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HomeMy WebLinkAbout215690 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 00351017 Page 1 of 1 ONE CIVIC SQUARE KIRBY RISK ELECTRICAL SUPPLY CHECK AMOUNT: $158.50 CARMEL, INDIANA 46032 PO BOX 664117 INDIANAPOLIS IN 46266 CHECK NUMBER: 215690 CHECK DATE: 12/18/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 106543910 158 . 50 OTHER EXPENSES DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT 11788 BT100912A swomm MARK S BAYS DIRECT BRIAN TOLAN FISHERS 317-598-6170 10/10/12 3ea 3ea NSI ISR-500 38.87 lea 116.61 500-4 INSULATED CONN **SUBJECT TO VENDOR RETURN POLICY** lea lea NSI ISR-250 25.39 lea 25.39 INSULATED CONN Billing Questions: Billing—request@kirbyrisk.com(765)446-3054 Invoice Number S106543910.001 Subtotall 142.00 S&H Charges 16.50 Invoice is due by 11/09/12. Sales.:Tax 0.00 o 158.50 0001:0001 Kirby Risk Page 1 of 1 VOUCHER # 123025 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 106543910.1 01-6200-04 $158.50 Voucher Total $158.50 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 12/10/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/10/201; 106543910.1 $158.50 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 //l L car Ak- fA -a�- Date Officer