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319145 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.