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2012 Junior Waterworks Bond - request 09 CITY OF CARMEL ..tj`i Cif tA wh zn. �.x,��s�� WATER- WASTEWATER UTILITIES 760 3RD AVENUE S.W., STE. 110 CARMEL, INDIANA 46032 (317) 571 -2443 FAX (317) 571 -2265 CITY OF CARMEL, INDIANA JUNIOR WATERWORKS REVENUE BONDS OF 2012 DEPOSITORY ACCOUNT CUSTODIAL ACCOUNT #5446000135 (CONSTRUSTION FUND) DISBURSEMENT REQUEST NO. 9 Regions Bank One Indiana Square, Ste 115 Indianapolis, IN 46204 Attn: Corporate Trust Department Fax: (317)221 -6010 Date: 6/20/12 Custodial Agreement between the City of Carmel, Indiana (the "Depositor and Regions Bank, as Custodian, dated as of February 9, 2012 (the "Agreement The undersigned certifies that: (a) The undersigned is an authorized and duly elected official of the City of Carmel, Indiana With the authority to authorize payments to be made on the City's behalf: (b) The amounts set forth on Schedule A are requested to be paid from the Custodial Account held by the Custodian; (c) Each obligation as reflected by the amounts set forth on Schedule A has been property incurred, is a proper charge against the Custodial Account, and has not been the basis of any previous withdrawal from the Custodial Account; and (d) Supporting information with respect to each payee designated on Schedule A as to the amount owing is attached hereto. CITY OF CARMEL, INDIANA BY: Diana L. Cordray, IAMC Clerk Treasurer, City of Carmel Authorized Officer CARMEL UTILITIES Register of Claims 6/20/2012 PAYMENT REQUISITION NO.9 AMOUNT OF Wire VENDOR ADDRESS FUND CLAIM MEMORANDUM Instructions ■`JJD 0, CIIIeIbuII Avenue Ste 500 Ace Technologies Indianapolis, IN 46237 Cons 4,380.00 engrg svcs 145 W Taft Drive PO Box 305 South B Instrument Holland, IL 604.73 Cons 2,084.43 transmitter 1500 Westfield Road Chapman electric Noblesville, In 46062 Cons 24.96 pvc 3417 Sherman Drive Beech Grove, IN Crossroad Engineers 46107 Cons 9,195.00 engrg svcs 3417 Sherman Drive Beech Grove, IN Crossroad Engineers 46107 Cons 20,700.00 engrg svcs 5 Industrial Park Drive PO Box 29 Culy Contracting Inc Winchester, IN 47394 Cons 1,350.00 construction Evans Bryant Branigan III and 1540 W. 96th St Heather A. Branigan Indianapolis, IN 46260 Cons 7,350.00 easement PNC Bank Routing No, 041000124 CIO F.A. Wilhelm Construction 3914 Prospect St Acct. No. FA Wilhelm Construciton Co Inc Indianapolis, IN 46203 Cons 831,560.00 construction 4620698778 2207 Collections Center Dr Chicago, IL Hach Company 60693 Cons 3,489.05 spectrophotometer 3103 Executive Parkway Ste 300 Jones Henry Engineers Ltd Toledo, OH 43606 Cons 2,194.62 engrg svcs 770 3rd Avenue SW Keller Macaluso LLC Carmel, IN 46032 Cons 257.00 legal svcs 770 3rd Avenue SW Keller Macaluso LLC Carmel, IN 46032 Cons 65.00 legal svcs PO Box 664117 Kirby Risk Indianapolis, IN 46266 Cons 330.52 plugs PO Box 664117 Kirby Risk Indianapolis, IN 46266 Cons 190.39 recepticles PO Box 664117 Kirby Risk Indianapolis, IN 46266 Cons 142.04 caps PO Box 664117 Kirby Risk Indianapolis, IN 46266 Cons 14.94 cap PO Box 664117 Kirby Risk Indianapolis, IN 46266 Cons 1,896.21 CABLE PO Box 664117 Kirby Risk Indianapolis, IN 46266 Cons 3,492.42 wire PO Box 664117 Kirby Risk Indianapolis, IN 46266 Cons 170.04 PVC PO Box 664117 Kirby Risk Indianapolis, IN 46266 Cons 1,710.76 WIRE PO Box 664117 Kirby Risk Indianapolis, IN 46266 Cons 413.76 enclosure PO Box 664117 Kirby Risk Indianapolis, IN 46266 Cons 1,465.69 wire PO Box 664117 Kirby Risk Indianapolis, IN 46266 Cons 999.96 wire PO Box 664117 Kirby Risk Indianapolis, IN 46266 Cons 30.96 lugs PO Box 664117 Kirby Risk Indianapolis, IN 46266 Cons 2,015.26 wire PO Box 664117 Kirby Risk Indianapolis, IN 46266 Cons 62.51 fuses PO Box 664117 Kirby Risk Indianapolis, IN 46266 Cons 206.11 enclosure PO Box 664117 Kirby Risk Indianapolis, IN 46266 Cons 282.23 bulb PO Box 664117 Kirby Risk Indianapolis, IN 46266 Cons 230.98 fuses, panel PO Box 664117 Kirby Risk Indianapolis, IN 46266 Cons 52.52 anchors PO Box 664117 Kirby Risk Indianapolis, IN 46266 Cons 1,538.37 panel, plate PO Box 664117 Kirby Risk Indianapolis, IN 46266 Cons 817.94 breaker kit PO Box 664117 Kirby Risk Indianapolis, IN 46266 Cons 827.66 fuses PO Box 664117 Kirby Risk Indianapolis, IN 46266 Cons 166.54 electric supplies PO Box 664117 Kirby Risk Indianapolis, IN 46266 Cons 270.98 conduit PO Box 664117 Kirby Risk Indianapolis, IN 46266 Cons 678.87 breaker kit PO Box 664117 Kirby Risk Indianapolis, IN 46266 Cons 10.24 heat shrink PO Box 664117 Kirby Risk Indianapolis, IN 46266 Cons 236.11 padlock PO Box 664117 Kirby Risk Indianapolis, IN 46266 Cons 345.84 seals 1776 N. Meridian St Ste 500 Indianapolis, London Witte Group IN 46202 Cons 857.50 bond fees 2150 E. Greyhound Pass Carmel, IN Menards 46033 Cons 45.73 bushings, valves 2150 E. Greyhound Pass Carmel, IN Menards 46033 Cons 186.70 shims 2150 E. Greyhound Pass Carmel, IN Menards 46033 Cons 87.72 brass pipe 2150 E. Greyhound Pass Carmel, IN Menards 46033 Cons 29.16 valves 2150 E. Greyhound Pass Carmel, IN Menards 46033 Cons 65.40 reducers, bushings Dept 6081 Carol Neff Engineering Stream, IL 60122 Cons 500.31 contacts PO Box 644419 Peerless Pump Pittsburgh, PA 15264 Cons 49,537.75 impeller 410 W. Carmel Drive Runyon Equipment Rental Carmel, IN 46032 Cons 281.25 rent test pum 410 W. Carmel Drive Runyon Equipment Rental Carmel, IN 46032 Cons 68.25 rent core drill 5214 S. East St Ste D- 2 Indianapolis, IN RWS South Inc 46227 Cons 12,000.00 appraisals PO Box 33805 Service Pipe Indianapolis, IN 46203 Cons 271.51 bushings, valves 6310 South Harding St Indianapolis, IN Utility Supply 46217 Cons 193.73 megalug kit 6310 South Harding St Indianapolis, IN Utility Supply 46217 Cons 1,370.00 ell 6219 South East St Wessler Engineering Indianapolis, IN 46227 Cons 5,250.00 engrg svcs TOTAL 971,994.92 ALLOWANCE OF CLAIMS We have examined the claims listed on the foregoing Register of Claims, consisting of 1 page. and except for claims not allowed as shown �on` the r ass claims are hereby allowed in the total amount of $971,994..99222 gyp%// hl' 0. J n uff�r, Utif erector Date PLEASE OVERNIGHT CHECKS TO: Carmel Utilities Attn: Lisa Kempa 760 3rd Avenue SW Carmel, IN 46032 i Invoice ACE Technologies, LLC 7301 E. 90th Street Suite 103 Indianapolis, IN 46256 March 07, 2012 Job No: J12008 Carmel Water Ken Rhodes Invoice No: 0003057 City of Carmel 3450 W 131st St Carmel, IN 46074 -8267 Job J12008 General Engineering Services Professional Services from February 01. 2012 to February 29, 2012 Professional Personnel Hours Rate Amount Process Control 3 Alvarado, Israel 14.00 90.00 1,260.00 Tech Murrell, Aaron 48.00 65.00 3,120.00 Totals 62.00 4,380.00 Total Labor 4,380.00 Total this Invoice $4,380.00 Outstanding Invoices Number Date Balance 0003028 2/8/2012 3,230.00 Total 3,230.00 PLEASE REMIT PAYMENT TO: 5955 S. Emerson Avenue, Suite 500, Indianapolis, IN 46237 B B INSTRUMENTS, INC. PRESSURE 145 W. TAFT DRIVE* P 0 BOX 305 TEMPERATURE SOUTH HOLLAND, IL 60473 LEVEL 708 -596 -1700 FAX# 708- 596 -1755 FLOW www.bbinstruments.com HUMIDITY email: bbinst a Bolcom INVOICE NUMBER CIME14 1068937 -01 317 733 -2844 BILE CARMEL WATER UTILITIES SIIIP CITY OF CARMEL TO. 3450 W. YERFTH a. uNst S ro: 5484 EAST 126TH ST. ATTN:ACCT PAYABLE DEPT. ATTN:KEN R /PLT #1 CARMEL, IN 46074 CARMEL, IN 46033 cusroMER P.0. NO W09692 NVOICE SUNIBFR SI.SNIN? ORDER DATF, FAKER CUSTOM ER PO. NUMBER ;DATE 1068937 -01 102 04/26/12 152 W09692 05/08/12 INSTRUCTIONS FR T. PACE NO. UPS GROUND PPA 1Z6667320359167480 B 1 QUANTITY S ORDERED B O.IRET m BPPED f DINE' I DI CODE AND DESCRIP 1 ION U/N1 uxrr PRICE .AJIOUN 1 1 D 3051S2CG2A2A11A1AM5Q4/ EA 2071.0000 2071.00 0305RC22B11B4(REMAN) ROSEMOUNT TRANS. com E\nrNmloN 'I*** THIS IS YOUR INVOICE SUBTOIAL 2,071.00 STATETANAPPLICABLE C CONSIDER CONIPLETE FEDJOTHER TAX APPLICABLE D DIRECT SHIPSIENT MISC CHARGE STATE FEDERAL TAX APPL F 1' ACTORS SIINIMUSI FRE IC 11TIN FREE: HT. OUT B. BALANCEBACKORDERED r RETURNEDCYL. TEI. F. CHARGE 0.00 13.43 FRCIGIIC IoIAI 13.43 FED /OTHER CAX NET TERMS: INV 0 DUE: 05/08/12 sI ATE rAx ORDER COMPLETED PAYMIENT RECD 0.00 TOTAL AMT DUE 2,084.43 ORIGINAL INVOICE Chapman Electric Supply, Inc. INVOICE Branch: 01 Main Branch 1065126 1500 Westfield Rd. Invoice Date 1 Pace Noblesville, IN 46062 5/21/2012 15:41:11 1 1 of I ORDER NUMBER 1067707 317 773 -6712 13i11 To: Ship To: CITY OF CARMEL- UTILITIES CITY OF CARMEL- UTILITIES 3450 W. 131ST STREET 3450 W. 131ST STREET CARMEL, IN 46074 CARMEL, IN 46074 Cus omen ID: 100569 PO Number Terms Description Net Due Date Disc Due Date Discount Amount P.O.# P4V -BT Net 30 06/20/12 06/20/12 0.00 Order Date Pick Ticket No Primary Salesrep Name Taker 5/21/2012 14:31:54 1057479 HOUSE ACCOUNT DEE Quantifies Pricing Ilea ID UOdi Unit Ectendad Ordered Shipped Remaining UOJI Unit Size O /tea Description Unit Size Price !'rice Carrier: Tracking 10.0000 10.0000 0.0000 EA PVCI90 EA 0.644407 6.44 1.0 I INCH PVC 90 DEGREE ELBOW 6.0000 6.0000 0.0000 EA PVCILB EA 2.557034 1534 1.0 1 INCH PVC 1 LB 20.0000 20.0000 0.0000 EA PVCICP EA 0.159122 3.18 1,0 1 INCH PVC COUPLING 1 'Shipment Accepted By: JACEN Total Lines3 SUB- TOTAL: 24.96 TAX: 0.00 AMOUNT DUE: 24.96 ORIGINAL CRO55RUAD ENG1NEE115; P.0 CrossRoad Engineers, PC 3417 Sherman Drive Beech Grove, IN 46107 317- 780 -1555 City of Carmel Water -Wastewater Utilities Invoice number 12260 John Duffy Date 05/02/2012 760 3rd Avenue Suite 110 Project 2009 WATER MAIN PROJECTS Carmel, IN 46032 For services performed March 24 through April 27, 2012. PROMPT PAYMENT OF INVOICE IS APPRECIATED!! These professional services were provided in accordance with our proposal dated September 16, 2009: Amount Additional Survey Design for Michigan Road Contract Amount 50,500.00 Percent Complete 95.00 Total 47,975.00 Billed Current Billed 0.00 Michigan Road 106th to 116th Survey Design Contract Amount 24,000.00 Percent Complete 100.00 Total 24,000.00 Billed Current Billed 0.00 Michigan Road 106th to 116th As Builts Contract Amount 7,500.00 Percent Complete 10.00 Total 750.00 Billed Current Billed 0.00 Michigan Road 106th to 116th Plats Contract Amount 10.00 4,000.00 Percent Complete 100.00 Total 10.00 4,000.00 Billed Current Billed 0.00 0.00 City of Carmel Water Wastewater Utilities Invoice number 12260 Invoice date 05/02/2012 Pagel of City of Carmel Water -Wastewater Utilities Invoice number 12260 Project 2009 WATER MAIN PROJECTS Date 05/02/2012 Amount Michigan Road 106th to 116th Descriptions Contract Amount 10.00 4,250.00 Percent Complete 100.00 Total 10.00 4,250.00 Billed Current Billed 0.00 0.00 Clay Center Road N of 116th Survey Design Contract Amount 5,500.00 Percent Complete 100.00 Total 5,500.00 Billed Current Billed 0.00 Clay Center Road N of 116th As- Builts Contract Amount 2,000.00 Percent Complete 10.00 Total 200.00 Billed Current Billed 0.00 Clay Center Road- N of 116th Plats Contract Amount 2.50 1,000.00 Percent Complete 100.00 Total 2.50 1,000.00 Billed Current Billed 0.00 0.00 Clay Center Road- N of 116th Descriptions Contract Amount 2.50 1,062.50 Percent Complete 100.00 Total 2.50 1,062.50 Billed Current Billed 0.00 0.00 116th Street Towne Road to St. Andrews Survey Design Contract Amount 6,500.00 Percent Complete 100.00 Total 6,500.00 Billed Current Billed 0.00 116th Street Towne Road to St. Andrews As- Builts Contract Amount 3,000.00 Percent Complete 10.00 Total 300.00 Billed Current Billed 0.00 116th Street Towne Road to St. Andrews- Plats Contract Amount 1.00 400.00 Percent Complete 0.00 Total 0.00 0.00 Billed Current Billed 0.00 0.00 City of Carmel Water Wastewater Utilities Invoice number 12260 Invoice date 05/02/2012 Page 2 of 5 City of Carmel Water -Wastewater Utilities Invoice number 12260 Project. 2009 WATER MAIN PROJECTS Date 05/02/2012 Amount 116th Street Towne Road to St. Andrews Descriptions Contract Amount 1.00 425.00 Percent Complete 0.00 Total 0.00 0.00 Billed Current Billed 0.00 0.00 Clay Center Road S of 131st Street Survey Design Contract Amount 8,500.00 Percent Complete 100.00 Total 8,500.00 Billed Current Billed 0.00 Clay Center Road S of 131st Street As- Builts Contract Amount 3,000.00 Percent Complete 10.00 Total 300.00 Billed Current Billed 0.00 Clay Center Road S of 131st Street Plats Contract Amount 4.00 1,600.00 Percent Complete 100.00 Total 4.00 1,600.00 Billed Current Billed 0.00 0.00 Clay Center Road S of 131st Street Descriptions Contract Amount 4.00 1,700.00 Percent Complete 100.00 Total 4.00 1,700.00 Billed Current Billed 0.00 0.00 116th Street Ditch Road West Survey Design Contract Amount 10,000.00 Percent Complete 100.00 Total 10,000.00 Billed Current Billed 0.00 116th Street Ditch Road West As- Builts Contract Amount 3,000.00 Percent Complete 10.00 Total 300.00 Billed Current Billed 0.00 116th Street Ditch Road West Plats Contract Amount 4.00 1,600.00 Percent Complete 100.00 Total 4.00 1,600.00 Billed Current Billed 0.00 0.00 City of Carmel Water -Wastewater Utilities Invoice number 12260 Invoice date 05/02/2012 Page 3 of 5 City of Carmel Water- Wastewater Utilities Invoice number 12260 Project, 2009 WATER MAIN PROJECTS Date 05/02/2012 Amount 116th Street Ditch Road West Descriptions Contract Amount 4.00 1,700.00 Percent Complete 100.00 Total 4.00 1,700.00 Billed Current Billed 0.00 0.00 Michigan Road 96th to 106th Survey Design Contract Amount 26,500.00 Percent Complete 100.00 Total 26,500.00 Billed Current Billed 0.00 Michigan Road 96th to 106th As- Builts Contract Amount 8,000.00 Percent Complete 10.00 Total 800.00 Billed Current Billed 0.00 Michigan Road 96th to 106th Plats Contract Amount 19.00 7,600.00 Percent Complete 100.00 Total 19.00 7,600.00 Billed Current Billed 0.00 0.00 Michigan Road 96th to 106th Descriptions Contract Amount 19.00 8,075.00 Percent Complete 100.00 Total 19.00 8,075.00 Billed Current Billed 0.00 0.00 Total 0.00 Easement Revisions Professional Fees Billed Hours Rate Amount CADD Technician 0.50 75.00 37.50 Clay Center Road- N of 116th ROW Services Consultant Billed Units Rate Amount Associated Right of Way Services 2.00 687.50 1,375.00 Parcel 1 remaining buying 6 6 6 4/ 14 Parcel 2 Remaining buying Michigan Road 96th to 106th ROW Services Consultant Billed Units Rate Amount Associated Right of Way Services 1.00 852.50 852.50 Parcel 3 (Doc Prep 50% Buying) 8.00 165.00 1,320.00 City of Carmel Water Wastewater Utilities Invoice number 12260 Invoice date 05/02/2012 Page 4 of 5 City of Carmel Water Wastewater Utilities Invoice number 12260 Project 2009 WATER MAIN PROJECTS Date 05/02/2012 Michigan Road 96th to 106th ROW Services Consultant Billed Units Rate Amount Doc Prep Parcels 8,9,10,11,12,13,14,15 Associated Right of Way Services 8.00 687.50 5,500.00 50% Buying Parcels 8, 9,10,11,12,13,14,15 First American Title Insurance Company 1.00 110.00 110.00 KLC Realty, LLC property (9703 N. Mich) Phase subtotal 7,782.50 Invoice total 9,195.00 Tha Y. v 1 Chip Charles I P i V f President City of Carmel Water Wastewater Utilities Invoice number 12260 Invoice date 05/02/2012 Page of CRDSSROAID ENSINEEHS, PC CrossRoad Engineers, PC 3417 Sherman Drive Beech Grove, IN 46107 317- 780 -1555 \avi City of Carmel Water Wastewater Utilities Invoice number 12257 John Duffy Date 05/02/2012 760 3rd Avenue Suite 110 Project '106TH STREET SCHOOL PKWY TO Carmel, IN 46032 WESTFIELD WATER MAIN For services performed March 5, 2011 through April 1, 2011 PROMPT PAYMENT OF INVOICE IS APPRECIATED!! Amount Research and Survey Contract Amount 7,500.00 Percent Complete 100.00 Total 7,500.00 Billed Current Billed 0.00 Design and Bidding Contract Amount 9,000.00 Percent Complete 80.00 Total 7,200.00 Billed Current Billed 0.00 Easement Legal Descriptions Contract Amount 8.00 3,400.00 Percent Complete 100.00 Total 8.00 3,400.00 Billed Current Billed 0.00 0.00 Easement Plat Exhibits Contract Amount 8.00 3,200.00 Percent Complete 100.00 Total 8.00 3,200.00 Billed Current Billed 0.00 0.00 Const. Admin and As Builts Contract Amount 2,800.00 Percent Complete 0.00 Total 0.00 Billed Current Billed 0.00 City of Carmel Water Wastewater Utilities Invoice number 12257 Invoice date 05/02/2012 Page 1 of 2 City of Carmel Water -Wastewater Utilities Invoice number 12257 Project 106TH STREET SCHOOL PKWY TO WESTFIELD WATER MAIN Date 05/02/2012 Total 0.00 Reimbursables Consultant Billed Units Rate Amount STS, Inc. 8.00 2,587.50 20,700.00 Parcels 1 8 Invoice total 20,700.00 Thank ou! �)c 0 40 el Chip Charles President City of Carmel Water -Wastewater Utilities Invoice number 12257 Invoice date 05/02/2012 Page 2 of 2 CULY CONTRACTING, INC. 5 INDUSTRIAL PARK DRIVE P.O. BOX 29 WINCHESTER, INDIANA 47394 (765) 584 -8509 Date: 05/22/2012 Invoice 0000000082 Page: 1 To: CITY OF CARMEL UTILITIES For Job: R \V12773C 760 THIRD AVENUE SW CARMEL WATER/HARVEY 10" POLY TAP CARMEL, IN 46032 Quantity Price An 10" POLY TAP 1.0000 1,350.0000 LS 1,350.00 (HARVEY JOB) Invoice Totals Gross 1,350.00 EQUAL OPPORTUNITY EMPLOYER Retention 0.00 Tax 0.00 NET DUE 15 DAYS FROM INVOICE DATE 'farm, DUE 1,350.00 after which, we will be entitled to collect: Interest, Attorney Fees, and /or Collection Fees involved. CLOSING STATEMENT Information for Real Estate 1099 -S Report Filing: Section 6045 of the Internal Revenue Code, as amended by the Tax Reform Act of 1986, requires the reporting of certain information on every real estate transaction. From the information you provide below, a Form 1 099-S will be produced, and a copy of it will be furnished to the IRS and to you no later than January 31, of the next year. If you fail to furnish adequate information, in particular a taxpayer ID number, then you will be subject to all IRS regulations, including the possible withholding of twenty percent (20 of the current sales price. FEE OWNER Evans Bryant Branigan 111 and Heather A. Branigan ADDRESS: 1540 W. 96' Street Indianapolis, IN 46260 DESCRIPTION OF PROPERTY: Part of the southeast quarter of Section 9, Township 17 North. Ranee 3 East in Hamilton Countv, Indiana PROJECT: 96th Street Waterline SOCIAL SECURITY NO.: O OR TAXPAYER ID NO.: PARCEL: 17- 13- 09- 04 -05- 008.000 COUNTY: Hamilton CLOSING DATE: PURCHASE PRICE: $7,350.00 LAND AND /OR DAMAGES: IMPROVEMENTS: I (we) certify that the above is true and correct, and that it will appear on a Form 1099 -S that will be sent to the Internal Revenue Service and acknowledging receipt of payment. Fee Owners: Evans Bryant Branigan III 41 Date Heather A. Branigan 31 t ill Date Prior Deed References: Instrument Number 2009017470 in the Recorder's Office For Ha it County. Indiana ?t$ A WATER LINE EASEMENT AGREEMENT mt Itis Water Line Easement Agreemenr (rhe "Agreem is m ade a nd e ntered i nto this day of L i ��i 2012, by and bet veer Evans Bryant Branigan III and Heather A. Branigan ("Grantor') and the City of Carmel, Indiana "Grantee RECITALS: A. Grantor is the owner of certain real property located in Hamilton County, Indiana "Grantor's Property B. Grantee, in connection with Grantee's construction of a 16 inch water main (the "Project") requires a permanent, exclusive easement over, through, under, upon and across that portion of Grantor's Property more particularly described on Exhibit A and depicted on Exhibit B attached hereto and incorporated herein, (the "Easement Property") to provide for the laying, installing, constructing, maintaining, operating, inspecting, altering, repairing, replacing and removing water utility lines, and all associated valves, pipes, fittings, meters, accessories and equipment on, over, and across the Easement Property. NOW, THEREFORE, for and in consideration of the foregoing recitals which are incorporated herein by reference and the mutual covenants and agreements hereinafter set forth and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties agree as follows: I Grant of Easement. Grantor hereby grants and conveys to Grantee an exclusive, perpetual easement for the purpose of laying, installing, constructing, maintaining, operating, inspecting, altering, reparing, replacing and removing water utility lines, and all associated valves, pipes, fittings, meters, accessories and equipment (the "Improvements on, over, through, under, upon and across the Easement Property. Grantee shall have the right to: (a) remove from the Easement Property, without liability for replacement or repair, any fences, structures, asphalt or concrete paving, curbing or other improvements, trees, bushes, earth berming, landscaping and other structures that exist prior to, at the time of, or after Grantee's acquisition of such easement; and (b) make such alterations and improvements to the Easement Property as Grantee deems may be necessary or useful in the exercise of Grantee's rights hereunder. If the Improvements are installed in good faith in a location other than the location that is described and 2 Branigan easement doc depicted in Exhibit 13 then, and in that event, the Easement Property defined herein shall be revised to include that strip of land that is centered on the line or equipment as installed, and in such an event, Grantor and Grantee, shall join in the execution and acceptance of an appropriate substitute easement instrument if either Grantor or Grantee shall deliver to the other a written request for such a substitute easement instrument. Grantee shall also have the right of ingress and egress over, under, upon and across the Grantor's Property for purposes of access to the Easement Property. The easement also includes the rights and privileges to temporarily use, from time to time, additional space on the Grantor's Property, where available and necessary, for equipment and materials necessary for the installation, repair and maintenance of the Improvements located in, under, upon, over, and /or across the Easement Property, to do all acts and things requisite and necessary for the full enjoyment of the easement hereby granted, and for nearby property owners, their grantees, successors, agents, or employees, to connect the premises of such nearby property owners by service pipes to the Improvements installed by Grantee within the Easement Property, provided such nearby property owners, their grantees, successors, agents, or employees restore the portion of the Grantor's Property disturbed by their work to a condition that is as near the condition that existed just prior to the time the portion was distrubed by them as is practicable. 2. Obligations of Grantee. Subject to the terms described in Section 1 limiting the Grantee's obligation for repair and replacement, and the location of the Improvements on the Easement Property, Grantee shall restore the Easement Property, to the extent practicable, to the condition as existed prior to the commencement of the Project. The Grantee shall maintain, repair, replace and service the Improvements. 3. Rights Retained by Grantor. Grantor shall retain unto itself the right to use the Easement Property for any and all purposes and uses not inconsistent with the foregoing easement. Notwithstanding the foregoing, Grantor shall not erect or maintain any permanent structures, obstructions, or other improvements under and /or upon the surface of or over the Easement Property or perform any act which would impair or interfere with Grantee's use and enjoyment of the Easement Property or the easement herein granted. The immediately preceding sentence prohibits (among the other prohibitions effected by it) the erecting or maintaining in the Easement Property of any earthen mound or series or system of earthen mounds. 4. Obligations of Grantor. Grantor shall keep the Easement Property free of any fence, structure, asphalt, gravel, plants, concrete or other improvements (other than those installed by Grantee). Grantor shall mow and care for the grass located within the Easement Property. Grantor shall not block, impede or interfere with the Improvements or Grantee's access to or use of the Easement Property. 3. Easement and Covenants Appurtenant. The easement granted, created and made herein, together with the benefits thereof, shall run with the Grantor's Property and the Easement Property, inure to the benefit of Grantee and its grantees, successors and assigns and shall bind Grantor and its grantees, successors and assigns. All covenants and agreements hereunder may be enforced by an action for 2 Branigan easement doe specific performance, and in the event that a party breaches any such covenant or agreement, the other party may exercise any remedy available hereunder, at law or in equity, and recover from the breaching party all amounts expended in connection with exercising any such remedy (including without limitation, court costs and attorneys' fees). 6. Environmental Matters. Grantor covenants and represents that to the best of its knowledge, neither the Grantor's Property nor the Easement Property is not presently the subject of, nor is there the threat of any federal, state or states, or local environmentally related lien, proceeding, claim, liability or action. Grantor agrees that between Grantor and Grantee, the acceptance of this Agreement by Grantee shall not increase the liability of Grantee for environmentally related claims arising from or related to (i) conditions on the Grantor's Property or the Easement Property prior to the acceptance of this Agreement; (ii) acts of Grantor or any other third party; or (iii) conditions on the Grantor's Property or the Easement Property not created by Grantee. 7. Jurisdiction. Grantor and Grantor agree that any litigation associated with or arising from this indenture shall be filed with a court of competent jurisdiction within the State of Indiana. 8. Other Obligations. Grantor agrees that this Agreement shall not transfer to Grantee any past, present, or future obligation(s) of Grantor to be responsible for, or to pay, any tax, assessment, or fee associated with or related to the Grantor's Property or Easement Property. 9. Waiver. Waiver by either party of any one default hereunder will not be deemed to be a waiver of any other default under this Agreement. Any remedy or election under this Agreement will not be deemed exclusive, but instead, whenever legally permissible, will be cumulative with all other remedies at law or in equity. 10. Amendment. Grantor and Grantee agree that this Agreement shall only be modified or released by the express, written consent of both Grantor and Grantee. Said consent, when duly recorded, shall run with the Grantor's Property and the Easement Property. 11. Entire Agreement. This Agreement contains the entire agreement of the parties with respect to the subject matter hereof, and all prior agreements, communications and negotiations between the parties, either verbal or written, are hereby merged into this Agreement. This Agreement may be terminated, modified, or amended only by a writing signed by the parties, and no agreement or consent of any other persons shall be necessary for such termination, modification, or amendment. 12. Governing Law. This Agreement will be governed by and construed in accordance with the laws of the State of Indiana. 13. Notice. Any and all notices, demands, requests, submissions, approvals, consents, or other communications or documents required to be given, delivered or served or which may be given, delivered 2 Braniean easement doe or served under or by the terms and provisons of this Agreement or pursuant to law or otherwise, shall be in writing. All notices shall be either (a) sent by overnight delivery using a nationally recognized overnight courier, in which case notice shall be deemed delivered one business day after deposit with such courier, (b) sent by certified or regular U.S. mail, postage prepaid, in which case notice shall be deemed delivered two business days after deposit in such mails, or (c) sent by personal delivery, in which case notice shall be deemed delivered upon receipt or refusal of delivery. All notices shall be addressed to the respective parties as follows: If to Grantee: City of Carmel One Civic Square Carmel, Indiana 46032 Attn: Carmel City Attorney With a Copy to: City of Carmel One Civic Square Carmel, Indiana 46032 Attn: Director of Utilities If to Grantor: Evans Bryant III and Heather A. Branigan 1540 W. 96 Street Indianapolis, IN 46260 Any such notice will be effective three days after the notice has been deposited in the United States mail, as provided above, or if earlier upon receipt. 14. Severability. If any term, covenant, condition or provision of this Agreement or the application thereof to any person or circumstance, shall at any time or to any extent be held invalid or unenforceable, the remainder of this Agreement, or the application of such term or provision to persons or circumstances other than those as to which it is held invalid or unenforceable, shall not be affected thereby and each such term, covenant, condition and provision of this Agreement shall continue to be valid, binding and enforceable to the fullest extent permitted by law. 15. Authority. The person executing this instrument on behalf of Grantor hereby represents that Ile has the authority to bind Grantor to the terms and conditions set forth herein and that all necessary action therefore has been taken. Grantor further represents and warrants to Grantee that Grantor is the fee simple owner of the Easement Property; that Grantor has the right to grant this easement; that Grantor guarantees the quiet possession of the Easement Property to the Grantee; that the Easement Property is free of any liens or encumbrances, except the lien of current taxes and any other lien or encumbrance that, as of the date of execution hereof, appears of public record; and that, subject to the foregoing, Grantor will warrant and defend Grantee's title to the easement granted hereby against all claims thereon. 2 Branigan easement doe 16. Attorneys' Fees. In the event ol'any action or proceeding brought by either party against the other under this Agreement, the prevailing party shall be entitled to recover all costs and expenses, including reasonable attorneys' fees. IN WITNESS WHEREOF, the parties hereto have executed this Water Line Easement Agreement as of the day and year first above written. GRANTOR: By` 4.4110 B cotI Printed: Evans 3want Br wan III Print-IA- leather A. Branigan Date: alf Date: 5-/ 2 Branigan easement doe GRANTEE: THE CITY OF CARMEL By and through its Board of Public Works and Safety By: e lames Brainard. Presiding Offic l f n Date: v Ma Ann Bytke,�lr7en Date: 66 By: tp. LO atson Member Date: (tirn i 1-- Al EST: •L s I II 'ana L. Cordray,? C. Clerk- Treasurer Date: (00 ja)--' 2 Branigan easement doe STATE OF INDIANA SS: COUNTY OF HAMILTON Personally appeared before me this day James Brainard, Mary Ann Burke, and Lori Watson, who having been duly sworn /affirmed, state(s) that they are members of the City of Caramel's Board of Public Works and Safety and have executed the foregoing Water Line Easement Agreement on behalf of such entity. 671h WITNESS my hand and notarial seal, this day of 2012. My Commission Expires: 7- 30 signed Name:o4A My County of Residence: CUY)idin Printed Name: Sa-nc reL 'm NUhl)S0o 2 nraniean easement doc STATE OF INDIANA SS: COUNTY OF icken Before me, a Notary Public in and for the State of Indiana, appeared Evans Bryant Branigan III and I- feather A. Branigan, who acknowledged the execution of the foregoing Water Line Easement Agreement as his /her voluntary act and deed. Witness my hand and Notarial seal this 2 gday of hd a,rim. 2012. My Commission Expires: 4441 �i .i J/44 Notary Public My .aunty of esidence: T I I Y l 6/ a I tit (T ate Ia /SA [Printed] This instrument was prepared by and after recording return to: Douglas C. Haney, City of Carmel One Civic Square, Carmel, IN 46032. 1 affirm, under the penalties for perjury, that I have taken reasonable care to redact each Social Security number in this document, unless required by law. Douglas C. Haney NOA ICo N di cod., 2 N 1 ,101ARY PUB II comm.* 632942 NOTARY SEAL S l 4 esomit-0 10: 40 1111f1n111h\" 2 Branigan easement doc I N1 EXHIBIT 'B' OWNER: EVANS BRYANT BRANIGAN 111 HEATHER A. BRANIGAN DEED RECORD: INSTRUMENT NO. 200900017470 HAMILTON COUNTY PARCEL NO. 17- 13- 09- 04 -05- 008.000 4 PROPOSED EASEMENT 0.130 ACRES (5,670 SQ. FT.)± 0 /0 23001 0 —0 Cz3o oz, 1 162.00' 610.39 V—� S.W. COR. OF 96TH STREET S.E. COP. OF 0 SEC. 9 —T17N —R3E SEC. 9 —T17N —R3E E. (HARRISON MON FND. (HARRISON MON FND. PER HCSO REFS.) PER HCSO REFS.) NOTE: j COORDINATES ARE BASED ON T. RECORDED ROUTE SURVEY BEARINGS CROSS REFERENCED ON P.1 OF THIS DOCUMENT. Y POINT NORTHING I EASTING 1 g 23001 1704440.366 180308.869 I I 182988.772 I so 0 25 s 3 1704452.717 1 182378_391 J 4 1704487.717 1 82378.182 5 1704451.750 182216.394 6 1704486.750 182216.185 1 inch 50 ft. IN (j} Aj -0,.,,s, c,c.ED BY urw.[oa. EXHIBIT B CURRE SHEET NO 1 1Y IY 3 A.J.G. R.B.S. R.I.N. EASEMENT EXHIBIT 2 1 DRAWING SCALE 1" 50' PART S.E. 1/4 SEC. 9 -T17N -R3E s WESSLER PREPARED FOR: PROJECT NUMBER ENGINEERING CITY OF CARMEL, INDIANA TOTAL EFT 137810 More than a Project'" L EXHIBIT "A" OWNER: Evans 13ryant Branigan III Heather A. Branigan DEED RECORD: Instrument Number 2009017470 HAMILTON COUNTY PARCEL NO.: 17- 13- 09- 04 -05- 008.000 PERMANENT EASEMENT Thirty -five (35) feet by a Tine parallel with the south line, off the entire southerly side of the following described real estate: A part of the southeast quarter of Section 9, Township 17 Nonh, Range 3 East in Clay Township, Hamilton County. Indiana, said pan being more particularly described as follows: Beginning on the south line of said quarter section West 610.39 feet from the southeast comer of said quarter section: thence North 90 degrees 00 minutes 00 seconds West (bearings from Instrument Number 2009017470) 162.00 feet along said quarter section line; thence North 00 degrees 00 minutes 00 seconds Past 398.58 feet; thence South 44 degrees 44 minute 00 seconds East 42.45 feet; thence South 00 degrees 00 minutes 00 seconds West 125.60 feet: thence South 90 degrees 00 minutes 00 seconds East 132.12 feet; thence South 00 degrees 00 minutes 00 seconds West 242.82 feet to the point of beginning. Containing in said easement 0.130 acres 5.670 square feet), more or less. Subject to all legal highways, rights -of =ways, easements, and restrictions of record. The lines are to he lengthened or shortened to terminate in the easterly and westerly boundaries of said real estate. NOTE: An exception and Tract 2 as listed on the recorded deed are not affected by this casement description and are consequently not included. SURVEYOR'S STATEMENT To the best of my knowledge, information, and belief this plat and legal description, together with the ['tat of Route Survey, recorded 06/28/2011 as Instrument Number 2011030760 in the Office of the Recorder of Hamilton County, Indiana (incorporated and made a part hereof by reference), comprise a route survey executed in accordance w ith Indiana Administrative Code 865 IAC 1 12 ("Rule 12"). DATE: June 29,2011 r 6 "7aL RONALD L. NOLAN Registered Land Surveyor 50 439 e uumwit State Of Indiana s Ole` N0. sZ SO 439 Page 1 of 2 Y:AProject Piles active \137810 Carmel Ditch Road water main A88 -001 Easement Exhibit Prep \B Misc \2 Branigan esmt.doc b oo P u A W N_ vw 0 D n- w ?1 H 0 H O H a H w n'or H -A070 d-o 0 Oa ‘.52 D O O 7) I tD mjm 0 v w O O: A g O 7 ZJJ d 'oZ T ti v° o m y 2'mm t plo o D al 7 y 1., r Z o'°� -1 D o w s n Z o o D. m w CO H'3<ADo »a o 9 o n OOna r y"X H' 3 —S O__ n 3 m y H ro.- t n d on -em H n a 3 D 'nzvi n O n D I v s. e O O a O C m 0— 0- O o o r _n Z _r _n C� p P Ar 'o a n n 3 m i 3 H Do N y g ..1 o n o s o d A a y Z o m U m^ r p g o m O w i 0 5 E O 5 n Z O o O y X H 3 A (en o °v m G a C] O O o A Z n W P° 3 C 7_ or g a n 0 E v, D n v, S o f A .n D o 3 n m o f)c -m-1° m =.w..o 2 H ma 0 P. 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O 0 w Z "G °boo na O on n� p H o 3 PrA n 'a y n N o 8 0 5' o^ d a n° n' o f o m O c m ow a' a D g -3 0 F o^ E S• V O ory o Y K o a 2 RI m P 1 v z'r a A N in n or o' O y o 3 4 Z r n o Eli w H, a ;j d o 7 �i .i D y L o o z o 3D n 4 r" o f v o T .d w 1 N. m o 0, rn o O a o "-,'s j 3a wEr D Jr., d c 0 n 0 y 3 A a o E -7 a te n o hm $3 m 3 m oa m 0 rL d H 79 a 9 n C n o ,1 N Y T m f o o m m o O y O W 0 o_' 3 o w o n a O O m o S a 7 n y n o I I1 0 n N o 1 9 n c'o Q 0 0 m d m u, w o O. z d m b w m n 3 a p n n o O o G D °c 'e o n D c 9 m 4 3 n n n n 3 Z n R n om d0- o L iz' E' g 9 Z D'q q E n or 0 3 0 1 0° n or F n i6 a o. H H to rn N c S 6 6 2 w x n N a R d C O'� 3 n v P o: n H O' O 3 N S a H I O 1 .1 aY rvx: e':- Bi INVOICE NUMBER 7739102 MACH; DATE: 05/04/2012 Page: 1 Be Right'" 4DET CHITOP'PORIION"ANDt WITHPAY\IENT rOi TOTAL: $3,868.95 earrreunw,bxx n WpYN Hach Company 2207 Collections Center Drive Chicago, IL 60693 Have you ordered online 7 Phone: (800) 227 -4224 Order at WWW.HACH.COM 77391027 000526533 00000386895 050412 SortSeg: 500 Tray, 7 DETACH HERE Original INVOICE NO 7739102 1 DATE: 1 05/04/2012 S 1111111111111111111111111111 11111r1ll1I111111Iiiitillill1ll1I1 PURCHASE W.09699 O ORDER CARMEL UTILITIES L NUMBER D 3450 W 131st St Net 30 Days From Invoice Date Carmel, IN 46074 -8267 TERMS T United States D FREIGHT Prepay And Bill Customer s CARRIER RPS- RPS "FedEx Ground 1-1 CARMEL UTILITIES ACCOUNT 052653 I FOREMAN, JAIMIE REF. NO. 312098622 -1 Remit to: P 3450 W 131ST ST Hach Company CARMEL, IN 46074 -8267 2207 Collections Center Dr T United States Chicago, IL 60693 0 Rhone: (600) 227 -4224 These commodities are sold packaged marked, and labeled for destinations in the United States. Exportation of these commodities may require special licensing, packaging, marking or labeling LN# PRODUCT DESCRIPTION ITEM NO. QUANTITY UNIT PRIC EXT. PRICE 2 as DR3900 SPECTROPHOTOMETER W/O LPV440,99.00002 1 3,799.00 3,799.00 RFID 'TRACKING NUMBERS: 050316377388647 ORDER CONTACT: SUBTOTAL 3,799.00 JAIMIE FOREMAN ,a V FREIGHT CHARGES 69.95 317733 -2855 e\ CV/ `.1 ^'i YY( V TAX 0.00 Notes: d Notes: INVOICE TOTAL 3,868.95 Y*■3/4\-\\ 3 tiS For order discrepancies or product exchanges please call 800 227 -4224 or 970-669-3050 to obtain Return Authorization. FEDERAL TAX ID 42- 0704420 Envir onment al 'fp Si Other brands En viron en sic!! HACI1 El= from Hach Nydipllet mow Products a 5ervlws 4,...e, c...”....,e a-4,,, 800- 548 -4381 800-949 -3766 800-368-2/ 23 800 677 -126 800 -454 -0263 Fax: 574 262 2495 Fax 070- 461 -3921 Fa: 301- 874-8459 Fax: 506 -994 -3574 Fax 970. 481 -3919 CREDIT MEMO 2073513 HACH DATE: 06/08/2012 Page: 1 Be Right' r UL'r.\CII r01'. P.ORf oN•AR4R lit iviTTihigiAIE \I TO: TOTAL: 379.90 Hach Company 2207 Collections Center Drive Chicago, IL 60693 Have you ordered online 7 Phone: (800) 227 -4224 Order at WWW.HACH.COM 20735130 000526533 00000037990 060812 DETACH HERE Original CREDIT NO 2073513 1 DATE: 1 06/08/2012 s AffilIDEIEAIBIIEFDAEADIETE ATDIDJTWJUDDWIDNDDAEMADAI PURCHASE W,09699 Credit D CARMEL UTILITIES ORDER L NUMBER D CARMEL UTILITIE$3450 W 131ST ST *CREDIT MEMO` CARMEL, IN 46074 -8267 TERMS T United States o FREIGHT s Sort Seg: 3 CARRIER H CARMEL UTILITIES ACCOUNT 052653 1 FOREMAN, JAIMIE REF. NO. 312153066 -1 Remit to: P 3450 W 131ST ST CARMEL, IN 46074 -8267 22 7 Company 2207 Collections Center Dr T United States Chicago, IL 60693 O Phone: (800) 227 -4224 These commodities are sold, packaged, marked, and labeled for destinations in the United States. Exportation of these commodities may require special licensing, packaging, marking or labeling. LN# PRODUCT DESCRIPTION ITEM NO. QUANTITY UNIT PRICE EXT. PRICE 1 as DR3900 SPECTROPHOTOMETER W/O LPV440.99.00002 -1 379.90 379.90 RFID ORDER CONTACT: SUBTOTAL 379.90 JAIMIE FOREMAN 733 -2855 TAX 0.00 Notes: CREDIT TOTAL 379.90 'E9 Credit being issued against original order 312098622 for discounted price. Ifichtne 6/8/2012 For order discrepancies or product exchanges please call 800 or 970 669 3050 to obtain Return Authorization. FEDERAL TAX ID 42- 0704420 Envimntal r H C !I CN, ®�S Other brands Test Sys HVCIrtael r low „d,. Service, s from Hach 804548 -4381 804 9493766 800368.2723 804677-0067 900.454 -0263 Fax 574- 262.2495 Fax, 970.461-3921 Fax: 301-874 -8459 Fax 505.994-3674 Fax: 970-461-3919 Jones Henry Engineers, Ltd. o 3103 Executive Parkway, Suite 300 ��I Toledo, OH 43606 (419) 473 -9611 CITY OF CARMEL Invoice number 62093 MR. JOHN DUFFY Date 3/12/2012 UTILITY DIRECTOR 760 3rd AVE. S.W. SUITE 110 j� CARMEL, IN 46032 v �a/wV` Contract: 00451 -6052 Customer ID: 451 WTR BOOSTER PUMP STA/ELEV TNK Scope of Work: Professional engineering services in connection with the design and construction phases associated with a new water booster pump station and elevated water tank in accordance with our Letter Agreement No. 14 -06. The projected fee is $400,000. FOR SERVICES PERFORMED THRU 02/29/12 Labor Employee Hours Cost Amount BRIAN W HOUGHTON 11.00 495.62 LOUIS G. MACHLAN 8.00 209.09 Total cost 19.00 704.71 Rate Basis Markup Amount DPE 35% 704.71 246.65 951.36 Overhead 130% 951.36 1,236.77 2,188.13 2,188.13 Labor subtotal 2,188.13 Reimbursable Activity Cost Mult Amount OTHER CONTRACT COST 5.90 1.10 6.49 Reimbursable subtotal 6.49 Invoice total 2,194.62 Contract Summary Prior Current Total Labor 80,879.68 2,188.13 83,067.81 Reimbursable 809.39 6.49 815.88 Consultant 2,090.00 0.00 2,090.00 Total 83,779.07 2,194.62 85,973.69 Page 1 of 1 Keller Macaluso LLC Invoice Date: 5/15/2012 770 3rd Avenue SW Invoice 2012 -0280 Carmel, IN 46032 Phone 317- 660 -3400 Fax 317- 660 -3401 (D5-16-12 A l 1:04 R C V www.kellermacaluso.com Bill To Federal ID: 27- 1716316 City of Carmel Attn: Douglas C. Haney Department of Community Services One Civic Square Client Matter Attorney TK Carmel, IN 46032 20032 002 Eminent domain Service date Initials Time Description of Service Amount 4/25/2012 TK 0.3 Attention to directing Jennifer Schulz regarding our preliminary 78.00 witness and exhibit list; review and revise the same. 4/25/2012 JS 0.5 Draft Preliminary Witness and Exhibit List. 75.00 4/26/2012 TK 0.2 Telephone call to John Duffy regarding the witness and exhibit list; 52.00 review and revise the draft witness and exhibit list. 4/27/2012 TK 0.2 Telephone call with counsel regarding the witness and exhibit list 52.00 and extending the deadline to exchange the same; email from and to counsel regarding the same. Sub Total Legal Fees 257.00 TK Too Keller 3S- Jennifer Schulz Terms Net 35 Days MRM Matthew R. Macaluso SO Shari Owens EM Eric McNamar NLH Nate L. Hutchings Total for Services: $257.00 TKH Tammy K. Haney AH Andrew Held EN Eric Neidlinger Keller Macaluso LLC Invoice Date: 5/15/2012 770 3rd Avenue SW Invoice 2012 -0325 Carmel, IN 46032 Phone 317 -660 -3400 Fax 317 660 -3401 www.kellermacaluso.com Bill To Federal ID: 27 City of Carmel, Indiana Attn: Douglas C. Haney One Civil Square Carmel, Indiana 46032 Client Matter Attorney TKH 90006 -001 Waterline Easement for Animal Farm LLC. Service date Initials Time Description of Service Amount 4/25/2012 TKH 0.2 Telephone conferences and correspondence regarding easement. 65.00 Sub Total Legal Fees 65.00 05-1 -12P0 51 RC TK Too Keller JS Jennifer Schulz Terms Upon Receipt MRM Matthew R. Macaluso SO Shari Owens EM Eric McNamar NLH Nate L. Hutchings Total for Services: $65.00 TKH Tammy K. Haney AH Andrew Held EN Eric Neidlinger Kirby Risk I NVOI C E ,'INVOICE DATE 1 INVOICE NUMBER CUSTOMER# 1815 Sagamore Pkwy Lafayette, IN 47904 05/18/12 S106263603.001 11788 DUE DATE 't TOTAL DUE AMOUNT PAID 06/17/12 330.52 'Q. PLEASE REMIT PAYMENT T6 KIRBY RISK CORPORATION o P.O. BOX 664117 INDIANAPOLIS IN 46266 -4117 SHIP TO: E0003 10023 0482307955 P1068629 0005:0006 I "I I III"'I IiII ii I iii II 1' I 1' I I iiIIIii1111111111iiinli CARMEL WATER TREATMENT re CARMEL WATER TREATMENT 0/0 KIRBY RISK SUPPLY 3450 W 131ST ST 11110 Allisonville Road CARMEL IN 46074 -8267 FISHERS IN 46038 -1837 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER NUMBER CUSTOMER PO NUMBER RELEASE NUMBER 11788 BT051412F W28 GEN CON SALESPERSON SHIP VIA I ORDERED BY I SALES OFFICE I PHONE NUMBER I SHIP DATE KEVIN R FORD DIRECT BRIAN TOLAN FISHERS 317 -598 -6170 05/18/12 ORDER CITY SHIP QTY DESCRIPTION ITEM PRICE UNIT I EXT AMOUNT I CASH Disc 2ea 2ea HUBB HBL400MGN 24.49 lea 48.98 SINGLE POLE 300A MALE PLUG *SUBJECT TO VENDOR RETURN POLICY 2ea 2ea HUBB HBL400MY 24.49 lea 48.98 SINGLEPOLE, 400A MALE PLUG, YELLOW *SUBJECT TO VENDOR RETURN POLICY 2ea 2ea HUBB HBL400MO 24.49 lea 48.98 SINGLEPOLE, 400A MALE PLUG, ORANGE *SUBJECT TO VENDOR RETURN POLICY 2ea 2ea HUBB HBL400MBN 24.49 lea 48.98 SINGLEPOLE, 400A MALE PLUG, BROWN *SUBJECT TO VENDOR RETURN POLICY 2ea 2ea HUBB HBLMCAPGN 14.20 lea 28.40 GREEN CAP FOR SINGLE POLE DEVICES *SUBJECT TO VENDOR RETURN POLICY 2ea 2ea HUBB HBLMCAPY 14.94 lea 29.88 SINGLEPOLE, MALE CAP, YELLOW *SUBJECT TO VENDOR RETURN POLICY 2ea 2ea HUBB HBLMCAPO 14.94 lea 29.88 SINGLEPOLE, MALE CAP, ORANGE *SUBJECT TO VENDOR RETURN POLICY 2ea 2ea HUBB HBLMCAPBN 14.94 lea 29.88 SINGLEPOLE, MALE CAP, BROWN *SUBJECT TO VENDOR RETURN POLICY Billing Questions: Billing_request @kirbyrisk.com (765) 446 -3054 Invoice Number 5106263603.001 Subtotal 313.96 S &H Charges 16.56 Invoice is due by 06/17/12. Sales Tax 0.00 r': tAMOUNIT DUE 330.52 0005:0006 Kirby Risk Page 1 of 1 gig Kirby Risk INVOICE INVOICE DATE I INVOICE NUMBER CUSTOMER 1815 Sagamore Pkwy Lafayette, IN 47904 05/17/12 S106263713.001 11788 DUE DATE TOTAL DUE ,.I. AMOUNT PAID 06/16/12 190.39 _PLEASE REMIT PAYMENT•TO: `r KIRBY RISK CORPORATION P.O. BOX 664117 INDIANAPOLIS IN 46266 -4117 SHIP TO: E0003 10020 0482307952 P1068629 0002:0006 II�II� "III�� "'l I'�IIII'I'llllllllll "II CARMEL WATER TREATMENT 4 22 CARMEL WATER TREATMENT C/O KIRBY RISK 3450 W 131ST ST 11110 Allisonville Road CARMEL IN 46074 -8267 FISHERS IN 46038 -1837 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER NUMBER I CUSTOMER PO NUMBER I RELEASE NUMBER 11788 BT051412G PORTGENMOD SALESPERSON SHIP VIA ORDERED BY I SALES OFFICE I PHONE NUMBER I SHIP DATE KEVIN R FORD DIRECT BRIAN TOLAN FISHERS 317 -598 -6170 05/17/12 ORDER CITY SHIP CITY I DESCRIPTION ITEM PRICE UNIT I EXT AMOUNT I CASH DISC lea lea HBLFRGN 28.90 lea 28.90 300 400 MALE REC DOUBLE SET "SUBJECT TO VENDOR RETURN POLICY** lea lea HUBB HBLFRY 28.90 lea 28.90 SINGLEPOLE, 300/400A FEM RECEP, SS, YL "SUBJECT TO VENDOR RETURN POLICY" lea lea HUBB HBLFRO 28.90 lea 28.90 SINGLEPOLE, 300/400A FEM RECEP, SS, OR **SUBJECT TO VENDOR RETURN POLICY** lea lea HUBB HBLFRBN 28.90 lea 28.90 SINGLEPOLE, 300/400A FEM RECEP, SS, BR **SUBJECT TO VENDOR RETURN POLICY** lea lea HUBB HBLFCAPGN 14.20 lea 14.20 GREEN CAP FOR SINGLE POLE DEVICES "SUBJECT TO VENDOR RETURN POLICY lea lea HUBB HBLFCAPY 14.94 lea 14.94 SINGLEPOLE, FEM CAP, YELLOW "SUBJECT TO VENDOR RETURN POLICY** lea lea HUBB HBLFCAPO 14.94 lea 14.94 SINGLEPOLE, FEM CAP, ORANGE **SUBJECT TO VENDOR RETURN POLICY** lea lea HUBB HBLFCAPBN 14.94 lea 14.94 SINGLEPOLE, FEM CAP, BROWN **SUBJECT TO VENDOR RETURN POLICY** Billing Questions: Billing_request @kirbyrisk.com (765) 446 -3054 Invoice Number S106263713.001 Subtotal 174.62 S8,H Charges 15.77 Invoice is due by 06/16/12. Sales Tax 0.00 ::AMOUNTDUE 190.39 0002:0006 1 e Kirby Risk Page 1 of 1 Kirby Risk INVOICE INVOICE DATE I INVOICE NUMBER I CUSTOMER 1815 Sagamore Pkwy Lafayette, IN 47904 05/30/12 S106263582.005 11788 DUE DATE I TOTAL DUE I AMOUNT PAID 06/29/12 142.04 PLEASE REMIT PAYMENT TO: KIRBY RISK CORPORATION P.O. BOX 664117 INDIANAPOLIS IN 46266 -4117 SHIP TO: 410 1 AB 0.374 E0054 10085 0487067271 P1077811 0004:0004 CARMEL WATER TREATMENT III I II I lul I ll l lll 'llllllll "Il "IIII CARMEL WATER TREATMENT C/O KIRBY RISK 3450 W 131ST ST 11110 Allisonville Road CARMEL IN 46074 -8267 NOBLESVILLE IN 46038 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT .STOMER NUMBER f CUSTOMERPO" NUMBER" I T' RELEASE NUMBER 11788 BT051412E W27 GEN CON SALESPERSON SHIP VIA I ORDERED BY I SALES OFFICE I PHONE NUMBER I SHIP DATE KEVIN R FORD DIRECT BRIAN TOLAN FISHERS 317 -598 -6170 05/30/12 ORDER QTY SHIP QTY I DESCRIPTION ITEM PRICE UNIT I EXT AMOUNT I CASH DISC lea lea HUBB HBL400MGN 24.49 lea 24.49 SINGLE POLE 300A MALE PLUG *SUBJECT TO VENDOR RETURN POLICY lea lea HUBB HBL400MY 24.49 lea 24.49 SINGLEPOLE, 400A MALE PLUG, YELLOW *SUBJECT TO VENDOR RETURN POLICY lea lea HUBB HBL400M0 24.49 lea 24.49 SINGLEPOLE, 400A MALE PLUG, ORANGE *SUBJECT TO VENDOR RETURN POLICY lea lea HUBB HBL400MBN 24.49 lea 24.49 SINGLEPOLE, 400A MALE PLUG, BROWN *SUBJECT TO VENDOR RETURN POLICY lea lea HUBB HBLMCAPGN 14.20 lea 14.20 GREEN CAP FOR SINGLE POLE DEVICES *SUBJECT TO VENDOR RETURN POLICY lea lea HUBB HBLMCAPY 14.94 lea 14.94 SINGLEPOLE, MALE CAP, YELLOW *SUBJECT TO VENDOR RETURN POLICY lea lea HUBB HBLMCAPO 14.94 lea 14.94 SINGLEPOLE, MALE CAP, ORANGE *SUBJECT TO VENDOR RETURN POLICY** Billing Questions: Billing_request @kirbyrisk.com (765) 446 3054 Invoice Number S106263582.005 Subtotal 142.04 S&H Charges 0.00 Invoice is due by 06/29/12. Sales Tax 0.00 AMOUNT DUE 142.04 0004:0004 Kirby Risk Page 1 of 1 Kr Kirby Risk INVOICE INVOICE DATE I INVOICE NUMBER I CUSTOMER 1815 Sagamore Pkwy Lafayette, IN 47904 05/23/12 S106263582.004 11788 DUE DATE TOTAL DUE AMOUNT PAID 06/22/12 14.94 -PLEASE REMIT PAYMENT TO: KIRBY RISK CORPORATION P.O. BOX 664117 INDIANAPOLIS IN 46266 -4117 SHIP TO: 579 1 MB 0.404 E0270 10548 0484154107 P1071810 0002:0003 CARMEL WATER TREATMENT I'C 'I I II ��II "p CARMEL WATER TREATMENT C/O KIRBY RISK 3450 W 131ST ST 11110 Allisonville Road CARMEL IN 46074 -8267 NOBLESVILLE IN 46038 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER NUMBER I CUSTOMER PO NUMBER RELEASE NUMBER 11788 BT051412E W27 GEN CON SALESPERSON SHIP VIA ORDERED BY I SALES OFFICE I PHONE NUMBER I SHIP DATE KEVIN R FORD DIRECT BRIAN TOLAN FISHERS 317- 598 -6170 05/23/12 ORDER QTY I SHIP QTY I DESCRIPTION ITEM PRICE UNIT I EXT AMOUNT I CASH DISC lea lea HUBB HBLMCAPBN 14.94 lea 14.94 SINGLEPOLE, MALE CAP, BROWN **SUBJECT TO VENDOR RETURN POLICY** Billing Questions: Billing_request @kirbyrisk.com (765) 446 -3054 Invoice Number S106263582.004 Subtotal 14.94 S &H Charges 0.00 Invoice is due by 06/22/12. Sales Tax 0.00 �njp�,� AMOUNT DUE 14.94 0002:0003 IR�IQ Kirby Risk Page 1 of 1 Kerby Risk INVOICE 1815 Sagamore Pkwy JNVOICE DATE NUMBER L CUSTOMER r.. Lafayette, IN 47904 05/21/12 S106263582.003 11788 I C C Y.' U A T E ..�Ii,wje.TOTAL AMOUNT PAID 06/20/12 1896.21 3 ;;.PLEASE!REMITPAYMENTTO;!: KIRBY RISK CORPORATION P.O. BOX 664117 INDIANAPOLIS IN 46266 -4117 SHIP TO: E0005 10040 0482977716 P1069972 0005:0008 I�Il�l�lllll�rlll' I� "1'�III�I'II�1111'llll�l�l�'ll 1 11 r�llll� CARMEL WATER TREATMENT CARMEL WATER TREATMENT C/O KIRBY RISK 3450 W 131ST ST 11110 Allisonville Road CARMEL IN 46074 -8267 NOBLESVILLE IN 46038 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER NUMBER CUSTOMER PO NUMBER �i t A .RELEASE NUMBER 11788 BT051412E W27 GEN CON OF q: SALESPERSON SHIP VIA' ORDERED BY�t SALES OFFICE FICE PHONE'NUMBER' -SHIP KEVIN R FORD DIRECT BRIAN TOLAN FISHERS 317 598 -6170 05/21/12 ORDER QTY SHIP CITY DESCRIPTION ITEM PRICE GL ,.UNIT EXT AMOUNT CASH DISC 250ft 250ft CORD WELD- 4/0 -250FT 7584.84 1000ft 1896.21 CAROLPRENE CABLE BLACK 250' in KR Indy stock W27 190' W28 380' PortGen Mod 28' Total req 598' Billing Questions: Bllling_request @kirbyrisk.com (765) 446 -3054 Invoice Number 5106263582.003 Subtotal 1896.21 S &H Charges 0.00 Invoice is due by 06/20/12. Sales Tax 0.00 1 AMOUNT-DU: 1896.21 0005:0008 glib Kirby Risk Page 1 of 1 Kirby Risk INVOICE i INVOICE DATE INVOICE NUMBER I CUSTOMER 1815 Sagamore Pkwy Lafayette, IN 47904 05/18/12 S106263582.001 11788 DATE'' TOTAL DUE AMOUNT PAID 06/17/12 3792.42 ;';:'PLEASE REMIT PAYMENT TO KIRBY RISK CORPORATION P.O. BOX 664117 INDIANAPOLIS IN 46266 -4117 SHIP TO: E0003 10022 0482307954 P1068629 0004:0006 1 1 1 1 111 11 4 1 11 II 1 111 11 1 11 1' 1 1 1111111'1'1111111111141 CARMEL WATER TREATMENT ON CARMEL WATER TREATMENT C/O KIRBY RISK 11110 Allisonville Road s 3450 W 131ST ST NOBLESVILLE IN 46038 CARMEL IN 46074 -8267 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER NUMBER CUSTOMER PO NUMBER RELEASE NUMBER 11788 BT051412E W27 GEN CON SALESPERSON SHIP VIA ORDERED BY I SALES OFFICE I PHONE NUMBER I SHIP DATE KEVIN R FORD DIRECT BRIAN TOLAN FISHERS 317- 598 -6170 05/18/12 ORDER CITY I SHIP CITY I DESCRIPTION ITEM PRICE I UNIT I EXT AMOUNT I CASH DISC 500ft 500ft GENC 01771.38.01 7584.84 1000ft 3792.42 4/0 K WELD 600V -BLK -500' RL *SUBJECT TO VENDOR RETURN POLICY In stock in Lebanon IN ti cit k1)-- fj ob wf Billing Questions: Billing_request @kirbyrisk.com (765) 446 -3054 Invoice Number S106263582.001 Subtotal 3792.42 S &H Charges 0.00 Invoice is due by 06/17/12. Sales Tax 0.00 t. AMOUNTiDUE 3792.42 0004:0006 Kirby Risk Page 1 of 1 srby ask CREDIT MEMO a+INVOICE•DATEPs INVOICE'NUMBER I CUSTOMER #.p` 1815 Sagamore Pkwy Lafayette, IN 47904 05/17/12 S106291374.001 11788 ?;DUE DATEc TOTAL'DUEI':. AMOUNT PA1D'3�+ 05/17/12 300.00 ro :i PLEASE(REMITPAYMENT•TOm ti KIRBY RISK CORPORATION P.O. BOX 664117 INDIANAPOLIS IN 46266 -4117 SHIP TO: E0003 10025 D481756829 P1067737 0008:0009 1'II 11 11 '1' 1 111' 1 11 1 11 I I'I'1'III"I I1I 111111IIIII'11 CARMEL WATER TREATMENT r S"rt CARMEL WATER TREATMENT 3450 W 131ST ST 3450 W 131ST ST CARMEL IN 46074 -8267 CARMEL IN 46074 -8267 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER NUMBER I .,CUSTOMER PO NUMBER RELEASE NUMBER x 11788 OPMT SALESPERSON R Iq SHIP VIA''� ORDERED BY f Y i PHONE'NUMBER TE�rt_a KARLA Y WHITE ACCOUNTING JERRY CLOUD FISHERS 317 -598 -6170 05/17/12 ORDER QTY 'LSHIP OE .DESCRIPTION I"�. ITEM PRICE r` UNIT EXT AMOUNT CASH DISC -lea -lea ^OVER PAID CK #293208 DATED 4 -20 -12 300.00 lea 300.00 FOR $300.00 PLEASE REFERENCE CREDIT ON NEXT REMITTANCE Billing Questions: Billing_request @kirbyrisk.com (765) 446 3054 Invoice Number 8106291374.001 Subtotal 300.00 S &H Charges 0.00 Sales Tax 0.00 Y':r-IAMOUNT?DUE 300.00 0008:0009 dit Kirby Risk Page 1 of 1 Kit Kirby Risk INVOICE INVOICE DATE I INVOICE NUMBER` I CUSTOMER 1815 Sagamore Pkwy Lafayette, IN 47904 05/14/12 S106284375.001 11788 DUE DATE TOTAL DUE I AMOUNT PAID: 06/13/12 170.04 PLEASE REMIT PAYMENT -TO:. KIRBY RISK CORPORATION tre P.O. BOX 664117 INDIANAPOLIS IN 46266 -4117 SHIP TO: 587 1 MB 0.404 E0272X 10490 0479317151 P1065131 0001:0001 I�I �IIIII' I1II' lllllll' �Illlr "'lllllll'll "II'llllll�l CARMEL WATER TREATMENT L CARMEL WATER TREATMENT 3450 W 131ST ST 3450 W 131ST ST CARMEL IN 46074 -8267 CARMEL IN 46074 -8267 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER NUMBER CUSTOMER PO NUMBER RELEASE NUMBER 11788 BT042412a SALESPERSON SHIP VIA ORDERED BY SALES OFFICE ;-PHONE NUMBER_ SHIP DATE R MARK S BAYS PK PICK -UP JAMES ALFORD FISHERS 317 -598 -6170 05/14/12 ORDER CITY I SHIP OTY I DESCRIPTION ITEM PRICE UNIT I EXT AMOUNT CASH DISC y' 30ft 30ft `PVC 4" SCH 80 NM CONDUIT 10' 229.76 100ft 68.93 CARL 49415 -010 OR CTX A53EAl2 Ilea l lea CARL E940N 134.87 100ea 14.84 4" SCH 40 COUPLING 3ea 3ea CARL UA7AN 647.58 100ea 19.43 4" SCH 40 STD 45 DEG ELBOW 3ea 3ea CARL UA9FN 1862.08 100ea 55.86 CL UA9FN 4" SCH 40 90 DEG X 36" ELB lea lea T &B CTL40 -38 380.79 100ea 3.81 1 -HOLE CU COMPR LUG lea lea T &B CTL30 -38 324.52 100ea 3.25 1 -HOLE CU COMPR LUG lea lea T &B L250 391.61 100ea 3.92 1 -HOLE SINGLE LUG SOCKET Billing Questions: Billing_request ©kirbyrisk.com (765) 446 -3054 511402012125:19 PM S106284375001 Invoice Number 5106284375.001 Subtotal 170.04 S &H Charges 0.00 Invoice is due by 06/13/12. 7 Sales Tax 0.00 p JAMES FORD V 1. AMOUNT DU 2' 170.04 0001:0001 flit Kirby Risk Page 1 of 1 Kirby Risk INVOICE INVOICE DATE I INVOICE NUMBER I CUSTOMER 1815 Sagamore Pkwy Lafayette, IN 47904 05/17/12 S106280217.003 11788 DUE DATE I TOTAL DUE AMOUNT PAID 06/16/12 1710.76 PLEASE REMIT PAYMENT TO: KIRBY RISK CORPORATION P.O. BOX 664117 INDIANAPOLIS IN 46266 -4117 SHIP TO: 410 1 AB 0.374 E0054 10083 0487067269 P1077811 0002:0004 Illlllllllll11111 lull 1111111 'llllllll "Il "IIIIIIIIIIlIllllll CARMEL WATER TREATMENT Va CARMEL WATER TREATMENT 3450 W 131ST ST 3450 W 131ST ST CARMEL IN 46074 -8267 CARMEL IN 46074 -8267 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER NUMBER f "'CUSTOMER'PO NUMBER :i IsI' UMBER 11788 BT051412B P4 BSTR Wire SALESPERSON SHIP VIA ORDERED BY I SALES OFFICE I PHONE NUMBER I SHIP DATE KEVIN R FORD WC51 WILL -CALL BRIAN TOLAN FISHERS 317 -598 -6170 05/17/12 ORDER OTY I SHIP CITY I DESCRIPTION ITEM PRICE UNIT EXT AMOUNT I CASH DISC PUT ALL ITEMS ABOVE ON 1 REEL 4ea 4ea SCUT PARALLEL WIRE 15.00 lea 60.00 SOUTHWIRE PARALLEL CHARGES PER WIRE KRPNM *SUBJECT TO VENDOR RETURN POLICY 230ft 230ft SCUT 1/0 -19 CU SIMPULL THHN THWN -2 1834.56 1000ft 421.95 BROWN 55877899 *SUBJECT TO VENDOR RETURN POLICY" 230ft 230ft SCUT 1/0 -19 CU SIMPULL THHN- THWN -2 1834.56 1000ft 421.95 ORANGE 55877999 *SUBJECT TO VENDOR RETURN POLICY 230ft 230ft SCUT 1/0 -19 CU SIMPULL THHN THWN -2 1834.56 1000ft 421.95 YELLOW 55877799 *SUBJECT TO VENDOR RETURN POLICY 230ft 230ft SCUT 2 -19 CU SIMpull THHN THWN -2 1151.77 1000ft 264.91 GREEN 29583299 *SUBJECT TO VENDOR RETURN POLICY PUT ALL ITEMS ABOVE ON 1 REEL 4ea 4ea SCUT PARALLEL WIRE 15.00 lea 60.00 SOUTHWIRE PARALLEL CHARGES PER WIRE KRPNM *SUBJECT TO VENDOR RETURN POLICY PUT ALL ITEMS ABOVE ON 1 REEL 4ea 4ea SCUT PARALLEL WIRE 15.00 lea 60.00 SOUTHWIRE PARALLEL CHARGES PER WIRE KRPNM *SUBJECT TO VENDOR RETURN POLICY PLEASE CALL BRIAN WHEN ORDER ARRIVES 317 417 -5063 Billing Questions: Billing_request @kirbyrisk.com (765) 446 -3054 5n7120122:40:10 PM 5106280217 Invoice Number 8106280217.003 Subtotal 1710.76 S &H Charges 0.00 Invoice is due by 06/16/12. Sales Tax 0.00 BRIAN TOLAN AMOUNT DUE 1710.76 0002:0004 ti Kirby Risk Page 1 of 1 KirbyRisk INVOICE J DATE'% I INVOICE NUMBERiI .w CUSTOMER x., 1815 Sagamore Pkwy Lafayette, IN 47904 05/15/12 S106159118.001 11788 3 Y; ,DUE'DATE3I ,;TOTAL DUE4�I p AMOUNTAPAID 06/14/12 413.76 "PLEASE'REMIT PAYMENT TO s ry. KIRBY RISK CORPORATION P.O. BOX 664117 INDIANAPOLIS IN 46266 -4117 SHIP TO: E0003 10019 0481756820 P1067737 0002:0009 I'Illl'II1i1"IIII'I'I' 1111' IIIII111 'I'I'IIIIIII'IIIIIIIIIIIII'11 CARMEL WATER TREATMENT CARMEL WATER TREATMENT 3450 W 131ST ST 'r 3450 W 131ST ST CARMEL IN 46074 -8267 CARMEL IN 46074 -8267 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER NUMBER I 'CUSTOMER PO NUMBER RELEASE NUMBER 11788 BT051412j p4 cntl rm lights SALESPERSON I SHIP VIA I ORDERED BV- I.', SALES OFFICE I PHONE NUMBER I SHIP DATE. KEVIN R FORD WC51 WILL -CALL BRIAN TOLAN FISHERS 317 -598 -6170 05/15/12 ORDER QTY I SHIP QTY DESCRIPTION ^';z 1 ITEM PRICE a I 'UNIT -EXT AMOUNT.` I CASH DISC` .1 4ea 4ea LITH DMW 2 32 MVOLT GEB10IS 98.68 lea 394.72 ENCLOSED FIBERGLASS WET FLOURESCENT FIXTURE 8ea Bea PHIL F32T8/TL741 ALTO 25PK 2.38 lea 19.04 272484 Billing Questions: Billing_request @kirbyrisk.com (765) 446 -3054 5!17/20122: 38: 53 PM 5106159118.001 Invoice Number 5106159118.001 Subtotal 413.76 S &H Charges 0 -00 Invoice is due by 06/14/12. O� Sales Tax 0.00 BRIAN TOL N AMOUNT'DUE 413.76 0002:0009 t Kirby Risk Page 1 of 1 INVOICE I. Kirby Risk 1815 Sagamore Pkwy 1NVOICE:PATE I NUMBER' 4t CUSTOM Lafayette, IN 47904 05/16/12 S106286168.001 11788 )k4 DUE DATE I TOTAL DUEliqk' rAMOl1NT P AID 06/15/12 1465.69 K., PLEA5E,REMIT PAYMENT.1TO 4- n:`, KIRBY RISK CORPORATION P.O. BOX 664117 INDIANAPOLIS IN 46266 -4117 SHIP TO: E0003 10022 0481756826 P1067737 0005:0009 1'I111'I1111 1"111'1'1' 1111' 11111111 'I'I'III "11'1"11''Il1111'11 CARMEL WATER TREATMENT S'=; CARMEL WATER TREATMENT 3450 W 131ST ST Y„ 3450 W 131ST ST CARMEL IN 46074 -8267 CARMEL IN 46074 -8267 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER NUMBER P,O NUMBER k ic y RELEASE NUMBER 11788 BT051512B P4VLTMAG120 /CNTL AIR F SALESPERSON i.Af y SHIP VIA s r ORDERED BY E SALES OFFICE PHONENUMBER SHIP DATE'= KEVIN R FORD WC51 WILL -CALL BRIAN TOLAN FISHERS 317 598 -6170 05/16/12 ORDER QTY -SHIP QTY t 4 �DESCRIPTION ITEM PR ICE UNIT EXT AMOUNT I S r CASH DISC: 500ft 500ft WIRETHHN STR -14- RED -500FT 80.38 1000ft 40.19 SPOOL 500ft 500ft WIRE THHN STR -14- WHT -500FT 80.38 1000ft 40.19 SPOOL 500ft 500ft WIRE THHN STR -14- GRN -500FT 80.38 1000ft 40.19 SPOOL 1000ft 1000ft WIRE THHN STR -12- BLA -500FT 123.31 1000ft 123.31 SPOOL 1000ft 1000ft WIRE THHN STR -12- WHT -500FT 123.31 1000ft 123.31 SPOOL 1000ft 1000ft WIRE THHN STR -12- GRN -500FT 123.31 1000ft 123.31 SPOOL 500ft 500ft WIRE THHN STR -12- RED -500FT 123.31 1000ft 61.66 SPOOL 500ft 500ft WIRE THHN STR -10- BLA -500FT 190.53 1000ft 95.27 SPOOL 500ft 500ft WIRE THHN STR -10- RED -500FT 190.53 1000ft 95.27 SPOOL 500ft 500ft WIRE THHN STR -10- GRN -500FT 190.53 1000ft 95.27 SPOOL 500ft 5008 WIRE THHN STR -12- BRN -500FT 123.31 1000ft 61.66 SPOOL 500ft 500ft WIRE THHN- STR- 12- ORG -500FT 123.31 1000ft 61.66 SPOOL 500ft 500ft WIRE THHN STR- 12- YEL -500FT 123.31 1000ft 61.66 SPOOL 500ft 500ft WIRE THHN STR -12- GRN -500FT 123.31 1000ft 61.66 SPOOL 500ft 500ft WIRE THHN STR -10- BRN -500FT 190.53 1000ft 95.27 SPOOL Billing Questions: Billing_request @kirbyrisk.com (765) 446 -3054 Invoice is due by 06/15/12. 0005:0009 Kirby Risk Page 1 of 2 Kirby Risk INVOICE `21NVOICE DATE I INVOICE NUMBER I C USTOMER 4.:? 1815 Sagamore Pkwy Lafayette, IN 47904 05/16/12 S106286168.001 11788 irte: DUE I AMOUNTPAIDC: 06/15/12 1465.69 ,Ete PLEASE REMITIPAYMENT TO KIRBY RISK CORPORATION P.O. BOX 664117 INDIANAPOLIS IN 46266 -4117 SHIP TO: E0003 10023 0481756826 P1067737 0006:0009 I'�illill111 "'111'1'1' 1111' IIII�III 'I'I'I�� "II'I "�I "��IIII'Il CARMEL WATER TREATMENT c+::t CARMEL WATER TREATMENT 3450 W 131ST ST 3450 W 131ST ST CARMEL IN 46074 -8267 CARMEL IN 46074 -8267 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER NUMBER I .CUSTOMERPO NUMBER I a i1 RELEASE NUMBER 11788 BT051512B P4VLTMAG120 /CNTL AIR A s 4. r +s ...N+^�' r C f EN e si tSALESPERSON ,{;tl. r_ SHIP VIA F i ORDERED BY I. SALES OFFICE I PHONE NUMBER SHIP DATE/.3; KEVIN R FORD WC51 WILL -CALL BRIAN TOLAN FISHERS 317 -598 -6170 05/16/12 ORDER QTY SHIP QTY H ce'* DESCRIPTION s ITEM PRICE :UNIT EXTAMOUNT CASH DISCO ,Q 500f 500ft WIRE THHN STR- 10- ORG -500FT 190.53 1000f 95.27 SPOOL 500ft 500ft WIRE THHN STR- 10- YEL -500FT 190.53 1000ft 95.27 SPOOL 500ft 500ft WIRE THHN-STR-10-GRN-500FT 190.53 1000ft 95.27 SPOOL Billing Questions: Billing_ request @kirbyrisk.com (765) 446 -3054 5017120122:40.59 PM 8106286168.001 Invoice Number 5106286168.001 Subtotal 1465.69 S &H Charges 0.00 Invoice is due by 06/15/12. r Sales Tax 0.00 BRIAN TOLAN r;a AMOUNT DUE 1465.69 gy p,, 0006:0009 Kirby Risk Page 2 of 2 Kirby Risk INVOICE INVOICE�DATE 1NV014NUMBER :,CUSTOMER 1815 Sagamore Pkwy Lafayette, IN 47904 05/18/12 S106286223.001 11788 a.�'._. DUE DATE'„ -TOTAL DUE; Id4AMOUNLPAID i. 06/17/12 999.96 PLEASE;REMITPAYMENT50 l y �*efy,}'. KIRBY RISK CORPORATION P.O. BOX 664117 INDIANAPOLIS IN 46266 -4117 SHIP TO: 374 1 AB 0.374 E0050 10080 0483567570 P1070965 0002:0003 i lil dilIIiriIiili ii II IIIIII" IIi iiiiii1 11111.II1ll11114111IIjIII CARMEL WATER TREATMENT u CARMEL WATER TREATMENT 11110 Allisonville Road 3450 ATTN BRIAN TOLAN 450 W 131ST ST CARMEL IN 46074 -8267 FISHERS IN 46038 -1837 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT .CUSTOMER NUMBER.' .:CUSTOMER PO. NUMBER -RELEASE'NUMBER 'mss= 11788 BT051812A P4 LV PULL CARD SALESPERSON s SHIP VIA ORDERED BY I SALES OFFICE I P HONE!NUM BER SHIP DATE KEVIN R FORD WC51 WILL -CALL BRIAN TOLAN INDIANAPOLIS 317 687 -0015 05/18/12 ORDER CITY I SHIP OTT DESCRIPTION ITEM PRICE UNIT I EXT AMOUNT CASH,DISC 3000ft 3000ft WIRE TFFN STR- 16- BLU -500FT 63.23 1000ft 189.69 16 -26 CU TFFN MTW/AWM/1316/1452 BLUE 27035501 1000ft 1000ft WIRE TFFN STR- 16- PUR -500FT 63.23 1000ft 63.23 16 -26 CU TFFN MTW/AWM/1316/1452 PURPLE 27041301 1000ft 1000ft WIRE TFFN STR -16- RED -500FT 63.23 1000ft 63.23 16 -26 CU TFFN MTW/AWM/1316/1452 RED 27034801 1500ft 1500ft BELD 8760 060250 455.87 1000ft 683.81 2 #18 LDPE SH PVC Billing Questions: Billing_request @kirbyrisk.com (765) 446 3054 5122020121 .0 37 AM 5106288223.001 Invoice Number S106286223.001 Subtotal 999.96 S &H Charges 0.00 Invoice is due by 06/17/12."'' Sales Tax 0.00 j BRIAN LAN AMOUNT DU 999.96 0002:0003 4 Kirby Risk Page 1 of 1 K Kirby Risk INVOICE INVOICE DATE I INVOICE NUMBER I CUSTOMER 1815 Sagamore Pkwy Lafayette, IN 47904 05/23/12 S106300045.001 11788 DUE DATE TOTAL DUE I AMOUNT PAID 06/22/12 30.96 PLEASE REMIT PAYMENT TO: KIRBY RISK CORPORATION P.O. BOX 664117 INDIANAPOLIS IN 46266 -4117 SHIP TO: 579 1 MB 0.404 E0270 10549 0484154108 P1071610 0003:0003 1+1 CARMEL WATER TREATMENT CARMEL WATER TREATMENT 3450 W 131ST ST 3450 W 131ST ST CARMEL IN 46074 -8267 CARMEL IN 46074 -8267 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER NUMBER I CUSTOMER PO NUMBER I RELEASE NUMBER 11788 W28 3PTT SALESPERSON SHIP VIA ORDERED BY I SALES OFFICE I PHONE NUMBER I SHIP DATE JASON PHILLIPS PK PICK -UP BRIAN TOLAN FISHERS 317 -598 -6170 05/23/12 ORDER QTY I SHIP QTY DESCRIPTION ITEM PRICE UNIT I EXT AMOUNT I CASH DISC 4ea 4ea T &B ADR25 -21 405.86 100ea 16.23 ALUM DUAL RATED LUG 2CD1H 8ea 8ea T &B ADR25 166.23 100ea 13.30 ALUM DUAL LUG1CU 6- 250KCMIL 100ea 100ea T &B L- 4- 18 -9 -C 1.43 100ea 1.43 4" TIE WRAP CLEAR Billing Questions: Billing_request @kirbyrisk.com (765) 446 -3054 5!23120128:58:44 AM 5106300045001 Invoice Number 5106300045.001 Subtotal 30.96 S &H Charges 0.00 Invoice is due by 06/22/12. Sales Tax 0.00 BRIAN 'MILAN AMOUNT. DUE 30.96 0003:0003 l‘r Kirby Risk Page 1 of 1 1 l Kirby Risk INVOICE INVOICE DATE I INVOICE NUMBER I CUSTOMER 1815 Sagamore Pkwy Lafayette, IN 47904 05/17/12 S106280217.001 11788 DUE DATE I TOTAL DUE I AMOUNT PAID 06/16/12 2015.26 PLEASE REMIT PAYMENT TO: KIRBY RISK CORPORATION P.O. BOX 664117 INDIANAPOLIS IN 46266 -4117 SHIP TO: 410 1 AB 0.374 E0054X 10082 0487067267 P11377811 0001:0004 IIIIIII"'II,1'I'1I1II"'1111III '11111111 "II "111iiiiiiiIIIII'ii CARMEL WATER TREATMENT CARMEL WATER TREATMENT 3450 W 131ST ST 44_ 3450 W 131ST ST CARMEL IN 46074 -8267 CARMEL IN 46074 -8267 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT -CUSJOMER: NUMBER- 11788 BT051412B P4 BSTR Wire SALESPERSON SHIP VIA ORDERED BY I SALES OFFICE I PHONE NUMBER SHIP DATE KEVIN R FORD WC51 WILL -CALL BRIAN TOLAN FISHERS 317 -598 -6170 05/17/12 ORDER QTY SHIP QTY I DESCRIPTION ITEM PRICE UNIT I EXT AMOUNT I CASH DISC 230ft 230ft SCUT 1/0 -19 CU SIMPULL THHN THWN -2 1834.56 1000ft 421.95 BROWN 55877899 *SUBJECT TO VENDOR RETURN POLICY 230ft 230ft SCUT 1/0 -19 CU SIMPULLTHHN THWN -2 1834.56 1000ft 421.95 ORANGE 55877999 *SUBJECT TO VENDOR RETURN POLICY 230ft 230ft SCUT 1/0 -19 CU SIMPULL THHN THWN -2 1834.56 1000ft 421.95 YELLOW 55877799 *SUBJECT TO VENDOR RETURN POLICY 230ft 230• SCUT 2 -19 CU SIMpull THHN THWN -2 1151.77 1000ft 264.91 GREEN 29583299 *SUBJECT TO VENDOR RETURN POLICY** PUT ALL ITEMS ABOVE ON 1 REEL PUT ALL ITEMS ABOVE ON 1 REEL 300ft 300ft SCUT 6 -19 CU THHN THWN -2 489.41 1000ft 146.82 BLACK 20493399 "SUBJECT TO VENDOR RETURN POLICY 300ft 300ft SCUT 6 -19 CU THHN THWN -2 489.41 1000ft 146.82 RED 20495899 *SUBJECT TO VENDOR RETURN POLICY 300ft 300ft SCUT 8 -19 CU THHN TWHN -2 318.09 1000ft 95.43 WHITE 20489199 *SUBJECT TO VENDOR RETURN POLICY 300ft 300ft SCUT 8 -19 CU SIMPULL THHN -THW 318.09 1000ft 95.43 GREEN 20492599 *SUBJECT TO VENDOR RETURN POLICY PUT ALL ITEMS ABOVE ON 1 REEL PLEASE CALL BRIAN WHEN ORDER ARRIVES 317- 417 -5063 Billing Questions: Billing_request @kirbyrisk.com (765) 446 -3054 50702012 2.40 10 PM 3106280217 invoice Number 5106280217.001 Subtotal 2015.26 S &H Charges 0.00 Invoice is due by 06 /16/12. Sales Tax 0.00 BRIANTOLAN AMOUNT DUE 2015.26 0001:0004 /V Kirby Risk Page 1 of 1 Kirby Risk INVOICE INVOICE DATE. INVOICE NUMBER CUSTOMER 1815 Sagamore Pkwy Lafayette, IN 47904 05/17/12 S106187111.006 11788 DATE TOTAL DUE AMOUNT PAID 06/16/12 62.51 PLEASEREMIT PAYMENT TO KIRBY RISK CORPORATION P.O. BOX 664117 INDIANAPOLIS IN 46266 -4117 SHIP TO: ED003X 10019 D482307950 P1068629 0001:0006 Il� ll�" III��"' Il' lllllllllll' ll'll "'I'�Illl'I'llllllllll "II CARMEL WATER TREATMENT 0/0 KIRBY RISK CARMEL WATER TREATMENT 11110 Allisonville Road .q 3450 W 131ST ST FISHERS IN 46038 -1837 CARMEL IN 46074 -8267 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER NUMBER I CUSTOMER PO NUMBER I RELEASE NUMBER 11788 BT051412D P4 CPX 120V SALESPERSON SHIP VIA ORDERED BY I SALES OFFICE I PHONE NUMBER I SHIP DATE KEVIN R FORD DIRECT BRIAN TOLAN FISHERS 317 598 -6170 05/17/12 ORDER OTY I SHIP CITY :DESCRIPTION I ITEM PRICE UNIT I EXT AMOUNT CASH DISC 2ea 2ea BUSS JKS -15 12.61 lea 25.22 600V CLASS J FUSE "SUBJECT TO VENDOR RETURN POLICY** 2ea 2ea BUSS JKS -5 15.67 lea 31.34 600V CLASS J FUSE **SUBJECT TO VENDOR RETURN POLICY" Billing Questions: Billing_request @kirbyrisk.com (765) 446 3054 Invoice Number 5106187111.006 Subtotal 56.56 S &H Charges 5.95 Invoice is due by 06/16/12. Sales Tax 0.00 Af°pAMOUNT,,DUE 62.51 0001:0006 idt Kirby Risk Page 1 of 1 di Kirby Risk INVOICE INVOICE D NUMBER I `CUSTOMER #c ^�L. 1815 Sagamore Pkwy Lafayette, IN 47904 05/17/12 5106187111 004 11788 t DUE .�I ux 1,40TALTDUE a'I AMOUNT PAID 06/16/12 206.11 )"y ''=PLEASE REMIT PAYMENT TO e KIRBY RISK CORPORATION P.O. BOX 664117 INDIANAPOLIS IN 46266 -4117 SHIP TO: E0003 10024 0481756828 P1067737 0007:0009 11l111111111111 11111'1' 1111' 11111111 '1'1'Ill"11111111„ll1111'Il CARMEL WATER TREATMENT C t CARMEL WATER TREATMENT CIO KIRBY RISK r 3450 W 131ST ST 11110 Allisonville Road CARMEL IN 46074 -8267 FISHERS IN 46038 -1837 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT c CUSTOMER NUMBER CUSTOMER PO NUMBER.�Fr xqi y RELEASE NUMBER t +e r�' 11788 BT051412D P4 CPX 120V eSALESPERSON T fISHIP VIA BY' O SALES OFFICE PHONE NUMBER„ a` SHIP DATE yr KEVIN R FORD DIRECT BRIAN TOLAN FISHERS 317 -598 -6170 05/17/12 ORDER Wit SHIP,QTY �DESCRIPTION "t�� n IT PRICE t`' F. UNIT EXT AMOUNT n'CASH DISC 7 lea lea HOFFA201208LP 187.49 lea 187.49 ENCLOSURE 20.00X12.00X8.00 "SUBJECT TO VENDOR RETURN POLICY** Billing Questions: Billing_request @kirbyrisk.com (765) 446 -3054 Invoice Number 8106187111.004 Subtotal 187.49 S &H Charges 18.62 Invoice is due by 06/16/12. Sales Tax 0.00 t AMOUNT4DUE 206.11 0007:0009 Kirby Risk Page 1 of 1 Kirby Risk INVOICE 1815 Sagamore Pkwy 1NVOICEbATEs +I ;:INVOICE NUMBER I CUSTOMER Lafayette, IN 47904 05/16/12 5106187111.002 11788 h DUE DATE,k$I TOTAL•DUE' ill $AMO6NT 06/15/12 282.23 PLEASEAREMIT PAVMENT KIRBY RISK CORPORATION P.O. BOX 664117 INDIANAPOLIS IN 46266 -4117 SHIP TO: E0003 10020 0481756822 P1067737 0003:0009 illiIIIIIIIIIII III' IIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIli CARMEL WATER TREATMENT ''t CARMEL WATER TREATMENT C/O KIRBY RISK 3450 W 131ST ST 11110 Allisonville Road CARMEL IN 46074 -8267 FISHERS IN 46038 -1837 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER NUMBER I CUSTOMER PO NUMBER' I RELEASE NUMBER 11788 BT051412D P4 CPX 120V SALESPERSON •-..r SHIP VIA I ORDERED BY I.• SALESOFFICE PHONE NUMBER I SHIP. DATES y. KEVIN R FORD DIRECT BRIAN TOLAN FISHERS 317 -598 -6170 05/16/12 a' ITEM,PRICE UNIT" AMOUNT 4 'C ASH DISC: ORDER QTY SHIP QTY _DESCRIPTION EXT lea lea EGS Y2000 282.23 lea 282.23 2KVA 240X480 -120 CU **SUBJECT TO VENDOR RETURN POLICY** Billing Questions: Billing_request @kirbyrisk.com (765) 446 3054 Invoice Number S106187111.002 Subtotal 282.23 S&H Charges 0.00 Invoice is due by 06/15/12. Sales Tax 0.00 .•AMOUNT DUE 282.23 0003:0009 Kirby Risk Page 1 cif 1 Kirby Risk INVOICE icINV ..DAT ?I .INVOICE I 1 CUSTOMER #,E td 1815 Sagamore Pkwy Lafayette, IN 47904 05/16/12 S106187111.001 11788 ,.c l'�FDUE,DATE +I,$Y4TOTAL `Oa Il4$ AMOUNT PAID 06/15/12 230.98 ib'+,w-rF `SP,% SE REMFF PAYMENT TO u4' KIRBY RISK CORPORATION P.O. BOX 664117 INDIANAPOLIS IN 46266 -4117 SHIP TO: 374 1163 0.374 E0050X 10079 0483567569 P1070965 0001:0003 I�' llll�lllllll' I' I' lll�ll" il' liIliiI 'I'll'llll'I'll'llllIiIIl CARMEL WATER TREATMENT 3450 CARMEL WATER TREATMENT CAR W MEL L 3 IN N 46600 74 -8267 3450 W 131ST ST CAR CARMEL IN 46074 -8267 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER.NUMBER :CUSTOMER .PO NUMBER: 11788 BT051412D P4 CPX 120V SALESPERSON I SHIP VIA 1 _,1 `xORDEREO BV�� 7 .1 SALES OFFICE, PHONENUMBER 'SHIP DATE KEVIN R FORD WC51 WILL -CALL BRIAN TOLAN FISHERS 317- 598 -6170 05/16/12 ORDER QTV.I SHIP CITY I "'DESCRIPTION 1 ITEM PRICE" %l., UNIT I ..EXT AMOUNT_. I :_CASH DISC lea lea BUSS CCP- 3 -30CC 65.58 lea 65.58 Compact Circuit Protector 3Pole Class CC 4ea 4ea BUSS KTK -R -5 7.57 lea 30.28 600V MIDGET FUSE lea lea AB 199 -DR1 9.98 lea 9.98 ZINC PLATED, CHROMATED STEEL 10ea 10ea AB 1492 -J3 1.01 lea 10.10 IEC 1- Circuit Feed Through Block, 2.5mm max. wire, Gray, Pkg. Qty. of 100 2.5MM GRAY 2ea 2ea AB 1492 -JG3 5.01 lea 10.02 IEC 1 -CKT FEED THROUGH GRD BLK, 2.5MM 2ea 2ea AB 1492 -EAJ35 2.02 lea 4.04 SCREW END ANCHOR STD FOR 35MM DIN lea lea AB 1492 -EBJ3 0.76 lea 0.76 END BARRIER GRAY lea lea HOFF A20P12 26.42 lea 26.42 PANEL 17.00X9.00 FITS 20.00X12 lea lea AB 1492- PDM3141 34.92 lea 34.92 1492 POWER BLOCK, PDM MINI -STYLE BLOCK, 3 -POLE 2ea 2ea BUSS JTN60030 19.44 lea 38.88 CLASS J 1 POLE- W/ INDICATOR Billing Questions: Billing_request @kirbyrisk.com (765) 446 3054 5/2212012102803 AM s10618]IIIo01 Invoice Number S106187111.001 Subtotal 230.98 S&H Charges 0.00 Invoice is due by 06 /15/12. Sales Tax 0.00 BRIAN N AMOUNT -DUE 230.98 0001:0003 1 Lr Kirby Risk Page 1 of 1 Kirby Risk I NVOI C E 4 N VOICE DATE t INVOICE NUMBER "1I CUSTOMER 1815 Sagamore Pkwy Lafayette, IN 47904 05/17/12 S106292157.002 11788 DU 13A.M .I ;TOTAL DU I AMOUNT,PAID 06/16/12 52.52 PLEASE KIRBY RISK CORPORATION P.O. BOX 664117 INDIANAPOLIS IN 46266 -4117 SHIP TO: E0003 10026 0481756831 P1067737 0009:0009 11 11111 11 101 IIIIIIIUIPIIII' lI111il1 'I'I'Ill"Il'l"ll"IIIIII.II CARMEL WATER TREATMENT rp CARMEL WATER TREATMENT 3450 W 131ST ST s CARMEL IN 46074 -8267 'n 3450 W 131ST ST CARMEL IN 46074 -8267 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER NUMBER s PO NUMBER RELEASE NUMBER 11788 FAULT SET TOOL SHI S� ALESPERSON 'SHIP VIA -t SA OFFICE PHONE NUMBER P DATE e a of u a r LES JASON PHILLIPS PK PICK -UP BRIAN TOLAN FISHERS 317 -598 -6170 05/17/12 ORDER QTY SHIP OTT e' aDESCRIPTION F ri* t I ITEM PRICE UNIT EXT AMOUNT CAS ASHDISC lea lea GREE 868 52.52 lea 52.52 1/4 -20 SCREW ANCHOR EXPD Billing Questions: Billing_request@kirbyrisk.com (765) 446 -3054 Invoice Number S106292157.002 Subtotal 52.52 S &H Charges 0.00 Invoice is due by 06/16/12. Sales Tax 0.00 p�, AMOUNT'DU 52.52 0009:0009 Kirby Risk Page 1 of 1 1tt Kirby Risk INVOICE INVOICE DATE I INVOICE NUMBER I CUSTOMER 1815 Sagamore Pkwy Lafayette, IN 47904 05/04/12 S106185344.001 11788 DUE DATE TOTAL DUE I AMOUNT PAID 06/03/12 1538.37 PLEASE REMIT PAYMENT TO: KIRBY RISK CORPORATION P.O. BOX 664117 INDIANAPOLIS IN 46266 -4117 SHIP TO: 551 1 MB 0.404 E0254X 10441 0475719497 P1058940 0001:0001 l i ..I. III' I IIi IIIrI1' II' IIIIIIIIIIIIIIIIIIIIIIIIIII 'll "I'lll'I CARMEL WATER TREATMENT CARMEL WATER TREATMENT WILL CALL K/R Fishers 3450 W 131ST ST Brian Tolan (317) 471 -5063 CARMEL IN 46074 -8267 CARMEL IN 46074 -8267 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMERNU IpER,I CUSTOMERPO NUMBER„,, ,.1 .RELEASE NUMBERS trc 11788 W09697 SALESPERSON SHIP VIA ORDERED BY I SALES OFFICE I PHONE NUMBER SHIP DATE JAY DAVIS DIRECT BRIAN TOLAN FISHERS 317 -598 -6170 05/04/12 ORDER CITY! SHIP OTY DESCRIPTION I ITEM PRICE UNIT I EXT AMOUNT CASH DISC lea lea SIEM NEB2B020B 567.54 lea 567.54 BREAKER NEB 2P 20A 480V 35KA LOAD LUGS "SUBJECT TO VENDOR RETURN POLICY** lea lea SIEM SEBD 797.64 lea 797.64 P5 PANEL BRANCH BREAKER KIT 1 3 PHASE "SUBJECT TO VENDOR RETURN POLICY** lea lea SIEM 6FPB01 173.19 lea 173.19 BLANK PLATE "SUBJECT TO VENDOR RETURN POLICY Billing Questions: Billing_request @kirbyrisk.com (765) 446 -3054 Invoice Number S106185344.001 Subtotal 1538.37 S &H Charges 0.00 Invoice is due by 06/03/12. Sales Tax 0.00 ,r,, AMOUNT DU 1538.37 0001:0001 IV( Kirby Risk Page 1 of 1 INVOICE ®ICE Kirby Risk 1815 Sagamore Pkwy �2INVOICE DATE INVOICE NUMBER "CUSTOMER Lafayette, IN 47904 06/01/12 S106312795.001 11788 yS.• DU DATE_ I;_. OTP419LIE E AMOUNT PAID; 07/01/12 817.94 PLEASE REMIT PAYMENT TO t KIRBY RISK CORPORATION P.O. BOX 664117 INDIANAPOLIS IN 46266 -4117 SHIP TO: 349 1 AB 0.374 E0051X 10078 0488910939 P1081327 0001:0001 I I I I I" IIut ul h l 'IIIIIIIIIIIII"IIIIIIIIIIIII CARMEL WATER TREATMENT CARMEL WATER TREATMENT Will Call Kirby Risk Fishers .574 3450 W 131ST ST Brian Tolan CARMEL IN 46074 -8267 CARMEL IN 46074 -8267 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER NUMBER r doSTOMiR PO NUMBER y I RELEASE NUMBER 11788 BT053112C SALESPERSON SHIP VIA I ORDERED BY I SALES OFFICE I PHONE NUMBER I SHIP DATE JAY DAVIS DIRECT BRIAN TOLAN FISHERS 317- 598 -6170 06/01/12 ORDER CITY SHIP QTY I .DESCRIPTION ITEM PRICE I UNIT I EXT AMOUNT I CASH DISC lea lea SIEM SEB 797.64 lea 797.64 P4 PANEL BRANCH BREAKER KIT 1 3 PHASE *SUBJECT TO VENDOR RETURN POLICY** Billing Questions: Billing_request @kirbyrisk.com (765) 446 -3054 Invoice Number 5106312795.001 Subtotal 797.64 S&H Charges 20.30 Invoice is due by 07/01/12. Sales Tax 0.00 AMOUNT DUE 817.94 0001:0001 KR Kirby Risk Page 1 of 1 Kirby Risk INVOICE INVOICE DATEet ('INVOICE NUMBER =I CUSTOMER 1815 Sagamore Pkwy Lafayette, IN 47904 05/14/12 5106163994.001 11788 DUE DATE 4a 1 TOTAL DUET n` e �l x'�AMOUNT PAID =G, 06/13/12 827.66 k-_ PLEASEREMITPAYMENT TOic 7 KIRBY RISK CORPORATION P.O. BOX 664117 INDIANAPOLIS IN 46266 -4117 SHIP TO: E0003X 10018 0481756819 P1067737 0001:0009 IIIIIIIIIIIIIIIIII11111 11111 1111I111111IIIIIIIIIIIIIIIIIII1111111 CARMEL WATER TREATMENT CARMEL WATER TREATMENT 3450 W 131ST ST 3450 W 131ST ST TOLAN-P4BSTR DISC4VAULT CARMEL IN 46074 -8267 CARMEL IN 46074 -8267 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER NUMBER I CUSTOMER PO NUMBER:: I z RELEASE NUMBER 11788 BT042512A SALESPERSON SHIP VIA" I' ORDERED BY I SALES OFFICE PHONE NUMBER I SHIP DATE'' MARK MORRIS WC51 WILL -CALL BRIAN TOLAN FISHERS 317 -598 -6170 05/14/12 ORDER OTT I SHIP CITY DESCRIPTION. 'ITEM PRICE UNIT EXT AMOUNT I CASH DISCS' 2ea 2ea SIEM HNF364J 413.83 lea 827.66 200A 3P 3W 600V TYPE 12 HD VBII NON -FUSE "SUBJECT TO VENDOR RETURN POLICY** Billing Questions: Billing_request @kirbyrisk.com (765) 446 -3054 5117120122: 99: 26 PM 5106169994001 Invoice Number S106163994.001 Subtotal 827.66 S &H Charges 0.00 Invoice is due by 06/13/12. 1O L G' Sales Tax 0.00 BRIAN TOLAN AMOUNT DUE 827.66 0001:0009 Kirby Risk Page 1 of 1 ll'eR Kirby Risk INVOICE INVOICE DATE INVOICE NUMBER CUSTOMER# 1815 Sagamore Pkwy Lafayette, IN 47904 05/22/12 S106298069.001 11788 DUE DATE TOTAL DUE AMOUNT PAID 06/21/12 166.54 PLEASE REMIT PAYMENT TO: KIRBY RISK CORPORATION P.O. BOX 664117 INDIANAPOLIS IN 46266 -4117 SHIP TO: 579 1 MB 0.404 E0270X 10547 0484154106 P1071810 0001:0003 I'I'I" III' IIllllllrllllt llil' llii 'I'lll'III'llI'II'IIIIIIIlIII" CARMEL WATER TREATMENT 'V} CARMEL WATER TREATMENT 3450 W 131ST ST 3450 W 131ST ST CARMEL IN 46074 -8267 CARMEL IN 46074 -8267 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER NUMBER I CUSTOMER PO NUMBER RELEASE NUMBER 11788 BT052212A PG052212 SALESPERSON SHIP VIA ORDERED BY I SALES OFFICE I.. PHONE NUMBER I SHIP DATE KEVIN R FORD WC51 WILL -CALL BRIAN TOLAN FISHERS 317 598 -6170 05/22/12 ORDER OTY I SHIP OTY I DESCRIPTION ITEM PRICE UNIT I EXT AMOUNT I CASH DISC 4ea 4ea CARL E942D 12.51 100ea 0.50 1/2" SCHEDULE 40 FEMALE ADAPTER 4ea 4ea CARL E942F 25.91 100ea 1.04 1" SCH 40 FEMALE ADAPTER 2ea 2ea CARL E989N -CAR 1784.90 100ea 35.70 8X8X4 ELECTRICAL BOX 24ea 24ea CARL LT43D -NEW 136.39 100ea 32.73 PVC 1/2" STRAIGHT LIQUIDTIGHT FTG 20ea 20ea CARL LT20D -NEW 229.14 100ea 45.83 PVC 1/2" 90 LIQUIDTIGHT FTG 10ea 10ea HUBB PS0509NGY 3.01 lea 30.10 POLY NM FITTINGS 16ea 16ea CARL E977DC 13.92 100ea 2.23 1/2" PVC CONDUIT CLAMP 100ea 100ea IDEA 30 -341 111.44 1000ea 11.14 341 TWISTER WIRENUT CONN. 100ea 100ea IDEA 30 -073 72.66 1000ea 7.27 WIRENUT 73B ORAN 100PC BX Billing Questions: Billing_request @kirbyrisk.com (765) 446 -3054 5120120128:58.13 AM S106298069.001 Invoice Number 5106298069.001 Subtotal 166.54 A�ar,� S&H Charges 0.00 Invoice is due by 06/21/12. )4 Sales Tax 0.00 KM BRIAN TOLAN AMOUNT DUE 166.54 0001:0003 l Kirby Risk Page 1 of 1 i tt? Kirby Risk INVOICE r INVOICE DATE 1 INVOICE NUMBER I CUSTOMER 1815 Sagamore Pkwy Lafayette, IN 47904 05/21/12 S106295757.001 11788 DUE DATE .TOTAL Dl1E." AMOUNT+PAID 06/20/12 270.98 J.: r PLEASEREMIT PAYMENT fo7- 5t;+' KIRBY RISK CORPORATION P.O. BOX 664117 INDIANAPOLIS IN 46266 -4117 SHIP TO: E0005 10041 0482977717 P 1069972 0006:0008 IiIIIIuiiIII" III' ll" 11 1111Ii. IiI1III 'IIIIIIIIIiIIiiIlrlrrrIiIII CARMEL WATER TREATMENT r• CARMEL WATER TREATMENT 3450 W 131ST ST 3450 W 131ST ST CARMEL IN 46074 -8267 CARMEL IN 46074 -8267 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER NUMBER I •;l,'CUSTOMER PO NUMBER• RELEASE NUMBER 11788 BT052112A SALESPERSON SHIP VIA I ORDERED BY I SALES OFFICE I PHONE NUMBER I SHIP DATE JASON PHILLIPS PK PICK -UP BRIAN TOLAN FISHERS 317 -598 -6170 05/21/12 ORDER CITY SHIP QTY•• DESCRIPTION_' I ITEM PRICE_ UNIT I4EXTAMOUNT I_ CASHDISCw', 17ea 17ea MINE 2B 55.59 100ea 9.45 HANGER W /BOLT 1" EMT 1" RIGID 30ea 30ea MINE 18 43.40 100ea 13.02 HANGER W /BOLT 3/4" EMT 3/4" RIGID 35ea 35ea MINE 08 37.52 100ea 13.13 HANGER W /BOLT 1/2" EMT 3/8 -1/2" RIGID 3ea 3ea CARL E989NNJ 465.38 100ea 13.96 4" X 4" X 2" JUNCTION BOX 3ea 3ea CARL E987N 742.26 100ea 22.27 4X4X4 PVC JUNCTION BOX 2ea 2ea CARL E986J 731.70 100ea 14.63 2" TYPE LB CONDUIT BODY 2ea 2ea CARL E986F 181.35 100ea 3.63 1" TYPE LB CONDUIT BODY 2ea 2ea CARL E980DFN 445.26 100ea 8.91 1/2" FSE 1 -GANG WP BOX NEW STYLE 2ea 2ea CARL E981EFN 468.60 100ea 9.37 3/4" FSC 1 -GANG WP BOX NEW STYLE 2ea 2ea EGS CG -3150 379.98 100ea 7.60 1/2 ALUM STR CORD CONN 2ea 2ea CARL E942D 12.51 100ea 0.25 1/2" SCHEDULE 40 FEMALE ADAPTER 2ea 2ea CARL E98TSCN 301.57 100ea 6.03 TGL SW WP COVER 2ea 2ea HUBB CS120 2.41 lea 4.82 BROWN 20A 120- 277VAC SP SWITCH 8ea 8ea CARL E943F 23.08 100ea 1.85 1" SCH 40 MALE ADAPTER Billing Questions: Billing_request @kirbyrisk.com (765) 446 -3054 Invoice is due by 06/20/12. 0006:0008 i4 Kirby Risk Page 1 of 3 INVOICE Kirby '816 B+:INVOICE DATEINVOICE NUMBER I. y CUSTOMER 1815 Sagamore Pkwy Lafayette, IN 47904 05/21/12 8106295757.001 11788 v"DUE DATEI+t'TOTAL DUE `c y I AMOUNT PAIDG 06/20/12 270.98 REMIT PAYMENT TO: i b" K KIRBY RISK CORPORATION P.O. BOX 664117 INDIANAPOLIS IN 46266 -4117 SHIP TO: E0005 10042 0482977717 P10699720007:0008 I'll�l'lllll" III' I�" I' �III�1' II�IIII 'llll�IIiI.II.iIIi�1 "IIII� CARMEL WATER TREATMENT 3450 W 131ST ST CARMEL WATER TREATMENT CARMEL IN 46074 -8267 3450 W 131ST ST CARMEL IN 46074 -8267 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT .CUSTOMERNUMBER e h CUSTOMER PO NUMBER e 11788 BT052112A SALESPERSON SHIP VIA bROERED BY SALES OFFICE' I PHON SHIP DATE y_ JASON PHILLIPS PK PICK -UP BRIAN TOLAN FISHERS 317 -598 -6170 05/21/12 ORDER SHIP QTY I `DESCRIPTION a s "a >..r a4 ITEM PRICE I _UNIT ,EXTAMOUNT. CASH DISC 4ea 4ea EGS L -300 13.30 100ea 0.53 1 -IN STEEL LOCKNUT 2ea 2ea EGS L -600 37.41 100ea 0.75 STEEL LOCKNUT 21N 2ea 2ea EGS STG -100 87.41 100ea 1.75 1 -IN 0-RING ASSEMBLY 2ea 2ea EGS STG -200 224.32 100ea 4.49 2 -IN 0-RING ASSEMBLY 2ea 2ea CARL E943J 49.27 100ea 0.99 2" SCH 40 MALE ADAPTER 2ea 2ea BLIN 62013PA -2 141.26 100ea 2.83 2" PLTD COND CLAMP lea lea HUBB GF20ILA 9.04 lea 9.04 20A 125V COMM LED GFCI, IV 4ea 4ea CARL UA9AE 31.96 100ea 1.28 3/4" SCH 40 STD 90 DEG ELBOW 4ea 4ea CARL E943E 16.70 100ea 0.67 3/4 SCH 40 MALE ADAPTER 4ea 4ea EGS L -200 6.86 100ea 0.27 3/4 STEEL LOCKNUT 10ea 10ea T&B HS 102 10.26 100ea 1.03 3/4 1H STL COND STRAP lea lea CARL E942E 19.05 100ea 0.19 3/4" SCH 40 FEMALE ADAPTER 40ft 40ft `PVC 3/4" SCH 40 NM CONDUIT 10' 17.60 100ft 7.04 CARL 49007 -010 OR CTX A52AG12 15ea 15ea CARL UA9AD 30.04 100ea 4.51 1/2" SCH 40 STD 90 DEG Elbow 10ea 10ea CARL E940D 7.81 100ea 0.78 Billing Questions: Billing_request ©kirbyrisk.com (765) 446 -3054 Invoice is due by 06/20/12. 8�,j�� 0007:0008 /x!16 Kirby Risk Page 2 of 3 Kirby Risk INVOICE 1815 SagamoreP s'1NVOICE .,,9-I NU I r CUSTOMER# Lafayette, IN 47904 05/21/12 3106295757.001 11788 o �1s� DATE TOTAL DUEc% 9 4 +AMOUNT PAIDr 06/20/12 270.98 i �:;;PCEASEiREMIT PAYMENT TO, i" KIRBY RISK CORPORATION P.O. BOX 664117 INDIANAPOLIS IN 46266 -4117 SHIP TO: E0005 10043 0482977717 P10699720008:0008 I'll�l'lllll" III' I�" I' �III�I' il�llll 'llll�llll'll�llliliirlllll CARMEL WATER TREATMENT y� CARMEL WATER TREATMENT 3450 W 131ST ST 3450 W 131ST ST CARMEL IN 46074 -8267 CARMEL IN 46074 -8267 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER NUMBER I CUSTOMER PO NUMBER RELEASE NUMBER 11788 BT052112A SALESPERSON SHIP VIAS:` I .ORDERED BV y I SALES 5416E I PHONE NUMBER :7 L SHIP DATE JASON PHILLIPS PK PICK -UP BRIAN TOLAN FISHERS 317 598 -6170 05/21/12 ORDER QTY .'SHIP Q *DESCRIPTION c s ITEM PRICE EXT DISC'' 1/2" SCH 40 COUPLING 10ea 10ea CARL E943D 10.41 100ea 1.04 1/2" SCH 40 MALE ADAPTER 10ea 10ea EGS L -100 6.00 100ea 0.60 1/2 STEEL LOCKNUT 6ea 6ea CARL UA7AD 18.81 100ea 1.13 CL UA7AD 1/2" SCH 40 STD 45 DEG ELB 25ea 25ea T &B HS 101 7.39 100ea 1.85 1/2 1H STL COND STRAP 200ft 200ft "PVC 1/2" SCH 40 NM CONDUIT 10' 14.46 100ft 28.92 CARL 49005 -010 OR CTX A52AE12 lea lea HOFF A10106CH 70.37 lea 70.37 CH BOX 10.00X10.00X6.00 2ea 2ea EGS L -800 100.22 100ea 2.00 3 -IN STEEL LOCKNUT Billing Questions: Billing _request @kirbyrisk.com (765) 446 -3054 5121720120.53:OT AM 8106295757 001 Invoice Number 5106295757.001 Subtotal 270.98 7 z j Y S &H Charges 0.00 Invoice is due by 06/20/12. Sales Tax 0.00 BRIAN TOL 1..N O 270.98 �j� 0008:0008 Kirby Risk Page 3 of 3 lleR Kirby Risk INVOICE INVOICE DATE INVOICE NUMBER CUSTOMER r 1815 Sagamore Pkwy Lafayette, IN 47904 05/17/12 S106193499.001 11788 v :DUE DATE H TOTAL DUEy" AMOUNT PAID 06/16/12 678.87 PLEASE REMIT PAYMENT TO: KIRBY RISK CORPORATION P.O. BOX 664117 INDIANAPOLIS IN 46266 -4117 SHIP TO: E0005 10038 0482977714 P1069972 0003:0008 1l llll' 1111111111' I�" I' �III�I' II�IIII 'llll�llll'llilllilii�llll� CARMEL WATER TREATMENT "'z CARMEL WATER TREATMENT Will Call K/R Fishers 4 }f Brian Tolan (317) 417 -5063 hg 3450 W 131ST ST CARMEL IN 46074 -8267 CARMEL IN 46074 -8267 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER NUMBER }CUSTOMER PO N RELEASE NUMBER 11788 BT042512C SALESPERSON SHIP VIA ORDERED BY I SALES OFFICE' I PHONE NUMBER I SHIP DATE JAY DAVIS WC51 WILL -CALL BRIAN TOLAN FISHERS 317 598 -6170 05/17/12 ORDER CITY SHIP QTY.j DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC lea lea SIEM P1Al8MC250C 133.77 lea 133.77 S1 1 PHASE PB INTERIOR lea lea SIEM WP32 325.58 lea 325.58 WP 3R/12 ENCL ASSY- 32HX5.75D, lea lea SIEM EGK 3.33 lea 3.33 44CONN AL GROUND BUS lea lea SIEM MBKBL1 39.99 lea 39.99 100A 1PH BREAKER KIT lea lea SIEM 8260 37.14 lea 37.14 LOW TAB BQ 10ea 10ea SIEM QF3 0.64 lea 6.40 QP, 80, ED2 FILLER PLATE 1EA =1PC lea lea SIEM B230 37.14 lea 37.14 BREAKER 30A 2P 120/240V 10K BL 6ea 6ea SIEM B120 15.92 lea 95.52 SP 20A CKT BRKR Billing Questions: Billing_request @kirbyrisk.com (765) 446 3054 5/211201211: 07: 24 AM 5106193499001 Invoice Number 6106193499.001 Subtotal 678.87 S &H Charges 0.00 Invoice is due by 06/16/12. r0 LOLA/ 1757 Sales Tax 0.00 pp��,, BRIAN TOLAN >�AMOU NTDUE 678.87 0003:0008 11 1Q Kirby Risk Page 1 of 1 At Kirby Risk INVOICE INVOICE DATE I INVOICE NUMBER, I CUSTOMER 1815 Sagamore Pkwy Lafayette, IN 47904 05/02/12 S106264315.001 11788 DUE'DATE TOTAL DUE AMOUNT PAID 06/01/12 10.24 PLEASE REMIT PAYMENT TO: KIRBY RISK CORPORATION P.O. BOX 664117 INDIANAPOLIS IN 46266 -4117 SHIP TO: 1112 1 AB 0.374 E0118X 10174 0475140795 P1058046 0001:0001 I1li1111111IIIIIII1I1I1111I11i11111111111iIli1i1111111I11111II111 CARMEL WATER TREATMENT ST ii, jg t* CARMEL WATER TREATMENT 3450 W 131ST 46074 -8267 3450 W 131ST ST CARMEL IN 46074 -8267 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSIOMER-NUMBER- I CUSTOMER- PO:NUMBER x i I r ^'RELEASE NUMBER_•: 11788 HEAT SHRINK SALESPERSON SHIP VIA 'ORDERED BY 1 'r. I SALES OFFICE v I PHONE'NUMBER SHIP DATE MARKS BAYS WC51 WILL -CALL KEN RHODES FISHERS 317 598 -6170 05/02/12 ORDER QTY SHIP QTY I DESCRIPTION I ITEM PRICE I. UNIT I EXT AMOUNT CASH DISC 2ea 2ea PAND HSTT38 -48 -Q 3.24 lea 6.48 HEAT SHRINK THIN, .38(9.5MM) DIA, BLACK 2ea 2ea PAND HSTT12 -48 -Q 1.88 lea 3.76 HEAT SHRINK THIN, .12(3.2MM) DIA, BLACK Billing Questions: Billing_request ©kirbyrisk.com (765) 446 -3054 513/2012906: 03 AM 5106264315 001 Invoice Number 5106264315.001 Subtotal 10.24 ay�� S &14 Charges 0.00 /y Invoice is due by 06/01/12. r•^' Sales Tax 0.00 KEN RHODES %A'; 6 AMOUNT DU 10.24 0001:0001 N Kirby Risk Page 1 of 1 Kirby Risk INVOICE INVOICE DATE INVOICE NUMBER CUSTOMER 1815 Sagamore Pkwy Lafayette, IN 47904 05/18/12 S106287698.001 11788 DUE DATE TOTAL DUE AMOUNT PAID."; 06/17/12 236.11 PLEASE REMIT PAYMENT TO:° i KIRBY RISK CORPORATION P.O. BOX 664117 INDIANAPOLIS IN 46266 -4117 SHIP TO: E0003 10024 0482307957 P1068629 0006:0006 II�II�" III��"' II. IIIIIIIIII�II� .II "'I'�IIII'I'I�III�IIII "II CARMEL WATER TREATMENT CARMEL WATER TREATMENT 5484 E. 126TH ST. te r` 3450 W 131ST ST CARMEL IN 46033 CARMEL IN 46074 -8267 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT CUSTOMER NUMBER I CUSTOMER PO NUMBER RELEASE NUMBER 11788 KR51512 SALESPERSON SHIP VIA I ORDERED BY I SALES OFFICE I PHONE NUMBER I SHIP DATE Web Order Entry DIRECT KEN RHODES FISHERS 317 598 -6170 05/18/12 ORDER QTY I SHIP QTY I DESCRIPTION I ITEM PRICE UNIT I EXT AMOUNT I CASH. DISC 2ea 2ea HOFF CWHPTO 79.96 lea 159.92 PADLOCK HANDLE 4ea 4ea HOFF A16P14 12.45 lea 49.80 PANEL 14.75X12.88 FITS 16.00X1 Billing Questions: Billing_request @kirbyrisk.com (765) 446 -3054 Invoice Number 5106287698.001 Subtotal 209.72 S &H Charges 26.39 Invoice is due by 06/17/12. Sales Tax 0.00 AMOUNT'DUE 236.11 0006:0006 KR Kirby Risk Page 1 of 1 KR Kirby Risk INV ®ICE INVOICE DATE I INVOICE NUMBER CUSTOMER 1815 Sagamore Pkwy Lafayette, IN 47904 04/16/12 S106231890.001 11788 DUE DATE I TOTAL DUE I AMOUNT PAID 05/16/12 345.84 PLEASE REMIT PAYMENT TO: KIRBY RISK CORPORATION P.O. BOX 664117 INDIANAPOLIS IN 46266 -4117 SHIP TO: 368 1 48 0.374 E0058X 10093 0466388172 P1041210 0001 :0002 illll��lll 'I�III "''I'llilllli�liiillll "III "I�I�I "�'��II��III CARMEL WATER TREATMENT 5' CARMEL WATER TREATMENT 5484 E. 126TH ST Pr 3450 W 131ST ST CARMEL IN 46033 CARMEL IN 46074 -8267 DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT 9 —..CU TOM NUMB 11788 KR41212 SALESPERSON SHIP VIA ORDERED BY I SALES OFFICE I PHONE NUMBER SHIP DATE Web Order Entry 23 INDIANAPOLIS KEN RHODES FISHERS 317 -598 -6170 04/16/12 ORDER QTV SHIP CITY I DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC lea lea HOFF DAH4001B 291.84 lea 291.84 11 5V,50/60HZ,400 W, 3.3A 8ea 8ea HOFF AS075 6.75 lea 54.00 HOLE SEALS FOR 0.75' CONDUIT Billing Questions: Billing_request ©kirbyrisk.com (765) 446 -3054 Invoice Number S106231890.001 Subtotal 345.84 S &H Charges 0.00 Invoice is due by 05/16/12. Sales Tax 0.00 AMOUNT DU 345.84 0001:0002 eV( Kirby Risk Page 1 of 1 6 i vel LONDON LWG WITTE GROUP Carmel Water Utility Client No: 1002.005 760 3rd Avenue SW Date: 04/30/2012 Suite 110 Invoice No: 24918 Carmel, IN 46032 For services rendered as detailed in the attached summary. 857.50 Current Amount Due 857:50 1 Certified Public Accountants 1776 N. Meridian Street, Suite 500 Indianapolis, Indiana 46202 Telephone 1 317- 634 -4747 Facsimile 1 317- 632 -2727 Web 1 LondonWitteGroup.com London Witte Group, LLC April 2012 Billing Detail Carmel Water Utility 1002.005 Hourly Employee Date Hours Rate Invoice Memo Haase 4/5/2012 2.25 295.00 663.75 Working with CM regarding the opening book entry for the bonds and defeasance of the applicable existing bonds. Baugh 4/5/2012 0.50 150.00 75.00 Waterworks Junior Revenue Bonds of 2012 review of escrow verification, closing memo and monthly transfer schedule per request and with Sue Haase due to request for Water Utility on booking of Junior Waterworks Revenue Bonds of 2012. Higgins 4/13/2012 0.25 325.00 81.25 Follow -ups with Carol, Sue and Eric re: notification of refunding call and defeasance and related matters Baugh 4/13/2012 0.25 150.00 37.50 Research Notice of Redemption of Bonds and possible EMMA filing of Bond Call. Forward Notice of Redemption to Carol McManama at Carmel Water per request of Jim Higgins. 3.25 857.50 Total Due This Invoice. GUEST COPY G CITY /CARMEL WATER DIST MENARDS CARMEL EMAIL 2150 E. GREYHOUND PASS 3450 W 131ST ST CARMEL, IN 46033 CARMEL IN 46074 FAX (317)733 -2053 INVOICE 48820 ACCOUNT 30830253 TRANSACTION DATE 06/07/12 TRANSACTION 5631 TRANSACTION TIME 115727 PURCHASE ORDER REGISTER NUMBER 3 TYPE OF SALE Charge Sale SIGNER WILLIAM BELL CLAIM QUANTITY SKU DESCRIPTION AMOUNT 1.00 6858599 1/2" GALV PLUG .79 1.00 6857846 1/2" X 5" GALV NIPPLE .79 1.00 6858955 3/4 X 1/2 GALV BUSHING .99 1.00 6858557 1/2" 90DEG GALV ST ELBOW .99 1.00 6858955 3/4 X 1/2 GALV BUSHING .99 1.00 6858955 3/4 X 1/2 GALV BUSHING .99 2.00 6857804 1/2" CLOSE GALV NIPPLE .98 1.00 6858557 1/2" 90DEG GALV ST ELBOW .99 1.00 6858557 1/2" 90DEG GALV ST ELBOW .99 1.00 6858599 1/2" GALV PLUG .79 1.00 6862205 GAS VALVE 1 /2F X 1 /2F .48 1.00 6851602 1/2" BRASS BALL VALVE FIP .78 1.00 6862205 GAS VALVE 1/2F X 1 /2F .48 1.00 6857820 1/2" X 3" GALV NIPPLE .58 1.00 6857820 1/2" X 3" GALV NIPPLE .58 1.00 6862205 GAS VALVE 1/2F X 1/2F .48 1.00 6862205 GAS VALVE 1/2F X 1/2F .48 1.00 6857833 1/2" X 4" GALV NIPPLE ,69 1.00 6857820 1/2" X 3" GALV NIPPLE .58 1.00 6857820 1/2" X 3" GALV NIPPLE ,58 1.00 6858557 1/2" 90DEG GALV ST ELBOW .99 1.00 6858557 1/2" 90DEG GALV ST ELBOW .99 1.00- 6858557 1/2" 90DEG GALV ST ELBOW .99 1.00 6858955 3/4 X 1/2 GALV BUSHING .99 1.00 6858599 1/2" GALV PLUG .79 1.00 6857817 1/2" X 2" GALV NIPPLE .49 1.00 6857817 1/2" X 2" GALV NIPPLE ,49 1.00 6857817 1/2" X 2" GALV NIPPLE .49 1.00 6857817 1/2" X 2" GALV NIPPLE ,49 GUEST COPY G CITY /CARMEL WATER DIST MENARDS CARMEL EMAIL 2150 E. GREYHOUND PASS 3450 W 131ST ST CARMEL, IN 46033 CARMEL IN 46074 FAX (317)733 -2053 INVOICE 48820 ACCOUNT 30830253 TRANSACTION DATE 06/07/12 TRANSACTION 5631 TRANSACTION TIME 115727 PURCHASE ORDER REGISTER NUMBER 3 TYPE OF SALE Charge Sale SIGNER WILLIAM BELL CLAIM QUANTITY SKU DESCRIPTION AMOUNT SUB- TOTAL: 45.73 TOTAL TAX: 0.00 PAYMENTS 0.00 TOTAL DUE: 45.73 IC- 1 1 el l l� V if 4,� STORE COPY G CITY /CARMEL WATER DIST MENARDS CARMEL EMAIL 2150 E. GREYHOUND PASS 3450 W 131ST ST CARMEL, IN 46033 CARMEL IN 46074 FAX (317)733 -2053 INVOICE 46648 ACCOUNT 30830253 TRANSACTION DATE 06/01/12 TRANSACTION 2369 TRANSACTION TIME 101232 PURCHASE ORDER JA6112A REGISTER NUMBER 6 TYPE OF SALE Charge Sale SIGNER James Alford CLAIM JA6112A QUANTITY SKU DESCRIPTION AMOUNT 1.00 4334222 PINE TAPERED SHIMS 12 CT 1.35 1.00 4334222 PINE TAPERED SHIMS 12 CT 1.35 1.00 4141185 P -1 OUTSWING FLUSH PH 184.00 SUB- TOTAL: 186.70 TOTAL TAX: 0.00 PAYMENTS 0.00 TOTAL DUE: 186.70 I 1 1 )1 1 1 0 1 i GUEST COPY G CITY /CARMEL WATER DIST MENARDS CARMEL EMAIL 2150 E. GREYHOUND PASS 3450 W 131ST ST CARMEL, IN 46033 CARMEL IN 46074 FAX i# (317)733 -2053 INVOICE 43477 ACCOUNT 30830253 TRANSACTION DATE 05/23/12 TRANSACTION 6296 TRANSACTION TIME 103634 PURCHASE ORDER plant 4 hsp REGISTER NUMBER 4 TYPE OF SALE Charge Sale SIGNER James Alford CLAIM plant 4 hsp QUANTITY SKU DESCRIPTION AMOUNT 1.00 6805775 1/4" X 6" BRASS NIPPLE 6.29 1.00 6805775 1/4" X 6" BRASS NIPPLE 6.29 1.00 6805775 1/4" X 6" BRASS NIPPLE 6.29 1.00 6805115 1/4" BRASS TEE F X F 2.76 1.00 6851600 1/4" BRASS BALL VALVE FIP 6.86 1.00 6851600 1/4" BRASS BALL VALVE FIP 6.86 1.00 6851600 1/4" BRASS BALL VALVE FIP 6.86 1.00 6851600 1/4" BRASS BALL VALVE FIP 6.86 1.00 6803162 1/4" SQUARE HEAD PLUG 1.77 1.00 6803162 1/4" SQUARE HEAD PLUG 1.77 1.00 6803162 1/4" SQUARE HEAD PLUG 1.77 1.00 6805115 1/4" BRASS TEE F X F 2.76 1.00 6805115 1/4" BRASS TEE F X F 2.76 1.00 6805115 1/4" BRASS TEE F X F 2.76 1.00 6805827 1/4" BRASS STREET ELBOW 3.58 1.00 6805827 1/4" BRASS STREET ELBOW 3.58 1.00 6805827 1/4" BRASS STREET ELBOW 3.58 1.00 6805827 1/4" BRASS STREET ELBOW 3.58 1.00 6805827 1/4" BRASS STREET ELBOW 3.58 1.00 6805827 1/4" BRASS STREET ELBOW 3.58 1.00 6805827 1/4" BRASS STREET ELBOW 3.58 SUB TOTAL: 87.72 TOTAL TAX: 0.00 PAYMENTS 0.00 TOTAL DUE: 87.72 1 J 1 1/ i p L GUEST COPY G CITY /CARMEL WATER DIST MENARDS CARMEL EMAIL 2150 E. GREYHOUND PASS 3450 W 131ST ST CARMEL, IN 46033 CARMEL IN 46074 FAX (317)733 -2053 INVOICE 43447 ACCOUNT 30830253 TRANSACTION DATE 05/23/12 TRANSACTION 6487 TRANSACTION TIME 91239 PURCHASE ORDER DAN52312 REGISTER NUMBER 2 TYPE OF SALE Charge Sale SIGNER DANIEL JENKINS CLAIM DAN52312 QUANTITY SKU DESCRIPTION AMOUNT 1.00 6858599 1/2" GALV PLUG 0.79 1.00 6857804 1/2" CLOSE GALV NIPPLE 0.49 1.00 6858557 1/2" 90DEG GALV ST ELBOW 0.99 1.00 6857804 1/2" CLOSE GALV NIPPLE 0.49 3.00 6858955 3/4 X 1/2 GALV BUSHING 2.97 1.00 6857817 1/2" X 2" GALV NIPPLE 0.49 1.00 6858955 3/4 X 1/2 GALV BUSHING 0.99 1.00 6862208 GAS VALVE 1 /2F W /SQ HEAD 9.99 1.00 6862208 GAS VALVE 1/2F W /SQ HEAD 9.99 1.00 6857817 1/2" X 2" GALV NIPPLE 0.49 1.00 6858557 1/2" 90DEG GALV ST ELBOW 0.99 1.00 6857804 1/2" CLOSE GALV NIPPLE 0.49 SUB- TOTAL: 29.16 TOTAL TAX: 0.00 PAYMENTS 0.00 TOTAL DUE: 29.16 i 7 l 1f� v 717/ r 1 STORE COPY G CITY /CARMEL WATER DIST MENARDS CARMEL EMAIL 2150 E. GREYHOUND PASS 3450 W 131ST ST CARMEL, IN 46033 CARMEL IN 46074 FAX (317)733 -2053 INVOICE 47926 ACCOUNT 30830253 TRANSACTION DATE 06/04/12 TRANSACTION 890 TRANSACTION TIME 152405 PURCHASE ORDER DAN060412 REGISTER NUMBER 4 TYPE OF SALE Charge Sale SIGNER DANIEL JENKINS CLAIM DAN060412 QUANTITY SKU DESCRIPTION AMOUNT 1.00 6805911 1/2X3/8 BRASS REDUCER FXF 2.59 1.00 6805911 1/2X3/8 BRASS REDUCER FXF 2.59 1.00 6805911 1/2X3/8 BRASS REDUCER FXF 2.59 1.00 6803188 3/8X1/4 PIPE BUSHING 1.29 1.00 6803188 3/8X1/4 PIPE BUSHING 1 1.00 6803188 3/8X1/4 PIPE BUSHING 1.29 1.00 6803188 3/8X1/4 PIPE BUSHING 1.29 1.00 6805335 1/2X1/4 BRASS BUSHING MXF 1.79 1.00 6805335 1/2X1/4 BRASS BUSHING MXF 1.79 1.00 6805335 1/2X1/4 BRASS BUSHING MXF 1.79 1.00 6803463 TUBE TO MPT CONNECTOR 1.98 1.00 6803463 TUBE TO MPT CONNECTOR 1.98 1.00 6803463 TUBE TO MPT CONNECTOR 1.98 1.00 6804255 1 /4COMP X 1 /2MIP UNION 2.81 1.00 6804255 1 /4COMP X 1 /2MIP UNION 2.81 1.00 6804255 1 /4COMP X 1 /2MIP UNION 2.81 1.00 6804255 1 /4COMP X 1 /2MIP UNION 2.81 1.00 6872450 1 /4 "OD X 50' REFRIG TUBE 29.92 SUB TOTAL: 65.40 TOTAL TAX: 0.00 PAYMENTS 0.00 TOTAL DUE: 65.40 i� ii i i 7 l% j Y N NEFF ENGINEERING Invoice INVOICE 12740531 --NEW a NEFF GROUP DISTRIBUTORS, INC x ENGINEERING k Department 6081 LOCATION 1200 Carol Stream, IL 60122 -6081 DATE 05/08/12 260 489 -0963 Fax: 260 -497 -8173 14 PAGE 1 OF 1 BILL TO SHIP TO n104369 7 WATER TREATMENT PLANT 5 CARMEL UTILITIES KenR /P1t #1 3450 W. 131ST STREET 5484 E 126TH ST WESTFIELD, IN 46074 CARMEL, IN 46033 ORDER NUMBER ORDER DATE SALES REP CUSTOMER P/O NUMBER PAYMENT TERMS 12400392 04/27/12 1216/KWB KENR /PLT #1 NET, 30 DAYS JOB NUMBER CONTACT CUSTOMER RELEASE SHIP VIA ACCOUNTS PAYABLE /KERP,I UPS GROUND PREPAY ADD PRODUCT DESCRIPTION WHSE QUANTITY QUANTITY QUANTITY DISC% PRICE U/M EXTENSION OPEN SHIPPED BACKORDER 2818850 1200 5 5 0 87.0000 EA 435.00 CN- UB- 280DC -BB Al 0.34- 6 TQ 1200 200 200 0 0.2660 EA 53.20 Al 0,34- 6 TQ PHOENIX CONTACT 32 03 05 3 MFG# 32 03 05 3 Box# Weight Tracking 1 2.00 1Z4409810342604793 MERCHANDISE HANDLING MINIMUM TAX FREIGHT DEPOSIT DEPOSIT INVOICE TOTAL TOTAL CHARGE AMOUNT APPLIED 488.20 0.00 0.00 0.00 12.11 0.00 0.00 500.31 Payable in U.S. Funds This invoice will not display backorders Our Statement of Policy can be reviewed They will be filled when available. on our website: www.neffengineering.com Invoice 9924052110 Page 1 4 PEERLESS PUMP Remit To: Peerless Pump Company P.O. Box 644419 PITTSBURGH, PA 15264 Customer no.: 600008104 Phone: AX: CITY OF CARMEL 7-9247388 FAX: 317- 924 -7388 3450 W. 131ST STREET www.peerlesspump.com WESTFIELD IN 46074 Date 04/30/2012 Delivery address: Invoice ref. CARMEL UTILITIES Payment terms 30 days net CARMEL WATER OPERATIONS Delivery terms Freight Prepaid 5484 E. 126th Street Shipping cond. Truck CARMEL IN 46033 Sales Person Gary Saferight Delivery note 9928064553 04/30/2012 Order 992 I 1 534 01/26/2012 Our reference Your PO W09612 Your Reference Tag: Water 5 Plant Contact: Ken Rhodes 460 -4717 Item Material description Cust. mat. Quantity Price Amount in USD 10 98139662 1 36,437.09 36,437.09 14MD, 3 Stage Bowl Assembly, Material Gr Serial No.: 9927040534-10 Impeller, trimmed, surface finish Ra75, vane exit Std. Fig 4 -0.188 Adapter, Bottom Column Case, Discharge Bowl, Intermediate Collar, Sand, lower and upper Bushing, Taper Lock (Collet) Material 316ss Fastener, Bowl, Standard Material Protector, Thread Ring, Seal, Lateral Suction Rug, Pipe (Suction) Coupling, Threaded, Shaft, Steel, 121 CD Strainer, Cone, Material 316 Lss Pipe, column threaded T &C 12.0 inch, Invoice 9924052110 Page 2 4 PEERLESS PUMP Item Material description Cust. mat. Quantity Price Amount in USD bottom, length 120 inch, Material plain steel Pipe, column threaded T &C 12.0 inch, intermediate 1, length 120 inch, Material plain steel Pipe, column threaded T &C 12.0 inch, intermediate 2, length 60 inch, Material plain steel Coupling, Shaft, Line, Top, Standard, Material Steel, 1215 CD Shaft, line, bottom, threaded D 1.50 inch, length 120 inch, Material 416ss Shaft, line, intermediate 1, threaded D 1.50 inch, length 120 inch, Material 416ss Shaft, line, intermediate 2, threaded D 1.50 inch, length 60 inch, Material 416ss Shaft, line, top, threaded 2- Piece- Top Shaft> D= 1.50 inch, L= 48.00 inch, Material 416ss Bearing, Open Line Shaft Retainer, Bearing, Open Line Shaft Coupling, Threaded, Shaft, Steel, 1215 CD Stuffing box Head, Discharge 12x12x20G, Motor Base Diameter BD= inch Name Plate, Pump Data Name Rate, pp Data Screw s Name Plate, Warning Wedge, Leveling Plug 1, Discharge Head Plug 2, Discharge Head Rug 3, Discharge Head Plug 4, Discharge Head Rug 5, Discharge Head Guard 1, Coupling Guard 2, Coupling Screw, Guard Invoice 9924052110 Page 3 4 PEERLESS PUMP Item Material description Cust. mat. Quantity Price Amount in USD Washer, Guard Flange, Top Stud, Flange, Top, Material 304ss, Standard Nut, Top Flange Ranged Column, Material 304ss, Standard Gasket, Flange, Top 40 96797893 1 0.00 0.00 COLUM N; INTM D;12" Dx59.25" L;T& C; OLS; 056 Serial No.: 9927040534 -40 50 96800677 7 0.00 0.00 COLU M N; I N TM D;12" Dx 1 19.2 5' L; T& C; OLS; 0 5 6 Serial No.: 9927040534 -50 60 96813392 1 0.00 0.00 COLUMN;TOP;12 Dx60.00""L;TBE;056 Serial No.: 9927040534 -60 70 96801904 8 0.00 0.00 RETAINER; BRG;12.0 CLM;1.00 -2.44 SFT;01 1 Serial No.: 9927040534 -70 80 96860040 9 0.00 0.00 COUPLI NG; SHA FT;1 .50 -10 NS -LH; TTYP; 444 Serial No.: 9927040534 -80 90 96788214 1 0.00 0.00 SHAFT ;LINE;1.50;60.00;THDxTHD;093 Serial No.: 9927040534 -90 100 96782633 1 0.00 0.00 SHAFT ;LINE;1.50;69.00;THDxTHD;093 Serial No.: 9927040534 -100 110 96783340 7 0.00 0.00 SHAFT;LINE;1.50;120.00;THDxTHD :093 Serial No.: 9927040534 -110 120 96772444 1 0.00 0.00 SHAFT ;TOP,,1.50 :51.50;VHSxTHD;093 Serial No.: 9927040534 -120 130 96675974 1 0.00 0.00 NUT;SFT;ADJ;1.50 "D SFT;VHS :011 Serial No.: 9927040534-130 140 96666596 2 0.00 0.00 SCREW;HX HD CAP;0.25" 20UNCx2.00" "LG :50 Serial No.: 9927040534 -140 150 96813213 1 0.00 0.00 HEAD;DISCH;12x12x20;G;125FF;040 Serial No.: 9927040534-150 160 96671917 4 0.00 0.00 WEDGE;LEVEL G;0.5Tx2.0 Wx5.OLG;040 Serial No.: 9927040534-160 170 96671667 12 0.00 0.00 STUD; 0.75- 10x5.50 LG; UNC; 641 Invoice 9924052110 Page 4 4 PEERLESS PUMP Item Material description Cust. mat. Quantity Price Amount in USD Serial No.: 9927040534 -170 180 96668883 12 0.00 0.00 NUT; HEX;0.75 -10 UNC; 642 Serial No.: 9927040534 -180 190 96854525 1 0.00 0.00 GASKET;COL FLG;12TOP;13.31x12.06;122 Serial No.: 9927040534 -190 191 96675499 1 0.00 0.00 PACKING; 0.50 SQRx 1.50 "ID;106 Serial No.: 9927040534-191 192 96854820 1 0.00 0.00 RING;TOP SFT SEAL :1.50" "D SFT;118 Serial No.: 9927040534 -192 200 1.000 0.00 0.00 FREIGHT Serial No.: 9927040534 -200 210 1.000 0.00 0.00 START UP SERVICES Serial No.: 9927040534-210 220 98163511 1 13,100.66 13,100.66 US; W P1;200 HP; 3/60/460; H445 TPA;4 P; V HS Serial No.: 9927040534 -220 Items total 49,537.75 Total in USD 49,537.75 Net Total due by 05/30/2012 Please remit payment with reference to invoice number: 9924052110 Invoice subject to Peerless Pump Terms and Conditions. Available on Peerless Pump website or by request. www.peerlesspump.com /terms.aspx Goods and services invoiced were produced in accordance with the Fair Labor Standards Act of 1938, as amended. Claims must be made within 10 days of receipt. Visa, MasterCard, and American Express accepted. Interest of 1 1/2% monthly will be charged for overdue accounts. In m raw nsiden of the paywnent of addtiwu rent classified as 'damage Waver' by the Rentee, Renter ago** to and hereby does waive As right or any right a mifit U YO N N n th of have against the Rentee, arising f from normal damage of rag resmma damage to be determined tieof by Ree de rr The undersigned shah pay upon realm A r A Property rented s nted a sum m10 eq b 5 %d rental charge a "damage a d does not include damage or r loss d the property a result of the negligence negligence d the Renee or the rase of abusive damage, theft or other gross negligence nce of the Tense. This damage wailer shall not apply to raddess, careless or abusive operation or use of the Equipment use or operation of the Equipment exceeding is rated capacity, or damage to tires, tubes and wheels caused by blowout bruises, cuts, punctures or EQUIPMENT RENTAL other causes inherent in the use of the Equipmert. It s understood the amount paid S not an insurance prerttiun, and that this Crowson does not represent an insurance 410 W. Carmel Drive Carmel, I N 46032 policy or an agreement to insure. Equipment that is stolen or damaged ty Rates yell pay list br parts, labor or, t a total loss, will pay replacement cost of equipmaa The Rentee fuller acknowledges receipt of the aforementioned equipment and materials, or covenants to use said property in a careful and prudent manner and CARMEL FISHERS INDIANAPOLIS shag not ban, sublet mortgage or in any manner dispose of same to any person without the wntuen consent of the owner, and further agrees to return the equpmem to Renter in substantially goad co tm as when received natural year and tear excepted. 317 566 8888 The parties ape that th the eat teRemee* ki tesanyofteampsadmndtorsofthis agrearttgteRentermaycdamdamagestogelherwihreasaadeattorney f e e s murtmstsard interest of one and esahall (1 Irz) perce t perm tint h added to =outs aerten (10) daysdd, reflatihgenema' pacenbge eipteen(18) percent FAX: 317- 566 -2990 The above equipment has been received by the undersigned br rental purposes only and it is understood that Renter shall be held responsible for any accident or "Don't tae a /ooh Rent one" damage resuting directly or indirectly from the leased equipment. The Renter expressly disclaims all wamaaes, either expressed or implied, including any impled warranties 01 merchantability or fAtess for a particular purpose, and neither assumes Thor authoress any other person to assume for 'nary Batty connection with the runyonrentaL mom use of this e The Rentee agrees to indemnity Renter, from any daim, loss, damages to propert consequential damages, loss of income or any other wow run damages, even those damages caused by the negligence of Rentee, together with attorney Ices for defending any action brought as a result of the Wl of this egttpmem. Open 7 Days a Week Monday Friday 7:00 am 5:30 pm Saturday 7:00 am 4:30 pm Sunday 9:00 am 3:00 pm RENTED TO JOB LOCATION TICKET CARMEL WATER DISTRIBUTION 161 36" MAIN PROJECT 66E 3450 W. 131ST STREET Con# 229787 CARMEL IN 46074 t W e Ili Loc 100 SSN PHONE DATE TIME W (317) 733 -2855 OUT 05/22/12 7:35 PM WH C (317) 733 -2840 ID #3 /JOB RECEIVED BY 36" MAIN PROJECT CARPENTER, JEFF RETURNED 05/23/12 4:16 PM WH *FINAL Page: 1 QTY. ITEM# EXT AMT .NET AMT MIN HOURLY OVNITE 9 —HOUR DAY WEEK 4 WEEK 1 7015 -0002 HYDROSTATIC TEST PUMP 125.00 125.00 $125.00/D 125.00 125.00 500-7001 5 1500.00 1 00023 HAD REOPEN FOR PUMP 1 150.00 150.00 O� t. �e. 4 ,f' m 1 FINE ECIFNFNT IS NOT RETURNED BY 'DUE M L AME,YOU WILL BE SIBJECTTD A CHARGE OF CONVERSION (THEFT). Use of aternative fuels, (Biodiesel, E&5, etc.) in Runyon Equipment Rental, equipment is PROHIBITED. RENT 125.00 Customer is liable br all damages 8 repairs that result from alternative./ uel. SALES 150.00 I HAVE BEEN INSTRUCTED 8 DEMONSTRATED ON THE SAFE 8 PROPER OPERATION OF THE ABOVE EQUIPMENT AND 1 a Y J T' lift h la. MIA L I ALSO UNDERSTAND THAT I AM THE PERSON RENTINGTHIS PROPERTY AND OTHER 0.00 THAT RUNYON EQUIPMENT RENTAL DOES NOT GIVE ME PERMISSION TO LEND THIS PROPERTY TO ANY OTHER PERSON. I UNDERSTANDTHAT GIVING OR LENDING THIS PROPERTY TO ANY OTHER PERSON FOR ANY REASON IS UNAUTHORIZED DW/ FEES 6.25 BYRJIRNaEWIPMENr RENTAL X' SIGNATURE Addl TAX 0.00 THE UNDERSIGNED, HAVING READ AND UNDERSTOOD THE ABOVE, HEREBY AGREES TO RENT THE ARTICLES NAMED ON THE TERMS AND CONDITIONS SET FORTH IN THIS RENTAL AGREEMENT. I HAVE READ THE ABOVE INFORMATION AND SALES TAX 0.00 ACKNOWLEDGE THAT IT IS CORRECT. COMPLETE AND ACCURATE. I PROMISE THAT AS A CONDITION OF RENTING EQUIPMENT THAT IF MY EMPLOYMEN ADDRESS OR PHONE NUMBER BE CHANGED, I WILL NOTIFY RUNYON EQUIPMENT DEPOSIT 0.00 RENAL IMMEDIATELY RUNYON EQUIPMENT RENTAL 15 AUTHORIZED TO BILL MY CREDIT CARD FOR ANY AND ALL COSTS. FEES, AND/OR INTEREST CHARGES ASSOCIATED WITH ANY CLAIM LOSS, OR DAMAGES TO PROPERTY AS A RESULT OF THE RENTAL OF THIS EQUIPMENT. IF EQUIPMENT I5 RETURNED DAMAGED AND NOT DISCOVERED BY RUNION EQUIPMENT RENAL UNTIL AFTER THE CUSTOMER LEAVES AND HAS SETTLED THE BILL, RUNYON EQUIPMENT RENTAL I5 AUTHORIZED TOTAL DUE 281.25 TO RUN ANY FORM OF PAYMENT ON FILE TO SATISFY EQUIPMENT REPAIR. LABOR RATE CHARGED Al' 585 AN HOUR. E QQU A IP M N X PRINT NAME CELL AMT BILLED 281.25 23- MAY -12 16:16:38 FE TIP NEO BY X SIGNATURE RENTAL FEES DO NOT APPLY TO PURCHASES. WE CHAR(AE FOR fIME OU r NOTTINIE USED. Equipment is clean and full of fuel please return as such or additional charges YOU ARE RESPONSIBLE FOR ALL TIRES, FUEL AND ELECTRIC CURRENT. will apply. X INITIAL NO ADJUSTMENTS OR CREDITS will be made on equipment malfunctions unless Runyon Equipment Rental has been notified. We charge a 5% Damage Waiver on all equipment rentals. RUNYON In nsideranon of the payment of adadditional additional rent riassRed as 'damage waver' by the Rentee, Renter agrees to, and hereby does wa Ps right, or any right it might t have w against tyr nt Rentee, umegar10 d rental normal of the 'damage gewpnpr nsrmal ebedeemi eyRentrauncle shall mot q rq P rN asun equala5 %harge. sn th e n mot induclu damage amagealoss f the property y s arc,Ut of negligence the Rentee or n the case of ahus're damage, theft or other gross negligence of the Rentee. This damage waver shall not appy to des, careless or abuse operation or ruse use of the Equipment use or operetta of the Equipment exceeding its rated capacity, or damage to Ores, tubes and wheels caused aused cuts, by blowout bruises, c punchires or EQUIPMENT {tENTAL other causes inherent in the use of the Equipment. It is understood the amount pad is not an insurance premium, end that tls passion does not represent an insurance 410 W. Carmel Drive Carmel, IN 46032 policy or an agreement to insure. Equipment that is stolen or damaged by Rentee mil pay list for pens, labor or, it a total loss, will pay replacement cost of equipment The Rentee further acknowledges receipt of the aforementioned equipment and materiels, or cmenans to use said progeny in a careful and prudent manner and LARMCL FISHCRS INDIANAPOLIS shall not ban, sutet, mortgage or n any manner dspose of same to any person without the written consent of the owner, and further agrees to return the equipment to Renter in substantially good condition as when received, natural wear and tear excepted. 31 7 566 8888 The pertes ape that it the event to Renee sews any of the terns and cattnrs d this ageeret the Renter may ruled damages mgeher wet reasasue elonrey lees, court costs and Serest of one and cne hatlll 1/2)perce tperuud i added to aonuns ewer ten (10)daysd4 raflectrg an annual percentage raedelghteen (18) percent FAX: 317- 566 -2990 The above equipment has been received by the undersigned for rental purposes only and A s understood that Renter shall be held respaside tor any accident or damage resting directly or iMrectly from the (prod equipment The Renter expressly disdains al warranties, enter expressed or inpEed, ixduding any implied "Don't be a tool Rent one" warranties of merchantability or fitness for a particular purpose, and neither assumes nor authorizes any other person to assume for it any liability connection with the use of this equipment The Rentee agrees to indemnity Renter, from any denim, loss. damages to property, consequential damages, loss of icons or any other www. runyonrental. corn incidental damages, even those damages caused by the negligence of Rentee, together with attorney es for defending any acfim brought as a result of the lease of this equipment Open 7 Days a Week Monday Friday 7:00 am 5:30 pm Saturday 7:00 am 4:30 pm Sunday 9:00 am 3:00 pm RENTED TO JOB LOCATION TICKET CARMEL WATER DISTRIBUTION 161 111TH COLLEGE 3450 W. 131ST STREET Con# 227210 l CARMEL IN 96074 `b( (tfl O' `U Loc 100 SSN. PHONE. DATE TIME W (317) 733 -2855 OUT 05/04/12 8:36 AM SAF C (317) 733 -2840 ID #3 PO /JOB RECEIVED 111TH COLLEGE ALFORD, JAMES RETURNED 05/04/12 1:93 PM JP *'FINAL Page: 1 QTY ITEM# EXT AMT NET AMT MIN HOURLY OVNITE 8 -HOUR DAY WEEK 4 1 2725 -0003 CORE DRILL MACHINE 65.00 65.00 0.1 0 C FIRE EO.flENT 6 NOR RETURNED BYE N' DATE,YW VBL BE SUBJECTTO A CHARGE OF CONVEABION (M E HL Use of alternative fuels, (Biodiesel, E85, etc.) in Runyon Equipment Rental, equipment is PROHIBITED RENT 65.00 Customer is liade for all damages A repairs that resutt from alternative.tuel. SALE S 0.00 I HAVE BEEN INSTRUCTED DEMONSTRATED ON THE SAFE PROPER OPERATION OF THE ABOVE EQUIPMENT ANQI RILLY UNDERSIANDTHOSEINSTRICTIONS I ALSO UNDERSTAND THAT I AM THE PERSON RENTING IRS PROPERTY, AND OTHER 0.00 THAT RUNION EQUIPMENT RENTAL DOES NOT GIVE ME PERMISSION TO LEND THIS PROPERTY TO ANY OTHER PERSON. 1 UNDERSTAND THAT GIVING OR LENDING THIS PROPERTY TO ANY OTHER PERSON FOR ANY REASON IS UNAUTHORIZED DW /FEES 3.25 BY RUMOR EQUIPMENT RENTAL X SIGNATURE Addl TAX 0.00 THE UNDERSIGNED HAVING READ AND UNDERSTOOD THE ABOVE, HEREBY AGREES TO RENT THE ARTICLES NAMED ON THE TERMS AND CONDITIONS SET FORM IN THIS RENTAL AGREEMENT I HAVE READ THE ABOVE INFORMATION AND SALES TAX 0.00 ACKNOWLEDGE THAT IT IS CORRECT, COMPLETE AND ACCURATE, I PROMISE THAT AS A CONDITION OF RENTING EQUIPMENT THAT IF MY EMPLOYMENT. ADDRESS OR PHONE NUMBER BE CHANGED I WILL NOTIFY RUNYON EQUIPMENT DEPOS IT 0.00 RENTAL IMMEDIATELY. RUNYON EQUIPMENT RENTAL IS AUTHORIZED 10 BILL MY CREDIT CARD FOR ANY AND ALL COSTS, FEES. AND/OR INTEREST CHARGES ASSOCIATED WITH ANY CLAIM, LOSS, OR DAMAGES TO PROPERTY AS A RESULT OF THE RENTAL OF THIS EQUIPMENT. IF EQUIPMENT IS RETURNED DAMAGED, AND NOT DISCOVERED BY RUNYON EQUIPMENT RENTAL UNTIL AFTER THE CUSTOMER LEAVES AND HAS SETTLED THE BILL, RUNYON EQUIPMENT RENTAL IS AUTHORIZED TOTAL DUE 68.25 TO RUN ANY FORM OF PAYMENT ON FILE TO SATISFY EQUIPMENT REPAIR. LABOR RATE CHARGED AT 585 AN HOUR. EEQUIPM X PRINT NAME CELL AMT BILLED 68.25 LEASED 04- MAY -12 13:44:11 EQUIP BY X SIGNATURE RENTAL FEES DO NOT APPLY TO PURCHASES. 'r n I Equipment is clean and full of fuel please return as such or additional charges YOU ARE RESPONSIBLE FOR ALL TIRES, F UEL AND ELECTRIC CURRENT. will apply. X INITIAL NO ADJUSTMENTS OR CREDITS will be made on equipment malfunctions unless Runyon Equipment Rental has been notified. We charge a 5% Damage Waiver on all equipment rentals. RVVS•' 5214 S. East St., Suite D -2, Indianapolis, IN 46227 SOUTH; INCr= 317.781.9723 Fax 317.781.9727 www.rwssouth.com INVOICE /501`b DATE L., INVOICE April 19, 2012 12 -04191 BILL TO.. John Duffy Director r of of Utilities City of Carmel \11'x° 760 3f Avenue SW, Suite 110 Carmel, IN 46032 ACTIVITY: Land Acquisition Services Valuation PROJECT 1 a Towne Road 96 Street Water Main Extension Agreement Date: March 13, 2012 City of Carmel, Carmel Utilities ;PARCEL': OWNER FEE. 1 Twin Lakes Golf Club, Inc. $1,000.00 2 Norman E. Barbara E. Schmidt $1,000.00 3 Darrell D. Jones $1,000.00 4 Kenneth W. Ann R. Kolmerten $1,000.00 5 Robert H. Dixie Stauffer $1,000.00 6 Andrew D. Sheri S. Thomas $1,000.00 7 Kevin C. Miller Dana M. Bowling $1,000.00 8 Kenneth G. Jean E. Carrier $1,000.00 9 Thuc N. Marlene M. Tran $1,000.00 10 Rea S. Walters $1,000.00 11 Doris A. Tuccio $1,000.00 12 John Michael Irons Rebecca DeGroot Irons $1,000.00 TOTAL INVOICED $12,000.00 SERVICE PIPE SUPPLY, INC. INVOICE P.O. BOX 33805 INDIANAPOLIS, IN 46203 Customer Copy Phone: 317-639-9308 Fax: 317-639-1335 Nurnbg: 555411 f 05/22/12 r7 4 t.T 4 Le..e.120.4,R age.1 1 5 -s8i/PTo:.' c CA RAIEL WATER DEPT. 1 Ship To CARNIEL N %ATER DEPT. (CARIyAtwi -7 L e MP. PLANT 4 -re' t‘,4 34:.,11 W. 131S1 STREET Carmel, IN 46033 4. 1 '1 CARNIEL. IN 46074 Doc Wh Freight Customer Km Shipped Salesperson 1 Terms Tax Code 1 1 i i Ship Via '7 PLANT 4 BRIAN I 05/22/12 004 B. FENTON 2% 111 DAYS N/30 NOTAX I 301857 01 PREPAID! W/C I 1 1 Item Description Orderedl Shipped •Backordrd um Price' (Ali Extension I I 1542505114 1/8XI/4 BRASS HEX 13USIIING 4 I 41 OIEAI .651EA! 2.60 154250904 112X1/4 I3RASS HEN BUSIIING 4 4 01EA 1.28 EA I 5.12 156010413 I/4X3 BRASS NIPPLE 4 4 0 EA 1.70 EAI 6.80 16768CC 1/4X1/4 CONIP X NIIP A D,\ ET 10.00 10.00 .00 EA 1.08 EA1 10.80 1400903 1/4 COPPER REF. TUBE 1 1 0 CL 38.84 CLI 38.84 1561110411 I/4X2 BRASS NIPPLE 12 12 11 EA 1.34 EA 16.08 07918204 1/4 FM; NUN' BALL VALVE 9 9 0 EA 4.55 EA 40.95 1542804 I/4 BRASS SI I PLUG 8 8 11 EA .49 EA 3.92 1542404 1/4 BRASS 150# UNION 8 8 0 EA 6.48 EA 51.84 3101.1:25S1200 21/2 0 LE S/S GAUGE 4.111) 4.101 .00 EA 23.64 EA 94.56 BRASS INTERNAL I I t 1 PLEASE DEDucT 5.43 Merchandise Miac Discount Tax -Freight Total Due IF PAID BY 06/01/12 --i 271.51 .00 .00 .00 .011 271.51 THANK YOU VERY NILICI•1 FOR YOUR BUSINESS. INVOICE UTILITY SUPPLY COMPANY U Branch: 01 USC INI)Y INVOICE S 6310 SOUTH HARDING STREET 1065307 C INDIANAPOLIS IN 46217 Invoice Date Page US 6/1/2012 14:39:23 I of 1 ORDER NUMBER 317 -783 -4196 1070198 Bill To: Ship To: CARMEL WATER DISTRIBUTION CARMEL WATER DISTRIBUTION 3450 WEST 131ST STREET 3450 WEST 131ST STREET CARMEL, IN 46074 CARMEL, IN 46074 US 1,�y' US Atm: K LOVEALL O\ `O Ordered By: JEFF CARPENTER Customer ID: 100753 PO Number Term Description Net Due Date Disc Due Date Discount Amount r 116 w ofspringmill Net 30 DAYS 7/1/2012 7/1/2012 0.00 Order Date Pick Ticket No Primary Salesrep Name Taker 5/31/2012 10:24:22 1071539 ANDY NUGENT SHENDRICK Quantities Pricing Item ID U0,11 Unit Extended Ordered Shipped Remaining UOM R Item Description Rice Price Unit Size O Unit Size Carrier: SALESMAN'S TRUCK Tracking 1.00 1.00 0.00 EA 16MPP18 EA 193.7250 193.73 1.0 16" MEGALUG ACC. PACK FOR DRI8 1.0000 Total Lines: l SUB- TOTAL: 193.73 TAX: 0.00 A FINANCE CHARGE computed at a periodic rate of 1 1/2 per month (18% AMOUNT DUE: 193.73 ANNUAL PERCENTAGE RATE) is applied to PAST DUE ACCOUNTS OVER 30 DAYS. ORIGINAL INVOICE I I UTILITY SUPPLY COMPANY Branch: 03 USC NW INDY INVOICE 1 6310 SOUTH HARDING STREET 1065043 INDIANAPOLIS, IN 46217 Invoice Date Page US 5/30/2012 16:08:57 1 of 1 ORDER NUMBER 317- 783 -4196 1067728 Bill To: Ship To: CARMEL WATER DISTRIBUTION CARMEL WATER DISTRIBUTION 3450 WEST 131ST STREET 3450 WEST 131 SP STREET CARMEL, IN 46074 CARMEL. IN 46074 US US Attn: K LOVEALL Ordered I3y: STEVE COOK Customer ID: 100753 PO Number Tenn Description Net Due Date Disc Due Date Discount Amount STEVE COOK 5/3/2012 14:00:25 Net 30 DAYS 6/29/2012 6/29/2012 0.00 Order Dale Pick Ticket No Primary Salesrep Name Taker 5/3/2012 10:58:09 1069104 ANDY NUGENT RROPES Quantities Pricing Item ID UOif Unit Extended Ordered Shipped Remaining U0,11 5.: (tern Description Price Price Unit Size O Unit Size Delivery Instructions: COLLEGE AND CONGRESSIONAL STEVE COOK IS CONTACT Qa 317 -716 -3913 Carrier: OUR TRUCK Tracking 2.00 2.00 0.00 EA 16MJ45D EA 685.0000 1,370.00 1.0 16 M145 ELL DOMESTIC 1.0000 Total Lines: I SUB TOTAL: 1.370.00 TAX: 0.00 A FINANCE CHARGE computed at a periodic rate of 1 1/2 per month (18% AMOUNT DUE: 1,370.00 ANNUAL PERCENTAGE RATE) is applied to PAST DUE ACCOUNTS OVER 30 DAYS. ORIGINAL 1111 More than a Project" WESSLER ENGINEERING INVOICE To: CITY OF CARMEL Invoice Number: 24207 MR. JOHN DUFFY, DIRECTOR OF UTILITIES April 12, 2012 760 THIRD AVENUE, S.W. Page of2 SUITE 110 CARMEL, INDIANA 46032 Project: 141811.00 CARMEL TOWN ROAD 96 STREET WATER MAIN EXTENSION Manager: JEFFREY R. PETERS Professional Services for the Period: 11 /1 /11 to 3/31/12. COMPLETE TO DATE SURVEY PHASE 13,500.00 100% Complete 100% X 13,500.00 13,500.00 DESIGN PHASE 52,500.00 70.0% Complete 70.0% X 52,500.00 36,750.00 BID PHASE 6,000.00 0.00% Complete 0.00% X 6,000.00 0.00 CONSTRUCTION ADMINISTRATION PHASE 10,000.00 0.00% Complete 0.00% X 10,000.00 0.00 PERMITS /REGULATORY- 6,000.00 0.00% Complete 0.00% X 6,000.00 0.00 Continued an Page 2 PLEASE REMIT TO: 6219 SOUTH EAST STREET INDIANAPOLIS, INDIANA 46227 WESSLERENGINEERING.COM Phone (317) 788-4551 1/ Fax (317) 788 -4803 1111 More than a Project WESSLER ENGINEERING INVOICE CARMEL TOWN ROAD 96 STREET WATER MAIN EXTENSION Project: 141811.00 Invoice Number: 24207 April 12, 2012 Page 2 ADDITIONAL SERVICES- 47,000.00 EASEMENT EXHIBIT PREPARATION Completed: 0 Fee Each 2,000.00 0 X 2,000.00 0.00 ROUTE SURVEY 2,000.00 0.00% Complete 0.00% X 5,000.00 0.00 EASEMENT ACQUISITION- 15,000.00 0.00% Complete 0.00% X 15,000.00 0.00 TOTAL COMPLETE TO DATE 50,250.00 LESS PREVIOUSLY BILLED (45,000.00) Total Project Invoice Amount 5,250.00 Aged Receivables: CURRENT 30 -60 60A0 90 -120 OVER 120 55,250.00 $0.00 50.00 $0.00 $0.00 s ler I) ineering, Inc. J FRET R. PETERS Project Manager All invoices are dire upon receipt A late charge of 1.5% will be added to any unpaid balance after 30 days. PLEASE REMIT TO: 6219 SOUTH EAST STREET INDIANAPOLIS, INDIANA 46227 WESSLERENGINEERING.COM Phone (317) 788 -4551 Fax (317) 788 -4803