182343 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 117265 Page 1 of 1
ONE CIVIC SQUARE G.W. BERKHEIMER CO, INC
CARMEL, INDIANA 46032 PO BOX 1247 CHECK AMOUNT: $52.70
PORTAGE IN 46368 -9047
CHECK NUMBER: 182343
CHECK DATE: 2/1712010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 170705 52.70 OTHER EXPENSES
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AIR CONDITIONING HEATING REFRIGERATION
BRANCH
SOLD TO CITY OF CARREL 9004 TECHNOLOGY Dot•
760 '.3RD AVE ,SW FISHERS IN 460.38.2885
SUITE 110
CARM'EL IN 460320000
SHIP TO
PLEASE REMIT TO
CUSTOMER PICKUP P 0 BOX 1247
SHIPMENT# 10- 127437- 491 1 PORTAGE IN 463689047
CUST. CODE NO. YOUR ORDER NO, INVOICE NO. INVOICE DATE
21448 1t? PLANT 4 17 1 2 i0
e e e TOTAL
UNIT PRIC
2 730x38 T822K 1018 THERMOSTAT EA 26.35 52,7
TAX EXEMPTION CODE: IN 00312.01550 NO SALES TAX
PAST DUE INVOICES
1 SUBJECT TO A 2 SERVICE CHARGE 52 70
ALLOWABLE IF: PAID BY 10TH PROX, NET 11TH ORIGINAL INVOICE
VOUCHER 094311 WARRANT ALLOWED
v
1 765 IN SUM OF
G W BERKHEIMER
PO BOX 1247
PORTAGE, IN 46368 0
A r.
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
170705 01- 6200 -04 $52.70
Voucher Total $52.70
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER 4
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
117265
G W BERKHEIMER Purchase Order No.
PO BOX 1247 Terms
PORTAGE, IN 46368 Due Date 2/9/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/9/2010 170705 $52.70
hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and 1 have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer