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Home My WebLink About319848 12/21/17 04--i CITY OF CARMEL, INDIANA VENDOR: 00351017 ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: $*****1,621.26* CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 319848 CHICAGO IL 60673-1275 CHECK DATE: 12/21/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4350100 447.69 S109575980001 2201 4350100 -41.72 S109575980002 2201 4350100 64.80 S109575980003 651 5023990 354.70 S1009531423004 651 5023990 677.61 S109542430003 651 5023990 63.98 S109582697001 651 5023990 54.20 S109587148001 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 00351017 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER KIRBY RISK CORPORATION IN SUM OF$ 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 $470.77 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# 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 S109575980.003 43-501.00 $64.80 1 hereby certify that the attached invoice(s),or 11/20/17 S109575980.003 $64.80 2201 2201 2201 2201 S109575980.002 43-501.00 ($41.72) bill(s)is(are)true and correct and that the 11/20/17 S109575980.002 ($41.72) 2201 2201 materials or services itemized thereon for 2201 1 2201 S109575980.001 I 43-501.00 I $447.69 11/20/17 I S109575980.001 I I $447.69 2201 2201 which charge is made were ordered and 2201 2201 received except Wednesday, December 13,2017 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT • fff'R-N-69��Ei� CUSTOMER,PO NUMBER RELEASE NUMBER 95776 CHRISTKINDLMARKET NET 30 DAYS ORDEREDSALESPERSON* SHIP VIA DARREN HARING WC29 WILL-CALL BEN DONALD FISHERS 317-598-6170 11/20/17 ORDERQTYJ SHIPCITY Zea Zea HUBB CS6364C 111.43 lea 222.86 3P4W 50A 125/250V LOCKING FEMALE CONN 2ea Zea GEIN THQB2150 35.62 lea 71.24 CB ONLY 2P 50A 240V 20ft 2011 CORD SOOW-6/4-BLA-UL-KRWP 5499.22 1000ft 109.98 6/4 COND SOOW 600v UL/CSA Blk 16074.40.01 2ea 2ea HUBB 073031204 20.86 lea 41.72 STRAIN RELIEF GRP 2ea 2ea CRSH 2632 94.52 100ea 1.89 1 NMSC CABLE CONN DC Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 11/20/2017 9105676990-001 Invoice Number S109575980.001 Subtotal 447.69 t S&H Charges 0.00 Invoice is due by 12/20/17. 1 �d 7� Sales Tax 0.00 asu DONAW � • � 447.69 0001:0001 Kirby Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT . • •• NUMBER NUMBER M 95776 CHRISTKINDLMARKET NET 30 DAYS SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE • DATE DARREN HARING PK PICK-UP BEN DONALD FISHERS 317-598-6170 11/20/17 ORDERQTYJ SHIPQTY -2ea -2ea HUBB 073031204 20.86 lea -41.72 STRAIN RELIEF GRP "Original Sale:S109575980.001 Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 11/20/2017 S109575980_002 Invoice Number S109575980.002 Subtotal -41.72 J�,bv,,I ,7)10 S&H Charges 0.00 �k Sales Tax 0.00 I" DWAM • -41.72 0001:0002 r Kirby Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT • • •• 95776 CHRISTKINDLMARKET NET 30 DAYS SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE DARKEN HARING PK PICK-UP BEN DONALD FISHERS 317-598-6170 11/20/17 ORDER CITY SHIP QTY DESCRIPTION • 2ea Zea HUBB 073031205 32.40 lea 64.80 STRAIN RELIEF GRP Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 11/20/2017 5109575580-003 Invoice Number S109575980.003 Subtotal 64.80 SAH Charges 0.00 Invoice is due by 12/20/17. "~ �� Sales Tax 0.00 'EM DONAM AMOUNTDUE, 64.80 0002:0002 Kirby Risk Page 1 of 1 VOUCHER NO. 176912 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 $1,150.49 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 S109531423. 01-7202-06 $354.70 and received except 12/6/2017 S109531423.004 $354.70 004 S109542430. 01-7360-02 $677.61 12/7/2017 S109542430.003 $677.61 003 S109582697. 01-7202-06 $63.98 12/6/2017 S109582697.001 $63.98 001 S109587148. 01-1420-00 $54.20 12/6/2017 S109587148.001 $54.20 001 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 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER • •• 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 11/20/17 ORDERQTY� SHIPQTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC Zea 2ea AB 700-HRQN2HAl2 177.35 lea 354.70 700-HR GENERAL PURPOSE DIAL TIMING RELAY "SUBJECT TO VENDOR RETURN POLICY" Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 11/29/2017 9109531423-004 Invoice Number S109531423.004 Subtotal 354.70 S&H Charges 0.00 Invoice is due by 12/31/17. A4__(0S Sales Tax 0.00 BIX DONAM OEM= 354.70 0001:0002 Kirby RiSk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER PO NUMBER -r-R�CE�SE�U�M�R TERMS 74918 S17817 317-571-2684 EX1637 PT 10TH PROX NET 30TH SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER I SHIP DATE SHAWNN JOHNS 23 INDIANAPOLIS JEFF COOPER LAFAYETTE 765-423-4205 11/28/17 ORDER QQTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC lea lea EMR 05428005 677.61 lea 677.61 13.55 MOTOR REPAIR KRPNM "SUBJECT TO VENDOR RETURN POLICY" Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S109542430.003 Subtotal 677.61 If paid by 12/10/17 you may deduct$13.55 S&H Charges 0.00 Invoice is due by 12/31/17 net of any cash discount. Sales Tax, 0.00 11111r,0671M 1 677.61 0001:0001 MR Kirby Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER • •• 74918 S17854 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 11/27/17 ORDERQTYJ SHIPQTY I DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC lea lea SIEM GNF321 38.03 lea 38.03 0.76 30A 3P 240V NO-FUSE GD TYPE lea lea CRSH TP521 151.76 100ea 1.52 4 11/16 SQ OUTLET BOX WELDED 1/2& 3/4 KO 2 1/8 D lea lea CRSH TP568 52.19 100ea 0.52 4 11/16 SQ FLT BLNK CVR 6ft 6ft ELEF ER 1-1/2"SEALTITE-CUT 58.32 1 00f 3.50 1/2 LIQUATITE lea lea EGS ST-50 191.28 100ea 1.91 0.04 SEALTITE STIR CONN 1/2 lea lea EGS ST-9050 309.70 100ea 3.10 0.06 SEALTITE 90 CONN 1/2 lea lea PICO/WHEA 8457(GCPL034) 161.16 100ea 1.61 3/4"GALVANIZED COUPLING 30ft 30ft COND E034 45.95 1 00f 13.79 0.28 EMT 3/4"CONDUIT 1 OFT Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 11/2712017 5109582697-001 Invoice Number S109582697.001 Subtotal 63.98 If paid by 12/10/17 you may deduct$1.14 ��rZ �} S&H Charges 0.00 Invoice is due by 12/31/17 net of any cash discount. U I.� Sales Tax 0.00 MW D== • 63.98 0001:0001 Kirby Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER • •• 74918 S17864 I PT 10TH PROX NET 30TH SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE CAMERON CLANTON PK51 PICKUP BEN DONALD FISHERS 317-598-6170 11/29/17 ORDER CQTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC lea lea SIEM Q130 4.30 lea 4.30 0.09 SP-30A-120/240V CB lea lea SI EM Q230 9.46 lea 9.46 0.19 2P-30A-120/240V CB lea lea HUBB HBL2613 40.44 lea 40.44 0.81 LOCKING FEMALE CONN NEMA L5-30R 2 G Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 11/25/2017 91055e7149-001 Invoice Number S109587148.001 Subtotal 54.20 If paid by 12/10/17 you may deduct$1.09 S&H Charges 0.00 Invoice is due by 12/31/17 net of any cash discount. Sales Tax 0.00 B" DONALD � • � 54.20 0002:0002 Kirby RiSk Page 1 of 1