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Home My WebLink About321955 02/15/18 y CITY OF CARMEL, INDIANA VENDOR: 00351017` ONE CIVIC SQUARE KIRBY'RISK CORPORATION CHECK AMOUNT: $***««**640.25* CARMEL, INDIANA 46032 27564 NETWORK PLACE CHECK NUMBER: 321955 v CHICAGO IL 60673-1275 CHECK DATE: 02/15/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 31.89 S109633153001 651 5023990 79.50 S109677924001 651 5023990 125.77 S109678609001 651 5023990 64.87 S109679026001 651 5023990 I 1.18 S109681587001 651 5023990 83.14 5109683488001 601 5023990 109495634001 246.70 OTHER EXPENSES 601 5023990 109684573001 7.20 OTHER EXPENSES i i VOUCHER NO. 174122 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor # 00351017 IN SUM OF$ 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 253.90 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 109495634.0 01-6200-04 $246.70 and received except 2/9/2018 109495634.001 $246.70 01 109684573.0 01-6200-04 $7,20 2/9/2018 109684573.001 $7,20 01 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�T CUSTOMER • •• NUMBER RELEASE NUMBER TERMS 11788 BT012518A PLANT 1 S.G. Door NET 30 DAYS OFFICESALESPERSON SHIP VIA ORDERED BY SALES DARREN HARING WC51 WILL-CALL BRIAN TOLAN FISHERS 317-598-6170 01/25/18 ORDER QCITY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC lea lea GEIN THQB32020 125.66 lea 125.66 CB ONLY 3P 20A 240V lea lea SIEM GNF321R 67.44 lea 67.44 3P 30A 240V NO-FUSE 30ft 30ft COND 1034 100.46 1 00f 30.14 IMC 3/4"CONDUIT lea lea PICO/WHEA 6357(GEL03490) 555.46 100ea 5.55 3/4"90 GALVANIZED ELBOW 4ea 4ea PICO/WHEA 8457(GCPL034) 161.16 100ea 6.45 3/4"GALVANIZED COUPLING 4ea 4ea CRSH 51 69.34 100ea 2.77 3/4 CONDUIT BUSHED NIPPLES lea lea EGS LR75-M 5.54 lea 5.54 3/4 MALL LR COND BODY lea lea EGS K75 1.88 lea 1.88 3/41N BLANK STEEL COVER lea lea EGS GK75-N 1.27 lea 1.27 3/4 NEOPRENE GASKET Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 1/26/2018 9109495634.001 Invoice Number S109495634.001 Subtotal 246.70 , ot0 w S_7_cg, S&H Charges 0.00 Invoice is due by 02/24/18. Sales Tax 0.00 MAN T01" � • � 246.70 0001:0001 Kirby Risk Page 1 of 1 ---------------------------------------------------------------------------------------------------- DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER • •• NUMBER RELEASE NUMBER TERMS 11788 02.01.2018TJ NET 30 DAYS SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE DARREN HARING PK PICK-UP AMADOU DIALLO(TJ) FISHERS 317-598-6170 02/01/18 ORDER CQTY I DESCRIPTION ITEM PRICE - UNIT EXT AMOUNT CASH DISC 4ea 4ea CRSH TP594 82.93 100ea 3.32 1-7/8D UTILITY BOX lea lea CRSH TP604 166.90 100ea 1.67 UTILITY BOX 2 1/8 D 1/2 KO 14.5 CU IN 5ea 5ea CRSH TP608 44.29 100ea 2.21 UTIL BOX BLNK CVR *Sub for: EGS 2540 i i Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S109684573.001 Subtotal 7.20 S&H Charges 0.00 Invoice is due by 03/03/18. *f ^ Sales Tax 0.00 AMADOII DIALTA iTJ) 7'20 000i:000t Kirby Risk Page 1 of 1 I(R Kirby' Risk WC51 KIRBY RISK DISTRIBUTION CENTER900 S109495634 . 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 :.:...:..:.......... . 11788 BT012518A PLANT 1 S.G. Door ....::>::::» DARREN HARING BRIAN TOLAN S10949563 . 0011 900 01/26/18 ********* Shipping Instructions *** ****** * SHIP COMPLETE * ********************************* **** * * Call Brian T when in 317-417-5063 ******************PHONE#*********** ****** * 317-733-2855 *********************************** ****** 1 1 ea GEIN THQB32020 125 . 66 lea 125 . 66 CB ONLY 3P 20A 240'V 1 1 ea SIEM GNF321R 67 . 44 lea 67 . 44 3P. 30A 240V NO-FUSE 30 30 ft COND I034 100 . 46 100ft .30 . 14 IMC 3/4" CONDUIT 1 1 ea PICO/WHEA 6357 (GE:L03490) 555 . 46 100ea 5. 55 3/4" 90 GALVANIZED ELBOW 4 4 ea PICO/WHEA 8457 (G6PL034 ) . 161 . 16 100ea 6 . 45 3/4" GALVANIZED COUPLING 4 4-ea CRSH 51 69 . 34 100ea 2 . 77 3/4 CONDUIT BUSHED NIPPLES 1 1 ea EGS LR75-M 5 .54 lea 5 . 54 3/4 MALL LR COND BODY Receiv d : T L,*-( 2Zt ** contibueo on Next Page *** ae : — — PO # : ACCT Use; t-wawa wc� /N3�''i PiuINL— Svv�� :` x}1#1!?ECI(E�> > •`> >> Kirby Risk WC51 KIRBY RISK DISTRIBUTION CENTER900 S109495634 . 001 5501 W 52ND ST INDIANAPOLIS IN 46254-1637 Page 2 of 2 317-687-0015 Fax 317-298-2888 SOLD T0: 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 ::..::..:..: ......A!��:.NIN�l9�IE..................................................RAE,�hS�..f�El��ff:::::::::.::::::::::::::.:....:...:::................... .. ........................... 11788 BT012518A PLANT 1 S.G. Door DARREN HARING BRIAN TOLAN S10949563 . 0011 900 01/26/18 1 1 ea EGS K75 1 . 88 lea 1 . 88 3/4IN BLANK STEEL -COVER 1 1 ea EGS GK75-N 1 .27 lea 1 .27 3/4 NEOPRENE GASKET Carton: BNDL-164203 Loc: EA T-TRUC Carton: BOX-186336 Loc: 51 FISHER F Carton: BOX-10965 Loc: 51 FISHER F Carton: BAG-545554 Loc: 51 FISHER F /26/2018 51�9445534_�US , 7ot-w 2,22..x' _= . 246.70 ........................................ ........................................ . 0.00 ........................................ ........................................ 0.00 ........................................ 246.70 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. r; Kirby Risk PK KIRBY RISK 51 ELECTRICAL SUPPLY S109684573 . 001 11110 ALLISONVILLE ROAD FISHERS IN 46038-1837 Page 2 of 2 317-598-6170 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 AGE►S7 :>i��17 �>:tl k ...........� E..h.....QtF�Ms1E........::::::::::::::::::::::.:::.::::::.::::::....:.:.SI� 1 .. StD .......................... 11788 02 . 01 . 2018TJ .............................. ai. ::.:.........................................::::::::::::::::.::.................................... )t .:.::::.:.......::::::.::..........................vACS:::tAG . .........................SkEJCR..BR�[ltC .;..:.:.............S?f.#P.. RTE......... DARREN HARING AMADOU DIALLO TJ 5109684573 . 001 51 02/01/18 ..................... .. :......UM.................................................:.:::::::::H S J( ##bN.....................................:.. ...............#item:::: : :»>::::>::>:>::>:::(t�#t:::::::::::::..._._:::::.Fx C:: r�:a�:<:::>:..... Received : Date : ACCT 4: 91 2,Q use i AMAWU /1/2U1B 5109599573_�OS DIAT.W [TJ) S# br tUXx 7 .20 0.00 ........................................ ><> 0.00 <` fi >?<< 0.00 7 .20 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. »#:::»::::::::...................:.......:::::::.......... ik Kirby Risk PK KIRBY RISK 51 ELECTRICAL SUPPLY S 109684573 . 001 11110 ALLISONVILLE ROAD FISHERS IN 46038-1837 Page 1 of 2 317-598-6170 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 .. .........................................................:.......�U$'.1`E�$�I. �$..NUNCUI:1�..................................................k�El:�$�'..N�1!'.I$��........................................................$$oft� :.:.:>:< 1:1..;:;.:.:.::..7:....:...:.;.8...;..:..:.8.:..:.:...:.:.:.:.:.:.:.:.:.:.:.:....:...:...0..:.:.:.2:.:.:.:.:..:.:.:.0:.:.:.:1.:.:.:..:.:.:.2:.:.:.:.0:.:.:.:.1:.:.:.:8.:.:.:T.:.:.:.:J.:...:. :.:.:.:.:.:.:.:.:.:i.n..:...:t.►:..:...b.::.::::.:$.: :::..:.:.::.:. ::.;:.:;: ::..:...:..: ..:.:.::::.:..: :::::>::::::.::.:::::>::>::::>::::>:: ..:.R:.:A:..:►.4:::C.i..:...:::.:>.:::.:>.:::.:::.:>.:::..::.:::.:..:.:..:.:.::.:.::.:S..H.......:;:.:U......:.....»..::.::.:».::::::::::::; .: :... :::: <:.>< :<:::::: :.:::::; : OA . :.: DARREN HARING AMADOU DIALLO TJ S109684573 . 001 51 02/01/18 .................P Q ........UNI............................:............................... :>..;t:s ::;:::: :>:::::>:::»:;URtt.:•::::::::::.:•::::.:::.�x :: ri:� ::z:»>::: :...................................::.::::::::::.:::..................................................................................N::::::.:::.::.::::::::.�.�:::::::::::::::::.::::.:::::::.::..tem.:€'��............................................................................... ********* Shipping Instructions *** ****** * ********************************* **** * * SHIP COMPLETE * ********************************* **** * ******************PHONE#*********** ****** * 317-733-2855 *********************************** ****** 4 4 ea CRSH TP594 82 . 93 100ea 3 . 32 1-7/8D UTILITY BOX 1 1 ea CRSH TP604 166 . 90 100ea 1 . 67 UTILITY BOX 2 1/8 D 1/2 KO 14 . 5 CU IN 5 5 ea CRSH TP608 44 .29 100ea 2 . 21 UTIL BOX BLNK CVR * Sub for EGS 2540 1 e lve.d Dale : PO #: A-0C T 4 Use : VOUCHER NO. 177341 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) Vendor # 00351017 IN SUM OF$ 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 386.35 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 S109633153. 01-7202-06 $31,89 and received except 2/8/2018 S109633153.001 $31.89 001 5109677924. 01-7202-06 $79,50 2/7/2018 S109677924.001 $79.50 001 S109678609. 01-7202-06 $125,77 2/7/2018 S109678609.001 $125.77 001 - - 5109679026. 01-7202-06 $64,87 2/7/2018 S109679026.001 $64.87 001 S109681587. 01-7202-06 $1.18 2/7/2018 S109681587.001 $1.18 001 S109683488. 01-7202-06 $83.14 2/8/2018 S109683488.001 $83.14 001 l � 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 • •• NUMBER I RELEASE NUMBER TERMS 74918 S17987 PT 10TH PROX NET 30TH SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE MICHAEL P ZIMMERMANN PAR PARCEL DLVY JEFF COOPER FISHERS 317-598-6170 01/30/18 ORDER QQTY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC lea lea BALD 36FN3000001 SP 20.83 lea 20.83 REPLACEMENT FAN FOR JMM3709T MOTOR KRPNM "*SUBJECT TO VENDOR RETURN POLICY" Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S109633153.001 Subtotal 20.83 S&H Charges 11.06 Invoice is due by 02/28/18. Sales Tax 0.00 ��pp��,, mmt= 31.89 0001:0008 I� Kirby Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER • •• NUMBER RELEASE NUMBER TERMS 74918 S18067 PT 10TH PROX NET 30TH SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE SUSIE ALTE WC29 WILL-CALL DUANE JARVIS FISHERS 317-598-6170 01/30/18 ORDERQTYI SHIPCITY I DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC lea lea HOFFA16106CH 86.17 lea 86.17 1.72 CH BOX 16.00X10.00X6.00 lea lea HOFFA16P10 6.70 lea 6.70 0.13 PANEL 14.75X8.88 FITS 16.00X10 Eft Eft PAND F.5X1WH6 3.07 lft 18.42 0.37 SLOTTED DUCT,PVC,.5X1X6',WHITE lea lea EGS T75-M 6.76 lea 6.76 0.14 TYPE T BODY THRD 3/4 lea lea EGS K75 1.88 lea 1.88 0.04 3/41N BLANK STEEL COVER lea lea EGS GK75-N 1.22 lea 1.22 0.02 3/4 NEOPRENE GASKET Eft Eft PAND C.5WH6 0.77 1ft 4.62 0.09 Duct Cover, PVC, 0.5""W X 6',White Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 1/30/2018 9109678609-001 Invoice Number S109678609.001 Subtotal 125.77 If paid by 02/10/18 you may deduct$2.51 � � S&H Charges 0.00 Invoice is due by 02/28/18 net of any cash discount. Sales Tax0.00 DU,NE JARVIS � • 0 125.77 0002:0008 MRKirby Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER • •• NUMBER RELEASE NUMBER TERMS 74918 S18067 PT 10TH PROX NET 30TH SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE DARREN HARING PK PICK-UP BEN DONALD FISHERS 317-598-6170 01/31/18 ORDERQTYJ SHIPQTY 1 ea lea EGS TPC-75 209.08 100ea 2.09 0.04 3/4 3PC COND CPLG lea lea PICO/WHEA 5565(G034000) 127.76 100ea 1.28 3/4"XCLOSE GALVANIZED NIPPLE 3ea 3ea CARL E950GF _ 199.42 100ea_ _ 5.98 _ 1-1/4"X 1"REDUCER BUSHING 9 35 Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 1/31/201a S1095a1587-001 Invoice Number S109681587.001 Subtotal 9.35 If paid by 02/10/18 you may deduct$0.04 �n h 0 S&H Charges 0.00 Invoice is due by 02/28/18 net of any cash discount. L. Sales Tax 0.00 �r,, sarr DWATM e 000a:000s !� Kirby Risk Page 1 I I 1 _ 52 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER • •• NUMBER RELEASE NUMBER TERMS 74918 S18067 PT 10TH PROX NET 30TH SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE SUSIE ALTE PK PICK-UP DUANE JARVIS FISHERS 317-598-6170 01/31/18 ORDER CCITY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC -3ea -3ea CRSH 53 235.54 100ea -7.07 1 1/4 CONDUIT BUSHED NIPPLES **Original Sale: S109679026.001 ** -3ea -3ea CARL E942G 36.82 100ea -1.10 1 1/4"SCH 40 FEMALE ADAPTER **Original Sale:S109679026.001 ** Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 1/31i201e 9109679026-002 Invoice Number s109679026.002 Subtotal -8.17 ' pb"�� S&H Charges 0.00 Sales Taxi 0.00 IfIIANE JARVIS -8.17 0007.0008 /� Kirby Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER • •• NUMBER RELEASE NUMBER TERMS 74918 S18067 PT 10TH PROX NET 30TH SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER I SHIP DATE SUSIE ALTS WC29 WILL-CALL DUANE JARVIS I FISHERS 317-598-6170 . 01/30/18 ORE)ERQTYI SHIPQTY 3ea 3ea CARL E984G 418.64 100ea 12.56 1-1/4"TYPE LL CONDUIT BODY loft 1Oft *PVC 1-1/4"SCH 40 NM CONDUIT 10' 49.10 100ft 4.91 0.10 PRIME 49009-010 OR CTX A52BC12 QUEEN CITY 1101331 lea lea CARL UA9AG 71.49 100ea 0.71 1-1/4""SCH 40 STD 90 DEG ELBOW 4ea 4ea CARL E940G 20.45 100ea 0.82 1-1/4"SCH 40 COUPLING Zea 2ea BLIN B2011PAZN 119.90 100ea 2.40 0.02 1-1/4"PLTD COND CLMP 2ea 2ea MINE 3B 85.27 100ea 1.71 0.03 HANGER W/BOLT-1-1/2"EMT/1-1/4" RIGID 3ea 3ea CRSH 53 235.54 100ea 7.07 1 1/4 CONDUIT BUSHED NIPPLES 3ea 3ea CARL E942G 36.82 100ea 1.10 1 1/4"SCH 40 FEMALE ADAPTER 2ea 2ea CARL E983J 804.65 100ea 16.09 2"TYPE T CONDUIT BODY 3ea 3ea CARL E950JH-CAR 247.97 100ea 7.44 2"X 1-1/2"REDUCER BUSHING 3ea 3ea CARL E950HG-CAR 114.99 100ea 3.45 1-1/2"X 1-1/4"REDUCER BUSHING lea lea CARL UA9AJ 122.98 100ea 1.23 2"SCH 40 STD 90 DEG ELBOW 2ea 2ea CARL E940J 36.10 100ea 0.72 2"SCH 40 COUPLING 3ea 3ea BLIN B2013PAZN 155.30 100ea 4.66 0.05 2"PLTD COND CLAMP Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 910 967 902 6-001 Invoice Number S109679026.001 Subtotall 64.87 If paid by 02/10/18 you may deduct$0.20 S&H Charges 0.00 Invoice is due by 02/28/18 net of any cash discount. Sales Taxi 0.00 SAM JARVIs OEM= 64.87 0003:0008 Kirby Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT • ---CUSTOMER-PO-NUMBER. 74918 S18062 PT 10TH PROX NET 30TH SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE IDMS-XML WC51 WILL-CALL DUANE JARVIS FISHERS 317-598-6170 01/29/18 ORDER QTY SHIP QTY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC Sea 3ea AB W62 26.50 1 ea 79.50 HEATER ELEMENT FOR OVERLOAD RELAY Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 1/30/2018 5109577924-001 Invoice Number S109677924.001 Subtotal 79.50 -77� S&H Charges 0.00 Invoice is due by 02/28/18. 1'�'3�rJ-� Sales Tax 0.00 `��-, �� aaav=s � • t 79.50 000t:000t �/� Kirby Risk Page 1 of 1 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER • •• NUMBER RELEASE NUMBER TERMS 74918 S18077 PT 10TH PROX NET 30TH SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE JOAN HEBNER WC29 WILL-CALL 7 DUANE JARVIS FISHERS 317-598-6170 02/01/18 ORDER QQTY DESCRIPTION ITE,M PRICE UNIT EXT AMOUNT CASH DISC lea lea LITH 2BLT2 33L ADP LP835 83.14 lea 83.14 0.83 2X2 LED TROFFER DIMMABLE Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 z/1/zole 9109693489-001 Invoice Number S109683488.001 Subtotal 83.14 If paid by 03/10/18 you may deduct$0.83 S&H Charges 0.00 Invoice is due by 03/31/18 net of any cash discount. Sales Tax0.00 rnQ aa�xvis • 83.14 0001:0001 K87by RiSk Page 1 of 1