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162333 08/07/2008
CITY OF CARMEL, INDIANA VENDOR: 117265 Page 1 of 1 ONE CIVIC SQUARE G.W. BERKHEIMER CO, INC CARMEL, INDIANA 46032 PO BOX 1247 CHECK AMOUNT: $34.17 PORTAGE IN 46368 -9047 CHECK NUMBER: 162333 CHECK DATE: 8/7/2008 DEPARTM ACCOUNT PO NUM BER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 710917 34.17 MATERIALS SUPPLIES 9 8�tjfXHE14fER Co., INC. WHOLEESA E P S AIR CONDITIONING HEATING o REFRIGERATION BRANCH SOLD To CITY OF CARMEL 9004 TECHNOLOGY DR. 760 3R AVE SW FISHERS IN 460362885 SUITE 110 CARMEL IN 450320000 SHIP TO 'k PLEASE RE TO CUSTCINcR PICKUP P C BOX 1 247 SHIPMENT-9 10-771194-0.1 418 1 POkTAGE IN 463669047 CUST, CODE NO. YOUR ORDER NO. INVOICE NO. INVOICE DATE 2 1 0 K E V I N 71{"x9 7 17 0 ap• r 1 93532 A30 -261 TEMP CTL EA 34,17 34017 TAX EXEMPTION CODE: IN- 003120155 NO SALES TAX PAST DUE INVOICES© 68 m o SUBJECT TO A 2y. SERVICE CHARGE w, 3 4.17 ALLOWABLE IF PAID BY 10TH PROX, NET 11TH 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. s Payee 117265 G.W. BERKHEIMER CO., INC. Purchase Order No. P.O. Box 1247 Terms Portage, IN 46368 Due Date 7/28/2008 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/28/2008 710917 $34.17 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 085968 WARRANT ALLOWED 117265 IN SUM OF G.W. BERKHEIMER CO., INC. P.O. Box 1247 F5brtage, IN 46368 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 710917 01- 7202 -06 $34.17 Voucher Total $34.17 Cost distribution ledger classification if claim paid under vehicle highway fund