HomeMy WebLinkAbout326447 06/15/18 %�s�"�.� CITY OF CARMEL, INDIANA VENDOR: 00351017
ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: S*******160.50*
�` �_� CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 326447
+.`y��loN�°'� CHICAGO IL 60673-1275 CHECK DATE: 06/15/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 109851469001 89.48 OTHER EXPENSES
601 5023990 10985412002 71.02 OTHER EXPENSES
VOUCHER NO. 181794 WARRANT NO. Prescribed by State Board of Accounts City Form No.261(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
160.50 00351017 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR KIRBY RISK Terms
Carmel Water Utilitv 27561 NETWORK PLACE Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), CHICAGO, IL 60673
PO# ACCT# or bill(s)is(are)true and correct and that
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
109851469.0 01-6200-04 $89.48 and received except 6/6/2018 109851469.001
01 $89.48
109854120.0 01-6200-04 $71.02 6/4/2018 109854120.002 $71.02-
02
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_
Cleric-Treasurer
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER e -e
11788 1 LS051818 NET 30 DAYS
SALESPERSONORDERED BY SALES OFFICE PHONE
RICH R COLLINS WC51 WILL-CALL LARRY SCHIMMEL FISHERS 317-598-6170 05/29/18
ORDERCITY1 SHIPQTY
lea lea HUBB HBL2723SW 71.02 lea 71.02
LOCKING WATERTIGHT FEMALE CONN
L15-30R
"*SUBJECT TO VENDOR RETURN POLICY'"
Billing Questions:Billing2equest@kirbyrisk.com(765)446-3054 Invoice Number S109854120.002
Subtotal 71.02
S&H Charges 0.00
Invoice is due by 06/28/18. Sales Tax 0.00
.�t�, zAaay �_� � • � 71.02
0001:0001 Kirby Risk Page 1 of 1
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
• 1�__--CUSTOMER-PG-NIUM BER-- --RELEASE,NUMBER 1---------TERMS
11788 TJ05.17.2018 NET 30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE
RICH R COLLINS PK PICK-UP T AMADOU DIALLO(TJ) FISHERS 317-598-6170 05/17/18
ORDER QTY SHIP QTY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC
500ft 500ft SOUT THHN-STR-10-WHT-CU-500FT 178.95 1000ft 89.48
10-19 CU THHN-THWN MTW-AWM WHITE
22974001
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S109851469.001 .
Subtotal 89.48
17 Q� S&H Charges 0.00
Invoice is due by 06/16/18. Sales Taxi0.00
''PP�� AHnmu IIIRTJa {TJ) Mn kyl • I89.48
0001:0001 �V( Kirby Risk Page 1 of 1
.................
I(R Kirby Risk .......
WC51
KIRBY RISK DISTRIBUTION CENTER900 S109854120 . 002
5501 W 52ND ST
INDIANAPOLIS IN 46254-1637 Page 1 of 1
317-687-0015 Fax 317-298-2888
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
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RICH 'R COLLINS LARRY SCHIMMEL S109854120 . 002 900 05/30/18
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Shipping Instructions*COMPLETE
* ********************************* **** *
******************PHONE#*********** ******
* 317-733-2855
*********************************** ******
1 1 ea HUBB HBL2723SW 71 . 02 lea 71 . 02
LOCKING WATERTIGHT FEMALE CONN
L15-30R
**SUBJECT TO VENDOR RETURN POLICY**
Carton: BOX-356049 Loc: 51 FISHER F
/30/219 510995912�_�02
LAM
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Y SCHIHHEL /
s 71. 02
R e C e i v•e d : 4_1 8 i>>> >> 0.00
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Date : 0. 00
PO # : ....::.::: .
O 71.nq1
ACCT #a
ALL ITEMS BEING RETURNED COULD BE SUBJE T%f�RESTOCKING CHARGE. ' LI � iUfa
1-41
CUSTOMER-PLEASE NOTE: ALL CLAIMS FOR SHORTAGE CCOR DAMAGE MUST BE MADE WITHIN 5 DAYS AND '
MUST REFERENCE THE SALES ORDER NUMBER. NO MATERIAL MAY BE RETURNED WITHOUT PRIOR APPROVAL.
I(R Kirby Disk ....:::::::::: :::.......:......::.:....:...:..:.::.:..
PK
KIRBY RISK 51 ELECTRICAL SUPPLY S 10 9 8 514 6 9 . 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
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11788 TJ05 . 17 . 2018
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RICH R COLLINS AMADOU DIALLO TJ S109851469 . 001 51, 05/17/18
********* Shipping Instructions *** ******
* ********************************* **** *
* SHIP COMPLETE
* ********************************* **** *
******************PHONE#*********** ******
* 317-733-2855
*********************************** ******
500 500 ft SOUT THHN-STR-10-WHT-CU-500FT 178 . 95 1000ft 89 . 48
10-19 CU THHN-THWN MTW-AWM WHITE
22974001 /
Reteived .
Date : +� "
/17/219 S1�9951459_001
PO #: /Z �'
f� ACCT 'ql.
DMUM {TJ)
# t� i iii 89 .48
........................................
........................................
l; 0.00
0. 00
89.48
ALL ITEMS BEING RETURNED COULD BE SUBJECT TO A RESTOCKING CHARGE.
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.