The URL can be used to link to this page

Home My WebLink About329888 09/11/18 CITY OF CARMEL, INDIANA VENDOR: 00351017 ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: $*****5,754.86* CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 329888 9M�TON�o. CHICAGO IL 60673-1275 CHECK DATE: 09/11/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1206 4350900 35.13 S109981264.001 1206 4350900 142.28 S109981264.002 1206 4350900 19.31 S109981264.003 1206 4350900 43.20 5109981264.004 1206 4350900 1,112.34 S109981264.005 1206 4350900 4,402.60 S109989919.002 Prescribed by State Board of Accounts City Form No.201 (Kev.1 aao) VOUCHER NO. WARRANT NO. ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 00351017 IN SUM OF$ CITY OF CARMEL KIRBY RISK CORPORATION 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 $5,754.86 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Terms Street Department Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT S109981264.002 43-509.00 $142.28 1 hereby certify that the attached invoice(s),or 8/13/18 S109981264.002 Reflecting Pond Services $142.28 1206 101 1206 101 S109981264.001 43-509.00 $35.13 bill(s)is(are)true and correct and that the 8/13118 S109981264.001 Reflecting Pond Services $35.13 1206 101 materials or services itemized thereon for 1206 101 S109981264.003 43-509.00 $19.31 8/13/18 S109981264.003 Reflecting Pond Services $19.31 1206 101 which charge is made were ordered and 1206 101 S109981264.004 43-509.00 $43.20 received except 8/14/18 S109981264.004 Reflecting Pond Services $43.20 1206 101 1206 101 S109981264.005 43-509.00 $1,112.34 8/21/18 S109981264.005 Reflecting Pond Services $1,112.34 1206 101 1206 101 - S109989919.002 43-509.00 $4,402.60 8/29/18 S109989919.002 Reflecting Pond Services $4,402.60 1206 1 101 1206 101 Friday, September 07,2018 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 INVOICE I(RKirby Risk NVOICE , • . Lafayette, Ste, IN 47 Pkwy 08/13/18 S109981264.002 74918 DUE Lafayette, IN 47904 DATE TOTALDUE AMOUNT • . 09/30/18 142.28 '�y�•�� PLEASE REMIT PAYMENT TO: KIRBY RISK CORPORATION 27561 Network Place CHICAGO IL 60673-1275 SHIP TO: 34 2 SP 0.680 E0034 10249 D3925744341 32 P5623127 0002:0006 I�I'�1'1111'��IIII'II11111��1i1��1�1111'II"I'I'I��I'I"IIIA' CARMEL WWTP ATTN: DUANE JARVIS CARMEL WWTP 9609 HAZEL DELL PKWY 9609 HAZEL DELL PKWY INDIANAPOLIS IN 46280-2935 INDIANAPOLIS IN 46280-2935 -------------------------------------------------------------------------------------------------------------------------------------------------------------- DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER • -• NUMBER RELEASE NUMBER TERMS 74918 S18771 PT 10TH PROX NET 30TH .-. . : • • SHIP DA-, SALESPERSON SHIP VIA KEVIN R FORD I 23-2 ROUTE 2 BEN DONALD FISHERS D317-59876170 08/13/18 ORDER QSHIP QTY 4ea 4ea EGS ST-100 398.74 100ea 15.95 0.32 SEALTITE STR CONN 1 I 6ea 6ea EGS ST-75 288.80 100ea 17.33 0.35 SEALTITE STR CONN 3/4 4ea 4ea AB 1492-J16 3.78 lea 15.12 FEED THROUGH SCREW TERMINAL BLOCK 16MM GRAY 10ea 10ea BLIN N228SS6 405.90 100ea 40.59 0.41 3/8"STAINLESS STEEL SPRING NUT 53.29 lea 53.29 1.07 lea lea HOFF CP3624 PANEL 34.20X22.20 FITS 36.00X2 Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S109981264.002 Subtotal 142.28 If paid by 09/10/18 you may deduct$2.15 S&H Charges 0.00 Invoice is due by 09/30/18 net of any cash discount. Sales Tax 0.00 • • 142.28 0002:9006 Kirby Risk Page 1 of 1 INVOICE__ I(R Kirby Risk - , . • 1815 Sagamore Pkwy 1 08/13/18 S109981264.001 74918 Lafayette,IN 47904 . •• r DUE ,A • _ 09/30/18 35.13 PLEASE REMIT PAYMENT TO: KIRBY RISK CORPORATION 27561 Network Place CHICAGO IL 60673-1275 SHIP TO: 34 2 SP 0.680 E0034X 10248 03925744339 S2 P5623127 0001:0006 l�l'�l'1111'��1111'III1111��1"I��I�IIII'll"1'I'I11jl'I"IIIl' CARMEL WWTP ATTN: DUANE JARVIS CARMEL WWTP 9609 HAZEL DELL PKWY 9609 HAZEL DELL PKWY INDIANAPOLIS IN 46280-2935 INDIANAPOLIS IN 46280-2935 -------------------------------------------------------------------------------------------------------------------------------- DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER NUMBER CUSTOMER P• NUMBER RELEASE NUMBER TERMS 74918 S18771 PT 10TH PROX NET 30TH SALESPERSON SHIP VIA ORDERED BY SALES • PHONE NUMBER SHIP DAT.- -- KEVIN R FORD 23-2 ROUTE 2 BEN DONALD FISHERS 317-598-6170 08/13/18 ORDER CITY SHIP QTY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC 18ft 18ft SOUT THHN-STR-4-BRN-CU-KRWP 650.61 1 000f 11.71 4-19 CU SIMpull(TM)THHN-THWN-2 MTW BRN 41170208 18ft 18ft_ SOUT THHN-STR-4-ORG-CU-KRWP 650.61 1000ft 11.71 4-19 SD CU SIMpull(TM)THHN-THWN-2 MTW ORANGE 5000 FT 41171008 18ft 18ft SOUT THHN-STR-4-YEL-CU-KRWP 650.61 1 000f 11.71 4-19 SD CU SIMpull(TM)THHN-THWN-2 MTW YELLOW 5000 FT 41169408 Invoice Number S109981264.001 35.1 Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Subtotal 35.13 S&H Charges 0.00 Invoice is due by 09/30/18. Sales Tax 0.00 • 1 35.13 0001:0006 'Kirby Risk Page 1 of 1 INVOICE ARKirby Risk - ,NVOICE DATE INVOICE , 1815 Sagamore Pkwy 08/13/18 S109981264.0031 74918 _I Lafayette, IN 47904 DUE DATE TOTAL DUE AMOUNT PAIl 09/30/18 19.31 KIRBY RISK CORPORATION _ 27561 Network Place CHICAGO IL 60673-1275 SHIP TO: 34 2 SP 0.680 E0034 10250 03925744343 S2 P5623127 OD03:0006 Ill�llrllll�ll�llllilllllll��l�rl��l�llll�llr�lrl�l��l�l��lllli CARMEL WWTP ATTN:DUANE JARVIS CARMEL WWTP 9609 HAZEL DELL PKWY 9609 HAZEL DELL PKWY INDIANAPOLIS IN 46280-2935 INDIANAPOLIS IN 46280-2935 ------------------------------------------------------------------------------------------------------------------------------- DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER • -• NUMBER RELEASE NUMBER TERMS 74918 S18771 PT 10TH PROX NET 30TH SALESPERSON SHIP VIA •-. T KEVIN R FORD 23-2'ROUTE 2 1 N DONALD I FISHER 1 317-598-6170 08/13/18 ORDER QTY SHIP QTY DESCRIPTION ITEM PRICE UNIT I EXT AMOUNT CASH DISC loft loft BLIN B22-SH-10FT-GALV 193.09 100ft 19.31 0.19 SLOT CHANNEL Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S109981264.003 Subtotal 19.31 If paid by 09/10/18 you may deduct$0.19 S&H Charges 0.00 Invoice is due by 09/30/18 net of any cash discount. Sales Tax 0.00 AMOUNTME 19.31 0093:0006 Kirby Risk Page 1 of 1 AR 'Kirby Risk INVOICENVOICE DATE INVOICE NUMBER CUSTOMER1,L , 1815 Sagamore Pkwy Lafayette, IN 47904 08/14/18 S109981264.004 74918 _ DUE DATE TOTALDUE AMOUNTPAIII 09/30/18 43.20 773 3 -ad PLEASE REMIT PAYMENT TO: KIRBY RISK CORPORATION _ 27561 Network Place CHICAGO IL 60673-1275 SHIP TO: 34 2 SP 0.680 E0034 10252 D3925744347 S2 P5623127 0005:0006 I�li�lr1111'��IIII�IIIIIII��I"I��I�IIII'II"I'I'I��I'I"IIIA' CARMEL WWTP ATTN: DUANE JARVIS CARMEL WWTP 9609 HAZEL DELL PKWY 9609 HAZEL DELL PKWY INDIANAPOLIS IN 46280-2935 INDIANAPOLIS IN 46280-2935 ----------------------------------------------------------------------------------------------------------------------------------- DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER • -• NUMBER RELEASE NUMBER TERMS 74918 S18771 PT 10TH PROX NET 30TH SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER I SHIP .• KEVIN R FORD 23-2 ROUTE 2 1 BEN DONALD FISHERS 317-598-6170 08/14/18 ORDER QTY SHIP QTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT I CASH DISC 1 6f 16ft ELEF LT13-1"SEALTITE-CUT 145.99 1 00f 23.36 1 GRAY ELEFLEX 20ft 20ft ELEF LT12-3/4"SEALTITE-CUT 99.19 100ft 19.84 3/4 GRAY Invoice Number S109981264.004 43.20 Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Subtotal 43.20 S&H Charges 0.00 Invoice is due by 09/30/18. Sales Tax. 0.00 • 43.20 0005:0006 Kirby Risk Page 1 of 1 INVOICE Kirby Risk -- _-- 1815 Sagamore Pkwy 08/21/18 1 S109981264.005 I 74918 __-I, Lafayette, IN 47904 AMOUNTDUE DATE TOTAL DUE PAIV 09'30/18 1112.34 ?Aj PLEASE REMIT PAYMENT • KIRBY RISK CORPORATION 27561 Network Place — CHICAGO IL 60673-1275 SHIP TO: 1071 AB 0.408 E9107X 10192 03946529523 S2 P5642450 0001:0001 ��II�II��III�'�IIII'��I'I'11111'I�l��l�l�"I"ISI"I��II�I'll'll CARMEL WWTP ATTN: DUANE JARVIS CARMEL WWTP 9609 HAZEL DELL PKWY 9609 HAZEL DELL PKWY INDIANAPOLIS IN 46280-2935 INDIANAPOLIS IN 46280-2935 -------------------–---------------------------------------------------------------------------------------------------------- DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER • -• NUMBER RELEASE NUMBER TERMS 74918 S18771 PT 10TH PROX NET 30TH I SALESPERSON SALES OFFICE PHONE NUMBER I SHIP DA-' - — KEVIN R FORD 23-4 ROUTE 4 BEN DONALD FISHERS 317-598-6170 08/21/18 • 1 ea lea HOFF CSD362412SS 731.23 lea 731.23 14.62 STAINLESS ENCL. 36.00X24.00X12 **SUBJECT TO VENDOR RETURN POLICY** lea 1 ea HOFF TFP41 UL12 299.36 1 ea 299.36 5.99 115V,50/60HZ,17/15W,0.26/0.21 A **SUBJECT TO VENDOR RETURN POLICY** 81.75 lea 81.75 1.63 lea lea HOFF CWHPTO PADLOCK HANDLE Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 0809981264.005 218129:04AM Invoice Number S109981264.005 Subtotal . 1112.34 If paid by 09/10/18 you may deduct$22.25S Sales Tax S&H Charges 0.00 Invoice is due by 09/30/18 net of any cash discount. 0.00 ' Oliver AMOUNTDUE 1112.34 0001:0001 Kirby Risk Page 1 of 1 ARKirby Risk INVOICE 1815 Sagamore Pkwy Lafayette; IN 47904 08/29/18 F10�9989919.002,IM7�4918 ■ ■� • . • • 09/30/18 4402.60 ►`1�0� • KIRBY RISK CORPORATION 27561 Network Place CHICAGO IL 60673-1275 SHIP TO: 3341 AB 0.408 E01 58X 10249 D3973642946 S2 P5665606 0001:0002 CARMEL WWTP CARMEL.WWTP ATTN:DUANE JARVIS 9609 HAZEL DELL PKWY. 9609.HAZEL DELL PKWY INDIANAPOLIS IN 46280-2935 INDIANAPOLIS IN.46280-2935 --------------------------------------------------------------------------------------------------------------------------------------------------------------------------- DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT 74918 S18783. PT 10TH PROX NET 30TH SALESPERSON SHIP viA ORDERED BY SALES OFFICE I PAONE.NUMBERDAT- JACOB BLEIER 23-3 ROUTE 3 JEFF COOPER LAFAYETTE 1 765-423-42051 08/29/18 'ITEM PRIC� NIT EXT�MOUN'T CASH DISC lea lea EMR 05428960 4402.60 lea 4402.60 88.05 MOTOR REPAIR KRPNM "*SUBJECT TO VENDOR RETURN POLICY" Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 08-29-201811:39:46AM Invoice Number S109989919.002 S109989919.002 Subtotal 4402.60 If paid by 09/10/18 youmay deduct$88.05 f��r_ S&H Charges 0.00 Invoice is due by 09/30/18 net of any cash discount. �d W Sales Tax 0.00 p r .,18rNs • IT, emu 4402.60 0001:0002 Kirby Risk Page 1 of 1 I(R Kirby Risk . 23 - 2 KIRBY RISK CORPORATION 950 S109981264 . 001 1940 STOUT FIELD EAST DRIVE Page 2 Of 2 INDIANAPOLIS IN 46241-4011 317-687-0015 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 :«<:>::>::::coo►�. :;� ��:::<»>:> ::>:::;;::>:>«::.;;:;:.:::;;>;eu�� .; ��.:�:::::. .:.::::::..:........::.............:.......... . . . . . . 74918 S18771 KEVIN R FORD BEN DONALD S10998126 . 0011 950 08/13/18 **SUBJECT TO VENDOR RETURN POLICY** 1 B/O HOFF HH05SSO4004X 5IN 4X SHROUD 304SS 7 **SUBJECT TO VENDOR RETURN POLICY** 1 B/O HOFF TFP41UL12 115V, 50/60HZ, 17/15W,0 .26/0.21A **SUBJECT TO VENDOR RETURN POLICY** 1 B/O HOFF CWHPTO PADLOCK HANDLE 16 B/O ELEF LT13-1" SEALTITE-CUT 1 GRAY ELEFLEX 20 B/O ELEF LT12-3/4" SEALTITE-CUT 3/4 GRAY 35.13 0 . 00 0.00 <:...+ 1 0.00 35 .13 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 23 - 2 KIRBY RISK CORPORATION 950 S109981264 . 001 1940 STOUT FIELD EAST DRIVE Page 1 of 2 INDIANAPOLIS IN 46241-4011 317-687-0015 SOLD TO: SHIP TO: CARMEL WWTP CARMEL WWTP 9609 HAZEL DELL PARKWAY ATTN: DUANE JARVIS INDIANAPOLIS, IN 46280-2935 9609 HAZEL DELL P KWY INDIANAPOLIS, IN 46280-2935 317-571-2634 X1643 fax` 317-732-20 ....................::.:::.::::.::::::... : ............::6fi53 NMI;;NEit £ .:::.:;:::::::::::.::::.:.:::.:........:....::.....:.. :..:,....:::::.....:..... .... .... 74918 518771 NMI" "tt41,�5ARRA�:::..........:.::::::::::::::....:...........::...,..:....... KEVIN R FORD BEN DONALD S109981264 . 00 9 5:0: 08/13/18 ....................:.::.:.::. . .. .:::::.:.. .:::...........:::.:::.�:::.�::::,:..............:.:::.:::::::. .. . . . ..:::::::::::::::..............::::::::::::................:.1:��f�:.P�9:c�........::.::.::EIS.:.................::..:...:::..............�.......... ********* Shipping Instructions *** ****** * ********************************* **** * * SHIP COMPLETE * ********************************* **** * * 317-571-2634 X1643 *********************************** ****** -" 18 18 ft SOUT THHN-STR-4-BRN-CU-KRWP 650 . 61 1000ft 11.71 4-19 CU SIMpull (TM) THHN-THWN-2 MTW BRN 41170208 18 18 ft SOUT THHN-STR-4-ORG-CU-KRWP 650 .61 1000ft 11.71 4-19 SD CU SIMpull (TM) THHN-THWN-2 MTW ORANGE 5000 FT 41171008 ✓ 18 18 ft SOUT THHN-STR-4-YEL-CU-KRWP 650 .61 1000ft 11 . 71 4-19 SD CU SIMpull (TM) THHN-THWN-2 MTW YELLOW 5000 FT 41169408 Carton: COIL-186150 Loc: 12 Carton: COIL-186152 Loc: 12 Carton: COIL-186153 Loc: 12 * The Eollowing items are scheduled for backorder: 1 B/O HOFF CSD362412SS STAINLESS ENCL. 36 . 00X24 . 00X12 **k ContinueContinuel on Next Page *** I(R Kirby Risk11111111111111111 23 - 2 KIRBY RISK DISTRIBUTION CENTER900 S109981264 . 002 5501 W 52ND ST INDIANAPOLIS IN 46254-1637 Page 1 of 2 317-687-0015 Fax 317-298-2888 SOLD TO: SNIP 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 74918 S18771 : :.:::::.;:;.: > ::.;:.;:<::::>:::<>:<:::::»:.....,.......,....:::>»>:>;s::s>::r; »::..::: ....... :. :....... :s::::s s:: : ........;:.....:...:.:.::::::::: :. . :.....:::::::::. KEVIN R FORD BEN DONALD S109981264. 002 900 08/13/18 ....:.,.......:.::::::: QT SCRIFIQ�t.::::::.............: :::::.:::::::........:...:.:::::::::::::..:. :::::::..........,.......:. .. ********* Shipping Instructions *** ****** *, SHIP COMPLETE * 317-571-2634 X1643 *********************************** ****** 4 4 ea EGS ST-100 398 .74 100ea 15 .95 SEALTITE STR CONN 1IN 6 6 ea EGS ST-75 288. 80 100ea 17 .33 SEALTITE STR CONN 3/4 4 4 ea AB 1492-J16 1 3 . 78 lea 15 . 12 FEED THROUGH SCREW TERMINAL BLOCK 16MM GRAY X10 10 ea BLIN N228SS6 405 .90 100ea 40 .59 3/8" STAINLESS STEEL SPRING NUT f 1 1 ea HOFF CP3624 53 .29 lea 53 .29 PANEL 34 .20X22 .20 FITS 36 . 00X2 Carton: BAG-622418 Loc: 23 -2-P Carton: BOX-463417 Loc: 23 -2-P Carton: BOX-457795 Loc: 23 -2-P Carton: BOX-424199 Loc: 23 -2-P * The ollowi g ttems are scheduled for backorder: ** Conti ue on Next Page *** Kirby. Risk 23 - 2 KIRBY RISK DISTRIBUTION CENTER900 S109981264 . 002 5501 W 52ND ST INDIANAPOLIS IN 46254-1637 Page 2 of 2 317-687-0015 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 C :.:�t1�R•:NEIL£R.:;:.::.:;.;;::.>;:.::::::::.::::::::::::::::::::..... .....................,:...::,.... 74918 S18771 ......... ::.:::.:..:::::.::.:....................... :..:...:::::::........WOW :#.::::::..:................S�tI.... 1 �€.:....:.:..::::::::: #i...................... KEVIN R FORD BEN DONALD S109981264 . 002 900 08/13/18 ::,•pF��•. 1'Y.::...:::.;iHIP....:...Y:.�.,:..::I�k�.:::..:.�::::::::.:::::.::.:::.�:.::�::.�::::::::::::::::.::U�S�tTE?�:TQ....:.::•.:::.�:.�::::::::::.�:::::::::.�::::::::::::::.........,.,......,............:.:....,.:....:............ .........,:...,.::... 1 B/O HOFF CSD362412SS STAINLESS ENCL. 36 . 00X24 . 00X12 **SUBJECT TO VENDOR RETURN POLICY** 1 B/O HOFF HH05SSO4004X 5IN 4X SHROUD 304SS **SUBJECT TO VENDOR RETURN POLICY** 1 B/O HOFF TFP41UL12 115V, 50/60HZ, 17/15W, 0 .26/0 .21A **SUBJECT TO VENDOR RETURN POLICY** 1 B/O HOFF CWHPTO PADLOCK HANDLE 16 B/O ELEF LT13-1" SEALTITE-CUT 1 GRAY ELEFLEX 20 B/O ELEF LT12-3/4" SEALTITE-CUT 3/4 GRAY 142 .28 AW X-011" 0.00 5a >; 0.00 0.00 « ti 142 .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. I(R Kirby Risk 23 - 2 '3 - 2 KIRBY RISK 23 ELECTRICAL SUPPLY S109981264 . 003 1440 W 16TH ST INDIANAPOLIS IN 46202-2006 Page 2 of 2 317-687-0015 Fax 317-687-1226 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 ::::<::::... :: . •::.�::::::::::::<.>:.>•.:;•.:::::::. :. . �:.NES£�::::::::::, ::.:;:<.>::;•.�::�k'�,F.�5�:NLM ��.;:::::::::::.,.::::::::.::::::::::.......................... 74918 S18771 ................. .......... . ................................................:.....:........ ::::::::::::::.:::::::::::::::...:.:..::::::.::::::.: ;... . ...................:.::...SNI....�iN�:t.........:...................AAS........::.. KEVIN R FORD BEN DONALD S109981264 . 003 23 08/10/18 :::. :. :.. :::::.•:::: MEMO O::::.:::::::::::::.:.:::.;:.�::.i1ES£3ZIF'1'SOH.::::::.�:.,..::.:.:::.::::::::.�::::::::::::::.�:::.:.::::::::::::.�:::::::::::::::..:...................................... 19.31 0.00 0.00 19.31 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 23 - 2 KIRBY RISK 23 ELECTRICAL SUPPLY S109981264 . 003 1440 W 16TH ST INDIANAPOLIS IN 46202-2006 Page 1 of 2 317-687-0015 Fax 317-687-1226 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 74918 518771 XX ::.:.:::.................:....:...............:..:...:::.:::::. 3€? FI.. Y.................................:::::::::..................................:::..:::::. KEVIN R FORD BEN DONALD 5109981264. 003 23 08/10/18 ********* Shipping Instructions *** ****** * ********************************* **** * * SHIP COMPLETE *" * ********************************* **** * * 317-571-2634 X1643 *********************************** ****** 10 10 ft BLIN B22-SH-10FT-GALV 193 . 09 100ft 19 .31 SLOT CHANNEL Packag s: P GS: BNDL: 1 REEL: SKID: RLRL: AFRM: * The ollowi g 'tems are scheduled for backorder: 1 B/O HOFF CSD362412SS STAINLESS ENCL. 36 . 00X24 . 00X12 **SUBJECT TO VENDOR RETURN POLICY** 1 B/O HOFF HH05SS04004X SIN 4X SHROUD 304SS **SUBJECT TO VENDOR RETURN POLICY** 1 B/O HOFF TFP41UL12 115V, 50/60HZ, 17/15W, 0 .26/0 .21A **SUBJECT TO VENDOR RETURN POLICY** 1 B/O HOFF CWHPTO PADLOCK HANDLE 16 B/O ELEF LT13-1" SEALTITE-CUT 1 GRAY ELEFLEX 20 B/O ELEF LT12-3/4" SEALTITE-CUT 3/4 GRAY <::><::;;:>:::.::................ .. i(R ' Kirby Risk 23 - 2 KIRBY RISK DISTRIBUTION CENTER900 S109981264 . 004 5501 W 52ND ST INDIANAPOLIS IN 46254-1637 Page 2 of 2 317-687-0015 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 .......... .. .......................:::....... .. :.;;;;::.:;:.s;;::.;;;::;:.;;:,.::•:::.:�::.�.;::<.;:<.;;;�F#:f.Aad..:Iiut:��R::.�.;:.;:.;:.;:.;:.;:.>;:..::.:::.:::..:::::.:..;;:.;;:.:;:.;;;>:.;:.;:... 74918 S18771 ..:..................:..::.:.. ... .:.......................�::.�:::::.:::.:..:..................... . .: ::::.:::::....................:.::::::::::.:::...... . .. .pkv:#.:::::::.::...............SH$�.:�RAN�:.:....................:::.::.:::::::::::::::.:.. KEVIN R FORD BEN DONALD _S10998126 . 0041 900 0814/18 aut> '< 43 .20 0.00 " esa 0.00 43 .20, 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. Kirby Risk 23 - 2 KIRBY RISK DISTRIBUTION CENTER900 S109981264 . 004 5501 W 52ND ST INDIANAPOLIS IN 46254-1637 Page 1 o f 2 317-687-0015 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 ......::::::..:.....:.....:.:........::::::::::::::::::.:::::. ::::>::>:::.>;: . .;: kIN��.;:.:.:.;;::.::•;:.:•;:.;>;s>::s::»:::::»;:; :T4J�R::tit:N £R;;:.;:.::;.;:.;:;;:.:•;:.>;:.;:;:.;:;;;.;::.>:::..�::::::::::::.::::.. .. ................ .. 74.918 S 18 7 71 Ti KEVIN R FORD BEN DONALD S109981264 . 004 900 08/14/18 :::::..................:..::.::.:::::.::::........:......... :::.:::::::::::>:.........:...:.::::.:::::.:::::.:.. .:::: ;:..............F�tzi. :::.::::............:.:: at:.F....:.:.............. . ..............:..:.:... ********* Shipping Instructions *** ****** * ********************************* **** * * SHIP COMPLETE * ********************************* **** * ****************t*PHONE#*********** ****** * 317-571-2634 X1643 *********************************** ****** 16 16 ft ELEF LT13-1" SEALTITE-CUT 145 . 99 100ft 23 .36 1 GRAY ELEFLEX 20 20 ft ELEF LT12-3/4" SEALTITE-CUT 99 .19 100ft 19 . 84 3/4 GRAY Carton: COIL-163092 Loc: 23 -STAN DU Carton: COIL-163094 Loc: 23 STANDU k.* The Eollowlig terns are scheduled for backorder: 1 B/O HOFF CSD362412SS STAINLESS ENCL. 36 . 00X24 . 00X12 **'SUBJECT TO VENDOR RETURN POLICY** 1 B/O HOFF HH05SSO4004X 5IN 4X SHROUD 304SS **SUBJECT TO VENDOR RETURN POLICY** 1 B/O HOFF TFP41UL12 115V, 50/60HZ, 17/15W, 0 .26/0 .21A **SUBJECT TO VENDOR RETURN POLICY** 1 B/O HOFF CWHPTO PADLOCK HANDLE l(RKirbYRiSk 23 -. 2 KIRBY RISK DISTRIBUTION CENTER900 S109981264 . 005 5501 W 52ND ST INDIANAPOLIS IN 46254-1637 Page 2 Of 2 317-687-0015 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 :::.:::::: .::.:::.�::.:::Rel.i�S�:.�::::...::::::::::::::::::::::::::::::::::........................................... .. 74918 S18771 KEVIN R FORD BEN DONALD S 10 9 9 812 6 4 . 0051.::.:;»;:.:;; ;:.:..:...;:;9;0;008/21/18 :82.1/18 € c► 1112.34 0.00 0.00 is 3lti 1112.34 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(RKirbyRisk 23 - 2 KIRBY RISK DISTRIBUTION CENTER900 S109981264 . 005 5501 W 52ND ST INDIANAPOLIS IN 46254-1637 Page 1 of 2 317-687-0015 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 .:::::::.: .0 .::.Nlk1��t2�::::.:.�::::::::::::::::.:::.;:.>;GlfS;t9MER::>#;{q��t:NEIf:��R,;:;•.;:.::.::.;:;:.;:.>;;:::.:.::...::,:::::::.::.�::::::::::::::::::.�:::::::...................: , , 74918 518771 ...................:::::::::. . :...................:.::.�.t..:..::::.::::.....:................... .: .::::::::::.:......................::..:::::::::::..:. ..... .. :::::::::::.:.:.......... �..t3RD.1N��t.::.:.:..:.......... ...�.:�,.:.:.�::: KEVIN R FORD BEN DONALD S109981264 . 005 900 08/21/18 ********* Shipping Instructions *** ****** * ********************************* **** * * SHIP COMPLETE * ********************************* **** * * 317-571-2634 X1643 1 1 ea HOFF CSD362412SS 731 .23 lea 731.23 STAINLESS ENCL. 36 . 00X24 . 00X12 **SUBJECT TO VENDOR RETURN POLICY** 1 1 ea HOFF TFP41UL12 299 .36 lea 299 .36 115V, 50/60HZ, 17/15W, 0 .26/0.21A **SUBJECT TO VENDOR RETURN POLICY** 1 1 ea HOFF CWHPTO 81 . 75 lea 81.75 PADLOCK HANDLE Carton: BOX-441804 Loc: 23 -2-P Carton: BOX-434152 Loc: 23 -2-P Carton: BOX-441784 Loc: 23 -2-P * The Eollowi.ig ' tems are scheduled for backorder: 1 B/O HOFF HH05SSO4004X 5IN 4X SHROUD 304SS **SUBJECT TO VENDOR RETURN POLICY** I(R KirbyRisk 23 KIRBY RISK 5 ELECTRIC MOTOR REPAIR S109989919. 002 714 S 1ST ST LAFAYETTE IN 47905-1009 Page 1 of 1 765-423-4205 Fax 765-423-1686 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 :.:;:<:<>•SURFLE(i ::::: ::::.::::::::..: •.;.;:.::«.:: .:; :.:::::.::::.:::.:::.::::::::::::::.. .:. . .: ::::::::::::::::::.:::::::::.�::::::::.::::::•:::. .. ...:. .BER..:::.;:.::::.:�;:.:;:.::;:::.::::::.::::::::.::::::;;;:. .. ..:...:...c�T.o�E�:.r��BI�................................��.T.o�Et�..t�Ru��.r�.�s; ..............................:.........:.::::.::� ns�.:r�!>t�.......::.....v..........................................................................:.......::.::.�::::::::. 74918 S18783 ..:. .:.. :....:....... ..:............................................................. . ..........................::..:.... ................ . .:.:.:. . .............. ..:...::..SH1i?.:SRANs+�::<:>>:>::::> >::>::>::Sitl:...0a�.......... �]RDERi :.BX.::::.:.:::.::::::::::::............................SALESORRR#:::::::::::::::..::.:::........................................................:::.:.:::.::. JACOB BLEIER JEFF COOPER S109989919 . 002 1-005 08/29/18 ********* Shipping Instructions *** ****** * SHIPPED VIA ROUTE TRUCK 8/23 ******************PHONE#*********** ****** * 317-571-2634 X1643 1 1 ea EMR 05428960 1402 .60 lea 4402 .60 MOTOR REPAIR KRPNM. **SUBJECT TO VENDOR RETURN POLICY** 4402.60 0. 00 < ies » ac< 0. 00 0.00 4402.60 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. Kirby Risk SHIPPING TICKET Mechanical Solutions and Service Sales Order# S109989919 Lafayette Kirby Risk Mechanical Solutions and Service Ship To: 714 S.First Street CARMEL W WTP Lafayette,IN 47905 ATTN: DUANE JARVIS Phone Day or Night 765-423-4205 9609 HAZEL DELL PKWY 800-323-4205 Fax 765.423.1686 INDIANAPOLIS, IN 46280-2935 • • • Custolliet,Svc Rep 74918 S18783 1 05428960 8/23/18 Jacob Bleier Customer Contact JEFF COOPER Customer Ref#1 Phone Ref#2 Ref#3 Apparatus AC Motor HP 50 Frame 326JM Make Emerson RPM 1775 Model DJ50S2BB. Serial No. N04-G249-M Work Done To Your AC Motor Furnish 2 Replacement Motors Return with Cord and Plug THANK YOU FOR YOUR CONTINUED BUSINESS! (JT03.02b.180823.1304) Printed 8/23/2018 1;04:15PM