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Home My WebLink About326118 06/12/18 %� *,,P. CITY OF CARMEL, INDIANA VENDOR: 00351017 ® ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: $*******101.84* 9 ,?�, CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 326118 MItoN�°. CHICAGO IL 60673-1275 CHECK DATE: 06/12/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 2.67 S109856197.001 651 5023990 99.17 S109835816.001 VOUCHER NO. 185648 WARRANT N0. ALLOWED ZO Prescribed by State Board of Accounts City Form No.201(Rev 1995) Vendor # 00351017 IN SUM OF$ 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 $99.17 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 S109835816. 01-7202-06 $99,17 and received-except 5/31/2018 S109835816.001 $99.17 001 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 -GUSTOMER-NUMBER- e •o 74918 S18415 PT 10TH PROX NET 30TH SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE KEVIN R FORD DIRECT DUANE JARVIS FISHERS 317-598-6170 05/24/18 ORDERQTYJ SHIPQTYDESCRIPTION lea lea SAL I E011 B/9 75.72 lea 75.72 1.51 GLOVE C10 T1 11 IN BLACK SZ9 KRPNM "SUBJECT TO VENDOR RETURN POLICY" 21 DAYS ARO Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S109835816.001 Subtotal 75.72 If paid by 06/10/18 you may deduct$1.51 S&H Charges 23.45 Invoice is due by 06/30/18 net of any cash discount. Sales Tax, 0.00 00"nelffiffl, s 99.17 0001:0001 Kirby Risk Page 1 of 1 VOUCHER NO. 181724 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) - ALLOWED 20 Vendor# 00351017 IN SUM OF$ 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 2.67 00351017 Purchase Order No. ON ACCOUNT OF APPROPRATION 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 109856197.0 01-6200-02 $2,67 and received except 5/30/2018 109856197.001 $2,67 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 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT • e PO-NUMBER--- —RELEASE'OUM6�k— TERMS 11788 LS052118 NET 30 DAYS SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE • DATE CAMERON CLANTONPK51 PICKUP LARRY SCHIMMEL FISHERS317-598-6170 05/21/18 ORDERQTYJ • • lea lea HUBB RA756W 1.76 lea 1.76 TOGGLE ADAPTER, BLANK,WHITE lea lea HUBB NP126W 0.91 lea 0.91 WALLPLATE,2G, 1)TOG 1)REC,WH Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 5/21/2018 9109056197.001 Invoice Number S109856197.001 Subtotal 2.67 S&H Charges 0.00 Invoice is due by 06/20/18. �`' Sales Tax 0.00 ..rr..�� LARRY �i�y • 3 2.67 0001:0001 iV( Kirby Risk Page 1 of 1 ............. $}1#1! 11( 1#s#>' I(R Kirby Risk ...... PK51 KIRBY RISK 51 ELECTRICAL SUPPLY S109856197 . 001 11110 ALLISONVILLE ROAD FISHERS IN 46038-1837 Page 1 of 1 317-598-6170 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 ...:..::.:::::.............................................................7�11:R:{k; . A�..NUMH��......:. ... .::::..:.::.�:::.::::::::::::::.::............................................................. 11788 LS052118 ::::>::>:...... :::»>:::>:»:«:»>: ..................... D: »s>:>::»>::::>::»::>:::E>::::>::::<:::::>:z:>::>>::»»»::»>::»:$14tS:::�iRDE ::: CAMERON CLANTON LARRY SCHIMMEL S109856197 . 001 51 05/21/18 .. . Q....:::.•:::SHxtx.:l ::::::::N :.::...................................... dsd�xaid lCt�m..Pi ........ vii ::::::::::::::: ....ext Ar1�e ....:... ********* Shipping Instructions *** ****** * ********************************* **** * * SHIP COMPLETE * ********************************* **** * ******************PHONE#*********** ****** * 317-733-2855 *********************************** ****** 1 1 ea HUBB RA756W 1 . 76 lea 1 . 76 TOGGLE ADAPTER, BLANK, WHITE 1 1 ea HUBB NP126W 0 . 91 lea 0 . 91 .. WALLPLATE, 2G, 1 ) TOG 1 ) REC, WH /21/2018 51�9956197_�O1 Y SCHIFl+�L # } 2 . 67 R e c a!i ,- �,�,� :..... ::::::::::«<:.. 0.00 ,? 0.00 ss. �'_�+'g' Date d « " €€><> 0.00 - �._. :.:....................... PO #: z ........ .:. .:: Z .. 2 . 67 ALL ITEMS BEING RETURNED COULD BE jJB �T(RO A REST,p,CICING .C}�ARGE. CUSTOMER—PLEASE NOTE: ALL CLAIMS FOR SHORTAGE OR DAMAGE MUST BE MADE WITHIN 5 DAYS AND MUST REFERENCE THE SALES ORDER NUMBER. NO MATERIAL MAY BE RETURNED WITHOUT PRIOR APPROVAL.