187232 07/07/2010 `cti CITY OF CARMEL, INDIANA VENDOR: 357395 Page 1 of 1
ONE CIVIC SQUARE BOERGER LLC
CARMEL, INDIANA 46032 740 NE HARING STREET CHECK AMOUNT: $2,698.12
MINNEAPOLIS MN 55413 CHECK NUMBER: 187232
CHECK DATE: 7/7/2010
DEPARTMENT ACCOUNT PO N UMBER INVOICE NU MBER AM OUNT DESCRIPTION
651 5023990 51098 24.00 OTHER EXPENSES
651 5023990 S12197 51098 2,674.12 ROTORS
Rotary Lobe Pumps O RGER0
Macerating Technology
Invoice
Date Invoice
6/17/2010 51098
Bill To Ship To
Carmel Wastewater Treatment Plant Carmel Wastewater Treatment Plant
760 3rd Avenue S.W. Attn: Joe Faucett
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
S12197 31064 Net 30 7/17/2010 6/17/2010 LMP 20682
Quantity Item Code Description Price Each Amount
Spare Parts for PI., 200 26101329 L I 0.00
4 045408 PL; 0 ring; cover; 792 x 7; Buna -N Pos 30 25.28 101.12
2 R9327L9 PL; screw rotor: ccw; PL 200; Buna -N Pus 9.4 643.25 1,286.50
2 R9327R9 PL; screw rotor cw, PL 200; Buna -N I'os 9.4 643.25 1,286.50
Shipping and Handling Shipping and Handling 24.00 24.00
I% Per Month Service Charge on all Past Due Invoices
Total US 2,698.12
BOERGER, LLC e 740 NE Harding Street toll free: 877 726 3743 Minneapolis, MN 55413 phone: 612- 331 -8765 a -mail: america @hoerger- pumps.com USA fax: 612- 331 -8764 website: www.baerger- pumps.com
VOUCHER 105702 WARRANT ALLOWED
35'7395 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
51098 01- 7202 -06 $2,674.12
51098 01- 7202 -06 $24.00
Voucher Total $2,698.12
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995i-
ACCOUNTS PAYABLE VOUCHERe
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 6/22/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/22/2010 51098 $2,698.12
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