HomeMy WebLinkAbout321291 01/25/18 t Cqq
CITY OF CARMEL, INDIANA VENDOR: 00351.0;1.7
® ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: $*******951.04*
CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 321291
CHICAGO IL 60673-1275 CHECK DATE: 01/25/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 135.80 S109643418001
651 5023990 778.80 S109643418002
651 . 5023990 .76 S109651089001
601 5023990 1096497721 35.68 OTHER EXPENSES
VOUCHER NO. 177216 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 00351017 IN SUM OF$ 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
915.36 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
S109643418. 01-1420-00 $135.80 and received except 1/17/2018 S109643418.001 $135.80
001
5109643418. 01-1420-00 $778,80 1/17/2018 5109643418.002 $778.80
002
5109651089. 01-7202-06 $0.76 1/18/2018 S109651089.001 $0.76
001
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
Cost distribution ledger classification if claim paid motor vehicle highway fund. 20
Clerk-Treasurer
VOUCHER NO. 173939 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 00351017 IN SUM OF$ 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
35.68 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
or bill(s)is(are)true and correct and that
PO# 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
109649772.1 01-6200-02 $35.68 and received except 1/18/2018 109649772.1 $35.68
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
Kirby Risk INVOICE
NVOICE DATE INVOICE NUMBER CUSTOMER,1
1815 Sagamore Pkwy --
Lafayette, IN 47904 01/10/18 S109649772.001 11788
DUE DATE TOTAL • -• •
02/09/18 35.68 3r
KIRBY RISK CORPORATION
27561 Network Place
CHICAGO IL 60673-1275
SHIP TO:
2221 AB 0.403 E0036X 10051 D3212255193 S2 P4996581 0001:0001
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
oGUSTOMER-PO-NUMBER --,RELEASE NUMBER- --TERMS-
11788 TJ01.10.2018 NET 30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATI
RICH R COLLINS PK PICK-UP AMADOU DIALLO(TJ) FISHERS 317-598-6170 01/10/18
ORDER QTY SHIP QTY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC
4ea 4ea BUSS LP-CC-15 8.92 lea 35.68
LOW PEAK TD FUSE
Billing Questions:Bill ing_request@kirbyrisk.com(765)446-3054 1/10/2018 5109644772-001 Invoice Number S109649772.001
Subtotal 35.68
// S&H Charges 0.00
Invoice is due by 02/09/18. �y+�' +(.• Sales Tax 0.00
rHAn0u DIAzsa (TJ) • 35.68
0001:0001 Kirby Risk Page 1 of 1
I(R Kirby Risk :.;:.;:::;:;:::;::..:.::....::..........::::.....::::.......:.
PK
KIRBY RISK 51 ELECTRICAL SUPPLY S109649772 . 001
11110 ALLISONVILLE ROAD
FISHERS IN 46038-1837 Page 1 of 1
317-598-6170 Fax 317-598-6171
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
;z:: �.............
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11788 TJ01 . 10 .2018
:::.::._:.:::::::::::::::::::.:.::.: .::.:.:.:.:.::::..::::::.::::...::::::::.:...::.:.:::..:..:.:.;:.;:::..::::::::::.:::.::.::..:::::::::::::
>:::::::
:.::::::::::::::::...........................................................::..:::::.:::1lllFkd: �f...:................................................SAE3E :.31ilit: :.:::::.::::::::::::.:.::... :.............................
RICH R COLLINS AMADOU DIALLO (TJ) S109649772 . 001 51 01/10/18
:.................::::::::.:....::::...::.::::..::::..:::..::::::::::::::::::::::::::::::::::::::::::::::::.::. :.:...:...:..............._..._........::::::::::::::::::::::::...::...::::.:.:::.::::::::::::::._:::::.::.:::::::::::::::..::::::::::.:::::::.:::::::::::::.::
::.::.::...:....::.:.,.....:.:...:.............:..........::::. ...;................. .:... ........:...,,....,.:::........:....:...........:........::::..:...:..............:.::..:.::..::..........
********* Shipping Instructions *** ******
* ********************************* **** *
* SHIP COMPLETE
* ********************************* **** *
******************PHONE#*********** ******
* 317-733-2855
*********************************** ******
4 4 ea BUSS LP-CC-15 8 . 92 lea 35 . 68
LOW PEAK TD FUSE
PO #: /J d/ /0 /1
)10/2019 91109649112-(IC L
ACCT #: o 2
U s Z 7
AHADM DIANA LTJ)
0.00
0.00
0.00
X.
35. 68
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.
u=i MM Urrrrc rUK i wry Anv Kr i ur P4 vvn n TUUrc rHxmtry i - -
-- .MER-NUMBER CUSTOMER•o
NUMBER -RELEASE-NUMBE.R TERMS-
74918 S18014 PT 10TH PROX NET 30TH
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
RICH R COLLINS PK PICK-UP ERIC ROBINSON FISHERS 317-598-6170 01/11/18
ORDERQTYJ SHIPQTY
lea lea T&B CTL8-516 76.00 100ea 0.76 0.02
COMPR TERMINAL
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 1/11/2018 5109651089-001 Invoice Number S109651089.001
Subtotal 0.76
If paid by 02/10/18 you may deduct$0.02 �r] S&H Charges 0.00
Invoice is due by 02/28/18 net of any cash discount. ✓✓�� Sales Tax .0.00
ERIC RIC ROSINSON 0,76
0001:0001 �( Kirby Risk Page 1 of 1
PO NUMBER RELEASE NUMBER TERMS
74918 S17989 PT 10TH PROX NET 30TH
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
MICHAEL P ZIMMERMANN WC51 WILL-CALL DUANE JARVIS FISHERS 317-598-6170 01/05/18
ORDERQTYJ SHIPQTY
75ft 75ft CORD SOOW-10/4-BLA-KRWP 1810.72 1000ft 135.80 2.72
10/4 SOOW 600V-BLK-5000'RL
UUCSA Portable Cord
02727.46.01
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number 5109643418.001
Subtotal. 135.80
If paid.by 02/10/18 you may deduct$2.72 S&H Charges 0.00
Invoice is due by 02/28/18 net of any cash discount. Sales Tax 0.00
DUA, aanv1s AMOUNTDUE 135.80
0001:0002 Kirby Risk Page 1 of 1
CUSTOMER NUMBER CUSTOMER PO NUMBER RELEASE NUMBER TERMS
74918 S17989 PT 10TH PROX NET 30TH
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
MICHAEL P ZIMMERMANN WC51 WILL-CALL DUANE JARVIS FISHERS 317-598-6170 1 01/05/18
.-D •TY� SHIPCITY DESCRIPTION
3ea 3ea HUBB CS6364C 89.60 lea 268.80 5.38
3P4W 50A 125/250V LOCKING FEMALE
CONN
3ea 3ea HUBB HBL430P9W 170.00 lea 510.00 10.20
3P4W 30A 250V PIN&SLEEVE PLUG \r
a'
C
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 1/e/201e 5109643410-002 Invoice Number S109643418.002
Subtotal 778.80
If paid by 02/10/18 you may deduct$15.58 "7 S&H Charges 0.00
Invoice is due by 02/28/18 net of any cash discount. f Sales Tax 0.00
SAM JARVIS • I 778.80
000z:000z AK Kirby Risk . Page 1 of 1