245255 05/13/15 CITY OF CARMEL, INDIANA VENDOR: 273975
i; ONE CIVIC SQUARE ROBERT'S DISTRIBUTORS, INC CHECK AMOUNT: $*********3.98*
:3 �a CARMEL, INDIANA 46032 220 E ST CLAIR ST CHECK NUMBER: 245255
INDIANAPOLIS IN 46204 CHECK DATE: 05/13/15
t ETON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4341901 5-1293199 3.98 FILM DEVELOPMENT
Invoice
Page: 1
ROBERTS CARMEL Ticket#: 5-1293199'
12761 OLD MERIDIAN ST Ticket date: 5/1/15
CARMEL, IN 46032
02
317-818-9800 Fax 317-818-1400 FE-#32-0000112 Station: 5
Orig ord#: 5-1-1
293199 .
Sold to: CARMEL POLICE DEPT Ship to:
3 CIVIC SQUARE
CARMEL, IN 46032
317-571-2559
Pat Young
Customer#: CAPD . Ship date: Purchase Order-#: Ship-via code:'.
Sis rep: 53 Location: 5 Terms: NET 30 DAYS
3 e _
Quantii Ext''prc
2 LAB-02112 LAB-WEB 8x10/12 PRINT 1.99 EACH 3.98
Amount;
Payment
ACCTS C
� �� j - `� T
x � 198j,
M I'll
�� otat Oha s 3 98
..
n .a .,v.
Drawer: 502 User: 15 Total line items: 1 Sub Total: 3.98
Tax: 0.00
Total: 3.98
Tax: 0.00
Authorized Signature:
PLEASE PAY FROM THIS INVOICE
We Appreciate Your Business
Please REMIT to: 220 E. St. Clair St. Indianapolis, IN 46204 TOTAL: 3.98
VOUCHER NO. WARRANT NO.
Roberts' Distributors LP ALLOWED 20
IN SUM OF$
220 E. St. Clair Street
Indianapolis, IN 46204
$3.98
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 I 5-1293199 I 43-419.01 I $3.98 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
Friday, M y 08, 2015
4Z Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I
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.
I
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
05/01/15 5-1293199 prints $3.98
1 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