170469 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 00351017 Page 1 of 1
ONE CIVIC SQUARE KIRBY RISK ELECTRICAL SUPPLY CHECK AMOUNT: $1,039.18
CARMEL, INDIANA 46032 PO BOX 664117
INDIANAPOLIS IN 46266 CHECK NUMBER: 170469
CHECK DATE: 4/112009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 S11642 S10435692800 1,012.42 PLC MODULES
651 5023990 S10436720500 12.27 MATERIALS SUPPLIES
601 5023990 S10437422900 14.49 MATERIALS SUPPLIES
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
NUMBER
RELEASE NUMBER
11788 WELL 14
SALESPERSON ORDE RED BY SALES OFFICE PHONE NUMBER SHIP DATE
HANSEN H ARNOLD III PK PICK -UP BRIAN TOLAN FISHERS 317 598 -6170 03/19/09
ORDERQTY SHIPCITY DESCRIPTION AMO
lea lea 3M 33PLUS- 3/4X66FT PLSTC TAPE 3.66 lea 3.66
6ea 6ea PAND SBC6S -C 180.51 100ea 10.83
SPLIT BOLT CONNECTOR
Billing Questions: Billing_request @kirbyrisk.com (765) 446 -3054 3119120098:47:07AM 6104374229.001 Invoice Number S104374229.001
Subtotal 14.49
r S&H Charges 0.00
Invoice is due by 04/18/09. oL A� Sales Tax 0.00
BRIAN TOLAN a 14.49
0001:0001 Kirby Risk Page 1 of 1
Tf,'.RMS AND" CONDITIONS DFSALF
ACCTPTANCE M THE (AWDS PURCHASED M IN IS 11J%:(.W:'E ti. '0N D
WTEPTANCEM W111t,71 I
(!I shovii Aierchawusp IN 'mb relurl! it'tw 1!ci.�t'
(2) Win-Vock Nferehandise IN not rehnnthie tayess so am S"MV a
the vw0-
the osiOunci' le.dge"' and afg""�"es ih'!t "Ii au punhany ofyookkilld kou'�; fhn'i �)ellen Seller
[lo e'�pjt-'."N or of merchawgMA; mW Fmv4 Ar wV pwitinhir
pwqx ti e
(4) To twintr agive, Ow Soler Q111 no be It!, On any wunwounwY "d VxNews! danutgas aviniov
(5) Fates Own silo," do wo include SUIC5 oroher tins OpMA on we Knipwds, TWA; wo or
upon alos (trshipws Nvill be add"! to the PLI10010 PRO 11uprapaum
i nxcwpzioz
fO) D0aY in DiAivec .s..;iG'i 1_ :'iii! t be a mm oN o on c kyys in kipal twunRacd hj nos orC44 of
(mks ow, whwh Wu h, no dAwl wmaun inawy Qlipwc.ra or �n 0',
w"I 2mwwos oryu S11YON. and in no woo Jall sclief be Invic 11w HUY wwqwntial to vpwhrl
(7) Miyer Ii. x Io insin't upon ifie pinihnnnice o0ny ol'd lelinz, or
,'on!rtwt or lo 'wlckw ww tigh hwainde�� sh�aH not he dee'rned to h:
'c dimioris or in 1"orsh,Il! it be Jxilii:d L hc;! tc"noi. S :ondoior
of It= and CWhWas '01 wry and suAbow, (Ahn Wn too maw. NMI! ai
no agwocew or underwandal in aqv y purpoj'Jri.',! to nx4'1 th'."_�e te! lo""',
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. II
U
Payee
351017
KIRBY RISK ELECTRICAL SUPPLY Purchase Order No.
PO BOX 664117 Terms
INDIANAPOLIS, IN 46266 Due Date 3/23/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/23/2009 S104374229 $14.49
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 Officer
VOUCHER 091394 WARRANT ALLOWED
351017 IN SUM OF
K RBY RISK ELECTRICAL SuQjrt
PO BOX 664117
INDIANAPOLIS, IN 46266 0
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
S104374229 01- 6200 -02 $14.49
I
Voucher Total $14.49
Cost distribution ledger classification if
claim paid under vehicle highway fund
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
OMER PO NUMBER
RELEASE NUMBER
74918 TERRI DESK
SHIP, VIA A TE I
MARKS BAYS PK PICK -UP JOE FAUCET FISHERS 317 598 -6170 03/16/09
OR I DER OTY SHIP QT� DESCRIPTION ITEM PRICE 7' UNIT �EXTAMOUNT CASH7D
4ea 4ea ARLI LV1 98.14 1 00e 3.93 0.08
LOW VOLT MTG BRKT
lea lea LEVI 41080 -21P 1.48 lea 1.48 0.03
W /PLT 2 -PORT S/G IVORY
lea lea LEVI 41106 -R16 2.59 lea 2.59 0.05
JACK 6P6C USOC IVORY
lea lea LEVI 5G108 -R15 4.27 lea 4.27 0.09
JACK CAT 5E 8P8C IVORY
Billing Questions: Billing (765) 446 -3054 31161200910:12:20AM S104367205.001 Invoice Number S104367205.001
Subtotal 12.27
If paid by 04/10/09 you may deduct $0.25 S &H Charges 0.00
Invoice is due by 04/30/09 net of any cash discount. Sales Tax 0.00
JOE F CET 12.27
0003:0003 Ki Ri Pagel of 1
'numicAP, i) CON DITHMS (H? SAM.]
Af MPTANCE OF THE (RAMS PURCHivSk ENVO!,(,F ONS'i JII ll -\ND
A(MPTANCEOFTHE 1
(V Vn-Mmk N I at hand 6e n not rv.Mlw uidun nu cm smuin a Unrund (Ayus Aud"qj Aun
61, vViS'
10 he vind upows &M 4n nU puwhnw 01 ai dl .t' el ;'voal ljv
;has Ec 0 ArISN xlmuu k ca WPM yarilmics E1._:€ m
ry mc.
A The ivinnor ap..-.': 0ini :n i in bu kh� On xy conequenual aid 4; idev"al Nvagen un
15; 1 an% 1 now JO cl r ine, impono on 4- no 04 POW r n> M" o
..NAM UPPM401 LTOn SAS M AprIMUS H! hi' AKIO! ZU PUTC110ST? IM Me f0 r agrous ro
Wilmse SO% Or mg smh on or pinvak Seller vvAh awmble wx cumpbw end Acaii,
S Dda, 4 fklivrry Salk is ow w be accomiablu Or dclays in Nhin y (v d by acs of CAW ol
mhop umuniwances vaqi suhAT SO& ims no UNI cm(IoL &Lnory shipawim or Mvvy IMA an th.c
IMS1 Mpuln oNn" St"Plaws, and in 1K) Van Sh"! SARV be AUFAC for any conwqUalml ti v._;?;..
horn ��n' d.'ck.c.y ur
(7) lVaiver TV Anlun uFQIQr to ims qN)n ihv jurflonnance k1my ofilic wpm (q on did ms of V'�
+"ou!lacl 0; W cU'l':Qc my t A houvidu shH ma bw dmand in be a ;'r'ainy N Fml kum,
il
or in On Ruivo ww AM a be durrml ik b"' a
N) ModincalksoElf Terms and (WuMins 11) wvms and condiums ola Awn Hwn"wvA Man ami
no apvenm or Mayambriv in any sny pulmnivy to moddy Me zc nw. m vasUnc M N
on S'-flcFs %rawn vonaw.
raw
6
t �.1
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
RELEASE NUMBE
.i
74918 S11642
SAILESPERSO SHIP VIN." ORDERED BY SALES OFFICE PHONE NUMBER� SHIP
ELIZABETH A HARDEN R -2 NORTHEAST INDIANAPOLIS 317 687 -0015 03/13/09
ORDER QTY 'SHIP T tXTAMOUkT CASH DISC
lea lea AB 1746 -IA16 298.82 lea 298.82
AC INPUT MODULE
Billing Questions: Billing_request @kirbyrisk.com (765) 446 -3054 Invoice Number S104356928.002
Subtotal 298.82
S&H Charges 0.00
Invoice is due by 04/30/09. �J Sales Tax 0.00
mr 3 1 09
4k����,a lam 298.82
0002:0003 kirby RISk Page 1 of 1
j0'q(VIj WSMI! (F,MW 11 SUPA)KIM SUAV AM? c): tz C I SJ I I I it Ou
Cf: !I K)",10 P ("N SIP!qvui; Ive sujx)jjf flopv,bIjili,)op, (8)
v aq oj pown, aq n Hap Am D
UIFO� !,'`:iWm P Oq m pmay aq Do pt'` nymopq NK Aw on w io ownwr
JO jo nowaKyod 31 tushl {ti wul 01 11AIPAY
lqxnk in pliam( viva AAr >U yyy aq ijpS :YQw Wa M q! •IM MQ61M Mj) SOOM19YO VM;
np Am �wT I, As wxMV hi F. lumnwo Impip ou Nuq ij, qxqn, uvo w3upotunann m,
No Y Sor tt Pawnnao foq ,pui 01 iO(.! S `6 1. #�3l'dgg i "T Iq 4Tq, (j (q)
xi% ik) xc.i Xm,
wSPIMISSH 0310 1 0=13.1d Aqj m y, jw oil H, www4y jo soles iwd 0 PwAy q laga'AMI
A! AkQ NPNN A W" n} aq Un Eta monr 'n` -.I jogn A; SqVN qw1my 10i op UAMIP nNnAl ONE: I Y
Qlv:_ SINY, ur.-'o ��Ovq M! 101 [PA, Qj rq; Somwo ipay"Wel
OYAW
wTv"I d on yq wupi PUL x"PqUammm ja Sypaur y N dw, �w Nonvown wadva a my,
Pue
P3UMOd, V WNW, dvn So v5spa! IOU 4SIIAIVV
r 11'OT' PXIMP. nq, nflay tuwu P 01 laqqnq S1 awj)uPqa ii. y jav's 11
MYVAU H3111AX wvs !j() U.'IN SIMU.
TM AM SIM INO 4141,40
3 1 v 13 A 0 S tic) 1, L I G N1 U N. V S ilk WAJ
loll
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
USTON NUMBER CUSTOMER PO NUMBER
74918 S11642
SALESPERSON SHIP VIA D
ELIZABETH A HARDEN R -2 NORTHEAST INDIANAPOLIS 317 687 -0015 03/12/09
ORDER
lea lea AB 1746 -OA16 414.78 lea 414.78
AC OUTPUT MODULE
lea lea AB 1746 -IA16 298.82 lea 298.82
AC INPUT MODULE
Billing Questions: Billing (765) 446 -3054 Invoice Number S104356928.001
Subtotal 713.60
S &H Charges 0.00
Invoice is due by 04/30/09. 03/12/09 Sales Tax 0.00
r nfed Se- t7e.oe pER m e 713.60
0001:0003 'Kirby Risk Page 1 of 1
nams AM) CUNDITHAS CMF SALA,
AWTP F ACE 0V f 11F (AHMS PURCHlz#,SED ON 11,11S VVI L a S AND
A(TYPTkNCE UFAVE FERNISAND C0ND11 10NS 0F '�ALF A'111(11 F01,M)W:
(1) luwvbc .11 licd wih" 11,11 A tid l "u'kc(
p;w!
(2) SAwwTiorl, Meruhandise is nut rennaahic "Jus, "u no wum a "Raurped (Arlds MIMN" Akyj
me sumS,
(1) <u"d ti �n il I p3 Q3w6 of geSs and Ott Am AM. Me! I a
;Aws no to %nawhok cc Aked van ..1a.. of nwwhwwhMq and q wan Rw mq pwall I
[NNTOW.
RU V j'"Irw agwet To S010 "vil' uoi be 560 PY ony m".'d
151 !a UZ 1 00 jwAr dO W KAW SAY01 WK&W" 1MInP A On aX 04 Cd DION, %WS K VW
))I p, ,".CI Upol I SOies (�r S! I us XNH I ke MEW 1'o It: purcl In e pjice' fSper a grew A
wimbur it Seller Krogswh mx or rywdc SeArWh aspubkmx cwmWkwn cx(:l,5'e;�ow,
:6)
whWil WAY W's t MCI C'Mod.
W mmain of (my stypisys, and iw
d hum unp AW SAW be HAW hin"my coumqum W or InY&I
n 6wn y c'k� i
1F' dk h
(7) Waiver TV fcilurc o!'Scljc, it? ul)on 11"c' pl-'; lclm"s
ol to all PQ ATCMda S&H mq be Wincd R be a %Wwr ofswh wim,
o nghi in Uic f0w. n(w AS A he deemed 0 bc a "A t". Awg Mur wmq condAmn w,
widc�
(8) Modideallon ormms and AnTisms Nn wnus cud nmAjoris {)3a inn Own"awd Won aod
in any wypuqwnin. rnoJ It:
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 p
351017 Il
KIRBY RISK ELECTRICAL SUPPLY Purchase Order No.
PO BOX 664117 Terms
INDIANAPOLIS, IN 46266 Due Date 3/24/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/24/2009 S104356928. $713.60
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
VO!JCHER 095312 WARRANT ALLOWED
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
Q� 1 0 S104356928.1 01- 7202 -06 $713.60
Qo4i6ya51b435 6428,00I- 01.72.02.06 24b,&2
S16L(36720s. 0 1.7 -102.66 f2.21
Voucher Total $71
Cost distribution ledger classification if
claim paid under vehicle highway fund