174395 07/08/2009 CITY OF CARMEN, INDIANA VENDOR: 00351017 Page 1 of 1
ONE CIVIC SQUARE KIRBY RISK ELECTRICAL SUPPLY CHECK AMOUNT: $5.02
CARMEL, INDIANA 46032 PO sox 664117
INDIANAPOLIS IN 46266 CHECK NUMBER: 174395
CHECK DATE: 7/8/2009
D EPA RT MENT ACCOUNT PO NUMBER INVOI NUMBE AMOUNT DESCRIPTION
651 S104491600.0 5.02 MATERIALS SUPPLIES
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUST
74918 SMOKEY KNOLL
SALESPERSON SHIP VIA B Y SALES OFFICE PHONE N UMBER SHIP DATE
MARK S BAYS PK PICK -UP LARRY 7T FISHERS 317- 598 -6170 06 /01/09
ORDER OTY SHIP OTY DESCRIPTI ITEM PRICE UNIT EXTAMOUN1 CASH DISC
2ea 2ea PVC 2 -1/2" SCH 40 STD 90 250.75 100ea 5.02 0.10
CARL UA9AK -CAR OR CTX 5133829
Billing Questions: Billing (765 446 3054 6Al20091046i06AM s1044S1800,001 Invoice Number S104491800.001
Subtotal 5.02
If paid by 07/10/09 you may deduct $0.10 S&H Charges 0.00
Invoice is due by 07/31/09 net of any cash discount. Sales Tax 0.00
LARRY 5.02
000raoot Kirby Risk Page 1 of 1
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Prescri 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 6/30/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/30/2009 S104491800. $5.02
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 Offi r
VOUCHER 095945 WARRANT ALLOWED
i
351017 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
S104491800.( 01- 7202 -06 $5.02
r
Voucher Total $5.02
Cost distribution ledger classification if
claim paid under vehicle highway fund