219390 04/24/2013i
CITY OF CARMEL, INDIANA VENDOR: 00351017 Page 1 of 1
` ONE CIVIC SQUARE KIRBY RISK ELECTRICAL SUPPLY
CARMEL, INDIANA 46032 CHECK AMOUNT: $2,110.79
Po sox ss4i i7
INDIANAPOLIS IN 46266 CHECK NUMBER: 219390
CHECK DATE: 4/24/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
652 5023990 5106758151 1, 529 . 06 OTHER EXPENSES
651 5023990 S106822838 98 .37 OTHER EXPENSES
651 5023990 S106833272 78 . 94 OTHER EXPENSES
651 5023990 S106840527 5 . 06 OTHER EXPENSES
651 5023990 S106842246 399 . 36 OTHER EXPENSES
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
-CUSTOMER • •
74918 S13495
• . DATE
JEREMIAH S ELY DIRECT JEFF COOPER FISHERS 317-598-6170 03/21/13
.•. • • • Y, -DESCRIPTION
lea lea SEW R57R37AM 143 1432.56 lea 1432.56
MODIFIED MOTOR
KRPNM
"SUBJECT TO VENDOR RETURN POLICY"
PER QUOTE Q743183
SN 850149229.06.06.01
SHIP DATE 3/26/13
Billing Questions:Billing-request@kirbyrisk.com(765)446-3054 Invoice Number S106758151.001
Subtotal 1432.56
S&H Charges 96.50
Invoice is due by 04/30/13. Sales Tax 0.00
e 0 1529.06
0001:0001 Kirby Risk Page 1 of 1
i
TERMS AND CONDITIONS OF SALE:
ACCEPTANCE OF THE GOODS PURCHASED ON THIS INVOICE CONSTITUTES AND
ACCEPTANCE OF THE TERMS AND CONDITIONS OF SALE WHICH FOLLOW:
(1) Stock Merchandise is subject to a return charge. No goods may be returned without a shipping 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 purchases,of goods and services from Seller, Seller
gives no express warranties,or implied warranties of merchantability and fitness for any particular
purpose.
(4) The Custorer agrees that Seller will not be liable for any consequential and incidental damages arising
from any cause associated with the goods purchased from Seller.
(5) Taxes - Prices shown do not include sales or other taxes imposed on the sale of goods. Taxcs now or
hereafter imposed upon sales or shipments wiil be added to the purchase price. Buyer agrees to
reimburse Seller for arty 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 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) 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 right 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 under,,tandin.;. in any way purporting to modify these terms,or conditions, shall be
binding on Seiler without 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 4/18/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/18/2013 S106758151. $1,529.06
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 # 135289 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
S106758151.f 02-2308-00 $1,529.06
Depreciation
1
i
Voucher Total $1,529.06
Cost distribution ledger classification if
claim paid under vehicle highway fund
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER • • NUMBER RELEASE NUMBER
74918 BLAINE
SALESPERSON . DATE
MARK S BAYS PK PICK-UP BLAINE FISHERS 317-598-6170 04/10/13
. —.DESCRIPTION UNIT EXTAMOUNT CASH DISC�
ITEM PRICE
12ea 12ea PHIL MHC100/U/MP/3K ELITE 33.28 lea 399.36 7.99
423673 MHC100/U/MP/3K ELITE
Change
I
Billing Questions:Billing_request @kirbyrisk.com(765)446-3054 4110120131:15:40 PM x106842246.001 Invoice Number S106842246.001
Subtotal 399.36
If paid by 05/10/13 you may deduct$7.99 S&H Chargesi 0.00
Invoice is due by 05/31/13 net of any cash discount. 3 -3 Sales Taxi 0.00
E
,n,pper� LAINE • 399.36
0002:0002t� Kirby Risk Page 1 of 1
TERMS AND CONDITIONS OF SALE
E
ACCEPTANCE OF THE GOODS PURCHASED ON'THIS INVOIC F COlS('>TUTFS ANND
ACCEPTANCE OF'THE'I'I?R IS AND CONDITIONS OF SALE, WHICH FOLLOW:
(l) Stock Merchandise is subject to a return charge. No goods may be returned without a shipping ticket
and/car invoice number and prior authorisation.
(2) Non-'stock Merchandise is riot returnable unless we can secure a"Returned Goods Authority" fi-0111
the vendor.
(3) The Customer acknowledges and agrees that in all purchases of goods and services from Seller. Seller
gives rto express ��-arr<tattics, or implied warranties of ntcrchantahility and fitness for any particular
pal pr:t,c_
(4) The Customer agree,that Seller still not be liahlc for any consequential and incidental damages arising
front any cause associated with the goods purchased from Seller.
(5) Taxes Prices shown do not include sales or other taxes imposed on the sale of goods.Taxes note or
hereafter imposed upon sales or shipments will be added to the purchase price. Buyer agrees to
reimburse Seller for any such tax or provide Seller tt-idt acceptable tax exemption certificate.
((a) Delay in Delivery—Seiler is itot to be accountable for delays 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 eStinlateS of our suppliers, and in no case shall Seller be liable for anly consequential or Special
dam,mges arising. from any delay in delivery.
(') Waiver—The failure 4 Seller to insist upon the performance of;trty of the term,or conditions of this
contract or to exercise any right hereunder shall trot be deemed to be a ), aiver of such terms,
conditions or right in the future, nor shall it be deemed to be a waiver of any other term,condition.or
right under this contract.
k8) Modification of Terms and Conditions—No terms' and conditions other than those,rated herein. and
no agreement or understanding, in any way purporting to modify these terms,or conditions. shall be
binding on Seller without Scllcr'S written consent.
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
74918 VERBAL JEFF COOPER
KEVIN R FORD 23 INDIANAPOLIS JEFF COOPER FISHERS 317-598-6170 04/03/13
lea lea MARA 8303 98.37 lea 98.37
.25 1725 48Z ODP 1 PH MTR
W/AUTO RESET O.L.
—SUBJECT TO VENDOR RETURN POLICY"
Billing Questions:Billing—request@kirbyrisk.com(765)446-3054 Invoice Numberl S106822838.001
Subtotal 98.37
S&H Charges 0.00
Invoice is due by 05/31/13. q} , f 04/03/13 Sales Tax 0.00
Kg0/e;hC P Mo/t�rr DEe4S 98.37
rl(ICe dmC 111 e"
0001:0001 Kirby Risk Page 1 of 1
I
TERNIS AND CONDITIONS OFSALF
AUMPTANAT M HE(a V IDS PURCHASED ONTHIS
AWEPTANCK 0FTH.L', TERNIS AND('.()N1:)1T10NS 0FSALENVH1('Ji 1`01,L(AY:
(1) SLOCk MerchancUse is ,,Llbject. I,,)�i returil char,C° o gookik rna N-', realf-ried will-zotlt a shipping lict,el
-!Ivoi'- Imnlivr -ld ,mdlorj, r.ion
Non-`zoek�`,,erchatml"v is n-! rclurrup!a "IN , "V C. I mum I Got-,-1� Altlhof I I„
dw vendor.
(3) The Customer ackn(.mIcJzgeN ind a�rce!� that in "III punhans of gm-k aad' .,�rvicvs frorriSclier. Se;1m,
implit�d on non ' At I rtvy-i"wd A, and . 2s; nq an, p. !vtahr
IN Q!,,,ontei Sabot "ti, not ne IN& Wr slim ag"ad xn-
"I !tic gam In"V in"'d i:,o zz
,51 Tau A - F's sho n�,'"I not :"c I ude WoN or tv her taxes (ill the r
hcrcalter irnp )scd t1poll salk,-`or shipmcnis vvill be added to die purchase price. B nycr agrees 10
kir r., or p rk,- nle vvi III tn'�
Vela; in D% very - N• kg in A to be ;x coumble Ng Whys 4, jet very hwnion-d 1q,act, of G-1 o;-
other cvrctm-�m,;Inces.ovur which Seller his nik direct controt. Factory 4hipment or delivery dales are the
haq Mmav ofouir , and At M,caw AAI Scjje N for alij, o: ,pcci'0
tari�ilq�. Iron) do l.,ly it)dch", ry,
0) Mivcr--list failure(1011cr to insist gm the pedlonnywe of ae t4dw wnw or andkoB ol M,
,w!:.-A it., 1'c hcivoo m WK n• ho nnova v ho a =qer ol owh inn:
oz-ri,-ill ill flrli.:ie. nor shKI m be dwenad lo be a of a3t1 o(fial IcrTn5 •onditlwl, or
in mrip. -
M Nitth2kcat! a nf Tu':=:and Pumlibum-Q mu,aw! oWms Wev man 0 ise spawo jorchn out
no agmemem or undust-andn, in any my purploning ro irtodifl these 1,011Y N. 0VC0ndi6ovt,. Khali be
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTO -CUSTOMER'-P'ONUMBER- RELEASE NUMBER
74918 HEADWORKS
SALESPERSON :SHIP VIA . ..
MIKE E WILSON WC51 WILL-CALL BLAINE FISHERS 317-598-6170 04/04/13
CITY SHIP OTY DESCRIPTION.
lea lea SIEM NE36 52.30 lea 52.30 1.05
36"NETWORK ENCLOSURE
lea lea SIEM NE36C 26.64 lea 26.64 0.53
36"NETWORK ENCLOSURE COVER
i
Billing Questions:Billing-request@kirbyrisk.com(765)446-3054 41912013 9:47:16 AM S106833272.001 Invoice Number S106833272.001
Subtotall 78.94
If paid by 05/10/13 you may deduct$1.58 Q:N S&H Charges 0.00
Invoice is due by 05/31/13 net of any cash discount. /� J f Sales Taxi 0.00
BLAINE 78.94
0001:0001 Kirby Risk Page 1 of 1
I
TERNIS AND COND111ONS OFSALE
AC(TPTAN(:F* 0F I HE (3001)S PURCHASLD ON "PHIS INVOICE CON'SIVITUTLS AND
A(!TPTANCE()F THE-TRN2X-IS AND CONDITIONS OUSALE WAICH FOLLOW:
(11 Stock Alerchandise is suhject a return •harg . No fo,vk nia~ 1�;, return;�d \.x a shipping ticl-:.i
and"(1i invoic-, lumber and pric,, authorization,
(2) 5AWAock Merchandise is no: rciurnable UnICS, We can SCCUI-C a-*RetUl-n,.-d Goods from
the waW,
() 1% C Ustorner'Icknovv�'-'dgas ilvd ngrus Hot K A pumhaws of goods all(! y,crvlce irom Schn 560
give', iii)cxpr�" s kvarra i-Jcs,oi-'sroplied war-rathit s of nwnhantabihty and ;my p,-! (u1ai
pUlpoe.
(q I Ile Luskmnor agrees Ont SK- n iH A 16hic kw mq c"nvcq..BY on, VchloW doHn'gas ark.,
r r' d Wifh the t'�001j,,JILH-CIL'SUd fron, Scllci-.
c a so c
15) Taxes PJ•CM BOW11 A 110t il'C ILRIC -,alos or otlicl•taxes i 111posed oll the e of g�- ,k T;ix c.,-,nov, or
hCrC2j1Cr Uj)011 -,ales or shipni,:Ils will in added 10 the purchase ptice. Buy or agrCes to
1VURAmo SCAT A.an', such f"cti or provide S,:11cr ivith a,,ceptabin wx e"mphm cahum,-
Way in De ery--SO 1 Or is i ot to he accounWe for delays in 6:00 ry occuhmed by ac w t)1 God or
ether Arcurnmances o\Tr Wh4h Sc Her Ims no dk"t cmin-ol. Factory ShiplTIOnt or delivery ;ates are inn
but <Ahnaws of our mqThers. and in no caw siwH Selk be HaNc Rw any conwqunuhl or .pedal
danr,., ari frorn dk!a% in(Uiv-ry.
oT:i.'-hl ill i!"iC futiliv, nor sil;!1' �l be df-.,:med ',,be a ot*:my
rigli` coi:tract.
(c;) Vlodiiicafion uf Terms and CAnd Wons-No amis and �onditik"N odd; don 1W slawd knilt and
no agmuncm tw wxkvNlaudJny in any "Ay purporting it, modify iliese terms.,or c%,vdjtion�% >hatl bo,
billdill", oil S ifcr wit'hollt SCI".Cf-*s lVrit!Cn
IN NOONAN, l 11
----- ---- -----------------------__I'm------- -
----------------------------------------------------------------------------------------------------------------------------------
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER NUMBER C USTOMEll
P,,NUMBER RELEASE 14UMBER
74918 CLARIFIRE
-1,PHON -SHIIl
SHIP
VIA ALE&OFFICE!"I"-
iALESPERSOl 7: ORDERED E
MIKE E WILSON PK PICK-UP FISHERS 317-598-6170 04/09/13
!ORDER CITYl SHIPrCITY I DESCRIPTION PRICE; XT AM UNT ��CASWDISC
12ea 12ea 'MS RW1 25-100 42.17 100ea 5.06 0.10
1-1/4X1 RED WASH
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 41912013 3:43:03 PM 6106840527.001 Invoice Number S106840527.0011
Subtotal l 5.061
If paid by 05/10/13 you may deduct$0.10 S&H Charges 0.00
Invoice is due by 05/31/13 net of any cash discount. Sales T I axi 0.001
LARRY AMOUNT DUE' 5.06
0001:0902 Kirby Risk Pagel of 1
,ravNis AND CONDITIONS OF SALE
ACCV PTANCL M''I aiE GO(MS PURCHAM-A)ON THIS INVOICE CONSTITUTES AND
ACCEPTANCE w.'THE TERNISANT?C0NDITMNS OFSALL WHICH FOLUAV":
Stock 70 ercha ndise i, u J�jec! a rel w it chargo No gy m Ws may I w rm un Yd kvi am at a sM p"ng dc kc t
and/or invoice riumberand A111-101-i/atiOn,
(2) Ion-,lock Nio-chandise is not i cwnwNe unink "e am secure a"Retiviwd Gwd, Authtwiq� Mi
be vcador.
IN Ile(Islomerwkriumodges W agree:, Umt.in J1 purchase,of<<no ul and %crvices Roni SwUr, ScHor
ghT;no expV0. Wa• xVON tWATHU1 oJ'rnc;vhantal-HRy arml ruwss W any lmowuhir
pmpo,t:.
N't Ile Cistomorvirces Qlat SAO; VH pi he FiM for any oinequvriAl x i WwW"W dwL,"w is&zu
from no came associawd whh Ow gmds intrchamd Any Scflcr.
IN Taws Pho:4 Wwwn 1)mA hatude sales ormher taxes Onpose-don the sale ol'gpods. Taxc nov, or
hCrC,Li1C-l-mllM�Cd Up011 `alcs or shipmcnts MH ho added LO the PLITChaSC price. Bupr agrees to
reiinhurse Sell:,- lot-any such Ina or pro isle SAW Wh aveptabic tax ennM&m catificac.
11) Dday in Delis cry--So%is not to he accountable;for delays in delivery tv"ishmed by act, of God x
other circumst,mces own shich Seller haw no dUnt coiant Factory shipment or d,::Jivcry tl:itesarc Oi,
best C�Lilnalcs of our supplier.s, md in nt.,ease sh,11 Seller be liable for any�onsequontial or j)CCial
darml--c's arisir'g frorn:lny delay in deli"'s'Fy.
ill Waiver--Ito 111utv a Seller ", insist qRm thu per6n rr.pce of say of be turns u, womfithqu of W,
dg l= no Or thk wonlr�
Modilication tWTermq and Mdithms—NQ wins and cNWjQnn odd r Own low valed UK, awl
noagivernew(m undermanding. in any"sypiporting to modify these nrins, orcondifions, shall be
bjndjn,g,on Sei!0.1'WiUVAff Seller's \x ritle-n 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 4/16/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/16/2013 S106842246. $399.36
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 # 135304 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
S106842246.( 01-7202-06 $399.36
of--I
106$33 X79,cc
S rcb8ye5�7e��
01--7909. 0(-,
Voucher Total x$398-8�
Cost distribution ledger classification if
claim paid under vehicle highway fund