HomeMy WebLinkAbout213082 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 00351017 Page 1 of 1
` ONE CIVIC SQUARE KIRBY RISK ELECTRICAL SUPPLY
i CHECK AMOUNT: $149.04
CARMEL, INDIANA 46032 Po aox 6641 17
INDIANAPOLIS IN 46266 CHECK NUMBER: 213082
CHECK DATE: 9/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
609 5023990 S106450196 149 . 04 OTHER EXPENSES
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DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
• • • N'6MBER RELEASE NUMBER
11788 KR81612
SHIP VIA SALESPERSON
ORDERE D BY SALES OFFICE PHONENUMBER DATE
JAMIE BOSTIAN PAR PARCEL DLVY KEN RHODES FISHERS 317-598-6170 08/28/12
ORDERQTYj • DES I CRIPTION . DISC'
4ea 4ea PAND T038X000FJC-BK 37.26 lea 149.04
P1 CASSETTE, CONTINUOUS TAPE,
POLYOLEFIN
1
Billing Questions:Billing_request @kirbyrisk.com(765)446-3054 Invoice Number S106450196.001
Subtotal 149.04
S&H Charges 0.00
Invoice is due by 09/27/12. Sales Tax 0.00
• 0 149.04
0002:0003 'Kirby Risk Page 1 of 1
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TERMS AND CONDITIONS OF SALE
ACCEPTANCE{)FTHE GOODS PURCHASED ONT8lS INVOICE CONSTITUTES AND
ACCEpTANCE0FTRE TERMS AND CONDITIONS{>FSALE WHICH FOLLOW:
(1) Stock Merchandise is subject to u return charge, >Jn goodsmnyboremrned vi,hoota shipping ticket
and/or invoice oumherund prior authorization.
(2) Non-Stock Merchandise io not returnable unless ,ve can secure a"Returned Goods Au|horit'.,` front
the vendor.
(3) The Custoincracknowledgesand agrees that in all purclia'ses ot'goodsand services froni Seller, Seller
��vconnuxprcxsnormmhco.orio�plicJwu,mn<ioxo(mcohunu�i|i1yund6"`cwuforuoypn�iculu,
pII-PmSC.
(4) The Cuxhmurv�mcod`u/SoUc,*iU not be |iub\u furvuy cnusqucnti:\ und incidental Jamouco misio�
f'ron any cuecu*mciutcd *i\hthe puohuadfiron S6lcc
(5)
'Faxes--- Prices sbuvm do not include mJcu uz other taxes imposed ml the oulc of goods. Tuxen now of
hcoudor imDoecd upon xxlcu or shipments will be added to the purchase price. Qulzru2zeCS to
rci`nbmsC Seller for any such tax orpruviJc Seller with acceptable tax exemption certificate.
(6) Delay io Delivery—Seller iynot tobe accountable for delays io delivery occasioned bynouufGndnr
o|hcrriounuomnccy over which Seller has no direct control. Factory shipment ordelivery dotes are the
bcstcxd/naus nf Our suppliers. and in no case shall Seller be liable fbrany consequential or special
dnmut,csmiuiuL, from any. dduvindcli,cry.
(7) Waiver—The failure of Scllcr to insist upon the performance ofany of the lernis or conditions ofllii^
contract or�o exercise,my right hercmiderxhall not be deemed to be a waiver ol'such ternis.,
conditions orriL6/ iu the futuo. nor shall it bodccmcdu`hcxvaivoro[any other\cnn. condidm,.or
right tinder this contract.
(A) pJoddivadaoufTrrnxuudConddhnxn—Nnzoniyxudcuodirion»uthe,zhu those muledhc, in. um|
no agreement Or Understanding,
in any vayyurpoohng to modify,these eruz ,cxrondhocn. shoDbe
binding oil 06br°itbum 8cUer'n written Consent.
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 9/18/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/18/2012 S106450196. $149.04
1 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 icer
VOUCHER # 122198 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
S106450196.1 07-1050-06 $149.04
CoNNec��o�
1
Voucher Total $149.04
Cost distribution ledger classification if
claim paid under vehicle highway fund