183565 03/23/2010 CITY OF CARMEL, INDIANA VENDOR: 357395 Page 1 of 1
ONE CIVIC SQUARE BOERGER LLC
CARMEL, INDIANA 46032 740 NE HARDING STREET CHECK AMOUNT: $142.46
MINNEAPOLIS MN 55413 CHECK NUMBER: 183565
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CHECK DATE: 3/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 50423 142.46 REISSUE CHECK 177577
O O
Rotar_y -Lobe Pumps GoRaE
Macerating Technology
Invoice
Date Invoice
9/3/2009 50423
Bill To Ship To
Carmel Wastewater Treatment Plant Carmel Wastewater Treatment Plant
760 3rd Avenue S.W. Attn: Jeff Cooper
Suite 110 9609 Hazel Dell Parkway
Carmel, IN 46032 Indianapolis, IN 46280
P.O. Number _S.O. No_ Terms Due Date Ship Ship Via Rep Job No Project
verbal Jeff Cooper 30397 Net 30 1013/2009 9/3/2009 LMP 20792
Quantity Item Code Description Price Each Amount
2 020551000025 Rotex 55 Spider (green) 67.48 134.96
Shipping and Handling Shipping and Handling 7.50 7.50
I% Per Month Service Charge on all Past Due Invoices
Total USD 142.46
BOERGER, LLCe
740 NE Harding Street phone: 16121 331 8765 a -mail: america @boerger- pumps.com
Minneapolis, MN 55413 fax: (6121 331 8769 website- www.boerger- pumps.com
USA
VOUCHER 095439 WARRANT ALLOWED
357395 IN SUM OF
BOERGER, LLC
P.O. BOX 3949
MINNEAPOLIS, MN 55403
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
50423 01- 7202 -06 $142.46
+w
Voucher Total $142.46
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
357395
BOERGER, LLC Purchase Order No.
P.O. BOX 3949 Terms
MINNEAPOLIS, MN 55403 Due Date 9/21/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/21/2009 50423 $142.46
hereby certify that the attached invoice(s), or bill(s) is (are) true and
orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer