HomeMy WebLinkAbout322181 02/27/18 ; .. . CITY OF CARMEL, INDIANA VENDOR: 00351017
ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: $**""""**91.00"
=a. CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 322181
CHICAGO IL 60673-1275 CHECK DATE: 02/27/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 109692635001 11.00 OTHER EXPENSES
VOUCHER NO. 174167 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 00351017 IN SUM OF$ 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
11.00 00351017 Purchase Order No.
ON ACCOUNT OF APPROPRAT ION 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
109692635.0 01-6200-04 $11.00 and received except 2/15/2018 109692635.001 $11.00
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
KirbyRisk INVOICE
1815 Sagamore Pkwy NVOICE DATE INVOICE NUMBER CUSTOMEFU�
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Lafayette, IN 47904 02/07/18 S109692635.001 11788 _I
DUE DATE TOTAL DUE AMOUNT PAI--1'
03/09/18 11.00 (9
PLEASE REMIT PAYMENT TO:
KIRBY RISK CORPORATION
27561 Network Place
CHICAGO IL 60673-1275
28 1 AB 0.408 E0028X 10043 D3318276379 S2 P5077991 0001:0001 SHIP TO:
IIIIIIII�III�IIII'Irllll'lll�llllrlll�ll�l��lrllllll'llll�'ll'll' 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
•i'11:1 z4alli'liggg I CUSTOMER •• NUMBER RELEASE NUMBER
11788 TJ02/07/2018 NET 30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DAT-_
DARREN HARING PK PICK-UP AMADOU DIALLO(TJ) FISHERS 317-598-6170 02/07/18
Z4XL=IZjL@j SHIP QTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
100ea 100ea T&B TS-101 5.14 100ea 5.14
1/2 STRAP,EMT,STL,1 HOLE SNAP
6ea 6ea CRSH 660S 39.25 100ea 2.36
EMT STL COMPR CPLG 1/2
12ea 12ea CRSH 650S 26.71 100ea 3.21
EMT STL COMPR CONN 1/2
lea lea CRSH TP472 28.65 100ea 0.29
52-C-1 4 SQ FLAT BLANK CVR
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 2/7/201e 9109692 63 5-0 01 Invoice Number S109692635.001
Subtotal 11.00
J� S&H Charges 0.00
Invoice is due by 03/09/18. �' �Y"+�" Sales Tax 0.00
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AHMM DIAIS.O (TJ) 011111111111:1111.00
0001:0001 MR Kirby Risk Page 1 of 1
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Kirby Risk
PK
KIRBY RISK 51 ELECTRICAL SUPPLY S109692635 . 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
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DARREN HARING AMADOU DIALLO TJ 5109692635 . 001 51 02/07/18
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********* Shipping Instructions *** ******
* ********************************* **** *
* SHIP COMPLETE
* ********************************* **** *
******************PHONE#*********** ******
* 317-733-2855
*********************************** ******
100 100 ea T&B TS-101 5 . 14 100ea 5 . 14
1/2 STRAP,EMT, STL, 1 HOLE SNAP
6 6 ea CRSH 660S 39 .25 100ea 2 . 36
EMT STL COMPR CPLG 1/2
12 12 ea CRSH 6505 26 . 71 100ea 3 . 21
EMT STL COMPR CONN 1/2
1 1 ea CRSH TP472 28 . 65 100ea 0 .29
52-C-1 4 SQ FLAT BLANK CVR
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