180425 12/16/2009 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: $20.10
PORTAGE IN 46368 -9047
CHECK NUMBER: 180425
CHECK DATE: 12/16/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 121331 20.10 MATERIALS SUPPLIES
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Ily WHO,LE,SALERS
A I R C O N D I T I O N I N G H EA TI NG R E F R I G E R A T I O N
BRANCH
SOLD TO C ITY OF CARMEL 9004 TECHNOLCGY DRe
760 3R AVE SW FISHERS IN 460382885
SUITE 110
tARMEt IN 46-0320000 0 L L? 9
SHIP To
PLEASE REMIT TO
COSTOMER, PICKUP P 0 BOX 1247
SHIPMENT# 1C-121503-01 418 1 PORTAGE IN 463689047
CUST. CODE NO. YOUR ORDER NO. INVOICE NO. INVOICE DATE
21443 10 XEVIN 121331 12 01 091
DESCRIPTION UNIT PRICE
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2 692250 81 141605 40VA/120/24 TRANSFORM EA 1 0005 eQ* 10
TAX EXEMPTION CODE: IN 0031201550 NO SALES TAX
g ab
PAST DUE INVOICES
CASH INVOICE
00 DISCOUNT SUBJECT TO A 2% SERVICE CHARGE AMOUNT `2 11 20e 10
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.
Payee
117265
G.W. BERKHEIMER CO., INC. Purchase Order No.
P.O. Box 1247 Terms
a
Portage, IN 46368 Due Date 12/8/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/8/2009 121331 $20.10
I 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 Officer
VOUCHER,# 096907 WARRANT ALLOWED
11 117265 IN SUM OF
G.W. BERKHEIMER CO., INC.
P.O. Box 1247
Portage, IN 46368
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
5)
Board members
PO INV ACCT AMOUNT Audit Trail Code
121331 01- 7202 -06 $20.10
n
Voucher Total $20.10
Cost distribution ledger classification if
claim paid under vehicle highway fund