193151 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 00351017 Page 1 of 1
Q� ONE CIVIC SQUARE KIRBY RISK ELECTRICAL SUPPLY CHECK AMOUNT: $19.41
CARMEL, INDIANA 46032 PO BOX 664117
.oM i INDIANAPOLIS IN 46266 CHECK NUMBER: 193151
CHECK DATE: 12/22/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 510540796200 19.41 MATERIALS SUPPLIES
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
•I
74918 Eric
SALESPERSON SHIP VIA ORDERED BY SALES O FFICE
MARK MORRIS PK PICK -UP Eric FISHERS 317 598 -6170 12/09/10
ORDER C ITY SHIP CITY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC
5ea 5ea T &B CTL20 -38 251.09 100ea 12.55 0.25
1 -HOLE CU COMPR LUG
lea lea 3M 35- BROWN- 3/4X66FT 3.43 lea 3.43 0.07
CODING TAPE
lea lea 3M 35- BLUE- 3/4X66FT 3.43 lea 3.43 0.07
CODING TAPE
Billing Questions: Billing_request @kirbyrisk.com (765) 446 -3054 121912010 2:57:17 PM s105407962.001 Invoice Number S105407962.001
Subtotal 19.41
If paid by 01/10/11 you may deduct $0.39�� S &H Charges 0.00
Invoice is due by 01/31/11 net of any cash discount. Sales Tax 0.00
,n,��t,,��,, Erlo 19.41
000a:000a tl(s Kirby Risk Page 1 of 1
TRINIMS AND COMMONS OF SALE
A C
OF THE GOODS PITRCHA.4. ON 1 1 111S INVOICE CONSTITUTFS AND
AC(`EPTANCK OF "I AND CX)NDrrH)NS Of SAM WHIM F(WAVY
(1) SLOck Merchandise k sQml to a wturn char, No puO"mq he returned YiToW it stupphy Mct
prior authon"'ation-
(2) Noji-StockNlerchandisv is not rout artless +e can secuic a Rcnurwcd Good Au(horh�." frorn
dw nmM,
(3) The Cusumm ackno vlcd,..cs and,'Igrocs 11tat in all pumhaws of goods and snA key hum SM Soln
11 by no warninfie,�, or irnplied ticnxrantjes oI'iw. and Aws kw any pwlicuhtr
purpch,
(1) T he Cusu"ner aWnew thin WIN %Ndl not he We Aw any coneqmmll wW hotel, wd Wm g, arWQ
Erin mq vausc asnochtiod xvik We goods yanthasod Wit SAW
(5) Axes Mcs shown do nvA AMN ;aW or Mar taxv4 QH)wd mi Ow sale id gouxt, Tow, no" o;
ficjvaf[Cr upon �.11es of shipm"rw, wit! he addod to 11"c jltjrclws' pricc, to
for. tax or pio idle accqitahie tai t'.NeMption C, rtifkaLc'
'01 !"al I ;QQ j" it( to h: acc:ovntaMc for (1,`Ia w dofi%t :ry ("Cnnyted by ass (4 GO w
oliwl "'.'vCWW'naW%' w'ur mhiU;h scdjsr hjs 110 dirk.'Cl Control. ka Ior 'Ilifvnora or d6rit'r t d'ilt' '-'U c'
best M maws of ow qipphers, and in no case shill Seller be fiahic loF or �pccjal
datp2geq alkirig from any dolay it) dc"hv�n
(7) Waiver the Whnv of Mox to hvis upon dir perAminance May of 0c rnqK or andkins of dW
k unnaci or to my rQM haetmder W nm be durnwd tv he at w0er of such t@-rrn-,,
conditions or ri fit in aw law" nm MH a be dumcd to be 4 wwr or any ("her tean, condhion. or
ricrflt mW this conins,
MI NOWificathat nf Terms and (AWAms ND UXMS and compoon's odier lhx.thos' skated hel-irt. imd
110 a!"FC0111CIa. or untlermandin g n
in n1 Way jlarpor(fiqj I'c' modifVr or lormc, ('kwdnw its sl�a!l he
i�)inding on Seller v0thola Sch "rhwn conont.
VOUCHER 106765 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
5105407962.( 01- 7203 -06 $19.41
Voucher Total $19.41
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 12/15/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/151201( S105407962 $19.41
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