HomeMy WebLinkAbout232054 04/30/14 CITY OF CARMEL, INDIANA VENDOR: 273975
ONE CIVIC SQUARE ROBERT'S DISTRIBUTORS, INC CHECK AMOUNT: $**......14.95
CARMEL, INDIANA 46032 255 S.MERIDIAN ST CHECK NUMBER: 232054
INDIANAPOLIS IN 46225 CHECK DATE: 04/30/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 1269818 14.95 REPAIR PARTS
Repbe"
O O O O O
INVOICE
Date printed:4/21/14
ROBERTS CARMEL Ticket#: 5-1269818
12761 OLD MERIDIAN ST Ticket date: 4/17/14
CARMEL, IN 46032 Station: 502
317-818-9800 Fax 317-818-1400 FE-#32-0000112
Orig ord#: 5-1269818
Sold to: CARMEL FIRE DEPT Ship to:
2 CIVIL SQUARE
CARMEL, IN 46032
571-2600
Customer M CAFD Ship date: Purchase Order-#: Ship-via code:
Sls rep: 24 Location: 5 Terms: NET 10 DAYS
Quantity Item# Description Price Unit flap Ext prc
L---1--PR0-84604--- —- -PRO-DQLFIN E010 CLEAR 14.95 EACH - 14.95
1
Payments
ACCTS REC 14.95
Total Charges: 14.95
Drawer: 502 User: 53 Total line items on ticket: 1 Sale subtotal: 14.95
Tax: 0.00
Authorized Signature:
PLEASE PAY FROM THIS INVOICE
We Appreciate Your Business
Please REMIT to: 255 S. Meridian St., Indianapolis, IN 46225 TOTAL AMOUNT DUE 14.95
14 DAY RETURN. MUST BE IN"AS PURCHASED CONDITION", HAVE ALL ORIGINAL PACKAGING
AND UNUSED FOR FULL REFUND OR EXCHANGE. MAY BE SUBJECT TO A 20%RESTOCKING FEE.
MUST HAVE RECEIPT FOR ALL RETURNS OR EXCHANGES. ***VIDEO CAMERAS AND LENSES
OVER$1000 WILL INCUR A 20%RESTOCKING FEE DURING THE 14 DAY RETURN PERIOD. ***
)rescribed 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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1269818 $14.95
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Roberts Distributors
IN SUM OF $
255 S. Meridian Street
Indianapolis, IN 46225
$14.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#lrITLE AMOUNT Board Members
1120 1269818 42-370.00 $14.95 1 hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
APR 2 8 2014
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund