184007 03/30/2010 CITY OF CARMEL, INDIANA VENDOR: 357395 Page 1 of 1
ONE CIVIC SQUARE BOERGER LLC
CHECK AMOUNT: $1,830.50
CARMEL, INDIANA 46032 740 NE HARDING STREET
MINNEAPOLIS MN 55413 CHECK NUMBER: 184007
CHECK DATE: 3130/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 S11931 50647 1,830.50 ROTORS
Invoice
Date Invoice
1/5/2010 50647
Bill To Ship To
Carmel Wastewater Treatment Plant Carmel Wastewater Treatment Plant
760 3rd Avenue S.W. Attn: Joe 1'aUCCtt
Suite 110 9609 Hazel Dell Parkway
Carmel, IN 46032 Indianapolis, IN 46280
P.O. No. S. 0. No. Terms Ship Date Due Date Ship Via Job No Project
511931 30636 Net 30 1/5/2010 2/4/2010 21063
Item Description Ordered Invoiced Rate Amount
R9327L9 PL; screw rotor; ccw; PL 200; Buna -N Pos 9.4 1 1 643.25 643.25
R9327R9 PL; screw rotor; ew.. PL 200; Buna -N Pos 9.4 1 1 643.25 643.25
239608 PL/CL; hexagon bead screw; M 16 x 40; (10.9); DIN 8 8 9.25 74.00
6912/ Pos 64/ 17
B41018 PL; cover protection plate, hardened steel Pos 10 2 2 167.75 335.50
U22918 CL/PL; withdrawal tool for 2 -lobe rotor body; Steel 2 2 56.25 112,50
Pos 65 91
Shipping and Ha... Shipping and Handling 2100 22.00
1% Per Month Service Charge on all Past Due Invoices
Subtotal USD 1.830.50
Remit Payment to: Sales Tax (0.0 USD 0.00
Boerger, LLC
740 NE Harding Street Total
USD 1,830.50
Minneapolis, MN 55413
Phone# 612- 435 -7300 Payments /Credits USD 0.00
Fax 61.2- 435 -7301.
Balance Due USD 1.830.50
'VOUCHER 105124 WARRANT ALLOWED
-357395 IN SUM OF
BOERGER, LLC
MINNEAPOLIS, MN 5549
,3
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
50647 01- 7202 -05 $1,808.50
50647 01- 7202 -05 $22.00
I l
e o ll��
Voucher Total $1,830.50
Cost distribution ledger classification if
claim paid under vehicle highway fund
A=
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 3/22/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/22/2010 50647 $1,830.50
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
ri