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Home My WebLink About331656 10/25/18 y u�C,�q� a`! °� CITY OF CARMEL, INDIANA VENDOR: 00351017 .�; �°• ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: $........74.85" 9�to�,�� CARMEL, INDIANA 46032 27561 CHICAGO ILWORK PLACE CHECK 60673-1275 CHECK DATE: 10/25/618 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 74.85 2110087685001 VOUCHER NO. 186708 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995) Vendor # 00351017 IN SUM OF$ 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 74.85 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 S110087685. 01-7202-06 $74,85 and received except 10/18/2018 S110087685.001 $74.85 001 I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_ Clerk-Treasurer f .. ► KittRi sW` :: iia s :� ' : Ya 4 :zrini eR ': , . . '------------- --------------------- 10/15/18 5110087685 . 001 REMI T TO KIRBY RISK CORPORATION 27561 Nety rk Place CHICAGO IL 60673-1275 1 of 1 __________—_—_______—______ ---------—___— BILL TO: SHIP TO: CARMEL WWTP CARMEL WWTP 9609 HAZEL DELL PARKWAY ATTN: DUANE JARVIS INDIANAPOLIS, IN 46280-2935 9609 HAZEL DELL PKWY INDIANAPOLIS, IN 46280-2935 rsr rr� srsK...... ......... .... r otat,ro-,±atraex..... ......... .. ... ras>,rFnrte :aasiat)>....... 74918 518990 : .SAI 5 FR5Qrt•::•:................::.SHfP..vtA....:::::t: ::•. :•::•:Ds21i�R�t :•f.A�i3:Y•: :•::t::•:•:::•::::BALF$:�SF TGF...... ..:::•:::•::•::• rftrNk: •: :•::::•::•::•:•t.%- IDMS-XML 23-2 DUANE JARVIS FISHERS 317-598-6170 10/15/18 :.: :•::••::•::•: q: : :::::::.....:....•::•::•::•: :•:•::;::::•: S �PT3i1 :::•::;: : :•:;: ::2 :•:: art :R.1� :; :::•::•::�E........... ......ftei : : ..f.....}Q3.Y:. •. . IS lr;.Q7.:::. 6k CR IF...:.. .:•:•: :...:::................. ................... .:..................................... _ ............................................ ..... . . ..:. - - - - --------- 3 3ea NORM 20T6 5-130V-DCF 25T6 1/2 1 .20 0. 00 3 .60 0. 07 FROSTED Your Line #: 1 10 10ea PHIL 1OT8 LED/48-4000 IF 1PK 6 . 03 0. 00 60 .30 1.21 10/1 473990 Your Line #: 2 ------------- -----------------I------------------------------------------------------------ -------------- --------------- ----------------- ----__=___-- Billing Questions: Billingrequest@klrbyrlsk.com (765)446-3054 - - --- --- _________ t�3 S3Q: : 63 .90 ........................... A discount of $1.28 can be taken if paid by 11/10/18 £ 10 .95 :.......................... provided all previous invoices are paid. t w::Tax 0 .00 --------- A service charge of 21 per month will be charged if not paid by 3.1/30/1e 'Q ?!il 74 .85 Please detach, retain the top portion for your records and return the bottom portion wi your`remfi ance------------------- F-77---- USt41 A:. :::.:.:.•::::::::::::T27V4t7�E: :::::::::::::It?lt5•l,•CE:;bks.... .:: :;:kfl3kl•;A.UE:: := :;;:;bI--------A :;fIU = : : ..k..!1.....r M 3.T.. 7491-85110-087685.001- 1-0715]18 — 74 85- 11730]18 — — -- --PTease ---------------- C=-DETACF -WO-MEMIT-WITFT-YOUW-FAYMEFF------------- Remit To: 27561 Network Place CHICAGO IL 60673-1275 THANK YOU FOR YOUR BUSINESS A discount of $1.28 can be taken if paid by 11/10/18 provided all previous invoices are paid. I(R KirbyDisk 23 - 2 KIRBY RISK DISTRIBUTION CENTER9O0 S110087685 . 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 74918 . S18990 :::>::>::>>::>::>:::::<: fP<:AAT ::<:>::>:::': ::...::.:.::.......................... ::::.:.......................:::.::.::::::::::::::: :._ .::.:::::.SEi� .. Al ...::::::. ......................:.:::::::::. .............. ::............:.::,......:....:.:........ IDMS-XML DUANE JARVIS 5110087685 . 001 900 10/16/18 Rim ********* Shipping Instructions *** ****** * ********************************* **** * * SHIP COMPLETE * ********************************* **** * * 317-571-2634 1640 3 3 ea NORM 20T6 . 5-130V-DCF 1.20 lea 3 .60 25T6 1/2 FROSTED Your Line #: 1 10 10 ea PHIL 1OT8 LED/48-4000 IF 1PK 10/1 6 . 03 lea 60 .30 473990 Your Line #: 2 Carton: BOX-522932 Loc: 23 -STANDUP Carton: BOX-522938 Loc: 23 -2-P 63 .9 << ;» 10.95 0. 00 0. 00 0851 74 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.