190347 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 00351017 Page 1 of 1
ONE CIVIC SQUARE KIRBY RISK ELECTRICAL SUPPLY CHECK AMOUNT: $134.99
a'� o CARMEL, INDIANA 46032 PO BOX 664117
INDIANAPOLIS IN 46266 CHECK NUMBER: 190347
CHECK DATE: 9/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 105124556 134.99 OTHER EXPENSES
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
11788 KR628
MARK S BAYS WC51 WILL -CALL KEN RHODES FISHERS 317- 598 -6170 08/02110
4ea 4ea BUSS DMM- 13- 441100 16.09 lea 64.36
1000 VOLT FUSE
lea 1 ea FLUK TPAK 30.25 lea 30.25
METER HANGING KIT
lea lea FLUK C25 28.29 lea 28.29
SOFT CASE FOR FLUKE- 25/27/8025A
lea lea FLUK AC72 12.09 1 ea 12.09
ALLIGATOR CLIP SET, 1000V
Billing Questions: Billing request @kirbyrisk.com (765) 446 -3054 Invoice Number S105124556.001
Subtotall 134.99
S &H Charges 0.00
Invoice is due by 09/01/10. Sales Tax 0.00
e 134.99
0001:0001 Kirby Risk Page 1 of 1
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VOUCHER 102797 WARRANT ALLOWED
351017 IN SUM OF
KIRBY RISK ELECTRICAL SUPPLY
PO BOX 664117
INDIANAPOLIS, IN 46266
0
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
105124556.0( 01- 6200 -04 $134.99
Voucher Total $134.99
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 9/20/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/20/2010 1015124556.0 $134.99
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 ffi