172220 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 357395 Page 1 of 1
ONE CIVIC SQUARE BOERGER LLC
CARMEL, INDIANA 46032 740 NE HARDING STREET CHECK AMOUNT: $1,718.00
MINNEAPOLIS MN 55413
CHECK NUMBER: 172220
CHECK DATE: 5/13/2009
DEPARTM AC COUNT PO NUMBER IN VOIC E NU MBER AMO UNT DESCRIPTION
651 5023990 S11688 50155 1,718.00 CREW ROTORS
Rotary Lobe Pumps GiJRGERe
Macerating Technology
Invoice
Date Invoice
4/22/2009 50155
Bill To Ship To
Carmel Wastewater Treatment Plant Carmel Wastewater Treatment Plant
760 3rd Avenue S.W. Attn: Joe Faucett
Suite 110 9609 Hazel Dell Parkway
Carmel, IN 46032 Indianapolis, IN 46280
P.O. Number S.O. No Terms Due Date Ship Ship Via Rep Job No Project
S11688 30139 Net 30 5/22/2009 4/22/2009 LMP 20476
Quantity Item Code Description Price Each Amount
R9327R9 PL; screw rotor; cw, PL 200, Buna -N Pos 9.4 643.25 643.25
1 R9327R9 PL; screw rotor; cw, PL 200; Buna -N Pos 9.4 643.25 643.25
2 B41070 PL; radial casing liners; PL200; XAR 400 Pos 12.1 207.75 415.50
Shipping and Handling Shipping and Handling 16.00 16.00
Total USD 1,718.00
BOERGER, LLC e 740 NE Harding Street phone: (6121 331 8765 a -mail: america @boerger- pumps.com Minneapolis, MN 55413 fax: 16121 331 8769 website: www.boerger- pumps.com
USA
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.
Payee
357395
BOERGER, LLC Purchase Order No.
P.O. BOX 3949 Terms
MINNEAPOLIS, MN 55403 Due Date 5/4/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/4/2009 50155 $1,718.00
1)
hereby certify that the attached invoice(s), or bill(s) is (are) true and
;orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 095564 WARRANT ALLOWED
357395 IN SUM OF
BOERGER, LLC
P.O. BOX 3949
MINNEAPOLIS, MN 55403
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
50155 01- 7202 -05 $1,702.00
50155 01- 7202 -05 $16.00
Voucher Total $1,718.00
Cost distribution ledger classification if
claim paid under vehicle highway fund