180469 12/16/2009 CITY OF CARMEL, INDIANA VENDOR: 174625 Page 1 of 1
f ONE CIVIC SQUARE KIRBY RISK SUPPLY CO
CARMEL, INDIANA 46032 PO BOX 664117 CHECK AMOUNT: $685.88
INDIANAPOLIS IN 46266 -4117
CHECK NUMBER: 180469
CHECK DATE: 12/16/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
-659 5023990 S11900 S10476238500 651.08 METER
651 5023990 S10479804700 34.80 MATERIALS SUPPLIES
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER
74918 LARRY
HIP VIA SALES OFFICE 'PHONE NUMBER SHIP
MARK S BAYS PK PICK -UP LARRY FISHERS 317 598 -6170 12/02/09
ORDER DESCRIPTION
500ft 500ft WIRE MTW -I6- RED -50OFT 69.59 1000ft 34.80 0.70
RED 90D 2164 STIR
Billing Questions: Billing_request @kirbyrisk.com (765) 446 -3054 02120091:40:56 PM 5104798047.001 Invoice Number S104798047.001
Subtotal 34.80
If paid by 01/10110 you may deduct $0.70 S&H Charges 0.00
Invoice is due by 01/31/10 net of any cash discount. Sales Taxj 0.00
LARRY J 34.80
0002:0002 Kirby Risk Page 1 of 1
'runis; AND (SONDITRINS CHI KALT
ANTPTANCT OF ME MODS PURCHASED CAN I JJJS INNOW: CNINSTITUTESAND
ACMPTANCE ofma rumis %ND CMDITIONS OF S.M-E WIMCH FEMASM:
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no agnarem a undawwhno in any "my pwpwfi-'ij-: l tk�sc
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
RELEASE NUMBER.
74918 S11900
SALESPERS ORDERED OFFICE
MARK S BAYS WC51 WILL -CALL JOE FAUCETT FISHERS 317 -598 -6170 11/19/09
EM EXT AMOUNT," CASH,61S
IT
ORDER QTY SHIP QTY� CIES61RIR�1�0
lea lea EMON 480400 -KIT 630.94 lea 630.94
480 400AMP 3PH KILOWATT METER
KRPNM
*SUBJECT TO VENDOR RETURN POLICY
Billing Questions. Billing (765) 446 -3054 Invoice Number S104762385.001
Subtotal 630.94
SB.H Charges 20.14
Invoice is due by 12131(09. Sales Tax 0.00
a 651.08
0001:0002 'Kirby Risk Page 1 of 1
TEPATS Ad) CONDMONS OF SALE
ACCEPTANCE OFTHE (AXIDS FURC"ANEDON] H IS INVOICE �,-'ONS'h !'J'U'US AND
1C(TPT&N(T OF THETIVIINIS AND CONDY111ONS OFSALL'WJUCH VM LOW
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under this sonow:k,
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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
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 12/8/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/8/2009 3104798047. $34.80
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 icer
VO. 095909 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
1 PO INV ACCT AMOUNT Audit Trail Code
S104798047.1 01- 7202 -06 $34.80
\���0 SJOy?b23$S.aa`
0 1 100,15 3:I.a
A, 'o
bSS,vw
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund