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HomeMy WebLinkAbout213535 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 00351017 Page 1 of 2 ONE CIVIC SQUARE KIRBY RISK ELECTRICAL SUPPLY CHECK AMOUNT: $6,895.66 zo CARMEL, INDIANA 46032 PO BOX 664117 roM`o. INDIANAPOLIS IN 46266 CHECK NUMBER: 213535 CHECK DATE: 10/9/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 106254572003 660 . 92 OTHER EXPENSES 651 5023990 106450410002 2, 283 . 33 OTHER EXPENSES 601 5023990 106458026001 657 . 94 OTHER EXPENSES 651 5023990 106461749001 226 . 84 OTHER EXPENSES 651 5023990 106461749002 1, 227 .46 OTHER EXPENSES 651 5023990 106461749003 596 . 11 OTHER EXPENSES 651 5023990 106461749004 284 .43 OTHER EXPENSES 601 5023990 106467193001 222 . 05 OTHER EXPENSES 651 5023990 106477462001 97 . 35 OTHER EXPENSES 601 5023990 106489337001 120 . 92 OTHER EXPENSES 651 5023990 106494483001 124 . 56 OTHER EXPENSES 651 5023990 106499485001 101 . 20 OTHER EXPENSES 651 5023990 106510012001 15 . 92 OTHER EXPENSES `f CITY OF CARMEL, INDIANA VENDOR: 00351017 Page 2 of 2 0 ` ONE CIVIC SQUARE KIRBY RISK ELECTRICAL SUPPLY CHECK AMOUNT: $6,895,66 CARMEL, INDIANA 46032 PO BOX 664117 INDIANAPOLIS IN 46266 CHECK NUMBER: 213535 CHECK DATE: 10/9/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 652 5023990 106516709001 276 . 63 OTHER EXPENSES -------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------- ------- DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER • • NUMBER RELEASE NUMBER 74918 894 SALESPERSON I •-. • PHONE MARK S BAYS PK PICK-UP 894 FISHERS 317-598-6170 09/14/12 ORDERQTYJ SHIPQTY I DESCRIPTION IT EM PRICE U,NIT - EXT-AMOUNT CASH DISC" 50ft 50ft COND E012 18.04 100ft 9.02 0.18 EMT 1/2"CONDUIT 100ea 100ea EGS C-510 37.04 100ea 37.04 0.74 3/8 D/C COMB FLEX CONN 50ea 50ea EGS DC-5500 92.86 100ea 46.43 0.93 DUP CLAMP CONN 3/8 100ea 100ea MINE 125 8.71 100ea 8.71 0.17 JIFFY CLIP- 1/2"TUBE/ 1/4" RIGID /BX, 3-12, 2-10, 3-10, SER8/MARK ON CLIP- 125 Billing Questions:Billing-request@kirbyrisk.com(765)446-3054 9110201210:22:20 AM 6106499495.001 Invoice Number 5106499485.001 Subtotall 101.20 If paid by 10/10/12 you may deduct$2.02 S&IH Charges 0.00 Invoice is due by 10/31/12 net of any cash discount. 9�r Sales Taxi 0.00 194 �� • � 101.20 0002:0002 Kirby Risk Page 1 of 1 TERMS AND CONDITIONS OF SALE ���EPTAN('[ OF THE GOODS PURCHASED ON THIS INVOICE (�ONSTITUTFS,AND EyT4NCEOFTBETERMG AND COND[TI0N'S{>F6ALENV8lCQFOLLOW: (1) Yock Merchandise is subject to u return dmrLc. No gxd',um}be nxumoi m/bouta J`�yl,,ici-, /iokn/ �-idiv invoice nunder and prim authorization (I) 'Non-StndL.Vixohxodiwc is nut x/mmub|e un(C^� ncoan Sruoru`^Ketuo/uJ ()ox`ds/\mho,i/!' from d`, ,cndor. . (3) liICLuskmmo/know ledges and x�ncuthat ioxUpochvvo�u[goodsund ^c/,iccy �oo' ScUc� Sdhor nn�xpms� ^nnuo/ic�.o, imp|icJ oa,coxic�o[moohuu���i|i|yu/"J 6''�cv^ k`,un> p,'dcu|m (4) that Seller-will not be |iuhb for any conmqxcxtial um| 'nx@unu | 6xmxyr"ui'siuk, With /hc purchx�u| 6nm Sc!|cr. (5) axes- Fricc,^bu,nidonmhu\udxudCxor^dCroncximpv^ud Oil tile ,aluo|'gxxn. rs hvxcafter impo^cJopunmbyorn6ipmcmuv ill be added u``h2purcbusc Buyoru9fec""u` rcimburse Sell,-r !or any such ta^or provide Seller with ac-Ccp,,,,IblC tax exemption certificl-itc. (b) Dvlay in Delik crN -Seller is not to he accountable for delav� In dctivery ocro.,,ioned byact� )J'God 0I" o//wr6ruonnusm over vbich Seller has m`direct control. Funorvdhipnwu/mrJe|i,nTdatc,s are the b^ocoima/xs o[^urxpplico. and in no case �haU Seller be liable for ooyr'`n�Iqurn/iu| m,spcciai Jxn`,wryorixin , /'mmunyJc|uv inJc|i,cry � (7) \ruher- [hc [uilu,ro[Selb,minsigup01.1U/cpcd onouno:o(anyoDhc/u`nsor conditions n[/hi� a,unotn,/oo,00iarun> hgd,| hereunder xhoUxn| hcJcnocJm6cowui,�:r"[mohonn!", ucxdidooso,�,-,Ix in the [umxc, nor shall it 6x deemed to be n waiver ofariv mher term, ro/Jihno,or night under,hisi:m,|mct. (N) Modification of [erms and Conditions-Nnmoo�and o/ndilmos other duu` ihoscsmoJhcmix,and xo vnJcraunJin& in any; way porpo/ -ngmnxx/fy these/oin�, vrcooJi|inox. hall bc ---- DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT • • • NUMBER RELEASE NUMBER 74918 S13223 ORDERED KEVIN R FORD 23 INDIANAPOLIS JEFF COOPER INDIANAPOLIS 317-687-0015 1 09/14/12 ,.ORDER QTY I SHIP CITY DESCRIPTION ITEM PRICE UNIT '.71E X7 AMOUNT CASH DISC lea lea AB 140M-D8E-C29 284.43 lea 284.43 CIRCUIT BREAKER `"SUBJECT TO VENDOR RETURN POLICY`" Billing Questions:Billing—request@kirbyrisk.com(765)446-3054 Invoice Number S106461749.004 Subtotall 284.43 S&H Charges 0.00 Invoice is due by 10/31/12. 09/14/12 Sales Taxi 0.00 ture� Date Pzinte� ame Time � • 284.43 0001:0002 Kirby Risk Page 1 of 1 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT • • • NUMBER'- �RELEASE NUMBER 74918 plum creek SALESPERSON ORDERED-BY SALES OFF Bi -!j,SfflP`DAT STEPHEN W SCRUGGS PK29 PICK UP larry INDIANAPOLIS 317-347-5800 09/12/12 . . 18ft 18ft PAND G2X3WH6 5.64 1ft 101.52 2.03 SLOTTED DUCT, PVC,2X3X6',WHT 18ft 18ft PAND C2WH6 1.28 1ft 23.04 0.46 DUCT COVER, PVC, 2W X 6',WHITE Billing Questions:Billing-request@kirbyrisk.com(765)446-3054 31121201210:37:14AM 6106494483.001 Invoice Number S106494483.001 Subtotal 124.56 If paid by 10/10/12 you may deduct$2.49 / , S&H Charges 0.00 Invoice is due by 10/31/12 net of any cash discount. t r Sales Tax 0.00 t ,d«y � q Me 124.56 0001:0001 Kirby Risk Page 1 of 1 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT 74918 S13223 KEVIN R FORD 23 INDIANAPOLIS JEFF COOPER INDIANAPOLIS 317-687-0015 08/31/12 RED 90D 2/64 STR ROYAL BLUE 16GA 90D 2/64 STIR GREEN 90D 2/64 STR WHITE 90D 2/64 STIR Billing Questions: Billing_request@kirbyrisk.com(765)446-3054 Invoice Numberl S106461749.0011 Subtotall 226.841 If paid by 09/10/12 you may deduct$4.52 S&H Chargesi 0.00 Invoice is due by 09/30/12 net of any cash discount. 08/31/1 Sales Taxi 0.0 Pate 0001:0002 14? Kirby Risk Page 1 of 1 VOUCHER # 125699 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 74918 01-7202-06 $101.20 510(.g6l7y9,00ti oi.-�aoa.ob o184,43 51069i44g3.00► oi. 7 y 194.6b S 106 4bl-141.6oi 0I.7��a,ob ; 9a4b,$ �73-7,o.? Voucher Total Cost distribution ledger classification if claim paid under vehicle highway fund 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 74918 $101.20 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 � Z-7 Date Officer ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER CUSTOMER NUMBER • NUMBER RELEASE NUMBER 11788 BT082812A SALESPERSON SHIP VIA .-D .. MARK S BAYS PK PICK-UP BRIAN TOLAN FISHERS 317-598-6170 08/28/12 ORDER CITY SHIP QT Y D ESCRIPTION ITEM PRICE UNIT EXTAMOUNT CASH DISC lea lea IDEA 31-057 56.61 lea 56.61 TUFF-GRIP PRO 240'X1 8"STEEL STEEL lea lea IDEA 31-061 165.44 lea 165.44 SPEED-GRIP 100'S-CLASS W LEADR Billing Questions: Bill ing_request @kirbyrisk.com(765)446-3054 81281201210:29:02 AM s108467193.001 Invoice Number S106467193.001 Subtotal 222.05 S&H Charges., 0.00 Invoice is due by 09/27/12. TO('w z2 5 Sales Taxi 0.00 BRIANTDLAN 1 22205 000s:0003 Page 1 of 1 Kirby Risk ------------------------------------------------------------------------ -- - -- - - DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT e • • NUMBER RELEASE NUM BER 11788 BT082212A SALESPERSON • • • •ATE KENNETH R WALTERS WC51 WILL-CALL BRIAN TOLAN FISHERS 317-598-6170 09/05/12 • • • • e • •ISC lea lea AB 1746-P2 657.94 lea 657.94 PACK MTD POWER SUPPLY 24 in KR Indy stock Billing Questions:Billing—request@kirbyrisk.com(765)446-3054 90020129:21:57 AM s106456026.001 Invoice Numberl S106458026.001 Subtotal 657.94 S&H Charges 0.00 Invoice is due by 10/05/12. —P�� �� Sales Taxi 0.00 BRIAN TOLAN 657.94 0001:0003 Kirby Risk Page 1 of 1 ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER 11788 BT091412A SHIP VIA SALESPERSON ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE MARK S BAYS DIRECT BRIAN TOLAN FISHERS 317-598-6170 09/17/12 ORDER UNIT EXT AMOUNT CASH DISC ITEM PRICE. DES CRIPTION lea lea OEL IRG011B10K 97.50 lea 97.50 SIZE 10-GLOVE KIT 11" BLACK KRPNM —SUBJECT TO VENDOR RETURN POLICY** Billing Questions: Billing-request@kirbyrisk.com(765)446-3054 Invoice Numberl S106489337.001 Subtotall 97.50 S&H Charges 23.42 Invoice is due by 10117/12. Sales Taxi 0.00 ® 120.92 0001:0001 Kirby Risk Page 1 of 1 -- ----- -- ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER . • NUMBER RELEASE NUMBER 11788 BT051512A P4 BSTR CNTL RM Heat SALESPERSON ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE KEVIN R FORD DIRECT BRIAN TOLAN FISHERS 317-598-6170 08/13/12 ORDERCITYJ • lea lea TPIIED12-1/4-3 628.59 lea 628.59 12"3P INDUSTRIAL EXHAUST FAN 480V KRPNM —SUBJECT TO VENDOR RETURN POLICY"' Billing Questions:Billing-request@kirbyrisk.com(765)446-3054 Invoice Number S106254572.003 Subtotall 628.59 S&H Chargesi 32.33 Invoice is due by 09/12/12. Sales Tax 0.00 • 1 660.92 0001:0001 Kirby Risk Page 1 of 1 VOUCHER # 122258 WARRANT # ALLOWED 351017 IN SUM OF $ KIRBY RISK ELECTRICAL SUPPLY PO BOX 664117 INDIANAPOLIS, IN 46266 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR I Board members PO# INV# ACCT# AMOUNT Audit Trail Code 106467193.1 01-6200-04 $222.05 ( D(p Z Sy 5�Z•3 k �i fv0•�� ' .9Z 1 Ole 4 5C5'p7je- L Voucher Total Cost distribution ledger classification if claim paid under vehicle highway fund 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 10/2/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/2/2012 106467193.1 $222.05 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 Officer DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT 74918 CIRCUIT BREAKER MARK S BAYS PK PICK-UP BLAINE FISHERS 317-598-6170 09/20/12 .-. . • lea lea SIEM 8120 15.92 lea 15.921 0.32 SP 20A CKT BRKR Billing Questions:Billing_request @kirbyrisk.com(765)446-3054 912W201210:57:30 AM x106510012.001 Invoice Number S106510012.001 Subtotal 15.92 If paid by 10/10/12 you may deduct$0.32 SOH Charges 0.00 Invoice is due by 10/31/12 net of any cash discount. 3 L� ,jXJ) Sales Tax 0.00 BLAINE 15.92 0001:0001 Kirby RiSk Page 1 of 1 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT 10074918 S13223 KEVIN R FORD 23 INDIANAPOLIS JEFF COOPER INDIANAPOLIS 317-687-0015 09/07/12 tea 2ea AB 140M-D8E-C29 284.43 lea 568.86 CIRCUIT BREAKER `"SUBJECT TO VENDOR RETURN POLICY" lea lea AB 700-HA32Z24-3-4 27.25 lea 27.25 RELAY Billing Questions: Billing_request @kirbyrisk.com(765)446-3054 Invoice Number S106461749.003 Subtotal 596.11 S&H Charges 0.00 Invoice is due by 10/31/12. 09 07 u Sales Tax 0.00 tore Franc amer Time • 596.11 0001:0001 Kerby Risk Page 1 of 1 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT 74918 S13223 KEVIN R FORD 23 INDIANAPOLIS JEFF COOPER INDIANAPOLIS 317-687-0015 09/04/12 & 2ea 2ea BUSS CCP-3-30CC 65.58 1 ea 131.16 Compact Circuit Protector 3PoIe Class CC 6ea 5ea AB 700-HA32Z24-3-4 27.25 1 ea 136.25 RELAY lea lea AB 1766-L32BWAA 960.05 lea 960.05 32 PT ML140ODC IN/R SIVIC Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 Invoice Number S106461749.002 Subtotal 1227.46 S&H Charges 0.00 Invoice is due by 10/31/12. Sales Tax 0.001 B 1927 46 N��w�! 1 0002:0002 Kirby Risk Page 1 of 1 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER • •• NUMBER RELEASE NUMBER 74918 Headworks SALESPERSON I . . DATE JAMIE BOSTIAN DIRECT NO FEE Joe Faucett FISHERS 317-598-6170 09/10/12 DESCRIPTION ITEM PRICE., EXT AMOUNT ORDER QTY SHIP* • lea lea LUTR MRF2-8ANS-120-WH 89.85 lea 89.85 MULT LOCATION SWITCH *"SUBJECT TO VENDOR RETURN POLICY** Billing Questions:Billing_request @kirbyrisk.com(765)446-3054 Invoice Numbed S106477462.001 Subtotall 89.85 S&H Charges 7.50 Invoice is due by 10/31/12. Sales Tax 0.00 • 97.35 0001:0001 Kirby Risk Pagel of 1 --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------- DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT ll'CUSTOMt OMER PO�NUMBER RELEASE NUMBER 74918 S13212 MOM JEREMIAH S ELY DIRECT JEFF FISHERS 317-598-6170 09/24/12 ORDER CITY DESC�r[ON,, lea lea HOFF A42H3612SSLP3PT-MOD QTE 63819 2195.00 lea 2195.00 43.90 CUSTOM ENCLOSURE KRPNM —SUBJECT TO VENDOR RETURN POLICY** Line#1 of Hoffman quote Billing Questions:Billing-request@kirbyrisk.com(765)446-3054 Invoice Number S106450410.002 Subtotal 2195.00 If paid by 10110112 you may deduct$43.90 S&H Charges 88.33 Invoice is due by 10/31/12 net of any cash discount. Sales Tax 0.00 o 0 2283.33 0001:0001 Irby Risk Page 1 of 1 --- - - ---------------------------------- -------------------------------------------- ------------------------------------- DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER • • NUMBER RELEASE NUMBER 74918 S13263 ORDERED SALESPERSON SHIP VIA KEVIN R FORD WC51 WILL-CALL JEFF COPPER FISHERS 317-598-6170 09/26/12 ORDERQTYj SHIPOTY lea lea EGS HS5F3AS 276.63 lea 276.63 3KVA 240X480-120/240 CROSS FOR SQUARE D 3S1 F Billing Questions:Billing_request @kirbyrisk.com(765)446-3054 91281201212:06:33 PM s106516709.001 Invoice Number S106516709.001 Subtotal 276.63 S&H Charges 0.00 Invoice is due by 10/31/12. Sales Taxi 0.00 JEFF COPPER 0 a 276.63 0001:0001 R Kirby Risk Page 1 of 1 TERMS AND CONDITIONS OF SALE ACCEPTANCEOF THE GOODS PURCHASED 0N THIS INVOICE CONSTITUTES AND �C'CEPT�N'('E <)FT8ETER0S AND CONDITIONS QFSALE WHICH FOL8MV: (l) Sxwck Merchandise is subject wu return rho/qe, NntzooJsnmyhrnr|uro,u \Nit|u`uzashirminu, ticket .md/ncio,uicc number and?hurouthorizo ion. Q; ',,on-Stock Merchandise is not returnable unless we call soc.irc a "Returned Gtoods Aulliorit-y" front di�, vendor. (3} lhcCugomcrocknm^lcJgcSuodogxusthat ill all pu,clmsc�,of(gomduand ices 6nn` S�`�cc3d\cr n^xxp, ^, vnnaomr�. or implied vmonn\io»o[nmn]`amubUi|yuod @oexs 6oruuy ponicuio, yxqm,, (4) T'1,' C:uxwmo,-oc,thu/ 3cUo*iU not be\iah\o for any cnnuqucn/ia| and incidonm| duo:uc,�urlsing mao� d "oh the goods purchux:d from ScUzr. (5) Taxcy-ydces mnovn do nw indoJc *dcs ur Other taxes bnpu�ed oil the su/c ,I',-,xodn. Tx�es now or im-cafter impo.-,ed 1.111011 Sale,,or shipments will be 3LICIC(l to UIC nUrchase pricc,. Buyer m`ubun,- Seller for any such tax or provide with acceptable tax us/rr?!iun cuzificuu. (6) DJx� in Ddbrr) -SeUcx(s not mbcaccountable for delay,., iodc6rcryoccasioned hy vl'Godor ` |borcirconumnccu over which Seller has no direct control. Fuotu/yohip/oont or delivery kls,smc the csthnosso[uur suppliers. and inuo case shaU Seller be liable for ouyC"nsegocndu| v�,4`ccia| .1mnuyr*misiog [nnn any delay in delivery. (7) Waiver-The |alluron[Sel|crm insist upon d`cperKbrmuncco[unyoUhc terms ovcooJilivuon[6i� contract or/oc�,co(pcun> hgli| hereunder shall not hodcnn,cJm6caxmiwro[suck/rox�. .nodidono or rig ht in tile km/r. unruhaU h be Jccmcdto hc x vui^c,u[uo> other term, condition,or ,igh( under,this cnn|mm|. (W) Modification o['[crmm and Conditions-Nn/rox,,and cundi`i000 other thun those*mcdhomiu`and 000,-Ynouem.�uuJosmndilI,'. inuuyva>purponbng tonx,Jify these nrnn� cxuvui\ion`. shall be hillding Oil SCli�l'Without Seller's written consent. VOUCHER # 125847 WARRANT # ALLOWED 351017 IN SUM OF $ KIRBY RISK ELECTRICAL SUPPLY PO BOX 664117 INDIANAPOLIS, IN 46266 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR i Board members PO # INV# ACCT# AMOUNT Audit Trail Code 9 13r JT �J 106516709.1 02-354 '3� $276.63 Depreciation Sf'©b'�SONIObo-oa Oi,13, 09.bb gtaS3.:33 01-'790)'06 S 10696r'7y9.60a s IoGy�i'7y9.Qo3 bi.'l�+Joio3 $q6. i 1 5 Io�Si��`a•aoi i 0WT)LoD,06 I619 Voucher Total $27.63 Cost distribution ledger classification if claim paid under vehicle highway fund 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 10/4/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/4/2012 S106516709, $276.63 hereby certify that the attached invoice(s), or bill(s) is (are) true and :orrect and I have audited same in accordance with IC 5-11-10-1.6 Date Officer