169907 03/18/2009 CITY OF CARMEL, INDIANA VENDOR: 1 17265 Page 1 of 1
0 ONE CIVIC SQUARE G.W. BERKHEIMER CO, INC CHECK AMOUNT: $5.30
CARMEL, INDIANA 46032 PO BOX 1247
o� PORTAGE IN 46368 -9047 CHECK NUMBER: 169907
CHECK DATE: 3/18/2009
DEPARTMENT ACCOUN PO NUMB INVOICE NUMBER AM DESCRIPTION
601 5023990 911240 5.30 MATERIALS SUPPLIES
Y%
GoWe Bl EftKif fiffER CO. I1 G WH
A IR CONDITIONING HEAT REFRIGERATION
BRANCH
SOLD TO CITY OF CARMIEL 9304 TECHNOLOGY DR*
76CI 3RD AVE SW SSW FISHERS IN 460382885
SUITE 110
CARMEL IAN 460320000
SHIP TO
PLEASE REMIT TO
CUSTOMER PICKUP P G BOX 1247
SHIPMENTt# 10- 795202 -01 491 1 PORTAGE IN 463689047
CUST. CODE NO. YOUR ORDER NO. INVOICE NO. INVOICE DATE
21448 10 9 1 2 231 09
TOTAL
1 54800 NFT5 -6 3/8 QUICK SEAT. CAP 3/P PK 5s 30 .5.30
TAX f EXEiMPTION CODE: IN-003120155 NO SALES TAX
PAST DUE INVOICES INV
45 SUBJECT TO A [w SERVICE CHARGE 5. 30 Al
ALLOWABLE IF PAID BY 10TH PROX, NET 11TH ORIGINAL INVOICE
Prescribed by State Board of Accounts City Form No. 201 (Rev 199,
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 Purchase Order No.
PO BOX 1247 Terms
PORTAGE, IN 46368 Due Date 3/12/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/12/2009 911240 $5.30
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
3�/3/, 5
Date Officer
V&CHER 091304 WARRANT ALLOWED
11'7265 IN SUM OF
G W BERKHEIMER
PO BOX 1247
PORTAGE, IN 46368
n�
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
911240 01- 6200 -03 $5.30
u
Voucher Total $5.30
Cost distribution ledger classification if
claim paid under vehicle highway fund