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HomeMy WebLinkAbout2012 Junior Waterworks Bond - request 10CITY OF CARMEL WATER - WASTEWATER UTILITIES 760 3RD AVENUE S.W., STE. 110 • CARMEL, INDIANA 46032 (317) 571-2443 • FAX (31 7) 571 -2265 CITY OF CARMEL, INDIANA JUNIOR WATERWORKS REVENUE BONDS OF 2012 DEPOSITORY ACCOUNT CUSTODIAL ACCOUNT #5446000135 (CONSTRUSTION FUND) DISBURSEMENT REQUEST NO. 10 Regions Bank One Indiana Square, Ste 11.5 Indianapolis, IN 46204 Attn: Corporate Trust Department Fax: (317)221 -6010 Date: 7/5/12 Custodial Agreement between the City of Carmel, Indiana (the "Depositor "), and Regions Bank, as Custodian, dated as of February 9, 2012 (the "Agreement "), The undersigned certifies that: (a) The undersigned is an authorized and duly elected official of the City of Carmel, Indiana With the authority to authorize payments to be made on the City's behalf: (b) The amounts set forth on Schedule A are requested to be paid from the Custodial Account held by the Custodian; (c) Each obligation as reflected by the amounts set forth on Schedule A has been property incurred, is a proper charge against the Custodial Account, and has not been the basis of any previous withdrawal from the Custodial Account; and (d) Supporting information with respect to each payee designated on Schedule A as to the amount owing is attached hereto. CITY OF CARMEL, INDIANA BY: Diana L. Cordray, IAMC / Clerk Treasurer, City of Carihel Authorized Officer CARMEL UTILITIES Register of Claims 7/512012 PAYMENT REQUISITION NO 10 VENDOR ADDRESS FUND AMOUNT OF CLAIM MEMORANDUM Wire Instructions El & B Instrument 145 W Taft Drive PO Box 305 South Holland, IL 604.73 Cons $ 982.30 well level meter Barnes & Thornburg 11 South Meridian St Indianapolis, IN 46204 Cons $ 135.06 legal eves Chapman electric 1500 Westfield Road Noblesville, In 46062 Cons $ 933.33 fuses Chapman electric 1500 Westfield Road Noblesville, In 46062 Cons $ 21.43 auger Chapman electric 1500 Westfield Road Noblesville, In 46062 Cons $ 5.08 fuses Crossroad Engineers 3417 Sherman Drive Beech Grove, IN 46107 Cons $ 550.00 engrg svcs George E. Booth Inc 8202 W 10th St Indiananapolis, IN 46214 Cons $ 2,127.58 valves, pressure switch George E. Booth Inc 8202 W 10th St Indiananapolis. IN 46214 Cons $ 515.16 transducer Hamilton County Recorder Noblesville, IN Cons $ 37390 easement recording Kirby Risk PO Box 664117 Indianapolis, IN 46266 Cons $ 60.49 connectors Kirby Risk PO Box 664117 Indianapolis, IN 46266 Cons $ 71.60 bushings, lockouts Kirby Risk PO Box 664117 Indianapolis. IN 46266 Cons 3 79.74 liquidtight Kirby Risk PO Box 664117 Indianapolis. IN 46266 Cons S 231.92 connectors Kirby Risk PO Box 664117 Indianapolis, IN 40266 Cons $ 23.93 liquatite Kirby Risk PO Box664117 Indianapolis, IN 46266 Cons $ 689.40 fuses Kirby Risk PO Box 664117 Indianapolis, IN 46266 Cans $ 689.40 fuses Kirby Risk PO Sox 664117 Indianapolis, IN 46266 Cons 5 571.84 connectors Kirby Risk PO Box 664117 Indianapolis, IN 46266 Cons $ 97.89 connectors Kirby Risk PC Box 664117 Indianapolis, IN 46266 Cons $ 67.20 fuses Kirby Risk PO Box 664117 Indianapolis. IN 46266 Cons $ 450.66 fuses Kirby Risk PO Box 664117 Indianapolis, IN 46266 Cons $ 689.40 fuses Kirby Risk PO Box564117 Indianapolis, IN 46266 Cons $ 385.04 connectors Kirby Risk PO Box 654117 Indianapolis, IN 46266 Cons $ 88.52 light Menards 2150 E. Greyhound Pass Carmel, IN 46033 Cons $ 149.88 hoses Menards 2150 E. Greyhound Pass Carmel, IN 46033 Cons $ 84.17 adaptors Menards 2150 E. Greyhound Pass Cannel, IN 46033 Cons $ 63.96 unions Menards 2150 E. Greyhound Pass Carmel, IN 46033 Cons $ 13.90 adaptors Menards 2150 E. Greyhound Pass Carmel, IN 46033 Cons $ 318.61 air conditioner - computer room Menards 2150 E. Greyhound Pass Carmel, IN 46033 Cons $ 174.86 hoses MK Betts PO Sox 2533 Anderson, IN 46018 Cons 5 390,052.18 construction Service Pipe PO Box 33805 Indianapolis, IN 46203 Cons $ 30.98 bushings Tessco PO Box 102885 Atlanta, GA 30368 Cons $ 1,035.98 well wiring Tessco PO Box 102885 Atlanta, GA 30368 Cans 5 059.28 well wiring Tessco PO Box 102885 Atlanta, GA 30368 Cons $ 56.60 jumper Utility Supply 6310 South Harding St Indianapolis, IN 46217 Cons 5 201.60 valves TOTAL ALLOWANCE OF CLAIMS $ 402,982.21 We have examined the claims listed on the foregoing Register of Claims, consisting of 1 page, and except for claims net allowed as shown en the regis er 5uc lawns are hereby allowed in the total amount of 5492,98 .21 7 Az J Duffy, UtiI - 7 actor pate PLEASE OVERNIGHT CHECKS TO' Carmel Utilities Attn, Lisa Kempa 760 3d Avenue SW Carmel, IN 46032 B & B INSTRUMENTS, INC. 145 W.TAFT DRIVE* P0130X305 SOUTH HOLLAND, IL 60473 708 - 596 -1700 FAX# 708-596-1755 www.bbiTtruments.com email: bbinst@dol.com CIIN14 317 571 -2639 CARMEL WATER UTILITIES BILL 3450 W 131ST. STREET ID :ATTN:ACCT PAYABLE DEPT. CARMEL IN 46074 PRESSURE TEMPERATURE LEVEL FLOW HUit1IUITY INVOICE PUBIll I'.H;,l 1069431 -01 CARMEL WATER TREATMT PLANT #5 slur 5484 E. 126TH ST. PO# W09710 ATTN: KenR /Nbeach Level CARMEL IN 4.6033 c;USIOKER PH. NO, W09710 [,SAOICTVIINR}R NISN<A ORMA FAlr PAKtR _ cts'ftAIEIt P.0:1 IEl IRI: R %AI4: d 1069431 -01 102 05/30/12 153 W09710 06/05/121 I UPS GROUND 1Z10437W0343713711 B 1 1)1}P .... IIINCO11r 1AIIt» CR1I'410A WO AJMITMC L,;' ,1S191.Al' ., olmr.k :U im.Rm tilIirllu * * * * * * * * * * * * * * * * * * * *:t*** * * *** Mail checks to the PO box.. * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 1 1 * ASSEMBLY EA 971.0000 971-00 575SB0030NLS(75FEET) 1 * 575SB003ONLS AMETEK LEVEL XMTR 30# 316SS SILICONE OIL 100 * K515076 AMETEK POLYURETHANE CABLE S /N: RG50339-3-1 2 0 C* ASSEMBLY EA 932.2500 0.00 575SB003ONLS(75 FEET) *KEN RHODES CHANGED CABLE LENGTH FROM 75' TO 100' EACH 6/4/12 -LM 0 * 575SB003ONLS AMETEK LEVEL XMTR 30# 316SS SILICONE OIL ** NO CHARGE ** 0 * K515076 AMETEK POLYURETHANE CABLE ** NO CHARGE ** COAL F_\I'LA ATION .S Ut1 4(II A r. - $T.1l[1A \.l PLICTHLL C - LIN,IDI:ReflMII l:lr: d - FF➢,IpiHFR TAX AL I'IWAIILE Il DIUrIVIRrVILN' MISC: CRIARCI -. STA IL 2 I L1I RAL TAN : AI I I„ 1. FACTII 0.1' MINIMUM 1R4;1[:111 IN FRF I(111 i)llF. - - A - HALINCF HA I:ORIlIIRI 11 - REFLIRNFII (-1 I.. 1 P.I.1-.(IIA ItGL 1:1R -ICIiT 0rAI1 1 I11 111IILR FAX slAil IAA .... I Al \1I N r ucrv. CONTINUED 0E&IGINAL B & B INSTRUMENTS, INC. 145 W. •AFT DRIVE* P O BOX 305 SOUTH HOLLAND. IL 60473 708 - 596 -1700 PAXII708- 596 -1755 www.bbinstruments.com emu IL bbinst @aoI.ccwt CIIN14 PRESSURE TEMPERATURE LEVEL GLOM' HUMID ITY ..::.1NYOIGE N U \II$ER..- 1069431 -01 317 571 -2639 CARMEL WATER UTILITIES CARMEL WATER TREATMT PLANT #5 rnu.3450 W 131ST. STREET SHIP 5484 E. 126TH ST. rO. ATTN:ACCT PAYABLE DEPT. ho: PO# W09710 CARMEL IN 46074 ATTN: KenR /Nbeach Level CARMEL IN 46033 cusrnMNRP.0.NCI. W09710 1A101fE MJM11EH SI,SVIA':11 ORIIF1(11111 :7 f.'; IAkFR CUS I O\Ih R P U._,\UNREN 1069431 -01 102 05/30/12 153 W09710 06/05/12 i ^.1NS'171UCTIO \S E FWI I it E\U..! UPS GROUND 1Z10437W0343713711 M1r r,. QUA N"1'ITY 31 IIII,IHF _ II PPEIj I)ISP. ❑hVCODh NL}I ESC 1111 IIO\ -1 B 2 ;;I I}H 11'RIC h;I 2 2 0 D* 575SE0030NLS(100) AMETEK LEVEL XMTR 30# 316SS SILICONE OIL EA 971.0000 0.00 CODE EXPLANATION • • STATF T »,:A PLICAIILE (, • CONSIDLF ( OhIPI, ri K - PEi.IOTHERTI,X APPI,!CARLE a - IIIRI I'I b1111'M1ILN I' - STATE FEDI RALtXAPP)., F -IA 1UNYM19NIAIlJI IT - NALANU F PA N. 017111: RED 11 -YII 1 DRNFD CYL. ** THIS IS YOUR INVOICE * ** ERfl(nl !\ FREIG1n'1'OL l 0.00 11.30 NET TERMS: INV 0 DUE: 06/05/12 ORIGhIAI- 971.00 1...30 0.00 TOTAL AMT.DUE 2SD 1 2 .BARNES & THOR.NBURC LLP 11 South Mericllatt Street Indianapolis, Indiana 46204 -3535 U.S.A. B.I.N. 35- 0900596 (317)236-L313 CITY OF CARMEL DOUG I- IANEY. CITY ATTORNEY ONE. CIVIC SQUARE CARMEL, IN 46032 PAYABLE UPON RECEIPT Invoice 1489974 May 25, 2012 Brian L. Burdick 06- 13- 12P03 :50 RCV 00004288-009065 WATER BONDS OF 2011 For legal services rendered in connection with the above matter for the period ending April 30, 2012 as described on the attached detail. Fees for Services TOTAL THIS INVOICE 135.00 135.00 Attorney- Client Privileged Communication 00004288 - 000065 CITY OF CARMEL WATER BONDS OF 2011 Date Name Description 1-lours 04/17/12 Anneliese V. Williams Prepared IRS Form 8038 -0 and submitted to IRS for filing. Fees for Services Total $ 135.00 0.50 Page 1 BARNES & THORNBURG LLP 11 South Meridian Street Indianapolis, Indiana 46204 -3535 U.S.A. E.1.N_ 35- 0900596 (317)236 -1313 CITY OF CARMEL DOUG HANEY, CITY ATTORNEY ONE.. CIVIC SQUARE CARMEL, IN 46032 Invoice 1489974 May 25, 2012 Brian L. Burdick 00004288- 000065 PAYABLE, UPON RECEIP -F Fees for Services 't- ---"1$ 135.00 Other Charges TOTAL THIS INV teE 5 0.00 135.011 To remit payments by check, please return this page with remittance to: Barnes R.'Fhornl erg LLP, 11 South Meridian Street, Indianapolis, Indiana 46204 -3535 U.S.A To remit payments by ACH or Wire, send remittance advice to wireconfirmatiunsjbt.law.com Send payment to: Fifth Third Bank, Indianapolis, IN, Account. Number 7653510706 SWIFT CODE: FTBCUS3C ABA 4074908594 for ACII ABA 4042000314 for Wires Chapman Electric Supply, Inc. Branch: 01 Main 13ranch 1500 Westfield Rd. Noblesville, IN 46062 317- 773 -67]2 Bill To: CITY OF CARMEL- UTILITIES 3450 W. 13I ST STREET CARMEL, IN 46074 Customer ID: 100569 INVOICE INVOICE 1065750 Invoice Date Page 6/11/201213x9:38 1ofl ORDER NUMBER 1068275 Ship To: CITY OF CARMEL- UITLITIES 3450 W. 13I ST STREET CARMEL, 1N 46074 PO Number Terns Description Net Due Date Disc Due Date Discount Amaral TJGS'12 WELL 27 Net 30 07/11/12 07/11/12 0.00 Order Date Pick Ticket No Primal), Saksrep Name Taker 6/11/2012 10:3X:35 1057953 DOUSE ACCOUNT DOUG Quantities hem ID hens Description Pricink UOil Grit Size Unit Priea Entitled Price Ordered Shipped Remaining 1lOAI Unit Size Carrier: Tracking #: 6.0000 6,0000 0.0000 EA 1.0 13US1..PJ400SP LP.; 400A 600V FUSE EA 1 155.555556 933.33 loud r ilec 1 SUB - TOTAL: 933,33 TAX: 0.00 AMOUNT DUE: 933.33 ORIGINAL Chapman Electric Supply, Inc. Branch: 01 Main Branch 1500 Westfield 12d. Noblesville, IN 46062 317 -773 -6712 Rill To: CITY OF CARMEL- UTtl.ITIF,S 3450 W. 131ST STREET CARMEL, 1N 46074 Customer Ill: 100569 INVOICE INVOICE 1065771 Invoice Date Page 6 /11 /2012 15:49:07. 1 of 1 ORDER NUMBER - 1064291 Ship To; CITY OF CARMEL- UTILITIES 3450 W, 131ST S'I'RE"E'1' CARMEL, IN 46074 PO Num her Terms Description Net Due Date Disc Due Date Discount Amount WIi1 .,L 27 WATER PLANT Net 30 07 /11 /12 07/11/12 0,00 Order Date Pick Ticket No Primary Saksrep Name Taker 6/11/2012 13:43:55 1057964 HOUSE ACCOUNT DEE Qi codifies Item ID Lear Description Pricing DO,M Unit Ske Unit Price hsrended Price Ordered Shipped Remaining g ("1 Unit Size „ O Carrier: Tracking 4: 1.0000 1.0000 0.0000 EA 1.0 BOSNKLI'12 3/4 X 17 SHII' AUGER EA 21.431000 21.43 Shipment Accepted By: BRIAN Total 1.incv: 1 SUB - TOTAL: 21.43 TAX: 0.00 AMOUNT DUE: 21.43 ORIGINAL Chapman Electric Supply, Inc. Branch: 01 Main Branch 1500 Westfield Rd. Noblesville, IN 46062 317- 773 -6712 Hill To: CCI'Y OF CARMEL- UTILITIES 3450 W. 131ST STREET CARMEL, N 46074 Customer 11): 100569 INVOICE INVOICE 1065755 Invoice Date Page 6111/2012 13:22:56 1 of 1 ORDER NUMBER 1068286 Ship To: CITY OF CARMEL- UTILITIES 3450 W. 131 S1' STREET CARMEL, TN 46074 PO Number Terms Description Net Dare Date Disc Dare Date Discount Amount 7161112 - PLANT 1 Net 30 07/11/12 07/11/12 0.00 Order Date Pick Ticket No Primary Salesrep Name Taker 6/11/2012 11:53:05 1057960 HOUSE ACCOUNT DEL Quantities Item ID Gent Description Gent Prieiaj, ❑orlt Sian Ural Price EIrnded ri Pce Ordered ; Srrijipird . Remaining ! 4"i Unit Size O Carrier: Tracking fl: 4.0000 4.0000 0.0000 EA FERGDLI0 1.0 TIME DELAY IOA 250V GLASS FUSE 6A 1271 200 508 .Shipment Accepted 8y: 'Et Total liens I SUB- TOTAL: TAX: 5.08 0.00 AMOUNT DUE: 5.08 ORIGINAL CROSSROAD ENGIRIFEg5,PC CrossRoad Engineers, PC 3417 Sherman Drive Beech Grove, IN 46107 317 - 780 -1555 City of Carmel - Water - Wastewater Utilities John Duffy 760 3rd Avenue Suite 110 Carmel, IN 46032 For services performed April 28 through May 25, 2012. PROMPT PAYMENT OF INVOICE IS APPRECIATED!! Invoice number Date 12348 05/30/2012 Project 116TH STREET - CIBATEAU DR TO SPRlNGjMILL RD b Research and Survey Design and Bidding Easement Legal Descriptions Easement Plat Exhibits Const. Admin and As Builts Amount Contract Amount 2,800.00 Percent Complete 100.00 Total 2,800.00 Billed Contract Amount 5,200.00 Percent Complete 100.00 Total 5,200.00 Billed Contract Amount 1.00 Percent Complete Total • 0.00 Billed Contract Amount Percent Complete Total Billed 1.00 0.00 425.00 0.00 0.00 400.00 0.00 0.00 Contract Amount 2,200.00 Percent Complete 25.00 Total 550.00 Billed Current Billed 0.00 Current Billed 0.00 Current Billed 0.00 0.00 Current Billed 0.00 0.90 Current Billed 550.00 City of Carmel - Water - Wastewater Utilities Invoice number 123348 Invoice date 05130/2012 . Page 1 of 2 City of Carmel - Water - Wastewater Utilities ,Project M 16TH STREET - CHATEAU DR TO SPRING MILL RD Invoice number 12348 Date 05/30/2012 Thank /au! Chip Cha President Invoice total 550.00 City of Carmel - Water - Wastewater Utilities Invoice number 12348 Invoice dale 05/30/2012 Page 2 of 2 MAIL REMITTANCE TO: INVOICE INVOICE NUMBER 00209956 ITEM DESCRIPTION Lla George E. Booth Co., Inc. George E Booth Co., Inc. ATTN: Accounts Receivable 8202 West 10th Street Indianapolis IN 46214 USA ENTERING OFFICE George E. Booth Co., Inc. 8202 West 10th Street Indianapolis IN 46214 USA INVOICE DATE 06/14/12 PAGE 1/1 BACK ORDERED Oust NO C1199 Dale Ordered 06/08/12 Odle Shipped 06/08712 Written By G. E. BOOTH III Order Type STAND Ship From LnC Selling Loc 01 Ship Melhed UPS Ground Terms Of Payment NET 10125TH PROX FOR Shipping point Customer PO Ne. DAN060812A Mark Number LINE NO QUANTITY ITEM DESCRIPTION UOM UNIT PRICE DISCOUNT EXTENDED AMOUNT TOTAL ORDERED BACK ORDERED THIS SHIPMENT 0010 6.00 0.00 6.00 8210G094,120/60 EA 108.5809 651.48 VALVE,SOLENOID,1 /2 ",2W,NC,BR VALVE,SOLENOID,1 /2 ",NC, BRASS REPAIR KIT FOR THIS VALVE - 302272 Cust Line: 1 0020 6.00 0.00 6.00 PB11B EA 241.0000 1- ,446.00 ASCO PRESSURE SWITCH Cust Line: 2 Phone: 317-247-0100 AMOUNT 2,09.48 SO #: 00098349 FRGHT INSIHNOL 30.10 PL #: DROP 51-1IPPED SALES TAX 0.00 AMOUNT DUE 2,127.58 e L L T 0 CITY OF CARMEL ATTN: CARMEL OISTRIBLTION CENTER 3450 W. 131st Street CARMEL IN 46074 5 H P T 0 CITY OF CARMEL PLANT 5 ATTN: CITY OF CARMEL PLANT 5 5484 E. 126TH STREET CARMEL IN 46033 MAIL REMITTANCE TO INVOICE INVOICE NUMBER 00204296 fl UOM George Booth nc. V 9 G E. Co., ° ENTERING OFFICE George E. Booth Co., Inc. 8202 West 10th Street Indianapolis IN46214 USA INVOICE DATE 06/21112 George E. Booth Co.. Inc. ATTN: Accounts Receivable 8202 West 10th Street Indianapolis IN 46214 USA PAGE 111 0010 Oust NO C1190 Data Ordered 06/08712 De e Shipped 06721/12 Written By G. E. BOOTH 111 Order Type STAND Ship From Loc 01 Selling Lx 01 sup Method UPS Ground Tarns C1 Pavment NET 10725TH PROX FOB Shipping point Customer PO ND. DAN060812A Mark Number Trackinc numbers: 1E4418480340417875 LINE NO' QUANTITY ITEM DESCRIPTION UOM UNIT PRICE DISCOUNT EXTENDED AMOUNT TOTAL ORDERED BACK ORDERED THIS SHIPMENT 0010 6.00 0.00 6.00 RE10A21 TRANSDUCER,PRESSURE,ASCO EA 99.0000 594,00 Phone: 317 -247 -0100 SO#: 00098349 PL #: 00099876 AMOUNT 594.00 FRGHT/INS/HNDL 21.16 SALES TAX 0 00 AMOUNT DUE 615.16 L L T D CITY OF CARMEL ATTN, CARMEL DISTRIBUTION CENTER 3450 W. 131st Street CARMEL 11.446074 T 0 CITY OF CARMEL PLANT 5 ATTN'. CITY OF CARMEL PLANT 5 5484 E. 126TH STREET CARMEL IN 46033 July 5, 2012 Pay to: Hamilton County Recorder Noblesville, IN Recording of Easements $373.00 lot Kirby Risk 1815 Sagamore Pkwy Lafayette, IN 47904 368 1 AB 9.374 E0058 16094 0466388115 P1041210 9692:6962 11111111111' 11lln 11 111Llllli11 '11llllnIl1'''lIII"11III'llllll ..9t CARMEL WATER TREATMENT 3450 W 131ST ST CARMEL IN 46074 -8267 INVOICE. DATE . 04/16/12 DUE DATE 05/16/12 SHIP TO: INVOICE INVOICE NUMBER S106235023.001 CUSTOMER# 11788 TOTAL DUE I AMOUNT PAID 60.49 PLEASE REMIT PAYMENT TO:' KIRBY RISK CORPORATION P.C. BOX 664117 INDIANAPOLIS IN 46266 -4117 CARMEL WATER TREATMENT 3450 W 131ST ST CARMEL IN 46074 -8267 OETACH ZIPPER PORTION AND RETURN WITH YOUR PAYMENT _.CI1SEQMERNUMBERI_. -. -- CUST,OMER.RO.NUMBER_.____._I. 11788 BT041612 SALESPERSON MARK S BAYS ORDER QTY SHIP QTY lea 34ft lea lea lea 2ea 4ea lea 1ea 34ft lea lea lea 2ea 4ea lea SHIP VIA - PK PICK -UP DESCRIPTION ORDERED BY ISALES OFFICE BRIAN TOLAN T&B IHD3 -2 3 HOLE 314"" UNIV DEV BX - DEEP CORD SJOOW- 12/3 -250FT BLK NEO 90C .430 OD 250FT SLACK T&B CKNM 1GANG COVR,NM,VERT,PAD LOCKBLE HUBB HBL5266C 15A 125V MALE PLUG NEMA 5 -15P HUBB GF20ILA 20A 125V COMM LED GFCI, IV EGS CNN -200 NEER 3/4 D/C CONDUIT NIPPLE EGS L -200 3/4 STEEL LOCKNUT EGS PB -200 -D 3/4 105D PLSTC INSBSH FISHERS PHONE NUMBER SHIP DATE 317 - 598 -6170 04(16/12 ITEM PRICE UNIT EAT AMOUNT CASH DISC 725.08 835.21 100ea 1000ft 636.88 100ea 8.05 1ea 9.04 lea 52.50 100ea 6.86 100ea 5.96 100ea 7.25 28.40 6.37 8.05 9.04 1.05 0.27 0.06 Billing Questions: Billing_request @kirbyrisk.com (765) 446 -3054 Invoice is due by 05116112. 0002:0002 4116/201210;37.15 AM 5106235023.001 Jotakt2z7I- ""��,, eFiANYOLAN 1TV( Kirby Risk Invoice Number 5106235023.001 Subtotal 60.49 S &H Charges Sales Tax AMOUNT DU Page 0.00 0.00 60.49 of 1 Kirby Fisk 1515 Sagamore Pkwy Lafayette, IN 47904 ECOC3 10021 0481755624 P1067727 0004:0089 I'I III'II1111''I II'III,1111'I II1I111 11111111"II'1"11"441111'11 CARMEL WATER TREATMENT 3450 W 131ST ST CARMEL IN 46074 -8267 E4 /,INVOICEUATE'I 05/16/12 UE,DATE# 06/15/12 SHIP TO: INVOICE 'INVOICENUMBER,- ':':`:"•'CUSTOMER # 3106263808.003 TOTAD OUEta 71.60 11788 i• AMOUNT£PARte t- }+ +`PLEASE REMITPAYMENTT.TO KIRBY RISK CORPORATION P.O. BOX 664117 INDIANAPOLIS IN 46266 -4117 CARMEL WATER TREATMENT 010 KIRBY RISK 11110 Allisonville Road FISHERS IN 46038 -1837 CUSTOMER NUMBER 'CUSTOMER PO NUMBER s. DETACH UPPER PORTION ANC RETURN WITH YOUR PAYMENT 11788 BT051412C SALESPERSON .; KEVIN R FORD DIRECT RELEASE NUMBER P4BSTR MOTOR CONNECT ORDERED BY;t • .SALES OFFICE BRIAN TOLAN DESCRIPTION" .: FISHERS PHONE NUMBER 317 -598 -6170 05/16/12 ?' ITEM PRICE UNIT' •d EXT AMOUNT.: .CASH DISCi.{'c. EGS RB300 -150 3X1 -1/2 RED BUSH "SUBJECT TO VENDOR RETURN POLICY " EGS BLSG -300 3 -IN SEALING LOCKNUT "SUBJECT TO VENDOR RETURN POLICY** 1203.74 1324.45 100ea 24.07 26.49 Billing Questions: Rilling_request @kirbyrisk.com (765) 446 -3054 Invoice is due by 06/15/12. 0004:000 MI6 Kirby Risk Invoice Number 5106263808.003 Subtotal S&H Charges Sales Tax 50.56 21.04 MOUNT'D,UE 0.00 71.60 Page 1 of 1 Kirby Risk 1815 Sagamore Pkwy Lafayelte, IN 47904 E0005 10039 0482977 715 P10699720004 Coos 1111II1111111d11'1l "1. 111111' 1111111 '1111t'11111I11111 1111111! CARMEL WATER TREATMENT 3450 W 1315T ST CARMEL IN 46074 -8267 INVOICE „'INVOICE DATE r' `INVOKE NUMBER CUSTOMER* 05/18/12 rr'DUE -DATE 06/17112 SHIP TO: S106263808.005 11788 Z .. �aTOTAL'I`DUE, � :.AMOUNT PAID 79.74 PLEASE REMITPAYM ENT TO:`"` KIRBY RISK CORPORATION P.O. BOX 664117 INDIANAPOLIS IN 46266 -4117 CARMEL WATER TREATMENT C/O KIRBY RISK 11110 Allisonville Road FISHERS IN 46038 -1837 `rt1b. U lfg1 :afPL'il;1 11788 1H i•Irld:atra:UL ia4 BT051412C pl. SHIP VIA { .,1 -:.. WC51 WILL -CALL `SALESPERSON'_ KEVIN R FORD DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT - 4 4 1 1 4 ‘ 1 4 : 1 1 1 1 1 : 1 1 , 1 P4BSTR MOTOR CONNECT ORDEREDBY: BRIAN TOLAN SALES OFFICE I, PHONE NUMBERI SHIP DATE FISHERS 317- 598 -6170 05/18/12 Sea Sea "DESCRIPTION; 'A ITEM PRICE,%.: ., UNIT'. CARL LT2OH 1 -112" 90-r LIOUIDTIGHT FTC CARLON *SUBJECT TO VENDOR RETURN POLICY** Billing Questions: Billing_request @kirbyrisk.com (765) 446 -3054 Invoice Is due by 06117112. 0004:0098 1594.89 OOea 50.'2'012 11(12.51 Am 906263809 005 ThCAk/ Zz ig BRIAN TOLAM Kirby Risk EXT AMOUNT ''CASH DISC;, IP 79.74 Invoice Number 5106263808.005 S &H Charges Sales Tax 79.74 0.00 0.00 79.74 Page 1 of 1 Kier y isk 1815 Sagamore Pkwy Lafayette, IN 47904 E0005% 10036 0482977712 P1069972 90010008 I111lIiii i1 d iiiiI111111111111111111 111ii111il,1hlih111111111 CARMEL WATER TREATMENT 3450 W 131ST ST CARMEL IN 46074 -8267 INVOICE INVOICE DATE . c xINVOICE NUMBERH 05/16/12 DUE DATE_ 06/15/12 SHIP TO: 5106263808.001 CUSTOMERp j 11788 TOTAL[DUE Ar w' "AMOUNT PAID 231.92 r PLEASE REMIT PAYMENT TO3""' ;21 KIRBY RISK CORPORATION P.O. BOX 664117 INDIANAPOLIS IN 46266 -4117 CARMEL WATER TREATMENT C/O KIRBY RISK 11110 Allisonville Road FISHERS IN 46038 -1837 CUSTOMER NUMBER ' 4CUSTOM ER PO NUMBER, ,.'._ 11788 BT051412C DETACH UPPER PORTION ANO RETURN WITH YOUR PAYMENT RELEASE NUMBER'' P4BSTR MOTOR CONNECT *.;'SALESPERSON :SALES OFFICE I PHONE NUMBERN : 'SHIP DATE KEVIN R FORD W051 WILL -CALL BRIAN TOLAN FISHERS 317 -598 -6170 05/16/12 4ea 4ea 4ea 4ea 12ea 12ea 4ea 4ea 2ea 2ea tea 2ea 10Dea 100ea 100ea 100ea CARLLT43H 1 -112" STRAIGHT L1QUIDTIGHT FTG. EGS BLSG -150 1 -1/2 SEALING LOCKNUT T &B 20H SPLIT -BOLT BRONZE 3M 33PLUS- SUPER- 314X66FT 3M 130C- 1X3OFT SPLICING TAPE 3M 2520- 3 /4X6OFT YEL VC TAPE CULL 602123 1/4-20 MACHINE SCREW ANCHORS CULL 55016J 114 -20 X 1 HEX HEAD BOLT ZP ' DESCRIPTION* • ITEM,PRICE 863.51 100ea 286.29 100ea 559.07 100ea 3.80 lea 13.04 lea 20.25 31.16 5.90 lea 100ea 100ea ENT AMOUNT4 '{CASH DISC 34.54 11.45 67.09 15.20 26.08 40.50 31.16 5.90 Billing Questions: Billing_request @kirbyrisk_oom (765) 446 -3054 Invoice is due by 05/15■12. DC0iii0008 51211 :X1214 -0620 AM BRIAN TOLAM KR Kirby Risk 5106260808.001 Z2Cf Invoice Number 3106263808.001 Subtotal S&H Charges Sales Tax Y ^: 'AMOUNT° ijE 231.92 0.00 0.00 231.92 Page 1 of 1 Kirby Risk 1815 Sagamore Pkwy Lafayette, IN 47904 E000§ 10037 U482977713 P1069972 0002:0008 Irlll1r 1lliSrr11111rr lr II11111 1IlIIII .111111111111til11lrrrlllll CARMEL WATER TREATMENT 3450 W 131ST ST CARMEL IN 46074 -8267 i.' INVOICE:OATE7, 05/16/12 DUE DATE , 06/15/12 SI-11P TO: INVOICE INVOICENUMBER 5106263808.002 CUSTOMER 11788 •u TOTAL DUE` . I A'AMOUNT PAID 23.93 LEASE REMITPAYMENT.TO;;;:, KIRBY RISK CORPORATION P.O. BOX 664117 INDIANAPOLIS IN 46266 -4117 CARMEL WATER TREATMENT 0/0 KIRBY RISK 11110 Allisonville Road FISHERS IN 46038 -1837 CUSTOMER NUMBER CUSTOMER PO NUMBER` J. 11788 BT051412C DETACH UPPER PVRIION AND RETURN WITH YOUR PAYMENT RELEASE NUMBER P4BSTR MOTOR CONNECT SALESPERSON ° 11 �Y,: SHIP VIA i KEVIN R FORD WC51 WILL -CALL ;ORDERED BY SALES OFFICE I PHONE NUMBER • . BRIAN TOLAN FISHERS 317 - 598 -6170 ORDER OT,Y, 'SHIP QTY DESCRIPTION2,: ITEM PRICE:, UNIT ,, ELEF NM15- 1 -1/2" NON METALLIC -CUT GRAY 1 -1/2 LIQUATITE 199.40 SHIP DATE 05/16112 EXTAMOUNT •. CASH DISC'• 23.93 Billing Questions: Billing-requesl @kirbyrisk.com (765) 446 -3054 Invoice is due by 06115/12. 0002 :09Pa 6121/20121L64n5AM -T OL.4r4 BRIAN TOLA N e1082GN08.002 Kirby Risk Invoice Number Subtotal S &H Charges Safes Tax 5106269808.002 23.93 0.00 0.00 23.93 Page 1 of 1 Kirby Risk 1815 Sagamore Pkwy Lafayette, IN 47904 479 1 AB 0.974 E0057X 10091 0495791186 P1091776 0001:0002 1111 iiil11. 111111111 1l IIEl ll111I 'iiilllllllllllllillllllll11.1" CARMEL WATER TREATMENT 3450 W 131ST ST CARMEL IN 46074 -8267 INVOICE DATE 06/13/12 DUE DATE 07/13/12 SHIP TO: INVOICE INVOICE NUMBER S106334947.001 TOTAL DUE 68940 CUSTOMER# -, 11788 AMOUNT, PAID PLEASE REMIT!PAYMENT -TO: KIRBY RISK CORPORATION P.C. BOX 664117 INDIANAPOLIS IN 46266-4117 CARMEL WATER TREATMENT 3450 W 131ST ST CARMEL IN 46074 -8267 CUSTOMER NUMBER I CUSTOMER PO NUMBER 11788 BT061312A SALESPERSON SHIP VIA DETACH UPPER PORTION AND RETURN WITH YOHR PAYMENT • RELEASE NUMBER ORDERED BY SALES OFFICE " I PHONE NUMBER BOB J ZIMMERMAN WC51 WILL -CALL BRIAN TOLAN ORDER QTY SHIP QTY 3ea DESCRIPTION FISHERS 317- 598 -8170 ITEM PRICE UNIT EXT AMOUNT BUSS LPJ -600SP 600V J TD FUSE 229.80 Billing Questions: Billing_request @kirbyrisk . com (765) 446 -3054 Invoice is due by 07113f12. 0001:0002 61114/201211:26;A AM SID 5334947001 BRlAPI rat.Ar4 Kirby Risk SHIP DATE -`: 06)13112 689.40 Invoice Number 5106334947.001 Subtotal 689.40 S&H Charges Sales Tax 0.00 Page 1 of Kirby Risk 1815 Sagamore Pkwy Lafayette, IN 47904 529 1 MA U 404 E0226X 16416 5497404323 P1094244 0001:9001 WIIIIIIIIIIIIIIIIIIIIIIIIIII" Ir IIIJI 'j'II)IIIIIIIIII�IiiiJiiiiIII ' CARMEL WATER TREATMENT n ' 3450 W 131ST ST CARMEL IN 46074 -8267 INVOICE {f=.INVOICEIDATE 06/16/12 DUE!DATEs� %. 07/16/12 SHIP TO: INVDICE NUMBER? I CUSTOMER 4 • S106339057.001 11788 , ?1. TOTAL IIDUEIi'.t'iIN:yAMOUNT1PAID'y 669.40 Fy „LiF LEASEIREMITIPAYMENT TO c. -,; ;T e KIRBY RISK CORPORATION P.O. BOX 664117 INDIANAPOLIS IN 46266 -4117 CARMEL WATER TREATMENT 010 KIRBY RISK ELECTRICAL SUPPLY 11110 ALLISONVILLE ROAD FISHERS IN 46038 -1837 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER,NUMBER I,y .c. cot TOMER'P,O NUMBER:'"_• 11788 BT061512A @SALESOPFICE? {t'PHONE'NUMBERto rr- iSHIPaDATE p °. JASON PHILLIPS DIRECT BRIAN TOLAN FISHERS 317 -598 -6170 ORDER QTY -'SHIP QTY I < 3ea 3ea BUSS LPJ -600SP 600V J TD FUSE 06/16112 IYEM PRICE " UNIT ' E%TTAMDUNT . I .',CASHiDISC , 229.80 Billing Questions: Billing_request ©kirbyrisk corn (765) 446 -3054 Invoice is due by 07/16/12. 0001:0001 KR Kirby Risk 689.40 Invoice Number 5106339057.001 Subtotal S &H Charges Sales Tax AMOUNT DUE 689.40 0.00 0.00 689.40 Page 1 of 1 Kirby Risk 1815 Sagamore Pkwy Lafayette, IN 47904 612 1 MB 0464 0213 10509 0432358225 P1087626 0002:0002 flillglllhp. lgrilill11111 IIiDIPpll1111h111111111.11111ill CARMEL WATER TREATMENT 3450 W 131ST ST CARMEL IN 46074 -8267 INVOICE DATE 06/08/12 DUE DATE 07/08/12 SHIP TO: INVOICE INV6CE,NUMBER1 3106324801.002 CUSTOMER #t4 11788 '3, OTAL DUE' • -.AMOUNT PAID -' 571.84 .11,1LEASE REMIT.PAYMENT TO: KIRBY RISK CORPORATION P.O. BOX 664117 INDIANAPOLIS IN 46266 -4117 CARMEL WATER TREATMENT 11110 ALLISONVILLE RD FISHERS IN 46038 -1837 CUSTOMER NUMBER I CUSTOMER PO NUMBER 11788 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT 3T060712A SALESPERSON ED ZINK ORDER CITY SHIP OTY 9ea 9ea SHIP VIA RELEASE NUMBER Gen Conn DIRECT DESCRIPTION ORDERED BY BRIAN TOLAN NSI ISR -500 500 -4 INSULATED CONN " "SUBJECT TO VENDOR RETURN POLICY "' 2000 in stock at North Carolina Factory SALES OFFICE,:" PHONE NUMBER-. ' SHIP pATE ." FISHERS ITEM PRICE 53.49 317 - 598 -6170 06108/12 UNIT EXT AMOUNT CASH DISC .r • 1ea 481.41 81iling Questions: Billing_request @kirbyrisk.com (765) 446 -3054 Invoice is due by 07108112. 0002:0002 61612 01 2 11.09. O AM EIQST24aol002 BRIAN TOLAN Kirby Risk Invoice Number 8106324801.002 90.43 0.00 571.84 Page 1 of 1 tth Kirby Risk 1815 Sagamore Pkwy Lafayette, IN 47904 612 1 MB 0.404 E0313X 10588 0402356224 P1037626 3001D002 111111 111111111.1111.111.111.111111111"1111111oldipiolliniilill CARMEL WATER TREATMENT 3450 W 131ST ST CARMEL IN 46074 -8267 INVOICE DATE 06107/12 ;DUE DATE 07107/12 SHIP TO: INVOICE 7INVOICE.NUMRER;1 CUSTOMER #:.` S106324801.001 .TOTAL DUE' `. °. 97.89 11788 AMOUNT PAID PLEASE REMIT PAYMENT.TQ:i. KIRBY RISK CORPORATION P.O. BOX 664117 INDIANAPOLIS IN 46266 -4117 CARMEL WATER TREATMENT 11110 ALLISONVILLE RD FISHERS IN 46038 -1837 CUSTOMER NUMBER 11788 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT' CUSTOMER PO NUMBER BT060712A SALESPERSON ED ZINK ORDER OTY SHIP WY 3ea SHIP VIA RELEASE NUMBER Gen Conn .ORDER£O BY WC51 WILL -CALL BRIAN TOLAN 3ea NSI ISR -250 INSULATED CONN 49 in KR Indy stock DESCRIPTION SALES OFFICE PHONE NUMBER' • SHIP DATE -i FISHERS ITEM PRICE 32.63 UNIT ea 317 -598 -6170 06107/12 EXT AMOUNT. . CASH DISC ' 97.89 Billing Questions: Billing_request @kirbyrisk.com (765) 446 -3054 Invoice is due by 07!07112. 0001:3802 51812 012 11 09 37 AM SEIM- 4801001 SRIANTOLAN Kirby Risk Invoice Number 5106324801.001 Subtotal 97.89 S&H Charges Sales Tax AMOUNT DUE 0.00 0.00 97.89 Page 1 of Kirby Risk 1815 Sagamore Pkwy Lafayette, IN 47904 393 1 AB 0.374 E0063X 10095 0499700215 P1096029 0001:0001 IId14rllul IIIIIuiIIIIIhiuIIIIIII III IIIIIIIIIiilllrrl Ihlll 'rg CARMEL WATER TREATMENT 3450 W 131ST ST CARMEL IN 46074 -8267 : INVOICE DATE. 06/20/12 ;DUE DATE' 07/20/12 SHIP TO: INVOICE INVOICE NUMBER S106348133.001 CUSTOMER# 11788 t ' TOTAL DUE '' "AMOUNT PAID',' 67.20 PLEASE, REMIT PAYMENT TO :, KIRBY RISK CORPORATION P.O. BOX 664117 INDIANAPOLIS IN 46266 -4117 CARMEL WATER TREATMENT 3450 W 131ST ST CARMEL IN 46074 -8267 CUSTOMER NUMBER I - CUSTOMER PO NUMBER 11788 DETACH UPPER PORTION AND RETURN WITH YOUR PAY BT062012B SALESPERSON MARK S BAYS ORDER QTY SHIP QTY 2ea 2ea 2ea 2ea SHIP VIA ORDERED BY ENT . RELEASE NUMBER I' SALES OFFICE I PHONE NUMBER SHIP DATE PK PICK -UP BRIAN TOLAN DESCRIPTION 2ea BUSS KTK -R -15 600V MIDGET FUSE 2ea BUSS KTK -R -5 600V MIDGET FUSE 2ea BUSS FNQ -R -5 600V MIDGET TD FUSE 2ea BUSS FNQ -R -15 FUSE FISHERS 317 -598 -6170 06/20/12 ITEM PRICE UNIT EXT AMOUNT CASH DISC 7.57 lea 7.57 lea 9.26 lea 9.20 lea 15.14 15.14 18.52 18.40 Billing Questions: Billing_request@kirbyrisk.com (765) 446 -3054 Invoice is due by 07/20/12. 0001:0001 612012012 2:31.19 PM 5106348133.DOI TOLA,il z2 �f� BRIAN TOLAN 901( Kirby Risk Invoice Number S106348133.00 Subtotal 67.20 S81H Charges Sales Tax ,AMOUNT, DUE 0.00 0.00 67.20 Page 1 of 1 Kirby Risk 1815 Sagarnore Pkwy Lafayette, IN 47904 385 1 AP 3.374 E0050 10977 0493695825 F1089936 0003:0002 111111 1�h111' 11I' II' I' IIIIIiiIIII�I lnllll'Il'IIIIIIII1II'II'I'I CARMEL WATER TREATMENT 3450 W 131ST ST CARMEL IN 46074 -8267 INVOICE DATE 06/04/12 DUE DATE 07/04/12 SHIP TO: INVOICE INVOICE NUMBER I CUSTOMER N. S106315813.001 11788 TOTAL DUE I AMOUNT PAID 450.66 PLEASE REMIT PAYMENT TO: KIRBY RISK CORPORATION P.Q. BOX 664117 INDIANAPOLIS IN 46266 -4117 CARMEL WATER TREATMENT 3450 W 131ST ST CARMEL IN 46074 -8267 CUSTOMER NUMBER! 11788 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER PO NUMBER BT052412A SALESPERSON KENNETH R WALTERS ORDER QTY SHIP OTY 3ea 3ea SHIP VIA WC51 WILL -CALL DESCRIPTION BUSS LPJ -400SP 600V J TD FUSE 14 in KR Indy 52nd St stock ORDERED BY RELEASE NUMBER SALES OFFICE PHONE NUMBER BRIAN TOLAN FISHERS ITEM PRICE 150.22 UNIT lea 317 -598 -6170 EXT AMOUNT 450.66 SHIP DATE 06!04112 CASH DISC Billing Questions: Billing_requesI kirbyrisk.com (765) 445 -3054 Invoice is due by 07/04/12. 0092:9903 611112012 3 32 91PM S103113313. WI Mum" 2.,25 -g RRAP.I TCLAr1 Kirby Risk Invoice Number Subtotal S &H Charges Sales Tax 5106315813.00 450.66 'h'`AMQUNT DUE, 0.00 0.00 450.66 Page 1 of 1 Kirby Risk 1815 Sagamore Pkwy Lafayette, IN 47904 365 1 AB 0.374 E0050X 10075 D493506320 P1084935 0301:0003 1111111II" 11'il l' ll' I'l lii1111111111rrlll l'II'IIIIII11111.1111'1 Ea 'S CARMEL WATER TREATMENT 3450 W 131ST ST CARMEL IN 46074 -8267 INVOICE DATE 06/01/12 DUE DATE 07/01/12 SHIP TO: INVOICE • INVOICE NUMBER I CUSTOMER .# S106283609.001 11788 • TOTAL DUE I AMOUNT PAID 689.40 PLEASE REMIT PAYMENT TO:. KIRBY RISK CORPORATION P.O. BOX 664117 INDIANAPOLIS IN 46266 -4117 CARMEL WATER TREATMENT 3450 W 131ST ST CARMEL IN 46074 -8267 CUSTOMER NUMBER I CUSTOMER PO NUMBER 11788 3T0514121 SALESPERSON KEVIN R FORD ORDER CITY SHIP CITY Sea SHIP VIA DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT ORDERED BY RELEASE NUMBER Well 28 Line Fuses WC51 WILL -CALL BRIAN TOLAN 3ea BUSS LPJ -600SP 600V J TD FUSE DESCRIPTION SALES OFFICE FISHERS ITEM PRICE 229.80 PHONE NUMBER SHIP DATE 317- 598 -6170 UNIT EXT AMOUNT lea 689.40 Billing questions: 6illing_reyuestgkirbyrisk.com (765) 446 -3054 Invoice is due by 07101112_ 000i:00 03 6/1112012 3 03 33 PM S10821n609 001 7cGA z ?S BRIAN TOLAN KR Kirby Risk Invoice Number 06/01/12 CASH DISC • S106283609.0011 Subtota 689.40 S &H Charges Sales Tax AMOUNT DUE 0.00 0.00 689.40 Page 1 of 1 Kirby Risk 1815 Sagamore Pkwy Lafayette, IN 47904 385 1 AB 0.374 E9050 10376 0493606822 P1089936 0002:0003 111111 1l1" II' 11l' 11' 1' 111111111111111111111I1i111IiIIIIi1 'Ilrl11 CARMEL WATER TREATMENT 3450 W 131ST ST CARMEL IN 46074 -8267 INVOICE DATE 06/01/12 DUE DATE 07/01/12 SHIP TO: INVOICE INVOICE NUMBER S106286255.001 CUSTOMER# 11788 TOTAL DUE AMOUNT PAID 385,04 PLEASE REMIT'PAYMENT TO: KIRBY RISK CORPORATION P.O. BOX 664117 INDIANAPOLIS IN 46266 -4117 CARMEL WATER TREATMENT KIRBY RISK 11110 Allisorville Road FISHERS IN 46038 -1837 CUSTOMER NUMBER . CUSTOMER PO NUMBER 11788 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT BT051812B SALESPERSON KEVIN R FORD ORDER OTY SHIP CITY 2ea lea lea 4ea SHIP VIA WC51 WILL -CALL RELEASE NUMBER P4 CNTL HEAT DISC ORDERED BY BRIAN TOLAN DESCRIPTION .. 2ea SIEM HNF361R 30A 3P 3W 600V TYPE 3R HD VBil NON -FUSE lea HOFF A10106CH CH BOX 10.O0X10.00X6.00 lea HOFF AlOP10 PANEL 8.75X8.88 FITS 10:00X10. 4ea N5I AS -K1 -H4 2/0 - 14 AWG PD CONNECTOR BLOCK 1 POLE "SUBJECT TO VENDOR RETURN POLICY" SALES OFFICE I PHONE NUMBER FISHERS ITEM PRICE 113.63 70.37 6.29 20.28 UNIT lea lea 1ea lea 317- 598 -6170 SHIP DATE 06101/12 EXT AMOUNT CASH DISC 227.26 70.37 6.29 81.12 Billing Questions: Siding request @kirbyrisk.00m (765) 446 -3054 Invoice is due by 07!01/12_ 0002:0303 smi2012304, 5 PM 5106286255001 BRIAN 'ELAN Kirby Risk Invoice Number S106286255.001 Subtotal 385.04 S &H Charges Sales Tax AMOUNT'DUE 0.00 0.00 385.04 Page 1 of 1 Irby isk 1815 Sagamore Pkwy Lalayette. IN 47904 E0003 10021 B4B2307953 1'10686290002:0006 IIIIII11111111 1111111111111111111111 111111111111111111111111 .2 CARMEL WATER TREATMENT 3450 W 131ST ST CARMEL IN 46074 -8267 INVOICE DATE 05/17112 DUE DATE' 06/16/12 SHIP TO: INVOICE INVOICE NUMBER S106284722.001 CUSTOMER 11788 • TOTAL DUE' `AMOUNT PAID, 88.82 •} ".,PLEASE REMIT; PAYMENT,TO:"•' KIRBY RISK CORPORATION P.O. BOX 664117 INDIANAPOLIS IN 49266 -4117 CARMEL WATER TREATMENT CIO KIRBY RISK 11110 Allisonville Road FISHERS IN 46038 -1837 CUSTOMER NUMBER I . CUSTOMER PO NUMBER;_ 11788 DETACH UPPER PORTION AN BT051412H ' SALESPERSON KEVIN R FORD ORDER OTY SHIP CITY 2ea SHIP VIA: DIRECT DESCRIPTION RETURN WITH YOUR PAYMENT RELEASE UMRBR P4 VLT Lights ORDERED BY • I SALE OFFICE BRIAN TOLAN 2ea EGS 643 UTILITY LGT W /PLASTIC GLOBE " "SUBJECT TO VENDOR RETURN POLICY" FISHERS ITEM PRICE 44.41 UNIT tea PHONE NUMBER 317 -598 -6170 EAT AMOUNT 88.82 SHIP DATE 05/17!12 CASH OISC Billing questions: Billing_requeslee kirbyrisk.corn (765) 4463054 Invoice is due by 06116112. 0003 -0006 KR Kirby Risk Invoice Number Subtotal S&H Charges Sales Tax 5106284722.001 88.82 OUNT DUE 0.00 0.00 88.82 Page 1 of 1 O CITY / CARMEL WATER DIST EMAIL 3450 W 131ST ST CARMEL FAX # (317)733 -2053 INVOICE if 53129 * * * * * * * * * * * * ** * GUEST COPY * * ** * * * * * * * * *** IN 46074 TRANSACTION DATE : 05/20/12 TRANSACTION TIME : 85505 REGISTER NUMBER 4 SIGNER : TIM VANDERGRIFF QUANTITY SKU DESCRIPTION MENARDS - CARMEL 2150 E. GREYHOUND PASS CARMEL, IN 46033 ACCOUNT : 30830253 TRANSACTION # : 5770 PURCHASE ORDER ## : PLANT1 TYPE OF SALE : Charge Sale CLAIM # : PLANT1 AMOUNT 1.00 1.00 1.00 1.00 1.00 1.00 2741053 2741053 2741053 2741053 2741053 2741053 5 /8"X50' RUBBER HOSE 5/8 "X50' RUBBER HOSE 5/8 "X50' RUBBER HOSE 5/8 "X50' RUBBER HOSE 5/8 "X50' RUBBER HOSE 5/8 "X50' RUBBER HOSE SUB- TOTAL: TOTAL TAX: PAYMENTS : TOTAL DUE: i 1 ,� ' �� /\ 1 // J 4-4' /' 7/ 24.98 24.98 24.98 24.98 24.98 24.98 149.88 0.00 0.00 149.88 G CITY /CARMEL WATER DIST EMAIL 3450 W 131ST ST CARMEL FAX # (317)733 -2053 INVOICE # 50153 * GUEST COPY * IN 46074 TRANSACTION DATE 06/11/12 TRANSACTION TIME : 133238 REGISTER NUMBER 4 SIGNER : DANIEL JENKINS MENARDS - CARMEL 2150 E. GREYHOUND PASS CARMEL, IN 46033 ACCOUNT : 30830253 TRANSACTION # : 3242 PURCHASE ORDER # : DAN 061112B TYPE OF SALE : Charge Sale CLAIM # : DAN 061112E QUANTITY SKU DESCRIPTION AMOUNT 1.00 1.00 1.00 1.00 1.00 6801685 6801685 6890748 6890748 6913324 FEM HOSE FEM HOSE 1/2" SXT 1/2" SXT MINI -VAC 42 ADAPTOR 3/4X1/2" ADAPTOR 3/4X1/2" MALE ADAP PVC BO MALE ADAP PVC 80 HOUSEHOLD PUMP SUB - TOTAL: TOTAL TAX: PAYMENTS : TOTAL DUE: 5.12 5.12 1.97 1.97 69.99 84.17 0.00 0.00 84.17 G CITY /CARMEL WATER DIST EMAIL 3450 W 131ST ST CARMEL FAX # (317)733 -2053 INVOICE # 51091 * * * * * * * * * * * * ** * GUEST COPY,* * * * * * * * * ** * * ** IN 46074 TRANSACTION DATE : 06/14/12 TRANSACTION TIME : 101648 REGISTER NUMBER 6 SIGNER : DANIEL JENKINS QUANTITY 1.00 1.00 1.00 1.00 SKU DESCRIPTION MENARDS - CARMEL 2150 E. GREYHOUND PASS CARMEL, IN 46033 ACCOUNT : 30830253 TRANSACTION # PURCHASE ORDER # : TYPE OF SALE CLAIM # 7106 DAN 061412 Charge Sale DAN 061412 AMOUNT 6805236 6805236 6805236 6805236 1" RED BRASS UNION FXF 1" RED BRASS UNION EXF 1" RED BRASS UNION FXF 1" RED BRASS UUNION FXF SUB- TOTAL: TOTAL TAX: PAYMENTS : TOTAL DUE: / /1 15.99 15.99 15.99 15.99 63.96 0.00 0.00 63.96 G CITY / CARMEL WATER DIST EMAIL 3450 W 131ST ST CARMEL FAX # (317)733 -2053 INVOICE # 50034 * * * * * * * * * * * * ** * GUEST COPY * * * * * * * * * * * * * ** IN 46074 TRANSACTION DATE : 06/11/12 TRANSACTION TIME : 90942 REGISTER NUMBER 6 SIGNER : DANIEL JENKINS QUANTITY SKI) DESCRIPTION MENARDS - CARMEL 2150 E. GREYHOUND PASS CARMEL, IN 46033 ACCOUNT : 30830253 TRANSACTION # PURCHASE ORDER # : TYPE OF SALE CLAIM # 5995 DAN 061112 Charge Sale DAN 061112 AMOUNT 1.00 6873024 10PK FEMALEADAPTER12CXFPT SUB - TOTAL: TOTAL TAX: PAYMENTS : TOTAL DUE: 13.90 13.90 0.00 0.00 13.90 G CITY /CARMEL WATER DIST EMAIL 3450 W 131ST ST CARMEL FAX # {317)733 -2053 INVOICE # 52000 * * * * * * * * * * * * ** * GUEST COPY * * * * * * * * * * * * * ** IN 46074 TRANSACTION DATE : 06/16/12 TRANSACTION TIME :164731 REGISTER NUMBER : 5 SIGNER : KEN RHODES QUANTITY 1 -00 1.00 1.00 SKU DESCRIPTION MENARDS - CARMEL 2150 E. GREYHOUND PASS CARMEL, IN 46033 ACCOUNT : 30830253 TRANSACTION # : 1572 PURCHASE ORDER # TYPE OF SALE : Charge Sale CLAIM # AMOUNT 644.2212 6489537 4591510 11 GAL STEP ON WASTEBSKT GLAD KITCHEN FORCEFLEX 10000 BTU PORTABLE AC SUB-TOTAL; TOTAL TAX: PAYMENTS : TOTAL DUE: 1 ■ (I/ k� ,� ,•/ if 1 \ 12.97 7.64 298.00 318.61 0.00 0.00 318.61 G CITY / CARMEL WATER DIST EMAIL 3450 W 131ST ST CARMEL FAX # (317)733 -2053 INVOICE # 50467 * * * * * * * * * * * * ** * GUEST COPY * * * * * * * * * * * * * ** IN 46074 TRANSACTION DATE : 06/12/12 TRANSACTION TIME : 122723 REGISTER NUMBER 3 SIGNER : TIM VANDERGRIFF QUANTITY SKU DESCRIPTION MENARDS - CARMEL 2150 E. GREYHOUND PASS CARMEL, IN 46033 ACCOUNT : 30830253 TRANSACTION # PURCHASE ORDER # : TYPE OF SALE CLAIM # 7649 PLANT ONE Charge Sale PLANT ONE AMOUNT 7.00 2741053 5/8 "X50' RUBBER HOSE SUB - TOTAL: TOTAL TAX: PAYMENTS : TOTAL DUE: // j 174.86 174.86 0.00 0.00 174.86 APPLICATION AND CERTIFICATE_ FOR PAYMENT .v:i DOLIJME'T 6 703 11,srrn::nnos nn ,ewel•e ;del a.AC ccr:e or ir1E; IC iO4vr'iERI: City of Carmel. One Civic Square Carmel, IN 46032 FROM (CONTRACTCiR): M. K. Betts Engineering & Contracting, Inc. CQrITR.CT FOR. PROIECF: Wells 27 fi 28 APPLIC.iIION rli): Four (4) Contract 77 VIA 'ARCI-lITEC E): PERIOD 10: 05/31/12 ARCHITECTS I'ROIEC:I NO: Invoice No. 12- 122.04 CONTRACT DATE: Distribution lo: OWNER (Ti ARCHITECT D CONTRACTOR L L CONTRACTOR'S .APPLICATION FOR PAYMENT CHANGE ORDER SUMMARY Change Orders approved in previous months by Owner TOTAL ADD Or15 D G 0UCTI0N5 Approved This month rlumher Dare Approved CO 611 + $165,985.00 —0— TOTALS + $165,985.00 —0— Net change by Change Orders + $165,985.00 The undersigned Contractor certifies that to the best of the Comracior's knowledge, information and belief the t:\'ork covered by this Application for Payment has heen completed in accordance u:ith the Cc,ntract Documents, that all amounts have been paid by the Conuaclnr for \York for which previous Certificates inr Payment were issued and pa'rrnents received from the Owner, and 11131 current payment shown herein i, now Clue. C0;4IEAc t9 1•I. K. Eects Engineering & Contracting, Inc. ale;_ May 31, 2012 ARCH ECT'S CFR'' FICATYYFOR PAYMENT Application is made for Payment, as shown below, in connection With the Comae . Continuation Sheet, ALA Document 0703, is attached. 1. ORIGINAL CONTRACT SUM - 2. Net change by Change Orders 3. CONTRACT Slills1 'Ed (LATE (Line 1=2) 4. TOTAL COMPLETED S STORED TO DATE fi (Column G on 6703) 5. RETAINAGE: a. 5 % of Completed, (Column 1) +E on 6703) 0 of Stored Material (Column F on 6703) Total Retainage dine Sa +Sb or Total in Column I oi 0,703) 6. TOTAL EARNED LESS RETAINAGE (Tine 1 less Line 5 Total) 7. 1.[55 PREVIOUS CERTIFICATES FOR PAYMENT Pine 6 from prior Get iiicatel 8. CURRENT PAYAIENT DUE 9. BALANCE TO IINISII, PLUS RETAINAGE (Line 3 less Line 61 h i 39,581.10 —0— 844,162.00 165,985.00 1,010,147.00 791,622.00 39,581.10 752,040.90 361,988.72 S 390,052.18 > 258,106.10 State ur-. Ind Lane County oL. Madison Subscribed and sworn 10 before we this . 31st day oi May , 2012 Notary Puhlic, s. fi. /)'f My Commission expires: October 28 , 2015 In accordance with the Contran Documents, based on on -isle observations and the data cumprisin_ the above application. the Architect certifies to the O".ner that to the hest of the Architect's knowledge, information and belief the \Vot k has progressed as indicated. the finality of the Work is in accordance with the Contract Documents, and Contractor k entitled to payment oi the ?.11.1OLINT CERTIFIED. AMOUNT CERTIFIED 5 (Attach explanation if arnnunt certified diiiers from Cite amount applied cot.: ARCHITECT: Ity; — Date- This Certificate is not negotiable:. The :.wIOI1rel CERTIFIED is payable only to the Conn-acme named herein. issuance, payment and acceptance tic payment a1 e wllh.iul prejurdi.:e ro any tights Ca Ovrner nr CtlllltaClnr under this Conlracr• 11A rOCU.tHT hill] • ♦PFIIC.;IIC•t:...•:n [t'i.I I IICAH. Fr1R 1'.')..lr > :I -.%1 1 (CfTlC4t •.,I. -\ • . 19u1 IrtE ±'.li Gli:) -: r.:a IIIJR nr =Br tlllrt lj I'li ±1 U- , P AV:NE:1 - it GTllrt 11 I' @lla 6707• 19H:4 SERVICE PIPE & SUPPLY, INC. P.O. BOX 33805 INDIANAPOLIS; IN 46203 Phone: 317 - 639 -9308 Fax: 317 -639 -1335 Customer INVOICE 1-14' iel Copy Numbero lr 554i729 06/12/12 — .BiliTo AR \EL\1bRDPT ara A r� fs.1RR V , tk 3J5111 \'. 131ST STREET t, ?' CAR\iEL, IN 16117! „,.. ` t5hipTo' ^ „ VII -, , -� t ., - '�. CARVII•:1. WATER DEPT. I7AN 5181 E. I'_'fi I'IIS "P (,armrl. 1N 16f133 Customer PO# I Shipped 'Salesperson Terms '. Tax, Code Doc# Ivu . Freight i .•` Ship Fa',. DAiN06081211 116/12/12 1104 IL FEN FON 2% 10 DAYS Nl30 NOTAX 31134128 111 I'REPAIDI1 SAME hem Oesoripton Ordered Shipped Backordrd'UM Price UM] Extension IIP)$010115 II00S.38072 IC PVC KU SOC. ['FE I /21.1u PVC'SIISY'f BUSH 14 8 14 K 11 0 EA EA 1.67 .95 ErA1 EAR 23.38 7.611 1 PLEASE DEDI 1 _6_ IF PAID EI "OGP?II� THANK YOU VERY AMUC1 -1 FOR YOIfR 1311SINNSS. .t*tl..14.$`1 a Merchandiser•' ii,';dein" ��W' i i ,+ S Mist m,> �f.' .66 p Ofscount .. ..F .110 ;:Tax ...p .% Dire Freight Total Due ' . .. 30.95 .1111 .nu; 30.98 TESSCO making wireieas work FEIN# 52- 1868E93 Holder of GSA Contracts An 190 9001:2000 registered company Type Invoice Number Date Page Invoice 802028 06/04/12 I of 2 Billed To Account 3046895 Delivered To Location 0000 DD0311/000001 City Of Carmel_ Carmel Water Utilities ATTN: Kerri LovealL 3450 W. 131st 5t. Carmel, IN 46074 Carmel Utilities ATTN: Brian ToLan 3450 W. 131st St. "TOLAN / NORTH BEACH" Carmel, IN 45074 Purchase Order Number Buyer Name Payment Terms Payment Due Date Delivery Terms Delivery Requested 8T0531124 Brian Tolan N 30 INVOICE PATE 07/04/12 FOB Shipping Paint 2 Clay TESSCO Partk U/M Diesel on Initial Oder Now Due Expected Delivered previously This Delivery Unu Price Extension US Dollars) ADDITIONAL ITEMS SHIPPED CONCURRENTLY ON INVOICE(S) 802029 (07) 89695 FT LMR -200 3/16" Flex Cable LMR-200 24 24 0.47 11.28 46757E EA TNC Male Crimp- LMR2.00 E2- 200 -TM 3 3 10.78 32.34 13832 EA N Male Crimp- LMR200 TC- 200-NM 3 3 6.55 19.65 434760 EA -Dual Fit /Heat-RG CableWS FITTING-Ft-2X(RG) 3 3 9.62 28.66 59520 FT 3/8" LMR400 Coaxial Cbl LMR -400 24 24 0.79 18.96 22050 EA N Male -Times LMR400 TC-400 -NMC 4 4 8.28 33.12 434760 EA -Dual Fit / Heat-RG CableWS FITTING- H- 26(RG) 2 2 9.62 19.24 66900 EA 896-950 MHZ Omni.Unity /NF 589608 2 2 69.55 139.10 310778 EA Ground Klt for LMR -400 GK-5400TT 2 2 26.12 52.24 38304 100 PK 8" Tie with Mount Hole BL T5OMROC2 I 1 7.83 7.83 429150 1 FT 1/2" Foam Heliax Cable LDF4 -50A 68 - 68 1.87 127.16 377273 1 EA 1/2" N Male LDF4 /HL4 /AL4 L4TNM -PSA 18.43 18.43 476126 1 EA N Female 1/2" LDF4-504 L4PNF 50.96 50.96 412715 1 EA "Dual Fit /Heat- FoamCables PITT /NG- H -23(F) 17.04 17.04 96781 1 EA 'MF-950 Mounting Kit 12A 26.84 26.84 29248 2 PK Mtg Clamps for wood 2 ea 05365W 51.65 61.65 453994 1 EA Single Sector Chain Mount WS -SCM1 -1036 194.45 194 -48 Please tear at perforation and include this portion with payment. 3046895 802028 060412 00103598 8 Please mail your payment to: TESSCO Incorporated PO Box 102885 Atlanta, GA 30368 -2885 Customer Name City Of Carmel Account Number 3046895 Invoice Number 802028 Invoice Dale 06/04/12 Amount Due (US Dollars) 1,035.98 Amount Remitted: 1 TESSCO Delivers What You Need, When and Where You Need It. Type Invoice Number Date Page Delivery Terms Invoice 802028 06/04/12 2 of 2 Purchase Order Number Buyer Name Payment Terms Payment Due Date Delivery Terms Delivery Requested 87053112A Brian Tolan N 30 INVOICE DATE 07/04/12 FOB Shipping Point 3 Day TESSCC Part# U4A Description Initial Order Nan Due E>peected Delivered Previously This Delivery Unit Price Extensicn (US Dollars) 313411 I EA SureGround 1/2 ". 48" SC12-1213211 1 0 0000 1 17.82 17.82 488136 1 EA Weatherproofing Kit 221213 2 0 2 17.77 35.54 482185 10 PK Hanger Kit 1/2" Cable 43211A 2 0 2 16.11 32.22 488105 1 EA Hoisting Grip 7/8" Cable 192568 1 0 1 23.33 23.33 (I ITESSC0 III elivering Innovation) Comments: _ Order Subtotal 968.09 All amounts shown In US Dollars. INVOICES ARE ON TESSCO.COM > MY ACCOUNT > MY ORDERS > PRINT INVOICES Dely. 8 Handling 67.89 Equal Opportunity Employer M /F /D /V If this order was funded partially or fully through the AMERICAN RECOVERY AND Sales Tax 0.00 REINVESTMENT ACT, please contact GSAptessco.com TOTAL (US Dollars) 1,035.98 TESSCO making w /re %.1/2 work FEIN# 52- 1868893 Holder of GSA Contracts An ISO 9001:2000 registered company Type Invoice Number Date Pays Delivery Terms Invoice 802029 05/31/12 1 of 2 Billed To Accour t 3 046895 Delivered To Location 0000 000674 /000001 City Of Carmel Carmel Water Utilities ATTN: Kerri Lovealt 3450 W. 131st St. Carmel, IN 46074 Carmel Utilities ATTN: Brian Totan 3450 W. 131st St. "TOLAN / NORTH BEACH" Carmel, IN 46074 Purcnase Crder Number Buyer Name Payment Terms Payment Due Date Delivery Terms Requested Requested 13T053112A 8riar Toler N 30 iNVOICE DATE 06/30/12 FOB Shipping Point 3 Day TESSCO Part# U /N1 Description Initial Order Nov e Due Expected Delivered Previously This Delivery Unit Price Extension (US Dollar) ADDITIONAL ITEMS SHIPPED CONCURRENTLY CN INVOICE(S) 802028 (O3) 89695 FT LMR-200 3/16" Flex Cable LMR -200 24 24 06/01/12 0.47 0.00 467578 EA TNC Male Crimp-LMR200 E2-200-TM 3 3 06/01/12 10.78 0.00 13832 EA N Male Crimp- LMR200 TC- 200 -NM 3 3 06/01/12 6.55 0.00 434760 EA -Dual Fit /Haat -RG CableWS FITTING- H-24(RG) 3 3 06/01/12 9.62 0.00 59520 FT 3/8" LMR400 Coaxial CPI LMR -400 24 24 06/01/12 0.79 0.00 22050 EA N Male-Times LMR400 TC- 400-NMC 4 4 06/01/12 8.28 0.00 434760 EA -Dual Fit /Heat -RG CableWS FITTING-H-24(RG) 2 2 05/01/12 9.62 0.00 66900 EA 896 -960 MHZ Omn1.0nity /NF 589608 2 2 06/01/12 69.55 0.00 310778 EA Ground Kit for LMR -400 CK- S400TT 2 206/01/12 26.12 0.00 38304 100 PK 8" Tie with Mount Hole BL T5OMROC2 1 1 06/01/12 7.83 0.00 429150 FT 1/2" Foam Hellax Cable LDF4-50A 68 68 06/01/12 1.87 0.00 377272 EA 1/2" N Male LDF4 /HL4 /AL4 L4TNM-PSA 1 06/01/12 18.43 0.00 476126 EA N Female 1/2" LDF4 -50A L4PNF 1 06/01/12 50.96 0.00 412715 EA -Dual Fit /Heat- FOameables FITTING- H -24(F) 1 06/01/12 17.04 0.00 98620 EA 890 -960 15.906 Paraflecto PR-900 0 1 827.01 827.01 96781 EA -MF -950 Mounting Kit 124 1 06/01/12 0 26.84 0.00 29248 2 PK Mtg Clamps for wood 2 ea 06365W 1 06/04/12 0 61.65 0.00 Please tear at perforation and-include this edition with payment. 3046895 802029 053112 00085928 1 Please mail your payment to: TESSCO Incorporated PG Box 102885 Atlanta, GA 30388 -2885 Customer Name City Ot Carmel Account Number 3046895 Invoice Number 802029 Invoice Date 05/31/12 Amount Due (US Dollars) 859.28 Amount Remitted: TESSCO Delivers What You Need, When and Where You Need It. 'lype Invoice Number Date Page Delivery Terms Invoice 802029 05/31/12 2 of 2 Purchase Order Number 8uver Name Payment Terms Payment Due Date Delivery Terms Delivery Requested BT053112A Brian Tolan N 30 INVOICE DATE 05/30/12 FOB Snipping Paint 3 Day TESSCO Party UMI Description Initial Order Now Due . Expecle Previously This Delivery Unit Price extension {US Gollig 453994 1 EA Single Sector Chain Mount WS -SCMI -1036 1 1 06/01/12 0 0 0 0 0 194.48 0.00 313411 1 EA SureGround 1/2 ", 48" 5612- 126211 1 1 06/01/12 17.82 0.00 408136 1 EA Weatherproofing Kit 221213 2 2 06/01/12 17.77 0.00 482185 ID PK anger Kit 1/2" Cable 43211A 2 2 06/01/12 0 16.11 0.00 488105 1 EA Hoisting Grip 7/8" Cable 19256B 1 1 06/01/12 23.33 0.00 TESSCO el1vering Innovation: Comments: Order Subtotal 827.01 All amounts shown In U5 Dollars_ INVOICES ARE ON TLSSCO.COM > MY ACCOUNT 3 MY ORDERS > PRINT INVOICES Oely. 8 Handling 32.27 Equal Opportunity Employer M /F /O /V If this order was funded partially or fully through the AMERICAN RECOVERY AND Sales Tax 0.00 REINVESTMENT ACT. please contact GSA8tessoo.eom TOTAL (US Dollars) 859.28 TESSC® making w/relees work FEIN# 52- 1666893 Holder of GSA Contracts An ISO 9001:2000 registered company Type Invoice Number bate Page Delivery Terrnr Invoice 850803 06/11/I2 1 of 1 Billed To Accour t 3046895 Delivered To Location 0000 000344IODOOO1 City Of Carmel Carmel Water Utilities ATTN: Kerri Loveall 3450 W. 131st St. Carmel, IN 46074 Carmel Utilities ATTN: Brian Tolan 3450 W. 131st St. "TOLAN / NORTH BEACH" Carmel, IN 46074 Purchase Order Number - Buyer Name Payment Terms Payment Due Date Delivery Terrnr ecsueste Requested 8T061112A . Brian Tolan N 30 INVCICE DATE 07/11/12 FOB Shipping Point I Day Invoice for delivery lransacton number 850603 - TESSCO Pa rtk U/M Description Initial p;der NowDue E><pected Delivered previously This Delivery Un1Flice Eetension WS Dollars) 364793 1 EA 4' LMR400 Jumper NM NM LMR40ONMNM-4 TESSCO Delivering Innovation! 1 0 0 1 19.40 19.40 Comments' All amounts shown in US Dollars. INVOICES ARE ON TESSCO.COM a MY ACCOUNT > MY ORDERS > PRINT INVOICES Equal Opportunity Employer M /F /D /V If this order was funded partially or fully through the AMERICAN RECOVERY ANO REINVESTMENT ACT, please contact GSA @tessco.con Order Subtotal 19.40 DeIv. 6 Handling 37.20 Sales lax 0.00 TOTAL (US Dollars) 56 ,60 Please tear at perforation and include this portion with payment. 3046895 850803 061112 0000566D 2 Please mail your payment to: TESSCO Incorporated PO Box 102885 Atlanta, GA 30368 -2888 Customer Name City Of Carmel Account Number 3046895 Invoice Number 850803 Invoice Date 06 /11/12 Amount Due (US Dollars) 56.60 Amount Remitted, UTILITY SUPPLY COMPANY Branch: 03 USC NW INDY 6310 SOUTH HARDING STREET INDIANAPOLIS, IN 46217 US 317- 783 -4196 Bill To: CARMEI. WATER DISTRIBUTION 3450 WEST 131ST STREET CARMEL, IN 46074 US Attn: K LOVEALL Customer ID: 100753 INVOICE Ship To: CARMEL WA'T'ER DISTRIBUTION 3450 WEST 13IST STREET CARMEL, IN 46074 US Ordered By: GREG HOLLANDER PO Number INVOICE Net Due Date 1066699 Invoice Date Page 6/18/2012 15:26:52 1 of I 0.00 ORDER NUMBER Pick Ticket No 1071794 Ship To: CARMEL WA'T'ER DISTRIBUTION 3450 WEST 13IST STREET CARMEL, IN 46074 US Ordered By: GREG HOLLANDER PO Number Term Description Net Due Date Disc Due Date Discount Amount WATER PLANT Net 30 DAYS 7/18/2012 7/18/2012 0.00 Order Date Pick Ticket No Primary Salesrep Name Taker 6/15/2012 15:44:52 1073090 ANDY NUGENT ZSTIER\ \ALT Quantities therm ID Item Description Pricing L'OM Unit Si;! Unit /'rice Krtended Jtrice Ordered Shipped Remaining 004! Unit Size I 0. C 0. Carrier: OUR TRUCK Tracking 11: 2.00 2.00 0.00 EA EVK 1.0 MAIN VALVE AND 2 "CURB KEY EA 1.0000 100.8000 201.60 Total Liner l A FINANCE CIIARGIi computed at a periodic Hite of 1 1/2 % per month ( I n% ANNUAL PERCENTAGE RA'Z'E) is applied to PAST DUE ACCOUNTS OVER 30 DAYS. SUB - TOTAL: 201.60 TAX: 0.00 AMOUNT DUE: 201.60 ORIGINAL