160432 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: 00351017 Page 1 of 1
ONE CIVIC SQUARE KIRBY RISK ELECTRICAL SUPPLY
CARMEL, INDIANA 46032 PO BOX 664117 CHECK AMOUNT: $913.61
INDIANAPOLIS IN 46266 CHECK NUMBER: 160432
CHECK DATE: 6/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 5103770844 533.34 OTHER EXPENSES
2201 4350080 S103811103 331.92 STREET LIGHT REPAIRS
651 5023990 S103825762 48.35 OTHER EXPENSES
1(RK irb y R 'isk INVOICE
INVOICE DATE INVOICE,NUMBER CUSTOMER#
1815 Sagamore Pkwy
Lafayette, IN 47904 05/29/08 S103811103.0 9847
DUE DATE TOTAL DUE AMOUNT PAID
06/30/08 331.92
KIRBY RISK CORPORATION
P.O. BOX 664117
INDIANAPOLIS IN 46266 -4117
SHIP TO:
5431 MB 0.369 E01 20X 10215 U73540453 P247874 0001:0001
IIIII��IIIj1111111111111111111111111111111111111I111 CARMEL UTILITIES
CARMEL UTILITIES CIO CARMEL STREET DEPT
3450 W 131ST ST 3400 WEST 131ST STREET
WESTFIELD IN 46074 -8267 WESTFIELD IN 46074 -8267
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUST OMER NUMBER RELEASE N
9847 =STREET DEPARTMENT
MARK S BAYS DIRECT BENTLEY FISHERS 1 317 598 -6170 1 05/29/08
OR DER SHIP Q TY
8ea 8ea PHIL CDM351T61830 41.49 lea 331.92 6.64
MH LAMP
223289
SUBJECT TO VENDOR RETURN POLICY
Billing Questions: Billing (765) 446 -3054 Invoice Number 5103811103.001
Subtotal 331.92
If paid by 06/10108 you may deduct $6.64 S &H Charges 0.00
Invoice is due by 06/30108 net of any cash discount. Sales Taxi 0.00
J11 sq= 331.92
0001:0001 'Kerby Rack Page 1 of 1
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Kirby Risk
IN SUM OF$
P. O. Box 664117
Indianapolis, IN 46266 -4117
$331.92
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
2201 S103811103.001 43- 500.80 $331.92 1 hereby certify that the attached invoice(s), or
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
Fri ay, J ne 06, 2008
&6't' —7
Street Commissi n
Street C
'o iSsi
over
Cost distribution ledger classification if
claim paid motor 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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05/29/08 S 103811103.001 $331.92
1 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
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER
74918 LARRY
DE SALESPERSON SHIP VIA OR
RED BY OFFICE
DAVID L MOORE PK PICK -UP LARRY SCHIMMEL FISHERS 317 598 -6170 05!29108
ORDERQTY] SHII DESCRIPTION ITEM PRICE UNIT EiT AMOUNT CASH DISC
6ea 6ea T &B LT100P 407.30 1 00e 24.44 0.49
1 -IN LIT CONN
30ft 30ft ELEF NM13 79.70 100ft 23.91 0.48
GRAY V LIQUATITE 10OFT REEL
Billing Questions: Billing (765) 446 -3054 5029020081US:53AM 5103325782.001 Invoice Number S103825762.001
Subtotal 48.35
If paid by 06/10/08 you may deduct $0.97 S &H Charges 0.00
Invoice is due by 06/30/08 net of any cash discount. Sales Taxj 0.00
LARRY SCHiMMEL o 48.35
0001:0001 Kirby disk Page 1 of 1
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER NUMBER
74918 S11153
SALESPERSON SHIP VIA DATE
KEVIN R FORD DIRECT JEFF COOPER INDIANAPOLIS 317 687 -0015 05/28/08
tea 2ea MILW 6515 -27 266.67 lea 5333 4 10.67
MILWAUKEE BATTERY POWERED SAWZAW
KIT
SUBJECT TO VENDOR RETURN POLICY
Billing Questions: Billing request @kirbyrisk.com (765) 446 -3054 Invoice Number S103770844.003
Subtotal 533.34
If paid by 06110108 you may deduct $10.67 S &H Charges 0.00
Invoice is due by 06/30/08 net of any cash discount. Sales Tax 0.00
s 533.34
0001:0001 Kirby frisk Page 1 of 1
Ji
VOUCHER 085622 WARRANT ALLOWED
51017 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
�0 S103770844.1 01- 720T -06 $533.34
S b38'd5 762.001 y g. 35
of-7
Voucher Total 34
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 6/4/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/4/2008 S103770844, $533.34
hereby certify that the attached invoice(s), or bill(s) is (are) true and
;orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer