HomeMy WebLinkAbout327401 07/10/18 (9,
CITY OF CARMEL, INDIANA VENDOR: 00351017
ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: $*****1,554.69*
CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 327401
CHICAGO IL 60673-1275 CHECK DATE: 07/10/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 176.87 109886616001
601 5023990 186.78 109903037001
601 5023990 50.28 OTHER EXPENSES
651 5023990 1,109.45 S109885168001
601 5023990 109912559001 31.31 OTHER EXPENSES
VOUCHER NO. 185871 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 00351017 IN SUM OF$ 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
$1,109.45 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
5109885168. 01-7202-05 $1,109.45 and received except 6/26/2018 S109885168.001 $1,109.45
001
1
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_
Clerk-Treasurer
U RGI URIV VVI In T UUR I-AT IVICIV I -
CUSTOMER • -•
74918 S18546 PT 10TH PROX NET 30TH
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
KEVIN R FORD PAR PARCEL DLVY AARON HOOVER FISHERS 317-598-6170 06/14/18
ORDERQTYj SHIPQTY I DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC
lea lea AB 25B-D013N104 1095.00 lea 1095.00
PF 525,480V, 3PH, 7.5HP, IP20
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S109885168.001
Subtotal 1095.00
S&H Charges 14.45
Invoice is due by 07/31/18. Sales Tax0.00
``rrte� AMOUNT1109.45
0001:0002 N� Kirby Risk Page 1 of 1
VOUCHER NO. 182022 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
- ALLOWED 20
Vendor # 00351017 IN SUM OF$ 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
31.31 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
109912559.0 01-6200-04 $31.31 and received except 7/3/2018 109912559.001
$31.31
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
• • ••
11788 LS062618 NET 30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
CAMERON CLANTON PK PICK-UP LARRY SCHIMMEL FISHERS 317-598-6170 06/26/18
ORDERQTYj SHIPQTYDESCRIPTION
4ea 4ea HUBB CS1201 3.18 lea 12.72
IVORY 20A 120-277VAC SP SWITCH
lea lea HUBB NP181 0.36 lea 0.36
2G IVORY NYLON SWITCH&DPLX PLATE
lea lea GREE DTAP1/4-20 6.03 lea 6.03
DRI LL/TAP,1/4-20
Zea 2ea GREE DTAP10-24 6.10 lea 12.20
DRILL/TAP, 10-24
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 6/26/2010 9105912sss_001 Invoice Number S109912559.001
Subtotal 31.31
S&H Charges 0.00
Invoice is due by 07/26/18. Salft's
Tax 0.00
Lmmy scx� •0 31.31
0001:0001 Kirby 1iis Page 1 of 1
Kirby Risk :......,<.<;:..........:....::.................:.:......
PK
KIRBY RISK 51 ELECTRICAL SUPPLY S109912559 . 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 LS062618
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CAMERON CLANTON LARRY SCHIMMEL S109912559 . 001 51 06/26/18
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4 4 ea HUBB CS120I 3 . 18 lea 12 . 72
IVORY 20A 120-277VAC SP SWITCH
1 1 ea HUBB NP181 0 . 36 lea 0 . 36
2G IVORY NYLON SWITCH & DPLX PLATE
1 1 ea GREE DTAPl/4-20 6 . 03 lea 6 . 03 -
DRILL/TAP, 1/4-20
2 2 ea GREE DTAP10-24 6 . 10 lea 12 .20
DRILL/TAP, 10-24
/25/2�SB 51�9912559_OQ1
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eceIwe : 1_- # ti ''» 31.31
Date : -ac�-�� :::.: ..:..: :::::
0.00
€ 3 0.00
> ` >`
ACCT #: ,�/ t 31.31
ALL 3 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.
VOUCHER NO. 181967 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
413.93 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 DATE INVOICE#
the materials or services itemized thereon for Description
DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
109886616.0 01-6200-04 $176,87 and received except 6/26/2018 109886616.001 $176.87
01
109903008.0 01-6200-02 $50.28 6/26/2018 109903008.001
01 $50.28
109903037.0 01-6200-02 $186.78 6/26/2018 109903037.001 $186.78
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
CUSTOMER NUMBER CUSTOMER PO NUMBER RELEASE NUMBER TERMS
11788 LS061118 INET 30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
KEVIN R FORD UPS GROUND LARRY SCHIMMEL FISHERS 317-598-6170 06/19/18
ORDER QTY SHIP QTY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC
lea lea AB 193-T1 AB40 71.25 lea 71.25
BIM. OLR.2.9...4.OA
*"SUBJECT TO VENDOR RETURN POLICY"
lea lea AB 100-C09D400 105.62 lea 105.62
CONTACTOR 600V MAX 9
AMP MAX
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S109886616.001
Subtotal 176.87
S&H Charges 0.00
Invoice is due by 07/19/18. Sales TaX 0.00
• 176.87
0001:0001 Wrby Reck Page 1 of 1
_ e • .o
11788 TJ 06.20.2018 NET 30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
RICH R COLLINS DIRECT AMADOU DIALLO(TJ) FISHERS 317-598-6170 06/21/18
ORDER QTY SHIP QTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
.3ea 3ea BUSS JJS-150 62.26 lea 186.78
600V CLASS T FUSE
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S109903037.001
Subtotal 186.78
S&H Charges 0.00
Invoice is due by 07/21/18. Sales Tax 0.00
1111ifflnGTIT 1 186.78
0001:0001 Kirby Risk Page 1 of 1
• • ••
11788 TJ 6.20.2018 . NET 30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
RICH R COLLINS PK PICK-UP 77 AMADOU DIALLO(TJ) FISHERS 317-598-6170 1 06/20/18
ORDERQTYJ SHIPQTYDESCRIPTION
6ea 6ea AB 700-HN100 8.38 lea 50.28
700-HN100,8-PIN TUBE BASE SOCKET
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 6/20/2018 siossoaaoe_ooi Invoice Number 5109903008.001
Subtotal 50.28
S&H Charges 0.00
Invoice is due by 07/20/18. '^ Sales Tax 0.00
AHMM DIASS.O (TT) R M am -- 50.28
0001:0001 Kirby Disk Page 1 of 1
.;::::::.;:;.::.::.......:.......::.,.:::..:.:,.:...........
I(R Kirby Disk1.
UPS
KIRBY RISK DISTRIBUTION CENTER9O0 5109886616 . 001
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 ATTN LARRY SCHIMMEL
CARMEL, IN 46033-3800
317-733-2855 fax 317-733-2053
::::::::::.........:..:.:...........::::::::::::::::::::.:: ::::::::.........:....::... ....::........ ........................................................................:::.::::._::::::::::::::::::.:.:::::.::::::::::::::::..:.....:.....:::......:.::..::::::::::::::.::::.
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11788 LS061118
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KEVIN R FORD LARRY SCHIMMEL � S109886616 . 001 900 06/19/18
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Shipping Instructions
* ********************************* **** *
* SHIP COMPLETE
* ********************************* **** *
* 317-733-2855
*********************************** ******
1 1 ea AB 193-TlAB40 71 .25 lea 71.25
BIM. OLR. 2 . 9 . . .4 . OA
**SUBJECT TO VENDOR RETURN POLICY**
1 1 ea AB 100-C09D400 105 . 62 lea 105 . 62
CONTACTOR 600V MAX 9
AMP MAX
Carton: BOX-342935 Loc: 7
>' 176.87
Date,: 0. 00
a
0. 00
ACCT #. :::....
o1iri €€€3?
176.871
Use : t �k•4 r / e�2,
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.
** Reprint ** Reprint ** Reprint **
10A y Risk
DIRE
KI RBY RISK 51 ELECTRICAL SUPPLY S 10 9 9 0 3 0 3 7 . 0 01
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 ATTN TJ
CARMEL, IN 46074-8267 4915 E 106th Street
CARMEL, IN 46033-3800
317-733-2855 fax 317-733-2053
-------------
11788 TJ 06 .20 .2018
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RICH R COLLINS AMADOU DIALLO (TJ) 5109903037 . 001 51 06/21/18
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********* Shipping Instructions *** ******
* ********************************* **** *
* SHIP COMPLETE
* ********************************* **** *
******************PHONE#*********** ******
* 317-733-2855
*********************************** ******
3 3 ea BUSS JJS-150 62 .26 lea 186 .78
600V CLASS T FUSE
`e c-e i v d 70AW EL a,_ti
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ACCT # : �szo.z � �z 0 .00
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---------------------------------------------------------------------------------------------------------
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.
Eaon Corporation Master Pack List
Pae NO:I
1 YI'Sli.
M
COOPER BUSSMANN, INC. t g
114 OLD STATE RD. -------
ELLISVILLE, MO 63021-
(636)527-3877
Bussmann
3021-(636)527-3877Bussmann Order Number Please refer to your Customer No.and
0887398974-0031979201 this number with all correspondance -
Customer Number Order Date Customer PO Number Order Pack Date Order Type
0000434154 .6/20/18 S109903037 6/20/18 E j
Scheduled Carrier ,
UP14 - UPS RED - NEXT Day Delivery
S KIRBY RISK ELECTRICAL SUPPLY C S CARMEL WATER TREATMENT
O 11110 ALLISONVILLE ROAD H 4915 E 106TH STREET
DFISHERS, IN, US P CARMEL, IN, US
46038-1837 T 46033-3800
-
T T
O
Certificate of Conformance:
Material listed below confroms to all purchase order requirements and applicable industry and
government specs.linspection/test data,where applicable,are on file.
Line
QUANTITY
PART NUMBER DESCRIPTION ~-~~ - - - c -- CONTAINER
Number OPEN SHIPPED p ERE
ID
SHIP VIA UPS NEXT DAY AIR
ACCT: #7RllR1 `-•^
PO# 5109903037 d
000010 JJS-150 TRON FAST ACTING FUSE CLA 3 3 9996545
Cust PO Line Num: 0000 't'
NOTICE TO SUBSEQUENT PURCHAS R OR REP CKER
Some of these articl s may be imported. The requir ments of 19 U.S.C. 1304 and xn
19 CFR part 134 provide that the articles in their containe s must be marked in a
conspicuous place as legibly, indelibly and perman ntly as the nature of thE article `
or container will permit, in such a manner as to i dicate tc an ultimate pu chaser .in
the United States, the English name of the country of origir of the article.
Tks is ' 310
/LI.SLe-11
to 9 9a34>37
90Y6P00 611nM4
-pen-
Pa a No: Total Containers Packer ID Container ID
1 YES1 WMSOPERI 9996545
NO. Last SH141PR
I(R Kirby Disk
PK
KIRBY RISK 51 ELECTRICAL SUPPLY S109903008 . 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
................::::::::::::::........................................................;t ��.:i� �k.::::.....:.......................................RCE,�Ik$£..Nt1F.1N�ff..........:...::.::.:::::::::._:::::::::::::::::::::::..If..:.......:....................................
11788 TJ 6 . 20 . 2018
RICH R COLLINS, AMADOU DIALLO TJ S109903008 . 001 51 06/20/18
$NZF. t. ........ M.........:..:..:•:::.:.:::: ::.:::: :3dSG7LI0N.........:::::.:..:::::::::::::::::::::::::::::::::.:.:•:7Ct�m:.Pit. .._:::::::::::::.vft.:....:.......... Exfi Prc
********* Shipping Instructions *** ******
* SHIP COMPLETE
* ********************************* **** *
******************PHONE#*********** ******
* 317-733-2855
*********************************** ******
6 6 ea AB 700-HN100 8 . 38 lea 50 . 28
700—HN100, 8—PIN TUBE BASE SOCKET
Z
Re6ei,v.e.c�: 3
Date: 2
PO # :
)20/2�SB 5109903��8_a�l /
ACCT #: !� 0•
AM OM MALTA (TJ)
:> t5 0.2 8
0.00
y 0.00
0.00
ii
50.28
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.