HomeMy WebLinkAbout329803 09/10/18 +u1 Coq*
J`/ �� CITY OF CARMEL, INDIANA VENDOR: 00351017
ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: $*****1,221.06*
%. ;?�; CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 329803
'-i,�roN_.�. CHICAGO IL 60673-1275 CHECK DATE: 09/10/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 10979048001 1,030.97 OTHER EXPENSES
601 5023990 109921187001 108.52 OTHER EXPENSES
651 5023990 109991093001 81.57 OTHER EXPENSES
VOUCHER NO. 186364 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 00351017 IN SUM OF$ 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
$1,112.54 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
S109979048. 01-7202-06 $1,030.97 and received except 8/29/2018 S109979048.001 $1,030.97
001
S109991093. 01-7200-04 $81.57 8/30/2018 S109991093.001 $81.57
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 CUSTOMER •• NUMBER RELEASE NUMBER TERMS
74918 S18773 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 08/20/18
ORDERQTYj SHIPQTY I DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
2ea Zea HOFFTFP61UL12 508.76 lea 1017.52 20.35
115V,50/60HZ,36/32W,0.45/0.36A
"SUBJECT TO VENDOR RETURN POLICY"
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S109979048.001
Subtotal 1017.52
If paid by 09/10/18 you may deduct$20.35 S&H Charges 13.45
Invoice is due by 09/30/18 net of any cash discount. Sales Tax 0.00
• 1030.97
0001:0001 1& Kirby Risk Page 1 of 1
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
• ___ E •• -
74918 S18786 PT 10TH PROX NET 30TH
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
IDMS-XML PAR PARCEL DLVY DUANE JARVIS FISHERS 317-598-6170 08/15/18
ORDERQTYJ SHIPQTY I DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC
30ea 30ea AB -1492-EAJ35 2.32 lea 69.60
SCREW END ANCHOR-STD FOR 35MM DIN
1
o� . �a�000y
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S109991093.001
Subtotal 69.60
S&H Charges 11.97
Invoice is due by 09/30/18. Sales Tax0.00
• 11111111111,1111M 81.57
001:0001 Kirby Risk Page 1 of 1
I(R Kirby Rist( PAR
KIRBY RISK DISTRIBUTION CENTER900 S109979048 . 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 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
!=73
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:::::>:::: P•:ilA1
KEVIN R FORD AARON HOOVER S10997904 . 0011 900 08/20/18
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::.:#FGRE? ::::::::::.::::........................:.:::.:::::.:.::::::.:.::::::::::.::::.::.:::::::.
********* Shipping Instructions *** ******
* ********************************* **** *
* SHIP COMPLETE
******************PHONE#*********** ******
* 317-571-2634 X1643
2 2 ea HOFF TFP61UL12 508 . 76 lea 1017 .52
115V, 50/60HZ, 36/32W, 0 .45/0 .36A
**SUBJECT TO VENDOR RETURN POLICY**
Carton: BOX-460885 Loc: 7
Carton: BOX-460886 Loc: 7
•'x »... 1017.52
3 .00
........................................
........................................
0.00
` a 3ti
1020.52
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 **
VOUCHER NO. 182583 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
108.52 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
109921187.0 01-6200-04 $108.52 and received except 8/28/2018 109921187.001
01 $108.52
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
11788 GREG NET 30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
KEVIN R FORDPAR PARCEL DLVY BRIAN TOLAN FISHERS 317-598-6170 08/21/18
'ORDER. CITY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC
lea lea COND 31 NEXAXXABT 108.52 lea 108.52
PRESSURE SWITCH
KRPNM
**SUBJECT TO VENDOR RETURN POLICY**
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S109921187.001
Subtotal 108.52
S&H Charges 0.00
Invoice is due by 09/20/18. Sales Tax0.00
• I 108.52
0001:0001 Kirby Risk Page 1 of 1
COPY
Condor USA, Inc. Phone# Packing Slip
704-544-8847
8033 Corporate Center Dr. Fax# Ship Date Invoice#
Suite 300 704-544-8397 7/2/2018 SO067463
Charlotte, NC 28226
Page: 1
Ship
To: Kirby Risk
Carmel Water Treatment
3450 W 31 st St
- Carmel, IN 46074-8267
P.O. Number S109921187
FOB Prepay/Add
Ship Via UPS
UPS NDA Saver
Quantity Unit Item No. Description
1 Each 31NEXAXXABT SWP60113-C
1 Shipping &Handling
www.condor-usa.com