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225876 11/05/2013 CITY OF CARMEL, INDIANA VENDOR: 00351017 Page 1 of 1 ONE CIVIC SQUARE KIRBY RISK ELECTRICAL SUPPLY CHECK AMOUNT: $1,131.32 CARMEL, INDIANA 46032 PO BOX 664117 INDIANAPOLIS IN 46266 CHECK NUMBER: 225876 CHECK DATE: 11/5/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 652 5023990 107162544001 129 . 78 OTHER EXPENSES 652 5023990 107162605001 112 . 53 OTHER EXPENSES 651 5023990 107163157001 381 . 20 OTHER EXPENSES 651 5023990 107174931001 234 .45 OTHER EXPENSES 652 5023990 107175635001 273 . 36 OTHER EXPENSES DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER • • NOMBER RELEASE NUMBER. TERMS 74918 VERBAL JEFF PT 10TH PROX NET 30TH SALESPERSON . . . KEVIN R FORD WC29 WILL CALL JEFF COOPER FISHERS 317-598-6170 10/24/13 • . • lea lea HOFF DAH2077 234.45 lea 234.45 4.69 115V,50/60HZ,200W,1.7A Billing Questions:Billing_request @kirbyrisk.com(765)446-3054 1012412013 4:08:57 PIA s107174931.001 Invoice Number S107174931.001 Subtotall 234.45 If paid by 11/10/13 you may deduct$4.69 `l(� S&H Charges 0.00 Invoice is due by 11/30/13 net of any cash discount. Sales Taxi 0.00 JEFF COOPER _ ® 0 234.45 0001:0002 Kirby Risk Page 1 of 1 TERMS AND COND>['fl`RONS OF SALE ACCEPTANCE OF THE GOODS PURCHASED ON THIS INVOICE CONSTITUTES AND ACCEPTANCE OF THE TERMS AND CONDITIONS OF SALE WHICII FOLLOW: (1) Stock 1lerchandise is suhject to a return charge;. No goods may he returned without a shipping ticket and"or invoice number and priOr authorization. (2) Non-Stock 1lerchandisc is not returnable unless we can secure a"Returned Goods Authority" from the vendor. (3) The Customer acknovvledges and agrees that in all purchases of goods and services from Seller, Seller give>no express warrannes,or implied warranties of merchantability and fitness Ior any particular purpose. (4) "llie t.;Ustomer agrees that Seller will not be liable lilr any consecftmitial and incidental damages an-lig from any cause a],,SO:.iatecf with the goods purcha ed from Seller. (7) Taxes Prices 5h(W11 (10 ]lot llltilllde sales or other taxes unposed oil the sale of<goods, Taxes flow or hereafter impo7cd upon ,cllcs or shipments will be added to the purchase price. Buyer agrees to reimburse Seller for any such tax or provide Seller with,acceptable tax exemption certificate. (G) Delay-in Delivery—Seller is not to he accountable for delays in delivery occasioned bv-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 dainages arising from any delay in delivery. (7) Waiver—The Cailure of'Seller to insist upon the performance of a.ty of the terms or conditions of thi, contract or to c ccrcise any right hereunder shall not be deemed to he a waiv cr of su.:h terns, conditions or right in the future, nor shall it be deerned to be a waiver of any other term, condition;or right under this contract. (8) Modification of Terms and Conditions—No ternis and conditions other than those stated herein, and no agreement ter Understanding, in any way purporting to modify these term-,or conditions, shall be binding on Seller without Seller's written consent. DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER • • NUMBER- RELEASE NUMBER TERMS, 74918 RFQ PT 10TH PROX NET 30TH ORDERED SALESPERSON SHIP VIA MIKE E WILSON WC51 WILL-CALL JEFF COOPER FISHERS 317-598-6170 10/17/13 • UNIT j­"EXTAMOUNT. �CASH DISC • 4ea 4ea PHIL MP175/BU 12PK 26.11 lea 104.44 2.09 281196 4ea 4ea PHIL MH250U 12PK 14.33 lea 57.32 1.15 274845 4ea 4ea PHIL MH400/1-1 6PK 12.78 lea 51.12 274498 MH400/U 6PK 4ea 4ea PHIL MH1500/U 6PK 42.08 lea 168.32 3.37 131623 Billing Questions:Billing_request @kirbyrisk.com(765)446-3054 101181201310:55:41 AM S107163157.001 Invoice Number S107163157.001 Subtotall 381.20 If paid by 11/10/13 you may deduct$6.61 S&H Charges 0.00 i Invoice is due by 11/30/13 net of any cash discount. Sales Tax 0.00 AMOUNTOUE JEFF COOPER 381.20 0902:0003 Kirby Risk Page l of 1 TERMS AND CONDITIONS OF SAL ACCEPTANCE OF THE GOODS PURCHASED ON 'PHIS.INVOICE CONSTITUTES AND ACCEPTANCE Ot'THE TERNI.S AND CONDITIONS OF SALT: WHICH FOLLOW: (1) Stock Merchandise is subject to a return charge. No goods may he returned without a shipping ticket and/or invoice number and prior-authorisation. (2) Non-Stock MI rchandise is riot returnable unless we can secure a"Returned Goods ..Autthority" frenn the vendor. (3) 'rhe Customer acknmA ledges anti agrees that.in all purchase,of goods and services from Seller, Seller gives no express warranties,or-implied warranties of merchantability and fitness for any-particular purpose. (4) The Customer agrees that Seller will not be liable for any consequential and incidental damages arising from c,-,y cause associated with the ,,00cls purchams d from Seller. (s) Taxes Prices shown do not include sales or other taxes Imposed on the sale of goods. Taxes now or hereafter imposed upon sates or shipments will be added to the purchase price. Buser agrees to reimburse Seller for any such tax or provide Seller with acceptable,tax exemption certificate. (6) Delay in Delivery-Seller is not to he a;;countahle for delays in delivery occasioned by acts of Gad or other circumstances over N.thich Seller has no direct control. Factory shipment or delivery dates are tite 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 thi> contract or to exercise any right hereunder shall not be deemed to he 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 thi�,contract. (8) Modification(if Terms and Conditions-No terms and conditions other-than those stated herein;and no agreement or understanding, in any way purporting to modify these terms. or conditions. shall be binding on Seller 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 10/30/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/30/201: S107163157. $381.20 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 VOUCHER # 136710 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 S107163157.( 01-7202-06 $381.20 510117y13I ,ou( 01-�7aog-0(0 931,45 (0 b S Voucher Total - 0 Cost distribution ledger classification if claim paid under vehicle highway fund DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT • • • REL TERMS 74918 LARRY PT 10TH PROX NET 30TH SHIP VIA, '(jRDERtD 13� SALES OFFICE: PHONE'N M B, R SHIP D• MARK S BAYS WC51 WILL-CALL LARRY FISHERS 317-598-6170 10/24/13 R • • 2ea 2ea STEM HN623 52.14 lea 104.28 2.09 60-100A NEUTRAL KIT SAFETY SWITCH 12ea 12ea HOFF AS075 5.92 lea 71.04 1.42 HOLE SEALS FOR 0.75"CONDUIT 12ea 12ea HOFF AS100 8.17 lea 98.04 1.96 HOLE SEALS FOR 1.00"CONDUIT Billing Questions:Billing-request@kirbyrisk.com(765)446-3054 101251201310:03:57 AM S107175635.001 Invoice Number S107175635.001 Subtotal 273.36 If paid by 11/10/13 you may deduct$5.47 S&H Charges 0.00 Invoice is due by 11/30/13 net of any cash discount. Sales Tax 0.00 �p,�, LARRY E � e 273.36 0002:0002 Kirby Risk Page 1 of 1 TERMS AND CONDITIONS OF SALE ACCEPTANCE OF THE GOODS PURCHASED ON THIS INVOICE CONSTITUTES AND A('CEPTANCE OF THE TER:lIS AND CONDITIONS OF SALE WHICH FOLLOW: (1) Stock Merchandise is subject to a return charge. No goads may be returned without a shipping ticket and.or invoice number and pricer authorization. (2) Nun-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 frorn Sclier, Seller jives no express warranties.or implied warranties of mcrchantabiiity and fitness fir any particular purpose. (4) The C:trstorner agrees that Seller will not be liable for any consequential and incidental damage arising From any cauSe ASSOCiated with the .goods purchased from Seller. (5) 'Faxes - Prices Shown do not include Sales or other taxes imposed on the sale of <goods. faxes now or hereafter impaSCd upon sales or shipments will be added to the purchase price. I3trWr agrees to reimburse Seller for any such tax or provide Seller with acceptable tax exemption certificate. (6) Delay in Deliv erp—Seller is not to be accountable for delays in delivery occasioned by acts of God or other circurnstances 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;wising from ai;delay in delivery. (7) Waiver—The failure of Seller to insist upon the performance ofany of the terms or conditions of this contract or to exercise any right h;reunder 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) 1lodifrcation of Terms and Conditions—No terms anti conditions other than those stated herein, and no agreement or understanding, in any way purporting to modify these terms; or conditions, shall be binding,im Seller without Seller's written consent. DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER RELEASE NUMBER • • NU MBER 74918 WOODFIELD LIFT STA PT 10TH PROX NET 30TH SALESPERSON SHIP�VIA �':ORDERED BY ALES. .• MIKE E WILSON WC51 WILL-CALL LARRY FISHERS 317-598-6170 10/17/13 PRI 'E . . - . 30FT 30FT BLIN B22-SH-10FT-ALUM 375.11 10OFT 112.53 1.13 1-5/8"ALUM STRUT/SLOTTED 1 OFT � I Billing Questions:Billing_request @kirbyrisk.com(765)446-3054 101181201310:56:15 AM S107162605.001 Invoice Number S107162605.001 Subtotal 112.53 If paid by 11/10/13 you may deduct$1.13 S&H Charges 0.00 Invoice is due by 11/30/13 net of any cash discount. n� Sales Tax 0.00 LARRY U ' ® 112.53 0001:0003 Kirby Risk Page 1 of 1 TERMS AND CONDITIONS OF SALE ACCEPTANCE OF THE GOODS PURCHASED ON'THIS INVOICE CONS TITUTE'S AND ACCEPTANCE OF THE TERMS AND CONDITIONS OF SALE WHICH FOLLOW: (1) Stock Merchandise k subject to a return charge. No goods may be returned without a shipping ticket andior invoice number and prior authorization. (2) Von-Stock Merchandise is not returnable unless WC can secure a*-Returned Goods horit,," from the vendor. (3) The Customer ac•knosNvIcdges and agrees that in all purchases of goods and services frorn Seller; Seller gives no express warranties,or implies{ «arrantie of merchantability and fitness fox any particular purpose. (4) The Customer agree that Seller will not be liable for any consequential and incidental damages arising from .,n-,,caut.e associatttd with the Bonds purchasod from Seller. (5) "Taxes Prices shown do not include sale or other taxes imposed on the sate of goods. Taxes nine or hereafter imposed upon stiles or shipments will be added to the purchase price. Buyer u�,rcc s to reimburse Se11er for any such tax or provide Seller with acceptable tax exemption certificate. t,6) Delay in Delixery—Seller is not to be accountable for delays in delivery occasioned by acts o('God or other circumstances over w-hich Seller has no direct control. Factory Shipment or delivery dates are the best estimate,of our suppliers, and in no case shall Seller be liable for an}'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 condition`of this contract or to exercise any right hereunder shall nut be deemed to he a waiver of such terms. conditions or rkflit 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 her•eirl,and no agreement or Understanding.in any way purporting to modify these terms. or conditions. shall be binding on Seller without Seller's written consent. DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER • 74918 WOODFIELD LIFT STA PT 10TH PROX NET 30TH SA .-. DATE MIKE E WILSON PK PICK-UP LARRY FISHERS 317-598-6170 10/17/13 ORDER CITY SHIP CITY 4 DESCRIPTION N 'D'I'S C' lea lea MILW 49-56-0217 19.07 lea 19.07 0.38 ICE HARDENED[TM] HOLE SAW 4-1/8" lea lea CARL UA9AK-CAR 233.99 100ea 2.34 2-1/2"SCH 40 STD 90 DEG ELB-RETAIL 3ea 3ea CARL UA9AJ 130.15 100ea 3.90 2"SCH 40 STD 90 DEG ELBOW 4ea 4ea CARL E943J 49.27 100ea 1.97 2"SCH 40 MALE ADAPTER 4ea 4ea EGS L-600 32.98 100ea 1.32 0.03 STEEL LOCKNUT 2IN 4ea 4ea EGS PB-600-D 32.64 100ea 1.31 0.03 PLASTIC INSUL BUSH 2IN 6ea 6ea BUSS FRN-R-100 14.73 lea 88.38 1.77 250V RK5 TD FUSE 4ea 4ea T&B CSP30 287.33 100ea 11.49 0.23 CU COMPR SPLICE 3/OSTR Billing Questions:Billing_request @kirbyrisk.com(765)446-3054 101171201311:00:41 AM 5107162544.001 Invoice Number S107162544.001 Subtotall 129.78 If paid by 11/10/13 you may deduct$2.44 w S&H Charges 0.00 Invoice is due by 11/30/13 net of any cash discount. Sales Taxi 0.00 LARRY ® 129.78 0001:0001 Kirby Risk Page 1 of 1 TERIVIS AND CONDITIONS OF SALE ACCEPTANCE OF THE GOODS PURCHASED ON THIS INVOICE COINSTITUTES AND ACCEPTANCE OF THE TERMS AND CONDITIONS OF SALE WHICH FOLLOW: (1) Stock Merchandise is subject to a return charge. Flo goods may lie returned without a shipping ticket and-'01,invoice number and prior authorization. (2) Non-Stock Merchandise is not returnable unless we can secure a"Returned Goods Authority' Iron the vendor. (3) The Customer acknowledges and agrees that in all purchases of goods and services from Seller, ScIL-r gives no express warranties,or implied warranties of merchantability and fitness for any particular ptti'po,c. (4) The Custorner agrees that Seller will not be liable for any consequential and incidental damages arising from any cause associated with the good',purchased from Seller. (S) 'Taxes Prices shown do not include sales or other taxes imposed on the sale of good,. Taxes note or hereafter imposed upon,ales or shipments will be added to the puxchasc price. BUWr agree:,to reimburse Seller for any such tax or provide Sellcr with acceptable tax exemption certificate. (G) Delay in Delivery—Seller is not to be accountable for delays in delivery occasioned by acts of God or other circumstances over which Seiler has no direct control. Factory shipment or delivery elates 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 arty 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 waix er of arty other term. condition,or right under this contract. (R) Modification of Terms and Conditions—No terms and conditions other than those stated herein,and no agreement or understanding, in any way purporting to modify these term,;or conditions.,hatl be binding on Seller 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 10/31/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/31/201,' S107175635. $273.36 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 13 Date Officer VOUCHER # 136743 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 S107175635.006 2308-00 $273.36 Depreciation 5i0-7fea6os.00j 09-9301-00 : t I a,53 beprVC.'. o� 510 as�1y,Doi 02-9301-0© up rec,,4 rod Voucher Total Cost distribution ledger classification if claim paid under vehicle highway fund