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Home My WebLink About319512 12/12/17 CITY OF CARMEL, INDIANA VENDOR: 00351017 ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: $" "" 1,033.46` CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 319512 CHICAGO IL 60673-1275 CHECK DATE: 12/12/17 F <<UN DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 119.71"- S109511169001 651 5023990 01750002 70.04 OTHER EXPENSES 651 5023990 S10953142300 165.01-' OTHER EXPENSES 651 5023990 S10955819600 678.70/ OTHER EXPENSES VOUCHER NO. 176865 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No. 201(Rev 1995) Vendor # 00351017 IN SUM OF$ 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 performed, CHICAGO, IL 60673 dates service rendered, by whom, rates per day, number of hours, rate per hour, numbers of units, price per unit, etc. Payee $1,033.46 00351017 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR KIRBY RISK Terms Carmel Wasterwater Utility 27561 NETWORK PLACE Due Date BOARD MEMBERS I hereby certify that that attached invoice CHICAGO, IL 60673 (s), or bill(s)is(are)true and correct and that PO# ACCT# the materials or services itemized thereon DATE INVOICE# Description DEPT# INVOICE# Fund# AMOUNT for which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 5109511169. 01-7202-06 $119.71 and received except 11/28/2017 S109511169.001 $119.71 001 S109531423. 01-7500-02 $70.04 11/30/2017 S109531423.001 $70.04 001 S109531423. 01-7500-02 $106.54 11/30/2017 5109531423.002 $106.54 002 S109531423. 01-7500-02 $58.47 11/30/2017 S109531423.003 $58.47 003 S109558196. 01-7202-06 $678.70 11/28/2017 S109558196.001 $678.70 001 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_ Clerk-Treasurer 74918 S17722 PT 10TH PROX NET 30TH SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE TOM MYERS DIRECT JEFF COOPER FISHERS 317-598-6170 11/09/17 ORDER QQTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC lea lea AOSM H946 318.10 lea 318.10 MOTOR, 1HP,1725RPM,208-230/460 KRPNM "SUBJECT TO VENDOR RETURN POLICY" LEAD TIME 3-4 DAYS 0'e i1q�10 Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S109511169.001 Subtotal 318.10 S&H Charges 33.33 Invoice is due by 12/31/17. Sales Tax 0.00 • 351.43 0001:0001 ' Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER • •• NUMBER RELEASE NUMBER TERMS 74918 S17307 PT 10TH PROX NET 30TH SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE KEVIN R FORD 23 INDIANAPOLIS DUANE JARVIS FISHERS 317-598-6170 07/03/17 ORDER QTY SHIP QTY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC -1 ea -1 ea HUBB HBL460R9W 231.72 lea -231.72 3P4W 60A 250V PIN&SLEEVE RECEPTACLE "'Original Sale : S109307538.003*" PLEASE RESTOCK Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S109307538.004 Subtotal -231.72 S&H Charges 0.00 Sales Taxl 0.00 ..rr.A� AMOUNT -231.72 0001:0001 Iia Kirby Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER • •• NUMBER RELEASE NUMBER TERMS 74918 S17741 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 10/24/17 ORDER CCITY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC lea lea SIEM E0204ML1060S 20.10 lea 20.10 0.40 SFC LD CNTR ENCL lea lea SIEM QF120A 39.54 lea 39.54 0.79 BREAKER 20A 1 P 120V 1 OK QPF2 GFCI 5 lea lea SIEM Q2020 10.40 lea 10.40 0.21 SP 20/20A 120/240V CB Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 10/27/2017 SIOSE31423-001 Invoice Number S109531423.001 Subtotal 70.04 If paid by 11/10/17 you may deduct$1.40 7-1 j c� SAH Charges 0.00 Invoice is due by 11/30/17 net of any cash discount. I Sales Tax 0.00 D,� • 70.04 0002:0002 MR Kirby Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT • • • 74918 S17741 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 10/27/17 I@ 'ISHII CITY I DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC 25ea 25ea CRSH 661S 39.97 100ea 9.99 0.20 EMT STL COMPR CPLG 3/4- lea /41ea lea T&B CCGV 384.69 100ea 3.85 0.08 D-T GFCI VERT DEV MT CVR lea lea HUBB HBL20GB3061V 34.45 lea 34.45 RACEWAY PLUG TRACK lea lea HUBB HBL201OA21V 5.87 lea 5.87 RACEWAY ENTR FTG, 2000 SERIES, IV lea lea T&B 531511/23/4UB-30 353.66 100ea 3.54 0.07 4 SQUARE BOX EXT RING 1/2"&3/4" KO 1 1/2"DEEP lea lea CRSH TP516 76.90 100ea 0.77 RS-12 4 SQ SURFACE CVR 1410�2 o° Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 10/30/2017 5109531423-003 Invoice Number S109531423.003 Subtotal 58.47 If paid by 11/10/17 you may deduct$0.35 S&H Charges 0.00 Invoice is due by 11/30/17 net of any cash discount. 7a3a ~1�5}�`� Sales Tax 0.00 E&N DON= • 58.47 0002:0002 1v` Kirby Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT USTOMER-RUMB . •• 74918 S17741 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 10/27/17 ORDER QTY SHIP QTY I DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC 200ft 200ft COND E034 46.56 100f 93.12 1.86 EMT 3/4"CONDUIT 1 OFT 20ft 20ft COND E012 26.95 100f 5.39 0.11 EMT 1/2"CONDUIT 1OFT Zea Zea CRSH 460 16.95 100ea 0.34 0.01 1/2 S/SCR EMT CPLG 6ea 6ea MINE OB 48.92 100ea 2.94 0.06 HANGER W/BOLT-1/2"EMT/ 3/8"-1/2"RIGID 4ea 4ea CRSH TP403 99.55 100ea 3.98 4""SQ BOX 2-1/8"DEEP WELDED lea lea CRSH TP516 76.90 100ea 0.77 RS-12 4 SQ SURFACE CVR Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 10/30/2017 5109531423-002 Invoice Number S109531423.002 Subtotal 106.54 If paid by 11/10/17 you may deduct$2.04 ' S&H Charges 0.00 7 Invoice is due by 11/30/17 net of any cash discount. !`�1��b~ Sales Tax 0.00 sau noxarn • e 106.54 0001:0002 MR Kirby Risk Page 1 of 1 • • eTE RMS 7491,8 517810PT_ 10TH PROX:NET 30TH . .. SALESPERSON SHIP VIA ORDERED BOFFICE • - •. - KEVIN R FORD PAR PARCEL DLVY BEN DONALD FISHERS 317-598-6170 11!10/17 EM:IMPIWA DESCRIPTION ITE M PRICE UNIT EXT AMOUNT lea -lea HUBB-HBL460R7W 233.47 lea 233.47 4.67 3P4W 60A 480V.PIN&SLEEVE RECEPTACLE 2ea 2ea .HUBB HBL460P7W 237.57, lea 475..:14 9.50 .3P4W 60A 480V PIN&SLEEVE'PLUG 1A1 f l �L Billing Questions:Billing_request@kirbydsk.com(765)446-3054 Invoice Number S109558196.001 Subtotal 708.61 If Paid by 12/10/17 you may-deduct$14.17 S&H Charges 12.95 Invoice is due by 12131117.net.of any cash discount. Sales Tax 0.00 e 1 721.56 000l:oao I Kirby Ri A Page 1 d.1 Ie+un u—cm rum I IVH NINU Kt i UKN W 1H YUUK PAYMENT O • • RELEASE NUMBER TERMS 74918 $;16842 PT 1 OTH:PROX NET 30TH SALESPERSON : KEVIN R FORD -DIRECT JEFF COOPER FISHERS 317-- 598-6170 - 07(05/17 ORDER QTY SHIP QTY 'DESC RIPTION ITEM PRICE UNIT ExT AMOUNT -lea -lea RAB 17130-A 42.86 1 ea -42.86- WALL BRACKET WPLED 70-150W KRPNM ' K.RPNM "SUBJECT TO VENDOR RETURN•POLICY". "Original Sale :S109043965.001 . TRACKER# 1Z4464590356766218 3-8-17 f V i { E I : I i 4 i 3 I f f Billing Questions:Billing^request@kirbyrisk.com(765)446-3054 invoice Number 5109043965.002 Subtotall -42.86 $&H Charges 0.00 Sales Tax 0.00. • -42.86 ODOt:DODI Kirby Risk Page-1.0 1 CITY OF CARMEL, INDIANA VENDOR: 00351017 ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: $" "" 1,033.46` CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 319512 CHICAGO IL 60673-1275 CHECK DATE: 12/12/17 F <<UN DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 119.71"- S109511169001 651 5023990 01750002 70.04 OTHER EXPENSES 651 5023990 S10953142300 165.01-' OTHER EXPENSES 651 5023990 S10955819600 678.70/ OTHER EXPENSES VOUCHER NO. 176865 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No. 201(Rev 1995) Vendor # 00351017 IN SUM OF$ 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 performed, CHICAGO, IL 60673 dates service rendered, by whom, rates per day, number of hours, rate per hour, numbers of units, price per unit, etc. Payee $1,033.46 00351017 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR KIRBY RISK Terms Carmel Wasterwater Utility 27561 NETWORK PLACE Due Date BOARD MEMBERS I hereby certify that that attached invoice CHICAGO, IL 60673 (s), or bill(s)is(are)true and correct and that PO# ACCT# the materials or services itemized thereon DATE INVOICE# Description DEPT# INVOICE# Fund# AMOUNT for which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 5109511169. 01-7202-06 $119.71 and received except 11/28/2017 S109511169.001 $119.71 001 S109531423. 01-7500-02 $70.04 11/30/2017 S109531423.001 $70.04 001 S109531423. 01-7500-02 $106.54 11/30/2017 5109531423.002 $106.54 002 S109531423. 01-7500-02 $58.47 11/30/2017 S109531423.003 $58.47 003 S109558196. 01-7202-06 $678.70 11/28/2017 S109558196.001 $678.70 001 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_ Clerk-Treasurer 74918 S17722 PT 10TH PROX NET 30TH SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE TOM MYERS DIRECT JEFF COOPER FISHERS 317-598-6170 11/09/17 ORDER QQTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC lea lea AOSM H946 318.10 lea 318.10 MOTOR, 1HP,1725RPM,208-230/460 KRPNM "SUBJECT TO VENDOR RETURN POLICY" LEAD TIME 3-4 DAYS 0'e i1q�10 Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S109511169.001 Subtotal 318.10 S&H Charges 33.33 Invoice is due by 12/31/17. Sales Tax 0.00 • 351.43 0001:0001 ' Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER • •• NUMBER RELEASE NUMBER TERMS 74918 S17307 PT 10TH PROX NET 30TH SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE KEVIN R FORD 23 INDIANAPOLIS DUANE JARVIS FISHERS 317-598-6170 07/03/17 ORDER QTY SHIP QTY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC -1 ea -1 ea HUBB HBL460R9W 231.72 lea -231.72 3P4W 60A 250V PIN&SLEEVE RECEPTACLE "'Original Sale : S109307538.003*" PLEASE RESTOCK Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S109307538.004 Subtotal -231.72 S&H Charges 0.00 Sales Taxl 0.00 ..rr.A� AMOUNT -231.72 0001:0001 Iia Kirby Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER • •• NUMBER RELEASE NUMBER TERMS 74918 S17741 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 10/24/17 ORDER CCITY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC lea lea SIEM E0204ML1060S 20.10 lea 20.10 0.40 SFC LD CNTR ENCL lea lea SIEM QF120A 39.54 lea 39.54 0.79 BREAKER 20A 1 P 120V 1 OK QPF2 GFCI 5 lea lea SIEM Q2020 10.40 lea 10.40 0.21 SP 20/20A 120/240V CB Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 10/27/2017 SIOSE31423-001 Invoice Number S109531423.001 Subtotal 70.04 If paid by 11/10/17 you may deduct$1.40 7-1 j c� SAH Charges 0.00 Invoice is due by 11/30/17 net of any cash discount. I Sales Tax 0.00 D,� • 70.04 0002:0002 MR Kirby Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT • • • 74918 S17741 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 10/27/17 I@ 'ISHII CITY I DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC 25ea 25ea CRSH 661S 39.97 100ea 9.99 0.20 EMT STL COMPR CPLG 3/4- lea /41ea lea T&B CCGV 384.69 100ea 3.85 0.08 D-T GFCI VERT DEV MT CVR lea lea HUBB HBL20GB3061V 34.45 lea 34.45 RACEWAY PLUG TRACK lea lea HUBB HBL201OA21V 5.87 lea 5.87 RACEWAY ENTR FTG, 2000 SERIES, IV lea lea T&B 531511/23/4UB-30 353.66 100ea 3.54 0.07 4 SQUARE BOX EXT RING 1/2"&3/4" KO 1 1/2"DEEP lea lea CRSH TP516 76.90 100ea 0.77 RS-12 4 SQ SURFACE CVR 1410�2 o° Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 10/30/2017 5109531423-003 Invoice Number S109531423.003 Subtotal 58.47 If paid by 11/10/17 you may deduct$0.35 S&H Charges 0.00 Invoice is due by 11/30/17 net of any cash discount. 7a3a ~1�5}�`� Sales Tax 0.00 E&N DON= • 58.47 0002:0002 1v` Kirby Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT USTOMER-RUMB . •• 74918 S17741 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 10/27/17 ORDER QTY SHIP QTY I DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC 200ft 200ft COND E034 46.56 100f 93.12 1.86 EMT 3/4"CONDUIT 1 OFT 20ft 20ft COND E012 26.95 100f 5.39 0.11 EMT 1/2"CONDUIT 1OFT Zea Zea CRSH 460 16.95 100ea 0.34 0.01 1/2 S/SCR EMT CPLG 6ea 6ea MINE OB 48.92 100ea 2.94 0.06 HANGER W/BOLT-1/2"EMT/ 3/8"-1/2"RIGID 4ea 4ea CRSH TP403 99.55 100ea 3.98 4""SQ BOX 2-1/8"DEEP WELDED lea lea CRSH TP516 76.90 100ea 0.77 RS-12 4 SQ SURFACE CVR Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 10/30/2017 5109531423-002 Invoice Number S109531423.002 Subtotal 106.54 If paid by 11/10/17 you may deduct$2.04 ' S&H Charges 0.00 7 Invoice is due by 11/30/17 net of any cash discount. !`�1��b~ Sales Tax 0.00 sau noxarn • e 106.54 0001:0002 MR Kirby Risk Page 1 of 1 • • eTE RMS 7491,8 517810PT_ 10TH PROX:NET 30TH . .. SALESPERSON SHIP VIA ORDERED BOFFICE • - •. - KEVIN R FORD PAR PARCEL DLVY BEN DONALD FISHERS 317-598-6170 11!10/17 EM:IMPIWA DESCRIPTION ITE M PRICE UNIT EXT AMOUNT lea -lea HUBB-HBL460R7W 233.47 lea 233.47 4.67 3P4W 60A 480V.PIN&SLEEVE RECEPTACLE 2ea 2ea .HUBB HBL460P7W 237.57, lea 475..:14 9.50 .3P4W 60A 480V PIN&SLEEVE'PLUG 1A1 f l �L Billing Questions:Billing_request@kirbydsk.com(765)446-3054 Invoice Number S109558196.001 Subtotal 708.61 If Paid by 12/10/17 you may-deduct$14.17 S&H Charges 12.95 Invoice is due by 12131117.net.of any cash discount. Sales Tax 0.00 e 1 721.56 000l:oao I Kirby Ri A Page 1 d.1 Ie+un u—cm rum I IVH NINU Kt i UKN W 1H YUUK PAYMENT O • • RELEASE NUMBER TERMS 74918 $;16842 PT 1 OTH:PROX NET 30TH SALESPERSON : KEVIN R FORD -DIRECT JEFF COOPER FISHERS 317-- 598-6170 - 07(05/17 ORDER QTY SHIP QTY 'DESC RIPTION ITEM PRICE UNIT ExT AMOUNT -lea -lea RAB 17130-A 42.86 1 ea -42.86- WALL BRACKET WPLED 70-150W KRPNM ' K.RPNM "SUBJECT TO VENDOR RETURN•POLICY". "Original Sale :S109043965.001 . TRACKER# 1Z4464590356766218 3-8-17 f V i { E I : I i 4 i 3 I f f Billing Questions:Billing^request@kirbyrisk.com(765)446-3054 invoice Number 5109043965.002 Subtotall -42.86 $&H Charges 0.00 Sales Tax 0.00. • -42.86 ODOt:DODI Kirby Risk Page-1.0 1