HomeMy WebLinkAbout323563 03/29/18 •[4q
CITY OF CARMEL, INDIANA VENDOR: 00351017
ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: $*******882.35*
CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 323563
CHICAGO IL 60673-1275 CHECK DATE: 03/29/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER_ AMOUNT DESCRIPTION
2201 4350080 882.35 S109706296001
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 00351017
KIRBY RISK CORPORATION IN SUM of$ 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
$882.35
Purchase Order
ON ACCOUNT OF APPROPRIATION FOR
Terms
Street Department
Date Due
e
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT . Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
S109706296.001 43-500.80 $882.35 1 hereby certify that the attached invoice(s),or 3/19/18 S109706296.001 $882.35
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
Tuesday, March 27,2018
Lunn,Amy . _
Admin Assistant
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
Acknowledgement
I(R Kirby Risk . .
ORDER DATE ORDER NUMBER
02/21/18 S109706296
...........
.........................
ORDER TO: ::i::PAGE:::NQ:
.........................
.........................
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KIRBY RISK DISTRIBUTION CENTER
5501 W 52ND ST
INDIANAPOLIS IN 46254-1637 1 of 1
317-687-0015 Fax 317-298-2888
SOLD TO: SHIP TO:
CITY OF CARMEL STREET DEPARTMENT CITY OF CARMEL STREET DEPARTME
3400 W 131ST STREE 3400 W 131ST STREET
WESTFIELD, IN 46074-8267 WESTFIELD, IN 46074-8267
317-571-2414 fax 317-571-2410 317-733-2001 fax 317-733-2005
CUSTOMER NUMBER: CUSTOME,R:,ORDER NUMBER RELEASE NUMBERIJOB NAME
95776 Truck 61
.
„SALESPERSpN TERMS .: DRQERING PARTX:;.z::;:: SHIP DATE.:: FREIGHT;A,LLONED ::
DHARING-51 NET 30 DAYS Nathan Morris 03/09/18 No
ORDER QTY DESCRIPTION :- item Price Unit Ext Price
lea FLK 1587KIT/62MAX+ FC 882 . 35 lea 882 . 35
DMM MULTIMETER
W/62MAX+ I400
**SUBJECT TO VENDOR RETURN POLICY**
$ubtotaV 882 .35
0.00
..............:....:....................
Saves Tax>> 0.00
:�-pay.merits.:;. 0.00
Tota];.::.::.::::::.:,: .
Amount Die: 882 .35
NO MATERIAL MAY BE RETURNED WITHOUT PRIOR APPROVAL. "/`//
ALL MATERIALS BEING RETURNED COULD BE SUBJECT TO A RESTOCKING CHARGE. �l�
DETA(;H UPFLK F'UK I IUN ANU KC I UKN VVI I f1 TUUK YATIVICIV I
CUSTOMER NUMBER CUSTOMER •. NUMBER RELEASE NUMBER TERMS
95776 Truck 61 NET 30 DAYS
ORDEREDSALESPERSON SHIP VIA
DARKEN HARING WC51 WILL-CALL Nathan Morris FISHERS 317-598-6170 03/19/18
ORDER QTY SHIP QTY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC
lea lea FLK 1587KIT/62MAX+ FC 882.35 lea 882.35
DMM MULTIMETER
W/62MAX+ 1400
**SUBJECT TO VENDOR RETURN POLICY"
Billing Questions:Billing request@kirbyrisk.com(765)446-3054 3/20/2018 9109706296-001 Invoice Number S109706296.001
Subtotal 882.35
S&H Charges 0.00
Invoice is due by 04/18/18. Sales Tax 0.00
xarian tlorris AMOUNTDUE 882.35
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