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Home My WebLink About186909 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 00351017 Page 1 of 1 ONE CIVIC SQUARE KIRBY RISK ELECTRICAL SUPPLY CHECK AMOUNT: $1,961.66 CARMEL, INDIANA 46032 PO BOX 664117 INDIANAPOLIS IN 46266 CHECK NUMBER: 186909 CHECK DATE: 6123/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 W09236 S10501851500 406.71 MOTOR 2201 4350100 S10504086500 1,534.18 BUILDING REPAIRS MA 2201 4350100 S10507635000 20.77 BUILDING REPAIRS MA C- ORKirby Risk INVOICE 1815 Sagamore Pkwy Lafayette, IN 47904 05/10/10 S105040865.001 74918 06/30/10 57.28 r KIRBY RISK CORPORATION P.O. BOX 664117 INDIANAPOLIS IN 46266 -4117 SHIP TO: 358 1 AB 0.360 E0011 X 10017 D209208696 P536683 0001:0002 nll��illllliln�n�l�llilllilll� lll�llllilllill��ll��illn��l CARMEL WWTP CARMEL WWTP 9609 HAZEL DELL PKWY 760 3RD AVE SW INDIANAPOLIS IN 46280 -2935 i CARMEL IN 46032 -2072 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT RELEASE N MBE CUST OMERNUMBER CUSTOMER 74918 FOUNTAIN MARK S BAYS 23 INDIANAPOLIS LARRY SCHIMMEL FISHERS 317 -598 -6170 05/10/10 CITY ORDER OTY.1 'I lea lea HOFF A36P24 57.28 lea 57.28 1.15 PANEL 33.00X21.00 FITS 36.00X2 Billing Questions: Billing request @kirbyrisk.com (765) 446 -3054 Invoice Number S105040865.001 Subtotal 57.28 If paid by 06/10/10 you may deduct $1.15 S &H Charges 0.00 Invoice is due by 06/30/10 net of any cash discount. Sales Tax 0.00 LLZ �d tLLYe c.�� OS /lll to °=s �«�r��ar e' 57.28 0001:0002 Kirby Risk Page 1 of 1 DITUMS M SAI A, ACELPFA M YW Tilt WHIDS PURCHAS3%'I)(.)Ni6 Is �NIVAACF CIA =11A I in ;0 D ACTAPFANCLM WH PC NSO %I WA plerchyrdin 1SAyaq ion rviin: kfor"h9pouse is w vehnloblo ladvi in can Swum 0 3. 'ii`:_ CWS. Awbavy" ovai. to nov an.; do; t.. t punhump u! �Ood' 14) 10010101mWagi as W1 Nin 101 am A 11610 10 any W A Poop A MA&� Ora k WS nj�.0 T �NoWvcd vAto the pvy" ponyyn6 fnnp UK- I own p—mv vown do %a o AW, law; inquot'd n !;<.v w Q! be wily! to We Ini,lbse jACA 11"n SprAw it" it; way in wivir) Whi it mm to bc cat woYA Ow Aps W Myn, onn"w"A W vai YOM vi aT4. ,.Mxvvwzs 1"Wr 1% US Subm Ins to Rva,xvink Kqwn An"WN Ul dava Y yva am Q vulyhoTQ YA h io un MH SuAr So 1AW Pic Aro uxtonTiumil an kniYA Q; Waiver K AM VAner Lo Us! njum (he pnWnuricc (A ny a Un inns t cow0wo 00"- "E [33 hi--itnIUM WH no A CUM 0, to a va% a ,Yh 1010, 01-'O6C"ti in Ac folio, W A he dunod 0 k n onva crFavy vVer (son cAnAA,, (8) A .f€ `wsy and Undmras to: vrwn and 006603S 01her Wn mose SIZA Amin, 3 re 1"Musay n uWar"Inling, A alo oxy pvp� oil R1 MOON! last Wrio UA voijuvon hkisky tit A% WA00 1111A vr5my consvin Al INVOICE Kirby Risk 1815 Sagamore Pkwy Lafayette, IN 47904 05/11/10 S105040865.002 74918 06/30/10 1476.90 KIRBY RISK CORPORATION P.O. BOX 664117 INDIANAPOLIS IN 46266 -4117 SHIP TO: 358 1 AB 0.360 E0011 10018 0209208701 P536683 0002:0002 CARMEL WWTP CARMEL WWTP 9609 HAZEL DELL PKWY 760 3RD AVE SW INDIANAPOLIS IN 46280 -2935 CARMEL IN 46032 -2072 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT 74918 FOUNTAIN MARK S BAYS DIRECT LARRY SCHIMMEL FISHERS 317 598 -6170 05/11/10 1 ea lea HOFF A36H2408SSLP3PT 1438.33 lea 1438.33 304SS WALL MT TYPE 4X 3 PT SUBJECT TO VENDOR RETURN POLICY Billing Questions: Billing—request@kirbyrisk.com (765) 446 -3054 Invoice Number S105040865.002 Subtotal 1438.33 S&H Charges 38.57 Invoice is due by 06130/10. Sales Tax 0.00 1476.90 00020002 Kirby Risk Page 1 of 1 K irby Risk INV I E Lafa S te, IN 7 Pkwy 05/28/10 S105076350.001 74918 Lafayette, IN 47904 06/30/10 20.77 I KIRBY RISK CORPORATION P.O. BOX 664117 INDIANAPOLIS IN 46266 -4117 SHIP TO: 431 1 MB 0.382 E008OX 10121 0215067576 P546233 0001:0001 CARMEL WWTP CARMEL WWTP 9609 HAZEL DELL PKWY �r 760 3RD AVE SW INDIANAPOLIS IN 46280 -2935 CARMEL IN 46032 -2072 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT PO NUM RELEASENUMBER 74918 POND SALESPERSON SHIP VIA' ROGER VICTOR PK PICK -UP JOE FISHERS 317 598 -6170 05/28/10 lea lea 3M 35- RED -3 /4X66FT 3.43 lea 3.43 0.07 CODING TAPE 1 ea lea 3M 35- WHITE- 3/4X66FT 3.39 lea 3.39 0.07 CODING TAPE lea lea 3M 35- BLUE- 3/4X66FT 3.43 1 ea 3.43 0.07 CODING TAPE lea lea 3M 35- YELLOW -3 /4X66FT 3.43 lea 3.43 0.07 CODING TAPE lea lea 3M 35- ORANGE- 3/4X66FT 3.43 lea 3.43 0.07 CODING TAPE lea lea 3M 33PLUS- SUPER -3 /4X66FT 3.66 lea 3.66 0.07 Billing Questions: Billing_request @kirbyrisk.com (765) 446 3054 5126I20101136:32 AM S1050763%001 Invoice Number S105076350.001 Subtotal 20.77 If paid by 06110/10 you may deduct $0.42 1 S &H Charges 0.00 Invoice is due by 06/30/10 net of any cash discount. Y Sales Tax 0.00 JOE JJJJ 20.77 0001:O00i Kirby Risk Page 1 of 1 VOUCHER NO. WARRANT NO. ALLOWED 20 Kirby Risk IN SUM OF P. O. Box 664117 Indianapolis, IN 46266 -4117 $1,554.95 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT P Board Member; 2201 S105040865.001 43- 501.00 $57.28 1 hereby certify that the attached invoice(s), or 2201 S105040865.002 43- 501.00 $1,476.90 bill {s} is (are) true and correct and that the 2201 S105076350.001 43 501.00 $20.77 materials or services itemized thereon for which charge is made were ordered and received except I Thursd r ne 17, 2010 Street Commiss older Title Cost distribution ledger classification if claim paid motor 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 service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 05/10/10 S105040865.001 $57.28 05/11/10 S105040865.002 $1,476.90 05/28/10 S105076350.001 $20.77 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 20 Clerk- Treasurer DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER NUMBER CUSTOMER PO NUMBER RELEASE NUMBER 117138 W09236 SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE KEVIN R FORD PAR PARCEL DLVY TIM VANDERGRIFF INDIANAPOLIS 317 687 -0015 06/02/10 ORDER OTY SHIP OTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT lea lea BALD 35N741R110 406.71 lea 406.71 BALDOR MT OT# (KR042310) KRPNM 'SUBJECT TO VENDOR RETURN POLICY" 4 TO 6 WEEKS LEAD TIME TRACKER# 1 z4464590345365832 6 -2 -10 Billing Questions: Billing _request @kirbyrisk.com (765) 446 -3054 Invoice Number S105018515.001 Subtotal 406.71 S &H Charges 0.00 Invoice is due by 07102/.10. Sales Tax 0.00 406.71 0001:0001 Kirby Ri Page 1 of 1 VOUCHER 101848 WARRANT ALLOWED 351017 IN SUM OF KIR.BY RISK ELECTRICAL SUP�P PO BOX 664117 INDIANAPOLIS, IN 46266 .E- Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code (q:3S S105018515.1 01- 6200 -04 $406.71 Voucher Total $406.71 Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form No. 291 (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 6/14/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/14/2010 S105018515. $406.71 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