190451 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 273975 Page 1 of 1
1J ONE CIVIC SQUARE ROBERT'S DISTRIBUTORS, INC CHECK AMOUNT: $137.40
CARMEL, INDIANA 46032 255 S. MERIDIAN ST
INDIANAPOLIS IN 46225 CHECK NUMBER: 190451
CHECK DATE: 9/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4230200 119.97 OFFICE SUPPLIES
1110 4341901 51172846 17.43 FILM DEVELOPMENT
It
e
Invoice
Page: 1
ROBERTS DISTRIBUTORS, LP Ticket 5- 1172846
12761 OLD MERIDIAN ST Ticket date: 9110/10
CARMEL, IN 46032
317 -818 -9800 Fax 317 818 -1400 FE 32- 0000112 Station: 501
Orig ord 5- 1172846
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:
SIs rep: 62 Location: 5 Terms: NET 30 DAYS
Quantity Item Description Manuf Part-# Price Unit flag Ext prc
3 LAB -04010 LAB- DEVELOP ONLY 35MN 2.24 EACH 6.72
3 LAB -06128 LAB -CD WRITE FROM MEN 3.57 EACH 10.71
Pa�rmentS; s y o Amourit
ACCTS REC 4 17 431
r Total Charges 1743
n
Drawer: 501 User: 53 Total line items: 2 Sub Total: 17.43
Tax: 0.00
Total: 17.43
Tax: 0.00
Authorized Signature:
f
PLEASE PAY F OM THIS INVOICE
We Appreciat? Your 13E iness
I
Please REsM1T to: 255 S. Meridian St., Indianapolis, IN 462 25 TOTAL AMOUNT DUE: 17.43
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
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))
9/10/10 51172846 payment for film development 17.43
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
17.43
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. 1 hereby certify that the attached invoice(s), or
1110 51172846 419 -01 17.43 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
September 23 20 10
Signature
Chief -'=of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
l
ROBERTS DISTRIBUTORS, LP
12761 OLD MERIDIAN ST
CARMEL, IN 46032
317 818 -9800
Ticket# 5- 1173266 User: 15
Orig ord 5- 1173266
09/17/2010 10:44 am Station: 501
Item Qty Price Total
Description
NOTE 1 0.00 0.00
PERSON BILL HOHLT
NIK- 00456ZC 1 119.97 119.97
NIK COOLPIX S3000 BLACK
Serial# 31030864
Subtotal 119.97
Tax 0.00
Total 119.97
Tender:
ACCTS REC 119.97
Order 5- 1173266
Order total
Order amt due
Number of items purchased: 2
Salesperson: 47
CITY OF CARMEL DEPT OF COMMUNITY SERVICE
one civic square
carmel, IN 46032
317 571 2418
No Merchandise may be returned beyond 14
days from date of purchase. All
merchandise must: be in new condition,
have original packaging and be returned
with blank warranty cards. Restocking
fee may apply.
VOUCHER NO. WARRANT N
ALLOWED 20
Roberts Distributors, LP
IN SUM OF
255 S. Meridian Street
Indianapolis, IN 46225
$119.97
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1192 42- 302.00 $119.97 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
YZnd9j, S ember 7, 2010
Director, DO S
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
09/17/10 Camera for BCE $119.97
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