214643 11/20/2012 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: $18.58
PORTAGE IN 46368-9047 CHECK NUMBER: 214643
CHECK DATE: 11/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 898131 18 . 58 OTHER EXPENSES
16;"W3JEff Co INC. WHOLESALERS
AIR CONDITIONING HEATING REFRIGERATION
BRANCH
SOLD To CTTY 'OF CARMEL 9004 TECHNOLOGY DR,
760 OF
AVE SW FISHERS Iii 460382835
SUITE 110
CAP,MEL IN 450320000
_ SHIP To
* 'PLEASE REMIT TO
CUSTOMEI .PICKUP P 0 30X 1247 '
SHIPMENT# 10-218839-01 491 1 PORTAGE IN 46368-9047
CU ST.CODE NO. YOUR ORDER NO. INVOICE NO. INVOICE DATE
21448 1 CAR�!1EL WASTEWATER ' TREATP9ENT - 898131 1 2 12
• • s •
2 74250 - 27518 BACL' JOINT EA 9 -79 - - 18.58
3 O=YES -
TAX EXEMPTION COOP : IN 00312C155002' NO SALES-TAX
***. THANK . YOU FOR YOUR ORDER - ***
PAST DUE INVOICES INVOICE.
37 DISCOUNT SUBJECT TO A 2 SERVICE CHARGE AMOUNT, 18. 8
ALLOWABLE IF PAID BY 10TH PROX, NET 11TH
ORIGINAL INVOICE
VOUCHER # 126082 WARRANT # ALLOWED
117265 IN SUM OF $
G.W. BERKHEIMER CO., INC.
P.O. Box 1247
Portage, IN 46368
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
898131 01-7202-06 $18.58
.A
1
I
Voucher Total $18.58
I
Cost distribution ledger classification if {
claim paid under vehicle highway fund ;�
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
117265
G.W. BERKHEIMER CO., INC. Purchase Order No.
P.O. Box 1247 Terms
Portage, IN 46368 Due Date 11/8/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/8/2012 898131 $18.58
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