165228 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: 117265 Page 1 of 1
ONE CIVIC SQUARE G.W. BERKHEIMER CO, INC CHECK AMOUNT: $54.54
?a CARMEL, INDIANA 46032 PO sox 1247
PORTAGE IN 46368 -9047 CHECK NUMBER: 165228
CHECK DATE: 10/29/2008
DEPARTMENT ACCOUNT PO NUMBE INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 782190 54.54 OTHER EXPENSES
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'ITY OF CARMEEL 9004 TECHNOLOGY OR*
i64) 3RD AVE SW FISHERS IN 460382885
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EARMEL IN 460320000
PLEASE REMIT TO
SHIPMENTI; 10-779697—GIL 491 1 PORTAGE IN 463689047
OUR ORDER NO. INVOICE NO. INVOICE DATE
EFF COOPER 782190 a 08
V3038 T822K 1018 THERMOSTAT EA 27o27 54a_
TAX EXEMPTION' CODE:: IN-003120155 NO SALES TAX
PAST DUE INVOICES
SUBJECT TO A 25,.' SERVICE CHARGE W!'Noillil 54m54
ORIGINAL INVOICE
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) i
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
r
117265
G.W. BERKHEIMER CO., INC. Purchase Order No. a
P.O. Box 1247 Terms
Portage, IN 46368 Due Date 10/21/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/21/20M 782190 $54.54
4
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 086516 WARRANT ALLOWED
11,7265 IN SUM OF
G.W. BERKHEIMER CO., INC.
P.O. Box 1247
Portage, IN 46368
Carmel Wastewater Utility
ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
782190 01- 7202 -06 $54.54
s
Voucher Total $54.54
Cost distribution ledger classification if
claim paid under vehicle highway fund