HomeMy WebLinkAbout167110 12/17/2008 CITY OF CARMEL, INDIANA VENDOR: 00351017 Page 1 of 1
t ONE CIVIC SQUARE KIRBY RISK ELECTRICAL SUPPLY CHECK AMOUNT: $517.79
CARMEL, INDIANA 46032 PO BOX 664117
INDIANAPOLIS IN 46266 CHECK NUMBER: 167110
CHECK DATE: 12/17/2008
7E ACCOUNT PO NUMBER INVOICE NUMBER AM DESCRIPTION,
1110 4239099: S104163465'. 285.83.OTHER MLSCELLANOUS
601 5023990. S104163466 148.37.MATERIALS SUPPLIES
X 601 5023990 S1.04163466 83_59 OTHER: EXPENSES
a
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER NUMBER CUSTOMER PO NUMBER RELEASE NUMBER.
16280 CARMEL POLICE GARAGE
SALESPERSON SHIP VIA ORDERE BY
MARK S BAYS PK PICK -UP JAMES BENTI_Y FISHERS 317 598 -6170 11/21/08
ORDER CITY SHIP.qT_� DESCRIPTION ATEM PRICE
6ea 6ea VENT MP250W /BUIUVS /PS 45.69 lea 274.14 5.48
PROTECTED 250W PULSE START
KRPNM
SUBJECT TO VENDOR RETURN POLICY
Billing Questions: Billing_requesta kirbyrisk.com (765) 446 3054 Invoice Number S104163465.001
Subtotal 274.14
If paid by 12/10/08 you may deduct $5.48 S &H Charges 11.69
Invoice is due by 12/31/08 net of any cash discount. Sales Tax 0.00
285.83
0001:0001 Kirby Risk Page 1 of 1
ITIMIS AND CON.DiTIC"NS
ACCIPTANCL PURWASED ON 1'1.11S 00,I)WE CAIN 4 111 U A$ AW
ACCIPTANCE (50114 MANISA NE' (,Y DY1 WNS OF SALE AM Mi FM LOU`
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ificaio'� t& Arm and Undh hanx --W onus and ;'o omN u) i oLi "'n �..<i.. i c r".t
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Prescribed b� State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Farm No. 201 (Rev. 1995
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
K irby Risk Purchase Order No.
P.O. Box 664117 Terms
Indianapolis, IN 46266 --4117 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/21/08 5104163465 payment for li ht bulbs for City Garage 285.83
Total
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.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Ki rby Risk Corporation
IN SUM OF
P.O. Box 664117
Indianapolis, IN 46266 -4117
285.83
ON ACCOUNT OF APPROPRIATION FOR
pol general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 5104163465 390 ^99 285.83 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
December 9 20 08
Signature
Chief of`= Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
:i,cu T RELEASE NUMBER
11788 ACID TR
HANSEN H ARNOLD III WC51 WILL -CALL BRIAN TOLAN FISHERS 317 598 -6170 12/02108
lea lea HUBB GF20WL 11.82 1 e 11.82
20A 120V GFCI WHITE
KRDP
"SUBJECT TO VENDOR RETURN POLICY`*
lea lea T &B G012200 96.61 100ea 0.97
(9005) 1/2 "X2" GAL NIPPLE
2ea tea T &B IH3 -1 -LM 251.88 1 00e 5.04
112 D -T DEV BX W /MNT LGS 3 HL
lea lea T &B CCGV 434.67 1 00e 4.35
D -T GFC1 VERT DEV MT CVR
Sea Sea EGS CG -5050 2.92.39 1 00e 8.77
112 ALUM STIR CORD CONN
lea lea HUBB HBL5366C 12.41 lea 12.41
20A 125V MALE PLUG NEMA 5 -20P
lea lea HUBB HBL2311 13.02 1 e 13.02
LOCKING MALE PLUG NEMA L5 -20P
lea lea HUBB HBL2313 20.19 1 e 20.19
LOCKING FEMALE CONN NEMA L5 -20R
lea lea T &B CCT -1 -20 702.20 1 00e 7.02
D -T TGLE SW CV W /SNGL 20AMP SW
Billing Questions: Billing (765) 446 -3054 12r4120069:00S0AM S104163 466.002 Invoice Number S104163466.002
Subtotal 83.59
S &H Charges 0.00
Invoice is due by 01101109. Sales Tax OM
BRIAN TOLAN e s 83.59
0002:0002 .,b Rj k Page 1 of 1
DETACH UPPER PORTION AND RETURN
OUR PAYMENT
,CUST OMER EASE N,.MBER
11788 ACID TR
HAN5EN H ARNOLD III WC51 WILL -CALL BRIAN TOLAN FISHERS 317 -590 -6170 12/02/08
qRDER QTY SHIP 0
250ft 250ft CORD SOOW 1213 -250FT 593.46 1000ft 148.37
02725.85.01 BLK NEO .600 OD
250FT CARTON
Billing Questions: Billing (765) 446 3054 121d120089:001GAM S1041604s6.001 Invoice Numberl S104163466.001
Subtotal 148.37
S &H Charges 0.00
Invoice is due by 01101109.°�ti Sales Tax 0.00
BRIAN TOLAN 148.37
0001:0002 Pl Page 1 of 1
VOUCHER 083888 WARRANT ALLOWED
,351017 IN SUM OF
KIRBY RISK ELECTRICAL SUQ%
PO BOX 664117
INDIANAPOLIS, IN 46266
t
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Traif Code
S104163466 01- 6200 -04 $148.37
Voucher Total31 7
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAY /ABLE 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 12/10/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/10 /2= S104163466 $148.37
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