316242 9/26/2017 ��''''• CITY OF CARMEL, INDIANA VENDOR: 00351017
Q ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: $ 316.81'
? =4 CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 316242
' CHICAGO IL 6067 3-1 27 5 CHECK DATE: 09/26/17
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 S109363063 309.99 S109363063.001
651 5023990 S109419067 6.82 S109419067 .002
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DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER • -. NUM13ER RELEASE NUMBER TERMS
74918 S17548 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 08/17/17
ORDER QTY SHIP QTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
lea lea HOFFAS100 6.82 lea 6.82 0.14
HOLE SEALS FOR 1.00"CONDUIT
Billing Questions: Billing_request@kirbyrisk.com(765)446-3054 e/1e/2017 9109419067.002 Invoice Number S109419067.002
Subtotal 6.82
If paid by 09/10/17 you may deduct$0.14 S&H Charges 0.00
Invoice is due by 09/30/17 net of any cash discount. Sales Tax 0.00
"N DONALD OEM= 6.82
0001:0001 Kirby Risk Page 1 of 1
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DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER
11788 BT081417A NET 30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
RICH R COLLINS WC51 WILL-CALL BRIAN TOLAN FISHERS 317-598-6170 08/29/17
ORDERQTY� SHIPQTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
lea lea FLIR 461995 309.99 lea 309.99
TACHOMETER, PHOTO/CONTACT WITH
LASER
"SUBJECT TO VENDOR RETURN POLICY"
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 8/30/2017 9109363063.001 Invoice Number S109363063.001
Subtotal 309.99
S&H Charges 0.00
Invoice is due by 09/28/17. '4rr6c) s'?!¢ Sales Tax 0.00
'j., BRIAN T111M • 9 309.99
0001:0001 /V[ Kirby Risk Page 1 of 1
.............................................
........................................................
I(R Kirb Risk
Y WC51
KIRBY RISK DISTRIBUTION CENTER900 S109363063 . 001
5501 W 52ND ST
INDIANAPOLIS IN 46254-1637 Page 1 of 1
317-687-0015 Fax 317-298-2888
SOLD TO: SHIP TO:
CARMEL WATER TREATMENT CARMEL WATER TREATMENT
3450 W 131ST ST 4915 E 106TH ST
CARMEL, IN 46074-8267 CARMEL, IN 46033-3800
317-733-2855 fax 317-733-2053
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:::..:::.:::::::::::::::::::.................................... S�Pgi.I#....C�i;:.;:
11788 BT081417A
::::::::.:::::::...............::.::::::.:::::::::::::::::::.::::::::::::::::::::::.::::::.:.:.:.::.:::::.::::::::::.:::::::::::::::::::::::::.::::::::::::::.:.:::..::::::::::::::::::.::.:::::::.:::::::.:::.:::::::::::::.::..::::::.
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>: R#..........................$H#R:.:BRAHGkE:;>:>::>::>::::>:<:>:>:::$H :.: ATE.........
RICH R COLLINS BRIAN TOLAN 5109363063 . 001 900 08/30/17
On I}fY SHbP tITY...:::.:?�M.;:.;.....:: kSGR#P#iQH Itam.Pri�e.: Un9t;; ..:.::Ex ::;Price::
.......:...... .:.
********* Shipping Instructions *** ******
* ********************************* **** *
* SHIP COMPLETE
* ********************************* **** *
******************PHONE#*********** ******
* 317-733-2855
*********************************** ******
1 1 ea FLIR 461995 309 . 99 lea 309 . 99
TACHOMETER, PHOTO/CONTACT WITH
LASER
**SUBJECT TO VENDOR RETURN POLICY**
Carton: BOX-977101 Loc : 51 FISHER F
9/302017 5109363063.001
R e celve 9' 1- 17 T u 0
BRIAN
309 . 99
........................................
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ACCT #: 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. DELIVERED SED 18 zov