187011 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 273975 Page 1 of 1
ONE CIVIC SQUARE ROBERT'S DISTRIBUTORS, INC CHECK AMOUNT: $138.42
CARMEL, INDIANA 46032 255 S. MERIDIAN ST
INDIANAPOLIS IN 46225 CHECK NUMBER: 187011
CHECK DATE: 6123/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4341901 51165632 8.05 FILM DEVELOPMENT
852 5023990 51165705 112.94 OTHER EXPENSES
I110 4341901 51165706 17.43 FILM DEVELOPMENT
R
o m O
INVOICE
Date printed: 6114110
ROBERTS' DISTRIBUTORS, LP Ticket 5- 1165706
12225 N. MERIDIAN ST. Ticket date: 6111110
CARMEL, IN 46032
Station: 5
317- 818 -9800 Fax 317- 818 -1400 FE4 32- 0000112
prig ord 5- 1-1
165706
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 4 Description Pace unit flaq Ext,prc
3 LAB 0_4010 LAB- DEVELOP ONLY 35M 2.24 EACH 6.72
EACH 10.771 1
3 LAB -06126 LAB -CD WRITE AT TIME 3.57 ry
Payment5
ACCTS. REC 17.43
Total Charges: 17:43
Drawer: 502 User: 53 Total line items on ticket: 2 Sale subtotal: 17.43
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 17.43
I
o o e
INVOICE
Date printed: 6114/10
ROBERTS' DISTRIBUTORS, LP Ticket 5- 1165705
12225 N. MERIDIAN ST.
Ticket date: 6111110
CARMEL, IN 46032
Station: 5
317- 818 -9800 Fax 317 818 -1400 FE -432- 0000112
Orig ord 5- 1-1
165705
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
Civanbty ,Item a i Descn bon r Ext prc
19 LAB -01050 LAB -IJ 4x6 PRINT 0.26 EACH 4.94
30 LAB- 0_105_4_ LAB -I J 8x10!12 PRINT 3.57 EACH 107.10
._�..1 LAB-06176 LAB-RESTORATION PER 1 0.90 EACH 0.90
Payments
ACCTS REC 112.94
:','Total Charges 112.94
Drawer: 502 User: 53 Total line items on ticket: 3 Sale subtotal: 112.94
Tax: 0.00
Authorized Signature:
PLEASE PAY FROM THIS INVOICE
We Appreciate Your Business
IPIease REMIT to: 255 S. Meridian St., Indianapolis, IN 46225 TOTAL AMOUNT DUE 112.94
bert's
O R P O
INVOICE
Date printed: 6112110
ROBERTS' DISTRIBUTORS, LP Ticket 5- 1165632
12225 N. MERIDIAN ST. Ticket date: 6110110
CARMEL, iN 46032
Station: 5
317- 818 -9800 Fax 317 -818 -1400 FE-# 32- 0000112
Orig ord 5- 1-1
165632
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 aDe5Crl tlon Price Unit f1a� EXt rC
2 LAB -04010 LAB- DEVELOP ONLY 35M 2.24 EACH 4.48
1 LAB -06128 LAB-CD WRITE FROM ME 3.57 EACH 3.57
r Payments
ACCTS REC 8.05
805
J90.
Drawer: 503 User: 53 Total line items on ticket: 2 Sale subtotal: 8.05
Tax: 0.00
Authorized Signature:
PLEASE PAY FROM THIS INVOICE
We Appreciate Your Business
I Please REMIT to: 255 S. Meridian St., Indianapolis, IN 46225 rOTAL AMOUNT DUE 8.05
Prescribed by Slate 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, LP 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))
6/10/10 51165632 Pavment for film development 8.05
6/11/10 51165706 payment for film development 17.43
6/11/10 51165705 payment for film development 112.94
Total 138.42
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
R oberts' Distributors LP IN SUM OF
255 S. Meridian Street
Indianapolis, IN 46225
138.42
ON ACCOUNT OF APPROPRIATION FOR
police general fund/ police gift fund
Board Members
PO# or DEPT. INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or
1110 51165632 419 -01 8.05 bill(s) is (are) true and correct and that the
1110 51165706 419 -01 17.43 materials or services itemized thereon for
852 51165705 852 112.94 which charge is made were ordered and
received except
June 15 20 1.0
�1 1
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund