HomeMy WebLinkAbout319145 11/30/2017 CITY OF CARMEL, INDIANA VENDOR: 00351017
ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: $*******188.22*
CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 319145
v� CHICAGO IL 60673-1275 CHECK DATE: 11/30117
DEPARTMENT ACCOUNT PO NUMBER _ INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1095326621 94.12 OTHER EXPENSES
601 5023990 1095373431 94.10 OTHER EXPENSES
,4
Voucher # 173447 Warrant # Prescribed by State Board of Account City Form No.201(Rev 1995)
ALLOWED 20
00351017 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
KIRBY RISK CITY OF CARMEL
27561 NETWORK PLACE An invoice or bill to be properly itemized must show, kind of service, where
CHICAGO, IL 60673 performed, dates of services rendered, by whom, rates per day, number of units
price per unit, itc.
Payee
Carmel Water Utility 00351017 Purchase Order
No.
ON ACCOUNT OF APPROPRIATION FOR KIRBY RISK Terms
27561 NETWORK PLACE Due Date
Board Due Date
Members
CHICAGO, IL 60673
Description
Audit Trail INVOICE (or note attached invoice(s)or
PO # INV# ACCT# AMOUNT Code DATE INVOICE NUMBER bill(s)) AMOUNT
109532662.1 01-6200-02 $94.12 11/22/2017 109532662.1 $94.12
109537343.1 01-6200-04 $94.10 11/22/2017 109537343.1 $94.10
Voucher Total $188.22
Cost distribution ledger classification if
claim paid under vehicle highway fund
I hereby certify that the attached invoice(s), or bill(s) is (are)true and
correct and I have audited same in accordance with IC 5711-10-1.6
Date Officer
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOME& • i . W
11788 . 1 BT103117A INET 30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
RICH R COLLINS DIRECT BRIAN TOLAN FISHERS 317-598-6170 11/14/17
ORDER CQTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
lea lea MTE M-1776 79.50 lea 79.50
PROTECTO SURGE SUPPRESSOR 480V
KRPNM
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S109532662.001
Subtotal 79.50
S&H Charges 14.62
Invoice is due by 12/14/17. Sales Tax0.00
• � 94.12
0001:0001 Kirby Risk Page 1 of 1
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
•MKRjjIj-Mt3gR�-._-C-UST--OMER ••
11788 1 BT103117B 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 11/07/17
ORDER QTY SHIP QTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
lea lea AB 400-DP25NJ3 94.10 lea 94.10
400 DEFINITE PURPOSE CONTACTOR,
25A, 24V 50/60HZ
"SUBJECT TO VENDOR RETURN POLICY"
25 AMP IS A NON STOCK ITEM AND WILL
HAVE TO BE ORDERED FROM ALLEN
BRADLEY
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 11/15/2017 S109537343-001 Invoice Number S109537343.001
Subtotal 94.10
S&H Charges 0.00
Invoice is due by 12/07/17. 1-13L' Zzf
Sales Tax 0.00
� BRIAN TUMAN • 94.10
r,�
000i:000l MR Kirby Risk Page 1 of 1
Kirb Risk :: : :::i(R .::::.::::.,..�:.::::......::..::.:::::::
Y JillDIRE
KIRBY RISK 51 ELECTRICAL SUPPLY S109532662 . 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
...................
..........�it�iOFI�R..NUI���.........................::.:. ..!G(t5.tti���E:;.ttR11�k.:NtN?191E1E.:::::::::.�:::::::.....................................................................................:..::::::::::::::::::..:.:.:........................:................:.:.::.:....
11788 BT103117A
>::� 19Gf#E::<:::> :<::::
:<::::>::#1
::..::::::jaitF. ................................................................ ��is o.s .............:......:.:.:.:.::..... .:.:::::::::::A :. o.............................................:....::::..... :...: ::::::::::.:....................
RICH R COLLINS BRIAN TOLAN 5109532662 . 001 51 11/15/17
********* Shipping Instructions *** ******
* ********************************* **** *
* SHIP COMPLETE
* ********************************* **** *
* 317-733-2855
*********************************** ******
1 1 ea MTE M-1776 79 . 50 lea 79 . 50
PROTECTO SURGE SUPPRESSOR 480V
KRPNM
1/15/217 5109532562_�dl
Req e 1 ve
ce1ve
xirx xox Q►-t 7
> > 79.50
P # : I�TlO 3 ! 17� `< `« 14. 62
AC-CT
_. �, l `>< 0.00
::....a ..... t ......::
0.00
Usk.. OIL to rpt T7
94. 12,
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.
:':iyy?.<, :..........:.....:....:.:::..:.........:
Kirby Risk
WC51
KIRBY RISK DISTRIBUTION CENTER900 S109537343 . 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 BT103117B
<:><:>:>:»:>::>:>: `:>:::>>'.:: :; :..:,:.,,:::.:::: ::»>:>::>>:::>:.. ..
<::;«:>::>:<:>::>::>::»:::............................::::.:::::.:::.::::..::::..::.........................i►R £� $ALMS..3ROf . .::..:...:.......::.:::::SNS.:.�kAxr ::..:::...:::::::::. .i :.�At�.......::
RICH R COLLINS BRIAN TOLAN S109537343 . 001 900 11/15/17
!#..................... ...........................:..:..:......................................... 1�5 &j( # OH.............................................................. .t { ................tE�#t>:<:>:>::<::<:::::>::»:<z::<z::::
********* Shipping Instructions *** ******
* ********************************* **** *
* SHIP COMPLETE
* ********************************* **** *
******************PHONE#*********** ******
* 317-733-2855
*********************************** ******
1 1 ea AB 400-DP25NJ3 94 . 10 lea 94 . 10
400 DEFINITE PURPOSE CONTACTOR,
25A, 24V 50/60HZ
**SUBJECT TO VENDOR RETURN POLICY**
25 AMP IS A NON STOCK ITEM AND WILL
HAVE TO BE ORDERED FROM ALLEN
BRADLEY
Carton: BAG-491821 Loc: 51 FISHER F
........................................
........................................
........................................
........................................
.........................................
........................................
........................................
........................................
........................................
........................................
........................................
........................................
........................................
........................................
........................................
........................................
........................................
r4cati! ZZSTr
Date :
PO # : �-rt�3i �� 8
ACCT # : �aa•�
Use : Tit fftyOVrA
wry
640
r
Kirby Risk
WC51
KIRBY RISK DISTRIBUTION CENTER900 S109537343 . 001
5501 W 52ND ST
INDIANAPOLIS IN 46254-1637 Page 2 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 BT103117B
.....................!#tHH&��:::�:�>::>:«'<::<:::»:<::::::«::>:::::<::><::>:>:::<:::>::::>::>:«::'.:::::SAL•�5:::�tRO�st:::H»:>:»:>:>::>:::::z:::::>::>::>::<::SH��...tt/trl. .
RICH R COLLINS BRIAN TOLAN S109537343 . 001 900 11/15/17
»»:>:>SHxp:: t :>::»:::::::UEi:>::>::::>::;::;.:::::::.:.:.:.;:;;;:.;;;:.:.:.:.;::.;:.;;;:.;:.;:.;:.;:.::.::.::.:.::.:.:.: ::: ExpPri.� :>:::<:»»::
........................................�iSfPS#.HH::»>><:>:::><>::><>::>::>::>:::>:::>:::>:::::::::::::::'.:<:::::::>:::'.:::::::::<:::lCa<::ri:s :>::>::»»:«:>:<::UniC::::.::::::::..::.
?..................... .................................................................................................:::::::.::::::::.:::.:::::.::.:..::....:................................................................................................................
1/15/2017 519537393_001
"�"t91.%e�ry zz
gIAX ,(MM
Subtotal 94. 10
S&H CHGS 0.00
Sales Tax 0.00
Payments 0.00
Total
Amount Due 94. 10
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.