155792 01/23/2008 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: $111.68
INDIANAPOLIS IN 46266 CHECK NUMBER: 155792
CHECK DATE:. 112312008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350080 510353942800 111.68 STREET LIGHT REPAIRS
01/14/08 02:25 PH EST Kirby Risk Page 2 of 2 #547507
12/27/07 S103539428.001
REMIT TO: <PifG£:0 i•i•:
:CIRRY RTSK CORPORATTON
PO 20Y 664117
INDIANAPOLIS IN 45265 -4117 1 o f 1
BILL TO: SHIP TO:
CARMEL UTILITIES CARMEL UTILITIES
3450 W 131ST ST 3450 W 131ST ST
WESTFIELD, IN 46074 WESTFIELD, IN 46074
R .NUM9ER•..... ClS�7MEK.PR.NUMBER RELEASE' NAME
9847 TRUCK 57 STREET DEPT
AL ESP SHFP tIA RROERIN6 PARTY SALFS DFFTGE fHpVE SHIP V1TE
-448 -4567 12/27/07
RE..>: ::o: JAMES BENTLEY FISHERS 765
S
9RDERYtTY. 5?iiP QPF PFIflN L Uh1t::: ;Fx :P.ri e >:-CAStiDiG>:
2 tea AB 400DP30ND2 400 DEFINITE 55.84 lea 111.68 0.00
PURPOSE CONTACTOR, 30A, 120V
50 /60HZ
12127tZW7229.51PM 310539426.00t
JAMES BEN7LEY
Billing Questions: Billing_ request @kirbyrisk.com (765)446 -3054
ibt3 111.68
0.00
Invoice io due by 01/31/08. Safe ®.ii'Fa3C 0.00
A service charge of 2% per month will be charged if not paid by of /3� /oe 111.68
P P Y p your rem
Please detach. retain the to portion for our records and return the bottom p wit ittance
:•:•:•:•:GIbT-0MER INi�f3FGE; �f: j::- afiY DNE:DAJE.::_:.::•::•::•:T{)TAL EIUf::•:• DATE: Dl1E:•: ;•:•:•:•:•:::AME�lNT:REMiI�EU:+
9847�S103539428.001�2- 2/27/07 111.681 01/31/08.
Please Kirby Risk Electrical Supply PLEASE DETACH AND SUBMIT I YOUR PAYMENT
Remit To: PO BOX 664117
INDIANAPOLIS IN 46266 -4117 THANK YOU FOR YOUR BUSINESS
Invoice is due by 01/31/08.
X 511IP TIC4(Et:
PK
KIRBY RISK 51 ELECTRICAL SUPPLY S103539428.001
11110 ALLISONVILLE ROAD
FISHERS IN 46038 -1837 Page 1 of 1
765- 448 -4567 Fax 765 448 -1342
SOLD TO: SHIP TO:
CARMEL UTILITIES CARMEL UTILITIES
3450 W 131ST ST 3450 W 131ST ST
WESTFIELD, IN 46074 WESTFIELD, IN 46074
317- 733 -2855 fax 317- 733 -2053 317- 733 -2855 fax 317- 733 -2053
CE►5i4F1R NUMSkR'. CU3iDr1 €R;pRD &.iiEtHBEtC R €SEAS€ WUMER S€FPPLIER;GQDE
9847 TRUCK 57 STREET DEPT
WRii R.. flBAE D;,bY S1FL S QRllER s SHIP BRANCH 11I ?;;DATE
DAVID L MOORE JAMES BENTLEY 5103539428.001 51 12/27/07
qRD €R aTY 3NIF,i�TY DM Rim
Item Pr,� Dn�t< Ext;Pace.
2 2 ea AB 400DP30ND2
400 DEFINITE PURPOSE CONTACTOR,
30A, 120V 50 /60HZ
2i27i20072.2851TIM 5103539428.401
JAMES BENTLEY
S btbt:l
S&
:.T
A ou.:nu e
ALL ITEMS BEING RETURNED COULD BE SUBJECT TO A RESTOCKING CHARGE.
CUSTOMER PLEASE NOTE: ALL CLAIMS FOR SHORTAGE OR DAMAGE MUST BE MADE WITHIN 5 DAYS AND
MUST REFERENCE THE SALES ORDER NUMBER. NO MATERIAL MAY BE RETURNED WITHOUT PRIOR APPROVAL.
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))
Total
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
IN SUM OF
11I.L
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. 1 hereby certify that the attached invoice(s), or
C'6 5�6 d-IA 00 6CL% k C 111, lob 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
JAN 1 2008 20
r
Si n ture
ell
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund