HomeMy WebLinkAbout320810 1/17/2018 CITY OF CARMEL, INDIANA VENDOR: 00351017
4.; ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: $"'"'1,062.08'
CARMEL, INDIANA 46032 27561 N&VVORK PLACE CHECK NUMBER: 320810
9lruN�o, CHICAGO IL 60673-1275 CHECK DATE: 01117/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1095456321 838.49 OTHER EXPENSES
601 5023990 1095912191 101.97 OTHER EXPENSES
651 5023990 S10962814001 121.62 OTHER EXPENSES
VOUCHER NO. 177148 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
Vendor # 00351017 IN SUM OF$ 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
121.62 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
5109628140. 01-7202-06 $121.62 and received except 1/11/2018 S109628140.001 $121.62
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
Pat ®rb yak INVOICE
1815 Sagamore Pkwy INVOICE DATE INVOICE NUMBER CUSTOMER#
Lafayette, IN 47904 01/02/18 S109628140.001 74918
DUE DATE TOTALDUE AMOUNT
�
02/28/18 121.62 101 m --
KIRBY RISK CORPORATION
27561 Network Place
CHICAGO IL 60673-1275
SHIP TO:
291 1 AB 0.403 E01 28X 10212 D3193188265 S2 P4978747 0001:0001
CARMEL WWTP
CARMEL WWTP ATTN: DUANE JARVIS
ATTN: PAUL ARNONE 9609 HAZEL DELL PKWY
9609 HAZEL DELL PKWY INDIANAPOLIS IN 46280-2935
INDIANAPOLIS IN 46280-2935
------- - - --
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DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
a a -o
74918 INCLINE AUGER PT 10TH PROX NET 30TH
SALESPERSONORDERED
KEVIN R FORD DIRECT JEFF COOPER FISHERS 317-598-6170 01/02/18
ORDER QTY-FSHIP QTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
lea lea SEW DV132M-160M 103.93 lea 103.93 2.08
FAN
KRPNM
"*SUBJECT TO VENDOR RETURN POLICY"*
REF QUOTE 871050-413458477
2-3 DAYS ARO
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S109628140.001
Subtotal 103.93
If paid by 02/10/18 you may deduct$2.08 S&H Charg@S 17.69
Invoice is due by 02/28/18 net of any cash discount. Sales Tax 0.00
• 121.62
0001:0001 'Kirby Risk Page 1 of 1
VOUCHER NO. 173902 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 00351017 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
KIRBY RISK CITY OF CARMEL
27561 NETWORK PLACE �I An invoice or bill to be properly itemized must show: kind of service, where performed,
CHICAGO, IL 60673 �'�0�, l dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit,etc.
Payee
940.46 00351017 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR KIRBY RISK Terms
Carmel Water Utility 27561 NETWORK PLACE Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), CHICAGO,IL 60673
PO# or bill(s)is(are)true and correct and that
ACCT# 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
109545632.1 01-6200-04 $838,49 and received except 1/13/2018 109545632.1 $838.49
109591219.1 01-6200-04 $101.97 1/13/2018 109591219.1
$101.97
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
I(RKirby Risk INVOICE
INVOICE DATE INVOICE NUMBER CUSTOMER#
1815 Sagamore Pkwy
Lafayette, IN 47904 01/02/18 S109591219.001 11788
DUE DATE TOTALDUE AMOUNTPAI_j
02/01/18 101.97
KIRBY RISK CORPORATION
27561 Network Place
CHICAGO IL 60673-1275
SHIP TO:
202 1 AB 0.403 E0039 10067 03193188051 S2 P4978747 0002:0002
IIIIIIIII'I'III'IIIIII'II'IIIIIIIIIII'lllll'll"IIIII'll�ll�lllll CARMEL WATER TREATMENT
CARMEL WATER TREATMENT 4915 E 106TH ST
3450 W 131ST ST CARMEL IN 46033-3800
CARMEL IN 46074-8267
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-
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER • ••
11788 BT120117A NET 30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATj
RICH R COLLINS WC51 WILL-CALL BRIAN TOLAN FISHERS 317-598-6170 01/02/18
ORDER QTY SHIP QTY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC
3ea 3ea BUSS JKS-15 15.58 lea 46.74
600V CLASS J FUSE
3ea 3ea BUSS JKS-5 18.41 lea 55.23
600V CLASS J FUSE
"SUBJECT TO VENDOR RETURN POLICY"
THIS FUSE WILL HAVE TO BE ORDERED
FROM THE VENDOR, IT'S A NON-STOCK
ITEM
Billing Questions:Billing request@kirbyrisk.com(765)446-3054 1/3/201e siasssizis_ooi Invoice Number S109591219.001
Subtotal 101.97
'7` S&H Charges 0.00
Invoice is due by 02/01/18. !O .zA� 7-2 Sales Taxl 0.00
jBR1AN TOLN • I 101.97
0002:0002 Kirby Risk Page 1 of 1
I& Kirby RiskI NVO I C E
1815 Sagamore Pkwy INVOICE DATE INVOICE 'NUMBER CUSTOMER#
Lafayette, IN 47904 01/02/18 S109545632.001 11788
DUE DATE TOTALDUE AMOUNT • .
02/01/18 838.49 83g. -
PLEASE REMIT PAYMENT TO:
KIRBY RISK CORPORATION
27561 Network Place
CHICAGO IL 60673-1275
SHIP TO:
2021 AB 0.403 E0039X 10066 D3193188049 S2 P4978747 0001:0002
CARMEL WATER TREATMENT
CARMEL WATER TREATMENT 4915 E 106TH ST
3450 W 131ST ST CARMEL IN 46033-3800
CARMEL IN 46074-8267
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-----------------------
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
• • •• -
11788 KR110217-C NET 30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DAT,-.
RICH R COLLINS WC-51 WILL-CALL BRIAN TOLAN FISHERS 317-598-6170 01/02/18
ORDERQTYj SHIPQTY I DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC
lea lea TPI P3P5110CA1 N 699.75 lea 699.75
10KW 480V 3P 5100 Series Unit Htr.
"*SUBJECT TO VENDOR RETURN POLICY*"
lea lea TPI T5100 73.10 lea 73.10
SPST Line Voltage Stat for 5100 UH
"SUBJECT TO VENDOR RETURN POLICY"
lea lea TPI A5120 65.64 lea 65.64
7.5-20KW 5100 Series UH Mtg.Bkt.
"SUBJECT TO VENDOR RETURN POLICY"
Billing Questions:Bi Iling_request@kirbyrisk.com(765)446-3054 1/3/2018 5109545632-001 Invoice Number S109545632.001
Subtotal 838.49
S&H Charges 0.00
Invoice is due by 02/01/18. Ta L dtJZ Sales Tax 0.00
mi
TW Ax ' • a flj838.49
0001:0002 K►1'by Risk Page 1 of 1
ti
KirbyDisk WC51
KIRBY RISK DISTRIBUTION CENTER900 S 10 9 5 91219. 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
......t►r..�s1�� ....::.::: ::.........................................::::.: .
11788 BT120117A
.::::,.::::.::.::.::.:......�.:.:.:.�:::.�:::::::::::::::.:.:.:;:.;;:.>:;.;:.;:;.;;:.:;:::..::::::.::::::::::::::::..�:....................................... {t .. .. ........ R ... R1.ft9CEE.................... ,i1!..D4t•F:E.>:<.::.:.::.;
RICH R COLLINS BRIAN TOLAN S10959121 . 0011 900 01/03/18
:.:::::.:.:::..............................:.:::.::�::.:...............................................:.::::::: . i.��•;;:•::•;:•;:•
********* Shipping Instructions *** ******
* ********************************* **** *
* SHIP COMPLETE
* ********************************* **** *
******************PHONE#*********** ******
* 317-733-2855
*********************************** ******
3 3 ea BUSS JKS-15 15 . 58 lea 46 . 74
600V CLASS J FUSE
3 3 ea BUSS JKS-5 18 . 41 lea 55 . 23
600V CLASS J FUSE
**SUBJECT TO VENDOR RETURN POLICY**
THIS FUSE WILL HAVE TO BE ORDERED
FROM THE VENDOR, IT'S A NON-STOCK
ITEM
Carton: BOX-995011 Loc: 51 FISHER F
nate
PQ #: STIZ01 r7A
ACCT
Use; Pt cy . w Z rhes