183858 03/29/2010 a 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: $882.90
INDIANAPOLIS IN 46266 CHECK NUMBER: 183858
CHECK DATE: 3/2912010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 S12109 S10494919300 297.76 BULBS
651 5023990 S10495341000 26.11 OTHER EXPENSES
551 5023990 S12111 510495522300 377.33 BULBS
651 5023990 S10495969100 181.70 OTHER EXPENSES
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
74918 JOE
MARK S BAYS PK PICK -UP JOE FISHERS 317 598 -6170 03/16/10
i�DESCRIPTION ITEM PRICE NIT, M
6ea 6ea PHIL MH400 /U 6PK 13.08 lea 78.48 1.57
344150 MH400 /U 6PK
344150
5ea 5ea ADVA 71 A6051001 D 59.77 lea 298.85
MH BAL 40OW M59 5 -TAP KIT
Billing Questions: Billing (765) 446 -3054 3h612010 2:%02 PM S104866223.001 Invoice Number S104955223.001
Subtotal 377.33
If paid by 04/10/10 you may deduct $1.57 S &H Charges 0.00
Invoice is due by 04/30/10 net of any cash discount. V Sales Tax 0.00
JC }E JEFF 377.33
0003:0003 Kirby Risk Page 1 of 1
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DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
74918 FOOT SWITCH
SALESPERSON SHIP DATE�
MARK S BAYS WC51 WILL -CALL JOE FISHERS 317 598 -6170 03/18/10
ORDER CITY CITY DESCRIPTION ITEM PRI�t �IT-, EXT AMOUNT SH D ISC!
lea lea LINE 531 -SWH 166.70 lea 166.70 3.33
WATERTITE FOOT SW
Billing Questions: Billing—request@kirbyrisk.com (765) 446 3054 901W20108:40:49AM 6104959691.001 Invoice Number S104959691.001
Subtotal 166.70
If paid by 04/10110 you may deduct $3.33 S &H Charges 15.00
Invoice is due by 04/30/10 net of any cash discount. Sales Tax 0.00
o 181.70
0001:0001 Kirby Risk Page 1 of 1
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTO
74918 LAMPS
SON SHIP VI SALESPER
MARK S BAYS WC51 WILL -CALL FISHERS 317 598 -6170 03/12/10
PTY
SHIP
8ea 8ea PHIL MH1500 /U 6PK 37.22 lea 297.76 57
131623 MH1500 1U 6PK
131623
Billing Questions: Billing_request @kirbyrisk.com (765) 446 -3054 3116120107:36:16A 04949193.001 Invoice Number 5104949193.001
Subtotal 297.76
If paid by 04/10/10 you may deduct $5.96 S &H Charges 0.00
Invoice is due by 04/30/10 net of any cash discount. Sales Taxj 0.00
JOE 297.76
0001:0003 Kirby Risk Page 1 of 1
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
MBE 'CU RELEASE NUMB
74918 HOLE SEAL
ORDERED SALESPERSON VIA
MARK S BAYS PK PICK -UP JOE FISHERS 317 -598 -6170 03/16/10
QTY
RIDER
lea lea HOFF AS350 26.11 lea 26.11 0.52
HOLE SEALS FOR 3.50" CONDUIT
Billing Questions: Billing (765) 446 -3054 3r16120107:25:47A 104953410,001 Invoice Number S104953410.001
Su btotal 26.11
If paid by 04/10/10 you may deduct $0.52 S&H Charges 0.00
Invoice is due by 04/30/10 net of any cash discount. Sales Tax 0.00
JOE D 26.11
0002:0003 Kirby Risk Page 1 of 1
.VOUCHER 105120 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
I C J
i p.,l S104955223A 01- 7202 -05 $377.33
5Io�iQ5 00 01.-7.200.0 3
l �a 0 9991� o1. ?2 02.o4 28 7.76
SIU��Q59(�°II.DVI 01.7zo2.06 1gL70
Voucher Total 3
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) .y
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 3/22/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/22/2010 S104955223. $377.33
hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have au dited same in accordance with IC J 5- 11- 10 -1.6
Date Officer