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Home My WebLink About320736 01/11/18 0-!! CITY OF CARMEL, INDIANA VENDOR: 00351017 ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: $*******519.27'CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 320736 CHICAGO,IL.60673-1275 CHECK DATE: 01/11/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION. 601 5023990 1095558631 519.27 OTHER EXPENSES VOUCHER NO. 173717 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor# 00351017 IN SUM OF$ 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 519.27 00351017 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR KIRBY RISK Terms Carmel Water Utilitv 27561 NETWORK PLACE Due Date BOARD MEMBERS I hereby certify that that attached invoice(s), CHICAGO, IL 60673 PO# ACCT# or bill(s)is(are)true and correct and that the materials or services itemized thereon for DATE INVOICE# Description DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 109555863.1 01-6200-04 $519,27 and received except 12/28/2017 109555863.1 $519.27 I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_ Clerk-Treasurer DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOME�_��MIIE�j_ • •• 11788 KR110817 1NET 30 DAYS SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE RICH R COLLINS WC51 WILL-CALL BRIAN TOLAN FISHERS 317-598-6170 12/07/17 ORDER QTY SHIP QTY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC lea lea TPI G1 G5103N 386.45 lea 386.45 3.3KW 277V 1 P 5100 Series Unit Htr. "SUBJECT TO VENDOR RETURN POLICY" PER VENDOR,2 TO 3 WEEK LEAD TIME - PLUS SHIPPING TIME lea 1 ea TPI T5100 73.10 lea 73.10 SPST Line Voltage Stat for 5100 UH `*SUBJECT TO VENDOR RETURN POLICY" lea lea TPI A5105 59.72 lea 59.72 3.3-5KW 5100 Series UH Mtg. Bkt. "SUBJECT TO VENDOR RETURN POLICY" Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 12/11/2017 9109ESES63-001 Invoice Number S109555863.001 Subtotal 519.27 S&H Charges 0.00 Invoice is due by 01/06/18. r T®�' �25� Sales Tax 0.00 ``��,, BRIAN T11LM • 519.27 0001:0001 Ii/� Kirby Risk Page 1 of 1 KR' Kirby Risk :C:tt ;ii.1'u;xiF�...i�}`��RG:!"a;',•':'t• isr,L�,�i-. I 11111111111111111111 we 51 KIRBY RISK DISTRIBUTION CENTER900 S109555863. 001 5501 W 52ND ST INDIANAPOLIS IN 46254-1637 Page 1 of 2 317-687-0015 Fax 317-298-2888 SOLD TO: SHIP TO: CARMEL WATER TREATMENT CARMEL WATER TREATMENT 3450 W 131ST ST 4915 E 106TH ST CARMEL, IN 46074-8267 CARMEL, IN 46033-3800 317-733-2855 fax 317-733-2053 �(�ry�d .s.,.�,.}:.��..�. •• :,nR:•:;,>,:).,.,,.•z{;c;:{n:G:..•"S,i}�:k;^ ,....... :.n:::.). ... ..:.... ::d..:-.,):}:i:}:;•:).h.h 11788 KR110817 :4R;:J;uty+s;•; �.{xisr' :..�,. `-Ro.}dR?a;' dni; :..r-a'w,. {:y:,` .d:,A" - ;;!R}Y{,Gi: ��v<i:iR.. .�3`. w:;t{:.. ..a{A'-Kti:• �t.r, ;,>.yd.nr,}}tis. i�J��Y•} ��++bb"w:. •;i}>,.ti,R: ...c.... ..,R.#.. nr/„u'$}:?C':x};w;: L .xi.. rdmGls:P:3�'n#.n.w ...�::: .,.?Lf.:c:.i�:�;�::.:'wdi::i;..;..:. . sand 6;3J�f:, n�tl,�ik4��C...:.,.4:.R}.:,\..,'_):sSttlllttffi��.��•Y.rilt�nwnC::f:::}i{Sv¢¢UU77 AA...fiis;{x�;> .::},:....,:.:.. :...:.,... ,.,. .a.:it}aSi ..Y3{✓,:}YG.R; ,ps, �. .. ::}.::}..yv.n ..}t.F.'.,.!!7..}?.�4. �h!�"�P;�,�, RICH R COLLINS BRIAN TOLAN S109555863 . 001 900 12/11/17 Yf•� ,.){ - N : : •nv:.vr.vn,t„vn..:.};ri%:.i{�:�},• a•4..`diRSx ow, nn ******* Shipping Instructions, *** ****** * SHIP COMPLETE * 317-733-2855 1 1 ea TPI G1G5103N 386 .45 lea 386. 45 3.3KW 277V 1P 5100 Series Unit Htr. **SUBJECT TO VENDOR RETURN POLICY** PER VENDOR, 2 TO 3 WEEK LEAD TIME PLUS SHIPPING TIME 1 1 ea TPI T5100 73. 10 lea 73. 10 SPST Line Voltage Stat for 5100 UH **SUBJECT TO VENDOR RETURN POLICY** 1 1 ea TPI A5105 59.72 lea 59 . 72 3 . 3-5KW 5100 Series UH Mtg. Bkt. **SUBJECT TO VENDOR RETURN POLICY** Carton: BOX-126690 Loc: 51 FISHER F Carton: BOX-126685 Loc: 51 FISHER F Carton: BOX-949984 Loc: 51 FISHER F 4..qe i.v d Toi,a� 2zsg 9 , PO #: _KX 110917 A C•C T Use 14R Kirby Risk WC51 KIRBY RISK DISTRIBUTION CENTER900 S109555863 . 001 5501 W 52ND ST INDIANAPOLIS IN 46254-1637 Page 2 of 2 397-687-0015 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 .... +. :•):.}:tv..��':.::}.:tar:�i':ti:;.:::::. ....;;.:............::.....:..:}•:.r.},.n,.n,.,,t, ...;....;.;...... S A�Rs.NDFS9 •ti+t . . .r::..:.:............:.:.:....�...+:r., ,rnr�J� .. . . n�,....n.�.,._::.:::::: ......n...:....,..:....4....... fiM�..�..:...w.w�. ,,,:.�.w,�.:.,.:.,.:.,..:,.::::::::n::....�.P p:.A�ilQ�w 11788 KR110817 f, J 4•. Q - nJrn,S n,Jn:i}:i-:t Q it;<r .::::::....::.•.t..n:�:r,.,.,.�t ter.,,. .:.:}:<:,:.., �� •-•+-;. RICH R COLLINS BRIAN TOLAN 5109555863. 001 900 12/11/17 .:: ..,... .. .J :.:};J:t-::;:r.: ;R;K•. RUNS' :td's \.} '"YRC: .:<:$4:j: ti:;C:C:tiri m1ii JTZ.:?:5•Y. tt :GI'�G: 2/11/ZOiT 8109666B53.OQ1 -m 7CUM aka: 519 . 27 n.,�;...:;..;...,..� 0.00 rL.. M 0.00 0•00 viF.iYtlii•,�+u�}.r7:iA�'fi);�9.�Y,,%# 11.0 0 •:J'-{:9i':CL'2S:sd:[d}':}:::.:_<4.<4.. 519 .27 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.