164791 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: 00351017 Page 1 of 1
al ONE CIVIC SQUARE KIRBY RISK ELECTRICAL SUPPLY CHECK AMOUNT: $99.21
i. CARMEL, INDIANA 46032 PO BOX 664117
"<<a INDIANAPOLIS IN 46266 CHECK NUMBER: 164791
CHECK DATE: 1011612008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 S10407022900 99.21 O'T'HER EXPENSES
I d,
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A
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
RELEASE NUMBER
11788 Plant 5 Vault
.SALESPERSON SHIP-VIA ORDERED By SALES OFFICE, PHO NE NUMBER SH DATE
ED ZINK WC51 WILL -CALL Brain Tolan FISHERS 317 598 -6170 09/29/08
DESCRIPTION ITEM PRICE UNIT EX AMOUNT CASH DISC
ORDER QTY SHIP QTY
500ft 500ft WIRE TFFN STR- 16- 9RN -500FT 66.13 1000ft 33.07
SPOOL
500ft 50011 WIRE TFFN STR- 16- ORG -500FT 66.13 1000ft 33.07
SPOOL
500ft 500ft WIRE TFFN- STR- I6- YEL -50OFT 66.13 1000ft 33.07
SPOOL
Billing Questions: Billing request @kirbyrisk.com (765) 446 -3054 9030020087:44 :56 AM 5104070229.001 Invoice Number S104070229.001
Subtotal 99.21
S &H Charges 0.00
Invoice is due by 10129108. Sales Tax 0.00
Brain Tolan
0001:0001 J& Kirby Risk Page 1 of 1
TERAIS AND CONWITIONS OP SALE
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VOUCHER 083218 WARRANT ALLOWED
351017 IN SUM OF
KIRBY RISK ELECTRICAL SUPP�
PO BOX 664117
INDIANAPOLIS, IN 46266 0
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
S104070229.( 01- 6200 -03 $99.21
z
Voucher Total $9921
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 10/6/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/6/2008 S104070229. $99.21
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