HomeMy WebLinkAbout330160 09/19/18 y �_q� CITY OF CARMEL, INDIANA VENDOR: 00351017
4 • ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: S"""`1,145.75•
a CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 330160
9�`TON = CHICAGO IL 60673-1275 CHECK DATE: 09/19/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 37.30 S109991093.002
651 5023990 1,108.45 S110010686.001
VOUCHER NO. 186403 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
$1,145.75 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
S109991093. 01-7202-06 $37.30 and received except 9/5/2018 S109991093.002 $37.30
002
S110010686. 01-7202-05 $1,108.45 9/5/2018 S110010686.001 $1,108.45
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
e • ••
74918 S18786 PT 10TH PROX NET 30TH
SALESPERSON
IDMS-XML PAR PARCEL DLVY DUANE JARVIS FISHERS 317-598-6170 08/23/18
ORDERQTYJ SHIPQTY I DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
lea lea HOFFA16N20MPP 23.35 lea 23.35 0.47
PANEL,N1, PERF., 13.00X18.50
"*SUBJECT TO VENDOR RETURN POLICY"
2
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number 5109991093.002
Subtotal 23.35
If paid by 09/10/18 you may deduct$0.47 S&H Charges 13.95
Invoice is due by 09/30/18 net of any cash discount. Sales Tax 0.00
• • 37.30
0001:0001 Kirby Risk Page 1 of 1
CUSTOMER NUMBER CUSTOMER PO NUMBER RELEASE NUMBER TERMS
74918 S18818 PT 10TH PROX NET 30TH
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE I PHONE • DATE
KEVIN R FORD PAR PARCEL DLVY DUANE JARVIS FISHERS 317-598-6170 08/24/18
ORDER QQTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
lea lea AB 2513-D0131\1104 1095.00 lea 1095.00
PF 525,480V, 3PH, 7.5HP, IP20
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S110010686.001
Subtotal 1095.00
S&H Charges 13.45
Invoice is due by 09/30/18. Sales Tax 0.00
• � 1108.45
0001:0001 Kirby Risk Page 1 of 1
....................
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KIRBY RISK DISTRIBUTION CENTER960 S109991093 . 001
5501 W 52ND ST °
INDIANAPOLIS IN 46254-1637 Page 1 of 1
317-687-0015 Fax 317-298-2888
SOLD TO: J SHIP TO:
CARMEL. WWTP ' CARMEL WWTP
9609 HAZEL .DELL PARKWAY ATTN: DUANE JARVIS
INDIANAP"OLIS, . IN .. 4628.0-2935 9609 HAZEL DELL PKWY
INDIANAPOLIS, IN 46280-2935
317-571-2634 X1643 fax 317-732-20
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SCR'EW 'END .ANCHOR - STD FOR 35MM DIN
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Carton.: BAG' -632362 Loc: 7
* The _oll ur ,i g ' terns are_scheduled for backorder:
1 B/O HOFF A16N20MPP
PANEL,Nl, PERF. , 13 . 00X18 . 50
**SUBJECT TO VENDOR RETURN POLICY**
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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.
** Reprint ** Reprint ** Reprint **
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PAR
KIRBY RISK DISTRIBUTION CENTER900 S109991093 . 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 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_rF_
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1 1 ea HOFF A16N20MPP 23 .35 lea 23 .35 '�
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**SUBJECT TO VENDOR RETURN POLICY**
Your Line #: 2
Carton: BOX-390711 Loc: 7
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0.00
37.30
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.
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Kirby Risk PAR
KIRBY RISK DISTRIBUTION CENTER900 5110010686 . 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
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********* Shipping Instructions *** ******
* ********************************* **** *
* SHIP COMPLETE
* ********************************* **** *
* 317-571-2634 X1643
*********************************** ******
1 1 ea AB 25B-D013N104 L095 . 00 lea 1095 . 00
PF 525, 480V, 3PH, 7. 5HP, IP20
Carton: BOX-277335 Loc: 7
< r { ' 1095.00
........................................
........................................
........................................
........................................
3 .00
0.00
0.00
< ae
x iii 1098. 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.
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