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Home My WebLink About329304 08/27/18 (9, CITY OF CARMEL, INDIANA VENDOR: 00351017 ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECKAMOUNT: $*****3,850.67* CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 329304 CHICAGO IL 60673-1275 CHECK DATE: 08/27/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4239034 195.49 S109969279001 651 5023990 1,284.00 S109948963001 651 5023990 110.60 S109980280001 601 5023990 109903570001 159.00 OTHER EXPENSES 601 5023990 109945937001 221.88 OTHER EXPENSES 601 5023990 109982201001 195.86 OTHER EXPENSES 601 5023990 109982234001 62.38 OTHER EXPENSES 651 5023990 S10978519300 1,621.46 OTHER EXPENSES VOUCHER NO. 186181 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995) Vendor# 00351017 IN SUM OF$ 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 $1,621.46 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 S109785193. 01-7202-06. $1,621.46 and received except 8/7/2018 S109785193.001 $1,621.46 001 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 RELEASE NUMBER TERMS I 74918 S18324 PT 10TH PROX NET 30TH SALESPERSON SHIP VIA ORDERED BY SALES OFFICE KEVIN R FORD DIRECT JEFF COOPER FISHERS 317-598-6170 07/31/18 ORDERQTYJ SHIPQTY lea lea SEW R57R37AM56 1456.44 lea 1456.44 HELICAL GEAR UNIT WITH ADAPTER KRPNM "*SUBJECT TO VENDOR RETURN POLICY"* 3 WEEK LEAD***PLEASE NOTE No expedite available due to the special output shaft that has to be fabricated****** REF SEW QUOTE 413767023 Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S109785193.001 Subtotal 1456.44 S&H Charges 165.02 Invoice is due by 08/31/18. Sales Tax 0.00 AMOUNT�r�, 1621.46 0001:0001 Kirby Risk Page 1 of 1 Delivery note EiiRA®(tEi9E Delivery note No.: 8750 25742521 Page 1/ 1 Shipping date: 07/27/2018 Customer No.: 87221032 Sold to KIRBY RISK/INDIANAPOLIS 1440 W 16TH STREET Ship to INDIANAPOLIS IN 46202 CARMEL WWTP 9609 HAZEL DELL PKWY INDIANAPOLIS IN 46280 Carrier information: Terms of Delivery Prepaid and add Shipping point: Troy Assembly Ship via: R&L SO / Order No. Item Shipped quantity Order quantity Part no. Your P.O. No.: S109785193 ATTN: DUANE JARVIS Your P.O. date: 06/22/2018 Your reference: S18324/FORD SO 8710 76243469 1 EA 1 EA R57 R37 AM56 Serial no. : 87.7624346901.0001 X18.50 Speed [r/min] : 1400 / 1.8 Total ratio [i] : 782 Mounting position - : M 1 Lubricant /-volume [1] : CLP HC 220 Synth.Oil / 1.70 /0.35 Lubricant volume [US gal] : 0.45 /0.090 Nameplate : English / Imperial units Nameplate position : Attached to the gear unit Commodity code : 84834021 Assessories enclosed 1 PC 01657291 Cam ring AM63/71/56 1 PC 01657445 Coupl.halfe A AM56 1 PC 00104574 Set screw ISO4027 M4x6-45H 1 PC 0806993X Key W4190 B3/16x3/16x9/16 +C Total net weight:LB : 76.342/EA 76.342Total gross weight: Total net weight: 76.342 LB Total gross weight: 94.000 LB Southeast Region Assembly Center Industrial Gear Assembly Center Midwest Region Assembly Center Northeast Region Assembly Center Southwest Region Assembly Center Western Region Assembly Cen SEW-EURODRIVE,Inc. SEW-EURODRNE,Inc. SEW-EURODRNE,Inc. SEW-EURODRIUE,Inc. SEW-EURODROIE,Inc. SEW-EURODRIVE,Inc. 1295 Old Spartanburg Hwy. 148 Finch Road•Wellford,SC 29385 2001 West Main St. 2107 High HIII Road 202 W.Danieldale Road 30599 San Antonio St. P.O.Box 518 P.O.Box 518 Troy,OH 45373 P.O.Box 481 DeSoto,TX 75115 Hayward,CA 94544 Lyman,SC 29365 Lyman,SC 29365 Tel:(937)335-0036 Bridgeport,NJ 08014 Tel:(214)330-4824 Tel:(510)487-3560 Tel:(864)439-7537 Tel:(864)439-7537 Fax:(937)332-0038 Tel:(856)467-2277 Fax:(214)330-4724 Fax:(510)487.6433 Fax:(BB4)439.7830 Fax:(864)661-1167 cstroy@seweurodrive.com Fax:(856)845-3179 csdallas®sewearodrive.com cshayward@seweuroddve.com cslyman@seweurodrive.com IGOrders@seweurodrive.com csbddgeport(@seweurodrive.com For additional documentation and product information please visit:www.sawouroddve.com VOUCHER NO. 182344 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 159.00 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 109903570.0 01-6200-02 $159.00 and received except 8/7/2018 109903570.001 $159.00 01 I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 Cost distribution ledger classification if claim paid motor vehicle highway fund. 20 Clerk-Treasurer DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT 1 • • •• 11788 BT062018A NET 30 DAYS SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONEDATE RICH R COLLINS WC51 WILL-CALL BRIAN TOLAN FISHERS 317-598-6170 1 07/23/18 ORDERCITYI SHIPQTY Zea 2ea MTE M-1776 79.50 lea 159.00 PROTECTO SURGE SUPPRESSOR 480V KRPNM "SUBJECT TO VENDOR RETURN POLICY" Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 7/25/2018 9109903570-001 Invoice Number S109903570.001 Subtotal 159.00 S&H Charges 0.00 Invoice is due by 08/22/18. o L°'j zz 5p Sales Taxi 0.00 BRIAN60 xoLArr A • adlil 159.00 0001:0001 Kirby Risk Page 1 of 1 I(R KirbyRisk WC51 KIRBY RISK DISTRIBUTION CENTER900 S109903570 . 001 5501 W 52ND ST INDIANAPOLIS IN 46254-1637 Page 1 of 1 317-687-0015 Fax 317-298-2888 SOLD TO: SHIP TO: CARMEL WATER TREATMENT CARMEL WATER TREATMENT 3450 W 131ST ST 4915 E 106TH ST CARMEL, IN 46074-8267 CARMEL, IN 46033-3800 317-733-2855 fax 317-733-2053 "...............t� R�EUMEfft}$TA�tE�i ItR1l�R NUt@R KEEElkS NUMBER........... S�FHP1 ISR.CbDE.::•:::::: 11788 BT062018A s >» ..................5[tIP...6RUiCE RICH R COLLINS BRIAN TOLAN 5109903570 . 001 900 07/24/18 �}7Y.:. HIF.:QTY.:.......11M..................................::::::.:. € PT.iOt::::...................%............... ........ Item Pr ey Unfit .....................Ext.:kra e.... . . ********* Shipping Instructions *** ****** * ********************************* **** * * SHIP COMPLETE * ********************************* **** * ******************PHONE#*********** ****** * 317-733-2855 *********************************** ****** 2 2 ea MTE M-1776 79 . 50 lea 159 . 00 PROTECTO SURGE SUPPRESSOR 480V KRPNM **SUBJECT TO VENDOR RETURN POLICY** Carton: BOX-439883 Loc: 51 FISHER F eC`elvV -d: . . ia0a14 225.8'. Date . -7- 25-10 PO # : Sr®rvaol�a 5 <€ 159.00 > > 0. 00 0.00 w >:<:'``: `' 0. 00 Use : GU_22_T-VSS.. 159.00 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. VOUCHER NO. 186260 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 $1,394.60 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 S109948963. 01-7202-06 $1,284.00 and received except 8/16/2018 S109948963.001 $1,284.00 001 S109980280. 01-7202-06 $110.60 8/15/2018 S109980280.001 $110.60 001 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 — • • '. N U M RER -u 74918 S18757 Reflecting Pond PT 10TH PROX NET 30TH SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE IDMS-XML WC29 WILL-CALL DUANE JARVIS FISHERS 317-598-6170 08/07/18 ORDER QSHIP QTY 10ea 10ea NSI IT-4 11.06 lea 110.60 2.21 4-14 AWG POLARIS INSULATED TAP CONNECTOR(SINGLE SIDED ENTRY) 1 Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 e/e/2018 s1099eo280-001 Invoice Number S109980280.001 Subtotal 110.60 If paid by 09/10/18 you may deduct$2.21 S&H Charges 0.00 Invoice is due by 09/30/18 net of any cash discount. -�{/ �5 Sales Tax 0.00 DUANH JARVI9/bred oliver 110.60 0001:0001 Kirby Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT • • •• 74918 1S18703 PT 10TH PROX NET 30TH SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE KEVIN R FORD 7 DIRECT JEFF COOPER FISHERS 317-598-6170 08/09/18 ORDERQTYj SHIPQTY I DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC Zea Zea HITA NH78,11T NMSP W/2.5"BORE&3/16 NECK D 634.44 lea 1268.88 SPROCKET KRPNM "SUBJECT TO VENDOR RETURN POLICY" Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S109948963.001 Subtotal 1268.88 S&H Charges 15.12 Invoice is due by 09/30/18. Sales Tax0.00 • 1284.00 0001:0001 Kirby Risk Page 1 of 1 ......... ....... I(R Kirby leis WC 2 9 KIRBY RISK DISTRIBUTION CEN ER900 S109980280 . 001 5501 W 52ND ST INDIANAPOLIS IN 46254-1637 Page 1 o f 1 317-687-0015 Fax 317-298-2888 SOLD TO: SHIP TO: CARMEL WWTP CARMEL WWTP 9609 HAZEL DELL PARKWAY ATTN: DUANE JARVIS INDIANAPOLIS, IN 46280-2935 9609 HAZEL DELL PKWY INDIANAPOLIS, IN 46280-2935 317-571-2634 X1643 fax 317-732-20 74 918 S 18 7 5 7 Reflect ing::.Pond :.:::::............. ...:.::::::::. d . ..::.::::::::.:...........51.::: RRNC:...............:.:::::::.:::.............:, IDMS-XML DUAN JARVIS 5109980280 . 001 900 08/07/18 J mi ********* Shipping Instructions *** ****** * ********************************* **** * * SHIP COMPLETE * **** **************************** **** * * 317-571-2634 1640 ****** **************************** ****** 10 10 ea NSI 11-4 11 . 06 lea 110 . 60 4-14 A G POLARIS INSULATED TAP CONNEC. OR (SINGLE SIDED .ENTRY) Your Line #: 1 Ca ton: BOX-345245 Loc : C- 0-17-C Slcr 110. 60 0.0 0 > Ze 0 . 00 0.00 pia 110.6 0 ALL ITEMS BEING RETURNED COULD BE SUBJECT TO A RESTOCKING CHARGE. CUSTOMER-PLEASE NOTE: ALL CLAIMS FOR SHOR AGE OR DAMAGE MUST BE MADE WITHIN 5 DAYS AND MUST REFERENCE THE SALES ORDER NUMBER. NO MATERIAL MAY BE RETURNED WITHOUT PRIOR APPROVAL. Packing Slip SENQCIA MA CO, Ltd. 3529 N.W.Yeon Ave SHIP T0: CARMEL WWTP Portland,OR 97210 ATTN: DUANE JARVIS 800-241-8209 770-424-9350 Fax:800-241-914 5 9609 HAZEL DELL PARKWAY www.sengoiamaxco.com TAG: S18703 INDIANAPOLIS IN 46280 SOLD T0: RIRBY RISK-FISHERS 1110 ALLISONVILLE RD FISHERS IN 46038 ��nte.Pranted Date :Pxlnted Cus omen # s} Ip To. # Puck 3 ap # Order # QT Page #;:: .. 1 5:1 5:1 0 8/C3./1 8_.__ 445771 445771 _. __ _ 2071174 _ __ 613843 _ SO 1 turd Date Requested Cu t PO# SOB Truok WHSE #': _.:::.:: . ..... .. ........ _. .. 07/24/18 08/08/18 5109948963 Prepay & Add BEST WAY 1 2018 .. Sh�.p.. .. ...:.. In tr7a Ions Method CSR . _.. ............... _. _.. PER PO, SHIP BEST WAY MMERRITT w.Lite # Item Neer f Laoatacan Descxptlon. UM 0 Cnty QtYpY Qty on ..: s�glz� Oxdexed : ShI peck Sf4 :` I. L100 NI SP NON M 2ALLTQ SI-� R' PX. FiA . [TS 2 .. _..... ......:::::.:.:::..:... _.. •:...:.. ASSEMBLY SPRKT W/TRIP; 2.50"B �ytW **�E**.k.*.*yc* *it:**� '.k.**fir: *: : ...*:v�_ . _ _ . . : :: . . .: .. ..... .... -._. _:.. . : NH78..'11T, 9 26"::PD _ . .. _.. . ._. _ . NON-METALLIC SHEAR PIN SPROCKE .;:......... ......... :..;::::.::.. ASSEMILY CONSISTz:NG f�F' CAST _.. URETHANE BODY WITH BLACK I�tYLONf;6 SPRQCKET::4tiM, V...iSUAL :...:: _ _ _ ....,...&.. _. . ... .. ...... ............. . ..:. TRIP PIN,' 304SS HARDWARE, 2.50 :...... ,.... BORE,j�IITH.SAbIDA�tD TEYIAY (.5/8 .:.,:. . __.. X 5/16) AND (2) SET SCREWS, INCLUDES OIi1 j1) 6061 T6 ::..:.:...... .. ...... ALUMINUM SHEAR PIN OF 5/8" DIA - - . .. ....- ..._..... ._. ... .. BUSHINGS (SPROCKET AND HUB) .....'>:'>:: :::>':: '. 316" :STEIIIZ:.:PiN"..?ECK DIAMETER ... REQUESTED. ** ************ :***** *****r� :: . ** . : . . . . :: :...: ;.. ALL PAPERWf3RK AI*I) ;PACKAGES MUS . .. .. .::::. _... __. BE TAGGED/MARKED AS FOLLOWS: ,;. *5187:03** `` :.:...... .: . . - ... . PACKPDX VOUCHER NO. 182471 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 480.12 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 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 109945937.0 01-6200-04 $221.88 and received except 8/15/2018 109945937.001 $221.88 01 109982201.0 01-6200-04 $195.86 8/15/2018 109982201.001 01 $195.86 109982234.0 01-6200-04 $62,38 8/15/2018 109982234.001 01 $62.38 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 RELEASE NUMBER 11788 BT080818D/LARRY METR 7 NET 30 DAYS SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER I SHIP DATE RICH R COLLINS PK PICK-UP BRIAN TOLAN FISHERS 317-598-6170 1 08/08/18 ORDER QTY SHIP QTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC lea lea FLUK TL75 25.60 lea 25.60 TEST LEAD SET 20ft 20ft BLIN B22-SH-10FT-GALV 183.89 1 00f 36.78 SLOT CHANNEL Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 6/6/2016 5109962234-001 Invoice Number S109982234.001 Subtotal 62.38 S&H Charges 0.00 Invoice is due by 09/07/18. "'-L 7- Sales Tax 0.00 BRIM 11nM � • � 62.38 0003:0003 Kirby Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER • •• RELEASE NUMBER NUMBER 11788 BT080818C/GST NET 30 DAYS SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE RICH R COLLINS PK PICK-UP BRIAN TOLAN FISHERS 317-598-6170 08/08/18 ORDERCITYJ SHIPQTY I DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC 8ea 8ea CARL LT43D-NEW 150.46 100ea 12.04 PVC 1/2"STRAIGHT LIQUIDTIGHT FTG 6ea 6ea CRSH RE21 0.98 lea 5.88 3/4X1/2 REDUCER 4ea 4ea CRSH 51 79.92 100ea 3.20 3/4 CONDUIT BUSHED NIPPLES 100ea 100ea CULL 60216J 82.53 100ea 82.53 3/8-16 MACHINE SCREW ANCHORS lea lea GREE 870 92.21 lea 92.21 EXPANDER ASSY,SCREW ANCHOR 3/8-16 (870) Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 9109902201-001 Invoice Number S109982201.001 Subtotal 195.86 S&H Charges 0.00 Invoice is due by 09/07/18. To"-J 2'2.5 Sales Tax 0.00 sn2arr xar.nx • 195.86 0002:0003 Kirby Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT • • -• 11788 BT072518A NET 30 DAYS SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE RICH R COLLINS WC51 WILL-CALL BRIAN TOLAN FISHERS 317-598-6170 08/06/18 ORDER QTY SHIP CITY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC Zea Zea TIME 98058303 110.94 lea 221.88 A25213-480V 3-PH PWR MON DP RLY 252 "SUBJECT TO VENDOR RETURN POLICY" Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S109945937.001 Subtotal 221.88 �r S&H Charges 0.00 Invoice is due by 09/05/18. TG '--i a 2---Sd Sales Taxi 0.00 13RIAN 70LM • • � 221.88 0001:0003 Kirby Risk Page 1 of 1 I(R KirbyDisk PK KIRBY RISK 51 ELECTRICAL SUPPLY S109982234 . 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 REEEI4SE NUMbEIt.................::.::.:::::::._::::::..:.::::.::::::Sf#FP.......................................... 11788 BT080818D/LARRY METR R SIESP..6fthlt�F....................3H.iP..3�R.E. BY.............:.:.::.:...............................$AES..IRDE.... ........................ RICH R COLLINS BRIAN TOLAN � S109982234 . 001 51 08/08/18 ...............Q........:.:SNZP.:�iTx.::::::.::ur�::::........................................................��GazP.��nN........................................................:.z��m::eT;j �::::..............................................::::::::.::: ********* Shipping Instructions *** ****** * ********************************* **** * * SHIP COMPLETE * ********************************* **** * ******************PHONE#*********** ****** * 317-733-2855 *********************************** ****** 1 1 ea FLUK TL75 25 . 60 lea 25 . 60 TEST LEAD SET 20 20 ft BLIN B22—SH-10FT—GALV 183 . 89 100ft 36 . 78 SLOT CHANNEL /B/2U1B 51�9982234_UUS airy TOLM €€ f 0.00 0. 00 0. 00 1>>> < ' >' 62 . 3.8 ALL ITEMS BEING RETURNED COULD BE SUBJECT TO A RESTOCKING CHARGE. Date : CUSTOMER-PLEASE NOTE: ALL CLAIMS FOR SHORTAGE OR DAMAGE MUST BE MADE WITHIN 5 r�ND MUST REFERENCE THE SALES ORDER NUMBER. NO MATERIAL MAY BE RETURNED WITHOUT PRI A PR AC. ACCT # : ��•`� Use : rdC L L VA•DS AW& 4Sltzvr KirbyRisk ....... PK KIRBY RISK 51 ELECTRICAL SUPPLY S109982201 . 001 11110 ALLISONVILLE ROAD FISHERS IN 46038-1837 Page 1 of 2 317-598-6170 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 .::::::..:::::::::::::::::::::::::.:::.::.:...:::.............. ::::......::::.:::::::::::.:::.:::::::::::::::::::.:.:::.::.:.::.::::::::::..::::::::::.:.:::::::::::::..::::. :::.:.:.:::::..F E.:. , :.::::::::::::::::.::::::: ::::::::.......!Cff`STlI�i... Offff.:NUM ::N.F1H..................:.:::.::::.::.::::.:::::::::::::::.:::::.:::::::::::...:..............::...:.::::::.:::.:::. 11788 BT080818C/GST ..................�f(ti'ESR................................:... . 1 ............................................................... RICH R COLLINS BRIAN TOLAN S109982201 . 001 51 08/08/18 TY....... .::.:.......................................................� :::::::::::::.:�::::::...........................................................:::::::::::::::.:.:.......................................:..::. ********* Shipping Instructions *** ****** * ********************************* **** * * SHIP COMPLETE * ********************************* **** * ******************PHONE#*********** ****** * 317-733-2855 *********************************** ****** 8 8 ea CARL LT43D-NEW 150 . 46 100ea 12 . 04 PVC 1/2" STRAIGHT LIQUIDTIGHT FTG 6 6 ea CRSH RE21 0 . 98 lea 5 . 88 3/4X1/2 REDUCER 4 4 ea CRSH 51 79 . 92 100ea 3 . 20 3/4 CONDUIT BUSHED NIPPLES 100 100 ea CULL 602161 82 . 53 100ea 82 . 53 3/8-16 MACHINE SCREW ANCHORS 1 1 ea GREE 870 92 . 21 lea 92 . 21 EXPANDER ASSY,SCREW ANCHOR 3/8-16 ( 870 ) e c e i-v d: zZ 58',., Date : PO # : ter0Far I$c A C-C T #: �a •`� Use : Kirby Risk PK KIRBY RISK 51 ELECTRICAL SUPPLY S109982201 . 001 11110 ALLISONVILLE ROAD FISHERS IN 46038-1837 Page 2 of 2 317-598-6170 Fax 317-598-6171 SOLD TO: SHIP TO: CARMEL WATER TREATMENT CARMEL WATER TREATMENT 3450 W 131ST ST 4915 E 106TH ST CARMEL, IN 46074-8267 CARMEL, IN 46033-3800 317-733-2855 fax 317-733-2053 :: 1E70Mh.:QFENNSEff.................................�GU5:tEki� . QER..NiMt9k$...................................:.:::::.::::::kE€ .....................................................::::::::::::::.:.........................................::.:::::::::.. 11788 BT080818C/GST »BR1r19GEE: :3<: > +izn >� � ::: .;:.;:.;:.;:.;;;:.>:.>;;;:.:;:.;:.::.::.::.::.::.::.:.:::::>::>::>::>::>:$AEES>:�tRltEit:>#::»>::»::»::>::>:;>::»::::»:::EEIF.... .................................................... kEIITF .::.::::::.................... X. .................................. t1IU.B Y............:.:::::.::::::::::::::::.:._::.:......................................................:..::.::::::::.::..:.....................................::.::::::::: RICH R COLLINS BRIAN TOLAN 5109982201 . 001 51 08/08/18 ak:::.XY...... XX .......................... ;:.;:<.;:.:;;:;:::;:.:>::>::>::>::>::>:>:>:>:::>:::::;<:>::>::»::::>t�m...iC�. .........:.: ............................................ ......:.. ...:.::..::: t.z .: t .::...... ............................................................� scR�rT.# .::::::::::::::::.::..:....................................................... :::._::::::::.:......................................::.:::.::::..:. /8/2019 5109992201_001 -ToL-4,J az; ]BRIAN TOJIN s[[[ 0. 00 ` 1 >> 0.0 0 0.00 T. ib 195 . 86 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. I(R Kirby Risk wC 51 KIRBY RISK DISTRIBUTION CENTER900 S109945937 . 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 CARMEL, IN 46033-3800 317-733-2855 fax 317-733-2053 :::,.;:.;:.;:.;:.;:.;:.;:.;.;;:.;;:.;:.;:.;:.;;;:.;:.;:.;:::;: IiNP .:::.GU31 E1ME3i. ►1lR..£14NtilkR............................:.::.:::::::::::::::::�if14 .............................:..:::::::::::.::::::::::....................:::.::::::.:::::...:.::::::..:................ 11788 BT072518A : <> <: ... RICH R COLLINS BRIAN TOLAN S109945937 . 001 900 08/08/18 ce>< .>::... :. >...Ex. .. ...................... .Dein>::pr i: e ::.:SHi�:. .:.::.:::::::.�:::::::::::::::::::::::.:::::::::::::::::::::::�7E�GRIPT.idN..........................:.::::::::::: .............:..::::::::::::.:::::::.......................,::....::::::::::::::... ............................... ..... ......... .................. ....... .............. . ............ ********* Shipping Instructions *** ****** * * CALL BRIAN WHEN IN 317-417-5063 ******************PHONE#*********** ****** * 317-733-2855 *********************************** ****** 2 2 ea TIME 98058303 110 . 94 lea 221 . 88 A252B-480V 3-PH PWR MON DP RLY 252 **SUBJECT TO VENDOR RETURN POLICY** Carton: BAG-570138 Loc: 51 FISHER F /9/219 5104995937_DOS Rvw Tozax Sk► a `<< > 221. 88 '' >< > 0.00 0.00 0.00 tetf7rtlx to 221. 88 V. N-ad ; ALL ITEMS BEING RETURNED COULD BE SUBJECT TO A RESTOCKING CHARGE. Date : 3 CUSTOMER-PLEASE NOTE: ALL CLAIMS FOR SHORTAGE OR DAMAGE MUST BE MADE WITHIN 5Y AJ3r MUST REFERENCE THE SALES ORDER NUMBER. NO MATERIAL MAY BE RETURNED WITHOUT PR R PA L. A► OC T # : laza.�( Use : 5�4Q6; w�S®GKalvt r "64 Fort. P4a..'.[ VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 00351017 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER KIRBY RISK CORPORATION IN SUM OF$ CITY OF CARMEL 27561 NETWORK PLACE An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. CHICAGO, IL 60673-1275 Payee $195.49 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Street Department Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT S109969279.001 42-390.34 $195.49 1 hereby certify that the attached invoice(s),or 8/15/18 S109969279.001 $195.49 2201 2201 2201 2201 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Wednesday,August 22, 2018 Huffman, Dave Director I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer 95776 Mike Kalogeros NET 30 DAYS SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE CAMERON CLANTON DIRECT Mike Kalogeros FISHERS 317-598-6170 08/15/18 .;40L:IV01WA I SHIP . 4ea 4ea PFAN 18611600034 43.79 lea 175.16 5 PACK PFANNENBERG FAN FILTER KRPNM Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S109969279.001 Subtotal 175.16 S&H Charges 20.33 Invoice is due by 09/14/18. Sales Tax 0.00 • 195.49 0001:0001 AKirby Risk Page 1 of 1 Kirb Risk Y DCM'Wmw$i$ IRE KIRBY RISK 51 ELECTRICAL SUPPLY S109955682 . 001 11110 ALLISONVILLE ROAD FISHERS IN 46038-1837 Page 1 of 1 317-598-6170 Fax 317-598-6171 SOLD TO: SHIP TO: CITY OF CARMEL STREET DEPARTMENT CITY OF CARMEL STREET DEPARTMENT 3400 W 131ST STREE C/O Kirby Risk .Supply WESTFIELD, IN 46074-8267 11110 Allisonville Rd FISHERS, IN 46038-1837 317-733-2001 fax 317-733-2005 f�F.Pi IER`:. UMfl��.................................�Gu5`tp. ASR..Ali►�[9£8..................................................k�E�E�.......................................................................::::::.::::::.::::::::::::::::,::,:::::::::::::::: 95776 24lReflection Witst#......:::::::::::::::::::::::::..:::::::::::::::::::::::::::::::OtI�� G.:8::::.:::::::::::::::::::::::::::::.::::::.:::::::.$AEf� :.tRU��t.: .:..:..:::::.... ....................................................:...:::::::::.:::::: CAMERON CLANTON Mike Kalo eros S109955682 . 001 51 08/01/18 A $..7Y........3Htp:. :.UM. ..::::::::::::::::::::::::........................:::::::: ESGR RT.SON................................................::.:::::::: x m,Prteg::::.:................................::::::._::::::•::::::::.::.:::::::: •:.::::::::: :::::::::::::::..... .............................................................................................:..:::...:::::::::::::::::::::::::::.::..::::..:..:..............::.....:...:...:...,:..,.,....::.:...:::::::..:..... . . .... ..........,.....: .::::::::::.......................:: ,,,,.... ............ ********* Shipping Instructions *** ****** * CWI : Mike 317 443 0841 ******************PHONE#*********** ****** * 317-733-2001 *********************************** ****** 2 2 ea NEWA 70K9513 5915PC-12T—B30—A00 (REPLACES CAT# 46F5120 ) NMB FAN KRPNM **SUBJECT TO VENDOR RETURN POLICY** /1/2018 S1099S55B2_001 A Imo' ;11 ire saioge=o9 ALL ITEMS BEING RETURNED COULD BE SUBJECT TO A RESTOCKING CHARGE. CUSTOMER-PLEASE NOTE: ALL CLAIMS FOR SHORTAGE OR DAMAGE MUST BE MADE WITHIN 5 DAYS AND MUST REFERENCE THE SALES ORDER NUMBER. NO MATERIAL MAY BE RETURNED WITHOUT PRIOR APPROVAL. * Reprint ** Reprint ** Reprint ** Acknowledgement I(R Kirby Risk ORDERjDATE ORDER NUMBER 08/01/18 S109969279 ORDER T0: PAGENO KIRBY RISK 51 ELECTRICAL SUPPL 11110 ALLISONVILLE ROAD FISHERS IN 46038-1837 1 of 1 317-598-6170 Fax 317-598-6171 SOLD TO: SHIP TO: CITY OF CARMEL STREET DEPARTMENT CITY OF CARMEL STREET DEPARTME 3400 W 131ST STREE C/O Kirby Risk Supply WESTFIELD, IN 46074-8267 11110 Allisonville Rd 317-571-2414 fax 317-571-2410 FISHERS, IN 46038-1837 317-733-2001 fax 317-733-2005 ;. :... .;;:::::.,. 0.6 :':< "'< BELEA$ ..NUMBER/J06NAME CUSTOMERNUMBER CUSTOFIER ORDER N M ER:,. 95776 Mike Kalogeros .. :•:::. .•::.:...::SALESPERSpN::<::ii3s:>:;::.;:• ::::::.:;:.::<:::.;;:.. TERMS ORDERING PARTY SHIP DATE: FREIGHT>ALLOWED '..? CCLANTON-51 INET 30 DAYS Mike Kalogeros 08/24/18 No ..........::::::::.:.. ... :>;;:.>:...: ::,:>;:>;::::»:<• Ext Price >: ;»::;::::;:,:::i arESC,PTI .. ..:.Unit . ..D.. RT ON,: ********* Shipping Instructions *** ****** * Mike * 317 443 0841 *********************************** ****** JY e?a PFAN 18611600034 43 .79 lea 175 . 16 5 PACK PFANNENBERG FAN FILTER KRPNM Sub total::.:;;; 175. 16 S&H :CGS 0.00 ;:Sales Tax 0.00 X.: menu 0.00 Total Amount.._D:ue' 175. 16 NO MATERIAL MAY BE RETURNED WITHOUT PRIOR APPROVAL. ALL MATERIALS BEING RETURNED COULD BE SUBJECT TO A RESTOCKING CHARGE.