227024 12/11/2013 CITY OF CARMEL, INDIANA VENDOR: 00351017 Page 1 of 1
ONE CIVIC SQUARE KIRBY RISK ELECTRICAL SUPPLY
9• ?O
CARMEL, INDIANA 46032 PO BOX 664117 CHECK AMOUNT: $290.39
'"�ioH`off INDIANAPOLIS IN 46266 CHECK NUMBER: 227024
CHECK DATE: 12/1112013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
609 5023990 107215379001 287 .49 OTHER EXPENSES
651 5023990 107233631001 2 . 90 OTHER EXPENSES
---------------------------------------
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
74918 VERBAL BLAINE PT 10TH PROX NET 30TH
MIKE E WILSON PK PICK-UP BLAINE FISHERS 317-598-6170 11/26/13
tea 2ea PHIL F20Tl2/CW ALTO 30PK 1.45 lea 2.90 0.06
273326
Billing Questions:Billing—request@kirbyrisk.com(765)446-3054 M2612013 3:47:51 PM 5107233631.001 Invoice Number S107233631.001
Subtotall 2.90
If paid by 12/10/13 you may deduct$0.06 S$H Charges 0.00
Invoice is due by 12/31/13 net of any cash discount. t`� Sales Taxi 0.00
BLAINE "- 0 ® 2.90
0001:0001 Kirby Risk � Page 1 of 1
][E20MkS AND CONDITIONS OF SALE
ACCEPTANCE OF THE GOODS PURCHASED ON THIS INVOICE CONSTITUTES AND
ACCEPTANCE OF THE TERNI�9AND CONDITIONS OF SAL[ N-Vl0lCH FOLLOW:
(1) Stock Merchandise is subject tom return charge. Nn goods may 6e returned wi/boutuxbippbua, ticket
and/or invoice oomber and priorauthorization.
(3) Nmu-S|nck-Mcrchxodioeio not returnable unless wc can secure u"Returned Goods Authority" bnm
cbcrmzdor.
(3) ThcCuotumo/ucknnwleJgrx und ogmnu that in all pv,ch000nof—guodu and oori cc,6vnn Seller. 3cUor
gives nnexpress wanao1ics,or implied wurmo|icy o[mxrzhuutahJi(yund filmeuu foruoy porticulm,
purpose.
(4) Thc CUstorrior agrecs that Seller will not be liable 6xn11ycuoscquco|ia| and incidunu| dmnugs urlsiog
from aav cause associated Nvkbthe goods purchased 1rncuSeller,
(S) Tuxex- 9ricusyhuwn60001iuduJcyxleyoruMermxcy6npoxndontbumuJcu1goudy. Toxoynov/or
boroftu/impemudUpon odcs or shipments will be added to thcyumhuacprice, Quyczo��rceyto
roirriburse Seller for any such tax or provide Seller with acceptable tax exemption certificate.
(6) Delay in DeliN ery—Seller is not to be accountable for delays in delivery occasioned by uQt,,, ol'God or
o|bcrcircomsmnccy over which Seller has oo direct control. Fuo/ory shipment or delivery dmey Are the
b�StcohmotCyofoursuppliers, and inon case shall Seller be liable for any consequential orspecial
dnmug,mx6sing, from any delay iudelivery.
(7) Waiver—Tlic failure of Seller to insist upon the pertlormance of any ofthe terms or conditions ofthis
comrmCtor\oo,cncim:mnyhgdhcnwuJrru6ul| nnthodconu]u/6cuvnircrof'auckonnn,,
cnnditiouoorciuh/ in the fumo, noryhuD it be doeunrdu`be unaivoro(any nrhorrcrm. condition,or
right under this contract,
88) NIodification ofTerms and Conditions—No terms arid conditions other than those stated fici-cin,and
oong1n000zVormnderytundbng, inuny "/oypuzpnomg/omndifydhcse ,czmy, orcmnddooy, ubdlbe
biodioHl Oil &6|cra'izbuurScUo'u written consent.
VOUCHER # 136945 WARRANT # ALLOWED
351017 IN SUM OF $
KIRBY RISK ELECTRICAL SUPPLY i.
PO BOX 664117
INDIANAPOLIS, IN 46266
N
Carmel Wastewater Utility i
ON ACCOUNT OF APPROPRIATION FOR "
Board members
i
PO# INV# ACCT# AMOUNT Audit Trail Code
S107233631.c 01-7202-06 $2.90
f
1
i
i
r
I
Voucher Total $2.90
Cost distribution ledger classification if
claim paid under vehicle highway fund
1
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 12/4/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/4/2013 S107233631. $2.90
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
--- - ---------------- ------------ ---------
DETACHUPPER PORTION AND RETURN WITH YOUR PAYMENT
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11788 KR111513 NET 30 DAYS
e r o e o e e
r
IDMS-XML 23 INDIANAPOLIS KEN RHODES FISHERS 317-598-6170 11/25/13
• • e e o o f y,: e e
lea lea HOFF A16148CHQRFGW 207.09 lea 207.09
ENCLOSURE 16.00X14.00X8.00
**SUBJECT TO VENDOR RETURN POLICY*
tea 2ea AB 100-DS2-20 40.20 lea 80.40
AUXILIARY CONTACT BLOCK, SIDE
MOUNTING, 2 N.O. 0
"SUBJECT TO VENDOR RETURN POLICY**
Billing Questions:Billing_request @kirbyrisk.com(765)446-3054 Invoice Numberl S107215379.001
Subtotal 287.49
S&H Chargesi 0.00
Invoice is due by 12/25/13. u 11/25/13 Sales Tax 0.00 -
Si at� a
intea Name 287.49
0001:0001 Kirby Risk Page 1 of 1
TERMS AND S OF SALE
ACCEPDANOWFTHE GC0 )8 PURCHASED ON THIS INVOICE CONSTYF0TV.S AND
ACCEPTANCEuWIHFTE0MS AND CONDITIONS OF0AM?WHICH F6)LL0NY
(n Stock Niuzhauds*isuubjmr|murxmmchm�u. Nn goods may kcrc|u,ned *idxu/xshippingticket
and/or invoice number and prior authorization.
(B Non-Stock MJvrchmudiapis not rr|unmWc unless wc cart sucumu^Reunnrd Goods luUhohiy'' hnnn
do Vendor.
(3) Ile Cus(nnou,acknowledges mW upon dm'iu all purchases of gxds and sc/ricco6nm56lcr, SAW
gkosnnzxpoun ^oomuics.orimP|icd *u/rao(icxufnxn/rhuombUi(y and Own fnr any pooimlur
purpoyc.
WA The Cus(omc/ugroa that Seller win not be |iub|u for any incidental dmnui-,,m mris`ng `
dmmuoy came aom� ted W&de goods pmzbasedbmmSeller.
(5) Taxes— Prices shown do not include saWnroUhcr taxes imposed ou the. suLe,ol.goods. Tox�moovvor
hareuftez imposed upon sales or»6DmeutswiUbe added tolbt�purchase price. Buyer to
/ricubmxcSeUer Or any such /uz or provide Seller`vi/bacceptable tax uxcoiprinnccr|ificu{c�
(6) Way in DeWery--SefIr is imm Lu he amountable bw dekWs in deNve, twoMmed by nos of God or
w,borcircumstunceo over»,hidhSdlim has no direct control. Factory uhipmeo\nr delivery dates are the
lost cydmu/cuuf our supp}icm. mid ixou caw shall Sdlrrb� |iuNc for uxycmewquemiuiorspecial
dxmaq-,xuxhuing From any delay in delivery.
(7) Waiver--TV fnihn-c of MY R) insist upon We peQrrrvmcc(Wany 4W Wn-risaw condlons of Tis
contract or to cxcrcise any right Intrunder dun not be dmnwd to be a waiver of s=h runls,
conditions or ii�ht in the furutv. nor shall it bo decrimd M be a waker of=y other lenn,condition.or
d�Vunder Uhi^Contract.
(8) ifica tion of Terms and CA ndkhms—.No 101-in s arid cond j 0 ons other th"I n t hose stated fic to in,it rid
nougrecmtmitnruudczsruudiog.iouuyx/o7porporbngtnroodbfythcaorcoom. urcnndhiuoy. sbuUbu
bimUugonSe|lcrv/irbuur8dky`sm/i {cnconsent.
VOUCHER # 133522 WARRANT # ( ALLOWED
351017 I IN SUM OF $
KIRBY RISK ELECTRICAL SUPPLY
PO BOX 664117
INDIANAPOLIS, IN 46266 I.
y
Carmel Water Utility ?
1
ON ACCOUNT OF APPROPRIATION FOR
1
1
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
i
107215379.1 07-1052-12 $287.49
1
C 0
f
Voucher Total $287.49
Cost distribution ledger classification if
claim paid under vehicle highway fund
t
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 12/5/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/5/2013 107215379.1 $287.49
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 Odioer,