240804 01/07/15 � CAA .
' ":f - CITY OF CARMEL, INDIANA VENDOR: 273975
® it ONE CIVIC SQUARE ROBERT'S DISTRIBUTORS, INC CHECK AMOUNT: $**.....149.97
., ?� CARMEL, INDIANA 46032 220 E ST CLAIR ST CHECK NUMBER: 240804
*�''�roH�°' INDIANAPOLIS IN 46204 CHECK DATE: 01/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 R4239099 32619 5-1285492 149.97 CAMERA CHARGER
* i
Invoice
ROBERTS CARMEL Ticket#: 5-1285492
12761 OLD MERIDIAN ST Ticket date: 12/15/14
CARMEL, IN 46032
Station: 501
317-818-9800 Fax 317-818-1400 FE-#32-0000112
Orig ord#: 5-1-1
285492
Sold to: CITY OF CARMEL Ship to:
ACCOUNTS PAYABLE
1 CIVIC SQUARE
CARMEL, IN 46032
571-2414
CINDY A/R
Customer#: CICA Ship date: Purchase Order-#: Ship-via code:
Sls rep: 40 Location: 5 Terms: NET 30 DAYS
Quantity Item# Description Manuf Part-# Price Unit flag .Ext prc
1 SON-20157 SON-BC TRW CHARGER W SERIES 49.99 EACH 49.99
1 SON-21550 SON-NP-FW50 BATTERY FOR NEX 3/5,ALPHA A33/ 69.99 EACH 69.99
1 SON-21550 SON-NP-FW50 BATTERY FOR NEX 3/5,ALPHA A33/ 69.99 EACH 69.99
1 NOTE NANCY HECK PICK UP 0.00 EACH 0.00
1 NOTE dl#8924667766 0.00 EACH 0.00
1 IR SONY INSTANT REBATE SONY -40.00 EACH -40.00
1 NOTE B&h MATCH ON BATTERIE 0.00 EACH 0.00
I
Payments : = =::a
,.., ,... - . .,. ._.. -'.. .. -CCTS REC. -:_� - -_ - - .'.1`_4.9:9
.;gc q.� ter.
= I6ta4'G
- a<... ..: ': :Y'r':.: :":_"'_: ,: :. _ yiX•:,.'`<4��::�Y.'.. S Vii.
..w.... ...t .... ... .-..:. ... ...�,.:..:: C:.:aUYw„ ... ...:s:.::•-:'r^3::s'.•:..: ,`.:::tii';.fy.'";.;
Drawer: 501 User: 15 Total line items: 7 Sub Total: 149.97
Tax: 0.00
Total: 149.97
Tax: 0.00
'
Authorized Signature:
PLEASE PAY FROM THIS INV04E
We Appreciate Your Business `
Please REMIT to: 220 E. St. Clair St. Indianapolis, IN 46204
/ � TOTAL: 149.97
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))
12/15/14 5-1285492 $149.97
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
120
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Roberts' Distributors, LP
IN SUM OF $
12761 Old Meridian Street
Carmel, IN 46032
$149.97
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT `, Board Members
Prior Year I hereby certify that the attached invoice(s), or
32619 5-1285492 42-390.99 $149.97
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
Monday, January 05, 2015
Mayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund