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Home My WebLink About325648 05/23/18 CITY OF CARMEL, INDIANA VENDOR: 00351017 d ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: $*******371.27* CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 325648 49MR tori�� + CHICAGO IL 60673-1275 CHECK DATE: 05/23/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 90.63 S109744896001 651 5023990 113.24 5109789832001 651 5023990 63.91 S109816907001 651 5023990 82,77 S109816907002 651 5023990 20.72 S109820279001 VOUCHER NO. 185485 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995) Vendor # 00351017 IN SUM OF$ 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 371.27 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 S109744896. 01-7362-06 $90,63 and received except 5/10/2018 S109744896.001 $90.63 001 S109789832. 01-7202-06 $113.24 5/9/2018 S109789832.001 $113.24 001 S109816907. 01-7203-06 $63.91 5/9/2018 S109816907.001 $63.91 001 S109816907. 01-7203-06 $82,77 5/9/2018 S109816907.002 $82.77 002 S109820279. 01-1420-00 $20.72 5/9/2018 S109820279.001 $20.72 001 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 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER NUMBER CUSTOMER •• NUMBER RELEASE NUMBER TERMS 74918 S18243 PT 10TH PROX NET 30TH SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE DAVID L MOORS 7 DIRECT DUANE JARVIS FISHERS 317-598-6170 1 05/02/18 ORDER QQTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC 6ea 6ea POWE GLOVE TESTING AND RE CERT 11.08 lea 66.48 GLOVE TESTING.AND RE CERT. KRPNM "SUBJECT TO VENDOR RETURN POLICY" Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S109744896.001 Subtotal 66.48 S&H Charges 24.15 Invoice is due by 06/30/18. Sales Tax, 0.00 • 90.63 0002:0002 Kirby Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER • 74918 S18396 PT 10TH PROX NET 30TH ORDEREDSALESPERSON SHIP VIA RICH R COLLINS PK PICK-UP BEN DONALD FISHERS 317-598-6170 04/27/18 .•. - . SHIPQTY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC 100ea 100ea T&B TY525MX 9.28 100ea 9.28 0.19 CABLE TIE 50LB 71N UV BLK 2-PC DIST 400ea 400ea T&B L-7-50-0-C 2.86 100ea 11.44 0.23 T' ULTRA-VIOLET TY-RAP rN �e Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 4/21 1e S109920279-001 Invoice Number S109820279.001 Subtotal 20.72 If paid by 05/10/18 you may deduct$0.42 S&H Charges 0.00 Invoice is due by 05/31/18 net of any cash discount. B Sales Taxi 0.00 ssx DONAM • 20.72 0001:0001 Kirby Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER NUMBER CUSTOMER•• NUMBER RELEASE NUMBER TERMS 74918 S18389 PT 10TH PROX NET 30TH SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE JOAN HEBNER 23-2 ROUTE 2 DUANE JARVIS FISHERS 317-598-6170 04/26/18 ORDER QCITY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC lea lea CARL E986E 178.01 100ea 1.78 3/4"TYPE LB CONDUIT BODY 13ea 13ea CARL E942E 19.19 100ea 2.49 3/4"SCH 40 FEMALE ADAPTER 10ea 10ea CARL E940E 9.83 100ea 0.98 3/4"SCH 40 COUPLING lea lea CARL E943E 17.13 100ea 0.17 3/4""SCH 40 MALE ADAPTER 6ea 6ea PICO/WHEA 6357(GEL03490) 680.62 100ea 40.84 3/4"90 GALVANIZED ELBOW 6ea 6ea BLIN B2009SS4 327.65 100ea 19.66 0.20 3/4"STAINLESS STEEL STRUT CLAMPS lea lea CARL VC9962 663.87 100ea 6.64 STANDARD CLEAR CEMENT-QUART 31355 lea lea CARL E987R 1020.73 100ea 10.21 6X6X4 JUNCTION BOX Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 04-26-201801:00:01 PM Invoice Number s109816907.002 Subtotal 82.77 If paid by 05/10/18 you may deduct$0.20 S&H Charges 0.00 Invoice is due by 05/31/18 net of any cash discount. Sales Tax 0.00 By D co r No Ansvter ' • 82,77 0002:0002 Kirby Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER NUMBER CUSTOMER •. NUMBER RELEASE NUMBER TERMS 74918 S18389 PT 10TH PROX NET 30TH SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE JOAN HEBNER 23-2 ROUTE 2 DUANE JARVIS FISHERS 317-598-6170 04/26/18 .-. - . SHIPCITY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC 240ft 240ft *PVC 3/4"SCH 40 NM CONDUIT 10' 26.63 1 00f 63.91 1.28 PRIME 49007-010 OR CTX A52AG12 QUEEN CITY 1100831 Billing Questions:Billing request@kirbyrisk.com(765)446-3054 04-26-201801:00:01 PM Invoice Number S109816907.001 Subtotal 63.91 If paid by 05/10/18 you may deduct$1.28 S&H Charges 0.00 Invoice is due by 05/31/18 net of any cash discount. Sales TaX 0.00 B,DOOM No PY wer • 63.91 0001:0002 Kirby Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER NUMBER CUSTOMER •• NUMBER RELEASE NUMBER TERMS 74918 S18330 PT 10TH PROX NET 30TH SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE JEREMIAH S ELY 23-2 ROUTE 2 AARON HOOVER FISHERS 317-598-6170 04/24/18 ORDERQTYJ SHIPQTY I DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC 4ea 4ea RAB R16SP 28.31 lea 113.24 2.26 SHORT CLR PRISM ACRY REFLECTOR 8.5 KRPNM "SUBJECT TO VENDOR RETURN POLICY" Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S109789832.001 Subtotal 113.24 If paid by 05/10/18 you may deduct$2.26 S&H Charges 0.00 Invoice is due by 05/31/18 net of any cash discount. Sales Tax 0.00 • � 113.24 0001:0002 Kirby Risk Page 1 of 1