HomeMy WebLinkAbout184465 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 00352967 Page 1 of 1
ONE CIVIC SQUARE ROBERTS DISTRIBUTORS, INC.
INDIANA 46032 CHECK AMOUNT: $348.96
CARMEL
255 SOUTH MERMAN STREET
INDIANAPOLIS IN 46225 CHECK NUMBER: 184465
CHECK DATE: 4/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4464500 5- 1159732 348.96 VIDEO EQUIPMENT
oberts
INVOICE
Date printed: 3131110
ROBERTS' DISTRIBUTORS, LP Ticket 5- 1159732
12225 N. MERIDIAN ST. Ticket date: 3/29110
CARMEL, IN 46032 Station: 503
317 -818 -9800 Fax 317 -818 -1400 FE-# 32- 0000112
Orig ord 5- 1159732
Sold to: CITY OF CARMEL Ship to:
ACCOUNTS PAYABLE
1 CIVIC SQUARE
CARMEL, IN 46032
571 -2414
Customer CICA Ship date: Purchase Order MAYORS OFFICE Ship -via code:
SIs rep: 15 Location: 5 Terms: NET 30 DAYS
Quantity item #�Description' Price, Unitflaq Ext pre
1 SON- 00425N SON -MSM T2G 18.97 EACH 18.97
1 SON- 00410P SON -DSC WX1 BLACK 329.99 EACH 329.99
Serial
S016517523F
y
Payments:
ACCTS REC 348.96
Total Charges: 348.96
Drawer: 503 User: 15 Total line items on ticket: 2 Sale subtotal: 348.96
Tax: 0.00
Authorized Signature:
PLEASE PAY FROM THIS INVOICE
We Appreciate Your Business
Please REMIT to: 255 S. Meridian St., Indianapolis, IN 46225 TOTAL AMOUNT DUE 348.96
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
/y V6 a 3Z Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total J sG
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
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice or
S -i /s 9�3z yy spa 9 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
20/z5
Siguature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund