172123 04/30/2009 CITY OF CARMEL, INDIANA VENDOR: 00351017 Page 1 of 1
4 ONE CIVIC SQUARE KIRBY RISK ELECTRICAL SUPPLY CHECK AMOUNT: $435.52
CARMEL, INDIANA 46032 PO BOX 664117
INDIANAPOLIS IN 46266 CHECK NUMBER: 172123
CHECK DATE: 4/30/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 S11670 S10420804400 372.69 BOLT
601 5023990 S10437422900 7.16 OTHER EXPENSES
601 5023990 S10441816600 6.38 OTHER EXPENSES
_601 5023990 5104419590 10.97 OTHER EXPENSES
651 5023990 S10441992800 38.32 OTHER EXPENSES
I
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
PYSTOMVR NUMBER CUSTOMER NUMBER RELEASE NUMBER
9847 PLANT 4
SALESPERS
HANSEN H ARNOLD III PK PICK -UP AMADOU FISHERS 317 598 -6170 04/15/09
ITEM PRICE UNIT EXT AMOUNT CASH DISC
ORD
`10ea 10ea EGS RW75 -50 12.21 ea 1.22 0.02
3/4X1/2 RED WASH
100ea 100ea IDEA 30 -341 97.47 1000ea 9.75
341 TWISTER WIRENUT CONN.
Billing Questions: Billing_ request @kirbyrisk.com (765) 446 3054 4115120099:34:12AM s104419590.001 Invoice Number S104419590.001
Subtotal 10.97
If paid by 05/10/09 you may deduct $0.02 S &H Charges 0.00
Invoice is due by 05/31/09 net of any cash discount. •C, Sales TaX 0.00
10.97
AMADOU
0001:0001 K9f R9y Risk Pagel of 1
TFAMS AND CONDITIONS OFSALF."
ACCEPTANCE OF THE (AWDS PURCHASED ON TVIS 114VCHCE (:'ONST i kA. E'S AND
ACCEPTANCE OF THETERVISND CONDITIONS OF.S.AI.E.. WHICH 14)LLOVV
0) Mk WrAancfise is suQiev to a town chayge. W g"ds awy he unumed "Wout a MQ)pdg GO
and.. invoice non and prior mr(hi,orization.
2 Non-Stoek.NlerehaWse is not rennimWe Mess ive can swum a "Numned GoMs Authwhy" Fran
be ver'-dor,
�3) Fhe itdges and agree,, that in aLl. pinwhases of goods aad savires bom AM We:
ghns no eNviess vvaaanves, or WqAAd YmTanrks ot' mewhamAdity mW Emus for wV pwfnhir
purposo,
(4 agmes dral Mel: MD an be liab!� for any dalria wvisul�
(5) rates Phi ms Mwwa do not 10WILK NON oi other raws inylosmi on We vkM phld, Mcs w• (ir
upon Sdo NvHl be Flt INI (0 W PLI11haSe JWICO. BUYCr agrMeN W
Sclk r !'ov all".! Such lax or provide el!er "vith ucceptaalt cxellplioin cor'Jflcitte
fO) Oelay in Do live ry MY is ntA Me accumWbIc 161 (.(clays ivi dcli"Cry act" of(Jod ()I
(Ahur Kwuninanus owr which SAW hm no dhmv amth: Mo(i y ;.Ihip "k nl, or delivery Mus avc Lhc
bus uninvocs of trur supplkr& and in m) cisc shall ScIler bc jiabt. rot any cooscclu'ci!6a] of spcci:31
Fron" any dclay in
(7) Waiver I& nits, Q* Insist of (he perFunnance of my or me onm or coWlaw Wthis
coni"ad or to ani ghl lliet�,krndei W not he dmnwd to be a "Over of swh ternw,
�.ondilio! orr'i_hi in Ow finure, n W A be deenied to be a maker ofmq odw talaw sudilion, w
rq."bt unba this contrw�'
(8) Modification r: Terms and (AndkWus—No tenns and comMYN mher dun low srawd 1wrch; ind
in any "wypw be,
birldirig oil without w corse,nz,
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
!WLIVA CUSTOMER NUMBER RELEASE NUMBER
11788 WELL 14
SALESPERSON SHIP VIA ORDERED BY DATE
HANSEN H ARNOLD III PK PICK -UP BRIAN TOLAN FISHERS 317 598 -6170 03/20/09
-6ea -6ea PAND 99C6S -C 180.51 100ea -10.83
SPLIT BOLT CONNECTOR
Original Sale: S104374229.001
6ea 6ea T &B 1H 299.76 100ea 17.99
SPLIT -BOLT BRONZE
tyiL 'TO ?A'j
Billing Questions: Billing request @kirbyrisk.com (765) 446 -3054 Invoice Number S104374229.002
Subtotal 7.16
S &H Charges 0.00
Invoice is due by 04119109. Sales Tax 0.00
4► P 7.16
0003:0004 Kirby Risk Page 1 of 1
AND copworrion ot svu,
ACCUFANuEOF
WIN
No
0 nW riNkMAR tMOS ON CAR ALWe UNAWIN G_ k :101W01 SW
is, Un C Ways SAW"Wdys so awws Out in all is SW&US BYA Wp Soo'
00 (T I a THN W Ono WS to wm ky I A psawun
>t-a OTC,
lot via �Unn munte" 001 new or K I uov be how I AV a ry n n"quanal as Kc Wo al son as ;00,�
Prx"V W"101 11) not inchho 'W&V or OR; MUS KY OWN on IN on ph'Al
or 4§mcol W bc Mod 1( "ho JOUGNse jylv 01107 agns
Eiday in Dilhery Volk; ik xm ko W auOWYON WAOLNN W1 ATY"r, k"XWx10j A! wn- OUNO 0,
y w a xo a not, avy n0ch &K a c tan i a, Wova arurv! Parmy Qqw-0 a del Wov an, w a K�
p; a Al A am! h I Po u n Sv c! sch"i b�e h
so ah'�c
any
A Th Whot WSL'� k�pori one
aEy ngin bwchqdc' no 1)w
n to hnwn MW VQW! n he joalmd W Sc 1 W&V. 01 ny 000 taw. MOTAM.
,-K
Alodflkati�11� if Terms and tonschaq NO Unns ind yvyhnw� nowy 2an Wn Maud Swul and
no
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
a NUM13ER CUSTOMER a
11788 PLANT 4
SALESPERS a' a a e ATE
MARK S BAYS PK PICK -UP AMADOU DIALLO (TJ) FISHERS 317- 598 -6170 04/14/09
ORDER CITY DESCRIPTION AMOUNT
lea lea CULL 39911 6.38 lea 6.38
#10 ANCHOR KIT JAR HEX HEAD
Billing Questions: Billing (765) 446 -3054 QW20099:2155PM 6104416166.001 Invoice Number S104418166.001
Subtotal 6.38 'I
/f S84H Charges 0.00
Invoice is due by 05/14/09. Sales Taxi 0.00
AMADOU DIALLO(TJ) 6 38
0001:0001 Kirby Risk Page 1 of 1
TERMS AND Cf,)NDITIONS (HO SALfw
A C(T PTA NCE O FFHE WMUS PURCHWDON 11118 pvoKii tinyrr, um AN v
ACIAPTAM um riv MW S AND CCOM I MNS UF SALE MUM I MAIM:
S
x t
ni,E,olher
urchanMe is not n a CW SMA a a Q nurvol Good- wdayno ton,
2
3 hw S�Vl I!C,c 1, a %j agvv.t,-� n pu MKISCS of "Wo a no so Y &S A on 1
gn"; no CqMYSS Womma"Y v ITHR Wonmos 051U0011MAY Wid typeon ion w, pwivow
puqvno,
14) 10 Q agrucF Selmr %vQJ aw lot SQ !01
co
V, 1,
;qwn mks or ATIUMIS "-h be ad'INI to tho InnSw p"'W lfuy__ agrm; U)
0% evin PA. Ca"A"U
6 Peva6 io Uk oil Sel kr N n(A 10 jx ac oo d .l 1 00 oQ-, �ccal icd ir? o F 6o,i
1 c ioNvoo an,; om which MU has vu Winn 0. haKa) A,v& to Alv Own to Mt
veil Cnin puny kd k," YkWPIRS, told in 0z; case shy H SU W h" han L� i�
4 u VOW USAW vi W& tpP r5e pervnvnw, A'any SM0 lawm CumMun OFUS'
an- ,d��T i-," ]CCm,"I �o b� oi
WdOw P: Apt 0 Ow Go M� n" SMA v he dawd 10 Is a 11 Snp I a an! Wor larx. I n0h; W vi
1 "W U vor I n ww:
j6udWcalloa uf liewn and Widhions MA Win and UnASYS 01ho man Iona mawd Unh;
in a V"Y pmonly IV anv!! dwst Wow or COTIWOf AMP n',
Khoo Cv SCM x0now SUI&K owlen WWOM
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, 1�
price per unit, etc. U
Payee v
351017
KIRBY RISK ELECTRICAL SUPPLY Purchase Order No.
PO BOX 664117 Terms
INDIANAPOLIS, IN 46266 Due Date 4/16/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/16/2009 S104418166 $6.38
l�
,Q
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
7 /Z/
Date Officer
VOUCHER 091615 WARRANT ALLOWED
3 IN SUM OF
KIRBY RISK ELECTRICAL SUPPL VI.
PO BOX 664117 �y
INDIANAPOLIS, IN 46266 ®��(f
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
S104418166 01- 6200 -04 $6.38
s i 4 N 6.6'Xboq- 7• ((p
S I O�k`�i95`j p ol• C¢�` �-1 ��7
Voucher Total 51
Cost distribution ledger classification if
claim paid under vehicle highway fund
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
it UST OM R NUMBER CUSTOMER NUMBER RELEASE NUMBER
74918 JOE FAUCET
ORDERED FFICE �PHONE NUMBER SHIPZ
MARK S BAYS WC51 WILL -CALL JOE FAUCET FISHERS 317 -598 -6170 03/31/09
DISC
ORDEROTY
Sea Sea T &B 350M 3949.34 100ea 355.44 77
SPLIT -BOLT BRONZE
3LK56
*SUBJECT TO VENDOR RETURN POLICY
Billing Questions: Billing (765) 446 -3054 Invoice Number S104208044.002
Subtotal 355.44
If paid by 04/10/09 you may deduct $7.11 S &H Charges 17.25
Invoice is due by 04/30/09 net of any cash discount. Sales Tax 0.00
o 372.69
0001:0001 'Ki rby Risk Page 1 of 1
TERMS; AND CONDITIONS (If ATh
ACCUFANCE CkiiTHE G001)-S PURUHASEWN 111 IS MWICE CYAWN I U'l
Nt AIX! NN(TUN THEW R INIHCI I
{6 i, n4yal 10 j it' No izoods bo !eum "'Nvithow a
t2l WMImck Murchancase is not ill ma4v unkm m QW mume a Wournud W s AiRM:o rW;
un I enM'
13) 1 Q cummur ,,Tam MIPS MW agmN U in W puvvvo;�
"W in E M Waymps of awfannVINY can Enos; Av any ',lift UM
141 01 C tow Run—xill rloi
MCI V rmn m Wn do my 0 1 udc Sun 01 W; In es qvwed on I W :0; a <4 Id" 0
t Too a W8 OW $wue ,n a. bo Mal to 1 h: pavh4se !"WO n" v
Thu"nagi
v, ";h
(53 Dchq in DAVOY Sjux is mv to be amminyho Rc gnim in to Wy alwavoncd by am or (lid m
(Any C&M Wmarul, m V&Wp M! MN 1A) Wt,.: mr1T-0 1, F;U"!" I
E1, ill no can 110H S O Kc Ma W MV mnmqu 0
i L'M"y
Up TAWNer lit: WT: WRIN ka _al upon On pu ofim urvo inns or ,.mm i is
Sk H not he Whewd k) ho t A Y my of WL i mm,
m &V Djun", lot lot 4 no d"Mmd n Vic a vmm"'f 'i"
16 �liim to Te rm; a ad f Ma Mom Q; W rmy and CONSM
q a cam oc u ndum s at vil in a q no, p a Tonst g m nodly 0 "m mom o"pol 4T m s 5 H W-1
hirdim too NeW VTOW vo&&$
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
cuSTOMER NUMBER CUSTOMER
74918 WOODCREEK
SHIP DATE
SHIP VIA OR DERED BY ALE F
HANSEN H ARNOLD III PK PICK -UP ERIC FISHERS 317 598 -6170 04/15/09
DESCRIPTI AMO UNT
2ea tea HOFF AS300 19.16 1 ea 38.32 0.77
HOLE SEALS FOR 3.00" CONDUIT
i
Billing Questions: Billing request @kirbyrisk.com (765) 446 -3054 V51200910:37:17 AM S104418929.001 Invoice Number S104419928.001
Subtotal 38.32
If paid by 05110109 you may deduct $0.77 co -g,�� S &H Charges 0.00
Invoice is due by 05/31/09 net of any cash discount. Sales Tax 0.00
ERIC e o 38.32
0001:0001 Kirby Risk Page 1 of 1
TFANVk AND (X)NDITRAS OFSAL-1
ALCEP VANCE V. THE G00i'-'?S PURCH, C0P�K A Y 'ITS Ali D
-%Ccvp VANCE M I Ilh I 1 SO! "1110 H)LLOM
;1) Stock ARrehan(use is YQUA h n vuvrn clauge. NIP good, noy W ponacd w4houl 0 moppro Qkc
Murchandise is im! whimahle tudess vc on smum a "Miuraud Guids AvWvAy Wn-
Chu
a"J ot" jgnyn Q! in OU pomhows 0QW mid ti? Foal QW. ScHv�
any
(41 DW cuqoUln nwvcy that Ron °r d! no Ito 15bl✓ W any cvn0plWal 3W UK Way! domage; 11 kin
(51 Was pva4 W�xn ivclk!6. k0c Innal wqx)kW1 on un, no K any, i TM, SM o
Warbe inquned u1nn ov, ;w phipawmF Wd be addai zo the jarchave [oleo AT,s agr— W
Woburn SAW MY mly xmh Wx tit pavOln ScUr %Q!; i"X
th; Delay in Deuvery swon iv Mq w bewAnn"aablu Wr Map 'n'unwr" c e"Wd by 1ON 0100m
Mcr w0uninsocni o v HkA SWIP Ws m) dVw; omud. Fywor> shipwnr gy doRevy Wo. an 0.
W1 WOMIMIN OF &I SVPQN, 00 in no caw 011 SuHn bo Ahl Q yp unsopmWO or Tub!
(7) jVajVer
-ei;cr Lo 10sr ;pm Am per63nnann of my 0, o� cn."!nn io'ns
cx=al J nexkv 0, QW IMSM&T way no Q to h' �u:.Jh
{1t, m Ge Woo om soW We dunwi w he o td
to fWaMumbn of Terms and (Awndk6u; M krys und
Lo agmvlyd: N nW1.v1nj0% W an, way pUq.vWW 1D MKO do. ;WMI 01 npown" W W
.6%Ct iiw nqe SeRK w0ron vinvenL
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 Termsj
INDIANAPOLIS, IN 46266 Due Date 4/20/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/20/2009 S`104208044, $372.69
iereby certify that the attached invoice(s), or bill(s) is (are) true and
)rrect and I have audited same in accordance with IC 5- 11-10 -1.6
Date Officer
i
VO,JCHER 095491 WARRANT ALLOWED
351017 IN SUM OF
KIRBY RISK ELECTRICAL SUPPLY
PO BOX 664117
INDIANAPOLIS, IN 46266
p
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
l iOtF" 0 o ti
�p� S104208044.1 01- 7203 -06 $372.69
5 (0L(ygq ZB,00l ol.7 '2o3.o&
lot
Voucher Total 9
Cost distribution ledger classification if
claim paid under vehicle highway fund