185738 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 117265 'Page 1 of 1
f ONE CIVIC SQUARE G.W. BERKHEIMER CO, INC CHECK AMOUNT: $200.67
CARMEL, INDIANA 46032 PO BOX 1247
PORTAGE IN 46368 -9047 CHECK NUMBER: 185738
CHECK DATE: 5/26/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 231701 200.67 MATERIALS SUPPLIES
G.W. CO., INC. wHOLESALE,9S
AIR CONDITIONING G HEATING o REFRIGERATION
BRANCH
SOLD TO CITY OF CARMEL 9004. TECHNOLOGY OR.
760 3RD .AVE SW FISHERS IN 460382685
SUITE 113
CARAMEL IN 460320000
SHIP TO
PLEASE REMIT TO
CUSTOMER PICKUP P 0 BOX 1247
SHIPMIENT# 10-135246-01 418 1 PORTAGE IN 4636E9047
CUST. CODE NO. YOUR ORDER NO. INVOICE NO. INVOICE DATE,
21448 10 PLANTS 231701 5 197 10
DESCRIPTION
SHIPPED
1 9004£ R =22 30 LB REFRIGERANT E
EPA CERTIFICATE ON FILE
TAX EXEMPTION CODE: IN 0031201550. NO SALtS.TAX
PAST DUE INVOICES INVOICE III,
0 0 SUBJECT TO A 200 SERVICE CHARGE 67
ALLOWABLE IF PAID BY 10TH PROX, NET 11TH ORIGINAL INVOICE
VOUCHER 101624 "WARRANT ALLOWED
117265 IN SUM OF
G Vt; BERKHEIMER
PO BOX 1247 z
PORTAGE, IN 46368
0j o
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
231701 01- 6200 -04 $200.67
Voucher Total $200.67
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 5/18/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/18/2010 231701 $200.67
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 O c