165838 11/12/2008 CITY OF CARMEL, INDIANA VENDOR: 00351017 Page 1 of 1
2;. ONE CIVIC SQUARE KIRBY RISK ELECTRICAL SUPPLY CHECK AMOUNT: $216.12
*'4 ?o CARMEL, INDIANA 46032 PO BOX 664117
INDIANAPOLIS IN 46266 CHECK NUMBER: 165838
CHECK DATE: 1111212008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 216.12 OTHER EXPENSES
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DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
NUMBER
11788' plant 4
HANSEN H ARNOLD III PK PICK -UP BRIAN TOLAN FISHERS 317 598 -6170 10!21108
E AM
UNIT
3ea 3ea T &B L70 103.25 1 00e 3.10
1 -HOLE SINGLE LUG SOCKET
9ea Sea T &B 1 H 299.76 1 00e 26.98
SPLIT -BOLT BRONZE
lea 1 ea 3M 130C -1 X30FT 12.57 lea 12.57
SPLICING TAPE
lea lea 3M 35- WHITE- 314X66FT 3.39 lea 3.39
CODING TAPE
lea lea 3M 33PLUS-314X66FT PLSTC TAPE 3.66 lea 3.66
Billing Questions: Billing request @kirbyrisk.com (765) 446 -3054 1002 20099:92 :39 AM S10 4 4159 2 9.001 Invoice Number S104115929.001
Subtotal 49.70
—j,— SOH Charges -7.33
Invoice is due by 11!20108. Sales Tax 0.00
BRIAN TOIAN 42.37
0001:0002 Kirby Risk Page 1 of 1
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DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
11788' well 11
HANSEN H ARNOLD III WC51 WILL -CALL BRIAN TOLAN FISHERS 317- 598 -6170 10/22/08
lea lea T &B IH3 -1 -LM 251.88 1 00e 2.52
112 D -T DEV BX WIMNT LGS 3 HL
lea lea HUBB GF20LA 14.60 lea 14.60
20A 125V COMM LED GFCi, BR
4ea 4ea BUSS FRN -R -20 5.11 lea 20.44
250V RK5 TD FUSE
lea lea T &B CKNM 662.07 100ea 6.62
1GANG COVR,NM,VERT,PAD LOCKSLE
lea lea SIEM GF221 N 28.53 lea 28.53
30A 2P 240V FUSED NEMA 1
Billing Questions: Billing-request@kirbyrisk.com (765) 446 -3054 1072N20089.61.10 AM 6104116839.001 Invoice Number S104116839.001
Subtotal 72.71
S &H Charges 0.00
Invoice is due by 11121108. Sales Tax 0.00
11RIAN TOLAN a 72'7
0001:0002 Kirby Risk Page 1 of 1
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
11788 WELL 10
HANSEN H ARNOLD III P CK
K PI-UP BRIAN TOLAN FISHERS 317- 598 -6170 10/22/08
tea tea BUSS FRN -R -15 511 lea 10.22
EWE 0V RK5 TD FUSE
10ea 10ea NE MINE40 19.12 1 00e 1.91
CLIP 112" RIGID OR FLEXIBLE
CONDUIT
lea lea T &B CCB 63.89 1 00e 0.64
DRY -TITE BLANK CVR DEVICE MNT
100ea 1 00e CULL 19013J 2.64 1 00e 2.64
10 X 314 PHSMS SLOT/PHIL ZINC
2ea 2ea BUSS FRN -R -5 6.46 lea 12.92
250V RK5 TD FUSE
Billing Questions: Billing (765) 446 -3054 IN220200910:01:11 AM 6104119149.001 Invoice Number 5104119149.001
Subtotall 28.33
"7 r� S &la Charges O.Od
Invoice is due by 11121108. J 2 fi Sales Tax 0.00
BRIAN TOLAN s 28.33
0002:0002 Kirby Risk Page 1 of 1
----------a----------------------------------------------------------------------------------------
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
'CUSTOMER NUMB
11788 well 10
uVir, e c
HANSEN H ARNOLD III PK PICK -UP BRIAN TOLAN FISHERS 317- 598 -6170 10/21/08
SK DIS
ORDER
lea lea STEM GF221N 28.53 lea 28.53
30A 2P 240V FUSED NEMA 1
4ea 4ea BUSS FRN -R -20 5.11 1 ea 20.44
250V RK5 TD FUSE
lea lea HUBB GF20LA 14.60 lea 14.60
20A 125V COMM LED GFCI, BR
lea 1 ea T &B CKN M 662.07 1 00e 6.62
1GANG COVR,NM,VERT,PAD LOCKBLE
lea lea T &B IH3 -1 -LM 251.88 1 00e 2.52
1/2 DEV BX W /MNT LGS 3 HL
The following items have been cancelled Please Reorder
112 DEV BX W /MNT LGS 3 HL
lea Cancel ea T &B IH3 -1 -LM 0.00 ea
1/2 DEV BX W /MNT LGS 3 HL
lea Cancel ea T &B CKNM 0.00 ea
1GANG COVR,NM,VERT,PAD LOCKBLE
4ea Cancel ea BUSS FRN -R -20 0.00 ea
250V RK5 TD FUSE
lea Cancel ea HUBB GF20LA 0.00 ea
20A 125V COMM LED GFCI, BR
lea Cancel ea SIEM GF221 N 0.00 ea
30A 2P 240V FUSED NEMA 1
Billing Questions: Billing (765) 446 -3054 1012W200811:113:26 AM s104116728.001 Invoice Number S104116728.001
Subtotal 72.71
S &H Charges 0.00
Invoice is due by 11120108. yA Sales Tax 0.00
BRIANTOLAN 72.71
0002:0002 Kirby Risk Page 1 of 1
VOUCHER 083520 WARRANT ALLOWED
351017 IN SUM OF
KIRBY RISK ELECTRICAL SUP
PO 'IBOX 664117
INDIANAPOLIS, IN 46266
al
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
S104116728.1 01- 6200 -02 $72.71
s ICA 1!914q r CG a g'. S3
Voucher Total
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 11/3/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/3/2008 S104116728, $72.71
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 O r