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Home My WebLink About332808 11/27/18 ♦�!..4�gyff CITY OF CARMEL, INDIANA VENDOR: 00351017 ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: $*******159.36* CARMEL, INDIANA 46032 C27561 HICAGO IL 3LACE CHECK NUMBER: 332808 CHECK DATE: 11/27/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 159.36 5110149973.001 VOUCHER NO. 186926 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995) Vendor # 00351017 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER KIRBY RISK CITY OF CARMEL ` 27561 NETWORK PLACE An invoice or bill tobe 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 159.36 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 S110149973. 01-7202-06 $159.36 and received except 11/21/2018 S110149973.001 $159.36 001 I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_ Clerk-Treasurer � <.. ; ..: .� I 11/19/18 5110149973 . 001 REMIT TO KIRBY RISK CORPORATION �'-'�T'�—_-•" 27561 Network Place CHICAGO IL 60673-1275 1- of 1 BILL TO: SHIP TO: . CARMEL WWTP CARMEL WWTP 9609 HAZEL DELL PARKWAY ATTN: DUANE JARVIS INDIANAPOLIS, IN 46280-2935 9609 HAZEL DELL PKWY INDIANAPOLIS, IN 46280-2935 ...... ........ ... ...... :::•:•::•cusro-� st +s g...... t srota t.?o-.rs;cras . ..:. ......... rs: �� AW:�€vRa :�aa::t�ata� :.:::...... ... 74918 519117 51� Vulcan Control Board _ _ _ � .. ........;;t.. _ _ . •.:SAIsE?RSOtt::•: ................:. ....tA......... ........:::URf?EItK6:•R$R.;Y.::. :............8A2Ff1:f1FT�F:: :... .Ifafti?. :::::::.::. ..:.................... IDMS-XML PAR DUANE JARVIS ___jFISHERS 317-598-6170 11/19/18 Q...... {3Y.,, .,, If�,SiT�......... ......... ......... DkSGRt7TIi21F.. ......... ......... ...... ..enc fir}fie.... .... fii fte3 CASIk iT S$ 1 lea AB 800T-N319R Replacement 39 .84 0 . 00 39.84 0 . 00 Lamp,LED,Full Voltage, 24V AC/DC,Red Your Line #: . 1 3 3ea AB 800T-N319A Replacement 39 .84 0 . 00 119 .52 0. 00 Lamp,LED,Full Voltage, 24V AC/DC,Amber Your Line 2 Rec ived b : Dat : > >^ar r PO #: siqio Cc #: ®(0 Use �� ,ry ��s - ---------- --------------: -------------------------=------------------- ------- ----------- ---- �� _-T�-m-----___ -------____ Billing Questi ons: Bi l l i ng_request@ki rbyri sk. om (765)446-3054 :::;:;t,� p :::; 15 9 .3 6 ::• : #e .:. 0 .00 ........................... ........................... Invoice is due by 12/31/18. :: E Tat 0.00 --------------------- A service charge of 2% per month will be charged 1f not paid by 12/31/1e ' C 159 .36 _:.......... ------------------ Please detach, retain the top portion for your records and return the bottom portion wi your remi�l:.ance--------- 'AMA :}}?'.........}: }::: ;..:�;.; ......�;.._�;..,:-r: }:{ i ;}...:.:::...r: r'r}}}'r}: : y ....;:......7••:} Clt8f?f�kA; ::::: TN+lAI�F Jil�f4ICE flkiS ;;f?3k1;pGF... :::::::. . AkFE;fllf.;, k?$?J?ytF — — W74918 5110149973-_001- 1119/18 — _ 159.36-1 12731/ _I----------------- --PTease---Kil T19FFTeci+r=eal-l;uppTy----------------- LD%SE-UETACTf-9 -MIBMITTIITH-YOUR--PAYFENT-------------- Remit To: 27561 Network Place CHICAGO IL 60673-1275 THANK YOU FOR YOUR BUSINESS Invoice is due by 12/31/18. I(R Kirby Risk PAR KIRBY RISK DISTRIBUTION CENTER900 5110149973 . 001 5501 W 52ND ST Page 1 of 1 INDIANAPOLIS IN 46254-1637 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 S19117 Vulcan Control Board IDMS-XML DUANE JARVIS S110149973 . 001 900 11/19/18 ::::::.::.::.::.::::.:::.;:.::.::::::::::.::.:::.::.::::::::.. . .. :...... .....................:::::::::.................... ... ...........Elt�.: .........................:.::::.:........ . .. ********* Shipping Instructions *** ****** * ********************************* **** * * SHIP COMPLETE * ********************************* **** * * 317-571-2634 1640 1 1 ea AB 800T-N319R 39 . 84 lea 39. 84 Replacement Lamp,LED,Full Voltage, 24V AC/DC,Red Your Line #: 1 3 3 ea AB 800T-N319A 39 . 84 lea 119 .52 Replacement Lamp,LED,Full Voltage, 24V AC/DC,Amber Your Line #: 2 Carton: BOX-572395 Loc: 7 uTt�r 159 .36 0 0.00 } A '`3 159.36, 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 **