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Home My WebLink About319383 12/05/17 ' 1+u•GAq�* f CITY OF CARMEL, INDIANA VENDOR: 00351017 d ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: $*******351.50* CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 319383 CHICAGO IL 60673-1275 CHECK DATE: 12/05/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4239034 351.50 S109573877001 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 00351017 KIRBY RISK CORPORATION IN SUM OF$ CITY OF CARMEL 27561 NETWORK PLACE An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. CHICAGO, IL 60673-1275 Payee $351.50 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Street Department Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT S109573877.001 42-390.34 $351.50 1 hereby certify that the attached invoice(s),or 11/17/17 S109573877.001 $351.50 2201 2201 2201 2201 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Tuesday, December 05,2017 Huffman, Dave Director 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 5-11-10-1.6 , 20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT m •o 74918 1 S17838 I PT 10TH PROX NET 30TH SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE DARREN HARING PK PICK-UP BEN DONALD FISHERS 317-598-6170 11/17/17 ORDERQTYJ SHIPCITY lea lea SIEM P12241_1125CU 61.28 lea 61.28 1 P LC 12S 24C ML 125A CU INDOOR lea lea SIEM Q230 9.46 lea 9.46 0.19 2P-30A-120/240V CB lea lea HUBB.07401018 38.88 lea 38.88 0.78 DELUXE CORD GRPS lea lea CRSH 12X 8.22 100ea 0.08 3/4 FITTINGS LOCKNUT *Sub for:T&B LN-102 3ea 3ea CRSH TP403 99.55 100ea 2.99 4""SQ BOX 2-1/8"DEEP WELDED 3ea 3ea CRSH TP516 76.90 100ea 2.31 RS-12 4 SQ SURFACE CVR 15ft 15ft ELEF EF12-3/4"SEALTITE-CUT 75.37 1 00f 11.31 3/4 LIQUATITE 6ea 6ea EGS .ST-75 272.22 100ea 16.33 0.33 SEALTITE STR CONN 3/4 —---3ea—----3ea --FgJBB-CR20GRY-----___ -_ _ -- -- -- -- -_ _ 1..58---1 ea--- --___,4-.7.4 -0.09. 20A 125V GRAY DPLX RCPT NEMA 5-20R 500ft 50011 SOUT THHN-STR-12-BLA-CU-50OFT 122.98 1000ft 61.49 12-19 CU THHN-THWN MTW-AWM BLACK 22964101 500ft 500ft SOUT THHN-STR-12-WHT-CU-50OFT 122.98 1000ft 61.49 12-19 CU THHN-THWN MTW-AWM WHITE 22965801 500ft 500ft SOUT THHN-STR-12-GRN-CU-500FT 122.98 1000ft 61.49 12-19 SD CU THHN-THWN-MTW-AWM Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 If paid by 12/10/17 you may deduct$1.78 Invoice is due by 12/31/17 net of any cash discount. 0001:0002 Kirby Risk Page 1 of 2 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT •MERAWj3jEP� CUSTOXER •. ; 74918 1 S17838 PT 10TH PROX NET 30TH SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER I SHIP DATE DARREN HARING PK PICK-UP BEN DONALD FISHERS 317-598-6170 1 11/17/17 ORDER QCITY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC UL/c(UL)GREEN 500 FT 22968201 lea lea HUBB HBL2621 19.65 lea 19.65 0.39 LOCKING MALE PLUG NEMA L6-30P Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 11/17/2017 91ose73a77-001 Invoice Number S109573877.001 Subtotal 351.50 If paid by 12/10/17 you may deduct$1.78 7D. y � S&H Charges 0.00 Invoice is due by 12/31/17 net of any cash discount. Sales axi 0.00 ]BEN DONA n jjjjF • I 351.50 0002:0002 Kirby Risk Page 2 of 2 !(R Kirby Risk PK KIRBY RISK 51 ELECTRICAL SUPPLY S109573877 . 001 11110 ALLISONVILLE ROAD FISHERS IN 46038-1837 Page 1 of 3 317-598-6170 Fax 317-598-6171 SOLD TO: SHIP TO: CARMEL WWTP CARMEL WWTP ATTN: PAUL ARNONE ATTN: DUANE JARVIS 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PKWY INDIANAPOLIS, IN 46280-2935 INDIANAPOLIS, IN 46280-2935 317-571-2634 X1643 fax 317-732-20 :><:::<:::: itto�9lft>REU9 :>::::>::>:: :>....................................................... ...................................::NUMOh. ...::..................$ E14S ..NUZ1k. ... . :::::.:::::: :.:::.::::.::::::Sk?£1,.:.R.. tt ......:...................... 74918 S17838 i1RGFp::: :::::::::::::::::::::<::<z:::::::: ::;:z:;:::::::::> ?:::::::::::::::::::::::: ES>:31i�Eit::: :::;:»>::>:<:>::>::::>::::::::SH7tP::::B[tANC :::<::::::::::::::::s....... ::..SA....................:..:..............................................................:.:...::..::::::::::::::::: DARREN HARING BEN DONALD 5109573877 . 001 51 11/17/17 ................................................ .::.::::::::::::::::::::::.:::::.:.:..:...:.:.:...:::::::::::::::: :::::::::::::::..::.:.:::::::.:::.::::::::::::::::::::::::.:.:.:.::::::..::...:::::::.:::::.:::::::::::::.::: .... ............ ;:::::::::>:':::::::::,:::::::;;;;;:.: ;:;::: .....:: . ::r?;: ::ii::i::i :'�•';:::::::::::: :?:: : :::::::Ez :>:pi`I: :::>::::>'�>s Q.....................?R.............................::..::.::::::: ::..:..::...........:.:.. 5 .....:.;:.:.:::.:;::::::::::::::::.:::::lCtcm::€ ( .:::..:::::::::::U #...::............... . ********* Shipping Instructions *** ****** * ********************************* **** * * SHIP COMPLETE * ********************************* **** * ******************PHONE#*********** ****** * 317-571-2634 X1643 *********************************** ****** 1 1 ea SIEM P1224L1125CU 61 .28 lea 61 . 28 1PH LC 12S 24C ML 125A CU INDOOR 1 1 ea SIEM Q230 9 . 46 lea 9 . 46 2P-30A-120/240V CB 1 1 ea HUBB 07401018 38 . 88 lea 38 . 88 DELUXE CORD GRPS 1 1 ea CRSH 12X 8 .22 100ea 0 . 08 3/4 FITTINGS LOCKNUT * Sub for : T&B LN-102 3 3 ea CRSH TP403 99 . 55 100ea 2 . 99 4" " SQ BOX 2-1/8 " DEEP WELDED 3 3 ea CRSH TP516 76 . 90 100ea 2 . 31 RS-12 4 SQ SURFACE CVR 15 15 ft ELEF EF12-3/4"SEALTITE-CUT 75 . 37 100ft 11 . 31 3/4 LIQUATITE ** Conti#ueo on Next Page *** !(R Kirby Risk -0 PK KIRBY RISK 51 ELECTRICAL SUPPLY S109573877 . 001 11110 ALLISONVILLE ROAD FISHERS IN 46038-1837 Page 2 Of 3 317-598-6170 Fax 317-598-6171 SOLD TO: SHIP TO: CARMEL WWTP CARMEL WWTP ATTN: PAUL ARNONE ATTN: DUANE JARVIS 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PKWY INDIANAPOLIS, IN 46280-2935 INDIANAPOLIS, IN 46280-2935 317-571-2634 X1643 fax 317-732-20 ....................................... ::.....:::...:::.:..:::::::::::::::::::::::::..:.:::::::.::::::::::::.:.:::.:.:...::...:::....::.::.:::.:::::::::.:::::.:::::::.:::::..::::::::::. :... tt #ars �::`::>`.:::>::>«:>»:::>::>::>:<:> ti5ts�t <>tzR ::>:::::>::>::::>................... ....::::::<::<:»::>:: :: :: »::::::::><:::::><:::>::::::>:::>::>::>:::::::::: ::<:::::::::::>:>::»>::>::s e � .� .:CaO ........ ....; .:..... .:Ntrt . :: thS::EtUr :.::::::::::. ::::::::::..:.:.....:...:....:............................................................ .....:.................:.....................................:....,....................:................................................................................................:.:..........................:...............................................................:..:,......:... 74918 517838 ::.:::.::.::::.::.: ;:.;:.;:.;v[EtiT :>:>::>::>:<:::>:<z:::><>:««:::>:::<:::>::::>:<:::>:>::>:::«<::>::<»::>::»::>::>:>:: :. ::::::::::::::::::::::::::::::::::::..::::::::::::::: ;::;::>::»::»::>::>:<: <>::<::<:>5lEIF<::GRANGE:..:........:::::::.SHP::::::E:>:<::::<::<.:: :....:...:...::::::::::::::taRGQ:B!F.:::::::::::.:::::::::::::::::::::::..:::::::::::::::SIkES.:;tRO�t: .::::::::::::::.:.::......................................................................... DARREN HARING BEN DONALD S109573877 . 001 51 11/17/17 ::>:'.>.....:....:'.:'.::>:::>: ««:>::::>::>:>::: s :::>:«:>: >::>:::::::>:>::::>::>::>::::>:::::>s::>::>:<;::>::>:<:::;:> <:<:> Ext:>Pr Q..................... ....................................................................::::::? . #6N.:::::::::::::::::.:::.:::::::.:::::::.:::::::::::::::::::: m:.................................................................................... :................................:.............................:::...:........ 6 6 ea EGS ST-75 272 . 22 100ea 16 . 33 SEALTITE STR CONN 3/4 3 3 ea HUBB CR20GRY 1 . 58 lea 4 . 74 20A 125V GRAY DPLX RCPT NEMA 5-20R 500 500 ft SOUT THHN-STR-I2-BLA-CU-500FT 122 . 98 1000ft 61 . 49 12-19 CU THHN-THWN MTW-AWM BLACK 22964101 500 500 ft SOUT THHN-STR-I2-WHT-CU-500FT 122 . 98 1000ft 61 .49 12-19 CU THHN-THWN MTW-AWM WHITE 22965801 500 500 ft SOUT THHN-STR-I2-GRN-CU-500FT 122 . 98 1000ft 61 . 49 12-19 SD CU THHN—THWN—MTW—AWM UL/c (UL) GREEN 500 FT 22968201 1 1 ea HUBB HBL2621 19 . 65 lea 19 . 65 LOCKING MALE PLUG NEMA L6-30P ....................................................... ........... KirbRisk :::::: .:.: ...:::: :. .::::.:::::::::::.::.. Y PK KIRBY RISK 51 ELECTRICAL SUPPLY S109573877 . 001 11110 ALLISONVILLE ROAD FISHERS IN 46038-1837 Page 3 Of 3 317-598-6170 Fax 317-598-6171 SOLD TO: SHIP TO: CARMEL WWTP CARMEL WWTP ATTN: PAUL ARNONE ATTN: DUANE JARVIS 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PKWY INDIANAPOLIS, IN 46280-2935 INDIANAPOLIS, IN 46280-2935 317-571-2634 X1643 fax 317-732-20 :...............................:.:::..::::::::::::::::..:::::.:. ..::.......:;:.:..:...:::...::....::::::::::::.::::::.::::::::::::::::::::::::::::::.:.:.:.:.:.::. REES ..NUS.......................................................SE�!? i I :>t# ..................:,.:..... 74918 517838 :......::::::::::::::::::::::::.:.:::.:.::.:.:.:.:::::.::::::::::::.:.:::::::::::...:..:::.:.:...:...._:::::::..::::::::::.:...................::: DARREN HARING BEN DONALD S109573877 . 001 51 11/17/17 �6fSC [P##Otttm ? 1 ................t(�it,....::.:::::::::: Exp. r. :::::::::. 1/172017 51�4573877_0�1 A €> 351.50 »> 0. 00 ........................................ iii; 0.00 > ' ' :`" 0.00 =:hw--`b%':::::':::':::'vjw 351.50 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.