The URL can be used to link to this page

Home My WebLink About218525 03/25/2013 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: $2,642.39 «off-off. INDIANAPOLIS IN 46266 CHECK NUMBER: 218525 CHECK DATE: 3/25/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 106411184002 1, 297 . 83 OTHER EXPENSES 651 5023990 106728644001 481. 18 OTHER EXPENSES 601 5023990 106755435001 279. 83 OTHER EXPENSES 601 5023990 106755435002 61 .40 OTHER EXPENSES 601 5023990 106769108001 272 . 16 OTHER EXPENSES 651 5023990 106799307001 249 . 99 OTHER EXPENSES DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT RELEASE NUMBER • UtTO QNUMBEF 11788 KR21513 s4, SALES OFFICE PHONE NUMBER SHIP DATE ORDERED BY Web Order Entry 23 INDIANAPOLIS KEN RHODES FISHERS 317-598-6170 03/06/13 - ITEMPRICE- UNIT EXT AMOUNT CASH DISC ••. • . • lea lea RAB VX100DG-3/4 33.37 lea 33.37 VAPOR PROOF FIXTURE 3/4 KO —SUBJECT TO VENDOR RETURN POLICY**   lea lea RAB GL100R 28.03 lea 28.03 ROUND BOTTOM RED GLOBE **SUBJECT TO VENDOR RETURN POLICY**   Billing Questions:Billing_request @kirbyrisk.com(765)446-3054 Invoice Number S106755435.002 Subtotal 61.40 S&H Charges 0.00 Invoice is due by 04/05/13. �✓ 03/06/13 Sales Tax 0.00 In�i iaCU a �a[e €�zi8te�a"�-R—yic Time o 61.40 0001:0001 Kirby Risk Page 1 of 1 TERNIS AND CONDITRYINS OF SALF, ACCEIIANCE OF THE G(K)lDS P1JR,(..'HASI.,,,D CAN'r INVOICE C'ONSTITUITSAND ACCEPTANCE OF THE TERNISAND CONDITIONS OF SALE NINIUCH FOLLOW: (1) Stock Merebandise is sub�ject to return charge. No •oods rnay,be returned without a shit ping ticket andfor invoice 111nub rlild prior art ilioriz,<;Iion, (2) Non-Stock Mercililan,dise is trot ivairnabk2, uniess we call sccure,i-,R�turnc,i(ioods.Author ii.y" ffitn do w7dor, (3) The Custanx,acknowkyeswHI agrees ihm in NJ purcbmas of yxxk and n(rvitTs holn SeUr. ScHer 6ves no expross warnanikc ow implied %unnini1c, ofniorc!iantylbility and knoss be any pancuNr ,J) 11W conowr ngwes dw! SC HVI will not he liable fol alit` an"J", incicknull dainages arising 11 1,0:_, OW ,006 Sell, e,-ono F. (A Taus— Pnws Yumn do not include Kos or War taxes iniposca, (.)It tile sail of 0� herei?ft r irnposcd or shipiucris wdi be added rn die ptnvhase Quo Buyer agrees to reinihurse Sclier for any such tax or provide Seller,,�,ith ac,.,epiabk [,,I\ e.wnlplion certificaLe, 5) Ibby in DeHvery--MY is not to be ac>ountable for delays in dclivay occasionod by act-,of God or OnIff 000 MTWh SAIVidws no • cf-coMnT Fwlm-�: ordelivery&1!Cs Ille, beg emirnaws of our silpiphers. and it no case shall Seller b or:special danlaz,,,s ai fron);kny delio, in d liv,n-y, (7) Walver—.l tit'failure of Seller to MY tqwon the peribamulce ot %uiy orth,�,-feirn.s 01:CORdi(ions of?W contiaot or to my AgM huarlida shall nw he durnod to hu a vviver of such wrim, cond.i;rolls f Il[ ,tl thC' FUILUT. nor Sh;dli it be doerned W be a wAvev odicr or vig � fitundor this contract. (8) Modification uf Terms and CAnditions—No terms and ugWithms other ihan dio;e statedhercin.and no apmemaq or undwyanInp in any way pmyw&g k) niolfify thiese forms.or anichdons, shall to binding on Seller without Seller's written consent, DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT • 0I1jj11:i;4:A1 CUSTOMER PO NUMBER RELEASE NUMBER 11788 FWH FUSES PHONE NUMBER-VIA ORDERED BY SALES OFFICE SHi ATE- SALESPERSON MARK S BAYS WC51 WILL-CALL BRIAN TOLAN FISHERS 317-598-6170 03/04/13 ORDER 3ea 3ea BUSS FWH-250A 90.72 lea 272.16 500V SEMICONDUCTR FUSE Billing Questions: Billing_request @kirbyrisk.com(765)446-3054 31512013 2:39:55 PM s106769108.001 Invoice Number S106769108.001 Subtotal 272.16 6C_,A T -p S&H Charges 0.00 Invoice is due by 04/03/13. Sales Tax 0.00 BRIAN TOLAN 272.116 0001:0001 Kirby Risk Page 1 of 1 TERMS AND CONDITIONS OF SALE' U.'CEPTANCEQFT��GOODS PUR{11ASED ONTBISUNVQBCE CQNSTIT0TES AND ACCEqANC0QFTHETEMNIS AM)CON7ITUMOF SALE WHICH FOLLOW: (l) Stock Merchandise is oobjeci/o o return dhugn No goods may b�,, rc\omrd without u dhippiog fickci and/or ioroiccno/nhmxnd prior onthmizodoo (2) NnuMoxk Merchandise is not zc,m/nuNcmde:uwc can uccv/rn-Returned baol tc,uodm (3) Thc Mgomwc auboov�K.I.-cu uod ngrrox dhu/ in xl| pnobanu nfjunvk mid vapMey fnouSeU4r. 5c3kz ";vc^ on�xp/ze oanno/icx,or imp|icd �anun|icx n[mc/chuom|`ibry add Dn�um <hrmoy�or/icu}ur puW", (4) The [oomm:rugrem (ho| 8cUY %vUixo\W )iob/ek/r any uonequMu] and in6dcoa|duriug*xoris/o-, 'iox` xn} muv u-vxm��d �lU` mr �oodxyuch�°odbn/o3c!l�x (5) Toxe*— MinsshoxndomAinu|ude WeNor other taxes impoSedunUmulico[2oodx, I xX,vxnm'0x hcrcubccimponad upon sales msNpmeuowhlbeud&d it)die pir,cbuxopdcu. 8u>r agree,m oimhunr SAW k`cuny such {uA or provide KIM with /ax cxempbon cirbfio/c, (6) DelmyiuDdi,ery—Scio iumo /obc fc)idUuyxinddjvczyoccaskxicdbyuct""m[Godor other (Mr v'hich SAW his nndi/wconiroL Fuct,rInhipm�ntnrdchverydaveh are the bet caiom(cyof our uuPpUos. and iuoo case nhaO Seller hu liable fovaoycnuscguc tit i:]or�qpuoid dumu�z�ar�sn/�6nm unydciuy m ddivo,y. (7) Wmiver—Tbr[uUnccu[ mhmiyioDuu (he pcdiazuaucrot any ofBzormsoccumdi/inouof/his cnmlruc/or it)axo/rixe uoyAg|u hu000do xhuU nut he dcomed to bc u nuivoof*ouh (enos, condi�ionsvrr;�Zb/loth� hnon:. uorxhuDi1budeeoedmbeuwalvrufunyudwr»:oa coaditioo, or righ|noJochixcnnnoo{, {h) Mwd�Mtanuf TerusamlCouMnm—NoteznsomicomWusoder;bandmpco(uoxibcrdound onagzummxoruodcrxmudi,iounyauypurpooixgromodi[y1hcnctormx. orcnndihuon. shu|| ba bindio�., 00SnO�:,rvidmm Seller's written conxco� ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT ,CUSTOMER RELEASE NUMBER • • 11788 KR21513 SALESPERSON .• Web Order Entry 23 INDIANAPOLIS KEN RHODES FISHERS 317-598-6170 02/28/13 ORDER C • DESCRIPTION 1000ea 1000ea T&B TY24M 3.09 100ea 30.90 LOCKING CABLE TIE-BULK 1000ea 1000ea T&B TY23M 2.36 100ea 23.60 LOCKING CABLE TIE-BULK 200ea 200ea T&B TY526MX 13.92 100ea 27.84 TI E,TY-RAP,SELF-LOCK lea lea HOFFA606CHNFSS 197.49 lea 197.49 STAINLESS"CHNFSS" BOX 6.00X6. Billing Questions: Billing-request@kirbyrisk.com(765)446-3054 Invoice Number S106755435.001 Subtotall 279.83 S&H Chargesl 0.00 Invoice is due by 03130113. 02128113 Sales Tax 0.00 ture Date E • � 279.83 rinte a aae i�— 0001:0002 Kirby Risk Page 1 of 1 TERNIS YIND CONDITIONS OF SALE M'C'.EP IANCT.1OF THE GOODS PUR(IIASED ON THISKNN,'OICE('QNSTITUTES AND ACV GP[AN(7F..0F]C��1'iR 7W8 AND CON T IT[O NTSQ14 SA08WKRJ 0F0 1,1,0 W: (l) Stock klwrdxmndie iS a/bjot<m a,etum charge. No goods muy be.ntumrU Without u Shippiu,'� liokct uud/ riu:oiccnnlobcruodpdorunthxnizu6mu. (2) Non-Stock N8zubuodisaiaon\rcmroobb: uokosac can ucounu'-RamoocdGuuds Ao(hodzy` bom die vuodor, (3) The Cusumcr ackouo1mgeu and og-rzca thu/ iu yJl pn/rbauua of IM and xxrviory bnm SeKkz. Seller g,i,o^nn wuoon(imy,mronpiiodwununhwxw[mc/ruonmNli1y and boamk/r any punjuUur Po[pusu- 0) Thc (hu/ 8d!"'r v�Ui not he)iub}c K>r any uunxe4um|iu3 ond ioddemil dunmg�uhsing lnsnxny mu��u�m�im�J �i|b the goxx x[m/dhuucd I'rom�Ci\er. (5) I'axes Prices Kown do trot include ales or tatha taxes imposed on the^ak, ol,goods. nov" 01, hcocancr impoqd opon xulca orxhipmunm vviU be added to die purchoxop6uz Buyer agrees to reimburse MOcr /hruny such tax or provide Seller wit nru:p/xhBma excmp/|un certificate, tW) Delay buDob,oc}—Q6lo im not uh:uccouomh\c for Ways iudciiveuyoucuximcdby acs of(Ad ur other uv�,r which Seller huxo*di/OctounirnLPucuaryshipmen|ordc|i,eryd�eu are.Uhc best esdrnaws of our gypHem.and in no case sha.11 Seller be liable forany consequeatial.or special dumu��ori�in� rronunydo|my it)doUvcry, (7) Waiver-IbcMunof Sella mhuimupou the purknn/uno:ofuoyof&oreznsoccdndkiouyo[chiy cn000c/or to c�coiur any righlhe000dcrshad not bcdueniud to be vuivcr n[*ocb a`nn, coudidnus ord,-b/h/thc futurc, nor shall it he deemed iobc u no\vqufany udmc Ianu. coodidun>r r|ghtoudur,hixcontract. {0) AWHAutk/emf T«r/ox and (Andi/ims—Nouxmxuodusuidousmber tbao Own nmwdbcrc\n.ond no araenmun,mndz/nzodiuy in any p/uy puqzon6oT to nmdify these oxrnn orcondidoox, xhd| bc b��ooSel|or-without Sel|or"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 3/19/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/19/2013 106755435.2 $61.40 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 VOUCHER # 131139 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 106755435.2 01-6200-04 $61.40 Voucher Total 139 Cost distribution ledger classification if claim paid under vehicle highway fund ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT e ., e 95776 Joe Faucett SALESPERSON SHIP VIA ORDERED BY SALES OFFICE PHONE ROGER CHESTNUT PK PICK-UP FISHERS 317-598-6170 03/14/13 ORDERCITY1 lea lea FLUK FLUKE-374 249.99 lea 249.99 600A TRMS AC/DC CLAMP Billing Questions:Billing_request @kirbyrisk.com(765)446-3054 3114120131:43:14 PM s106799307.001 Invoice Number S106799307.001 Subtotal 249.99 S&H Chargesi 0.00 Invoice is due by 04/13/13. f Sales Taxj 0.00 zszs MOUNT 249.99 0001:0001 Kirby Risk Page 1 of 1 TERMS AND CONDITIONS OF SALE ACCEPTANCE OF TIME GOODS PURCHASED ON"PHIS INVOICE CONSTITUTES AND ACCEPTANCE OI?THE'➢TERMS AND CONDITIONS OF SAFE WHICH FOLLOW: (1) Stock Merchandise is SUbject to areturn charge. No goods may be returne(l evittuntt a shipl)il'tg ticket and/or invoice number and prior authorisation. (2) Non-Stock Merchandise is not returnable unless we can secure a"Returned Goods Authority" from the, vendor. (3) The Customer acknowledges anti agree;that in all purchases of goo& and services from Seller, Seller gives no express %warranties, or implied warrantics of merchantability and fitness for any particular purpose. (4) The Customer agrees that Seller will not be liable for any consequential and ineidcnial damages arising from any causc associated with the g-oods pin-chased from Seller. (5) 'Taxes Prices shown do not ill elaCIO, Sales or other taxes imposed on the Sale of g=oods. Taxes noel'or hereafter Imposed upon sales or shipments will be addecl to the Purchase price. Buyer a(rees to reimburse Seller for any such tax or provide Seller with acceptable tax exemption certificate. (6) Delay in Delivery—Seller is not to be accountable for delays in delivery occasioned by-acts of'God or other circunnst inces over which Seller has no direct control. Factory shipment or delivery dates are t1w best C,timates of our suppliers, and in no case shall Seller he liable for any consequential or Special damages arising from any delay in delivery. (7) Waiver—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 shall not be deemed to be a waiver of such terms, conditions or ris ht.in the future,'nor shall it be deemed to be 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,and no agreement or unclerstauding..in any way purporting to modiN,these terms. or eonclitions. shall.be birxiina on Seller without Seller's written consent. DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER • • NUMBER RELEASE�NUMBER 74918 S13460 SALESPERSON S141P VIA . DATE THOMAS A ANDERSON WC51 WILL-CALL BLAINE MALLABER FISHERS 317-598-6170 03/07/13 IT EXT AMOUNT ICE N 6RDERQTY SHIPCITY lea lea M I LW 0779-22 481.18 lea 481.18 V28 IMPACT WRENCH KIT "SUBJECT TO VENDOR RETURN POLICY" Billing Questions:Billing request @kirbyrisk.com(765)446 3054 31V20131:04:44P S106728644.001 Invoice Number S106728644.001 Subtotal 481.18 S&H Charges 0.00 Invoice is due by 04/30/13. Sales Taxi 0.00 BLAIN ALLABER AMOUNT 481.18 0001:0001 Kirby Risk Page 1 of 1 TERAIS AND CONDITUMS WT SALE AC[�PTANCE CYF THE Q�0DS PURCHASED ONTHIS INVOICE.CONSTITUTES AND ACVEvANCE OtTUE, TFRNTS AND CONDI7IONSQFSAkE,WRICR FOLLOW: (D Stock N4emc»umdGueiysohjecz\oe o:tuni charge, Nn goods muy bo re|urocd wJihuutuxhippioghukcr and/or invoice onmhx and prkx uodxviznbwn (2) Non-SKnk Nierchandise is not rcimmbic unless we can secure u--Returncd Cionds Authoritv" Sun Uwvcodor {3) The Usluomrc and ug/rza dbur in,allpucb�,ueu olgoods and uczdccs from SrUor. SAW "givc^ moesp/zssxanonhux.mr imp|ieduar/unbuxn[n1c/zhunmhi|ity and 5uims for au� pur6cuiu/ pu�xuc {& f he Eouomcrugou that 8cDcr will not iiub|o Aw an) conuequ:ndd uod iocidool dumugcu uhxioy, [,v,u xno cuv^vmWu,nd wl(h /hw p*odvpuNhu�ad6oru SOW, Tmsmm yhoyod000 inc|udcsaicsor onca nVx��,(loo the sale ofjnuk Tows noun ur hcruubrclmpo*dupouoJuxozshipmonu will bc added mdopoocha«u price. Ruyuvugrrc^m rrind`umr 56lcr [wrun�, such mv (it-provide Seiler vvdh uccep/uh|v tux excmp/ion c,,�rt|fira/:e. (6) Delxy &mDrOv,ry—Sct oriu not mbc accountable for dc|u?xioddi,oym:cupioucdbyacrvof God nr o|bacircuummomey has ondi/eauonm)iFacuur� or are the hest v»<houuo[ouruopployundinnocxsrybnUSc]bzheUoh]rthrxuycouscgncntiulorspccbd Jumu'gc»oriuhig front un?Jdyy ill ddivc/7. (7) Waiver--The Ailm-e of SdIn-to ittsist upwi Te pedbrzalncv of'any of'the(Crins ol,Conditionus of(his couuuct or to cxumbm mq6ght heruoodo Mud not hrdecmcd oo b�u nuivonfsnuh teoos. vondidousoc right "n the fuozl�.nnrsbmDbbcJecuicd <obru*uimxufmoy other xorrn, cmsltioo, ur righ|n/u|urcbiaonmroui (0) ISAWkWon or Terms and Condkkms—No Wrtils and comlil.ions other than ihope stated hercia. and no agreememnv understand,in any way ptirporting to niodify these lerins.or condi(ionx, "hall be birlding oil Selkrv�idnmr ndtt"ocmnxcoc - - --- -- -- -- --�, ,. ,. I .;;...: .. 08/21/12 S106411184 . 002 REMIT T0: kcs::�a>::::?:: ..................... ...................... KIRBY RISK CORPORATION PO BOX 664117 INDIANAPOLIS IN 46266-4117 l of 2 _------------____----------____ _________----____ BILL T0: SHIP T0: CARMEL WWTP CARMEL WWTP ATTN: PAUL ARNONE 9609 HAZEL DELL PKWY 9609 HAZEL DELL PARKWAY INDIANAPOLIS, IN 46280-2935 INDIANAPOLIS, IN 46280-2935 157(nIE2i A1fN8fFG GHSTptdFit Ytr 1Wtt8E t R.LYA5E I.... Al1i18 i1ANF 74918______. S13193 _ - _ ------------ .,. I:.::.::.Stt tP.<•.vtA•:•:::•.::.:•.•:::•:::•:<•:•:•(7R0FRtlf6:•9.A83:Y ::::?: :<:•RALFB•:QFY.T��:...:: ::.•::::•: •:•91ffIRk:# :: ::::::SRt:>OkII:•::::: MRHALL 23 ________[JEFF COOPER LAF 765-423-4205 08/21/12 __ _ _ __JEMR_ _ _ _ _ �;,.r;_;__ ::...:...:.:...:::•.•:::......:.......... ..•......... .•::.•.:•.:•::•.:::..:.............:•.•::::.:::.•:.•::.•:::::.:•.T.:.•::•::.•:••.:•.:::.�:..:.::..•::............ ......... ..:.::................. :::;::: >: :::: ::::;: :: :>. SGRtP.71QM::>:•: :•>:•::•:<•:::•:•:>:•:: :•:•>:•:•::•:<•:ltea.9.c}ee•:•>:•::•<:•:•:ifc i t :;: :>::::�ci.R.iced::•:•>:..::;CASR:f?�5�: : .:�T ____ %• ______�_ _____ __ _s______T• 1 lea EMR 05418895 PUMP MOTOR REPAIR 1297 .83 lea 1297 .83 25 . 96 KRPNM **SUBJECT TO VENDOR RETURN POLICY** APPARATUS : PUMP MOTOR MODEL: 3170 SERIAL: 9340027 MAKE: FLYGT NOTES : DISMANTLE, CLEAN AND TEST STEAM & BAKE STATOR REWIND STATOR ASSEMBLE, TEST & PAINT 6�,�3b•a,c�� ** Reprint ** Reprint ** Reprint ** J : . .. . . .....1 'Ik �' IM Risk ` :: i:.»;i: I r ...::::. ........................ .................................... 08/21/12 S106411184 . 002 REMIT T0: ..................... ...................... KIRBY RISK CORPORATION PO BOX 664117 INDIANAPOLIS IN 46266-4117 2 of 2 _------------____----------____ _________----____ BILL TO: SHIP TO: CARMEL WWTP CARMEL WWTP ATTN: PAUL ARNONE 9609 HAZEL DELL PKWY 9609 HAZEL DELL PARKWAY INDIANAPOLIS, IN 46280-2935 INDIANAPOLIS, IN 46280-2935 ,•_ ,_ ,_�._ ,_ _ ,_ _. _. . ,. ,_. _. _. ,,. ,, ,_ ,. ,__..,_�........................ . . ....C. .....2i•fIUNBfR....... CtISiOkIE$.Y�.IWtdBER..... ......... A LfASE.IR11d8EFJ�08 ilAtdE 74918 513193 ................................ ...................... SAGkSFER50R•::•::•:.•::.•:::.•..•.•.:• •:•:SRt?.:.�?tA::..:.... ......•...:::Oit!}Fltt1f6:9.At3:Y2: <: >: >: :BAtE8•:tlFf.ZGE:`::::: ;:<`:9.K41 :$;`;;> >::SftEP.:trkFF:::2 : MRHALL 23 JEFF COOPER EMR LAF 765-423-4205 08/21/12 StRtlER tlik 81ffF t}7v trksGRtP7iQK Itew 9c�se ;:Jscit;:;:;:. ExL krice ;:;;;::CA SR P3SC ft e rise RtE: ------------- ----------------- --- -- - -------- ------------------------------------------------------------------ ---------------- - Billing Questions: Billing request@kl rbyri sk.com (765)446-3054 ........................... ........................... A discount of $25. 96 can be taken if paid by 09/10/12 & 1<; £t : :`:: 0 .00 ........................... provided all previous invoices are paid. :i; : : c 0 .00 A service charge of 2$ per month will be charged if not paid by 09/30/12 ;:; S ::;:;J� ;: 1297 .83 Please detach retain the top portion for your records and return the bottom portion wi your remittance.------------------ G1�8ttlftER INYOIGE tAYfIIflE :; Ftl3kL DttE Dk2E fl1fE kMtlUlti Rfhl33 Etl. - 74918 IS106411184--002 0-8721 1-2 - 1297 83 0973012 -rc',��7 $'3- --Please----TC�r6y>fi§k-1 Tectrical-TuppTy----------------- C EASE-DETACH--MO-TUBMIT-WITH"YCW-PAYWRT--------------- Remit To: PO BOX 664117 INDIANAPOLIS IN 46266-4117 THANK YOU FOR YOUR BUSINESS A discount of $25.96 can be taken if paid by 09/10/12 provided all previous invoices are paid. 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 3/19/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/19/2013 ' S106411184. $1,297.83 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 VOUCHER # 135161 WARRANT # ALLOWED _ 351017 IN SUM OF $ KIRBY RISK ELECTRICAL SUPPLY PO BOX 664117 INDIANAPOLIS, IN 46266 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code S106411184.( 01-7362-06 $1,297.83 51 c��1`i 3c•i c Voucher Total Cost distribution ledger classification if claim paid under vehicle highway fund