 06/13/17
ORDER QTY SHIP QTY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC
2ea 2ea TIME A252B 107.58 lea 215.16
3 PHASE 480V PHASE MONITOR
KRPNM
*"SUBJECT TO VENDOR RETURN POLICY"*
2ea 2ea TIME 51X120(51012001) 5.58 lea 11.16
TIMEMARK 8-PIN BASE
KRPNM
"*SUBJECT TO VENDOR RETURN POLICY"
PER VENDOR MUST USE THEIR SOCKET
TO I NSTALL
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 6/15/2017 5109266602-001 Invoice Number S109266602.001
Subtotal 226.32
S&H Charges 0.00
Invoice is due by 07/13/17. Sales Tax 0.00
SAIAN roLAN I •M31W 226.32
0001:0003 Kirby Risk Page 1 of 1
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CUSTOMER • '• NUMBER RELEASE NUMBER TERMS
11788 Well 23 BT NET 30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
RICH R COLLINS PK PICK-UP BRIAN TOLAN FISHERS 317-598-6170 06/15/17
ORDER QTY SHIP QTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
5ea 5ea BUSS FNQ-R-10 11.26 lea 56.30
FUSE
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S109314463.001
Subtotal 56.30
S&H Charges 0.00
Invoice is due by 07/15/17. Sales Tax 0.00
OEM= 56.30
0003:0003 MR Kirby Risk Page 1 of 1
CUSTOMER NUMBER CUSTOMER •. NUMBER RELEASE NUMBER TERMS
11788 KR62617 NET 30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
JOAN HEBNER PAR PARCEL DLVY KEN RHODES FISHERS 317-598-6170 06/26/17
ORDERQTY� SHIPQTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
6ea 6ea AB 800T-QTH2R 188.50 lea 1131.00
800T 30 MM PILOT LIGHT WITH TEST
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S109330351.001
Subtotal 1131.00
S&H Charges 0.00
Invoice is due by 07/26/17. Sales Tax 0.00
• 1131.00
0001:0001 Kirby Risk Page 1 of 1
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KIRBY RISK 51 ELECTRICAL SUPPLY S109325054 . 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
.::::::::::::......:..:. .:::.:.:..:::::::::::.:::::::::::::::::._:::::::::::..:._..................::::::....:::.:.:::::::..::::::::::::: :::::::::::::::
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200 200 ea T&B L-11-50-0-C 6 .28 100ea 12 . 56
CABLE TIE 50LB 11 UV BLK 1-PC DIST
Received :
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/21/201? 51�9325054.0�1
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DELIVERED JUN 3 01017
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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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KIRBY RISK 51 ELECTRICAL SUPPLY S109328399 . 001
11110 ALLISONVILLE ROAD
FISHERS IN 46038-1837 Page 1 of 2
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
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20 20 ft SOUT THHN-STR-4-BLA-CU-1000FT 561 . 53 1000ft 11 . 23
4-19 CU SIMpull(TM) THHN—THWN-2 MTW
BLACK
20499004
2 2 ea T&B 2H 203 . 09 100ea 4 . 06
SPLIT BOLT CONNECTOR
2 2 ea T&B L70 81 . 84 100ea 1 . 64
TERMINAL LUG
e e t-we d : T°1,a'J 22 Pil_
Date : 6 .23-#7
PO # : pro(v23'-7 /4
ACCT #: - n re m'
Use : S-TWA �G�1o'����l.•�i
DELIVERED JUN 3 0 2017
KirbyRisk PK
KIRBY RISK 51 ELECTRICAL SUPPLY S109328399 . 001
11110 ALLISONVILLE ROAD
FISHERS IN 46038-1837 Page 2 of 2
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
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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.
Kirby Risk ........
WC51
KIRBY RISK DISTRIBUTION CENTER900 S 10 9 2 7 513 4 . 0 0 1
5501 W 52ND ST
INDIANAPOLIS IN 46254-1637 Page 1 of 2
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
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RICH R COLLINS BRIAN TOLAN S109275134 . 001 900 06/15/17
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********* Shipping Instructions *** k******
* ********************************* k**** *
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* ********************************* **** *
******************PHONE#*********** ******
* 317-733-2855
*********************************** ******
100 100 ea CUL 74420J 57 . 40 100ea 57 . 40
3/8-16 X 1-1/4 HEX CAP SCREW
**SUBJECT TO VENDOR RETURN POLICY**
100 100 ea CULL 70135J 16 . 72 100ea 16 . 72
3/8-16 HEX NUT 18-8 SS
**SUBJECT TO VENDOR RETURN POLICY**
100 100 ea CULL 70745J 38 . 17 100ea 38 . 17
3/8 X 1-1/2 FENDER WASHER 18-8
**SUBJECT TO VENDOR RETURN POLICY**
100 100 ea CULL 70535J 11 . 83 100ea 11 . 83
3/8 LOCKWASHER 18-8 SS
**SUBJECT TO VENDOR RETURN POLICY**
100 100 ea CULL 74412J 42 . 51 100ea 42 . 51
3/8-16 x 3/4 HEX CAP SCREW SS
**SUBJECT TO VENDOR RETURN POLICY**
Carton: BOX-634282
Recei ed • ?o'-au 22
Date : -
P O # :
DELIVERED JUN 3 0 2 IA C C T
, Use : S• � H �a�_
KirbyRisk WC51� ::
KIRBY RISK DISTRIBUTION CENTER900 S109275134 . 001
5501 W 52ND ST
INDIANAPOLIS IN 46254-1637 Page 2 of 2
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
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MUST REFERENCE THE SALES ORDER NUMBER. NO MATERIAL MAY BE RETURNED WITHOUT PRIOR APPROVAL.
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KIRBY RISK DISTRIBUTION CENTER900 S109319943 . 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
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2 2 ea AB 1747-BA 185 .41 lea 370 . 82
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MUST REFERENCE THE SALES ORDER NUMBER. NO MATERIAL MAY BE RETURNED WITHOUT PRIOR APPROVAL.
** Reprint ** Reprint ** Reprint **
Kirby Risk
WC51
KIRBY RISK DISTRIBUTION CENTER900 S109266602 . 001
5501 W 52ND ST
INDIANAPOLIS IN 46254-1637 Page 1 of 2
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
11788 BT053017A
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2 2 ea TIME A252B 107 . 58 lea 215 . 16
3 PHASE 480V PHASE MONITOR
KRPNM
**SUBJECT TO VENDOR RETURN POLICY**
2 2 ea TIME 51X120 (51012001 ) 5 . 58 lea 11 . 16
TIMEMARK 8-PIN BASE
KRPNM
**SUBJECT TO VENDOR RETURN POLICY**
PER VENDOR MUST USE THEIR SOCKET
TO INSTALL
Carton: BOX-622003 Loc: 51 FISHER F
r DELIVERED JUN 3 0 2017
Received- 10"a' 2.
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PO # : �oS;3al�h
ACCT #: 4,204
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KIRBY RISK DISTRIBUTION CENTER900 S 10 9 2 6 6 6 0 2 . 0 0 1
5501 W 52ND ST
INDIANAPOLIS IN 46254-1637 Page 2 of 2
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
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/15/2017 51092666132.1301
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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.
I(R Kirby Ri1111111111111111 skPK
KIRBY RISK 51 ELECTRICAL SUPPLY S109314463 . 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
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********* Shipping Instructions *** ******
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5 5 ea BUSS FNQ-R-10 11 .26 lea 56 . 30
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Date : (P-rs-r7
CUSTOMER—PLEASE NOTE: ALL CLAIMS FOR SHORTAGE OR DAMAGE MUST BE MADE WITHIND i
MUST REFERENCE THE SALES ORDER NUMBER. NO MATERIAL MAY BE RETURNED WITHOUT P OR'AVAL. T�Gi�7,aPAO
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KIRBY RISK DISTRIBUTION CENTER900 S109330351 . 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
11788 KR62617
1dR f€R €REO R. S )ItEIFi # SHIM RAN IIP DATE
JOAN HEBNER KEN RHODES S109330351 . 001 900 06/26/17
MR QTY SHIP nTY... 01-.. 0£S�RiF QN Y@�i;Pfi£ ;: Ut t f PrfC�
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******************PHONE#*********** ******
* 317-571-2669
*********************************** ******
6 6 ea AB 800T-QTH2R 188 . 50 lea 1131 . 00
800T 30 MM PILOT LIGHT WITH TEST
Carton: BOX-855628 Loc : 7
eceived:
ate:
< u t> a. 1131.00
ACCT #: ��rx cx�s 0. 00
►a®estaaEx 0. 00sUse:
0.00
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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 **
CITY OF CARMEL, INDIANA VENDOR: 00351017 CHECK AMOUNT: $*****2,586.59'
e
ONE CIVIC SQUARE KIRBY RISK CORPORATION
i
rq CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 313823
CHICAGO IL 60673-1275 CHECK DATE: 07/18/17
MlTON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 226.32 109266602 . 001
601 5023990 166.63 109275134 .001
601 5023990 56.30 ' 109314463 .001
601 5023990 370.82-** 109319943 .001
601 5023990 12.56 ' 109325054 .001
601 5023990 16.93 109328399.001
601 5023990 1,131.00" 109330351.001
651 5023990 160.27 S109217217 . 001
651 5023990 26.60
651 5023990 169.97 5109333083 .001
1206 4239034 S109326400 249.19--' 5109326400.001
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CUSTOMERCUSTOMER NUMBER -• NUMBER RELEASE NUMBER TERMS
74918 S17346 PT 10TH PROX NET 30TH
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
KEVIN R FORD PAR PARCEL DLVY DUANE JARVIS FISHERS 317-598-6170 06/22/17
ORDER QTY SHIP CITY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
lea lea HUBB HBL460P9W 238.00 lea 238.00 4.76
3P4W 60A 250V PIN&SLEEVE PLUG
L �
X
-7
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S109326400.001
Subtotal 238.00
If paid by 07/10/17 you may deduct$4.76 S&H Charges 11.19
Invoice is due by 07/31/17 net of any cash discount. Sales TaX 0.00
,,jj.�, A • a 249.19
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CUSTOMER • •• NUMBER RELEASE NUMBER TERMS
74918 S17373 PT 10TH PROX NET 30TH
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
DARREN HARING DIRECT BEN DONALD FISHERS 317-598-6170 06/28/17
.-. - • SHIPQTY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC
500ft 500ft OMNI J562304-DB 271.43 1000ft 135.72
CAT 6 DIRECT BURIAL
KRPNM
"SUBJECT TO VENDOR RETURN POLICY"
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 6/28/2017 5109333083.001 Invoice Number S109333083.001
Subtotal 135.72
a
S&H Charges 23.60
Invoice is due by 07/31/17. Sales Tax 0.00
I" DWAM in • e 159.32
0002:0003 lV( Kirby Risk Page 1 of 1
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER NUMBER CUSTOMER •• NUMBER RELEASE NUMBER TERMS
74918 1S17373 I PT 10TH PROX NET 30TH
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
DARREN HARING DIRECT BEN DONALD FISHERS 7 317-598-6170 06/28/17
ORDER CQTY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC
100ea 100ea T&B L-1 1-50-0-C 6.28 100ea 6.28 0.13
CABLE TIE 50LB 11 UV BLK 1-PC DIST
100ea 100ea T&B L-7-50-0-C 2.82 100ea 2.82 0.06
T'ULTRA-VIOLET TY-RAP
100ea 100ea T&B L-4-18-0-C 1.55 100ea 1.55 0.03
CBL TIE 18LB 4 IN UV BLK 1-PC DIST
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 6/28/2017 5109333083.003 Invoice Number S109333083.003
Subtotal 10.65
If paid by 07/10/17 you may deduct$0.22 f_ 30 S&H Charges 0.00
Invoice is due by 07/31/17 net of any cash discount. Sales Tax 0.00
I" DMMM � • � 10.65
0001:0001 Kirby Risk Page 1 of 1
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER •• NUMBER RELEASE NUMBER TERMS
74918 S16983 PT 10TH PROX NET 30TH
SALESPERSON i
SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
KEVIN R FORD DIRECT DUANE JARVIS FISHERS 317-598-6170 04/28/17
ORDER Q HIP QTY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC
8ea 8ea NEWA 66K6967 18.75 lea 150.00
GENTEQ 97F8237RR
Film Capacitor, Motor Run, 39.87
NF, PP(Polypropylene),480 VAC,
GEM III 97F8200 Series, +/-6%
KRPNM
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S109146897.003
Subtotal 150.00
S&H Charges 10.27
Invoice is due by 05/31/17. Sales Tax 0.00
• 160.27
,r,,
0001:0001 r Kirby Risk Page 1 of 1
UriMAIUrrtKrURIIUNANDRtIURNWIIHYOURPAYMENT
CUSTOMER • •• NUMBER RELEASE NUMBER TERMS
74918 S17127 PT 10TH PROX NET 30TH
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
RICH R COLLINS WC51 WILL-CALL BEN DONALD FISHERS 317-598-6170 04/14/17
I ORDER QTY SHIP QTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
2ea 2ea INTE K4251 13.30 lea 26.60 0.27
120V PHOTOCONTROL
1
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Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 4/17/2017 5109217217-002 Invoice Number S109217217.002
Subtotal 26.60
If paid by 05/10/17 you may deduct$0.27 ,Z S&H Charges 0.00
Invoice is due by 05/31/17 net of any cash discount. Sales Tax 0.00
''jj.�, BIM DONA n • I 26.60
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CUSTOMER • •• NUMBER RELEASE NUMBER TERMS
11788 LS06.21.2017 NET 30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
DARREN HARING PK PICK-UP LARRY SCHIMMEL FISHERS 317-598-6170 06/21/17
ORDER CITY� SHIP CITY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
200ea 200ea T&B L-1 1-50-0-C 6.28 1 00e 12.56
CABLE TIE 50LB 11 UV BLK 1-PC DIST
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 6/21/2017 5109325054-001 Invoice Number S109325054.001
Subtotal 12.56
S&H Charges 0.00
Invoice is due by 07/21/17. Sales Tax 0.00
�r,,
LARRY SCxre� jjj •�� 12.56
0001:0001 Kirby Risk Page 1 of 1
DETACHUPPERPORTIONANDRETURNWITHYOURPAYMENI
CUSTOMER • •• NUMBER RELEASE NUMBER TERMS
11788 SOUTH TOWER NET 30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
DARREN HARING PK PICK-UP BRIAN TOLAN FISHERS 317-598-6170 06/23/17
ORDER QTY� SHIP QTY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC
20ft 20ft SOUT THHN-STR-4-BLA-CU-1000FT 561.53 1 000f 11.23
4-19 CU SIMpull(TM)THHN-THWN-2 MTW
BLACK
20499004
2ea 2ea T&B 2H 203.09 100ea 4.06
SPLIT BOLT CONNECTOR
2ea 2ea T&B L70 81.84 1 00e 1.64
TERMINAL LUG
Billing Questions: Billing_request@kirbyrisk.com(765)446-3054 6/23/2017 9109328399.001 Invoice Number S109328399.001
Subtotal 16.93
ToGv aas-t S&H Charges 0.00
Invoice is due by 07/23/17. Sales Tax 0.00
Moog
IMIAN xaznN AMOUNTME 16.93
0001:0002 N( Kirby Risk Page 1 of 1
UtIAUHUFFLKVUKIIUNANUKtIUKNWIIMYUUKVAYMLNI
CUSTOMER NUMBER CUSTOMER '• NUMBER RELEASE NUMBER TERMS
11788 BT0530176 NET 30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE I
PHONE NUMBER SHIP DATE
RICH R COLLINS WC51 WILL-CALL BRIAN TOLAN FISHERS 317-598-6170 06/13/17
.-. - . SHIPQTY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC
100ea 100ea CUL 74420J 57.40 100ea 57.40
3/8-16 X 1-1/4 HEX CAP SCREW
**SUBJECT TO VENDOR RETURN POLICY**
100ea 100ea CULL 70135J 16.72 100ea 16.72
3/8-16 HEX NUT 18-8 SS
**SUBJECT TO VENDOR RETURN POLICY**
100ea 100ea CULL 70745J 38.17 100ea 38.17
3/8 X 1-1/2 FENDER WASHER 18-8
**SUBJECT TO VENDOR RETURN POLICY**
100ea 100ea CULL 70535J 11.83 100ea 11.83
3/8 LOCKWASHER 18-8 SS
**SUBJECT TO VENDOR RETURN POLICY**
100ea 100ea CULL 74412J 42.51 100ea 42.51
3/8-16 x 3/4 HEX CAP SCREW SS
**SUBJECT TO VENDOR RETURN POLICY**
Billing Questions: Billing_request@kirbyrisk.com(765)446-3054 6/15/2017 S109275134-001 Invoice Number S109275134.001
Subtotal 166.63
SAH Charges 0.00
Invoice is due by 07/13/17. Sales Tax 0.00
BRIAN TInM • 166.63
0002:0003 Kirby Risk Page 1 of 1
DETACHUPPERPORTIONANDRETURNWIFHYOURPAYMENI
CUSTOMER • •• NUMBER RELEASE NUMBER TERMS
11788 KR61917 NET 30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
JOAN HEBNER PAR PARCEL DLVY KEN RHODES FISHERS 317-598-6170 06/19/17
ORDER CCITY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
2ea 2ea AB 1747-BA 185.41 lea 370.82
Lithium Battery(For RAM Memory
Retention)
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S109319943.001
Subtotal 370.82
S&H Charges 0.00
Invoice is due by 07/19/17. Sales Taxj 0.00
,,rr,�, • 370.82
0001:0001 N( Kirby Risk Page 1 of 1
DETACHUPPERPORTIONANDRETURNWITHYOURPAYMENI
CUSTOMER NUMBER CUSTOMER •• NUMBER RELEASE NUMBER TERMS
11788 BT053017A NET 30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE
RICH R COLLINS WC51 WILL-CALL BRIAN TOLAN FISHERS 317-598-6170 06/13/17
ORDER QTY SHIP QTY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC
2ea 2ea TIME A252B 107.58 lea 215.16
3 PHASE 480V PHASE MONITOR
KRPNM
*"SUBJECT TO VENDOR RETURN POLICY"*
2ea 2ea TIME 51X120(51012001) 5.58 lea 11.16
TIMEMARK 8-PIN BASE
KRPNM
"*SUBJECT TO VENDOR RETURN POLICY"
PER VENDOR MUST USE THEIR SOCKET
TO I NSTALL
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 6/15/2017 5109266602-001 Invoice Number S109266602.001
Subtotal 226.32
S&H Charges 0.00
Invoice is due by 07/13/17. Sales Tax 0.00
SAIAN roLAN I •M31W 226.32
0001:0003 Kirby Risk Page 1 of 1
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CUSTOMER • '• NUMBER RELEASE NUMBER TERMS
11788 Well 23 BT NET 30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
RICH R COLLINS PK PICK-UP BRIAN TOLAN FISHERS 317-598-6170 06/15/17
ORDER QTY SHIP QTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
5ea 5ea BUSS FNQ-R-10 11.26 lea 56.30
FUSE
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S109314463.001
Subtotal 56.30
S&H Charges 0.00
Invoice is due by 07/15/17. Sales Tax 0.00
OEM= 56.30
0003:0003 MR Kirby Risk Page 1 of 1
CUSTOMER NUMBER CUSTOMER •. NUMBER RELEASE NUMBER TERMS
11788 KR62617 NET 30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
JOAN HEBNER PAR PARCEL DLVY KEN RHODES FISHERS 317-598-6170 06/26/17
ORDERQTY� SHIPQTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
6ea 6ea AB 800T-QTH2R 188.50 lea 1131.00
800T 30 MM PILOT LIGHT WITH TEST
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S109330351.001
Subtotal 1131.00
S&H Charges 0.00
Invoice is due by 07/26/17. Sales Tax 0.00
• 1131.00
0001:0001 Kirby Risk Page 1 of 1
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I(R Kirby Risk
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KIRBY RISK 51 ELECTRICAL SUPPLY S109325054 . 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
.::::::::::::......:..:. .:::.:.:..:::::::::::.:::::::::::::::::._:::::::::::..:._..................::::::....:::.:.:::::::..::::::::::::: :::::::::::::::
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200 200 ea T&B L-11-50-0-C 6 .28 100ea 12 . 56
CABLE TIE 50LB 11 UV BLK 1-PC DIST
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MUST REFERENCE THE SALES ORDER NUMBER. NO MATERIAL MAY BE RETURNED WITHOUT PRIOR APPROVAL.
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KIRBY RISK 51 ELECTRICAL SUPPLY S109328399 . 001
11110 ALLISONVILLE ROAD
FISHERS IN 46038-1837 Page 1 of 2
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
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20 20 ft SOUT THHN-STR-4-BLA-CU-1000FT 561 . 53 1000ft 11 . 23
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PO # : pro(v23'-7 /4
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DELIVERED JUN 3 0 2017
KirbyRisk PK
KIRBY RISK 51 ELECTRICAL SUPPLY S109328399 . 001
11110 ALLISONVILLE ROAD
FISHERS IN 46038-1837 Page 2 of 2
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
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MUST REFERENCE THE SALES ORDER NUMBER. NO MATERIAL MAY BE RETURNED WITHOUT PRIOR APPROVAL.
Kirby Risk ........
WC51
KIRBY RISK DISTRIBUTION CENTER900 S 10 9 2 7 513 4 . 0 0 1
5501 W 52ND ST
INDIANAPOLIS IN 46254-1637 Page 1 of 2
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
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100 100 ea CUL 74420J 57 . 40 100ea 57 . 40
3/8-16 X 1-1/4 HEX CAP SCREW
**SUBJECT TO VENDOR RETURN POLICY**
100 100 ea CULL 70135J 16 . 72 100ea 16 . 72
3/8-16 HEX NUT 18-8 SS
**SUBJECT TO VENDOR RETURN POLICY**
100 100 ea CULL 70745J 38 . 17 100ea 38 . 17
3/8 X 1-1/2 FENDER WASHER 18-8
**SUBJECT TO VENDOR RETURN POLICY**
100 100 ea CULL 70535J 11 . 83 100ea 11 . 83
3/8 LOCKWASHER 18-8 SS
**SUBJECT TO VENDOR RETURN POLICY**
100 100 ea CULL 74412J 42 . 51 100ea 42 . 51
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**SUBJECT TO VENDOR RETURN POLICY**
Carton: BOX-634282
Recei ed • ?o'-au 22
Date : -
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DELIVERED JUN 3 0 2 IA C C T
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KIRBY RISK DISTRIBUTION CENTER900 S109275134 . 001
5501 W 52ND ST
INDIANAPOLIS IN 46254-1637 Page 2 of 2
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
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MUST REFERENCE THE SALES ORDER NUMBER. NO MATERIAL MAY BE RETURNED WITHOUT PRIOR APPROVAL.
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KIRBY RISK DISTRIBUTION CENTER900 S109319943 . 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
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2 2 ea AB 1747-BA 185 .41 lea 370 . 82
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MUST REFERENCE THE SALES ORDER NUMBER. NO MATERIAL MAY BE RETURNED WITHOUT PRIOR APPROVAL.
** Reprint ** Reprint ** Reprint **
Kirby Risk
WC51
KIRBY RISK DISTRIBUTION CENTER900 S109266602 . 001
5501 W 52ND ST
INDIANAPOLIS IN 46254-1637 Page 1 of 2
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
11788 BT053017A
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2 2 ea TIME A252B 107 . 58 lea 215 . 16
3 PHASE 480V PHASE MONITOR
KRPNM
**SUBJECT TO VENDOR RETURN POLICY**
2 2 ea TIME 51X120 (51012001 ) 5 . 58 lea 11 . 16
TIMEMARK 8-PIN BASE
KRPNM
**SUBJECT TO VENDOR RETURN POLICY**
PER VENDOR MUST USE THEIR SOCKET
TO INSTALL
Carton: BOX-622003 Loc: 51 FISHER F
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Received- 10"a' 2.
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PO # : �oS;3al�h
ACCT #: 4,204
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KIRBY RISK DISTRIBUTION CENTER900 S 10 9 2 6 6 6 0 2 . 0 0 1
5501 W 52ND ST
INDIANAPOLIS IN 46254-1637 Page 2 of 2
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
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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.
I(R Kirby Ri1111111111111111 skPK
KIRBY RISK 51 ELECTRICAL SUPPLY S109314463 . 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
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********* Shipping Instructions *** ******
* ********************************* **** *
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* ********************************* **** *
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5 5 ea BUSS FNQ-R-10 11 .26 lea 56 . 30
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KIRBY RISK DISTRIBUTION CENTER900 S109330351 . 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
11788 KR62617
1dR f€R €REO R. S )ItEIFi # SHIM RAN IIP DATE
JOAN HEBNER KEN RHODES S109330351 . 001 900 06/26/17
MR QTY SHIP nTY... 01-.. 0£S�RiF QN Y@�i;Pfi£ ;: Ut t f PrfC�
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* ********************************* **** *
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* ********************************* **** *
******************PHONE#*********** ******
* 317-571-2669
*********************************** ******
6 6 ea AB 800T-QTH2R 188 . 50 lea 1131 . 00
800T 30 MM PILOT LIGHT WITH TEST
Carton: BOX-855628 Loc : 7
eceived:
ate:
< u t> a. 1131.00
ACCT #: ��rx cx�s 0. 00
►a®estaaEx 0. 00sUse:
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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 **