HomeMy WebLinkAbout320478 01/11/18 (9,
CITY OF CARMEL, INDIANA VENDOR: 00351017
ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: $********84.07*
CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 320478
CHICAGO IL 60673-1275 CHECK DATE: 01/11/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 25.95 S109548747.001
651 5023990 58.12 S109619952.001
VOUCHER NO. 177125 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 00351017 IN SUM of$ 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
84.07 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
S109548747. 01-7202-06 $25,95 and received except 12/27/2017 S109548747.001 $25.95
001
S109619952. 01-7500-02 $58.12 12/27/2017 S109619952.001 $58.12
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
-CUST• • ••
'NUMBER- -RELEASE-NUMBER + TERMS--
74918 S17942 I PT 10TH PROX NET 30TH
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
JOAN HEBNER WC51 WILL-CALL DUANE JARVIS FISHERS 317-598-6170 12/18/17
ORDER CITY SHIP CITY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC
4ea 4ea PAND LCA2-38-Q 223.72 100ea 8.95 0.18
Copper Compression Lug, 1 Hole,#2
AWG,
lea lea HUBB HBL61CM64 32.91 lea 32.91 0.66
15A 125V MARINE HULL INLET NEMA
5-15P
Zea 2ea MCGI 900001 N 8.13 lea 16.26
TOGGLE SWITCH SPST SCREW TERM
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 12/19/2017 9109519952-001 Invoice Number S109619952.001
Subtotal 58.12
If paid by 01/10/18 you may deduct$0.84 1 S&H Charges 0.00
Invoice is due by 01/31/18 net of any cash discount. (D Sales Taxi 0.00
DUANE JARVIS immmTow 58.12
0001:0001 Affirby Risk Page 1 of 1
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
• a •o
74918 1 S17889 PT 10TH PROX NET 30TH
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
JEREMIAH S ELY PAR PARCEL DLVY AARON HOOVER FISHERS 317-598-6170 12/21/17
.•. - • SHIPCITY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC
6ea 6ea PHIL 50A/RV 12V 6/1 PK TP 2.40 lea 14.40 0.29
415265 50A/RV 12V 6/1 PK TP
"*SUBJECT TO VENDOR RETURN POLICY"
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S109548747.001
Subtotal 14.40
If paid by 01/10/18 you may deduct$0.29 S&H Charges 11.55
Invoice is due by 01/31/18 net of any cash discount. Sales Tax 0.00
• 25.95
0001:0002 Kirby Risk Page 1 of 1