179477 11/12/2009 CITY OF CARMEL, INDIANA VENDOR: 00351017 Page 1 of 1
ONE CIVIC SQUARE KIRBY RISK ELECTRICAL SUPPLY
CHECK AMOUNT: $11,212.46
CARMEL, INDIANA 46032 PO BOX 664117
INDIANAPOLIS IN 46266 CHECK NUMBER: 179477
CHECK DATE: 11/12/2009
MEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPT
1 ,04 5023990 W08991 S104645831 11,212.46 METERS
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER MBER CUSTOMER PO NUM RELEASE NUMBER
r 9847 W08891
SALESP E R SO N S HIP I VIA ORD E RED BY SA LES OFFICE PHONE NUMBER SHIP ATE
,KENNETH R WALTERS DIRECT KEN RHODES INDIANAPOLIS 317- 687 -0015 10/29/09
lea lea ^LOT ITEM FOR ALLEN BRADLEY DRIVES 10980.00 lea 1098700
PER FASTRAC FT0908031109DW REV 2
This Lot Shipment Consists of:
Description
1 1 PF400 ENGINEERED DRIVE
(ITEM A)
1 1 ENGINEERING SERVICES (ITEM
B)
i
Billing Questions: Billing (765) 446 -3054 Invoice Number S104645831.001
Subtotal 10980.00
S&H Charges 232.46
Invoice is due by 11/30109. Sales Tax 0.00
0 11212.46
0001:0001 Kirby Risk Page l of 1
TERA151 'UND CONDITIONS OF ALI-'
ACCEPfANCE (IV THE (AXIDS PURCHASED ON TA S 1AN VF. KIF CONIXI Y!A; ci- S 21
ACCTPTANCII CIP THE TORAISAW CONIN MENS CHI NOW! 1111101 FMIMm
WrAmmu" W mub�cct io s
�ic iihe.j mid pnEJ
Nlarchantuse (Y not rimmaAm Was Wol CAO SCOM 3 1',evkimed
We 100(m,
(3) A cuar"ner I&MM Ndps .1m agraes thy in W pumh,;r os a4'good, -,,rw il-o�ll ;S`olt c
yhoy on exposs wunaNks, u mqWbil upriwaks of maduroldAl and Mys Rv my p" al= ufAv
plapoge,
(T it, WS000j i. hj! wid bt kj!Ac 1 tsifn,,.
om on: Ono: nmq LOW t, .K Q PMAN ploh"A him WWI
(5) A ml FAcm ilo� maqw,mcd o
iWuc wks or A Town, YH Im '&hl to i i,.! pi ;c,=
Se�k'�' For 01 smh to or,"W: Sulkir vvif. n�x
(6) Way 4 Lylivery Selky i; not v, bamiRmLYN Or Mays lu QAK�iv o�;ca c !cd
has in) MCI 0005. limmy Air cmw ?INA Y win Wc 0-
Not in no uma than SLI�,ill bl.' fni
(7) Wher On ot`SeHer in mW pum We pernmance klauy uf W, mm s vookims or ms
It
Ago 000 to comm"(,
N zodhsfi a do n of `alums and Coo d h bons two Wnivis and coati ns 0M do 0 d"no ma Wl oal q n W
n* agneinew or ajdammuW& in my way pvToilhg lo nndkj dow immy or Wn"Mm 'BE hu'
hindwy of SwIN Wilmn Wler',
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 l;
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 11/2/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/2/2009 S104645831 $11,212.46
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
16 z7
Date Officer
VOUCHER 093447 WARRANT ALLOWED
361017 IN SUM OF
KFRBY RISK ELECTRICAL SUP J6'
PO BOX 664117
INDIANAPOLIS, IN 46266
Cz
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
C a' 5116 S e
S104645831 02- 2308 -00 $10,980.00
CY 1115 Depreciation
OO S104645831 02- 2308 -00 $232.46
Depreciation
Voucher Total $11,212.46
Cost distribution ledger classification if
claim paid under vehicle highway fund