161828 07/23/2008 CITY OF CARMEL, INDIANA VENDOR: 117265 Page 1 of 1
0 ONE CIVIC SQUARE G.W. BERKHEIMER CO, INC CHECK AMOUNT: $14.64
4 CARMEL, INDIANA 46032 PO BOX 1247
PORTAGE IN 46368 -9047 CHECK NUMBER: 161828
CHECK DATE: 7/23/2008
DEPART ACCOUNT PO NUMBE INVOICE NUMBER A MOUNT DES CRIPT I ON
651 5023990 699647 14.64 OTHER EXPENSES
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AIR CONDITIONING HEATING REFRIGERATION
BRANCH
k SOLD TO CITY OF CARMEL 9004 TECHNOLOGY OR*
760 3RO .AVE Sid FISHERS IN 460382885
SUITE 110
CARMEL IN 460320000
SHIP TO
PLEASE REMIT'TO
CUSTOMER PICKUP P 0 BOX 1247
SHIPMENT#i 10- 769815 -01 491 1 PORTAGE IN 463689047
CUST. CODE NO. YOUR ORDER NO. INVOICE NO. I INVOICE DATE
21448 10 WASTEWATER 699647 7 07 08
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AX EXE M PTION CO
PAST DUE INVOICES
29Tic,
2 14.64
0 SUBJECT TO A SERVICE CHARGE
ALLOWABLE IF PAID BY 10TH PROX, NET 1 1TH ORIGINAL INVOICE
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 CO., INC. Purchase Order No.
P.O. Box 1247 Terms
Portage, IN 46368 Due Date 7/14/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/14/2008 699647 $14.64
hereby certify that the attached invoice(s), or bill(s) is (are) true and
;orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 0858,95 WARRANT ALLOWED
117265 IN SUM OF
G.W. BERKHEIMER CO., INC.
P.O. Box 1247
Portage, IN 46368
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
699647 01- 7202 -05 $14.64
ti Voucher Total $14.64
Cost distribution ledger classification if
claim paid under vehicle highway fund