183148 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 00351017 Page 1 of 1
ONE CIVIC SQUARE KIRBY RISK ELECTRICAL SUPPLY
CARMEL, INDIANA 46032 PO BOX 664117 CHECK AMOUNT: $696.84
INDIANAPOLIS IN 46266
CHECK NUMBER: 183148
Y
CHECK DATE: 3/16/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 511942 S104858055 622.80 BREAKERS
651 5023990 5104937616 74.04 OTHER EXPENSES
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
9TOMER NUMBER CUSTOMER NUMBER RELEASE NUMBER
r
74918 S11942
SALESPERSON SHIP VIA ORDERED B
MARK S BAYS WC51 WILL -CALL JEFF COOPER FISHERS 317 598 -6170 03/01/10
ORDER CITY SHIP QTY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC
lea lea AB 1492- MCBA2H40 159.51 lea 159.51
CB, 1 IN, 10 KA AIC, 2 POLE, 40 AMP
"SUBJECT TO VENDOR RETURN POLICY
lea lea AB 1492- MCAA320 193.97 lea 193.97
UL489 /CSA MINIATURE CIRCUUL489 /CSA
MINIATURE CIRCU
"SUBJECT TO VENDOR RETURN POLICY
lea lea AB 1492- MCAA260 114.22 lea 114.22
Circuit Breaker, 1/2 inch wide, 10
kA AIC, 2 pole, 60 Amp
*SUBJECT TO VENDOR RETURN POLICY
3ea 3ea AB 1492- MCAAl20 51.70 lea 155.10
CIR BRKR, 0.5 IN /POLE, 10 KA AIC, 1
POLE, 20 A
"SUBJECT TO VENDOR RETURN POLICY
Billing Questions: Billing (765) 446 -3054 3111201011:14:53 AM S104858055.001 Invoice Number S104858055.001
Subtotal 622.80
S&H Charges 0.00
Invoice is due by 04/30/10. Sales Tax 0.00
KEVIN 622.80
0001:0001 Kirby Risk Page 1 of 1
TERMS AND CONDITIONS OF SALE.
ti
ACCEI'VANCE OF TM, GOODS PURCHASE D ON 'I HIS (Nib OICT C."ONS1.111AY'S AND
'11 FOLLOW:
,NCCl OFT111''I'l RNIS AN'D CONDIIHON SALE WHR",
and/ol A ilu,llhiu,i and prior <mtheonzatlo
,2) Non-Stoch Mei Is E C.tDWci,lrc (T fro'lli.
or.
(3) Ific I ackl vlc`( ges and ag- es t1lal 111 Zli P111 i I'Ses oj :K)d and s,'lrvWe fl ;Stllel, S."llel:
mljo� oC
'A a 1, V, I I ie Ss tOr 3PV 1.) aak'U"Ar
Ve�� no �,�Xplc�ss �,varr o 11111lih- and til
fi
'4) c for �m I J lil c I dc I 1 1
lhai Seller m!dl r1o; be li i '11V l'011SeAlCUi.i
ti Y 3 L shoo '1 do not include dales Other ti ;-lus impascd of I 1 r
ilill)OSOd L11)(M 0 "Vill bC adde'd to flw pric-:, Bu
fcl aliv Su `l laN or Provide ScUer x�th ael-ccrtaMe %IX elNeMptlorl
(6) Delay in 1110i-vevv ScIl'-f 1; not to bc- 16% dcla�s ir, by ac s or
over ScHcr has 1 difec! cont'id, Facm shipincril ()I dchvt� dZI:i1c's alc 6
lmi in ro c�lsc shmil Scilcr bt� habl�
uppliers ol 'f'
of oiii TV, COMSCOUVI' 1�1
;.Arry d lwv �11
Waiver ITe cit'Seller to insim upon the pci of: C)f (Ile lcrnes or conditlo,'A$ 0! Ul's
onn ()r to cxercitiu al"v hervundel hh'ifl !lot be deimw'd to tie, J, of st.wh iern.,
coll(lilions or in fi.[U,lfi�, 11 S� a lie deeml to hie %vaivef condin it F
r
i klridk�r th
(8) Modificatioll afTerms awl Conditions Z term.5 aad con(filions od lv)d
n0l 0" u iulV PLIMN'tilng to' fix)(IJ!"'! these ternis. of Shall be
el
on Sder v�;iffioul Sell
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
R NUMBER CUSTOMER NUMBER RELEASE NUMB ER
74918 SUMMER TRACE
SALESPERSON SHIP VIA ORDERED BY PHONE NUMBER SHIP DA
MARK S BAYS PK PICK -UP LARRY FISHERS 317 598 -6170 03/05/10
ORDERQTY SHIPQ
12ft 12ft PAND G2X3WH6 5.03 1ft 60.36 1.21
SLOTTED DUCT, PVC,2X3X6',WHT
12ft 12ft PAND C2WH6 1.14 1ft 13.68 0.27
DUCT COVER, PVC, 2W X 6', WHITE
Billing Questions: Billing (765) 446 3054 31W010 9:16:53 AM S104937616.001 Invoice Number S104937616.001
Subtotal 74.04
If paid by 04/10/10 you may deduct $1.48 S &H Charges 0.00
Invoice is due by 04/30/10 net of any cash discount. Sales Tax 0.00
LARRY 74.04
000�:000i Kirby Risk Page 1 of 1
VOUCHER 105003 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
c F> Got
p pt���� S104858055.1 01- 7200 -03 $622.80
1
S 104g 37616 -00 2.04 7�r.oY
6 a 6 -$I
Voucher Total .80
Cost 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 7
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 3/5/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/5/2010 S104858055. $622.80
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
`7� r
Date Officer