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HomeMy WebLinkAbout214347 11/07/2012 CITY OF CARMEL, INDIANA VENDOR. 00351017 Page 1 of 1 0 f ONE CIVIC SQUARE KIRBY RISK ELECTRICAL SUPPLY CHECK AMOUNT $6,58946 CARMEL, INDIANA 46032 PO BOX 664117 INDIANAPOLIS IN 46266 CHECK NUMBER. 214347 CHECK DATE. 11/712012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 106319973001 1, 018 33 REPAIR PARTS 609 5023990 106450196002 326 07 OTHER EXPENSES 609 5023990 106467151001 175 66 OTHER EXPENSES 609 5023990 106479457001 67 01 OTHER EXPENSES 601 5023990 106502749001 4 , 544 98 OTHER EXPENSES 609 5023990 106529189001 231 33 OTHER EXPENSES 609 5023990 106543951001 226 08 OTHER EXPENSES -- --- --- ----------------- ----------------- ------------- --------------------------------------------- ------------- ------- -------------------- ----- -------------- --- DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER 11788 KR101612 3M term training SALESPERSON SHIP VIA . 'PHONE KEVIN R FORD PAR PARCEL DLVY KEN RHODES FISHERS 317-598-6170 10/22/12 ORDERCITY SHIPQTY lea lea 3M 7622-T-110 231 33 lea 231 33 COLD SHRNK TRMNTN KIT "SUBJECT TO VENDOR RETURN POLICY"* 3 terms per kit(indoor) Billing Questions:Billing-request@kirbyrisk.com(765)446-3054 Invoice Number S106529189.001 Subtotal 231 33 S&H Charges 000 Invoice is due by 11/21/12. Sales Taxj 000 • e 231.33 000z:000z Kirby Risk Page 1 of 1 TERMS AND CONDITIONS IONS O SALE l _CEPTAN(E OF THE GOODS PURCHASED ON THIS INN-OICE CONSTITI.ITES %ND XCC.EPTANC:E OF THE TERMS AND CONDI'T'IONS OF SALE'44 HICi-d FOLLON'4 (1) 'stock Merchandise is subjeci to a return eliarLe Flo goods niav he returned ti, ithout a sliippinr, ticket und:or invoice number and prior authorization (2) Non-Stott Merchandise is not returnable unless xA e can secure a Returned Cjoods %uthorit-, from di;. �endor (3) 1 he l,ustomer acknowledge,,and agrees that tin all purchase,ofgoods and ,ervicc: frorn )Lller Scllcr vcL�no cxprc,s kNarraniicS,t,r imtplied warrantios of mei-ehwitability tin(] fitness for any p,irtlenlai' 1?lil'pO,e (4) ",he Customer agrees that Seller a ii) not be liable for any. consequential and incidental dairiagcs arising from any causc associated \.N j h the 'odds Purchased front `,Ll Ll. (5) 'faxes PrICCS '�hoe'.-u do not unLlude ,ales or other taxes innpo,ced on the ,ale ofgood, T ixc,,nkm or hereafter impu.�,d upon,ales or shipments %ill ')e added to il• purchasL pr e I3uyLr ay , to r iinhursL ticll r for any suc}- tax or proti i(k Seller with i:icccptable tax exemption LertlfiLate (b) 'Delay in DeliN er-, — Seller i not to he accuunti,ble for dclav', .n deliver- occasioned b~. a.is of God of- other circumstances over which Seller has no direct control hactory shipment or deliver% dates are the I est estnnates of'our suppliers,and in no Lasc shall Seller bL liable [or an% _own cqucniiul , r spcLial Jamages ari,int, from an\ delay' in deliver (7) 4N aiver—Tlx tailurc of-Sell,,r to insist upon the perforn-mm.e of any of the terms or cond tions of thi, contract or to Lxcrcise any rght hereunder shall not be deeined to be a�,tairer of such terms_ conditions or n0ii in the future. nor shall t be deemed to bL .i �.'aiver of-any other tcrin, Loridit.ion or right under th, contract. (8) Modification of Terms and Conditions—No terms arc. conditions other than those siat,_d herein,and no agreement or understanding, in ant «ay purporting to modify these terms, or conditions, ,hall be binding on SC11e1-Without SLllcr s written LonSent. ----------- -------------- ------------------------------------- ------------------------------------------------- - DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER e e N UMBER RELEASE NUMBER 11788 BT090412A TOLAN P4 BSTR HEAT ORDERED PHONE NUMBER SHIP DATE SALESPERSON SHIP VIA JEREMIAH S ELY WC51 WILL-CALL BRIAN TOLAN FISHERS 317-598-6170 10/01/12 ORDER lea lea TPI T5100 6701 lea 67 01 SPST Line Voltage Stat for 5100 UH —SUBJECT TO VENDOR RETURN POLICY" Billing Questions:Billing—request@kirbyrisk.com(765)446-3054 10119120129:38:00AM 6106479457.001 Invoice Number S106479457.001 Subtotal 6701 S&H Charges 000 Invoice is due by 10/31/12. Sales Taxi 000 ..rr..,, BRIAN T LAN ® 6701 0002:0002 ►�I� Kirby Risk Page 1 of 1 TERMS AND CONDITIONS OF SALE ACCEPTANCE OF THE C,OODS PI RC:HASED ON THIS INN OIC E. CO\STITLTES ND 1CCEPTA\C E OF THE TERMS AND C'ONDITION'S OF SALE NN"HICH FOLLONN (I) Stock:Merchandise is sub ect to a return charge No goods may be returned without a ,hipping ticket and or invoice number and prior authorization. (2) Non-Stock Merchandise is not returnable unless wt. can securk, a Returned Hoods Authority from die %endor (3) The Customer acknowledges and agrees that i°i all purchaSey of goods and services from Seller Seller gives no express \varranttes or implied \4-arranties of merchantability and fitness for an\- particular purpose (4) l he (.,ustomer agrees that SLIICr\,k ill not be liable for am, ceriseciuciihal and incidental datnl-iges arising from any cause a;Snctated \with the goods t)ur haled from Seller (5) 'Taxes— Prices shown do not 111 lode ,ales or other taxes imposed on the,ale of goods. Cayes no\N or hereafter lnnposed upon ,ales or shipments wiil be added to thL.purchase price liuvcr agrLc;,to rennburSe 5elicr for any such tax or provide "):,ller With acceptable tax exemption d.ertafi,.ut. (6) Delay in Delivery—Seller i,not to he accountable for delay=s 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) Vb aiver—The failure of Seller to insist upon lie performance of any of the terms or conditions of this contract or to exerci:;e any 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 terra, condition or right raider this contract. (8) Modification of"Terms and Conditions—No terrns and ct ndmons other than those stated herein,and no agreement or understaiuhng, in any \vay purporting to modify these terms.or condition,. ,hall be binding im Seller without Seller s written consent. ---- --- ----------- ------------------------------------------------------------------------------------------------------------------------------------------------------------ ------------ DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER • •• NUMBER RELEASE NUMBER 11788 BT082912A SALESPERSON SHIP Vlk ORDERED BY SALES OFFICE PHONE.NUMBER DATE MARK S BAYS WC51 WILL-CALL BRIAN TOLAN FISHERS 317-598-6170 10/01/12 ORDERCITY1 SHIPCITY DESCRIPTION lea lea ERIC SSC-2Q 96.26 lea 96.26 MOLD "SUBJECT TO VENDOR RETURN POLICY"' 10ea 10ea ERIC 90 7 94 lea 7940 CU-CU&CU-STL WELD METAL "SUBJECT TO VENDOR RETURN POLICY" Billing Questions:Billing—request@kirbyrisk.com(765)446-3054 1011912012 9:37:35 AM s106467151.001 Invoice Number S106467151.001 Subtotal 17566 S&H Charges 000 Invoice is due by 10/31/12. Sales Taxi 000 BRIAN LAN s 17566 0001:0002 Kirby Risk Page 1 of 1 TERMS AND CONDITIONS OF SALE ACCEPTANCE OF THE GOODS PURCHASED ON THIS INVOICE CONiSTITTES AND XCCEPTA\CE OF THE TERMS 4ND(:'ONDITIONS OF SALE WHICH FOLLONN (1) Stock Merchandise is subject to a return charge No goods maN be returned ),Nithout a shipping ticket and or invoicL camber and prior authorizatioi (2) Nun-Stock Merchandise is not returnable uniess ue can Secure a 'Returned Goods Aut iorit_ From the vendor (3) The Customer acknow ledges „yid agrees that iii all purchase,of goods and services from Seller Seller gives no express warranties or implied warranties of merchantability and fitness for anN particular purpose (4) The Customer agrees that Seller trail) not be liable for any consequential and incidental dainage'�a ising from am cause issociated Vdl t the 2,00d,puichascd from ",Lllel' (�} '1 axes— Prices .howrt do not include ,alas or other taxes imposed on the ,.ile of goods, xc.5 now or hereafter impo,ed upon sales or shipments mill be added to the purchase price Buyer agree,to reimburse Seller for any such tax or provide Seller with acceptable tax cxcniptuon certificate (6) Delay.in Delii er- —Seller is not to be accountable for delays in delivery occasioned ba. acts of God or other circumstances over which Seller has nk direct control l-actw, shipment or deltacr% dates ari th- hest estimates of our supplter,�. and in no case shall Seller be liable for and consequential or Special damages ansma from any delay in delivery (7) kN aiyer—The failure of Seller to insist upon the performance of any of the terms or conditions of this contract or to exercise any right hereunder chill not be deemed to be a ),k o er of'such term,. conditions or nLThi in the future, nor shall it he deemed to be a-,x-aver of any other term. condition.or right under this contract. (8) Modification of Terms and Conditions—Rio terms and conditions other than those stated herein,and no agreement or understanding, in an- «ay tiurporting to modify these terms. or conditions. ,hall be binding 011 Seller without Seller s written consent. DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT 11788 BT100912B MARK S BAYS DIRECT BRIAN TOLAN FISHERS 317-598-6170 10/11/12 lea lea HUBB HBL400MBN 2501 lea 2501 SINGLEPOLE,400A MALE PLUG, BROWN "SUBJECT TO VENDOR RETURN POLICY** lea lea HUBB HBL400FBN 2501 lea 2501 SINGLEPOLE,400A FEMALE PLUG, BROWN **SUBJECT TO VENDOR RETURN POLICY** lea lea HUBB HBL400MO 2501 lea 2501 SINGLEPOLE,400A MALE PLUG, ORANGE **SUBJECT TO VENDOR RETURN POLICY** lea lea HUBB HBL400FO 2501 lea 2501 SINGLEPOLE,400A FEMALE PLUG, ORANGE **SUBJECT TO VENDOR RETURN POLICY** lea lea HUBB HBL400MY 2501 lea 2501 SINGLEPOLE,400A MALE PLUG,YELLOW **SUBJECT TO VENDOR RETURN POLICY** lea lea HUBB HBL40OFY 2501 lea 2501 SINGLEPOLE,400A FEMALE PLUG, YELLOW **SUBJECT TO VENDOR RETURN POLICY** lea lea HUBB HBL400MGN 2501 lea 2501 SINGLE POLE 300A MALE PLUG **SUBJECT TO VENDOR RETURN POLICY** lea lea HUBB HBL400FGN 2501 lea 2501 SINGLE POLE 400A FEMALE PLUG GREEN **SUBJECT TO VENDOR RETURN POLICY** Billing Questions:Billing_request @kirbyrisk.com(765)446-3054 Invoice Number S106543951.001 Subtotal 20008 S&H Charges 2600 Invoice is due by 11/10/12. Sales Tax 000 o 226.08 0001:0001 Kirby Risk Page 1 of 1 J At f PT%N f T UPI HF C. QDS 9'R RCH M D(IN "$'CR S IM M1 I QNSTFFL t IS %ND 4( Q'1<"R'"1'"°M i< 01' "9 DIP HLRNN A\D t ONDO'i°iOsh M SAO P to HAM P01 i a3-A (i) uve1i '4i€Cmaa;€6n iw hu ja I a itwo L ta. c" No i_'t)€it. t v W Ic'll, iL No' 1€ my 160 ?) 'Ile •!maths. tLiJMhk It IN Stu `a<r I I r a R,twnc�t(i od,-, utf- )r v from. (3) I hL (AIS, 11 1' Iu}41 it\"1 C3`•E .trti k: I'C 1.iiat t11 i)umhan t" pock ati:(1 rt rtx,11t 13) "L't 'r I'i IN no c r;l.'wN `vt .miruws or 313 red i4.ITh of ti1.no I A. 01 ami i 0% 1Ur.1 I ,1 "t at 1)l. ph, Q 1 i a uN, ir r n Mitt "a ti 1 II€4I 1 I hL to a, t 11 0 ;itial ir0 !l� d-rit. I 0 1 Vie--ari,It1 t Lift': t'. st •i> it 1� <� l: 'c1 d t he , tt an w) iii IV. LIN ;LICS II OU 11,XC- i1 €)i WU On the.,, gwo. 1 0, MM ftti Lou ItMu ud i.,poti f, IL r�fupni,na ti- t 6. ati€oI I i.I:a.pi <t;3lay Im lit.yw d rt ola r `5t H I :I any vaL a, (tr 3)r a rut, i r,'ath E( "1 bi, td\ a Eli )n "en di 6) 0 Lvv in llt• as a s ,-4t31 , ti) hL tca =;i 11t for it' n t°ulhor 0 uli,Isd h! tIi'(wd t); "e1, .Ir lit, i ,L" o or \1, '11 selbn-has no It t'ct toil I.0 3 k('lor. 4, )tn1*n1 or deliver d, too are tht 1',i'SI1i:wc,I I t},.S"ou()t'lier :t d in no can }t" H .'1 lh3 ,r 1,, 3 ablL l=)r.liil < onset11(C'i,ml or Np?-Lia1 drt�iw Iron),iny dcla% it)LSeh\.:rt s7S %%aliver— 1 tt INUIT J '\L1 t e1)11 S0, tit A WL t5idmii a l .tilt 01 Lk LII 1")r� it.1kt1 'a Of hi at .xi i)t o Y Ice on 1 lwr't Adp ' U 1l)l he h M 1 14 K a t'r 31 MW" 1 11 'Id lion: i '• gh ill-,he It, ( Ili t4) i; v,ir ,of ct4 (tt11( L—D litiort o' I hl '111dor 1- 't -lit %"[ (H) MCPQ1i ca li(3t3 0 Krms and Q onclifi€n s—No 1.Lrirrs and c )m 41.ttiilh€ dar Mar t3 we qo d }1t urn. cti"..1 no agrt;t[tttit3 r)I'ttllila:.tfi71(1 ng it an, sov wr1xrning to ni, 1t Me ic,ii_m ?ram( It owl x 3 kltt.litJ Oil >t i.t;i' XitttUti€ ct, IL i wri ,@'t' ii ",Lilt. --- ------------ -------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------ DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT RELEASE NUMBER, e N =STOMER,PO'NUMBER 11788 KR81612 .-D . DATE JAMIE BOSTIAN DIRECT NO FEE KEN RHODES FISHERS 317-598-6170 08/29/12 1 00e 100ea BLIN B822 GREY 28377 1 00e 28377 PLASTIC END CAP 8 A 1 Billing Questions:Billing_request @kirbyrisk.com(765)446-3054 Invoice Number S106450196.002 Subtotal 28377 SOH Charges 42.30 Invoice is due by 09/28/12. Sales Tax 000 Lg!= 326.07 0001:0001 Kirby Risk Page 1 of 1 TERMS AND CONDITIONS OF SALE iCCEPTANC'E OF THE GOODS PLRCHASED ON THIS INVOICE CONSTITLTES AND 1C.CEPTANCE OF THIS TERMS -'1ND CONDITION'S OF SALE NVHICH FOLLONV (I) Stock Merchandise is suhjcct to a return charge No food, ritay he returned without a slipping 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 acknowledges and agrees that in all ptuch<t•es of goods and services frorn 4cller Seller gi1el�no express %%arramies or implied %%arranties of nnerchantabihty and titness for any particular purpose (4) The Custorner agrees that Seller will not be liable fur any consequential and incidental carnage arising from any cause associated %- jth the <<,00ds purchased from c.11cr (=} Taxes Priccs shown do no, include ,ales or other tarCS imposed oil thd. sate cif 2-ood>. T \:;s no%%- or hereafter imposed upon sales or sh.rpments will be added to the purchase price fiMer agrees to reimburse Seller for any such tar or pro%-idc Seller%%ith ac •ptablc tax cremption certir "te (o) Delay in DeliverN —Seller is not to he accountable for delays in deliver,, occasioned by acts of God or other circumstances over which Seller has no direct control factory shipment or del r%cry dates are the best estimates of our suppliers,and in no case shall Seller be liable for an% consequential or special damages arising from any delay in deli%ery (7) kk aiver—The failure of Seller to insist upon the perfornnance of any of the terms or conditions of this contract or to exercise any 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 i. 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, in(] no agreement or Understanding, in any %%eiy purporting to modify these terms. or conditions. ,hall be hiding 011 Seller w'Ithollt Seller s 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 11/1/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/1/2012 S106450196 $32607 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 1 L/"IV/ Date U, 0- Or VOUCHER # 122645 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 S IGG54I0—col 01 1DZ,06 z31 2,3 S106450196.1 07-1050-06 $32607 S IC654 3G51 (90 ( 07 1752 01 06 05 S I()g L16" 15) 001 0 -) 1052.01 115 66 sjobq-7 1 157 601 07 IP6a,Oz 6701 O� �P Voucher Total Cost distribution ledger classification if claim paid under vehicle highway fund ---- --- --------- ---------------------------------------------------------- ----------------------------- ------ ------------------------------ -------------- ------------------ DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT • CUSTOMERRO NUMBER" MB RELEAS&NU ER 11788 W09746 WELL 19 SOFT START • •-e e • e e� KEVIN R FORD 23 INDIANAPOLIS BRIAN TOLAN INDIANAPOLIS 317-687-0015 10/22/12 lea lea AB 150-F108NBDB 394834 lea 394834 SMC-Flex, Open, 108 A, 20 75Hp @ 460V AC, Input Volt. 200 480V, Control Volt. 100 .240V AC, Pump Control Option —SUBJECT TO VENDOR RETURN POLICY'" In stock at Rockwell 2ea 2ea AB 150-17841- 21472 lea 42944 Protective Module,480V, 108 480A Current Rating Optional 2ea 2ea AB 199-LF1 8360 lea 167.20 TERMINAL LUG (PKG QTY 3), Billing Questions. Billing—req uest@kirbyrisk.com(765)446-3054 Invoice Number S106502749.001 Subtotal 454498 SOH Charges 0001 Invoice is due by 11/21/12. �io/zz/zz , Sales Tax 000 j Signa re Date Prince ama imP a 4544 98 0001:0002 Kirby Risk Page 1 of 1 I ! w NIS AYNDf ONDYHO ­ 01, BALL 1( ( EPTXN( WTHECk)ODSPIR( l �iSEDO'N7`117 IN'1i,01( icownn FSAL.ND ACC EPI kNC:E0FTVL TERNI's ANT ( ONDI-I'10 �SOFSkIFNNHICHFOtl !ZNN. fit SlocIc Merchandise iisuhw(ii ) dl-CILirti T -f�c \oqhys im (fit wui,dnaMuiqs inn ncki IL d or invt io_ iii.niber and 1) it authori..v (21 Nt"PlAuch Mirrchandise I it murnahl u S "L L 0 V U RdU I MR& A flon- K vendor (3) A Cuslor. �r LkIIOvk1(2d', < ' Id AgOW AM r OU PIU Lh &goods art ice,,, From Her SeilLr b. cqnOcXPW "UMMAINS iMhedmaj micsotrncm aNIS am! I r -Y for aim nicular !I.,Irrw,,e 141 C 0SWL , WS W "Ill nol It IL RW drY qlAl W! I. WITILS& t L s anuj I axes P � ic "a clt r Tcr a"s A on W v kA gw, no" ar ,i,reafter iirlr�,,ed UPOII Dc added 1, j)l.IrChL,,L V ,I fIbUl -L ') I I for anv Y, 4 a, or pnn in A&mAh, amW WX LMPI On 1-0111 R i WaV in Deli -1 --SeHL R I ) he a 11c W &I n dclper- ictaLmlned I.- _t ES c I God o wr,TLjM dionovizi-xviq Werha, d rest comp I ioor, 11-i P at or dell imes m, A, St USLIU3 )ur mWok nd w nc , ,hall 41, whKina, oweWepul srioctal i,, Iron am & .t_ rdch\ 'r% 1A alver– 11 1 JhXC Of 5c1 1 myq up) die pubs— is tdWq Of TL hems or Lo m. uqs of OntraCtOrit) it hercurilki a not be& . v to be a " I of nwh 1 1 , WdMom ar I s111 In tll� it 1� Ior Shall deern"d I I of I I O'her tcrm ndition or --ill lindel,I onlrai.A. Mod!Vicadcr of Terms and t sin RAns– )wnuh aw v Am=other€k n Own ni, I heran am] agreerm rj it'Understands is anN t1 r onirig v P. theSL LL '11 Or Londi , o TAI be 0 Ofi WithOLl' \vritten q�:n 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 10/30/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/30/201; 1065027491 $4,54498 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 Officer VOUCHER # 122578 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 106502749 1 01-6200-02 $4544.98 Voucher Total $4,54498 Cost distribution ledger classification if claim paid under vehicle highway fund I& Kirby Risk INVOICE 1815 Sagamore Pkwy Lafayette, IN 47904 10/12/12 S106319973 0011 74918 D • • • • • 11/30/12 101833 33 KIRBY RISK CORPORATION P O BOX 664117 INDIANAPOLIS IN 46266-4117 461 1 MB 0.404 E0148X 10243 0564554459 P1212512 0001:0001 SHIP TO II��III�I'I����I"I.III'�I�'II..I"�I���I�ll�'ll�'llllll�llll�ll� CARMEL WWTP CARMEL WWTP 9609 HAZEL DELL PKWY 760 3RD AVE SW INDIANAPOLIS IN 46280-2935 CARMEL IN 46032-2072 --- ------ ----- --- --- ------ --- ----- --- ------ --- --------------------- --- ----------------- ------- --- -------- ---- --- ----- --- --- ----- DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT 774918 S13118 • •'• • s JOHN BABIAK DIRECT JEFF COOPER LAFAYETTE 765-423-4205 10/12/12 . . . SI SHIP. . - lea lea WORL WWE20-18-256HJM 91000 lea 910 00 AC MOTOR 20HP 1770RPM 256JM FRAME KRPNM **SUBJECT TO VENDOR RETURN POLICY** APPROXIMATLEY 2 MONTH LEAD TIME ON MOTOR FREIGHT WILL BE PREPAID AND ADD Billing Questions: Billing_request @kirbyrisk.com(765)446-3054 Invoice Number S106319973.001 Subtotal 91000 S&H Charges 10833 Invoice is due by 11/30/12. Sales Tax 000 e 1 1018.33 0001:0001 Kirby Risk Page 1 of 1 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 service rendered by whom, rates per day number of hours rate per hour number of units price per unit, etc. Payee Purchase Order No Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 10/30/12 S106319973 001 $1,01833 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 20 Clerk-Treasurer VOUCHER NO WARRANT NO ALLOWED 20 Kirby Risk IN SUM OF $ P O Box 664117 Indianapolis, IN 46266-4117 $1,01833 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO ACCT#/TITLE AMOUNT Board Members 2201 I S106319973 001 I 42-370 00I $1,018 33 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Thursday, November 01, 2012 r !V Street Comm ssloper r v Street CorrTitle sinner Cost distribution ledger classification if claim paid motor vehicle highway fund