252772 12/15/15 �,.CLAN
;! CITY OF CARMEL, INDIANA VENDOR: 273975
® l ONE CIVIC SQUARE ROBERT'S DISTRIBUTORS, INC CHECK AMOUNT: $*****1,475.99*
;. _ CARMEL, INDIANA 46032 220 E ST CLAIR ST CHECK NUMBER: 252772
M,�'ON.`p� INDIANAPOLIS IN 46204 CHECK DATE: 12/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4463100 5-1305803 1,465.98 COMMUNICATION EQUIPME
2201 4463100 5-1305847 10.01 COMMUNICATION EQUIPME
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Invoice
Page: 1
ROBERTS CARMEL Ticket#: 5-1305847
12761 OLD MERIDIAN ST Ticket date: 12/8/15
CARMEL, IN 46032
Station: 501
317-818-9800 Fax 317-818-1400 FE-#32-0000112
Orig ord#: 5-1-1
305847
Sold to: CITY OF CARMEL STREET DEPT Ship to:
3400 w. 131st street
carmel, IN 46074
317-733-2001
Customer#: 5-0080127 Ship date: Purchase Order-#: Ship-via code:
Sts rep: 73 Location: 5 Terms: NET 60 DAYS
Quantity Item# Description Manuf Part-# Price Unit flag Ext prc
1 GOP-03148 GOP-HER04 DUAL BATTEF AHBBP-401 49.99 EACH 49.99
2 DEL-10012 DEL-MICRO SDXC 64GB Bl DDMSDBLK64GB 99MB/S 89.99 EACH 179.98
-2 DEL-10001 DEL-BLACK RUGGED SD 6 DDSDBLK-64GB 89.99 EACH -179.98
-2 GOP-03140 GOP-RECHARGEABLE BAl AHDBT-302 19.99 EACH -39.98
-1 NOTE 5-1305803 0.00 EACH 0.00
-1 NOTE changed customer account 0.00 EACH 0.00
-1 NOTE as per eric 0.00 EACH 0.00
Payments Amount
ACCTS REG 10.01
Total Charges: 10.01
Drawer: 501 User: 15 Total line items: 7 Sub Total: 10.01
Tax: 0.00
Total: 10.01
/ Tax: 0.00
Authorized Signature: " v .210
PLEASE PAY FROM THIS INVOICE
We Appreciate Your Business
Please REMIT to: 220 E. St. Clair St. Indianapolis, IN 46204 TOTAL: 10.01
Invoice
Page: 1
ROBERTS CARMEL Ticket#: 5-1305856
12761 OLD MERIDIAN ST
Ticket date: 12/8/15
CARMEL, IN 46032
317-818-9800 Fax 317-818-1400 FE-#32-0000112 Station: 501
Orig ord#: 5-1305856
Sold to: CITY OF CARMEL STREET DEPT Ship to:
3400w 131st street
Carmel, IN 46074
317-733-2001
Customer#: 5-0080127 Ship date: Purchase Order-#: Ship-via code:
Sls rep: 73 Location: 5 Terms: NET 60 DAYS
Quantity Item# Description Manuf Part-# Price Unit flag Ext pre
1 SALES PERSON SALES PERSON NUMBER 0.00 EACH 0.00
Serial#
.,/,«53
1 GOP-00542 GOP-HER04 BLACK CHDHX-401 499.99 EACH 499.99
Serial#
03121125669944
1 GOP-00542 GOP-HER04 BLACK CHDHX-401 499.99 EACH 499.99
Serial#
03121125020249
1 GOP-02112 GOP-SUCTION CUP MOUNT(N AUCMT-302 39.99 EACH 39.99
2 GOP-02100 GOP-ROLL BAR MOUNT GRBM30 29.99 EACH 59.98
1 GOP-03148 GOP-HER04 DUAL BATTERY( AHBBP-401 49.99 EACH 49.99
2 DEL-10001 DEL-BLACK RUGGED SD 64GI DDSDBLK-64GB 89.99 EACH 179.98
2 GOP-03140 GOP-RECHARGEABLE BATTE AHDBT-302 19.99 EACH 39.98
1 UKP-27010 UKP-POLE 54HD AGENT ORA 59.99 EACH 59.99
1 LWP-05294 LWP-VIEWPOINT CS 80 LP36913 36.09 EACH 36.09
1 NOTE per 53 ticket ref#5-1305855 0.00 EACH 0.00
1 NOTE attn Laura 0.00 EACH 0.00
Payments Amount
ACCTS REC 1,465.98!
Total Charges: 1,465.98
Drawer: 501 User: 15 Total line items: 12 Sub Total: 1,465.98
Tax: 0.00
Total: 1,465.98
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: 1,465.98
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))
12/07/15 5-1305803 $1,465.98
12/08/15 5-1305847 $10.01
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.
Roberts ALLOWED 20
IN SUM OF $
220 E. St. Clair St.
Indianapolis, IN 46204
$1,475.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
2201 5-1305803 1 2201-631.0 $1,465.98 1 hereby certify that the attached invoice(s), or
2201 5-1305847 2201-631.0 $10.01 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
Fr}d ' , D 015
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund n