181595 01/20/2010 f: CITY OF CARMEL, INDIANA VENDOR: 174625
KIRBY RISK SUPPLY CO Page 1 of 1
L; 4,
1,,, ONE CIVIC SQUARE CARMEL, INDIANA 46032 PO BOX 664117 CHECK AMOUNT: $345.71
-z4, INDIANAPOLIS IN 46266 -4117 CHECK NUMBER: 181595
<O N
CHECK DATE: 1/20/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 S10483723100 270.27 MATERIALS SUPPLIES
601 5023990 S10484316400 75.44 MATERIALS SUPPLIES
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER NUMBER CUSTOMER PO NUMBER RELEASE,NUMBER w I F
11788 WEST TOWER
SALESPERSON S HIP VIA' ORDERED BY
I .j x r %SALES OFFICE PHONE NUMBER SHIP DATE
MARK S BAYS PK PICK -UP BRIAN TOLAN FISHERS 317- 598 -6170 01/05/10
ORDER QTY SHIP QTY .DESCRIPTION la ITEM'PRICE UNIT EXT AMOUNT CASH DISC
4ea 4ea PHIL C70S621M PH 12PK 13. lea 54.84
331926 C70S62 /M PH 12PK
331926
1ea lea INTE K4141C 20.60 lea 20.60
125V PHOTOCONTROL
Billing Questions: Billing_request @kirbyrisk.com (765) 446 -3054 1+5+201011:38:41Am 6104043164.001 Invoice Number S104843164.001
Subtotal 75.44
2z5g- S&H Charges 0.00
Invoice is due by 02104110. Sates 0.00
BRIAN TOLAN E ;,f a AMOU NT 4 4DU ,.il 75.44
0001:0001
Kirby Risk Page 1 of 1
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER NUMBER I CUSTOMER PO NUMBER RELEASE ,NUMBER':
�f�.
11788
SALESPERSON? SHIP VIA f ORDERED BY SALES OFFICE I PHONE NUMBER SHIP DATE
ED ZINK WC51 WILL -CALL BRIAN TOLAN INDIANAPOLIS 317 687 -0015 01/01/10
ORDER QTY SHIP DESCRIPTION 'ITEMSPRICE UNIT EXT AMOUNT `CASH DISC
I
lea lea FLUK FLUKE -336A 270.27 1ea 270.27
600 AMP TRUE RMS AC /DC DIGITAL
CLAMP METER WITH BACKLIGHT
Billing Questions: Billing_reguest @kirbyrisk (765) 446 -3054 17412010119: 49 PM S104837231.00I Invoice Number 5104837231.001
Subtotal 270.27
27ZQ S &H Charges 0.00
Invoice is due by 01131/10. t Sales Tax 0.00
BRAN TOLAN s, AMOUNT DUE 270.27
0001:0001 Kirby Risk Page 1 of 1
VC,,) 094107 WARRANT ALLOWED
35:1017 IN SUM OF
KIRBY RISK ELECTRICAL SUPPLY
PO BOX 664117
INDIANAPOLIS, IN 462661
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
C l
D 01- 6200 -04 $270.27
S 113'4 4+k NIA ct .lpzs o bL. 7544
Voucher Total 3J4 5 7
,;:ost distribution ledger classification if
claim paid under vehicle highway fund
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 1/12/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/12/2010 S104837231. $270.27
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