176241 08/19/2009 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: $2,907.28
t? PORTAGE IN 46368 -9047
CHECK NUMBER: 176241
CHECK DATE: 8/1912009
DEPARTMENT ACCOUNT PO NUM I NUMBE AMOUNT DESCRIPTION
601 5023990 025168 2,907.28 OTHER EXPENSES
H tKnEl"En CO., INC. W SALERS
I DITIONING HEA REFRIGERATION
e—
BRANCH v
IF CARMEL 9004 TECHNOLOGY DR.
,D .AVE Sri FISHERS IN 460382885
4lo
IN 460320000
f
i
PLEASE. REMIT TO
IER PICKUP P C BOX 1247
SHIPMENT# 1`►- 107216 -01 279 1 PORTAGE IN 463689047
NO. INVOICE NO. INVOICE DATE
I
025168 7 30 09
UNITPRICE
aEgCkiptiplm
R-22 30 L6 REFRIGERANT EA 385.75 371950
0050 -4BA -404 50# DOT RECOVERY EA 128.51 257902
RECOVERY CYLINDER PROCEDURE EA N/C
y a_
QT7 -000 QWIKCHECK ACID TEST KIT EA 5001 25 *05
f El( -305S 5/8 SWEAT LIQUID LINE EA 30959 300
ZR125KC —TF5 -950 125 000 BTU 2.3 EA 1 1 539035 19539.35
5 t 9Fs 229'0D lARRANTY
4 YR LTC WARR EA 3500 350900
943 0038 -01 'COMMERCIAL COMFORT Eta 105077 105.77
f PF —KIT PRO FLUSH KIT K I 106.54 106950
I" PF -16 1602 SOLVENT REFILL EA 60075 121.50
F
EPA CERTIFICATE ON FILE.
JAX EXEMPTION CODE: IN 0031201550 NO SALES TAX
Z
PAST DUE INVOICES a
SUBJECT TO A 2`f SERVICE CHARGEWJWIIJ 29907026
110TH PROX, NET 11TH ORIGINAL INVOICE
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER r.
s
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 Purchase Order No.
PO BOX 1247 Terms
PORTAGE, IN 46368 Due Date 8/11/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/11/2009 025168 $2,907.28
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 092643 WARRANT ALLOWED
117265 �I IN SUM OF
Eq
(Q_: W BERKHEIMER
PO BOX 1247
PORTAGE, IN 46368 0�
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
gQ 025168 01- 6200 -06 $2,907.28
Voucher Total $2,907.28
.z
Cost distribution ledger classification if
claim paid under vehicle highway fund