HomeMy WebLinkAbout322090 02/19/18 0-!�'!-"
CITY OF CARMEL, INDIANA VENDOR: 00351;0,1:7ONE CIVIC SQUARE KIRBY`RISK CORPORATION CHECK AMOUNT: $*******480.16
CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 322090
CHICAGO IL 60673-1275 CHECK DATE: 02/19/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 5109679020 480.16 S1096979020.001
i
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
vendor# 00351017 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
KIRBY RISK CORPORATION
IN SUM OF$ CITY OF CARMEL,
-
27561 NETWORK PLACE An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
CHICAGO, IL 60673-1275
Payee
$480.16
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Street Department Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
S109679020.001 43-501.00. $480.16 1 hereby certify that the attached invoice(s),or 2/1/18 S109679020.001 $480.16
2201 2201 2201 2201
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, February 15,2018
Huffman, Dave
Director
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
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
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DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER • •• NUMBER RELEASE NUMBER TERMS
95776 TRUCK 61 NET 30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONEDATE
DARREN HARING WC51 WILL-CALL T BRAD HENDERSON FISHERS 317-598-6170 02/01/18
ORDER QCITY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
2ea 2ea LIGE LED-8032M57-A 240.08 lea 480.16
140W HIGH BAY RETROFIT 5700K EX39
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 1/31/2018 5109679020.001 Invoice Number S109679020.001
Subtotal 480.16
S&H Charges 0.00
Invoice is due by 03/03/18. 'fir Sales Tax 0.00
• 480.16
0001:0001 Kirby Risk Page 1 of 1
I(R KirbyRisk WC 51.
KIRBY RISK DISTRIBUTION CENTER900 S109679020 . 001
5501 W 52ND ST
INDIANAPOLIS IN 46254-1637 Page 1 of 1
317-687-0015 Fax 317-298-2888
SOLD TO: SHIP TO:
CITY OF CARMEL STREET DEPARTMENT CITY OF CARMEL STREET DEPARTMENT
3400 W 131ST STREE 3400 W 131ST STREET
WESTFIELD, IN 46074-8267 WESTFIELD, IN 46074-8267
317-733-2001 fax 317-733-2005
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95776 TRUCK 61
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DARREN HARING BRAD HENDERSON 5109679020 . 001 900 01/31/1.8
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2 2 ea LIGE LED-8032M57-A
140W HIGH BAY RETROFIT 5700K EX39
Carton: BOX-204135 Loc : 51 FISHER F
/31/2�SB 5104579�2ti_001 �ll�
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.