246953 06/30/15 "F CITY OF CARMEL, INDIANA VENDOR: 273975
V/ 4!
® I ONE CIVIC SQUARE ROBERT'S DISTRIBUTORS, INC CHECK AMOUNT: S""""""41.89"
CARMEL, INDIANA 46032 220 E ST CLAIR ST CHECK NUMBER: 246953
''"soy�o.? INDIANAPOLIS IN 46204 CHECK DATE: 06/30/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
852 5023990 5-1296677 41.89 OTHER EXPENSES
7
Invoice
Page: 1
ROBERTS CARMEL Ticket#: 5-1296677
12761 OLD MERIDIAN ST Ticket date: 6/25/15
CARMEL, IN 46032
Station: 502
317-818-9800 Fax 317-818-1400 FE-#32-0000112
Orig ord#: 5-1-1
296677
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:
Sls rep: 59 Location: 5 Terms: NET 30 DAYS
Quantity Item# Description Manuf Part-# Price Unit flag Ext prc
11 LAB-02104 LAB-WEB 4x6 PRINT 0.19 EACH 2.09
20 LAB-02112 LAB-WEB 8x10/12 PRINT 1.99 EACH 39.80
;,,r•'s ... :t:X .:v:.: a.�„s3'�7:F�t .,,..,.,>:.�a ,,:.,.•,;.;. .<.` - •:Amount
'Payments
C
" N v 41:89
Total Char es: 41.89
9
:.•
Drawer: 502 User: 53 Total line items: 2 Sub Total: 41.89
Tax: 0.00
Tota I: 41.89
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: 41.89
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))
06/25/15 5-1296677 teen academy pictures $41.89
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, LP
IN SUM OF $
220 E St. Clair Street
Indianapolis, IN 46204
$41.89
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Gift Fund
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
852 I 5-1296677 I -852.00 I $41.89 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
1� Friday, June 26, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund