HomeMy WebLinkAbout323801 04/06/18 Biu gp'' CITY OF CARMEL, INDIANA VENDOR: 00351017
s d ONE CIVIC SQUARE KIRBY RISK.CORPORATION CHECK AMOUNT: $*******487.86*
4 CARMEL, INDIANA 46032 27561.NETWORK PLACE CHECK NUMBER: 323801
9y TON�5;= CHICAGO IL 60673-1275 CHECK DATE: 04/06/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 416.21 S109743470. 001
651 5023990 71.65 S109756121.001
VOUCHER NO. 185152 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 00351017 IN SUM OF$ 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
487.86 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
S109743470. 01-7200-02 $65,28 and received except 3/28/2018 5109743470.001 $65.28
001
S109743470. 01-7202-06 $350.93 3/28/2018 S109743470.001 $350.93
001
S109756121. 01-7202-06 $71.65 3/28/2018 S109756121.001 $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
-- c Min TUUK IIITMtNI
• .O
74918 S18237 PT 10TH PROX NET 30TH
SALESPERSONORDERED
IDMS-XML WC51 WILL-CALL DUANE JARVIS FISHERS 1 317-598-6170 03/19/18
ORDER CP QTY DESCRIPTION
ITEM PRICE UNIT EXT AMOUNT CASH DISC
Bea Bea BLIN B2010PAZN 110.92 100ea 8.87 0.09
1"PLTD COND CLAMP
4ea 4ea BLIN B280SQZN 1569.49 100ea 62.78 0.63
POST BASE FOR 1 5/8-IN.X 1 5/8-IN.
CHANNEL,6-IN.X 6-IN.X 3 1/2-IN.
BAS
Billing Questions:Billing request@kirbydsk.com(765)446-3054 3/19/2013 91097s6121_001 Invoice Number S109756121.001
Subtotal 71.65
If paid by 04/10/18 you may deduct$0.72 Gr � S&H Charges 0.00
Invoice is due by 04/30/18 net of any cash discount. Sales TeX 0.00
annvxs 71.65
0001:0001
Kirby RISE( Page 1 of 1
��•••.......... uRCIUR1V VVI I n 7VUK YH7MtNI
CUSTOMERNUMBER CUSTOMER •• NUMBER RELEASE NUMBER TERMS
74918 S18216 PT 10TH PROX NET 30TH
SALESPERSONORDERED B
KEVIN R FORD DIRECT DUANE JARVIS FISHERS 317-598-6170 . 03/13/18
2ea Zea OEL IRG011R9 65.28 lea 130.56
1000V GLOVES SIZE 9
KRPNM
**SUBJECT TO VENDOR RETURN POLICY**
4ea 4ea OEL IRG-011-R-10 65.28 lea 261.12
SIZE 10 RED GLOVES
KRPNM
**SUBJECT TO VENDOR RETURN POLICY**
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S109743470.001
Subtotal 391.68
Invoice is due by 04/30/18. S&H Charges 24.53Sales Tax] 0.00
000t:000t
AMOUNT416.21
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