HomeMy WebLinkAbout334601 01/18/19 �%��,qyF. CITY OF CARMEL, INDIANA VENDOR: 00351017
ONE CIVIC SQUARE KIRBY RISK CORPORATION CHECK AMOUNT: $*******259.34*
a' CARMEL, INDIANA 46032 27561 NETWORK PLACE CHECK NUMBER: 334601
Z9;�TON.�`' CHICAGO IL 60673-1275 CHECK DATE: 01/18/19
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 44.30 OTHER EXPENSES
651 5023990 215.04 S110179945.001
VOUCHER NO. 187189 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 00351017 IN SUM OF$ 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
215.04 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
S110179945. 01-7202-06 $215.04 and received except 12/30/2018 S110179945.001 $215.04
001
1 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
74918 S19179 Bldg B Break Room PT 10TH PROX NET 30TH
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
IDMS-XML 23-2 ROUTE 2 DUANE JARVIS FISHERS 317-598-6 770 12/10/18
SHIP CITY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
3ea 3ea RAB EZPAN2X4-50N/D10 68.03 lea 204.09 4.08
EDGELIT PANEL 2X4 50W 4000K 120-277
1
Received by :
Date: - 13 -\a PO IT: S\W\9
cct #:
Use: �• �� �.;� IRs
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S110179945.001
Subtotal 204.09
If paid by 01/10/19 you may deduct$4.08 S&H Charges 10.95
Invoice is due by 01/31/19 net of any cash discount. Sales Tax, 0.00
• 215.04
0001:0001 Kirby Risk Page 1 of 1
I(R Kirby Risk 2 3 - 2
KIRBY RISK DISTRIBUTION CENTER900 S110179945 . 001
5501 W 52ND ST
INDIANAPOLIS IN 46254-1637 Page l O f 1
317-687-0015 Fax 317-298-2888
SOLD TO: SHIP TO:
CARMEL WWTP CARMEL WWTP
9609 HAZEL DELL PARKWAY ATTN: DUANE JARVIS
INDIANAPOLIS, IN 46280-2935 9609 HAZEL DELL PKWY
INDIANAPOLIS, IN 46280-2935
317-571-2634 X1643 fax 317-732-20
74918 S19179 Bldg B Break Room
:..............................:.:..::.::::.::::::::::::::::: .........................:. A#£S.:ORF�E :#:.::......................S�i tiCi::::::::...:::..........................:..:::..
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IDMS-XML IDUANE JARVIS S11017994 . 0011 900 12/11/18
.:::.OR�t�:.#2'#Y.::......Sf31~t'.�3'€Y.....:..:UN.:::..::::::.:::::::::::::::::::::::::::::::::::.::::::.:::::i3�5�'tE?�;��ki::::::.:............:::::::::::::::::::::::::::::.::::::::::::::::..........:.,..:...:....:::..:...:.:...:::.:::. ..,::..:.... .
********* Shipping Instructions *** ******
* ********************************* **** *
* SHIP COMPLETE
* ********************************* **** *
* 317-571-2634 1640 -
*********************************** ******
3 3 ea RAB EZPAN2X4-50N/D10 68 . 03 lea 204 . 09
EDGELIT PANEL 2X4 50W 4000K 120-277
Your Line #: 1
Carton: BOX-604880 Loc: 23 STANDU
Carton: BOX-604881 Loc: 23 STANDU
Carton: BOX-604882 Loc: 23 STANDU
204.09
10.95
0. 00
0.00
` ' Y < >
<3? 215. 04
ALL ITEMS BEING RETURNED COULD BE SUBJECT TO A RESTOCKING CHARGE.
CUSTOMER-PLEASE NOTE: ALL CLAIMS FOR SHORTAGE OR DAMAGE MUST BE MADE WITHIN 5 DAYS AND
MUST REFERENCE THE SALES ORDER NUMBER. NO MATERIAL MAY BE RETURNED WITHOUT PRIOR APPROVAL.
VOUCHER NO. 183805 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 00351017 IN SUM OF$ 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
44.30 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
or bill(s)is(are)true and correct and that
PO# ACCr# 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
110214331.0 01-6200-04 $44.30 and received except 1/10/2019 110214331.001 $44.30
01
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 1 BT010419 P1 NET 30 DAYS
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
CAMERON CLANTON WC51 WILL-CALL BRIAN TOLAN FISHERS 7 317-598-6170 01/04/19
'ORDER QTYF SHIP QTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
50ea 50ea T&B RC10-516 51.63 100ea 25.82
INS NYL RING TERM, 12-10, 5/16,YEL
50ea 50ea T&B RC10-38 36.95 100ea 18.48
INS NYL RING TERM, 12-10, 3/8,YELL
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 1/7/2019 9110214331-001 Invoice Number S110214331.001
Subtotal 44.30
,g S8:H Charges 0.00
Invoice is due by 02/03/19. " "�` '�` Sales Tax 0.00
BRIAN TOLArr � • � 44.30
0001:0001 Kirby Risk Page 1 of 1
.....................................................
I(R KirbyRisk :.....
WC51
KIRBY RISK DISTRIBUTION CENTER900 S110214331 . 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 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
11788 BT010419 P1
tNEEffit►..:SY::::::::::::::::::::::::::::::::::::. . .............:SEEJtE�:.:. :>:<.. .SR � ; .... �.........CAMERON CLANTON BRIAN TOLAN k110214331 . 0011900 01/07/19
::.::::::::::::::::::::: ::::::::::........_......::::::..::..::::::::.:::.::::::::::::::::::.::.. .:::::::::::::::..::::::::::.:::::.... ::::::::.::::
.............:.�...................?�E.................... .........................::::::::::::::::::::::::::: � � �Cxem..€�:[�................U�#t........................�s C..fir.i.��.:::::::•:
********* Shipping Instructions *** ******
* ********************************* **** *
* SHIP COMPLETE
* ********************************* **** *
******************PHONE#*********** ******
* 317-733-2855
*********************************** ******
50 50 ea T&B RC10-516 51 . 63 100ea 25 . 82
INS NYL RING TERM, 12-10, 5/16, YEL
50 50 ea T&B RC10-38 36 . 95 100ea 18 . 48
INS NYL RING TERM, 12-10 , 3/8 , YELL
Carton: BOX-589174 Loc : 51 FISHER F
/7J2�19 5110214331_001
IAN TOLM
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........................................
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0.00
i iEri`> r 0.00
0.00
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........................................
. ..:...:..:::::..::.:.:..:.
.30
e d : TO LAIV 2 z s�
ALL ITEMS BEING RETURNED COULD BE SUBJECT TO A RESTOCKING CHARGE. D a y e : 1-7-/9
CUSTOMER-PLEASE NOTE: ALL CLAIMS FOR SHORTAGE OR DAMAGE MUST BE MADE WITHIN PDQS k Afo G D q
MUST REFERENCE THE SALES ORDER NUMBER. NO MATERIAL MAY BE RETURNED WITHOUT IRIOR APP VA Z
AC.0 # :
Use : pE,zcBatwe ��