HomeMy WebLinkAbout333120 12/11/18 CITY OF CARMEL, INDIANA VENDOR: 00351017
® ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: $*******293.98*
s ��� CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 333120
9;.__./= CHICAGO IL 60673-1275 CHECK DATE: 12/11/18
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 255.50 5110129848.007
601 5023990 -135.99 S110129848.008
601 5023990 135.99 S110134037.001
601 5023990 34.05 S110141160.001
601 5023990 4.43 S110141160.002
VOUCHER NO. 183456 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor # 00351017 IN SUM OF$ 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
293.98 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
10129848.0 01-6200-04 $255.50 and received except 11/26/2018 110129848.007 $255.50
07
110141160.0 01-6200-04 $34.05 11/26/2018 110141160.001 $34.05
01
110141160.0 01-6200-04 $4.43 11/26/2018 110141160.002 $4.43
02
S
11012,00-W
S ! nl , cg037 001 t35.91
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 AD11082018 7 NET.30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
RICH R COLLINS PK PICK-UP AMADOU DIALLO(TJ) FISHERS 317-598-6170 11/08/18
.-� . SHIP CITY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
lea lea HOFF A1614CH 135.99 lea 135.99
CH BOX 16.00X14.00X6.00
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 11rei201e 6110134037.001 Invoice Number S110134037.001
Subtotal 135.99
S&H Charges 0.00
Invoice is due by 12/08/18. vc t
Sales Tax 0.00
AHRDW 111ALIC 1TJ1 AMOUNT DUE, 135.99
0004:0004 Kirby Risk Page 1 of 1
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER • •. NUMBER RELEASE NUMBER TERMS
11788 ADI 1062018 NET 30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
RICH R COLLINS WC51 WILL-CALL AMADOU DIALLO(TJ) FISHERS 317-598-6170 11/08/18
ORDER CITY CITY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
-lea -lea HOFF Al614CH 135.99 lea -135.99
CH BOX 16.00X14.00X6.00
Original Sale: S110134037.001 "*
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 11/8/2018 9110129848-008 Invoice Number S110129848.008
Subtotal -135.99
S&H Charges 0.00
_,r C_7 Sales Tax 0.00
AManou 101ar,10 1T311 • -1'35.99
0003:0004 Kirby Risk Page 1 of 1
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER • •. NUMBER RELEASE NUMBER TERMS
11788 AD11062018 NET 30 DAYS
SALESPERSON SHIP VIA ORDERED
RICH R COLLINS WC51 WILL-CALL AMADOU DIALLO(TJ) FISHERS 317-598-6170 11/08/18
.•. • QTY IF SHIP QTY I I I DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
lea lea HOFF A201608LP 255.50 lea 255.50
ENCLOSURE 20.00X16.00X8.00
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S110129848.007
Subtotal 255.50
SAH Charges 0.00
Invoice is due by 12/08118. u I It VC E Sales Tax 0.00
AWJIIU 111RTTu7 (TJ) AMOUNTME 255.50
0002:0004 Kirby Risk Page 1 of 1
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER • •• NUMBER RELEASE NUMBER I TERMS
11788 BTI 11318A P1 FL NET 30 DAYS
SALESPERSON SHIP VIA ORDERED13 Y SALES OFFICE PHONE NUMBER SHIP DATE
CAMERON CLANTON WC51 WILL-CALL BRIAN TOLAN FISHERS 317-598-6170 11/13/18
ORDER CCITY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
lea lea CARL E987R 1020.73 100ea 10.21
6X6X4 JUNCTION BOX
4ea 4ea CARL LT43D-NEW 150.46 100ea 6.02
PVC 1/2"STRAIGHT LIQUIDTIGHT FTG
2ea 2ea EGS C50-A 4.62 lea 9.24
1/2 AL C COND BODY
2ea 2ea EGS K50-A 1.45 lea 2.90
1/2 AL COND BODY COVER
2ea 2ea EGS GK50-N -- 1.26 lea 2.52
1/2 NEOPRENE GASKET
2ea 2ea PICO/WHEA 5529(G012000) 62.08 100ea 1.24
1/2XCLOSE GALVANIZED NIPPLE
2ea 2ea CARL UA9AD 28.89 100ea 0.58
1/2"SCH 40 STD 90 DEG
Elbow - -
2ea 2ea CARL UA7AD 21.25 100ea 0.43
CL UA7AD 1/2"SCH 40 STD 45 DEG ELB
6ea 6ea CARL E940D 8.17 100ea 0.49
1/2"SCH 40 COUPLING
4ea 4ea CARL E943D 10.49 100ea 0.42
1/2"SCH 40 MALE ADAPTER
Billing Questions:Bill ing_request@kirbyrisk.com(765)446-3054 11/14/2018 9110141160-001 Invoice Number S110141160.001
Subtotal 34.05
-�"'' }� S&H Charges 0.00
Invoice is due by 12/13/18. 1 �t'� ZU Sales Tax 0.00
1111AN TOLM AMOUNT DUE, 34.05
0001:0002 Kirby Risk Page 1 of 1
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER • •• NUMBER RELEASE NUMBER TERMS
11788 BTI 11318A P1 FL NET 30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE • DATE
CAMERON CLANTON WC51 WILL-CALL BRIAN TOLAN FISHERS 317-598-6170 11/13/18
ORDERQTYj SHIPQTY I DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
6ft 6ft ELEF NMI 1 81011 41.75 1 00f 2.51
1/2"GRAY LIQUATITE 100FT CARTON
81011
loft 10ft *PVC 1/2"SCH 40 NM CONDUIT 10' 19.17 1 00f 1.92
PRIME 49005-010 OR CTX A52AE12
QUEEN CITY 1100531
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 11/14/201e E110141160.002 Invoice Number S110141160.002
Subtotal 4.43
S&H Charges 0.00
Invoice is due by 12/13/18. Tat-+4 VJ Z2 Sales Tax 0.00
sx� N • 4.43
0002:0002 Kirby R1Sk Page 1 of 1
Kirby Risk1.
WC51
KIRBY RISK 51 ELECTRICAL SUPPLY S110129848 . 008
11110 ALLISONVILLE ROAD
FISHERS IN 46038-1837 Page 1 of 1
317-598-6170 Fax 317-598-6171
SOLD TO: SHIP TO:
CARMEL WATER TREATMENT CARMEL WATER TREATMENT
3450 W 131ST ST 4915 E 106TH ST
CARMEL, IN 46074-8267 INDIANAPOLIS, IN 46280-1532
317-733-2855 fax 317-733-2053
:>::...................................:.:::::::::::::::::.:.:..........�GE45s'.1' i.fl.Rik..#IIMfB�R..................................................RE _
11788 AD11062018
RICH R COLLINS AMADOU DIALLO TJ S110129848 . 008 51 11/08/18
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********* Shipping Instructions *** ******
* ********************************* **** *
* SHIP COMPLETE
* ********************************* **** *
******************PHONE#*********** ******
* 317-733-2855
*********************************** ******
-1 -1 ea HOFF A1614CH 135 . 99 lea -135 . 99
CH BOX 16 . 00X14 . 00X6 . 00
** Original Sale S110134037 . 001
Received : —
Date • °
PO #. !!4b old'
1/B/2018 SiSU129999_OOB -7 `
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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.
Kirby Risk ........
PK
KIRBY RISK 51 ELECTRICAL SUPPLY S110134037 . 001
11110 ALLISONVILLE ROAD
FISHERS IN 46038-1837 Page 1 of 1
317-598-6170 Fax 317-598-6171
SOLD TO: SHIP TO:
CARMEL WATER TREATMENT CARMEL WATER TREATMENT
3450 W 131ST ST 4915 E 106TH ST
CARMEL, IN 46074-8267 INDIANAPOLIS, IN 46280-1532
317-733-2855 fax 317-733-2053
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********* Shipping Instructions *** ******
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* ********************************* **** *
******************PHONE#*********** ******
* 317-733-2855
*********************************** ******
1 1 ea HOFF A1614CH 135 . 99 lea 135 . 99
CH BOX 16 . 00X14 . 00X6 . 00
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Date :
1/9/2019 5110134037_001
ACCT # : °
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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.
I(R Kirby Risk
WC51
KIRBY RISK 51 ELECTRICAL SUPPLY S110129848 . 007
11110 ALLISONVILLE ROAD
FISHERS IN 46038-1837 Page 1 of 1
317-598-6170 Fax 317-598-6171
SOLD TO: SHIP TO:
CARMEL WATER TREATMENT CARMEL WATER TREATMENT
3450 W 131ST ST 4915 E 106TH ST
CARMEL, IN 46074-8267 INDIANAPOLIS, IN 46280-1532
317-733-2855 fax 317-733-2053
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********* Shipping Instructions *** ******
* ********************************* **** *
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******************PHONE#*********** ******
* 317-733-2855
*********************************** ******
1 1 ea HOFF A201608LP 255 . 50 lea 255 . 50
ENCLOSURE 20 . 00X16 . 00X8 . 00
Received : 7-
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1)9/2018 511�129999_0�7
ACCT # :
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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.
KirbyDisk WC51
KIRBY RISK DISTRIBUTION CENTER900 S110141160 . 001
5501 W 52ND ST
INDIANAPOLIS IN 46254-1637 Page 1 of 2
317-687-0015 Fax 317-298-2888
SOLD TO: SHIP TO:
CARMEL WATER TREATMENT CARMEL WATER TREATMENT
3450 W 131ST ST 4915 E 106TH ST
CARMEL, IN 46074-8267 INDIANAPOLIS, IN 46280-1532
317-733-2855 fax 317-733-2053
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********* Shipping Instructions *** ******
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* ********************************* **** *
******************PHONE#*********** ******
* 317-733-2855
*********************************** ******
1 1 ea CARL E987R 1020 . 73 100ea 10 . 21
6X6X4 JUNCTION BOX
4 4 ea CARL LT43D-NEW 150 . 46 100ea 6 . 02
PVC 1/2" STRAIGHT LIQUIDTIGHT FTG
2 2 ea EGS C50-A 4 . 62 lea 9 . 24
1/2 AL C COND BODY
2 2 ea EGS K50-A 1 . 45 lea 2 . 90
1/2 AL COND BODY COVER
2 2 ea EGS GK50-N 1 . 26 lea 2 . 52
1/2 NEOPRENE GASKET
2 2 ea PICO/WHEA 5529 (G012000 ) 62 . 08 100ea 1 .24
1/2XCLOSE GALVANIZED NIPPLE
2 2 ea CARL UA9AD 28 . 89 100ea 0 . 58
1/2" SCH 40 STD 90 DEG
cc T6 l-hu 22 S
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Date :
ACCT # : 626.V
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KIRBY RISK DISTRIBUTION CENTER900 S110141160 . 001
5501 W 52ND ST
INDIANAPOLIS IN 46254-1637 Page 2 of 2
317-687-0015 Fax 317-298-2888
SOLD TO: SHIP TO:
CARMEL WATER TREATMENT CARMEL WATER TREATMENT
3450 W 131ST ST 4915 E 106TH ST
CARMEL, IN 46074-8267 INDIANAPOLIS, IN 46280-1532 .
317-733-2855 fax 317-733-2053
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2 2 ea CARL UA7AD 21 . 25 100ea 0 . 43
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6 6 ea CARL E940D 8 . 17 100ea 0 . 49
1/2" SCH 40 COUPLING
4 4 ea CARL E943D 10 . 49 100ea 0 . 42
1/2" SCH 40 MALE ADAPTER
Carton: BOX-581752 Loc: 51 FISHER F
1/14/2018 S110141150_001
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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.
I(R Kirby Risk
WC51
KIRBY RISK 51 ELECTRICAL SUPPLY S110141160 . 002
11110 ALLISONVILLE ROAD
FISHERS IN 46038-1837 Page 1 of 1
317-598-6170 Fax 317-598-6171
SOLD TO: SHIP TO:
CARMEL WATER TREATMENT CARMEL WATER TREATMENT
3450 W 131ST ST 4915 E 106TH ST
CARMEL, IN 46074-8267 INDIANAPOLIS, IN 46280-1532
317-733-2855 fax 317-733-2053
:::::::::::::::::...................................................... ..£11►kt9�R...........:::::::::::::::::::::::.�:::::::::::::.RECEi4�E..l�EIM��R:::::::::::::::::::..�:::::..:.:_:.:_::::.::.�:::::::::StFF�i.I�....GQDE......:;::::.;;:.;;::.:.;:.;:.;:�
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********* Shipping Instructions *** ******
* SHIP COMPLETE
* ********************************* **** *
* 317-733-2855
*********************************** k******
6 6 ft ELEF NMll 81011 41 . 75 100ft 2 . 51
1/2" GRAY LIQUATITE 100FT CARTON
81011
10 10 ft *PVC 1/2" SCH 40 NM CONDUIT 10 ' 19 . 17 100ft 1 . 92
PRIME 49005-010 OR CTX A52AE12
QUEEN CITY 1100531
1/14/219 511014115�_�U2
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............
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ALL ITEMS BEING RETURNED COULD BE SUBJECT TO A RESTOCKING CHARGE. D a t e : 11-4-11
CUSTOMER-PLEASE NOTE: ALL CLAIMS FOR SHORTAGE OR DAMAGE MUST BE MADE WITHIN J)D®'S #ND 07'!1!3 1$A
MUST REFERENCE THE SALES ORDER NUMBER. NO MATERIAL MAY BE RETURNED WITHOUT IRIOR APPROVAL.
ACCT # : to*Z
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