218121 03/13/2013 a CITY OF CARMEL, INDIANA VENDOR: 00351017 Page 1 of 1
ONE CIVIC SQUARE KIRBY RISK ELECTRICAL SUPPLY
CARMEL, INDIANA 46032 PO BOX 664117 CHECK AMOUNT: $922.45
'+.,--0•+ INDIANAPOLIS IN 46266 CHECK NUMBER: 218121
OM
CHECK DATE: 3/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 106758744 28 . 53 OTHER EXPENSES
651 5023990 S106734974 601 . 58 OTHER EXPENSES
651 5023990 S106772810 292 . 34 OTHER EXPENSES
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
• • •• BER RELEASE NUMBER
11788 BT021913A/WELLS
ALESPERSON;:, SHIP VIA .-. . .•TE
MIKE E WILSON PK PICK-UP BRIAN TOLAN FISHERS 317-598-6170 02/19/13
DESCRIPTION CASH R!�
lea lea SIEM Q120 3.66 lea 3.66
BREAKER 20A 1 P 120V 1 OK QP
lea lea SIEM Q2020 8.88 lea 8.88
SP 20/20A 120/240V CB
lea lea SIEM D120 7.25 lea 7.25
SP 20A 120/240V CB(=QO120)
lea lea HUBB GF201LA 8.74 lea 8.74
20A 125V COMM LED GFCI, IV
Billing Questions: Billingreq uest@kirbyrisk.com(765)446-3054 21190201310:47:52 AM S106758744.001 Invoice Number S106758744.001
Subtotal 28.53
S&H Charges
Invoice is due by 03/21/13. 0 LA14 ZZ S7 Sales Tax 0.00
BRIAN TOLAN 0 3 28.53
0001:0001 Kirby Risk Page 1 of 1
TER hill AND IF SA L 1:
4, nFPT%\v ! -W THE(AV MS 9'1 ACV GED ON Tlill AVORY WNSTM 11 ANE)
k?Vic;�-'-I z of i3 cl'i,i i pvw is oly w us u iNqa a X 0 ki
pi, o
;'no if
1, QJ tvm z'
C yoinw- ov tha: SM, d! viol N. V ',Si 4n, n'c SpmW n Co. 1"
AW Or
zyw koo, �Qvww' 01m, n. & 1 1101,ow, A
W in thl, 1W Adv awom i Oic &wo: &Hvivo Wad by o: '.7t d o;-
V. :1A IM it ',3, 'M WK i 0-US 0 1 j I A� W"Yan Iq Chi= QKCP� �Pi W 1%,'
in:
d0;i%"'FC
z A�W
;?z .. T AA u ooif 'i-
AM i z"z'T p Kv i 'c bo a on!
kvqwd io ;1 . V, Al Um -OL wr
-Wicwtivii v 1 1 only aho c -UHMMS- x.m iml 01 Lnwfs OW AoK mw ±L w,
amm"nn .�onwvv on wq V, owdup 10 ihm i-,1'!:'
VOUCHER # 131030 WARRANT # ALLOWED
351017 j IN SUM OF $
KIRBY RISK ELECTRICAL SUPPLY
PO BOX 664117
INDIANAPOLIS, IN 46266
t
�l
f
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
1
�i
Board members
f�
t.
PO # INV# ACCT# AMOUNT Audit Trail Code
106758744.1 01-6200-02 $28.53
Ii
f�
:4
j
Voucher Total $28.53 !
I
Cost distribution ledger classification if
claim paid under vehicle highway fund i
I
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 3/5/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/5/2013 106758744.1 $28.53
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
CUSTOMER • •
RELEASENUMBER
74918 BLAINE
.•. . - I 'PHONE NUMBER,I
MARK S BAYS WC29 WILL-CALL BLAINE FISHERS 317-598-6170 02/27/13
ORDER QTY]'-SHIP•
lea lea HUBB HBL9367 19.85 lea 19.85 0.40
2P3W 50A 250V SGL RCPT NEMA 6-50R
lea lea HUBB 073031204 14.61 lea 14.61 0.29
STRAIN RELIEF GRP
65ft 65ft CORD SOOW-8/3-CUT 3106.65 1 000f 201.93
BLK NEOPRENE
lea lea T&B 72171 1 177.52 1 00e 1.78 0.04
SC 72171 1 STEEL ELECT. BOX
lea lea HUBB HBL9367 19.85 lea 19.85 0.40
2P3W 50A 250V SGL RCPT NEMA 6-50R
lea lea EGS 8498 738.35 1 00e 7.38 0.15
4-11/16 RAISED CVR
2ea 2ea LEV15378 1346.79 1 00e 26.94 0.54
SURFACE RECEPT
Billing Questions:Billing—request@kirbyrisk.com(765)446-3054 207120131:03:13 PM s106772810.001 Invoice Number S106772810.001
Subtotall 292.34
If paid by 03/10/13 you may deduct$1.82 f S&H Chargesi 0.00
Invoice is due by 03/31/13 net of any cash discount. Sales Taxi 0.00
MAINE ' ® 0 292.34
0001:0001 Kirby Risk Page 1 of 1
][ER.MS AND CONDITIONS OF SALE
ACCEPTANCE QF THE GOODS PWR(,RASED ON THIS INVOICE CONSTITUTES AND
ACCEPTANCE OFTHE TERINISAND COX04TION'8OFSALE WHICH FOLLOW:
(1) !�IoukMlerobuodimeis subject *u return dmr-c, Nn (,uod�ninvhercmro,doitkouuashipp'n,-, /lckm
.1ndV v invoice number and prior authorization,
(I) Non-Stock Merchandise iu not mumuh|c unless nc can secure u"RemnnJ Goods Aoiboh'v^ 6noi
uu ,codoc
(3) l!r Customer ocknn*ledges uxd agrees that in xU pmrhxocsuf(goodu und m,,iccs 6om ScUun, 3d\u,
L7i`c»nnuxprrs�, warranties.n,Implied wm`nxJcoo[mcuhunwhiUtvxod6mc`aknuny, puni�-v|ox
purpose.
(4) '!hcCuymnov mc�,that Seller viU not he \iuNo for any con"cqucn/ia\ and incidental
�aox�c�o��n�
4'r,vn any cause the goods puncbscd from Sullcr.
(5) "xxxx- P6uc^ ^bu"m Ju not inck/(Io �Jns or"1hcruucx imp"sui on the ^alo '`[goods. T:xc,no,o/
licr,ufterirnpmJupon ,alcsmshipments NviUbe added mthe J)Urchampricc. Qttyer agre,_,.m
reimburse S:Urrfoouoy such uunrprovide Sclhn-xvith uccc|nuNc tax cxcmp/�:oo certificate,
(h) DxoyiuDoU`uT-SeUoisommhcuccnunoJ |eDoddov,� iuddivx/-voccnionedbyucxo{(�dor
mhoci,rooamnccso,cr»hichSJ|crbusnndiruxuoo|n,|. Fauorvsbipmont^r delivery 1mmare the
hc/t cmimu`m 01our m/pp}icrs.:oJ in no ousc shall Seller be liable /bran! :onsr4ocu/iu| .`.�''t,erixi
'tunaL,cyarisiuL, lrvn uuyd6av ioJdiverv,
(7) Waiver I'almirc of'Sellcr to insist upon the performance ofany of'the Icrins or conditions ofthIS
coou�c nrm/`arci*:unvhg�o hereunder shall not 6e deemed m6cu *ni`rro[,suoh/cnn`
exddionoor�ghi in thc 6//unf. nor shall it be deemed toho n waiver o[xnk-"Jic,icno. ommbino,or
r!l-]x under this contract.
(8) Modification mfTcroo and Conditions-Notennsoxdcu/ di/ionyudu,d':n|hoocslmcdhoxin`and
oo�Wrc000nt.^'uodretuodio,_,. in any vuy purporting tom^.|ifythese/crm^` nrcunditi..o^. ,hall be
------------------------------------------------------------------------------------------------------------------------------------------------------------ -----------------------------------
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
74918 REPLACEMENT BALLAST
.•. . . .•
MARK S BAYS DIRECT BLAINE FISHERS 317-598-6170 02/25/13
tea 2ea GREE RDB PPK 175MH 120 278.27 lea 556.54
175 WATT MH BALLAST KIT DL#DL02124
KRPNM
—SUBJECT TO VENDOR RETURN POLICY*'
Billing Questions:Billing_request @kirbyrisk.com(765)446-3054 Invoice Numberl S106734974.001
Subtotall 556.54
S&H Charges 45.04
Invoice is due by 03/31/13. Sales Tax 0.00
• PUE 601.58
0001:0001 Kirby Risk Page 1 of 1
TERMS AND CONDITIONS OF SALF
( C;EPTANCE OF THE (RXM)S PURCII. SUA)ON THIS INVOICE (:O'NS`f'ITU"I'LS AND
ACCEPTANCE OF THE RP-IS ANI)CONDITIONS OF SALE 1"1t I I°OI,IAB
d 1 F Slack 5derchandke is suhjcet P, n return eh u"t c. No goods ntas, be retu;noct E,,ithclnt a phi}":pmg, ticket
;':'E !,'Or ils\ Llnd prior atithori/ation.
(2) Niln-Sloc'k Nlerc.'handise is not returnable unic;ss "c curs :c t n a "Ravened <<AW Autly"ky trans
s'Y vendor.
dill 1 h ('tastotnc:r<i l n{n led cs anti ,a tees Mat.i:t J1 l7urchaw"of goods alld s;:rviccs frojl S_::.I; Seller
`rvs no exprec> a ars'antics,or implied cvarr.ir; ws of nlcrehat,tahihty arul tit.._,ss dear any- p::Jcular
:"rose.
(T ':i c' Cistonser;tl:wos din We: v ill not he We for any convcyuenti,al am! k Wrin ) c1:m O<arising
trz�m .ttli c<n;sc .", fated Nvith the goods ptircf aged front Se'.l:'r.
i 5} t sl,Yes brieus down do no Wink Stiles or.,ther tales imp,,d can the me :7l goody. Tn.. "t'. v or
i":-'ro<:fter irrspcs�:ci ',poll sales oar shipnlcius "d 3V added to the purchase pri;.c:.. Buyer uglc• 410
reiP burse SeIk r it n-::anti'such tax or l?novide Sol Wr with accopialllc tat_' eleini,Jon ccrt.itic:a.,
(€a) l)clu}" in I)eli�el"e —Seller is vast to he accotiittal?I� fast dclats in dclitc ry c c€<t-ii lied h� a, i (;asd a r
tl3cr irctan"i:t, laces over NOW SeHe:r has mi dir"I contrail. t ,ictory shipn"sc.nt or delivers i:et ° arc the
1w cst.itrimc>of our suppliers, and in no case shall Seiler be We Am any:msecluenti,ll or'1pccial
d;.in,sl es arisiss it m Lint"dela', in delivers.
(7) ! saner—The .white of Seller to Kim peon Ow perforrmailet, of any of Me tons or com itiot s of this
'mass or to cmrcicc my right he.munder W li not be demood to he a ss<dier of such wrr .,
edition`or ri_ht in the funare, nor shall it bo l�_c mecl to be a svaiver
of,aias :athor terna.:;oc,dit.ia}rs_car
i�lat under t hi t:rnatract.
(S) t,Iodification or Terms and C AnditAns—Nil bents and Conditions other dean tho,e,tat<t1 hcrc in, rile!
€ot ayrteni,,tnt or undersimchng. in anyway ptirl mung to n]i'sdHj( ese torte]:. or conditions, shad he
10YOW on Sello whhom ;`cUr s "Auen eotl ent.
VOUCHER # 135082 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
S106734974.f 01-7202-06 $601.58
I
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 3/7/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/7/2013 S106734974. $601.58
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