HomeMy WebLinkAbout212278 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 00351017 Page 1 of 1
ONE CIVIC SQUARE KIRBY RISK ELECTRICAL SUPPLY
CARMEL, INDIANA 46032 PO BOX 664117 CHECK AMOUNT: $1,597.22
INDIANAPOLIS IN 46266 CHECK NUMBER: 212278
CHECK DATE: 8/2812012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
609 5023990 106413807001 166 . 17 OTHER EXPENSES
609 5023990 106417912001 96 . 98 OTHER EXPENSES
609 5023990 106418071001 7 . 58 OTHER EXPENSES
609 5023990 106419863001 267 .41 OTHER EXPENSES
609 5023990 106425442001 924 . 38 OTHER EXPENSES
609 5023990 106426137001 70 . 06 OTHER EXPENSES
651 5023990 106441016001 23 . 12 OTHER EXPENSES
651 5023990 106449322001 41 . 52 OTHER EXPENSES
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
oil
• e •e
74918 KEVIN
JASON WESOLEK PK PICK-UP KEVIN FISHERS 317-598-6170 08/16/12
611 6ft PAND C2WH6 1.28 1ft 7.68 0.15
DUCT COVER, PVC, 2W X 6', WHITE
6ft 611 PAND G2X3WH6 5.64 1ft 33.84 0.68
SLOTTED DUCT, PVC,2X3X6',WHT
Billing Questions:Billing—request@kirbyrisk.com(765)446-3054 81'160210121:38:00 PM s106449322.001 Invoice Number S106449322.001
Subtotal 41.52
If paid by 09/10/12 you may deduct$0.83 S&H Charges 0.00
Invoice is due by 09/30/12 net of any cash discount. Sales Taxj 0.00
KEVIN a 41.52
0001:0001 Kirby Risk Page 1 of 1
11,-RAIS AND ,',�-ONWITIONS M SALE
ACCEPTANCE OF THE CAMS VU RC,IASEM 0.'�,
ACC`ERYANCE MMIETnuism-A)(-.:0N.DVl'I0NS M` SALE W111CIII I"0%V:
0)
andit-,r �'atn-.,b,�rand auth'oriz�o' )u'
�2) N;va-Stoek INIerchmndise is .ein ximble wo.we un, a'Rt .-,ti Goods, fi-on;
we veUM
(3) Tbe MaDur aKno-Medges��d On in aH puQx4enWgmds 6 nt vx6cus kom RjU Seller
gWes no e warrantWv kqihed warnuiss of nkc WMbility'and f"""'r an", 13artieolx-
vv1pose,
TY C yonwr agwes amt ondarwill not Y 11ble for ony ind WMA Y Minaps;M
"'All", AaisO
here2"'Jtcl-im�'p(med opon a or Aipmom, w? be widal to the PLIrCLAW I&CO BOYM tg=K W
"'or iuly sry ax 01 'jec'
f 16) Delay I a ])Ai,�ery--SO Or i Y mm to be x�aamut ble I W tie 5 y�hiv du A ve ry kyx wioned to aco o I(hid c
0qher ummunnWei ow,- WQ A SAW 1v> M)does c.._,, €,_. Flew, shipim rw ddivan (orcs are lk�
best wrinwes uf nur suppRo, anti in ix,case shall .`s..# c. V 0ble Jim any uNmcqWnnW or,�"peciul
darno'gt", G€risi-ag: i am c 1
C', Wiver-IN 12ITo of `z N1 insisi € nvn [he pulkynanac',': 0[`aq? nis tir� Iiuons
eontl"'t.'i s)rk' any bkckc'k','o be to be of
>:ondv"nn-"oi, in me JIM," nm shall A 1v 1kenod a%vai,,:� in`:'Mar to,An onquMiLm
(81 of Terms and Conditions- No terit--v am! .MAW oW :hn low d heroin, dml
1 -
tu-'v
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DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER • • NUMBER RELEASE NUMBER
74918 LARRY
SALESPERSON SHIP VIA ORDERED'BY SALES OFFICE. PHONE'NUMBER ��''SHIP DATE
JASON WESOLEK PK PICK-UP LARRY FISHERS 317-598-6170 08/13/12
ORDER CITY SHIP QTY DESCRIPTION ITEM PRICE T EXT AMID NT CASH DISC
lea lea TPI AET5DWS 23.12 lea 23.12
Double Pole 22amp, 120-277V with
leads ,Anticipator
Billing Questions: Billing-request@kirbyrisk.com(765)446-3054 6r131201212:31:27PM s106441016.001 Invoice Number S106441016.001
Subtotal 23.12
S&H Chargesi 0.00
Invoice is due by 09/30/12. Sales Taxi 0.00
ij
LARRY ® ® 23.12
0001:0001 Kirby Risk Page l of l
TERNI0AND (COND00ONS OF SALE
ACCEPTANCTMFTHE ( )O0S PURCHASED ON TOlS INVOICE CONSTITU"I'E@ANIY
ACCEPTANCE 0F THE TER34S AND U)NB0TIONS OF SALE WHICH FOLLOW:
(1) Stuck 14erchund\scb subject co urc|urn charge. No goodomny berr|urocd without shipping, ticket
uodkn invoice nombM-uodpl-ioruu[[1oriZodoo�
(%) Nlmo'S{nckNicrchuodimeia not/rtoroob}� unless rvc can snorea`^Rwuncd Goads Anrbodiy'' boln
MevuWur.
(3) The Cuxtomoracknnw|cdgco and ugpccx that inall purchases ofzgnodxand »uriccxhoo` �cOwr, 3d\or
girc,nocxprcyxwmrnuhra.o,imp|icJ wxrnubcsofmcohunu8 ili1yundDmcyu6/ruulpauicdur
purpose.
(4) Tbr CumiunxUt-ugruUSthm 6cUcrvS not In |iab|e i1irxny consrqunntiu\ and incidental 6amu�cs u��n�
Aomn% cameaysocoud "hdbMcgxxspuuJuaud Rum SoW.
(5) Taxes-- Pbccu obo*o du om iodmlc yaks or odzurxocy ipjws�6 oothz yalc u/guoda, Ioxeo now cr
lnrcaDcrimposcJupnosukuorxhpcucna�A ill bc added toth�,'ymzhascydcc, Boycrogj�o*c)
rrbnbuuse SAW f�ruoy such mxorpro,idb SwUcrwi/b 000cyo6lc tax czcmpriouceoiGnto.
(b) Delay in Defivery--SeHer is not to tie accammbW kir dolay-s in delivery occasioned by acts ofGod or
other cbruzuatunccs over a|ddh Sd Her has uo Kea con iro|. Fuocoryubip/o�nLnrdc|ivc?/du�cymc&�
bestcsdmo{csafoorapp}irm, audinnocuocshaUSeUcrbcliub|efbronyoonaoqoouiia} oropccia]
dnnmgrsmiuh �,,, from any delay iudelivery.
(7) Wuivcr—ThcbJlumnfScl\xrro insist upon die por6ormuuccofuuyof/hc/e0000rcnndidonxnfdhio
contract or/oc»:zioo way hgMhcrn/odcrohaUnn|ho &cmwGm6cuwvivrrofW |enn�
conditions nrright in |hc 6u|upn uorshall it lie dccnncJWhco yuivwuf any nthcrtom. coodidm,.n,
right uodo this contract,
(#) 14od8ficmdoo or Terms and C)nndbkon—14)tono*and conditions other than Uunc,uucdho, in. uxJ
no upcCncu1ar uuderymoJk& in any voypuzpuning to noudify these wzoy`orconJidons. yMKbe
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 8/21/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/21/2012 S106449322. $41.52
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 # 125526 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
S106449322.1 01-7202-06 $41.52
SIOtoyyl016.6ot
oi. Sao'),ub a3, is
(y,(y
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund
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CUSTOMER • • NUMBER RELEASE NUMBER
9847 J M83121
ORDERED SALESPERSON HIPMIA
STEVE GADING 23 INDIANAPOLIS JOHN MASCARI FISHERS 317-598-6170 08/06/12
ORDER CITY SHIP QTY DESCRIPTION AMOUNT
500ft 500ft *PVC 4"SCH 40 NM CONDUIT 10' 143.97 100ft 719.85 14.40
CARL 49015-010 OR CTX A52EA12
500ft 500ft WIRE THHN-STR-12-BLU-500FT 116.43 1000ft 58.22 1.16
SPOOL
3ea 3ea CARL UA9FN 1862.08 100ea 55.86
CL UA9FN 4"SCH 40 90 DEG X 36" ELB
8ea 8ea CARL UA7AN 647.58 100ea 51.81
4"SCH 40 STD 45 DEG ELBOW
8ea 8ea CARL E940N 134.87 100ea 10.79
4"SCH 40 COUPLING
lea lea GREE 430 27.85 lea 27.85 0.56
1 PLY 6500' PULL-LINE B
Billing Questions:Billing—request@kirbyrisk.com(765)446-3054 Invoice Number S106425442.001
Subtotal 924.38
If paid by 09/10/12 you may deduct$16.12 S&H Charges 0.00
Invoice is due by 09/30/12 net of any cash discount. Sales Tax 0.00
08 6 12
i n Cure Da e O
m e a e
• 924.38
0001:0001 Kirby Risk Page 1 of 1
TERN,,1S AND C.ONDITIONS OF SALE
ACCEPTANVE(AIT11F GOODS PURCHASED#NT11tS INV0WF CON6TJT0THSAN0
AC{ EPFANCG0FTK{E TGBMGAM)CUND@l7ION00F S&LJ8 MUCH FOLIAM:
<H Wdc Merd`an8Us* is^ubjcct iovre(um o1ivrge. Nu�ooda May bcI�C\vrnWd WiUhou|u |iukc\
arldr,"ol,invoicc riurnho r and prior uotho6zoboo�
(Z) Non-Stock Merchandise is nol rrturnabjc unless we cm swum a-Returned Goods,Authority' frorn
Uw ruodnr.
(3) ThcCustumcr and agrees dbu[ iou]lpocrbuucuntgx/da and acrdccvbnm3eUor. 3cJbx
giva^nnrx|`/O^oouonn/iey.mrimplied n[ and 5ou^r for any pu/i,icu|ur
purpose,
FQ 7le( uuumcrug/ec^that S6|vr %vN not bcUub|ekv any cunu:qoan(iu] andiflCidcnmldmnugcyarising
fmoo"Illy uuuscuouociuwd"it me gxxxpwa»wd from SHOT.
(5) l'oxes- Pnwu*shovudoom sale,o/oUr taxes in'pnoadonUw ouAoWgood� Tz^z* nowo,
hcouhcr\mpo,�ed upon mks nzship/ncmx vd|| be uddcd m/bc pnruhuxcp6co Buyurogrccn to
rcin`hu,x,Sr||',r [oruny such tux mr|nnvideSe|}mr`'iUh occopiab|c tax exemption crrd{icu\c,
(6) Delay in Delivery--Seller is not to bc=cmitImbin QF dclays in dclivexy occaskmed by aes of God or
other cioumx/mu�yover uo direct.control. F�,ick`/ysbipm:n/nr delivery dates are Lhu
hui euhmuuxu[our soppKery and iuoo case shim ScUcrh�6uNcfor any cooscgncnho]or�puda|
dumx�rxrisio� from any delay it)Je|i"t-ry.
(7) Walver--The t-,fflure of SHIkl-In insist upon Ih,, performance of ally of the:(Crills ovcoodih^mxu[rbiy
contract nrmcxeobr any rQhthereunder pho)| not brdaorruA m ht,u waiver n[such tenn^,
ouudifiunsorrigh/in(hefuurzouozSbmU4bedecnted(qhcuwoi,c,ufuoy*thecxo/m,cnudkion. or
rightmndcr this omnuci
(0) TdudiOombeoofTcrmomol ( ondidomm-NowrusoudooudiMonaodwrMundmrcsmoz| hooiu-aud
uoagreement mroodcmmnd,ioany may purporting u`modify those terms. u,coodidoon. shall be
b|ndingon 3eOn-without 3ellor'` wriucorAIsou
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 8/20/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/20/2012 S10642544Z $924.38
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 fficer
VOUCHER # 121940 WARRANT # ALLOWED
351017 IN SUM OF $
KIRBY RISK ELECTRICAL SUPPLY
PO BOX 664117
INDIANAPOLIS, IN 46266
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
S106425442.1 07-1050-06 $924.38
(50
Voucher Total $924.38
Cost distribution ledger classification if
claim paid under vehicle highway fund
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DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
USTOMER NUMBER, cUSTOMERRO NUMBER
RELEASE NUMBER
11788 BT080312A
SALESPERSON 'SHIP VI
. DATE'
MARK S BAYS PK PICK-UP JAMES ALFORD FISHERS 317-598-6170 08/03/12
lea lea WHEA8460 (GCPL112) 218.41 100ea 2.18
1-1/2"GALVANIZED COUPLING
lea lea EGS RB150-100 314.07 100ea 3.14
1-1/2X1 RED BUSH
lea lea TPI AET5SWS �O� 19.35 lea 19.35
Single Pole 22amp, 120-277V with
leads, Anticipator
6ft 6ft PAND F1X3WH6 5.20 1ft 31.20
SLOTTED DUCT,PVC,1X3X6',WHITE
6ft 6ft PAND C1WH6 0.82 1ft 4.92
DUCT COVER, PVC, 1W X 6',WHITE
100ea 100ea CULL 79008J 6.14 100ea 6.14
10-16 X 1/2 HWH TEK SCREWS ZP
100ea 100ea T&B L-4-18-9-C 1.43 100ea 1.43
4"TIE WRAP CLEAR
100ea 100ea T&B L-4-18-0-C 1.70 100ea 1.70
4 BLACK TIE WRAP
Billing Questions: Billing_request @kirbyrisk.com(765)446-3054 803120122:41:49 PM 5106426137.001 Invoice Number S106426137.001
Subtotal 70.06
S&H Charges 0.00
Invoice is due by 09/02/12. Sales Tax 0.00
JAMES FORD 0 9 70.06
0004:0004 Kirby Risk Pagel of 1
]TRAIS AND CONDIIJONS OF SALE�
ACCEPTANCE OF THE MUMS PURCHASED ON THIS INVOIC.t.. C0.N.S'1:'1'1:'U FESAND
AC CEP I NNCE M Ti,wrmms AND CONDFTv.)NS 01F SA , 'A111 'II F(Y 1,0NV:
0) SM MnQandke i,io ." rc-inI'n CILt."'ge No gc ds n'kay be witlho-'v a s-01ppmg, tickct'
and""'o
;r iv.�oice and pnol
Neil-Stoc k.' is not,..(,It able wd,ess we cm senve a"Rewnd GocAs Qlthai," new
the wnder,
(3) T&cumner"--;c1vr1ow1ed-es ag.'�"es 0"t-in V pumhaws of goixis and services firorr. Scl1e . SAW
,
no es'press "'amanies, or ATM wowdWs of arAlvinwhihy hod Wss Rw any pankWar
(4) 11w CUMMMM agoes alai Won 101 not on 11ble Ar &MVIges AY
i,!.0MUIV "o,i.,h (h
(31 Yocs wwwn do MM MAO b. lc.,av odws Inc- KY(MA on Kc UP k 3 t f Wes ww or
Buynagreesto
fol i-.'n'v�;klch lax ("I pvovid-":� withu�.'ccp%flhk: zt"x cxew.pti-on
(6) May in Mvevy--0% i, vwt (olbc.lcoounwbk KY dd4s in dchwil oewsioncd by aws of(06 o�
of e. 0"cr'wLien liars rl-") Faotory y Jhrpw.c-n"or '' dk.'.'C<ale J.m'
hey cainswq Mix wipplicl-K and in no wn shall of f In labic K any kowinqw,nne or sphr!
iliising oiny dclwy iildclivcl�-
(11 Waiver--Ile Wilure ot'Sefier L,.) i1l!Ni..Sf 111102, Nlie perforink'ance of."'n of the lorn-I's or coi-.Jilio'ns of"'t"'.'n'-
Or to any hghl 1wryladu:"hall .-oi hd,,i1,-nwd it, be D vQW of sub icraw,
or'ri�ini in oe MY0 am sodi a r be ckenwd v F'c .:z other temn."-on(hiion, w"
�J'nd -fl"'Os
0r) :Nbldificadon of Terms and Mnditions --No tenns and aMINa o4w von Tom swad ha&q
birding (w MY vvitkow seli*!r
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DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
• . •
11788 BT080212B
DATE,4'', C PHONE N UMBER SHIP
,'SALESPERSON ORDERED BY SALES 00i E
MARK S BAYS PK PICK-UP BRIAN TOLAN FISHERS 317-598-6170 08/01/12
ITEM PRICE UNIT - EXTAMOUNT CASH isc
SHIP'QTY_ DESCRIPTION
2ea 2ea BUSS LP-CC-5 8.82 lea 17.64
LOW PEAK TD FUSE
lea lea EGS CNN-100 25.52 100ea 0.26
1/2 D/C CONDUIT NIPPLE
lea lea WHEA 8456(GCPL012) 73.87 100ea 0.74
1/2"GALVANIZED COUPLING
40ft 40ft CORD SOOW-14/3-25OFT BOX 653.49 1000ft 26.14
NEOPRENE JACKET 600V#02762.85.01
BLACK
4ea 4ea HUBB HBL5965VY 5.40 lea 21.60
15A 125V YELLOW VALISE PLUG NEMA
5-15P
4ea 4ea EGS 4SD-EK 95.33 100ea 3.81
4X2-1/8 SID BOX L/CLAMPS
4ea 4ea HUBB CR151 1.10 lea 4.40
15A 125V IVORY DPLX RCPT NEMA 5-15R
4ea 4ea EGS 8365N 87.73 100ea 3.51
4-IN SQ DPLX RCPT CVR
3ea Sea EGS RB75-50 75.99 100ea 2.28
3/4X1/2 RED BUSH
250ft 250ft WIRE MC-ALUM-SOL-12-2 W/G 250 COIL n 435.30 1000ft 108.83
12-2 CU THHN BLK/WHT/GRN AL MC
250 COIL V'
68580001
3ea 3ea AB W26 21.00 lea 63.00
HEATER ELEMENT FOR OVERLOAD RELAY
4ea 4ea EGS CG-3750 379.98 100ea 15.20
1/2 ALUM STIR CORD CONN
Billing Questions:Billing—request@kirbyrisk.com(765)446-3054 8111201211:12:37 AM s106419863.001 Invoice Number S106419863.001
Subtotal 267.41
S&H Charges 0.00
Invoice is due by 08/31112. 3—� Sales Tax 0.00
4tr(�
BRIAN TOLAN 267.41
0002:0902 Kirby Risk Page 1 of 1
TERMS AND CONDITIONS OF SALE
ACCEPTANCE OF THE GOODS PURCHASED ON THIS INVOICE CONSTITUTES AND
ACCEPT.;kNCE OF THE TERMS AND CONDITIONS OF SALE WHICH FOLLOW:
(I) Stock Merchandise is subject to a return charge. No goods may be returned without a shipping;ticket
andior invoice number and prior authorization.
(2) lion-Stock:Merchandise is not returnable unless we can secure a"Returned Goods Authority" from
the vendor.
(3) The Customer acknowledges and a2reeS that in all ptuNhasc5 ofgoods and services frorn Seller_Seller
gives no express warranties,or implied warranties of mcrcharttability and fitness for any particular
purpose.
(d) The Customer agrees that Seller will not be liable for any consequential and incidental damages<urising
from anv cause associated w0h the 000ds purchased from S�Iler.
(5) 'faxes—Prices shown do not include sales or other taxes imposed on the sale of goods. Taxes now or
hereafter imposed upon sales or shipments will be added to the purchase price. Buyer aarecs to
reimburse Seller for any Such teak or provide Seller with acceptable tax exemption certificate.
(6) Delay in Delivery—Seller is not to be accountable for delays in delivery occasioned by acts of God or
other circumstances over which Seller has no direct control. Factory Shipment or delivery dates are the
best estimates of our suppliers,and in no case shall Seller be liable for any consequential or Special
damaaes arisinu From anv delav in delivery.
(7) Waiver—The failure of Seller to insist upon the performance of any of the terms or conditions of this
contract or to exercise an_y right hereunder shall not be deemed to be a waiver of such terms,
conditions or right in the future, nor shall it be deemed to be a waiver of any other term condition, or
right under this contract.
(8) Modification of Terms and Conditions—No terns and conditions other than those stated herein,and
no agreement or understanding, in any way purporting to modify,these terms;or conditions, shall be
binding on Seller without Seller's written consent.
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DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
• • • NUMBER
11788 KR73012
SALESPERSON 'S41FiVIA . . . .•
Web Order Entry 23 INDIANAPOLIS KEN RHODES FISHERS 317-598-6170 07/31/12
OR DER • • . • •
lea lea HOFF A30P24 59.25 lea 59.25
PANEL 27.00X21.00 FITS 30.00X2
30ea 30ea BLIN 8822 WHITE 276.59 1 00e 82.98
PLASTIC END CAP
10ea 10ea BLIN B825-22GRY 106.80 1 00e 10.68
10ea 10ea BLIN B205ZN 132.58 1 00e 13.26
CHANNEL END CAP
Q I
J
Billing Questions:Billing—request@kirbyrisk.com(765)446-3054 Invoice Number S106413807.001
Subtotal 166.17
S&H Charges 0.00
Invoice is due by 08/30/12. Sales Tax 0.00
�i ure L Date
>n a ame mT'i e— 0
166.171
0001:0001 Kirby Risk Page 1 of 1
TERNIS AND CONDITION'S OF SALE
CC UITANCE OF THE GOODS PURCHASI.-1)ONTHIS INVOTC.E("ONSTITUTIH.i..S AND
ACCEPTANCE OFTIlf". H"AINIS AM)CONDITIONS OF SAI it MUM FOLIA)VA
(11 e4ock `vlercliandiw is subj Cl i,") ren.-rn No N, relkkmwd %'ithou! a lickel
Nolti-Stock NlerrhwliuHse is not intul-nable wiless cc can svurci -'R,�wrned(ioods Autnori.y- frorn
J,W iCnd()r,
() W Mtomvi ih,t in all purchans 4gomis and snwkcs flimn S. Sallar
or imphod "mnwni,,'s and Fuwsq Rw any panicuhr
(4) 1 he CusRawn that S_liei will not be fort 'al\
I n any aS o:i. dn" -,,w& ��-d
!1"?;}l ",-a
§1 Qwq . kwvn Awom 1, mq KIM suk,to k0her taxes inw-sed on of goods I axvtr nw or
her""i-Ifter lnlpo-ticd upoll ot shilmict-us will he addod Yo Q purc(€asc 1wico Buyer agrees to
reimbui eS,,Her for=N suh mx or Rovide Seller with acceplable tax uxemption cend"icatc,
i6) Delay in DeUvery--SAW is not N) be c-,Ccolinladblc !,ol-dciar , ill dolivcry t cl,iollcd by of(Iod or
ohr(�r crrcwllM,',tl Jet s Over whLh Soller Ims it, dKVCL comr5L 10u)q, Kjorant or d6i",dams are` the
of our supplM. and in nv can shoU Scilcr l l sill tOr Or
kin, flomany dol,iV ill deliv -y
(7) NNAiver--The failure (A-Seller(f.)insist upon Ific pel-fornwoce of ally ot,tht" tc.rtns or conditiol-is(.)f*this
contraict or to ewrcise wV riga hawander M not he Awnwd to ho a vativer of vuch ttnm�,,
conditions(.)�-right in the Amun nm SINT A 5C de tried w be a WAwrod"n"') other t�rm, ,'ondi!iorl, or
this ,:owract.
(8) ModiNcatton of Terms and (JindiMms-No terms and comAtions ollici,than fliose smtcd hercin_and
no aglvememAw undersatnding.in any may pwMwWj U;niNlify Tese ti rms. or cai-Mons, shall in
!Wndhg on ScHaWthow SeAl's written cunsew.
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DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER • • N'U MBER RELEASE NUMBER
11788 BT073112B
. OFFICE
JASON WESOLEK WC51 WILL-CALL BRIAN TOLAN FISHERS 317-598-6170 07/31/12
ORDER
TY DESCRIPTION ITEM PRICE- UNIT EXT A MOUNT CASWD[t�C 1-'
lea lea CRSH 370 4.37 lea 4.37
1-IN STL COND BODY COVER
lea lea CRSH GASK573 3.21 lea 3.21
1-IN NEO BODY GASKET
Billing Questions:Billing_request @kirbyrisk.com(765)446-3054 8111201210:49:05 AM 6106418071.001 Invoice Number S106418071.001
Subtotal 7.58
S&H Charges 0.00
Invoice is due by 08/30/12. TO i"4kf Sales Tax 0.00
BRIAN TOLAN 7.58
0001:0002 Kirby RiSk Page 1 of 1
TERMS MS ANA CONDITIONS OF SALE
ACCEPTANCE OF THE GOODS PURCHASED ON TEAS INVOICE CONSTITUTES AND
ACCEPTANCE OF THE'I'ERMS AND CONDITION'S OF SALE WHICH FQLLOW:
(1) Stock Merchandise is subject to a return charge, No goods may be returned without a shipping ticket
and/or invoice number and prior authorization.
(2) Non-Stock Merchandise is not returnable unless we can secure a"*Returned Goods Authority'from
the vendor.
(3) The Customer acknovvledges and agrees that in all purchases of goods and services frorn Seller, Seller
gives no express warranties,or implied warranties of merchantability Anil fitness for any particular
purpose.
(4) The Customer agrees that Seller will riot be liable for any consequential and incidental darriages arising
from any cause associated \-vith the goods purchased from Scher.
(s) Taxes Prices ,,hown do not include sales or other taxes imposed on the sale of g=odds. Taxes now,or
hereafter imposed upon sales or shipments will be added to the purchase price. Buyer agrees to
reimburse Seller for any such tax or provide Seiler with acceptable tax exemption certificate.
(6) Delay in Delivery—Seller is not to be accountable for delays in delivery occasioned by acts of God or
other circumstances over which Seller has no direct control. Factory shipment or delivery dates are the
best estimates of our suppliers, and in no case shall Seller be liable for any consequential or special
damages arising from any delay,in delivery.
(7) Waiver—The failure of Seller to insist upon the performance of any of the germs or conditions of this
contract or to exercise any right hereunder.shall not be deemed to be a waiver of such terins,
conditions or right in the tiiture, nor shall it be deemed to be a waiver of any other term, condition,or
right under this contract.
(8) Modification of Terms and Conditions—No terms and conditions other than those stated herein,and
no agreement or understanding, in any Way purporting to modify these terins. or conditions. shall be
binding on Seller without Seller's written consent.
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
• • •
11788 BT073112A
. . •
JASON WESOLEK PK PICK-UP BRIAN TOLAN FISHERS 317-598-6170 08/01/12
. MOUNT
100ea 100ea MINE 125 7.57 100ea 7.57
JIFFY CLIP- 1/2"TUBE/ 1/4" RIGID
/BX, 3-12, 2-10, 3-10, SER8/MARK
ON CLIP- 125
16ea 16ea EGS C-510 37.04 100ea 5.93
3/8 D/C COMB FLEX CONN
lea lea EGS 8468C 40.79 100ea 0.41
4-IN SID SW RING 5/8" DEPTH
lea lea EGS 8470C 55.82 100ea 0.56
4-IN SID 2G SW RING 5/8" DEPTH
2ea 2ea HUBB CS1201 2.49 lea 4.98
IVORY 20A 120-277VAC SP SWITCH
2ea 2ea HUBB GF201LA 8.74 lea 17.48
20A 125V COMM LED GFCI, IV
lea lea HUBB NPJ21 0.47 lea 0.47
WALLPLT, M-SIZE 2G,2)TOGG, IV
lea lea EGS L-100 6.00 100ea 0.06
1/2 STEEL LOCKNUT
lea lea EGS RN-50 131.01 100ea 1.31
1/2 OFFSET COND NIPPLE
12ea 12ea EGS 4050S 11.12 100ea 1.33
1/2 STL S/SCR EMT CONN r I
8ea 8ea EGS 5050S 11 "- 17.19 100ea 1.38
1/2 STL S/SCR EMT CPLG
4ea 4ea LEVI 9875-2 119.15 100ea 4.77
61N 16 PL LDS WAS 008
80ft 80ft COND E012 18.04 100ft 14.43
EMT 1/2" CONDUIT
6ea 6ea EGS 40-1/2 72.13 100ea 4.33
4X1-1/2 OCT BOX L/CLAMPS
Billing Questions:Billing-request@kirbyrisk.com(765)446-3054
Invoice is due by 08/31/12.
0001:0004 A Kirby Risk Page 1 of 2
'FIE FUNIS AND CONDITIONS 01: Szk[.J,
ACCEPTANCE M THE (AWDS PURCUASED ON 1111S 1100WE WNSTITINTS AND
ACCEPTA NCE CIF KIFTFun,wo C0NDITIMS(H?SALEWHICH ITMJXMV:
(1) Stock Merchanche is suite to a iniurn chvgn Iwo govAN vv-ay b�� "vit"houla shijqAg 1,,'Zket
a-0d""'cr iv.N an�� pi o'�'
2, Non-Stock Merchanctise is not reunqnble wdrss %ve van sccurca -R.cwinec GK)dls
be vinl.dor,
(M Tie custeu=-""J"'no-�vIed"s OW apus thy in A! p0munn"ofgoods schi�-r
guss no exlvcss vararms,rw iRghed wannisks of memhanWhy and Wss Rv any pankuhr
purpon�,
(5 inn clauvor agees that sell.'v'wdl .'au! 1";�- hahk on a, OV.&Peynal OW Owosso omag.<I .:..;iii
the goo,(k pu�'cha.5cd! -;"v',�
(5, Taxes- do, n,,, inJudc sales uv(Bov Was Ignsvil of TonkofpYA, r cs now or
buivaRer irtyxmcd qwn vkv o"hipnws"Al be Kim! tothoPLIVchasepi-ice. Buycrag gees w
SeJ"v col iany,ucn tax or providcSici!o r with ax ccillabic t�"t\
Q May in Wvoy--MT 4 w to be r..,: , -.na'dhlc !6 t!"L"y",sn dchvc, o•--,-asio'ncd Im, ;.icts of(Jod oS-
(Mv cirournmanccy ovo: vahal SOW hov ro dunct mand. Mory shinnns or dchery dates auc the
but ustinnWS Orin,Summon, and W no can KAI ScKT he Uhl Rav, connywnwd 0, spahl
E i -,q.,. € E..aw� d,ia,� in 1Lli%ci,�_
(7, WK er- IS AM of War to Wist upon !hc p;cr!b,.'---nnnicc ot-an, ,-:of ifie lern's il,COPdii O.ns of �di-os
contact o. to w, Qu hanvndel.-si'LaIll ,not bc 6�,�nxd to he a "win;of suh lei{;s,
in On ix vo nm WE A v c deeniad W ! . a "win oozy 00. Im vmv&n"�",
ft AboukWhon of Tenns and MaTtwus- V anus and "Wahn -iw,
��u a,1'e0k ,'01 0�' ng, Ol �Iliy koj PMTMWT ,j nmvQ c". '4=1 on Wn Kom, Shp K,,
Kirby INVOICE
• .
Lafayette,Ste, IN 47 Pkwy 08/01/12 S106417912.001 11788
Lafayette, I N 47904
e • • . • •
08/31/12 96.98
:,PLEASE REMIT PAYMENT TO:
KIRBY RISK CORPORATION
P.O. BOX 664117
INDIANAPOLIS IN 46266-4117
SHIP TO:
516 1 MB 0.404 E0187X 10336 D524853125 P1144296 0002:0004
11 11111111111'll1'1111111111111111111 1111111111111II'lll CARMEL WATER TREATMENT
CARMEL WATER TREATMENT 4915 E 106TH ST
n 3450 W 131ST ST CARMEL IN 46033
CARMEL IN 46074-8267
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
Pus • • • NUMBER ,,�-RELEASE_NUMBER.
11788 BT073112A
SALESPERSON SHIP VIA. . PHONE B R SHIP DATE
JASON WESOLEK PK PICK-UP BRIAN TOLAN FISHERS 317-598-6170 08/01/12
ORDER Q
2ea 2ea EGS 8403 21.93 100ea 0.56
41N RD FLAT BLANK COVER
2ea 2ea EGS 4SDVB-EK-PL 273.15 100ea 5.46
4X2-1/8D BOX
100ea 100ea T&B L-1 1-50-0-C 6.97 100ea 6.97
11" ULTRAVIOLET TY-RAP
100ea 100ea CULL 77016J 4.41 100ea 4.41
10 X 1 HWH SMS SLOT ZP
lea lea T&B IHD3-1 692.85 100ea 6.93
3 HOLE 1/2"" UNIV DEV BX-DEEP
lea lea T&B S-47 499.15 100ea 4.99
4-IN RND WP BOX 5 1/2HUB
25ea 25ea EGS SCR1032 10.61 100ea 2.65
10-32X3/8 GRIN GRND SCR
Billing Questions: Billing request @kirbyrisk.com(765)446-3054 713V20121:35:10 PM s108417912.001 Invoice Number S106417912.001
Subtotal 96.98
7� Z S&H Charges 0.00
Invoice is due by 08/31/12. T 0.00
BRIAN TOL Sales
96.98
0002:0004 Kirby Risk Page 2 of 2
---------- ------
TERMS AND copmmom ois mu,,
ACCEPTANCE W HE CX)()DS PURCHASEA)()W,• I HIS INVOICE CONS T111U VEISAND
ACCEPTANCE OFT III, TERNISA ND CONDITIONS OF SAIJ.". 'IN IMI-11 FOULOW:
(1) Stock Mer6andise is a. 1'.;,"iun N0 n w'tholu ", -Iipp'irtg
on
�2) Nou-S(cick Merchan(Use k not returvable tudess we mi smwe a"R---unnod; Goods Aw.In"otity"
e vdor,
(3) [**he(.Iu-�totnei:"icknovied_ ar,d agrees that in aR pumhaws ofgomls and unkes koni Sdkq 'klki.
guns no uyvess wamandes,ou STlind vauwaies of iind 'w"
inn yose,
(4) TO "vill lob& on y
Awr
19 j ) 4M VAMI, W A,- iik"O":Or
W" PC Q"MaW, W Q SWW R 40 PIUVWU 1"00 BUYY ag;SCh 10
fc'. , 1 ScIn w4h wxyMW %n onnItion cv�Qwc
(0) Delay in IX"livery 1: nol (0 bi" dcli�"t'� "J'G"-F
(Wwr u0mrstammy o"r - hwh ne Facw"-y On"n"ll.crit"')r dc ivc' au,
bcs caimaws ofour nWpli= ruu!in ix,cam shall ScUr W 1whic Rw wV couNumal or Tu0i
Wa liver I lie 11 Hure ol'Sell er�o ' pon in perfo-?-n i.n kn":"�'OF �i n'y e i i o o I,
F icise o[W NJ Wreunki WN no be dverried to be Y swiver of awh icmw
coAdynnwriju in the IbuTe, rwr Bali A he dwnud w be 01
AlodificauW'n of Terms and terniS c.
110 aprow1.11 01 .x., to ding, At Sy %—y pwpon" tem"S'or
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 8/27/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/27/2012 S106417912. $96.98
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 O cer
VOUCHER # 121970 WARRANT # ALLOWED
351017 IN SUM OF $
KIRBY RISK ELECTRICAL SUPPLY
PO BOX 664117
INDIANAPOLIS, IN 46266
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
§106417912.1 07-1052-02 $96.98
sjc)6 j5o7100i -7.5?r
S Io6c1132s67-001 v7.10sO.06 166.1
Sidi-( 03.c001 07.1052.0,2 z6'.L(I
5106q)-6(37001 c)7,1052.02 70.06
®s.z�
Voucher Total r
Cost distribution ledger classification if
claim paid under vehicle highway fund