178244 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 174625 Page 1 of 1
ONE CIVIC SQUARE KIRBY RISK SUPPLY CO
CHECK AMOUNT: $301.70
CARMEL, INDIANA 46032 PO BOX 664117
o INDIANAPOLIS IN 46266 -4117 CHECK NUMBER: 178244
CHECK DATE: 10/14/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION
651 5023990 510438739500 ,145.27 OTHER EXPENSES
601 5023990 510451425500 170.58 OTHER EXPENSES
651 5023990 S10467833900 1.123.83 OTHER EXPENSES
651 5023990 510468822300 62.02 OTHER EXPENSES
i
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOAt CUSTOMER PO NUMBER RELEASE NUMBER
11788 BRAIN PLT 5
SALESPERSON S HIP VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
KEVIN R FORD PAR PARCEL DLVY BRIAN TOLAN INDIANAPOLIS 317 687 -0015 10/01/09
DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC
ORDEROTY1
lea lea SALI E0011 BLO -11 52.99 lea 52.99
LINEMANS GLOVE SIZE 11
KRDP
"SUBJECT TO VENDOR RETURN POLICY'"
SHIPPING AUG 3
lea lea SALI E0011 BLO -10 62.33 lea 62.33
LINEMANS GLOVE SIZE 10
KRDP
"*'SUBJECT TO VENDOR RETURN POLICY
SHIPPING AUG 31
lea lea SALIILPG10 /11 27.63 lea 27.63
GLOVE PROTECTOR
KRDP
"SUBJECT TO VENDOR RETURN POLICY
IN STOCK
lea 1 ea SALI ILPG10110 27.63 lea 27.63
PROTECTOR
KRPNM
"SUBJECT TO VENDOR RETURN POLICY
IN STOCK
Billing Questions: Billing_request @kirbyrisk.com (765) 446 -3054 Invoice Number 5104514255.001
Subtotal 170.58
S &H Charges 0.00
Invoice is due by 10/31109. Sales Taxi 0.00
o e 170.58
0001:0001 iC %Pby Risk Page 1 of 1
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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 G
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 10/8/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/8/2009 104514255.0 $170.58
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 off icer
VOUCHER 0 WARRANT ALLOWED
X351017 IN SUM OF
f KIRBY RISK ELECTRICAL SUPPI'�"
PO BOX 664117 7-
INDIANAPOLIS, IN 46266
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
104514255.0( 01- 6200 -04 $170.58
Voucher Total $170.58
Cost distribution ledger classification if
claim paid under vehicle highway fund
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER NUM13ER CUSTOMER P6NUMBER RELEASE NUMBER
74918 LARRY
SALESPERSON SHIP,.VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
MARK S BAYS PK PICK -UP LARRY FISHERS 317 -598 -6170 09/28109
ORDERCITY SHI DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
500ft 500ft WIRE THHN- STR- 12- GRN -500FT 85.12 1000ft 42.56 0.85
SPOOL
tea tea HUBB 073031202 9.73 lea 19.46 0.39
STRAIN RELIEF GRP
1
Billing Questlons: Billing (765) 446 -3054 s+280200810:06:24AM s104689223.001 Invoice Number $104688223.001
Subtotal 62.02
If paid by 10/10/09 you may deduct $1.24 S&H Charges 0.00
Invoice is due by 10/31/09 net of any cash discount. Sales Tax 0.00
LARRY A 0 1 62.02
0002:0092 Kirby Risk Pagel of 1
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DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUST NUMBER RELEASE NUMBER
74918 KEVIN
SALESPERSON SHIP,VIA ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
MARK S BAYS PK PICK -UP KEVIN FISHERS 317 598 -6170 09/22/09
ORDER CITY SHIP OTY DESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC
5ea 5ea CTX 5133364 476.64 100ea 23.83 0.48
PVC 314" FSE WP BOX
,E
Billing Questions: Billing (765) 446 -3054 V221200910:34:11AM S104679339A01 Invoice Number 5104678339.001
Subtotal 23.83
If paid by 10/10/09 you may deduct $0.48 S&H Charges 0.00
Invoice is due by 10/31/09 net of any cash discount. Sales Tax 0.00
KEVIN 23.83
0001:0001 Kerby Risk Page 1 of 1
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DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUST OMER
74918 LARRY
SHIP V ORDERED BY
SALESPERSON 1A SALES OFFICE PHONE NUMBER SHIP DATE
MARK S BAYS PK PICK -UP LARRY FISHERS 317- 598 -6170 09/25/09
ORDERCITY1 SHIPQTY I DESCRIPTION 1. ITEM PRICE UNIT EXT AMOUNT CASH DISC
25ea 25ea CARL E942E 17.88 100ea 4.47
314" SCH 40 FEMALE ADAPTER
25ea 25ea CARL E943E 16.80 1 00e 4.20
3/4 SCH 40 MALE ADAPTER
10ea 10ea 3M 33PLUS- 3 /4X66FT PLSTC TAPE 3.66 lea 36.60 0.73
Billing Questions: Billing request @kirbyrisk.com (765) 446 -3054 912512009 3:27:33 PM s104687395.001 Invoice Number S104687395.001
Subtotal 45.27
If paid by 10/10/09 you may deduct $0.73 S &H Charges 0.00
Invoice is due by 10/31/09 net of any cash discount. Sales Tax 0.00
LARRY 4J.27
0001:0002 LARRY
Risk 1 of 1
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Prescribed by State Board of Accounts ,,City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE' VOUCHER f
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
174625
KIRBY RISK SUPPLY CO Purchase Order No.
PO BOX 664117 Terms
INDIANAPOLIS, IN 46266 Due Date 1016/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/6/2009 S104678339. $23.83
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
ViJUCHER 096531 •WARRANT ALLOWED
174625 IN SUM OF
KIRBY RISK SUPPLY CO
PO BOX 664117
INDIANAPOLIS, IN 46266
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
S104678339.1 01- 7202 -06 $23.83
`►���873R5•eo! bl•7,202,bb y5.2rI
S i ��i�g3 ?�.3.00r bl•��o2.ad b�.o�
131,12
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund