HomeMy WebLinkAbout192484 12/07/2010 CITY OF CARMEL, INDIANA VENDOR: 00351017 Page 1 of 1
ONE CIVIC SQUARE KIRBY RISK ELECTRICAL SUPPLY
CARMEL, INDIANA 46032 PO BOX 6641 CHECK AMOUNT: $1,120.86
INDIANAPOLIS IN 46266
CHECK NUMBER: 192484
CHECK DATE: 12/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 S10533607700 1,120.86 OTHER EXPENSES
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER
RELEASE NUMBER
74918 S12322
SALESPERSON SHIP VIA -D OFFICE PHONE DATE
KEVIN R FORD PAR PARCEL DLVY JEFF COOPER INDIANAPOLIS 317 687 -0015 11/11/10
ORDE R OTY SHIP QTY DESCRIPTION
50ea 50ea HITA NH78 21.70 lea 1085.00 21.70
NON- METALLIC DRIVE CHAIN (PER SPEC)
KRPNM
SUBJECT TO VENDOR RETURN POLICY
Billing Questions: Billing_request @kirbyrisk.com (765) 446 -3054 Invoice Number S105336077.001
Subtotal 1085.00
If paid by 12/10/10 you may deduct $21.70 S &H Charges 35.86
Invoice is due by 12/31/10 net of any cash discount. Sales TaX 0.00
0 1120.86
0001:0001 Kirby Risk Page 1 of l
FERNIS AND CONDITIONS OFSALE,
ACCTTT A NUF 0F THE 600DS P1, RCHASED 0\'THfS INNI�,ICF ('0N."O!J.1,11i"'S 'kN"D
AUTPTANCE T'J"JIvUS -01D MND1THXS0FSA9 FIVYMClt
k!) Much (t? a 'Ala: c% 'eO 1�00d EUfn".'J v: idhl.m;
'Uld finor
f." C�oo
MITChOuRse is no! vMMA0 UAW S "a C. nc t i
win VVIM�'
(1) 11K On anal am 0'_l� i! I :1l7 pillvhd a QUY M scriks Un ISO! W. 5010
NO r :in' P I it "idzir
py
(41 Q00 MV upwn I by Stu v MGM IV bible Wr 41q i I 4gtn
r.all
>1 loxes May r1ol imAldi' Suits or War me., �nip�v,,'nd or el it' .'di" oC" 000 t :iO i U'o 01
her in wqvAA upm solos m shi(.ulwols nval is ally! io ke piMaya ghn huln jymnes o
inkplyroc MY Q; xV vmh mx or I ti=t ide SeMr
16) Ehqa) fn 1414va; AN& iv mm no ho acuounublo 10 clulols W &Ivcq kvcnimyd hpux A Cod a
n0wi zmaympoc" on or whwh Sallor An vin MY[ tAnwroL hack wy 41irvow or Mony too av
ina anump, 4 ovor nuppl4rk am[ in no can shil holu no jKla lur any ponwgwink! i qvcmi
47) AN ulk er 1 tic ofS_'1JCA'10 MY 1qM *L IWOMMM IN sq4q TO MIAM kW M"AWY0 ON&
66 Mq rigln hovi"Wr 00 1wi h�f"' J�'t.mek� 'i 17 Y., f.: %"%6 C t,f'
wnfnus in dphi h M QUM. OKI U in durnad M !a 4 w1va of "Y 010 Lnwnomukn" r
H"In'011" can con[MMI,
18 MuTruidnin aad MdAhns 107 oruns and (AnshmB Wwr awn Kne sand NalL mid
in an, toy puqKwhly 10MMAQ MW lurin orwrly6mv SIW h"
h76i y km NMI E "tl(lvn C'MAH.
VOUCHER 106647 WARRANT ALLOWED
351017 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
S105336077.( 01- 7202 -06 $1,085.00
S105336077.f 01- 7202 -06 $35.86
Voucher Total $1,120.86
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 11/29/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/29/201( S105336077, $1,120.86
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