184753 04/27/2010 CITY OF CARMEE, INDIANA VENDOR: 117265 Page 1 of 1
ONE CIVIC SQUARE G.W. BERKHEIMER CO, INC
CHECK AMOUNT: $246.10
CARMEL, INDIANA 46032 PO BOX 1247
PORTAGE IN 46368 -9047 CHECK NUMBER: 184753
CHECK DATE: 4/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 212076 120.23 OTHER EXPENSES
601 5023990 214337 120.23 OTHER EXPENSES
601 5023990 214379 5.64 OTHER EXPENSES
WHOLESALERS
AIR CONDITIONING HEA REFRIGERATION
BRANCH
SOLD TO CITY OF CA,RMEL .9004 TECHNOLOGY !ORO
760 3RD AVE SW FISHERS IN 460382885
SUITE 110
CARMEL ICI 46C320000
SHIP TO
PL EASE REMIT TO
CUSTOMER PICKUP P 0 BOX 1247
SHIPMEN 10- 132621 -02 418 1 PORTAGE IN 463589047
OUST. CODE NO. YOUR ORDER NO. INVOICE NO. INVOICE DATE
2144 1 PLANT 5 LA 43 "214337 4 09' 10
mom
99497 3787 HP 15V 107 5R'PM 3 SPEE EA 120* 23 124.23
8 ;O =YE:S
AX EXEMPTION CODE: IN 003J201550 NO SALES TAX
1 7- wim
PAST DUE INVOICES
;SUBJECT TO A 2" SERVICE CHARGE 120
ALLOWABLE IF PAID BY 10TH PROX, NET 11TH ORIGINAL INVOICE
I
H O L E
ILA. MTERKHEINER CO., INC. WHOLESALERS
A I R C O N D I T I O N I N G H EA T ING R E F R I G E R A T I O N
BRANCH
SOLD To CITY OF'CARMEL 90o4�TECHNOLOGY DR.
760 3RD .AVE SW FISHERS IN 460382885'
SUITE 110
CARREL IN 460320000
SHIP To
*.PLEASE,.REMIT TO
CUSTUMER'PICKUP P 0 BOX 1247
SHIPMENT# 10-132944-101 491 1 PORTAGE IN 463689047
CUST. CODE NO.. YOUR ORDER NO, INVOICE NO. INVOICE DATE
2,1448 ID PLANT 5 LAB 379 41i 09� 10 1
DESC RIPT ION UNIT PRICE TOTAL
2 -94546 12908 10-14FD 370V RUN CAP OVAL EA 2082 50'64
TAX 'EXEMPTION CODE: IN 0031201550 NO SALES TAX
PAST DUE INVOICES
.6ASH 1* INVOICE
000 2 1 4P 5*64
L DISCOUNT SUBJECT TO A SERVICE CHARGE AMOUNT
-ALLOWABLE IF PAID BY 10TH PROX, NET 11 TH ORIGfNAL INVOICE
U- 2 f HEjHfR C0. INC. WHOLESALERS
AI R CONDITIONING HEAT REFRIGERATION
BRANCH
SOLD TO CITY elf~ ICARMEL 9004 TECHNOLOGY OR
.760 3R7 AVE .SW FISHERS IN 4603828;5
SMITE 110
CARREL Iii 45032000th
SHIP TO
PLEASE REMIT TO
CUSTOMER PICKUP P 0 BOX 1247
SHIPMEtNT# 10- 132623 -01 418 1 PORTAGE IN' 463689047
CUST. CODE N0. YOUR ORDER NO. INVOICE NO. INVOICE DATE
21448 10 PLANT'S LAB 2.12475 4 Ufa 10
QUANTITY
S SHIPP ITEM NO. DESCRIPTION UNIT PRICE
HIPPED
99497 3787 /2HP 115'V 1075RP.M 3 SPEE EA 120.23
8/O =Y ES
TAX EXEMPTION CODE. IN 0 NO SAL ES T A X
F IF CASH
PAST DUE INVOICES
INV
0G SUBJECT TO A 2 SERVICE CHARGE I2+0.2 3
ALLOWABLE IF PAID BY 10TH PROX, NET 11TH ORIGINAL INVOICE
V OUCHER 101376 ..,WARRANT ALLOWED
117265 IN SUM OF
CG W BERKHEIMER
PO BOX 1247 U
PORTAGE, IN 46368 r'
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
214337 01- 6200 -04 $120.23
1a1 Q 6^7 L
3
7q Ql Lacn 64 cl
Voucher Total A IC) $1 23
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
117265
G W BERKHEIMER Purchase Order No.
PO BOX 1247 Terms
PORTAGE, IN 46368 Due Date 4/19/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/19/2010 214337 $120.23
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