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181282 01/13/2010 ,4---- CITY OF CARMEL, INDIANA VENDOR: 174625 Page 1 of 2 ONE CIVIC SQUARE KIRBY RISK SUPPLY CO CHECK AMOUNT: $15,417.94 1„" CARMEL, INDIANA 46032 PO BOX 664117 4%, 0 0 INDIANAPOLIS IN 46266 -4117 CHECK NUMBER: 181282 CHECK DATE: 1/13/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 223.32 S104807902.001 651 5023990 88.90 S104810671.001 651 5023990 175.62 S104816621.001 651 5023990 53.76 S104819120.001 651 5023990 255.72 S104826378.001 659 5023990 2,035.56 S104444259.002 659 5023990 741.18 S104444259.003 659 5023990 1,074.92 S104444259.004 659 5023990 2,195.92 S104444259.005 659 5023990 307.20 S104444259.006 659 5023990 357.76 S104444259.007 659 5023990 1,470.24 S104444259.008 659 5023990 123.84 S104444259.009 CITY OF CARMEL, INDIANA VENDOR: 174625 Page 2 of 2 f ONE CIVIC SQUARE KIRBY RISK SUPPLY CO CARMEL, INDIANA 46032 PO BOX 664117 CHECK AMOUNT: $15,417.94 4,,,,, INDIANAPOLIS IN 46266 -4117 CHECK NUMBER: 181282 CHECK DATE: 1/13/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 659 5023990 4,210.32 5104444259.010 659 R5023990 S11858 S104303725.0 291.84 MOTOR 659 5023990 S104444259.0 1,811.84 1050.75 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER NUMBER I CUSTOMER PO NUMBER RELEASE NUMBER 74918 s11859 SALESPERSON SHIP VIA ORDERED BY I SALES OFFICE PHONE NUMBER SHIP DATE CHRIS LENTS 23 -2 ROUTE 2 INDIANAPOLIS 317 687 -0015 12/29/09 ORDER QTY SHIP QTY "DESCRIPTION „ITEM PRICE UNIT” EXT AMOUNT r ,CASH DISC 8ea 8ea HITA RETURN TRACK 226.48 lea 1811.84 MODIFIED CHANNEL "J" TRACK 316SS X 10' **SUBJECT TO VENDOR RETURN POLICY** Billing Questions: Billing_ request ©kirbyrisk.com (765) 446 3054 Invoice Number S104444259.013 Subtotal 1811.84 S &H Charges 0.00 Invoice is due by 01/31/10. /i 2 Sales Tax 0.00 12/29/09 .Ure nate t�£'e t ��AMQ SUE; 1811.84 0001:0001 Kirby Risk Page 1 of 1 VOUCHER 097099 WARRANT ALLOWED 174625 IN SUM OF KIRBY RISK SUPPLY CO PO BOX 664117 INDIANAPOLIS, IN 46266 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code S104444259.( 07- 1050 -75 81,811.84 0 5 09. P- Voucher Total $1,811.84 Cost distribution ledger classification if claim paid under vehicle highway nd 7Do Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show, kind of service, where performed, dates of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 174625 KIRBY RISK SUPPLY CO Purchase Order No. PO BOX 664117 Terms INDIANAPOLIS, IN 46266 Due Date 12/30/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/30/2005 S104444259. $1,811.84 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 Date 'office DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER NUMBER I CUSTOMER PO NUMBER RELEASE NUMBER 74918 CONTACTOR COILS SALESPERSON I SHIP VIA ORDERED BY :I SALES OFFICE PHONE NUMBER SHIP DATE" MARKS BAYS PK PICK -UP JEFF COOPER FISHERS 317 598 -6170 12/30/09 ORDER QTY S HIP QTY DESCRIPTION ITEM PRICE UNIT' EXT,AMOUNT CASH DISC 2ea 2ea ASCO 363670 -001 121.52 lea 243.04 COIL KIT KRPNM *SUBJECT TO VENDOR RETURN POLICY** Billing Questions: Billing_request @kirbyrisk.com (765) 446 3054 Invoice Number S104826378.001 Subtotal 243.04 S &H Charges 12.68 Invoice is due by 01/31/10. Sales Tax 0.00 'AMOUNT DUE 255.72 0001:0001 KR Kirby Risk Page 1 of 1 VOUCHER 097079 WARRANT ALLOWED 351017 IN SUM OF KIRBY RISK ELECTRICAL SUPPLY PO BOX 664117 INDIANAPOLIS, IN 46266 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code S104826378.1 01- 7202 -06 $255.72 Voucher Total $255.72 Cost distribution ledger classification ,f claim paid under vehicle high �y mg C_ 0 0 CA Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show, kind of service, where performed, dates of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 351017 KIRBY RISK ELECTRICAL SUPPLY Purchase Order No. PO BOX 664117 Terms INDIANAPOLIS, IN 46266 Due Date 12/30/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/30/200! S104826378. $255.72 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 Date Officer DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER NUMBER I CUSTOMER PO NUMBER 1: RELEASE NUMBER 74918 150 WATT HPS LAMPS SALESPERSON SHIP VIA ORDERED BY SALES OFFICE 1 PHONE NUMBER 1 SHIP DATE MARK S BAYS PK PICK -UP CHRISTOPHER 2120 FISHERS 317 598 -6170 12/15/09 ORDER QTY 1 SHIP QTY DESCRIPTION t• ITEM. PRICE UNIT EXT AMOUNT I CASH DISC 4ea 4ea PHIL C150S55 /ALTO 12PK 13.44 1ea 53.76 1.08 368746 C150S55 /ALTO 12PK 368746 Billing Questions: Billing_request @kirbyrisk.com (765) 446 3054 12115/20091:12:53PM 5104819120.001 Invoice Number S104819120.001 Subtotal 53.76 If paid by 01/10/10 you may deduct $1.08 NL ;:o4d S&H Charges 0.00 Invoice is due by 01/31/10 net of any cash discount. Sales Tax 0.00 JEFF COOPER AMOUNT ME 53.76 0001.0001 KR Kirby Risk Page 1 of 1 VOUCHER 097014 WARRANT ALLOWED 1'74625 IN SUM OF KIRBY RISK SUPPLY CO PO BOX 664117 INDIANAPOLIS, IN 46266 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code S104819120.( 01- 7202 -06 $53.76 Voucher Total $53.76 Cost distribution ledger classification if claim paid under vehicle highway fund 8 0°9 Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)= ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show, kind of service, where performed, dates of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 174625 KIRBY RISK SUPPLY CO Purchase Order No. PO BOX 664117 Terms INDIANAPOLIS, IN 46266 Due Date 12/22/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/22/2001 S104819120. $53.76 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 Date Officer DETACH PORTION AND RETURN WITH. YOUR PAYMENT ;CUST NUMBER •CUSTOMER PO NUMBER I RELEASE NUMBER 74918 100 WATT MH LAMPS SALESPERSON •-SHIP VIA, I `BY I SALES OFFICE I PHONE NUMBER I ,SHIP DATE MARKS BAYS PK PICK -UP JEFF COOPER FISHERS 317- 598 -6170 12/14/09 ORDER QTY SHIP. QTY DESCRIPTION T ITEMPRICE I_. UNIT EXT AMOUNT 'CASH DI 6ea 6ea PHIL MHC100 /U /MP /3K ALTO 12PK 29.27 lea 175.62 3.51 233684 MHC100 /U /MP /3K ALTO 12PK 233684 Billing Questions: Billing_request @kirbyrisk.com (765) 446 3054 12 00912629 PM S104816621.001 Invoice Number S104816621.001 Subtotal 175.62 If paid by 01/10110 you may deduct $3.51 y� S &H Charges 0.00 Invoice is due by 01131/10 net of any cash discount. I Sales Tax 0.00 KEVIN 'V AMOUNT DUE 175.62 0001:0001 Kir Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT 74918 250 WATT BALLAST SALESPERSON 1 SHIP VIA ORDERED: BY a SALESOFFICE PHONE NUMBER SHIP DATE MARK S BAYS WC51 WILL -CALL JEFF COOPER FISHERS 317- 598 -6170 12/09/09 ORDER QTY SHIP QTY DESCRIPTION ITEM PRICE UNIT. EXT AMOUNT l CASH DISC 1 ea 1 ea ADVA 71 A5750001 D 75.25 1 ea 75.25 MH BAL 250W M58 5 -TAP KIT lea lea PHIL MH250U 12PK 13.65 lea 13.65 0.27 274845 MH250U 12PK 274845 Billing Questions: Billing_request @kirbyrisk.com (765) 446 3054 12710/2009 S 20.21A1v1 S104610671.001 Invoice Number Si 04810671.001 Subtotal 88.90 If paid by 01/10/10 you may deduct $0.27 S&H Charges 0.00 Invoice is due by 01/31/10 net of any cash discount. Sales Tax 0.00 aM N JEFF COOPER a `M OU T D. 88.90 0002:0002 Kirby Risk Page 1 of 1 n 49 r 'E TURN WITH YOUR PAYMENT o CUSTOME NUM I CUSTOMER PO NUMBE 4 ^I .�b -4 RELEASE ,NUMBER 74918 1500 WATT LAMPS SALESPERSON t SHIP VIAL ORDERED BY SALES ;OFFICE -I PHONE NUMBER I '.SHIP DATE MARK S BAYS WC51 WILL -CALL JEFF COOPER FISHERS 317 598 -6170 12/08/09 ORDER QTY SHIP QTY DESCRIPTION I ITEM PRICE UNIT EXT AMOUNT CASH DISC 6ea 6ea PHIL MH1500 /U 6PK 37.22 lea 223.32 4.47 131623 MH1500 /U 6PK 131623 Billing Questions: Billing_request ©kirbyrisk.com (765) 446 3054 12110r2008S1S:41AF.1 8104807902.001 Invoice Number S104807902.001 Subtotal 223.32 If paid by 01/10/10 you may deduct S&H Charges 0.00 Invoice is due by 01/31/10 net of any cash discount. Sales Tax 0.00 JEFF COOPER i AMO U NT. DU E 223.32 0001:0002 KR Kirby Risk Page 1 of 1 VOUCHER 096964 WARRANT ALLOWED 174625 IN SUM OF KIRBY RISK SUPPLY CO PO BOX 664117 INDIANAPOLIS, IN 46266 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code S104807902.( 01- 7202 -06 $223.32 5164810197/• °DI 001 -o106 5%. 5104ItGO -(.690l 0 1,1 2.02. 5.(�a. y0:11•5S Voucher Total Cost distribution ledger classification if claim paid under vehicle highway fund oq Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show, kind of service, where performed, dates of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 174625 KIRBY RISK SUPPLY CO Purchase Order No. PO BOX 664117 Terms INDIANAPOLIS, IN 46266 Due Date 12/15/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/15/2004 S104807902. $223.32 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 Date Officer r DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER NUMBER I CU PO NUMBER RELEASE NUMBER 74918 S11858 SALESPERSON SHIP VIA: ORDERED BY SALES OFFICE' PHONE NUMBER SHIP DATE RABIA T TANO R -2 NORTHEAST INDIANAPOLIS 317 687 -0015 12/16/09 ORDER QTY SHIP QTY DESCRIPTION ITEM PRICE' I UNIT. EXT AMOUNT I CASH DISC 24ea 24ea HITA NM720SF226W /PIN 10.68 lea 256.32 5.13 CHAIN ATTACHMENT KRDP *SUBJECT TO VENDOR RETURN POLICY** 24ea 24ea HITA NM720SPIN CHAIN PINS 1.48 lea 35.52 0.71 KRDP *SUBJECT TO VENDOR RETURN POLICY Billing Questions: Billing_request @kirbyrisk.com (765) 446 3054 Invoice Number S104303725.001 Subtotal 291.84 If paid by 01/10/10 you may deduct $5.84 S&H Charges 0.00 Invoice is due by 01/31/10 net of any cash discount. 7 V 12/16/09 Sales Tax 0.00 .r n ea z AMOUNT DUE 291.84 0001:0011 Kirby Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER NUMBER I CUSTOMER PO NUMBER RELEASE NUMBER 74918 s11859 SALESPERSON I SHIP VIA 1 ORDERED BY I SALES OFFICE PHONE NUMBER SHIP'DATE CHRIS LENTS 23 -2 ROUTE 2 INDIANAPOLIS 317 687 -0015 12/16/09 ORDER QTY I SHIP QTY .t DESCRIPTION ITEM UNIT EXT AMOUNT CASH DISC 2ea 2ea HITA 23T, CAST NYLON W /CS RIM,SPLIT DRIVE 432.57 1ea 865.14 K &SS, 2 -3/4" BORE KRPNM *SUBJECT TO VENDOR RETURN POLICY 6ea 6ea HITA 19T HMAX IDLER SPROCKET 420.00 1ea 2520.00 19T HMAX IDLER SPROCKET KRDP *SUBJECT TO VENDOR RETURN POLICY 6ea 6ea HITA HMAX STATIC SLEEVE BEARING 137.53 1ea 825.18 HMAX STATIC SLEEVE BEARING *SUBJECT TO VENDOR RETURN POLICY Billing Questions: Billing_request @kirbyrisk.com (765) 446 3054 Invoice Number S104444259.010 Subtotal 4210.32 S &H Charges 0.00 Invoice is due by 01/31/10. V�' Sales Tax 0.00 12/16/09 Merit eat AMOUNT DUE 4210.32 0010:0011 Kirby Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER NUMBER I CUSTOMER PO NUMBER RELEASE NUMBER 74918 s11859 SALESPERSON SHIP VIA ORDERED BY. SALES I PHONE NUMBER I SHIP DATE CHRIS LENTS 23 -2 ROUTE 2 INDIANAPOLIS 317 687 -0015 12/16/09 ORDER QTY I SHIP QTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT I CASH DISC 24ea 24ea HITA WEARSHOE, FLOOR, UHMW, REVERSIBLE 5.16 lea 123.84 2.48 5 -1/2W X 3 X 1/2 P KRPNM *SUBJECT TO VENDOR RETURN POLICY** Billing Questions: Billing_request @kirbyrisk.com (765) 446 3054 Invoice Number S104444259.009 Subtotal 123.84 If paid by 01/10/10 you may deduct $2.48 S&H Charges 0.00 Invoice is due by 01/31/10 net of any cash discount. Y Y 12/16(09 Sales Tax 0.00 =n e a N me AMOUNT DUE 123.84 0009:0011 a Kirby Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER NUMBER CUSTOMER PO NUMBER I RELEASE NUMBER 74918 s11859 SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE CHRIS LENTS 23-2 ROUTE 2 INDIANAPOLIS 317 687 -0015 12/16/09 ORDER QTY I 'SHIP QTY I DESCRIPTION I ITEM PRICE UNIT I EXT AMOUNT CASH DISC 12ea 12ea HITA FRP CHANNEL FLIGHT 8" X 15' -10" 122.52 1ea 1470.24 29.40 WITH 10 HOLE BOLT PATTERN KRPNM *SUBJECT TO VENDOR RETURN POLICY Billing Questions: Billing_request @kirbyrisk.com (765) 446 3054 Invoice Number S104444259.008 Subtotal 1470.24 If paid by 01/10/10 you may deduct $29.40 S&H Charges 0.00 Invoice is due by 01/31/10 net of any cash discount. i.. 12/16/09 Sales Tax 0.00 r n e d ame v c t1 bz AMOUNT DUE 1470.24 0008:0011 Kirby Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER NUMBERI ;...CUSTOMER. PO NUMBER I x RELEASE NUMBER f a f 74918 s11859 t SALES' ERSON� SHIP VIA O P. NE CHRIS LENTS 23 -2 ROUTE 2 INDIANAPOLIS 317- 687 -0015 12/16/09 ORDER OTY SHIP QTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT I „CASH DISC' 32ea 32ea HITA ANCHOR, 5/8 11.18 lea 357.76 RETURN RAIL BRACKET(2 PER BRACKET R Q) **SUBJECT TO VENDOR RETURN POLICY** Billing Questions: Billing request @kirbyrisk.com (765) 446 3054 Invoice Number S104444259.007 Subtotal 357.76 S&H Charges 0.00 Invoice is due by 0 1/31/10. v r. 12r2.6r09 Sales Tax 0.00 �n ea u. z AMOUNT DUE 357.76 0007:0011 Kirby Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER NUMBER CUSTOMER PO NUMBER RELEASE NUMBER 74918 s11859 SALESPERSON SHIP VIA ORDERED BY SALES OFFICE I PHONE NUMBER I SHIP DATE CHRIS LENTS 23 -2 ROUTE 2 INDIANAPOLIS 317 687 -0015 12/16/09 ORDER QTY I SHIP QTY DESCRIPTION I ITEM PRICE UNIT EXT AMOUNT I CASH DISC 16ea 16ea HITA FRP WALL BRACKET 19.20 lea 307.20 HSDT136 8" CHANNEL **SUBJECT TO VENDOR RETURN POLICY Billing Questions: Billing_request @kirbyrisk.com (765) 446 -3054 Invoice Number S104444259.006 Subtotal 307.20 S&H Charges 0.00 Invoice is due by 01/31/10. V L iz /ie /os Sales Tax 0.00 gr E a "jve' AMOUNT DUE 307.20 0006:0011 A Kirby Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER NUMBER CUSTOMER PO T d RELEASE NUMBER 74918 s11859 'SALESPERSON a SHIP VIA` J r ORDERED BY 'SALES OFFICE PHONE NUMBER I -SHIP DATE LENTS 23 -2 ROUTE 2 INDIANAPOLIS 317 687 -0015 12/16/09 ORDER QTY SHIP QTY DESCRIPTION `ITEM PRICE UNIT EXTAMOUNT CASH DISC 240ea 240ea HITA NM 720S CHAIN W/F -228 EV 10FT 9.92 lea 2380.80 47.62 ACETAL RESIN, 6 "PITCH KRPNM *SUBJECT TO VENDOR RETURN POLICY** -1 ea -lea MARA N642 184.88 lea 184.88 56T17V5328 **SUBJECT TO VENDOR RETURN POLICY** Original Sale S104444259.001 Billing Questions: Billing request @kirbyrisk.com (765) 446 3054 Invoice Number S104444259.005 Subtotal 2195.92 If paid by 01 /10 /10 you may deduct $47.62 S&H Charges 0.00 Invoice is due by 01/31/10 net of any cash discount. ./7 U`' 12/15/08 Sales Tax 0.00 Me AMOUNT DUE 2195.92 0005:0011 Kirby Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER NUMBER I CUSTOMER PO NUMBER I RELEASE NUMBER 74918 s11859 SHIP SALESPERSON VIA' ORDERED BY SALES OFFICE I PHONE NUMBE I SHIP DATE CHRIS LENTS 23 -2 ROUTE 2 INDIANAPOLIS 317 687 -0015 12/16/09 ORDER QTY, SHIP QTY DESCRIPTION ITEM. PRICE- UNIT, I EXT AMOUNT, I CASH DISC 2ea 2ea HITA 11T HMAX SHEAR PIN SPROCKET 537.46 1ea 1074.92 11T HMAX SHEAR PIN SPROCKET KRDP *SUBJECT TO VENDOR RETURN POLICY Billing Questions: Billing_request @kirbyrisk.com (765) 446 3054 Invoice Number S104444259.004 Subtotal 1074.92 S&H Charges 0.00 Invoice is due by 01/31/10. 12/16/09 Sales Tax 0.00 F v AMOUNT DUE 1074.92 0004:0011 4 r Kirby Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER NUMBER I CUSTOMER PO NUMBER RELEASE UMBER', 4 74918 s11859 SALESPERSON SHIP VIA ORDERED BY SALE OFFICE PHONE NUMBER, SHIP DATE CHRIS LENTS 23 -2 ROUTE 2 INDIANAPOLIS 317 687 -0015 12/16/09 ORDER QTY I SHIP QTY DESCRIPTION ITEM PRICE UNIT' .I EXT AMOUNT CASH DISC 2ea 2ea HITA HITA HMAX SNAP IDLER 370.59 1ea 741.18 HITA HMAX SNAP IDLER KRDP "SUBJECT TO VENDOR RETURN POLICY Billing Questions: Billing_request @kirbyrisk.com (765) 446 -3054 Invoice Number 5104444259.003 Subtotal 741.18 S&H Charges 0.00 Invoice is due by 01/31/10. V Sales Tax 0.00 12/16/09 e a N 4 a m e Z ,,AMOUNT'DUE 741.18 0003:0011 Kirby Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER NUMBER CUSTOMER PO NUMBER' I', k f RELEASE t= il 74918 s11859 z ORDEREDBY SALES OFFICE s. PHONE NUMBE a a CHRIS LENTS 23 -2 ROUTE 2 INDIANAPOLIS 317 -687 -0015 12/16109 ORDERQTYi SHIP, QTY DESCRIPTIONS ITEM PRICE UNIT EXTAMOUNT CASH 24 4.ea 24ea HITA FILLER BLOCK 3 X 8 4.43 lea 106.32 HITACHI CHAIN KRPNM *SUBJECT TO VENDOR RETURN POLICY '24ea 24ea HITA HARDWARE FLIGHT MOUNTING KIT 24.00 lea 576.00 BAGGED 316SS KRPNM **SUBJECT TO VENDOR RETURN POLICY 24ea 24ea HITA WEARSHOE, RETURN, LUG, UHMW 4.23 lea 101.52 REVESIBLE, 4-1/2"X3X3X1/2 A KRPNM *SUBJECT TO VENDOR RETURN POLICY 60ea 60ea HITA NH7810US 13.98 1ea 838.80 NH78 DRIVE CHAIN KRPNM *SUBJECT TO VENDOR RETURN POLICY 8ea 8ea HITA HARDWARE FRP RETURN RAIL 9,79 1ea 78.32 BAGGED 316SS (ONE PER 20 FT LENGTH) *SUBJECT TO VENDOR RETURN POLICY 10ea 10ea HITA WEARSTRIP 25.10 lea 251.00 3/8 X 2 -5/8 X 10 FT, UHMW (FLOOR) *SUBJECT TO VENDOR RETURN POLICY 10ea 10ea HITA HARDWARE FLOOR WEARSTRIP 8.36 lea 83.60 VINYL ANCHOR BAGGED 316SS *SUBJECT TO VENDOR RETURN POLICY Billing Questions: Billing_request @kirbyrisk.com (765) 446 3054 Invoice Number S104444259.002 Subtotal 2035.56 S &H Charges 0.00 Invoice is due by 01/31/10. V 22/16/os Sales Tax 0.00 11 euN e v I me AMOUNT DUE 2035.56 0002:0011 Kirby Risk Page 1 of 1 VOUCHER 097035 WARRANT ALLOWED 174625 IN SUM OF KIRBY RISK SUPPLY CO PO BOX 664117 INDIANAPOLIS, IN 46266 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT# AMOUNT Audit Trail Code \fit 001- 0\ S104444259.( 07- 1050 -75 $2,035.56 5I09 14 59•0c53 11 rr 711.11r sic 1 251 -001 1 07 'CIA sio94h14 25q.005 2�9�•`12 s ro4H1-14259•0oh 3o7.za 51o'1y`1't259.007 357.76 51°444 Y2 "1- o0$ rg 7o-2'i sioiLl`I`125q•ob9 123 $`I s►ogE1W42.59•o10 ti u 1� 4,5$ 3/ 4-603725.01"I` r• r C a p c i. Olt/ 1 9:b08. -1 Voucher Total 42703 Cost distribution ledger classification if claim paid under vehicle highway d O ct Cl Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show, kind of service, where performed, dates of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 174625 KIRBY RISK SUPPLY CO Purchase Order No. PO BOX 664117 Terms INDIANAPOLIS, IN 46266 Due. Date 12/23/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/23/2005 5104444259, $2,035.56 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 Date Officer