223045 08/13/2013 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: $3,895.98
'?• INDIANAPOLIS IN 46266
«o„� CHECK NUMBER: 223045
CHECK DATE: 8/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 106945863002 61 . 34 OTHER EXPENSES
651 5023990 106955227002 19 . 00 OTHER EXPENSES
651 5023990 106982059001 1, 017 . 60 OTHER EXPENSES
601 5023990 106997223001 129 . 70 OTHER EXPENSES
601 5023990 107003447001 2 , 418 . 78 OTHER EXPENSES
601 5023990 107004673001 54 . 91 OTHER EXPENSES
651 5023990 107016793001 112 . 31 OTHER EXPENSES
651 5023990 107021004001 69 .40 OTHER EXPENSES
601 5023990 107028320001 12 . 94 OTHER EXPENSES
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
74918 S13659 PT 10TH PROX NET 30TH
JEREMIAH S ELY DIRECT BLAINE MALLABER FISHERS 317-598-6170 07/16/13
64ea 64ea REN C886345 5.40 lea 345.60
RETURN SHOES, UHMW
KRPNM
PRINT C886345
"*SUBJECT TO VENDOR RETURN POLICY"
64ea 64ea REN C886346 5.40 lea 345.60
WEAR SHOES, UHMW FLOOR
KRPNM
"SUBJECT TO VENDOR RETURN POLICY"
PRINT C886346
64ea 64ea REN C866805 5.10 lea 326.40
F-22-8 FILLER BLK PLASTIC
KRPNM
"SUBJECT TO VENDOR RETURN POLICY"
PRINT C866805
ALL ITEMS ARE IN STOCK 3-5 DAY LEAD
TIME
Billing Questions: Billing—request@kirbyrisk.com(765)446-3054 Invoice Number S106982059.001
Subtotall 1017.60
S&H Chargesi 0.00
Invoice is due by 08/31/13. Sales Taxi 0.00
0 ® 1017.60
0001:0001 'Kirby Risk Page 1 of 1
'Ov"S kND (A0,1sI)ITION,,17'� OF SALY
UNT111TANC 44,)FIBE,
,41VEPTANCH OF THE 110NIS ANo C(')NDITIOW� (""4,SALVV,,,�Ii(I I FWj AM
(2 "vicirdwad6e k mv n invuNc ii;Q., wa can somn; a-RawTM kAwds YwOwn ' Goin
r.W (MmmT*I awfadyn .if! ;Trees slat in .I mmuWas at pmxk;md v xkvh bon, SiVn0lin-
'! AVS jh)O%v,s vnnumicc or mTOd "maznk. Y mcalaxwY A It mot Won hm-any p-nn nn-
pupiva.".
0 flyopw, lvnv% Hha lvfll nx R Paola Jor any i vskWal damoyo arkpq-,
AU", —a'TS,:, ""ith the 2ood�; irmn,
(51 Mcm Shmn"'I (10 noa irJuk, sales or.0cr iaxv it sm Tc mm Aqw& kn "wnw
,.A,aAc; iacvp, Bu>A"q:A- n,,
OM,rvn,Sulk Q" my such us or provido So!Qr wRh ncyull? wx cnn"Rm cKtlnvp ,,
10,
SUPPHUNUTIOUIDOCUSS -WHSCHUM KAN
in d��Hvory,
MWAnOrMo4solvenny rigIn WoundershvE nN he di., W boa W"ioNuik tow—,
�.H,d,n!'Ons in Uw amun Rushall 4 Q Wated W be a yokunfanv who Lam, nAhwm, f',,r
is) ASWUMMAIn 01 Wrims MY MOWIM" 1�M, nnq j�. .Mk1. AnT C an_. at n A ,nV
w" <i: w 2ny ma, j pwimg in nudi" We in"q orvn"Q .it W,
Onfing an SM Wthow SAWA wrim coven
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
;:74:918 JOE 278 PT 10TH PROX NET 30TH
MIKE E WILSON WC51 WILL-CALL JOE FAUCETT FISHERS 317-598-6170 07/25/13
7 lea LUTR MRF2-8S-DV-WH 112.31 lea 112.31
lea 1
MRF 8A DUAL VOLT SWITCH
Billing Questions: Billing_request @kirbyrisk.com(765)446-3054 71250201312:58:16PM 3107016793.001 Invoice Number_s1o�o�s7ss.00�
Subtotal 112.31
S&H Charges 0.00
Invoice is due by 08/31/13. Sales Taxi 0.00
JOEFAUCETT - _ ® -. ®
p 112.31
0001:0001 Kirby Risk Page 1 of 1
TERMS AND COINDITIONS (W SALE
ACCEPTANCE OF THE GOODS PURCHASED ON THIS INVOICE C0NYllT0TLSANB
ACCEPTANCGMTBE TE.RMS ANT) CONDITIONS OF8ALE. WHICH FMLLQ\f:
(Q 8kck5donchuudY,issohjor/unu/r/om No_�Youdsma[yhe`-C/ummdvvid`ou,x tickc/
and/or invoice ounnherund prioruo\hol-izubnn,
(2) Non-Stock Merchandise is riot returnable un|uao wu can mzmr u"Returned Goods Aud`mig/' hmm
the vendor.
(3) Thc Customer ucknovlcdgca and agnouthu/in all puobumnn�g'oudu and ycrvicoshnmsd|c� 3dkx
givcvnooxpoas *enno/icx,mrbnpUcdwm/ruo/icsu[oiozhuumhUi|9 and fitness for any pa/bcu|m,
Pog?nyo�
(4) Ile Customer xgreeethat SAW w0 not be \\ob\ekx any consequential and dwidonudJuuugcs u6sing
from any cnusrassociated wi|bthe�,,xdnpurcbawd bom5eUcc
(K Taws- Pldces Wwwn do mq WHO saks or mher taxes imposed on the safe of'�oods. Tuxcy now or
be-coftoriolj�oacduyno sales o,ddpmonm ,ihhmuddcdm the purchase price. Bu}cru&roustn
reimburse Seller lor anysuch tax or provide Seller With acceptable ux exenipiion certificate.
(0) Delay inDr|i`cry—8e||n,is not mbruocouomWn for del uysio del i very,occoy(onodby acts ofOudn,
orhorcizumguxoca over v/hich Sd|v,huu no direucno|noi Factory uhipmonznr delivery dxoca are the
best unimacs of our suppliers, and in no caw shAl Seller be We for any consequerahl or special
arising Front any delay indch,cry.
(7) Waiver--The 11lury of Sdler to insist upon the perforniance of wq of Me tertm or uinditkw of Wis
contract or to exercise any right WCUrlder Aull not be dcemNi U)he a Wwr thsuch ternw,
conditions or rioht in Me fuum, nm shall 4 be dmnwd to be a waivto(A any other wrm.comfidmL or
6gh1 under this con/mcr.
(8) NUdi5cabuuay Terms and Cuod1hm/n— No nunneund comb rinnymhcrdhon low x/mrdhuoiu. awl
ooaqrcuemozuudczsloodiutio any wuypuzynrhogromo'Ufyrheoe (eccm. urcoodidnou. sbo// he
hbdin�,�on Seller without Seller's \viitten consent,
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
74918 SHOP PT 10TH PROX NET 30TH
MARKS BAYS PK PICK-UP BLAINE FISHERS 317-598-6170 07/29/13
77E14GLBAG 30C-1-1/2X30FT 21.30 lea 63.90 1.28
CING TAPE
DC 10 110.07 100ea 5.50 0.11
DUCT SEAL
Billing Questions:Billing-request@kirbyrisk.com(765)446-3054 V291201311:29:40 AM 5707021004.001 Invoice Number S107021004.001
Subtotal 69.40
If paid by 08/10/13 you may deduct$1.39 S&H Charges 0.00
Invoice is due by 08/31/13 net of any cash discount. �� Sales Tax 0.00
ELAINE ® ID 69.40
000t:000i Kirby Risk Page 1 of 1
TERMS AND CONDITIONS OF SALE
MWEPTANCE OF THE GWDS PURCHASED ON THISJNVO]CE CONSTITUTLS AND
ACC0pTANCE0FTRETERNIS AND CONDITIONS 0FSALE WHICH FOLLOW:
(]) 8<ucti Merchandise is subject ,o u o{mn durge. No gonds may bureturned �Nidkou/o shipping, ticket
uod�vit-
voice number and prior authorization.
(2) Non-Stoch Merchandise is not returnable unless �e can secure a"Returned, Goods Authody"front
the vendor.
(]) The Customer ucknnv/|cdgromnd agrees that inuD purchases u[guds and yopiccwfrom ScOuqSd\cr
gives oncxprcsxvanun6cn.orimy|ic6 warranties u[mer6unoJili(yuod fitness torunJparticUlm
pWpmse,
A; The Customer agrees that Seller v,iU not hoWu6nonycuuscquondu\ unJ incidental Jmougcxmiung
from any cause my»uuiated with,the goods puoxhuue] front Scher.
(5) Taxes Pdccs shown d000t inC\odc sales c«mhczmxcsiogxscdoo the ",JcoCgxxy. Taxcmnu"vor
|zczcufto impoycJ upon sulcs ors6ipmcntsvO\ beodded u`the purchase pricc. 8u�cz agrees to
reirnbursc Seller for any such tax or provide Seller with acceptable tax exemption,Corti ficatr.
(6) WuJioDclivory—So||crisoo|\ohoucnomouabiefbrdeloysinddivoryoocaeionedb�ou�uo[Godor
other cimumseocco ovc,vbic6 Seller has oodirnotcontrol, Factory shipment ozde|ivo,,� Jatcs arci6c
bcs/csdmawxufoozsopp|ico, ondi000cuseyboD3J|crhcliaNc±oroo} cooecgueo/io| mrypecia|
dommgesnd»io,g, from any delay iodelivery.
(7) Wuircr— [hr6Jlumnf8d\ur|nWtuynndzperfhrmanouofanynfU`r|cnneorcm/di6on»n[d'iy
comract or to exci-ciseany right hereunder W not be deerned to be a-,,vaiver of such tcrtrrs,
cnodid000 or in the 6/mrm, umrahxO irbc Jenmcdtohcu waiver nfmoy other{erm, uondidm\ or
right under this contract.
(#) MudiDcud000f Terms and Coodhinnx—Noounny and condiOnnxmhu`huoOhonxmm:d herein,and
uouyrroocnuormndersmnding. inunyv/zypurpordug/nmodifyUhcxcucm�-, orcauJi|'ouu, ybaUbo
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER • • RELEASE NUMBER-,
74918 FORK TRUCK PT 10TH PROX NET 30TH
SALESPERSON �SHIP VIA' . DATE
MARK S BAYS PK PICK-UP JOE FISHERS 317-598-6170 06/19/13
• . . . . • AMOUNT CASIZISC
lea lea HUBB HBL2430 22.48 lea 22.48 0.45
LOCKING SGL RCPT NEMA L16-20R
lea lea HUBB HBL2431 19.30 lea 19.30 0.39
LOCKING MALE PLUG NEMA L16-20P
-1 ea -lea HUBB HBL2721 25.51 lea -25.51 -0.51
LOCKING MALE PLUG NEMA L15-30P
**Original Sale : S106955227.001 **
-lea -1 ea HUBB HBL2720 35.27 lea -35.27 -0.71
LOCKING SGL RCPT NEMA L15-30R
**Original Sale : S106955227.001 **
OTHER 38.00
Billing Questions:Billing_request @kirbyrisk.com(765)446-3054 091201311:45:06 AM S106955227.002 Invoice Number S106955227.002
Subtotal 19.00
/J S&H Charges 0.00
Invoice is due by 07/31/13. Sales Tax 0.00
JOE
® ® 19.00
0001:0001 Kirby Risk Page 1 of 1
TERMS AND CX)NDITIONS OF SALE
ACCEPTANCE OFTtIE (;0@0SP0RCBASEDQNTB/S INVOICE CONSTITUTES AND
ACCEPTANCE 0WTB0TERM8 AND CONDITIONS(}F SALE \N8lC11FOLLOW:
(1) Stock Merchandise bxuhirr|mu return charge. Nogxx)xmxyhoreturned wi,bnutvshippin�" ticket
u11(1k01-iovoicz nuo1he/'und prior authorization.
(Z} Nuo'Sknk Merchandise is not ommob|eyn|uuyxzoxuseconru '1R^xoncdOoodsXmhohty^ 0nm
Hit vendor.
C5) Ile Cudomcruckom«\cdgcsundugcos that inAlpoohun«n[gxub and yuniccs6nx SoOcq5dler
8>vrs nnoxp/ran *annmW urAo!p|icd vu/run!iun oymu/zhmnmhilhyax| Mmcxy For any puuioJm,
pupmso
(h Thc Customer agrees that Seller will not be liable for any un ,�cgum(iu\ and incidonxd 6uxugc^mrisinq'
Iwo urycanseuysocluucdwbbrbcguodopmrbmsed from Seller.
(g} '[asus—Pdrw hbowudono|iociudesu|esor other mxo»iaiposedoo the ou1�ofgoods. Tu�,�y now o/
bcreu8exionpuscdupoo sates orublpmcum0Ubruddo] zotbt�purchase pdco. Buycr zo
reimburse SrUoz for any such /uxor provide SuUo.With urccp|uh|c tax exzmprioaueoifioo{o�
t,6V Delay in DeliNery--Seller is not to he acawntable Go dAps W dchvery ocemkoied by acts oFGtW Or
Wcrdrcumsmxcca over which Seller has no dircc{coo|n`i Fucmry xhipmwntprddUvcry Juorx are W,
heat e,,tiiriates ofour suppliers, and in rro case shafl Seller be liable for arW Lamsequentid Or SIWCiLl
dxm:,,,moriuh`g, front any delay in delivery.
(7) Walver--The fAhme of Seller to insist UpOn the performance ofany ofthe terms or condifitins ofthis
contract or to exercise any right hereunder shull not be deerned to be a v"tiver(4 such tcnmn.,
conditions or right in the future, norshall h he cKerned to be a"wiver of any odwr term,conthtion. Or
dghiundUddaContract.
(8) Modification of Terms and Condid(ms--No mr-rus and con,dirions Other than thoue surted heroin,and
uoxgzrcmeo/orondrzs/undiogiounyva7puq?mhng /omodifyrbexo /czzns. ozc.xx|lhcos. sbuUhe
VOUCHER # 136119 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
S106982059.( 01-7202-06 $1,017.60
S 107o 93 (19, 31
16 .00i � e
ot-� o�-o
51010Q100Lj •ors ot. iaoa.�b �9-qd
S 10(0Qssaa-). boa
0l,1laoq.0G 11 .00
PaigP31
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 8/6/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/6/2013 S106982059. $1,017.60
1 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
Idt Kirby Risk INVOIC
INVOICE D• • •. 11 1815 Sagamore Pkwy .' Y
Lafayette, IN 47904 �mwo S107028320.001 11788
08/31/13 12.94
•
IKIRBY RISK CORPORATION
P.O. BOX 664117
INDIANAPOLIS IN 46266-4117
SHIP TO:
639 1 AB 0.384 E0083 10143 D747943001 P1555369 0003:0003
IIII�I'I�'III'�I"I'I"III'III�I'I�""'ll�l'I�'�"�III��III'll� CARMEL WATER TREATMENT
CARMEL WATER TREATMENT 4915 E 106TH ST
3450 W 131 ST ST CARMEL IN 46033
CARMEL IN 46074-8267
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER . • NUMBER RELEASE NUMBER TERMS..
11788 8-1-13-TJ NET 30 DAYS
SALESPERSON • . e • •
MIKE E WILSON PK PICK-UP AMADOU DIALLO(TJ) FISHERS 317-598-6170 08/01/13
.ORDER .
lea lea HOFF A16P14 12.94 lea 12.94
PANEL 14.75X12.88 FITS 16.00X1
Billing Questions:Billing_request @kirbyrisk.com(765)446-3054 8111201310:27:48 AM S107028320.001 Invoice Numberl S107028320.001
Subtotal 12.94
S&H Charges 0.00
Invoice is due by 08/31/13. Sales.,Tax.,.. 0.00
AMADOU DIALLO(TJ) 12.94
0003:0003 Kirby Risk Page 1 of 1
TERMS AND CONDITIONS (W SALE
ACCEPTANCE 0FTHE GOODS PURCHASED K}N1[BTS INVOICE. CONSTITUTES AND
ACCEPTANCE(MT THE TERM AND CONBkT[ON8OFSALF WHICH FOLLOW:
(1) Stock Merchandise ix subject murommchurgu. NnjxGmuyhurr/umuj *idmLxashipping ticket
und/o,iovniry nun8`o,undnrioruu(bohzubon
(Z) Non-Stock Merchandise is riot returnable un|"u we can ymcunru^Roumod ( o^da Avd`orry^ hnm
dc vendor.
(3) The Customer acknowledges and u�gjnzs that in all purchases o[�'oudu and ocnicc,6zun 5d}mr. Sd\cc
8ivcv no oxpnsn wannn/ics`or impUcJ varmohuy u{ono/zhunubi|i(y und thmcs for any pur|icolur
Purpose.
(A lhc(vs|omer:Toes U`u/SAW p/iO no be 1401c knuoy un seqocn(la\ and howidenxJ 6uougcx cising
bnm any cause uyuochad wkbde gvodspozdmo*d from SAW.
(5) Wes Pdcessbowudono/include mks orod%taxes ioiposcdou the cui�o[,(,,,uode. Taxco now or
bcouftexiropnycd upon sukoorddpmrots will be added w the purchase price. Bu�cl:og,,reoszu
orimhomu Seller forany such mz or provide Seller with uoocpzubb umezcoipdonrerdficote.
(6) Delay inl�dirc/7—Seller ix not tobeuuc"unmb!c for-dc1uya in delivery occasioned by acts ofGodnr
other cl,cumguncco over which Seller has no direct control, Factory ahipmcntor delivery dates air 11c
bcy'clldmx/c`o[uu,nV7p|lrx. and in no caw xbaU Seller he liable[urxny consequential mFyp:du|
dxmugcu mising from aoydu|uy in delivery.
(7) Waiver—Ile fui|uoof Seller m Insist upon the perkro oncoofauyof|heocnnyo/cooddimmo[[hio
contract or to cxc/zixc any Aigb|heir under ohuU riot be dccmc6 wbc o v,uircr ofnuch unnx,
condidonsnr right.in the future. nor shall hbcdrcmcd|obeu waiver ufonI other tern .unmiidnn.or
6�1111| ondCrdhixcoo{mc|.
(8) Nlod0§cndooMcrom and Coudittimxn—Notunnn and conditions other-than |boecyuuu|hurciu. and
no ogzrcmam couudosmnd�,in any v/ayyuryozbng to omdify thcae terms,or coodibnoo, oboi|be
binding on Seller without Selter's written consent,
---
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
11788 W09838 NET 30 DAYS
KEVIN R FORD UPS GROUND KEN RHODES FISHERS 317-598-6170 07/25/13
lea lea AB 1746-P4 1102.90 1 ea 1102.90
RACK MTD POWER SUPPLY
2ea 2ea AB 1746-P2 657.94 lea 1315.88
PACK MTD POWER SUPPLY
Billing Questions:Billing_request @kirbyrisk.com(765)446-3054 Invoice Numberl S107003447.001
Subtotall 2418.78
S&H Charges 0.00
Invoice is due by 08/24/13. Sales Tax 0.00
e 2418.78
0001:0001 Kirby Risk Page 1 of 1
TERMS AND CONDITIONS OF SALE'
ACCEPTANCE O[],HEC',OODSPlJRCHASLJ)8N1[H|S INVOICE CONSTlIQlTIS AND
ACCEPTANCG��FT��EA�R[VS AND C�}NQITI8NS(}FSAL� u/HIC0KFOLLOW:
(D Stock K{ecdmudiseia subject mo return rhur�,u, NoL'x0(1umuyhonrmmcdrjdm/uuuhippinl-Iticket
uodkrinvoice numhc'undpriuruoMhohzubnn
(3) Nuo-Slnrb Merchaudiseix umrc|urouh|e un|CaS `vc Can secure ^'Rcmmcd Goods Authority" 0om
d1c ,cndor.
(3) Thc mid uzrux that,ill all porchuxoyni'2uodsuud yorviCrx6nmSoDoI',Sd|cv
gjvr* oozxp/c»s vuuno/ic*.o,implicd wumo tics u|,merchantability and fimms for any ymhculmr
porpoyc
(4) The Cuu(omuruomcy that Seller will riot t* \iablokvxnyumscqocn\\u{ and incidental dumuwcsur,aing,
from on",rxu"Coyuuuiazcd rvddudn ,-,00do@orcbas,�d bomSei1rz. �
(�)
Taxes Price,, sho�n do not include sales orother taxes imposed on the sale ofgooids. Taxes now,or
hcouftczioipoyedupoosa1esursfilipmentspiUbemddedto1bcPuzobuaopoior. Doycru(-,�,cosu
/ciruhuzso8oUex for any such.tax or provide 8uUer with acceptable tax escoipdz/ocertificate.
(v) D0a,y in Deliveny—Seller is not 1,0 be aCCOUrItable f(ol'Clelays in delivery occasioned by acts ot'(.wd ov
nrhocircon/xtooccu over which Seller has on direct control. Factory ahipm writ o,del vory dozco u/zthe
bugxmimatex cJou,mqpplico, and in no cu»c xhoJ| Seller be huh|u for any cnnuegvcohu| or upcci�
dumxL,csxrixhnLhnm am,do|uv inddivcry.
(7) Waiver—The failin-c of Seller to in,,ist upon the performance of any of the u-nis or conditions ofilds
contract n/mzzc/ziscunyd�b|hcoundcrsbaUon|bcJconc6mbcuv/u\vcrof such uconx,
cnndidononr�Lh\iuthcfomoo. norshoOi16c deemed u`hcu waiver ufaoy other|crm, 00ud(dnu.or
right oodcrdii�con|mcr.
(8) Niodification ofTernis uudCouditioms—Nntcms and conditions other than |hmcxuaudhureiu. and
no o,ozeeueu ozoudosmod6ut.in any way puryor6u-,w Modify these tezm.�.orcwndi6uuy. sbuiibe
hinding on Seller without Seller's vu-itten consent.
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER • • NUMBER RELEASE NUMBER TERMS
11788 BT071813A-PLT3 NET 30 DAYS
ORDERED SALESPERSON SHI
MIKE E WILSON WC51 WILL-CALL BRIAN TOLAN FISHERS 317-598-6170 07/18/13
ORIDERQTYJ . D-ESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC',
2ea 2ea CH BR2020 23.57 lea 47.14
BR DUPLEX BREAKER 2-20A/l P
3ea 3ea HUBB CS1201 2.59 lea 7.77
IVORY 20A 120-277VAC SP SWITCH
Billing Questions:Billing_request @kirbyrisk.com(765)446-3054 711912013 8-38-14 AM S107004673.001 Invoice Number S107004673.001
Subtotall 54.91
r S&H Chargesi 0.00
Invoice is due by 08/17/13. QL�rJ Zz��
Sales Taxi 0.00
BRIAN TOLAN 54.91 im=
0003:0003 Kirby Risk Page 1 of 1
TURNIS AND CONDITRAS OFTQY'�
AC(TPTANVE OF-11114,GOODS PUM(NUAS1,A)ONTRIS INWMW (UNSTMITY; AND
AWEPTANCK OF THF11MIS AND CXADITRM'�-, OF SALFI�,,l M"ll FOIAl"'PVV,
(1) is Nuitul to" rourn dwyn No goo n way be r iii nad kjdwul a glapphag
���nhec and
(2) AMPAOCk Nit!WMASU is MY innunable Wow we can scume u-NiumW WMAuilwy," Mun
(31 1 ip Losulmn �lpd .1rucs Wo K 01 purchawn V aald firern ;,,,'J;_-r S"Alor
oi,inapliwl wanwrPs tai imnvh.w„ihililv and for:uit, 1% ( dar
(4) five Cusunner waves Tot Selk ,,o;l iiot b �;{' .'oi on"A
wuh W gods punpawd WMI S60,
(M n Key-- Amn owyn do mm walwk ul u,
',dC,r on dw SI-QW& 1 on,W" a
:Qcr kqvn.d upm An kv Apawnts ME he ddal to the Inwh ass yl a Priyov opon,
n0hurve AM w, my gwh wK x p"W&SAW AM acaTuTR wN ow yaw
61 1 S01 W 19U x e" -Sol Or is nkq ;o In! acwu n We for cWha ys i a Ad W; on n nnnud hy a-n Wd
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NuAng on Sc a.: S tip A "Aurn ot"num_
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER • • NUMBER
11788 BT061213A-PLT1 NET 30 DAYS
SALESPERSON SHIP VIA
ORDERED BY SALES OFFICE PHONE NUMBER SHIP DATE
MIKE E WILSON PK PICK-UP BRIAN TOLAN FISHERS 317-598-6170 07/01/13
ORDERCITYJ SHIPQTY I -DESCRIPTION ITEM PRICE �UNIT EXT AMOUNT CASH DISC
2ea tea EGS LB200-A 28.90 lea 57.80
2-IN AL LB COND BODY
2ea 2ea PICO/WHEA 5706(G200000) 177.08 100ea 3.54
2"XCLOSE GALVANIZED NIPPLE
Billing Questions: Billing-request@kirbyrisk.com(765)446-3054 Invoice Numberl S106945863.002
Subtotall 61.34
S&H Chargesi 0.00
Invoice is due by 07/31/13. Sales kaxl 0.00
• 61.34
000t:000s Kirby Risk Pagel of 1
TIATISAND (XINDITIONS OF SALF
ACTEPTANUUI)FTHE GO(A)S ON IMS ITIVORIE UJINSTITUTIVAND
AMEPTAM F OFTHE TERMS (MI SALE "111111 RIF I'VIM,
MitTrQuiRse is nol rcmniabko uuhm can su4mv a -Rourmn GYM Atria `9 A ' Mun
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1W qlaomon onruki-mmuhn; in any way puqxwdng Yo avAQ We LyEb N�xmdh�n� CA! bc
wyHng on Slin,khout SOW, Muen amwm,
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSTOMER • • NUMBER RELEASE NUMBER TERMS
11788 BT071513A NET 30 DAYS
SALESPERSON .-. DATE
MARK S BAYS WC51 WILL-CALL BRIAN TOLAN FISHERS 317-598-6170 07/15/13
ORDER CITY SHIP • •
lea lea GEIN THQB1120GF 126.84 lea 126.84
BOLT-ON GFI BRKR 20A SP
lea lea HUBB CS1201 2.59 lea 2.59
IVORY 20A 120-277VAC SP SWITCH
lea lea HUBB NPJ11 0.27 lea 0.27
WALLPLT, M-SIZE 1G, TOGG, IV
Billing Questions: Billing_request @kirbyrisk.com(765)446-3054 711700133:07:40PM x106997223.001 Invoice Number S106997223.001
Subtotall 129.70
S&H Charges 0.00
Invoice is due by 08/14/13. TaL°g` Sales Tax 0.00
BRIANTOLAN ,I 129.70
0002:0003 Kirby Risk Page 1 of 1
TERM!; AND CONDITION;S OF SAI,,-A-,'
kND
WCEPTANCE OF 111V 1"IFIVOS AAM WNDITIONS (41 SALE WMAI RMA.0100
(11 Start Nlerchanctiv is subjec! .o' ilwp. o go vis a; ljg Wkel,
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i 71 1%Aver--Tfw to Omv of SAW to inist u1sm) A; puRTmarm of any PF A a.,1) m&. dd
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in any may puTming to nwild; Inc Wom u"mmMknk shh Q
i
VOUCHER # 132363 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
107028320.1 01-6200-02 $12.94
167 t(DSq47,1 o1.bM-1t5 I$.f13
1 b'1 54,91
1���-raa�• 1 �'I.(�Ztb•t� l�qo'?O
Voucher Total
a�77 --7$ - '
i
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 8/6/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) - Amount
8/6/2013 107028320.1 $12.94
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