185939 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 273975 Page 1 of 1
ONE CIVIC SQUARE ROBERT'S DISTRIBUTORS, INC CHECK AMOUNT: $80.15
CARMEL, INDIANA 46032 255 S. MERIDIAN ST
INDIANAPOLIS IN 46225 CHECK NUMBER: 185939
CHECK DATE: 5/26/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4341901 51162984 5.81 FILM DEVELOPMENT
1110 4239099 51163373 25.89 OTHER MISCELLANOUS
1110 4341901 51163581 48.45 FILM DEVELOPMENT
__T
oberits
INVOICE
Date printed: 5/17110
ROBERTS' DISTRIBUTORS, LP Ticket 5- 1163373
12225 N. MERIDIAN ST. Ticket date: 5/14110
CARMEL, IN 46032 Station: 503
317 -818 -9800 Fax 317 818 -1400 FE4 32- 0000112 prig ord 5- 1163373
Sold to: CARMEL POLICE DEPT Ship to:
3 CIVIC SQUARE
CARMEL, IN 46032
317 -571 -2500
Customer CAPD Ship date: Purchase Order Ship -via code:
Sls rep: 62 Location: 5 Terms: NET 30 DAYS
Quantity:: Item Description Price, Unit flag Ext prc
10 FUJ -00014 FUJ -CA 135 -12 200 NLA 1.79 EACH 17.90
6 FUJ- 00018A FUJ -CA 135 -24 20( 1.00 EACH 6.00
1 FUJ- 00018A FUJ -CA 135 -24 20( 1.99 EACH 1.99
Payments.
ACCTS REC 25.89
Total Charges: 25.89
Drawer: 503 User: 53 Total line items on ticket: 3 Sale subtotal: 25.89
Tax: 0.00
Authorized Signature:
PLEASE PAY FROM THIS INVOICE
We Appreciate Your Business
Please REMIT to: 255 S. Meridian St., Indianapolis, IN 46225 rOTAL AMOUNT DUE 25.89
m o m 'm
INVOICE
Date printed: 5/12/10
ROBERTS' DISTRIBUTORS, LP Ticket 5- 1162984
12225 N. MERIDIAN ST. Ticket date: 5/10110
CARMEL, IN 46032
Station: 5
317- 818 -9800 Fax 317 818 -1400 FE-# 32- 0000112
Orig ord 5- 1-1
162984
Sold to: CARMEL POLICE DEPT Ship to:
3 CIVIC SQUARE
CARMEL, IN 46032
317- 571 -2500
Customer CAPD Ship date: Purchase Order Ship -via code:
Sts rep: 62 Location: 5 Terms: NET 30 DAYS
Quantity Item Description- Price Unit flap Ext pre.
1 LAS -04010 LAB- DEVELOP ONLY 35M 2.24 EACH 2.24
1 LAB -06128 LAB -CD WRITE FROM ME 3.57 EACH 3.57
Payments
ACCTS REC 5.81
Total Charges: 5.81
Drawer: 503 User: 40 Total line items on ticket: 2 Sale subtotal: 5.81
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 5.81
y Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
Roberts' Distributors Purchase Order No.
255 S. Meridian Street Terms
Indianapolis, IN 46225 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5/14/10 51163373 pavment for film. 25.8
5/10/1.0 51162984 payment for film development 5.81
Total 31.70
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
roberts' Distributors LP IN SUM OF
255 S. Meridian Street
Indianapolis, IN 46225
31.70
ON ACCOUNT OF APPROPRIATION FOR
police genera lfund
Board Members
DEPT INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
1110 51162 84 419-01 5.81 bill(s) is (are) true and correct and that the
1110 51163373 390-99 25.89 materials or services itemized thereon for
which charge is made were ordered and
received except
May 2 20 10
Signature
Assistant Chief of Poli
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
tpbe rgs
.6
mmam
INVOICE
Date printed: 5/19/10
ROBERTS' DISTRIBUTORS, LP Ticket 5- 1163581
12225 N. MERIDIAN ST. Ticket date: 5117110
CARMEL, IN 46032 Station: 503
317 818 -9800 Fax 317- 818 -1400 FE 32- 0000112 Orig ord 5- 1163581
Sold to: CARMEL POLICE DEPT Ship to:
3 CIVIC SQUARE
CARMEL, IN 46032
317 571 -2500
Customer CAPD Ship date: Purchase Order Ship -via code:
Sls rep: 66 Location: 5 Terms: NET 30 DAYS
Quantity' item Description Price :Unit .flaq Ext prc
f
8 LAB -04010 LAB- DEVELOP ONLY 35M 2.24 EACH 17.92
8 LAB -06126 LAB -CD WRITE AT TIME 3.57 EACH 28.56
1 LAB -01052 LAB -IJ 5x7 PRINT 1.97 EACH 1.97
Payrne
ACCTS REC 4845
Total Charges: 48.45
Drawer: 503 User: 15 Total line items on ticket: 3 Sale subtotal: 48.45
Tax: 0.00
Authorized Signature:
PLEASE PAY FROM THIS INVOICE
We Appreciate Your Business
Please REMIT to: 255 S. Meridian St., Indianapolis 1111 46225 TOTAL AMOUNT DUE 48.45
Prescribeq 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
Roberts' Distributors Purchase Order No.
255 S. Meridian Street Terms
Indianapolis, IN 46225 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5/17/10 51163581 pavment for film development 48.45
Total
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 IN SUM OF
255 S. Meridian Street.
Indianapolis, IN 46225
48c.45
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT I hereby
DEPT. certify that the attached invoice(s), or
1110 51163581 419-01 49.45 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
May Ij 20 10
Ignature
Assistant Chief of Poli
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund