189869 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 00351017 Page 1 of 1
ONE CIVIC SQUARE KIRBY RISK ELECTRICAL SUPPLY CHECK AMOUNT: $677.85
t �:r CARMEL, INDIANA 46032 PO BOX 664117
INDIANAPOLIS IN 46266 CHECK NUMBER: 189869
CHECK DATE: 9/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 S105222584 84.45 OTHER EXPENSES
651 5023990 S105227540 412.74 OTHER EXPENSES
651 5023990 S105244602 180.66 OTHER EXPENSES
-------7-------------------------------------------------------------------------
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER NUMBER RELEASE NUMBER
74918 S12253
SALESPERSON ORDERED BY SALES OFFICE PHONE DATE
MARK S BAYS WC51 WILL -CALL JEFF COOPER FISHERS 317 598 -6170 08/25/10
ORDER
90ea 90ea PHIL F34CW /RS /EW /ALTO 30PK 1.27 lea 114.30 2.29
244707 F34CW /RS /EW /ALTO 30PK
244707
12ea 12ea PHIL MS320 /U /PS 12PK 24.87 lea 298.44 5.97
383810 MS320 /U /PS 12PK
383810
Billing Questions: Billing_request @kirbyrisk.com (765) 446 -3054 8130120101:15:01 PM x105227540.001 Invoice Number S105227540.001
Subtotal 412.74
If paid by 09/10/10 you may deduct $8.26 S &H Charges 0.00
Invoice is due by 09/30/10 net of any cash discount. Sales Tax 0.00
JEFF COOPER 412.74
0001:0001 Kirby Risk Page 1 of 1
FERNIS AND CONDITRIOINS OFSMC,E
ACCEPTINCE M THE G0011.i'S PIVACHASE13 M RS 130010E _.'ONSITFUTES AND
UVEMNUR NF. C0ND9TT(P1, 0F SA.J VVHKAPI T0
(11 Stock klarchanT so i wil I cc: m a w1um cKiry. No pit ltk nl.lv Ivi I �r ,%It :lt'i It I I ppin; I ic I, ei
r)rit): antttoiLziilion.
(2'P Nijn-Sio�:k X11trehan(Jise is not ranumbic ilMs we cat ncim it Awimcd AmYs Aulorhf heir)
Uw Vm" ir,
(3) rho cusumna, llwt il ,flj Purchans A gmxk ln(J sell":
tJ":o" Iii? V, "kIT,Ir'1I' ")r IIIIIIJu(i I aro.i fi nes� loo iiS, !),I; lic,;!x
(M Ile (Myoular agmes t1lat AM 14111 and be Hallo Ag MY WMIWqUJiQA 011(i i I 1 ftcnfa!
ii
151 Am Me down co mA hwlucic 01 rlxc� on the 'ak' kil �_Joo6l,' !:Ixe" 1101'. 'it
ilupo"e(J I11-11 "Jc'i of yhiplllcm will ho alln! h) die 14nAlay; Imco Buyer agms m
1'.'1mhllre Im a 'tu( h u ill !iI on lilt" Sr�Her "'V ii!i Lix ewnipti"ro) G %�rli
Q M5 in Bekivery yClor Is ku'; "I b" mcoulimic A AD> in dafival mcmixmwd 1, ack A Gm m
o"i.n 30"Ich SJ!"! ill kin'ect Comrol. tIlijonzcm or i1:11t o z� th."
Mi LAMMS 01 Mr SUPPINK. JIMI in 110 CNSV AA SMr be WON RK qYM:
Miver.. rhe AM it UK to hum upon tho (:nihmmoco Way To Wnw ty =00mm of M
of (0 no', right lioi'C�iindoi vhi:ill not ht' ik'cille(I tO ho it W"liV01 o! 511ch t'n'lyls'
or ill tie Mum. nts shA 0 Ix ATM to Vic 2 mkvix (Ian) (dier Inn condkow or
rijjil untlei ilik comract
(M)
no agrccrnelll. in jlurpor[ing to 111oklif", lhc'�c icri 01' oomfilmli'.', shi"ill he
bindin, oil "-,d li: vvithout Seller' ritwii consent.
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUST CUSTOMER NUMBER
74918 jell cooper
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
CARL B HINES WC WILL -CALL FISHERS 317 598 -6170 09/03/10
ORDER
6ea 6ea PHIL MH400 /U 6PK 14.91 lea 89.46 1.79
344150 MH400 /U 6PK
344150
400 WATT LIGHT BULBS
6ea 6ea PHIL MH250U 12PK 15.20 lea 91.20 1.82
274845 MH25OU 12PK
274845
250 WATT LIGHT BULBS
Billing Questions: Billing (765) 446 -3054 91312010 2:39:29 PM s105244602.001 Invoice Number S105244602.001
Subtotal 180.66
If paid by 10/10/10 you may deduct $3.61 SOH Charges 0.00
Invoice is due by 10/31/10 net of any cash discount. Sales Tax 0.00
JEFF COOPER 180.66
0001:0001 Kirby Risk Page 1 of 1
'TERMS AND CONDIIJONS
ACCEPTANCE M THE (AMMS PURCHASED ()N MIS INVOICE CONS'11'11,UTES AND
ACCEPTANCE (WTHETER.NISAND CX)NDYF10NS CHI SAUE WH.KJ1 F(MASM..
(1) Stock AlerchanGse is std4eo to a retum. cha N,, goodis be 1 c viflhour a snipping
and/or io,t nutnh.er and prio.-
(2) Non Mertlmndhe 0 not 1 "Num2bk imkss "e k0i1',
le vendor,
(3) TY Customer ackv.o ledges and agci�e., d"al, in all pumhases of goods and samms froni MY, Met:
ghms no exNess nVarranhes, or ir""oplied or and f6r any
Imppou"
(4) 1 1w Cistorar agives zhat Met wi.11 rjo( be liable Ar mW comeqwall a,, C, WMA Wages Wing
sclicr,
(5) Taws Pius Alown do nw Mude sales or other laws inWowd on he salk of Twds. Mel w"n)r
opw"n laws or Adprnents N be addi!d to thC p LJ!VhaS j)! iCQ BU) ag
;rees to
3" rlc ."eller fo; arr,' such lax or )rovidc. cl!cr ,vith tax cxelr.pion cerii
(6) Delay in Dejivcry soor 1 not to be anernmUM& Aw Ways in 'by acts of' God or
vqhy cirownitan"s ova which ScHer has To) diNct conkc? lWory shipmas tw dcldwiy dales a1c Ou"
but enimaws of our suppliet and in no can shall Schei bc liahlu 1'(.",r all� ol q'K'ci!.d
Irising l". atly delay in delivuly,
Waiver Ile 11dure W War to Kim upon dic pet forni�ulcc ok.a.ly oftlic" terivis or conditions
conlract c)r to "%wrt "Wo any Hghl 1wralmi"'I "ha,11 not be decned to 1.7c a ,vaivc< ofsoch leirr-.s,
'(A'.
olilions c"'r r ll bLUre• ROF S.1h;i1i Me dunied w be a maiva oVmq o1er teriv, condiiior, or
rgl un�kc this �-ontraci.
(8) AludifileaHon of Terms and CondRlWns W unns and "Widws mha Own ton mated kok, wid
no ,�.yeenlerlt ot- undusmnding in aria .vay To tnodi� tliose ou'; o,: Conditions. steal; be
hij�,ding (,,It kx ithout seller"' cunscnf,
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER CUSTOMER NUMBER
74918 LARRY
SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE
CARL B HINES PK PICK -UP LARRY FISHERS 317 598 -6170 08/24/10
ORDER CITY SHIP QTY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT
4ea 4ea CARL E942J 42.94 1 00e 1.72
2" SCH 40 FEMALE ADAPTER
42ea 42ea CARL LT43E -NEW 196.98 100ea 82.73 1.65
PVC 34' STRAIGHT LIQUIDTIGHT FTG
Billing Questions: Billing_request @kirbyrisk.com (765) 446 -3054 8024020108:01:12AM S105222584.001 Invoice Number S105222584.001
Subtotal 84.45
If paid by 09/10/10 you may deduct $1.65 S&H Charges 0.00
Invoice is due by 09/30/10 net of any cash discount. Sales Tax 0.00
!ABBY 0 84.45
0001:0001 Kirby Risk Page 1 of 1
TFAAIS AND DMILCE
WAPTANCh (0 THE QW& PURCHASED 0N 1110 10A ('0'N
WITMAN(T (IF THE'rEIMS AND FAMMIMNS 01 VALE WHICH PMAINY
III Steel: Merchopike is ,ubjcet io3 'iJl,irt N, ��o'o
o u- S toe k vi v rvN i� radwo ;4z cry; neoun a "RemoN Got.. WAMV huw
to 1, c in.
(3) e V nswsmz INA"clud"s W agmas Wx in all Purchases oryomp 10 stnaws 1 lonq SOHO'
YAW 00 fSPOS, MOtXW W It I W WWTOMW of nwrdw no hH I, Pod QzL On my paW I a r
tt PoMbe,
11Y Won= agns Aw SM nN ja be Wn W aq cuwbpewhO nad QW& Innagn Wq
to, ratu. toots moon jo wo mck G"uv.0 on, tows k"powd on we wkwi ynk Yno, mw m
W-aper inanxi yon so, or AQ vro Q! K 11AW to 141 InvahAve imic" tiqu agivus n;
re Hfunc SSW Aq no "Wh 0% or povide Mill d "c%�cqllal lo
it Dewy in MIAVII WC141 K ,?EA to so acclWatee. ivy Wda"N 4' Wwoo e WWKWW by was OFOO13
1WWr evoc VON& MUNI lov 01 An"n WI M4 Mog lwpwont Ur defAvr Mus I'm ?w
501 40burAns K mq WqYA% Not in Im ohali sclol to: Wbin PT ;M)
dcl do�ivc; l,
(7, Wher- AN &W N'S�J1 l. dT P.Inmon Wan orwe M a 'W0{).of W�
C! an AN haywayr WWI now in Wmi k, Kc 0 Wuhnr of VMS To Pn
ic h A he WPM w be 3 anber of Any x nv u. owdokw, ol
AgN CMOs 04 cnmw�,
�8e 7 ALd!Nut� iSa or Term, and CoadWas 1 terny and n4whams o V ky tow qked 0 erL nA
PC GYNCWTA Ak "Wison lung. n my WZY PuToawy M Auhh, awso on.y. or a'-WNA"a, ME
VOUCHER 106190 WARRANT ALLOWED
x'51017 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
S105222584-( 01- 7202 -06 $84.45
5 I 921 %0�. 0o f 01.7202.06 'W
51052.2 ?SY�. 1 o r.72o2.06 Y12.7`(
G77.�5
Voucher Total 4.45
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 r
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 9/8/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/8/2010 S105222584. $84.45
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
"I x
Date icer