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