316722 09/29/17 (9- )
CITY OF CARMEL, INDIANA VENDOR: 00351017
ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: $*****1,093.50*
CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 316722
CHICAGO IL 60673-1275 CHECK DATE: 09/29/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1,032.80 109437451.001
651 5023990 38.65 S109429404 .001
651 5023990 16.90 S109458897 . 001
651 5023990 5.15 S109458897 . 002
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I(RKirby Risk INVOICE
INVOICE DATE INVOICE CUSTOMER#
1815 Sagamore Pkwy NUMBER
Lafayette, IN 47904 09/11/17 S109437451.051 11788
DUE DATE TOTALDUE AMOUNT • .
10/11/17 1032.80 /�j �„�?6
PLEASE REMIT PAYMENT TO:
KIRBY RISK CORPORATION
27561 Network Place
CHICAGO IL 60673-1275
40 1 AB 0.403 E0040X 10055 D2823621271 S2 P4628625 0001:0001 SHIP TO:
I�IIII�����I�I�IIIII""II�III�IIIII���I�I�IIIIIII��IIII���'111'1 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 • •• NUMBER RELEASE NUMBER TERMS
11788 KR83117 NET 30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
ERIC HOPWOOD 23-2 ROUTE 2 KEN RHODES FISHERS317-598-6170 09/11/17
ORDERQTY� SHIPQTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
lea lea AB SK-U1-FAN1-H1 126.81 lea 126.81
PF400 FRM H FAN REPL KIT-UPPER SIDE
FAN
"*SUBJECT TO VENDOR RETURN POLICY"*
lea lea AB SK-U1-FAN1-H2 184.87 lea 184.87
PF400 FIRM H FAN REPL KIT-MIDDLE
SIDE FAN
"SUBJECT TO VENDOR RETURN POLICY"
lea lea AB S K-U 1-FAN4-H3 721.12 lea 721.12
PF400 FIRM H FAN REPL KIT-BOTTOM FAN
ASSM
"*SUBJECT TO VENDOR RETURN POLICY"
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S109437451.001
Subtotal 1032.80
S&H Charges 0.00
Invoice is due by 10/11/17. Sales Tax 0.00
j�,, � • 9 1032.80
0001:0001 N[ Kirby Risk Page 1 of 1
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER • •• NUMBER RELEASE NUMBER TERMS
74918 S17622 PT 10TH PROX NET 30TH
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
DARREN HARING WC51 WILL-CALL BEN DONALD FISHERS 317-598-6170 09/12/17
ORDER C • CITY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
Zea 2ea T&B CTL30-38 257.38 100ea 5.15 0.10
COMPRESSION TERMINAL
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 9/13/2017 5109458897.002 Invoice Number S709458897.002
Subtotal 5.15
If paid by 10/10/17 you may deduct$0.10 �r� S&H Charges 0.00
Invoice is due by 10/31/17 net of any cash discount. K Sales Tax 0.00
111, DMMX • a 5.15
0002:0002 rV[ Kirby Risk Page 1 of 1
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER • PO,NUMBER RELEASE NUMBER TERMS
74918 S17622 PT 10TH PROX NET 30TH
ORDEREDSALESPERSON SHIP VIA
DARREN HARING WC51 WILL-CALL BEN DONALD FISHERS 317-598-6170 09/12/17
•-. - • SHIPQTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
5ft 5ft CORD WELD-2/0-131-A-NON UL-KRWP 3379.10 1000ft 16.90 0.34
2/0 AWG CU Welding Cable 600v Blk
01773.41T.01
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 9/13/2017 91054ESS97_001 Invoice Number S109458897.001
Subtotal 16.90
If paid by 10/10/17 you may deduct$0.34 r);^n S&H Charges 0.00
Invoice is due by 10/31/17 net of any cash discount. VW-7 Sales Tax 0.00
I" DONALD � • 3TIM 16.90
0001:0002 iV[ Kirby Risk Page 1 of 1
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER • •• NUMBER RELEASE NUMBER TERMS
74918 S17565 PT 10TH PROX NET 30TH
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
KEVIN R FORD UPS GROUND DUANE JARVIS FISHERS 317-598-6170 09/12/17
ORDERQTY� SHIPCITY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
lea lea M I LW 42-66-2607 27.95 lea 27.95 0.56
CHUCK
"SUBJECT TO VENDOR RETURN POLICY"
FACTORY STOCK
Billing Questions: Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S109429404.001
Subtotal 27.95
If paid by 10/10/17 you may deduct$0.56 S&H Charges 10.70
Invoice is due by 10/31/17 net of any cash discount. Sales Tax0.00
��jj,�, • 38.65
0001:0002 /�/[ Kirby Risk Page 1 of 1