169979 03/18/2009 a CITY OF CARMEL, INDIANA VENDOR: 00351017 Page 1 of 1
ONE CIVIC SQUARE KIRBY RISK ELECTRICAL SUPPLY
CHECK AMOUNT: $985.12
CARMEL, INDIANA 46032 Po aox 6641 17
INDIANAPOLIS IN 46266 CHECK NUMBER: 169979
CHECK DATE: 3/18/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 S11512 510431472900 935.50 WALL PACK
651 5023990 S10433972700 49.62 OTHER EXPENSES
I
r DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
1 6ST 0M ER NUMBER CUSTOMER PO NUMBER RELEASE NUMBER
74918 7 JASON STEWART
SALESPERSON SHIP VIA ORDERED BY S ALES OFFICE I PHONE NUMBER
HANSEN H ARNOLD III PK PICK -UP J S FISHERS 317 598 -6170 02/27/09
ORDERQTYJ
3ea 3ea ADVA I0P4P32SC351 16.54 lea 49.62
ELE BALLAST (4) F32T8 120 -277V
Billing Questions: Billing (765) 446 -3054 V27120099 :39:40 AM S104339727.001 Invoice Number S104339727.001
Subtotal 49.62
If S &H Charges 0.00
Invoice is due by 03/31/09. Sales Taxi 0.00
is s s 49.62
0001:0001 Kirby Risk Page 1 of 1
TERMS AND MAMMAS OF SALE
AC(TPTANCE OF THE (XX)DS POW IU'�SFD ON ISIS INVOICUMNSTIPYTES AND
iCCTPTANCE OFFHE FE14NIS AND UADMONS OF 101 J MUCH IFOLIAM
t!) Slocl, Merchandise N rcityni No hc yeiint-cd a snipp;i.n
I wo
12) Wo-Sock MerchaMse in nal rcrinTable MOSS i cm heaum a "R ltiu Awdho'ro�v
the VOM)c
(3) T 1w C USMInw iedges ami agmts wat in all pul J) of,!oods Se:.' c"'S f'oi,n S61 r
f"'snio k,":aIMwW or in"Hed YaMMUOS OC OwrChantab'i hv� "Ind liwiess foI pai
pw p i
14) ustemer alynev thal 010 &1 no 1X j Oble hw w'
1-u
15) 1 D A On ta was WqYvwAoAdwuknQhQ Fxcsw" ur
lfuyuy vsbo
n :,,uch la,-f o! provide Scuk". "M a',.%;epuJIc
(0) DO.1y in Sclor K m to bc aamunwiYu Wy Oda" in dchavy ou ;to wnal Oy aw or GA or
(M key ci R%in.30cm Owr utich K�Ilcr no divc l c(" ol, Ficiol .Jhtnwm (WAMMY Annex Sw
W Myraw; Mmr Slydiew. and w"w C.0 SwH be luibkl tor an"
dayn;o 8 Ci ry ;in"" in dclivc Y.
(7) Wiver 1% Mum of 01 w; upon. thc pcilbrynnce oUny of to wnw or cotton 0! Gis
-con yfw( or io an} ri,gh� hcrcoadc'. njy, wJI 11 (.1cQn to n kwh I c i r)
or: in !L.' fu'ut'.'c' nor slhaH h be dwnwd ;.o 1)� ,i mii�cl ot'avi,_b� co.-Idwoly, w
hindincation cd Terms and CAndhhus Nu wnus and OMWAAwn ofl inX< tlo_.c bAaikcd 1
qu qwwrco v and uvaNung in day way pwpwivip to ModAy low-
"'i" ickout se ,vniien
DETACH UPPER PORTION AND RETURN WITHYOUR
CUsf 6MER NUMBER CUSTO
74918 z S11512
SALESPERSON SHIP VIA TE
MARK S BAYS DIRECT JOE F FISHERS 317 598 -6170 02/26/09
O
3ea 3ea LITH TWH400M TBSCWA LPI 298.55 lea 895.65
400 WATT MH WALL PACK W /LAMP
KRPNM
"SUBJECT TO VENDOR RETURN POLICY"
Billing Questions: Billing-request@kirbyrisk.com (765) 446 3054 Invoice Number S104314729.001
Subtotal 895.65
S&H Charges 39.85
Invoice is due by 03/31/09. Sales Tax 0.00
0 935.50
0001:0001 Kirby/ Risk Page 1 of 1
111 AND ("(174 Mll PQ S OF SALE
AC #.;3E' 01"THE G00DS P[JRCILxSED ON THIS INVA)WE (TINSTITU11A AND
WCEPTANCE OF murnivisAND CXMFMTIC)NI; 0V SAI A 1NA104 V0100%
'xo
I Stock in wl jek:t. to ai rco.irn
Nior'-S�oek M•rchandisr in ivy inlanawe 1MOSA W Gro. AkrIto froni.
we VCQw.
(3) 1 1w Clotormi Man" liwdpw mi ag_es CAN hi A pumhows of gomls and'. S'�Ik�r
gmes no exots, wanowA& cc AWAcd nwim"Os of muchnUMA) and hoots Ar any pal6cular
owpm,
141 The ,%!iees l'I'n "v dl lol bi. kabl 1 w ..,,ca d".I`naMu 1
in A aws &.A Y=I do wq irAwk wk: of mW i 3 as KIxonvi on dw Wphl;. i mcs
he allml to the rurehaw wK kuyawyms 0}
or NMH'
ft t'v 'mtehtax ol J!rovi(k" 'Seijer;w�d" ":r<;Nempd(w
(6) May in Doliv('I'y SON, is mm to be awomwho IN dclay�'!ni by Ims or Um 01
ast awrim, of astir Ni[ riumnul M no vase NhA SAW be 15hic bw Kq commonamnA m spnw�
I
dchl" ill (Llivc)
(7) in,:,W El mn Aw pulinname of any of to wnn or unphlAwn of` AS
wV Agh havlarlm WH not be Mmul to he a Mmy of nwh lemy,
in we NUM0 m it. C 'Icei w be a Mom o:. nr-ti o0h c 'ol
ii Unda Ins Cmay.t.
(8) of Arms and CludWas onus and cwWwonn t�mh"n man tho�t�:mak':J' �!iw
no aymainey or Weannon" in any may puqwnhg to MAY t4sc ie
Cn �01k"I ',";ithout sk�1'10r wvirien
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL �t
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 3/9/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/9/2009 S104314729, $935.50
g
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,'UCHER 095204 WARRANT ALLOWED
35`1017 IN SUM OF
KIRBY RISK ELECTRICAL SUPPLY
PO BG -X 664117
INDIANAPOLIS, IN 46266
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
S104314729.1 01- 7202 -06 $895.65
S104314729.i 01- 7202 -06 $39.85
S 1 C% 33g
Voucher Total 50
Cost distribution ledger classification if
claim paid under vehicle highway fund