179211 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 117265 Page 1 of 1
ONE CIVIC SQUARE G.W. BERKHEIMER CO, INC CHECK AMOUNT: $176.28
CARMEL, INDIANA 46032 PO BOX 1247
PORTAGE IN 46368 -9047 CHECK NUMBER: 179211
CHECK DATE: 11/11/2009
D EPARTMENT ACCOU PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 086800 77.28 OTHER EXPENSES
651 5023990 86857 99.00 OTHER EXPENSES
l.7. ®2 fjEj fKHEjAfERC0 kS
0 WH8[ESALE
AIR CONDITIONING HEATING REFRIGERATION
BRANCH
SOLD TO CITY OF CARMEL 9004 TECHNOLOGY OR*
760 3R0 AVE SW FISHERS IN 460382885
SUITE 110
CARMEL IN 46+ 320000
SHIP TO
PLEASE REMIT TO
CUSTOMER PICKUP P 0 BOX 1247
SHIPMENT# 10-116728-0 1 491 1 PORTAGE IN 463669047
CUST. CODE NO. YOUR ORDER NO. INVOICE NO. INVOICE DATE
21448 10 PLANT 3 086800 1? 20 Q9
s e
57 RZ110861 PILOT KIT EA 77.28 77.28
TAX EXEMPTION GORE: IN 0031201550 NO SALES TAX
PAST DUE INVOICES
a
1' 55 SUBJECT TO A SERVICE CHARGE 77' 28
ALLOWABLE IF PAID BY 10TH FROX, 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
4+,
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
117265
G W BERKHEIMER Purchase Order No.
PO BOX 1247 Terms
PORTAGE, IN 46368 Due Date 11/3/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1 086800 $77.28
e_.
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 093501 WARRANT ALLOWED
1,7265 IN SUM OF
G W BERKHEIMER
PO BOX 1247
PORTAGE, IN 46368
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
086800 01- 6200 -04 $77.28
fs
Voucher Total $77.28
Cost distribution ledger classification if
claim paid under vehicle highway fund
!a. ®�E E Co WH�ESALERC;
�9
L AIR CONDITI HEAT REFRIGERATION
T BRANCH
SOLD To CITY OF CARIMEL 9004 TECHNOLOGY iDR.
760 3RD AVE Sid FISHERS IN 460382885
SUITE :1 10
CARMEL IN 460320000
SHIP To
PLEASE REMIT TO
CUSTOMER PICKUP P fl BOX 1247
SH IPMENT# 10- 117527 -01 83 1 PORTAGE IN 463689047
CUST. CODE NO. YOUR ORDER NO. INVOICE N0. INVOICE DATE
N
23448 .I�; .{EFF Co—, WASTE WATER PLAN T 0$5857 17 20 09
N
N p
N
W
W 4.
il
t I SHIPPING CHARGES 4*84 4e84
o
46CRP I70ORP i{I 94.16 9
v
TAX EXEMPTION CIJOE: IN 0031201550 NO SALES TAX
1.
PAST DUE INVOICES
114V 99000 i Ofl D SUBJECT TO A 2% SERVICECHARGE
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
r:
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 11/3/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/3/2009 86857 $99.00
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 096685 WARRANT ALLOWED
1 }1 7265 IN SUM OF
G.W. BERKHEIMER CO., INC.
P.O. Box 1247
Portage, IN 46368
rt�r�
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
86857 01- 7202 -06 $99.00
i
Voucher Total $99.00
Cost distribution ledger classification if
claim paid under vehicle highway fund