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
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Street CorrTitle sinner
Cost distribution ledger classification if
claim paid motor vehicle highway fund