177660 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 117265 Page 1 of 1
yf ONE CIVIC SQUARE G.W. BERKHEIMER CO, INC CHECK AMOUNT: $373.67
CARMEL, INDIANA 46032 PO BOX 1247
PORTAGE IN 46368 -9047 CHECK NUMBER: 177660
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CHECK DATE: 9/29/2009
DEPARTMENT A CCO UNT PO NUMBER INVOICE N UMBER AM DESCRIPTION
601 5023990 A J 056214 249.62 OTHER EXPENSES
601 5023990 056249 56.57 OTHER EXPENSES
601 5023990 060157 67.48 OTHER EXPENSES
6gW 4 jj jNE
IN WHOLESALERS
9
AIR CONDITIONING m HEATING REFRIGERATION
BRANCH
SOLD TO CITY OF CARMEL 9004 TECHNOLOGY OR.
760 3RD AVE SW FISHERS IN 460382885
SUITE 110
CARMEL IN 460320000
SHIP TO
PLEASE REMIT TO
CUSTOMER PICKUP P C BOX 1247
SHIPMENT# 10-114142-01491 1 PORTAGE IN 463589047
CU ST. CODE NO. YOUR ORDER N0. INVOICE NO. INVOICE DATE
21448 10 PLANT 5 060157 9 21 09
DESCRIPTION
2 41622 4010 RP TRANSFORMER EA 17.27 34. 4
1 36912 E200 —VM 16X8 WHITE SW SUPPLY R EA 3294 3 s
TAX EXEMPTION CODE: IN 003320.1550 NO SALES-TAX
PAST DUE INVOICES
Oa SUBJECT TO A 2v. SERVICE CHARGE e 67.48
ALLOWABLE IF PAID BY 10TH PROX, NET 11TH ORIGINAL INVOICE
IN(C WHOLESALERS
�II• Co o 9 917
AIR CONDITIONING C HEATING o REFRIGERATION
BRANCH
SOLD TO CITY OF C 9004 TECHNOLOGY DR,
760 3RD .AVE Sid FISHERS 1N 460382885
SUITE 110
CARMEL IN 460320000
SHIP TO
PLEASE REMIT TO
CUSTOMER PICKUP P 0 BOX 1247
SHIPMENT# 10- 112822 -01 291 1 491PORTAGE IN 463689047
CUST. CODE NO. YOUR ORDER NO. INVOICE NO. INVOICE DATE
21448 1 PLANT 3 056214 9 15 49
QUANTITY
SHIPPED ITEM NO.
1 62360 RZ221525 NATURAL CHAS VALVE EA 152,0 SO 152.837
1 62650 RZ257472 IGN CONTROL SPARK P EA 96982 95.82
TAX EXEMPTION CODE: IN 0031201550 NO SALES TAX
PAST DUE INVOICES
5
]I MSUBJECTTOA SERVICE CHARGE a 249 52
ALLOWABLE IF PAID BY 10TH PROX, NET 11TH ORIGINAL INVOICE
0IIO CO 9 IN C WHOLESALERS
AIR CONDITIONING C HEATING G REFRIGERATION
BRANCH
SOLD TO CITY OF CAR,MEL 9004 T 0R,
760 3RD_ ATE SW FISHERS IN 460362885
SUITE 110
CARMEL IN 460320000
SHIP TO
PLEASE REMIT. TO
CUSTOMER PICKUP P O BOX 1247
SHIPMENT## .10- 113715 -01 418 1 PORTAGE IN 4636E9047
CUST. CODE NO YOUR ORDER NO. INVOICE NO. INVOICE DATE
21448 10 PLANT 3 056249 9 15 09
QUANTITY
SHIPPED ITEM ON e
36913 E200—VM 1SX8 iNHITE Sid SUPPLY R EA 33 33. D8
1 83619 85484 4 —PC MINI CUSH GRIP SCRE EA 23.49 23049
TAX EXEMPTION CODE: Iii 0031201550 NO SALES TAX
PAST DUE INVOICES
3'
OG o e SUBJECT TO A 2 6 SERVICE CHARGE 560 57
ALLOWABLE IF PAID BY 10TH PROX, NET 11TH ORIGINAL INVOICE
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
I
ACCOUNTS PAYABLE VOUCHER
I 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 9/25/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/25/2009 056214 $249.62
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 093093 WARRANT ALLOWED
..117265 IN SUM OF
~.G W BERKHEIMER
PO BOX 1247 Q
.PORTAGE, IN 46368
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
i
056214 01- 6200 -04 $249.62
O WI 5
i
Voucher Total
J
Cost distribution ledger classification if
claim paid under vehicle highway fund