HomeMy WebLinkAbout236013 8 /13/2014 CITY OF CARMEL, INDIANA VENDOR: 273975
( ® e; ONE CIVIC SQUARE ROBERT'S DISTRIBUTORS, INC CHECK AMOUNT: $*******276.95*
CARMEL, INDIANA 46032 255 S.MERIDIAN ST CHECK NUMBER: 236013
1' INDIANAPOLIS IN 46225 CHECK DATE: 08/13/14
DEPARTMENT ACCOUNT '. PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4467099 32418 5-1277095 276.95 NIKON CAMERA
Rberts
Invoice
ROBERTS CARMEL Ticket#: 5-1277095
12761 OLD MERIDIAN ST Ticket date: 8/4/14
CARMEL, IN 46032
01
317-818-9800 Fax 317-818-1400 FE-#32-0000112 Station: 5
Orig ord#: 5-1-1
277095
Sold to: CARMEL POLICE DEPT Ship to:
3 CIVIC SQUARE
CARMEL, IN 46032
317-571-2559
Pat Young
Customer#: CAPD Ship date: Purchase Order-#: 32418 Ship-via code:
Sls rep: 15 Location: 5 Terms: NET 30 DAYS
Quantity Item# Description, Manuf Part-#. Price;Unit flag 'Ezt prc
1 NIK-12253 NIK-AFS 40 2.8G MICRO 2200 276.95 EACH 276.95
Serial#
603.
7311 5 �,. ..:... ..., ..._ . :;
ACCTS REC 3 �� � x ',�e -276-95i
—"-27&95€
Drawer: 501 User: 15 Total line items: 1 Sub Total: 276.95
Tax: 0.00
Total: 276.95
X r Tax: 0.00
Authorized Signa re:
PLEASE PAY FROM THIS INVOICE
We Apppciate Your Business
Please REMIT to: 255 S. Meridian St., Indianapolis, IN 46225 TOTAL AMOUNT DUE: 276.95
City ®-(�° Carmel
INDIANA RETAIL TAX EXEMPT PAGE
'J�lr CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 32418
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
8111 14
Robmto' Distdbltore, LP Camel Polico Department
VENDOR
SHIP 3 Clyle Square
255 S. WFIdian Stroot TO Carmel, IN 460
Indianapolis, IN 46225 (317)571-2559
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 44-676.99
1 Each Nikon AF-S DX camera lens Nikkor 40mm 9J2.8g micro $276.05 $276.95
Sub Total: $276.95
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Send Invoice To: 7 7
Camial Police Department1��x
Attn: Pat Young
3 Civic Square
Cannel, IN 4611' - PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Carmel Police Dept. � ? PAYMENT :Wu.va
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( A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
JNUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
• I HEREBY CERTI6Y HAT THERE IS AN UNOBLIGATED BALANCE IN
SHIPPING INSTRUCTIONS THIS APPROpRIATIO/�UFF�TO'PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY / �r./✓✓V
SHIPPING LABELS. dr is{{Of
Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE 1
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.,
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 2 4 1 8 A.P.V, COPY-SIGN AND RETURN T 0 CLERK'S OFFICE
VOUCHER NO. —WARRANT NO. _
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I 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
I
20
Signature
Title
Cost distribution ledger,classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Roberts' Distributors LP
IN SUM OF$
255 S. Meridian Street
Indianapolis, IN 46225
$276.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
32418 5-1277095 44-670.99 $276.95 I 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
Thursday,August 07, 2.014
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor 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 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))
08/04/14 5-1277095 $276.95
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