179664 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 117265 Page 1 of 1
ONE CIVIC SQUARE G.W. BERKHEIMER CO, INC
CARMEL, INDIANA 46032 CHECK AMOUNT: $66.62
Po aox �za7
PORTAGE IN 46368 -9047 CHECK NUMBER: 179664
CHECK DATE: 11124/2009
D EPARTME NT ACCOUNT PO NUM INVO NUMBE AMO DESCRIPTION
601 5023990 099561 66.62 OTHER EXPENSES
v
S 2407 #a
®9 WHOLESALERS
AIR CONDITIONING HEATING o REFRIGERATION
BRANCH
SOLD TO CITY OF CARMEL 9004 TECHNOLOGY OR
760 3RD AVE Sid FISHERS IN 46038885
SUITE 110
CARMEL IN 460320000
SF7P TO
PLEASE REMIT TO 4t
CUSTGMER PICKUP P 0 BOX 1247
SHIPMENT# 10- 119015 -31 83 1 PORTAGE IN 463689447
CUST. CODE NO. YOUR ORDER NO. INVOICE NO. INVOICE DATE
21448 10 PLANT 3 0995,61 11 03 09
7622-649 1 RZi iO853 SPARK PILOT ASSY aNATU EA 66a62 66o62
TAX EXEMPTION CODE: IN 0031201550 NO SALES TAX
PAST DUE INVOICES o
1.33 e SUBJECT TO A 2% SERVICE CHARGE 66962
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.
i
Payee
117265
G W BERKHEIMER Purchase Order No.
PO BOX 1247 Terms
PORTAGE, IN 46368 Due Date 11/18/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/18/20M 099561 $66.62
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 093651 WARRANT ALLOWED
;17265 IN SUM OF
G W BERKHEIMER
PO BOX 1247 I��f
PORTAGE, IN 46368 R�
.i�
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
099561 01- 6200 -04 $66.62
Voucher Total $66.62
Cost distribution ledger classification if
claim paid under vehicle highway fund