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