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191646 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 117265 Page 1 of 1 ONE CIVIC SQUARE G.W. BERKHEIMER CO, 1NC CARMEL, INDIANA 46032 PO BOX 1247 CHECK AMOUNT: $47.27 PORTAGE IN 46368 -9047 CHECK NUMBER: 191646 CHECK DATE: 11110/2010 DEPARTMENT ACCOUNT PO NUMBER I NVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 368692 10.40 OTHER EXPENSES 601 5023990 371626 36.87 OTHER EXPENSES t a^ 2303 CO., INC. WHOLESALERS AIR CONDITIONING HEATING 0 REFRIGERATION BRANCH SOLD TO CARM EL UTILITIES 9004 TECHNOLOGY DR. 3450 W 131ST ST FISHERS IN 460382885 WESTFIEL -0 IN 460740000 SHIP TO PLEASE REMIT TO CUSTOMER PICKUP P G BOX 1247 SHIPMENT## 10- 15227.22 -01 279 i PORTAGE IN 46368 -9047 CUST. CODE NO. YOUR ORDER N0. INVOICE NO. INVOICE DATE 19704 10 PLANT 5 LAB 371026 10 27 10 o DESCRIPTION UNIT PRICE TOTAL 1 64876 61363042S 9X6 BLOWER WHESL E o 1 81029 49 -66 -4505 3 R N X 1-7/31N SHO 5a33 1 e1043 49- 66-4532 1 4IN X 2-9/161N SH EA 4, 9.5 4. 1 E1046 49-6-6-4536 16Ir! X 2 -9 _6 N 5 LA be 9 0 b• 9U TAX EXEMPTION CODE: IN 0003120155001. NO SALES TAX r PAST DUE INVOICES INVOICE, 35 SUBJECT TO A 2 SERVICE CHARGE 36.87 ALLOWABLE IF PAID BY 10TH PROX, NET 11TH ORIGINAL INVOICE G 8 fRKHEj 'I Co INC W HOLESALERS AIR CONDITIONING HEATING REFRIGERATION BRANCH SOLD TO CITY OF CARMEL 9004 TECHNOLOGY CSR, 760 3RD AVE SW FISHERS IN 460382885 SUITE 110 CARMEL IN 460320000 S HIP T O k PLEASE REMIT TO CUSTOMER PICKUP P G BLX 1247 SHIPMENT# 10- 152486 -01 418 1 PORTAGE IN 46366 -9047 CUST. CODE NO. YOUR ORDER NO. INVOICE NO. INVOICE DATE 21448 1 PLAINT 5 368692 10 2 10 QU4NTITY ITEM NO DE I SCRIPTION TO TAL SHIPPED 1 99513 44 TORSION RING SET KIT EA 1C °40 1 TAX ,EXEMPTION CODE: IN 0031201550 No A_L TAXI PAST DUE INVOICES C 10,40 C SUBJECT TO A 0 SERVICE CHARGE AMO U IC NI E IT ALLOWABLE IF PAID BY 10TH PROX, NET 11TH GRIGFNAL INVOICE VOUCHER 103198 WARRANT ALLOWED 117265 IN BUM OF G W BERKHEIMER SP IT PC? BOX 1247 PORTAGE, IN 46368 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 368692 01- 6200 -04 $10.40 371 bZ( 6I -(gip, OLC Voucher Total L4-7 ZrZ 0 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 BERKHPIMER Purchase Order No. PO BOX 1247 Terms PORTAGE, IN 46368 Due Date 11/3/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/3/2010 368692 $10.40 1 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 er