188879 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 00351017 Page 1 of 1
ONE CIVIC SQUARE KIRBY RISK ELECTRICAL SUPPLY
O CARMEL, INDIANA 46032 PO BOX 664117 CHECK AMOUNT: $718.90
s* r INDIANAPOLIS IN 46266
CHECK NUMBER: 188879
CHECK DATE: 8/18/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 105175261 12.09 OTHER EXPENSES
601 5023990 105186569 60.93 OTHER EXPENSES
651 5023990 S105155861 101.23 OTHER EXPENSES
651 5023990 S12235 S105191329 544.65 MICROLOGIX
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER NUMBER RELEASE NUMBER
11788 JIMBO
ORDERED OFFICE
CARL B HINES PK PICK -UP BRIAN TOLAN FISHERS 317- 598 -6170 07/28/10
RDER CITY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
l ea lea FLUK AC72 12.09 lea 12.09
ALLIGATOR CLIP SET, 1000V
Billing Questions: Billing_ request @kirbyrisk.com (765) 446 -3054 7r2W20109:20:14AM S105175261.001 Invoice Number S105175261.001
Subtotal 12.09
S &H Charges 0.00
Invoice is due by 08127110. Sales Tax 0.00
E;fiIAN TOLAN -JAMES 1 12'09
0001:0001 Kirby Risk Page 1 of 1
au K v t m a y
f^ 1: x
as !m ors
a
MITUTANCE M THE RIMS ;00 e° PC OF t a,��
.,w c: u1n, W, am ;,n L eciil 5 d ciouds :'1.i.tk ti 1tJ;3'
we
3) I,i of g sNk lld `^OvvoA ea)ai
:;iaa rde r 1.11` Ad o sA mOs c F ..'Waa {.1<1( ?.R W F wass t'-w any pa On v 1 r
play IS
(4 w o11 symn w 3€. v wy w k ak..._ fn j
(51 Wes Pries Show i A of include WA t °S 0:0 taxes q)O tY t3;] 0)f,
torwaner jla,'v d 1 sir ANA as a* a3sw "e 11 he AM io the prMpe picz U .3gio i U)
rd nionc A M Zlt Y iruon vi'x ov pm k hM mt',1 0.190C,
f{t) i .Il A4wry S02- 1 Ma to h cki;o.iinti< hi 5: OW 1 f3€• i,S•C'T t €...tMad by a of 0 w
C=(�.„;. c. :'l.is.." St:.A I:;A Tul MCI a,s,.W p's:Cft E ai.p.1 ,..3¢ 1)'€ a�U�,.E'!`." .a,.,.., ti, ti. 3?"t;;
iv„s cw_13 &:lv. o f zqv sqTAr, aut vt 9'it:k d,s<v haj[
£�.a' t� ,i;� #i3:': i "'fi�3'. ,.i�- a;F. ;.tl sl ,.���C_'I ti
17 Winer TV Mac. w !e?_w. M t1N),_ ,.w
to cinv6s arj f_gin jarcunder WE N in i7E4,l]al ti: ba a vminv .€3 €is.h ieu
a1 1w M.th.., w waha o .t w.hv, a .:.n ,.,awA� €4 n
M ��(�18�3 &$..eo�.�F .x of Arms s z1�cd {7 U�..'3 Ei `a 0 l.n 3rd _4. .1 ..1E..�':t�,.` E)[( k.;f.., tb ,t. sU 0 S: G.:'. ._rd
=J'E ,,,'W. Q UH r.c €1(g Ug in 00 "M ."4iatig to y mv€ Con tmw on wookyn Up A
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CU STOMER NUMBER CUSTOMER NUMBER RELEASE NUMBER I
11788 PLANT 5
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUM13ER SHIP DATE
CARL a NINES PK PICK -UP BRIAN TOLAN FISHERS 317 -598 -6170 0873110
ORDER SHIPQTY I DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
50ft 50ft COND R012 121.85 100ft 60.93
RIGID 112" CONDUIT
Billing Questions: Billing (765) 446 -3054 OnO20102:50:19RIM 5105186569.001 Invoice Number S105186569.001
Subtotal 60.93
S&H Charges 0.00
Invoice is due by 09102/10. Sales Tax 0.00
BRIANTOLAN 1 6n.93
001)1:0001 Kirby Risk Page i of 1
VOUCHER 102383 WARRANT ALLOWED
35 017 IN SUM OF
KIRBY RISK ELECTRICAL SUPPO
PO BOX 664117
INDIANAPOLIS, IN 46266
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
105186569.0( 01- 6200 -04 $60.93
1p 5r7 5z1
01 ID7 -fee I tk 2 tag
Voucher Total
73 n'Z
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 CA,RMEL
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 8/9/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/9/2010 105186569.0 $60.93
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
I I
C
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER 1 7CUSTOMER NUMBER
74918 s12235
SALESPERSON SHIP VIA 'okDERE BY SALES OFFICE PHONE DATE
CARL B HINES WC29 WILL -CALL LARRY FISHERS 317 598 -6170 08/05/10
ORDER OTY I OTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
lea lea AB 1764 -24BWA 544.65 lea 544.65
ML 1500 BASE 24V DC IN RELAY
Billing Questions: Billing_request @kirbyrisk.com (765) 446 -3054 WV20101:41:41PM S105191329.001 Invoice Number 5105191329.001
Subtotal 544.65
S &H Charges 0.00
Invoice is due by 09130110. Sales Tax 0.00
LARRY
e 544.65
0001:0001 Kirby Risk Page 1 of 1
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUST
74918 VERBAL JEFF
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE DA
KEVIN R FORD PAR PARCEL DLVY JEFF COPPER INDIANAPOLIS 1 317- 687 -0015 08/03/10
ORDERQTY� SHIPQTY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT' iCASH DISC
5ea Sea HUBL BL -SO 18.34 lea 91.70 0.92
SLICK -ON THRU WIRE OUTLET BOX
'SUBJECT TO VENDOR RETURN POLICY"
Billing Questions: Billing (765) 446 -3054 Invoice Number S105155861.001
Subtotal 91.70
If paid by 09/10110 you may deduct $0.92 S &H Charges 9.53
Invoice is due by 09130/10 net of any cash discount. Sales Tax
0,0
101.23
0001:0001 Kirby R Sk Page 1 of 1
VOUCHER 106010 WARRANT ALLOWED
r
351017 IN SUM OF
K[RBY 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
0 S105191329.f 01- 7202 -06 $544.65
S Ips ISS� dI o f.n�oa.ob ro(•�3
Voucher Total X4' 5
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 8/10/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/10/2010 S105191329. $544.65
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audited same in accordance with IC5- 11- 10 -1.6
A
Date Officer