184355 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 00351017 Page 1 of 1
F ONE CIVIC SQUARE KIRBY RISK ELECTRICAL SUPPLY CHECK AMOUNT: $1,580.99
CARMEL, INDIANA 46032 PO BOX 664117
INDIANAPOLIS IN 46266 CHECK NUMBER: 184355
CHECK DATE: 4/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 104965916 OTHER EXPENSES
601 5023990 W09173 104965916 700.00 CLOTHING
651 5023990 S104960580 8.60 OTHER EXPENSES
651 5023990 S104972411 -.3.01 OTHER EXPENSES
651 5023990 S12120 S104972411 ,857.00 SUPPORT
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER NUMBER CUSTOMER PO NUMBER" RELEASE NUM13ER
U
11788 W09173
SALESPERSON -�SHIRVIA ORDERED BY SALES OFFICE PHONE NLJM13ER SHIP DA
ED ZINK DIRECT NO FEE ROBERT LOVELL INDIANAPOLIS 317 687 -0015 03/31/10
ORDEROTY1 SHIPCITY I DESCRIPTION ITEM PRICE UNIT, EXT AMOUNT CASH DISC
lea lea OEL AFW40 -4XL 700.00 1 ea 700.00
40CAL ARC FLASH KIT
"SUBJECT TO VENDOR RETURN POLICY"
Billing Questions: Billing (765) 446 -3054 Invoice Number S104965916.001
Subtotal 700.00
S&H Charges 12.38
Invoice is due by 04130110. Sales Taxj 0.00
s 0 712.38
0002:0002 Kirby Risk Page 1 of 1
ACCEPTANCE OF THE VMS PURCHASED ON 1WS 10�k
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VOUCHER 101306 VVARRANT ALLOWED
351017 IN SUM OF
KIRBY RISK ELECTRICAL SU
PU BOX 6641'17
INDIANAPOLIS, IN 46266 "alt z
4 4.n
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
1 104965916.0( 01- 6200 -04 $700.00
104965916.0( 01- 6200 -04 $12.38
Voucher Total $712.38
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
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 4/7/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/7/2010 104965916.0 $712.38
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
yl
Date Officer
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUST O MER
ER
RELEkst NUMB
74918 S12120
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONENUMBER SHIP DATE
SUZANNE AUSTIN PAR PARCEL DLVY INDIANAPOLIS 317 -687 -0015 03/26/10
ORDER OT Y SHIP CITY DESCRI PTIO�
lea lea AB 9800DC8AUTOA 557.01 lea 557.01
DIRECTCONNECT SUPPORT (8 -5 M -F)
*SUBJECT TO VENDOR RETURN POLICY
lea lea AB 9800DC8HMICOM 300.00 lea 300.00
DIRECT CONNECT HMI COMMUNICATION
SOFTW
*SUBJECT TO VENDOR RETURN POLICY
Billing Questions: Billing (765) 446 -3054 Invoice Number 5104972411.001
S u btotal 857.01
S&H Charges 3.00
Invoice is due by 04130110. Sales Tax 0.00
e 860.01
00010001 Kirby Risk Page 1 of 1
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUST OMER RELEASE NUMBER
,CUSTOMER NUMBER NUMBER
74918 LAMP SOCKET
SALESPERSON VIA
PHONE
MARK S BAYS PK PICK -UP JEFF COOPER FISHERS 317 -598 -6170 03/24/10
ORDER CITY S UNIT T CASH DISC
DESCRIPTIO N ITEM PRICE
Hip OTY EX AMO,UNT
lea lea LEVI 7090 -BR 860.18 1 00e 8.60 0.17
BR -SCKE W /SS PK
Billing Questions: Billing_request @kirbyrisk.com (765) 446 -3054 302412010U1:43Pill 6104960580.001 Invoice Number 5104960580.001
Subtotal 8.60
If paid by 04/10/10 you may deduct $0.17 S &H Charges 0.00
Invoice is due by 04/30/10 net of any cash discount. Sales TeX 0.00
JEFF OPER 8
Doot:000t Kirby Risk Page 1 of 1
i
VOUCHER 105i'92 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
S104972411.1 01- 7362 -05 $857.00
S104972411.{ 01- 7362 -05 $3.01
s ioy qb os wo.00 1
rr ll
Voucher Total
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
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 4/7/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/7/2010 S104972411. $860.01
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
Date Officer