HomeMy WebLinkAbout227763 1/8/2014 s f CITY OF CARMEL, INDIANA VENDOR: 00351017 Page 1 of 1
ONE CIVIC SQUARE KIRBY RISK ELECTRICAL SUPPLY CHECK AMOUNT: $4,094.10
CARMEL, INDIANA 46032 PO BOX 664117
INDIANAPOLIS IN 46266
CHECK NUMBER: 227763
CHECK DATE: 1/8/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
609 5023990 107215472001 3 , 620 . 00 OTHER EXPENSES
601 5023990 107242783001 23 . 38 OTHER EXPENSES
651 5023990 107251023001 96 . 60 OTHER EXPENSES
2201 4237000 107251947001 87 . 36 REPAIR PARTS
651 5023990 107254245001 185 . 10 OTHER EXPENSES
651 5023990 107260280001 5 . 02 OTHER EXPENSES
601 5023990 107268443001 76 . 64 MATERIALS & SUPPLIES
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DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
LGIJST0MER,NUMB -
11788 BT121913A NET 30 DAYS
SALESPERSON SHIP VIA . . . .•
MARK S BAYS PK PICK-UP JAMES ALFORD FISHERS 317-598-6170 12/19/13
,�ORDER .
Zea 2ea PHIL 15A21/END/2700 DIM 6/1 38.32 lea 76.64
15A21/END/2700 DIM 6/1
—SUBJECT TO VENDOR RETURN POLICY"
Billing Questions: Billing-request@kirbyrisk.com(765)446-3054 1201912013 8:43:24 AM 5107288443.001 Invoice Number S107268443.001
Subtotal 76.64
S&H Chargesi 0.00
Invoice is due by 01/18/14. Sales Taxi 0.00
momJAMES LFORD
• e 76.64
0001:0001 Kirby RiSk Page 1 of 1
IWAS AND CONDITIR NS, OF SALIF
A I CEPTANtY G(WDS PUJWRV�ED ONTHIIS, UNVOK"E,
AMEPTANIT W TRF rMNISAND CONDITIONS CHI SALE 1=01 MAP%
01 AW Wmkrw'di iL!1}jB t. rctu'rn
QW9
K not YouniM :I 3[".q ae cun yann:a-RourmA MWs Wish KV Quin
QW clamw" tb-"t ii't .ld nuWhan"?YNXI"Ud arn"s R-r MPC SOW'
On.v mrIAW wy am K"Knwvvhan;AW A, Mai W S"q RW a" pYvMW-
KV Wmmv apows nm he WN, Air any,zonoquenHal = k nisruwal WN,v-qw0ml
i A u, 1 Two _0-0 110" i ad", 40 1 to Or o 1 or taxes WIN MA on Me MA ;W.1_ 1.,t°,.S "M U'l
min or A fatnu W bw added Lit prhuhaso p q a Buyer ap cos v
a i o a-n e S v i Q r ik A, v uz h m x o r Ino v ide K 1 a-�vvi th i"J"i e, i�-1�' i�"�t'f n"!����n c"I i i£_<.�'�",,
(61 !ji,iuv in Deli'-v 11 i� t rr i'; ho 1,Y le for de 1 a 1, is i;livm I oc"h a n cd by ac b ;A F_7___a
ITO.,
.vsz c0mrs Winir vupplkr� and in no caw Wl Sulfur R 000 for u;
dclivory,
(7 :i 1. -- 10- ao Imst uImNi W- priorruanu okuq of the to.it6 or conekinu,of W,
;Ynana ow h)wvwkv any r"Inkroindex shill inq 1v Josm?d to ba a W� KA tons ,
MA _n M Agm W 6W huwMW Wall is t',�dl"t-lucd 1") 1:'.c in-
ongilts, il
k8y ) WHOM% Mlnns and UmWms-No WMI W (WHAM OW WLM tKOW SU-001 1 WOUL and
lal agroctnein vN in any puqporlino,to rlroddl,% tlh,'oO i)e
lvdivy on SAO,nvKhoui RIANY "AUen umKtHL.
VOUCHER # 133668 WARRANT # ALLOWED
351017 IN SUM OF $
KIRBY RISK ELECTRICAL SUPPLY
PO BOX 664117
INDIANAPOLIS, IN 46266
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
i
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
G�
107268443.1 01-6200-04 $76.64
i
i
Voucher Total $76.64
Cost distribution ledger classification if
claim paid under vehicle highway fund
G.�[7/.3
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 12/27/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/27/201: 107268443.1 $76.64
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
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 12/09/13
30ea 30ea PHIL F40Tl2/CWSupreme/ALTO 3.22 lea 96.60 1.93
423889 F40Tl2/CWSUPREME/ALTO
2
00
nn O O�
" I
Billing Questions:Billing—request@kirbyrisk.com(765)446-3054 126?2013 3:08:41 PM 5107251023.001 Invoice Number S107251023.001
Subtotall 96.60
If paid by 01/10/14 you may deduct$1.93S$H Charges 0.00
77
Invoice is due by 01/31/14 net of any cash discount. /,p / Sales Tax 00.000
BLAINE ® 96.6U
000t:000t Kirby Risk Page 1 of 1
TERN"IS AND (T)NDITIONS OF SALE,
AMd.PTA @CE OF THE S.LfRAIS AM) cMNDI B l0Ns, (.* SALF,s,�,HICI FOLLOW,
(f) Stock is sI#('1,S�,.,'? n tc'ti;.#'€2 l.El„E .. Nogooof k in i €`y be .lern d tk Y..it;€ :p?� 3.#C°�,:i't
(2) Non-Stock MuchaimUse isncl i�i;u„itl lc iss€lws, sic can snorya -R'�itlSii.,. t. {#f?€sALnfio, ty`
( ) .0{ nstonnL 1:(tpt it,,,uH (}lttC'hm y of g£ods and �;cr'IC€, fr"-m?
t";`1'"t:.s no 0"h( ,a,5s or,rnplic;d {3f Fo rIfIv
(4) The L'us i me C qyrov Ihat Set I R "dI €1(11 be liable for 2ctI :ij ic:€ tial "It.?( ineIo-I IC:I
>io, i,rnZ� to h dw goods pint hasad f#'om Seller,
,
.
(51 c ��_,a$XS'.°n ...-PFICK'r LktF not.=[:L;:.Hti.i. SJ`i':r LI o�:fes IiiXC''i tlnf,.?s::f�.t111 the z.1,;. t( 'c1C)Lf s. -1,,,i>...t;-,7L>i':or
irnpoaa"l £1 "€rnl si:'1,\or sin pil[(,nts W! be<.al(1ed Do lbu' f1L}]t.1IasC f4i o,V, Br t i aI 3.._A:s l:o
O€21i urtic'SAW for say slit h mx i)#'provide Sz lcr With ac .,Ptx 1?,c' Iati �.\crnpt.ion t,mifiCnte,
', Delay � ,.r. � _,__ s� €, o h_ ... � or c ,_. 7. ,
{t�� zr� :�>e�,���� `�cfl�k _. .i€_k �;.. „ �,�t��tit°lz�-1� f-i�_ �i�::ls, �.,a}a��s��? t,...<�,;��#a<�c r,y.icN X(Tod 3#-
I cd i€Z.IgM t'.q SPvt.r? Pt c.t:Sent.ha", no ii€€'c'ct.i;t)11It',1f. Factory ,1}t? „<.:1 or C1kc',i t„1.:.s arc, thl”
'Ft i.Kni s.s: l oor'iupplto}"m and in no case shall `eller 11�, kkiblc For.Ii` ... >,::knit tli;ti t €'qt}c::ial
, "nl ges C#:, s.. .I -'f3}il any;.fc 3.11' in i3t;('#vryE ,
(7) Waiver--The laituro of`cf c'i to imVist it("xui the E7c:rfonIta&:C`i`of any of thc, wi'los or C(1I1:ojons of this
:.i)-C?t'}'uit or ai11`A gh f,csl'P,Imder W not he docTi,t.'.af to bc,a Li"<ki,,i,,r o °�IEch tt:rnis,
}k,{f.ilims or NQ in lift' ft€t n-A nm slt tll It Vic Mmed W bo a w:,ILC'.t of any who 1att,, i tliillwrq or
(8) Mi;•dI(k2tthm t's'.?Tunis and (.d)t"ditions w- No 1;c:i l:#' <i d .£ind ions;)l.(1?k, .fi:Itl mo�
o 4,#f;c',Cl ent or Iik}dC€namfing in any 11'411 f uriwwt##I ?to P z€,£f£f} We l::,i i,?, o"YMMN WH W,
hi..t ing on s€,i'lc.r-'�'ithout c'+t°f is written,COnSt':Ill..
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
74918 S13815 PT 10TH PROX NET 30TH
SALESPERSON -SHIP
ORDERED
MIKE E WILSON PK PICK-UP S13815 FISHERS 317-598-6170 12/13/13
100ea 100ea IDEA 30-071 50.19 1000ea 5.02
WIRE 71B GRAY 100PC BX
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 120312013 1:06:46 PM 6107260280.001 Invoice Number S107260280.001
Subtotal 5.02
Q S&H Charges 0.00
Invoice is due by 01/31/14. f Sales Tax 0.00
KEN 1 502
000�:000� Kirby Risk Page 1 of 1
TERMS AND CONDITIONS OF SALE
A(:(.'.EP'FAN(,'E OF'rHE(,.00 .DS PURCHASED ON THIS INVOICE CONS]ITUTES AND
NCCEPTANCIII' OF THETERMS AND CONDITIONS TIONS 0 F SALE Wil ICH F0 LLOW:
(1) Stock Merchandise is subject to return.charge. Flo goods maN. be returned widtout a shippingy ticket
,,ln,d/0riflV0I'CC 11LIT11ber and prior authorization.
(2) Mian-Stock:Merchandise is not returnable unless we can secure a"Returned Goods Authority" 1rom
the vendor.
(3) The agrees that in all purchases ofgoods acid services from `seller,Seller
gives no express warranties.or iniplied warmirltic", of'merchantability gild fillle�:s for an,,pl,li—jcular
puipose.
(4) -['Ile Customer agrees that Seller will not be liable for any corrsc<Iuential ttntl incidental chin ages arising
Iron any cause lts,SC,UiatCd wita the(—)oods purchased front Seller.
(S) Taxes Prices sho%yn do not HICILIdC',,ties Orr Other fixes imposed on the sale of goods. Taxes now or
hereafter imposed upon sates or shipments,,vill be added to the purchase price. fiUVCr ugrec,to
.,rCinIhLII-Se Seller for any such tax or provide Seller with acceptable tax excriaption certificate.
(6) Delay in Deffi ery—Seller is, not to be accountable for delays in delivery occasioned by acts ol'God or
other circurnstances Over Which Seller has no direct control. Factory shipment or delivery dau�s 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 iailurc of'Seller to insist upon the performance ol*any of the or conditions of IIIIIS
contract or to exercise any right hereunder shall not be deemed to be a 'Waiver Ol'such I.CrInS,
conditions or right in the future, not-shall it be deemed to be a waiver ot'any odicir term, condition, or
right under this contract.
(8) Modification of Terms and Conditions—No terms and condition-.,other than those stated herein,and
no agreement Or Understanding, in any, way purporting to modify these terms,or conditions, "hall be
blilding 011 ScIlCr Without Seller's written consent.
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
74918 S13815 PT 10TH PROX NET 30TH
e •• e o o .
MIKE E WILSON PK PICK-UP KEVIN FISHERS 317-598-6170 12/11/13
Zea 2ea T&B 21HD5-2 1283.83 1 00e 25.68 0.51
2 GANG DEEP UNIV DEVICE BOX-5HOLE
lea lea EGS T75-M 6.03 lea 6.03 0.12
TYPE T BODY THIRD 3/4
lea lea EGS K75 1.67 lea 1.67 0.03
3/41N BLANK STEEL COVER
lea lea EGS GK75-N 1.22 lea 1.22 0.02
3/4 NEOPRENE GASKET
lea lea EGS 5075S 19.62 1 00e 0.20
3/4 STL S/SCR EMT CPLG
12ea 12ea EGS 4075S 15.96 1 00e 1.92 0.04
3/4 STL S/SCR EMT CONN
12ea 12ea CARL LT20E-NEW 285.25 1 00e 34.23 0.68
3/4"90 LIQUIDTIGHT FTG
12ea 12ea CARL LT20D-NEW 222.46 1 00e 26.70 0.53
PVC 1/2"90 LIQUIDTIGHT FTG
30ft 30ft COND E034 37.29 1 00f 11.19 0.22
EMT 3/4"CONDUIT
2ea 2ea IDEA 35-403 11.25 lea 22.50
NYLON ZIPPER BAG 12.5'
lea lea HUBB NP826W 0.80 lea 0.80
WALLPLATE,2G, 1) DUP 1) REC, WH
1 00f 1 00f ELEF NM12 52.96 1 00f 52.96 1.06
GRAY 3/4"LIQUATITE 10OFT CARTON
Billing Questions:Billing_request@kirbyrisk.com(765)446-3054 12111120138:47:54AM 5107254245.001 Invoice Number S107254245.001
Subtotal 185.10
if paid by 01110/14 you may deduct$3.21 S&H Charges 0.00
Invoice is due by 01/31/14 net of any cash discount. Sales Tax 0.00
KEVINy'; ® ® 185.10
0001:0001 Kirby Risk Page 1 of 1
TERMS AND CONDITIONS OF SALE
ACCEPTANCE OF THE GOODS PLIRCHASED ON THIS INVOICE (I)NSTITUTES AND
ACCEPTANCE OF THE TERMS AND CONDITIONS OF SALE WI ICH FOLLOW:
(1) Stock Merchandise is subject to a return change. No goods inay;be returned N�ithout ashipj-.ink,, ticket
and:Or invoice nUnIbCt and prior authorization.
(2) Nutt-Muck Merchandise is not returnable unless we call secure a"Returned Goods Authority" from
the vcn&w.
(3) The Customer acknowledges and agrees that in Al purchases of goods and services from SO Wk Seller
"Jv(�s no express warranties_or implied warranties,ofnierchantabUy and Wass Ir any particular
1mupose.
(4) The Customer agrees that Seller will IRA be liable Ro my consequential W incidental Ammys arising
11ror1n ony came a"oeiawd \01 the goods purchand frorn SAK,
(5) Taxes- Prices dawn do not AwlmQ sales or other taxes inymod on the w&cif goods. Tans raw or
hereafter imposed upoll salt s or,',hipnionts wdl be added to the PLUCIlaSO prie& Buyer agrees to
rehnburse Seller Rw any such Mx or provide Sella with acceptable tax exenaption certificate,
(6) Iblay inDetivery--Seller is not to be accountable Rn delay,,,, in delivery occasioned by acts o!'God or
other circumstances over whidi Seller has no direct control. ImC[Ory ShiPIT1011t or delivery dates are the
bost UUMICS Of 01-ti-Suppliers, and in no case shall Seller be liable for any consequential or special
from any delay in delivery.
(7) Waiver—The thihme of Seller to insist upon the pedYinnnee ofwW of the terms or cmWiriow of this
contract or to excl-cie any right hereunder shall no be deemed to be W'<IiVel-Ol'Such tffllls,
conditions or right in to hown nor shall A be deernal to be a waiver of any other term, corditioil,or
ri,ft under this contract.
(8) Modification of Terms and CondlNons--No terIlls and conditions other tan those stat d herch,and
no agreement or understanding; in any"my purporting to niodify these terns, or conditions, shall be
bij1dinn
,Oil 5C11Cr-,Vith0LI1 SCIfff'S written cowelit,
VOUCHER # 137107 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
S107254245.c 01-7202-06 $185.10
S l o`��SiDa3.®a r
S oq$0 co
111 0b . 6.oa
i
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund
/�63
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 12/31/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/31/201: S107254245. $185.10
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
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
11788 BT120413A NET 30 DAYS
41
e-. . • . r
MARK S BAYS WC51 WILL-CALL BRIAN TOLAN FISHERS 317-598-6170 12/04/13
4ea 4ea PAND CX35-36-CY 50.66 1 00e 2.03
COPPER MECH LUG, 1 HOLE, 1 BARREL,
FIXED
50ea 50ea T&B 1ORC-14 42.70 1 00e 21.35
12-10 INS RING TERM
Billing Questions:Billing—request@kirbyrisk.com(765)446-3054 12612013 8:45:00 AM 6107242783.001 Invoice Number S107242783.001
Subtotall 23.38
S&H Charges 0.00
Invoice is due by 01/03/14. ���atil S Sales Tax 0.00
BRIAN TOLAN O 23.38
0001:0001 Kirby Risk Page 1 of 1
'TERMS AND CONDITIONS OF SALE
ACICEPTANCE OF THE GOODS PURCHASED ON 'PHIS INVOICE CONSTFIT.TES AND
A(.10EPTA',\k'E OFTHE TERMS AND CONDITIONS OF SALE WHICH. FOLLOW:
(1) Stock'Vlerchandise is subject to a return charge. No goods may be returned Aith,out a shipping ticket
ancVor invoice number and J)FJOr authorization.
(2) Nou,,0ock Merchandise is not returnable unless kve can secure a -Rcturned Goods Author it`," from
the vendor.
(3) '1 11C treat in all purchasc�,of(goods and scrviccs front ScHcr. Seller
Q;ves no express wirrantics.or iniplied Warranties ofrncrcfianlab ilityand fiwe,s for ani,p1,11-tict Ilar
pm rose.
(4) The Custoincragrces that Seller,,%ill not be liable for any consequential and incidental dam,..igL-:arising;
From any cause associated %vith the goods purchased from Seller.
(5) Taxes Prices, shown do not inClUdC -,aICS or other taxes impo,,sed on thesale of goo{ Taxes novo or
hereafter imported upon sales or shipments-will be added to the purchase price. fiUVCr a<�rees to
reimburse Seller for any such tax or provide Sellerwith acceptable tax.excniptio.11 certificate,
(6) Delay in DeliNery—Seller is not to he accountable for delays in delivery occasioned by acts of God or
other circurn.stances over which Seller has no direct control. Factory shipment or deliver}-dates are the
best es6imnes Of Our suppliers, and in no case shall Seller be liable for any consequential or special
danl3i-ICS Lri.sin.l From anv delay in delivery.
(7) Waiver—The failure of Seller to insist upon the perlormance of any of the lerm,,or conditions of this
contract or to exercise any right hereunder shall not be deemed to be a �%-aiver of'such tcrrns-,
conditions or right in the future. nor shall it be deemed to be a %valver ofanv 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 understanding, in any,way purporting to modify these terins. or conditions, shall be
binding on Seller Without Seller's written consent.
---------------
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
;S,
11788 W09889 NET 30 DAYS
AMUEL W PHELPS DIRECT NO FEE BRIAN TOLAN FISHERS 317-598-6170 12/03/13
AN
Zea 2ea GEIN THN3364SS 1810.00 lea 3620.00
200A-600V-3PNF SW
—SUBJECT TO VENDOR RETURN POLICY`*
Billing Questions:Billing—request@kirbyrisk.com(765)446-3054 Invoice Numberl S107215472.001
Subtotall 3620.00
S&H Charges 0.00
Invoice is due by 01/02/14. ig�
0.00
3620.00
000�:000i Kirby Risk Page 1 of 1
'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) `tock Merchandise is subject to 3 return charge, No goods may be returned ,,,,ithout a shipping, ticket
ancUor invoice number and prior authorization,
(21) Non-Stock Merchandise is not returnable unless ke can secure a"Returned {foods Authority' from
th(e vendor.
(3) The CLIstotner ao tio,,dedgesand agrees that in all pUI-ChaSCI,of goods anti from Seller, Seller
gives no express warranties_or implied warranties ot'riiet-cliitit.,,ibilitviii(I fitness for any P�!rticlrlar
purpose.
(4) '1 he CUStoinor agrees that Seller will not be liable for any consequential and incidental damagcsailsing
frOill any CaLISC,associated with the foods Purchased from Seller,
(5) Taxes — Prices shown do not InCILRIC SaICS Or Other VIXCS, impo.ycd on the sale of goods. Taxe.,,nolle,or
hereafter imposed upon sales or shipments will be added to the purchase price, fitiver aarces to
reiinbUI-SC Seller for any such.tax or provide Seller with acceptable tax exenii.mon certificate,
(6) Delay in DeliN cry—Seller is not to he accountable for delays in delivery occasioned bv act, of God or
other circurnsumcus 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
(IMTIOgCS,arising 1rom any delay in delivery.
(7) Waiver—The failure of Seller to insist upon the performance of any of the tcrm.,or conditions ol'this
contract or to exercise any right hereuridershall not be deemed to be a waiv,,,n ofmich terms,
conditions or riLyhi in the future, not-shall it be deemed,to be a waiver of ariv other term, conditioii,or
right under this contract.
(8) Modification of Terms and Conditions—No terms and conditions other thm those state(] herein,and
no 111greerrient or.ander standing, in any way purporting to modify these terms,, or condition,,,,, -hall.be
binding On Seller'without SCIlCl"S written consent,
VOUCHER # 133574 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
I
107242783.1 01-6200-04 ,$23.38 i I
CoPeP�fi'ti� � _ _ _
lay ai��-�z•t a�.1�ai� �3��
i
i
I
i
VoucherTotal3��
JI
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 12/10/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/10/201: 107242783.1 $23.38
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
------------------------------------------------------------------------------='----------------------------------------------------------------------------------------------------------------
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
95776 BT121013A NET 30 DAYS
MARK S BAYS PK PICK-UP BRIAN TOLAN FISHERS 317-598-6170 12/10/13
MMUM11111,ii! 11:It
6ea 6ea BUSS FRS-R-25 14.56 lea 87.36
600V RK TD FUSE
Billing Questions:Billing—request@kirbyrisk.com(765)446-3054 12110120139:37:58AM s107251947.001 Invoice Number S107251947.001
Subtotal 87.36
S&H Charges 0.00
Invoice is due by 01/09/14. Sales TaxI 0.00
BRIAN TOLAN ® ® 87.36
0001:0001 Kirby Risk Page 1 of 1
TFRMS AND C"ONDITIOINS OF SALJI,"
ACCEPTANCE OF rIJIE GOODS PUPIWASED ON-'I HIS INVOICE CoNSTI �kND
ACCEPTANCE OFT111, I`EWNIS AND WNDrruns W SALE WITICAA RM A AIMI:
(1) Stock Pvlerchan;Hse is 01"t io it retwn charge, Nogwdq m4 be retunied %vithout a slipping dcher
�a,,d/'or invoicc and pnol-;,tuldtorization,
(2) Non-Stock IN'llerchandise is no! raim-nabir utdow we can sccurr a "Rc(urncJ Autfiorih" fr,nn
talc; vendor,
(3) Ile an""I ;groe')tha� in aH purchaws of gomis and zwkes front ScIbr, Scllcu
,i,-Jv,'s no ox()roswarrantics,or rnnplied wn'rrarlik-,s of and for any p�oJo,,ular
PaTnso
(4) He that Sellet wd I not lie Hable Or any co333equential and Vidnim! danuagn Ti ?T,
b 1
i?nl jny i;,h good�� St�111C,','r
(5) Taxes-- Prices Ahmn do nw indude sales or toter taxes imr,ond! on thc sai,,' of g£ods. noo,,, ol
lawafter hnrxNod upar NAn(w shipments bc added ui the ImWatso prkin Buyer agwes to
rArribuse SAW Vow wy such mN or pwvkie SAler with acc�,pn,,ble tax oociap6on cortificMe,
(6,1 Delay in Delivery--Sellor is not to be accommthle Aw dclals in delivery =wkwiud by t of God or
-.�)Vor"hich",st'ller has no direct.control, R�,ctory shipw-it k,,,r d,,,hoeIy dao-c-, ,rre (11c,
list es6r1mcs of com suppliark and in no caw shAl. seller be liable 14i till o"or"ScOtucinfal or
I\Irlages arisjngfrtur)any del'-,y it) delivery,
(7) Waiver--The.,,,ailurc of Scl[cr u) insist upon the of any of the .claus or ccoridi.6,oas of itis
c1\111,11MCI Or W e�,,Crcise aq ti 3c heramder W not he&emed to be it of�;uch (°,r ns`
c,,,,wdnioir,or righi in the fulme. nor shall A be dunred W be a waiv,'r ofan9 other tk'rin,�;on(lifion� or
undordlis,"'roruract,
(8) Alodirication.ofTernis and Cluditions—No lo;rrnand condhtion",othcr th,n flio-c SIat,d hroirt. and
1h)agreement or tuhlermanding in any -way purporting to Wiry Men un-mc or condit0m, sull be
binding on SAW Whom fiellet's "ALuen,consent,
VOUCHER NO. WARRANT NO.
ALLOWED 20
Kirby Risk
IN SUM OF $
P. O. Box 664117
Indianapolis, IN 46266-4117
$87.36
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I S107251947.001 42-370.001 $87.36 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Tue°d4y j 2013
St9AkZn6RR Wier
Title
Cost distribution ledger classification if
claim paid motor 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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/26/13 S107251947.001 $87.36
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
20
Clerk-Treasurer