187356 07/07/2010 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: $1,122.48
INDIANAPOLIS IN 46266
CHECK NUMBER: 187356
CHECK DATE: 7/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 S12192 S105086886 1,096.50 CABLE
651 5023990 S105105828 25.98 OTHER EXPENSES
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
BE RELEASE NUMBER
74918 S12192
a NUMBER
KEVIN R FORD DIRECT JEFF COOPER INDIANAPOLIS 317- 687 -0015 06/18/10
ORDER e
75ea 75ea TPC 88802 14.62 lea 1096.50 21.93
1218 FLEX CABLE
KRPNM
SUBJECT TO VENDOR RETURN POLICY"
,t
Billing Questions: Billing_request @kirbyrisk.com (765) 446 -3054 Invoice Number S105086886.001
Subtotal 1096.50
If paid by 07110/10 you may deduct $21.93 S&H Charges 0.00
Invoice is due by 07/31/10 net of any cash discount. Sales Tax 0.00
d P 1096.50
000t:DDDi Kirby Risk Page 1 of 1
11KRAM AND COX (N" S,
WTPFANCE��! 1'11L 60fY'f)�, PURCHASED ONTHIS WMWE (AWTV! f U i ES AND
ACCEPTANCE COMM 1 E34 Y! S A Nil CM DIF1 JQN!� OFSA 1,A' '�k) �31 OIL 1..(M
if) Sionk AdvnhandLe is aWyed la a rovin; chrgo Nv goods .1 r b. pumod ;ti _..,r i tuppOg 00
j2j 'haMock MerphWim, is'p; Inn"IMe MISS YY am S"We U "Murani GOWS AUG- Of 14"r
do anon,
u o e; S a C" "a'� pT i',-' 1 I'a ,Q :i4 U d" S a 0 n S d
vv aqws wanwpe w inwhad yarr"M of ruslanvdaQwd qiv "Zs Av in, pwAnKr
(4) On Lisa, mcr Mi Sol Wr 0 1 ikq he in ho Or any uonwww at mud &MW
(51 Wiwi PrAnNnymn
to MW to rhopMweink, Buyapagzap,w
.rain rvsW; nox x pwil; Mlawn mn TWhQ wx
(4) Delay in DeNver) 0• ix w io 1w wwwmhki qu dalpy ic Winny =-Kowd i); aw, of(nvi
ch"Asclah"no dowl croon INAWN 4n! oansaw 01.
n-n4l'u; no Gaw;&A
17,
Wive r 10 upen' 1he PeNbnomwe OC vo t i l l t on" CT n"Awo. prmi�
any dghi harcundo 45H no bc MW n bc a nkva Jnj; wmb
E. no On A yr 011 Abe kkemcd to be a van; Q any mini vow vsnijb% o�
at Tent; and cludhway- it onts and CNITAW Oita] San those sland Konen, or",
DETACH UPPER PORTION AND RETURN WITH YOUR'PAYMENT
CUSTOMER NUMBER RELEASE NUMBER
4918 LARRY
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE. PHONE
CARL B HINES PK PICK -UP LARRRY FISHERS 317 598 -6170 06/16/10
ORDE I RCITYJ SHIPQTY I DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC
20ft 20ft BLIN B22- SH- 10FT -GRN 129.88 100ft 25.98 0.26
SLOT CHANNEL
Billing Questions: Billing_request @kirbyrisk.com (765) 446 -3054 61161201012:58:09PM S105105828.001 Invoice Number 5105105828.001
Subtotal 25.98
If paid by 07/10/10 you may deduct $0.26 S &H Charges 0.00
Invoice is due by 07/31/10 net of any cash discount. Sales Taxj 0.00
LARRRY E el= 25'98
0001:0001 Kirby Risk Page 1 of 1
I'ERMS AND CONDIIJONS OF SAtA`,
ACCEPTANCE OF THE (XX)DS PURCHASE'l) OVIIIIS IN�"*OIC.I'(:!(:'�NS'1: eIVND
OFTHETERVISAND CONDITIONS Of.'SALIE NN H 1,01 FOI.A.4ONY:
Steel; Nlerehan(Use is W) uct to a retuni charg'e' No goods nnay be ieuim(d a shiippir)g ticivct
an l iri. o cc� prio'. twthuriz.atiw�i.
(2) NullyStock Merchandise is not ronnimble Men we am SMUM a R.ecktmed ("To-ods 'Audh'ority hnn
is VerM
(3) 11W Customer adaw"Aules am] a that in afl.. tpurchiises of', and sorvice ('roi Sellier, S'eller
ghus no emwss Valtranues, or in"[ lied war-ranlies and (itness for ally 1XII'tiCUlar
purposo,
lie Clsomer aptes tat Seda Wl no be AbQ Q any dallia,"e's nl-isi""g
U1V CaU�fC '�O!h th(.' goo(.k pur'Jlas d frow. ;""eLcr'
(5) Mus Procs Awwn do nm AM& Ms w-oWer wws &Towd on dw "'cIle ofgoodis' noi or
i171poc zvd upon tiii ib oC Sfn[)MeUl� 101 W I('1£IMI 10 the PLUQue pilev Wynn agrces U)
for my swh wx or provide Seller with ow,�cpl:abl tax
(6) Delav in Delivery SCIMT is no l: (0 b" s!"uutntahlc 16-.. dcl'a in. of 'God or
oJ"Ci OVIT which SCIL'r lia" 1.ao direct control., Fiacwi" r shiplricint C.F. dclivui dtlaics att: the
Wt •nRw oFuur supplk= and in no can sh&I SeHu be AbI Q 01" COWNUMAW11 Or JUVII
damluq s w' -;inn !ron-. ainy 'm delivery.
(7) Waiver lie Glure ofScHer to A&M upan Me perknnnace orany or we iums or coWiUmB of this
"On."act Or to —'�vrcise an right 1wrounder WE not be deenwd W be a waka of Ywh ievrns,
or in We Mae. nm Wl Abe chenwd to be a mwini oFany olar Wnu coAMA�r
under this con
(N) Modification of Terms and (Mudilions I& tenns and unuJUMS oihci ilhan, tho; state and
h(" a�' lie rit of urldcrsi�'m&uy in any "my purportinu., to rnodi chose lerlos or shall b"
i3i'i ;ti on, SC Ile�: �-Othou( Seller's vrirtcn consent,
VOUCHER 105700 WARRANT ALLOWED
X51017 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
(f S105105828.( 01- 7202 -06 $25.98
bIVA 5105086$$6.061 log6,50
01. ?202,o 5
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 6/22/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/22/2010 S105105828. $25.98
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