HomeMy WebLinkAbout322753 03/12/18 CITY OF CARMEL, INDIANA VENDOR: 00351017
'. d al• ONE CIVIC SQUARE KIRBY RISK CORPORATION
CHECK AMOUNT: $********71.65*
CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 322753
+M._ _-' CHICAGO IL 60673-1275 CHECK DATE: 03/12/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT, DESCRIPTION
651 5023990 71.65 S109706312001
i
VOUCHER NO. 177502 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 00351017 IN SUM OF$ 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
71.65 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
S109706312. 01-7203-06 $71.65 and received except 2/28/2018 S109706312.001 $71.65
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
CUSTOMER NUMBER CUSTOMER PO NUMBER RELEASE NUMBER TERMS
74918 S18143 PT 10TH PROX NET 30TH
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
RICH R COLLINS WC51 WILL-CALL JOE FAUCETT FISHERS 317-598-6170 02/15/18
ORDER QQTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
15ea 15ea T&B ADR50 343.76 100ea 51.56 1.03
EXTR ALUM LUG
lea lea 3M 35-YELLOW-3/4X66FT 3.98 lea 3.98 0.08
CODING TAPE
lea lea 3M 35-ORANGE-3/4X66FT 3.98 lea 3.98 0.08
CODING TAPE
lea lea 3M 35-BROWN-3/4X66FT 3.98 lea 3.98 0.08
CODING TAPE
lea lea 3M 35-GREEN-3/4X66FT 3.98 lea 3.98 0.08
CODING TAPE
lea lea 3M 33PLUS-SUPER-3/4X66FT 4.17 lea 4.17 0.08
Billing Questions:Bill ing_request@kirbyrisk.com(765)446-3054 2/IE/201a S109706312-001 Invoice Number S109706312.001
Subtotal 71.65
If paid by 03/10/18 you may deduct$1.43 S&H Charges 0.00
;7) 1
Invoice is due by 03/31/18 net of any cash discount. Sales Tax 0.00
JOE FAIICETT 71.655
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