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190938 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 273975 Page 1 of 1 1J ONE CIVIC SQUARE ROBERT'S DISTRIBUTORS, INC CHECK AMOUNT: $22.75 CARMEL, INDIANA 46032 255 S. MERIDIAN ST INDIANAPOLIS IN 46225 CHECK NUMBER: 190938 CHECK DATE: 10113/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION 852 5023990 51174500 8.97 OTHER EXPENSES 1110 4341901 51174660 5.81 FILM DEVELOPMENT 1110 4239099 51174662 7.97 OTHER MISCELLANOUS j obe JEJ1111-1111. Jill -1 O INVOICE Date printed: 10/4/10 ROBERTS DISTRIBUTORS, LP Ticket 5- 1174500 12761 OLD MERIDIAN ST Ticket date: 10/2/10 CARMEL, IN 46032 Station: 501 317 -818 -9800 Fax 317 -818 -1400 FE4 32- 0000112 Orig ord 5- 1174500 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 F Description s i Pace Umt flag Ext�prc a 13 LAB -02108 LAB -WEB 5x7 PRINT 0.69 EACH 8.97 Payments ACCTS .REC 8:57 Total Charges: 8.97 Drawer: 501 User: 15 Total line items on ticket: 1 Sale subtotal: 8.97 Tax: 0.00 Authorized Signature: PLEASE PAY FROM THIS INVOICE We Appreciate Your Business I PIease REMIT to: 255 S. Meridian St., Indianapolis, IN 46225 TOTAL AMOUNT DUE 8.97 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 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)) 10/2/10 51.174500 Payment for film development 8.97 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 -1.8. 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Roberts' Distributors LP IN SUM OF 255 S. Meridian Street Indianapolis, IN 46225 8.97 ON ACCOUNT OF APPROPRIATION FOR police giftr. ufnd Board Members Po# or INVOICE NO. ACCT /TITLE AMOUNT e attached invoice(s), or DEPT, I hereby certify that th 852' 51.1.74500 852 8.97 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 Octnhpr 7 20 10 Signature Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund R be"ts INVOICE Date printed: 1016110 ROBERTS DISTRIBUTORS, LP Ticket 5- 1174662 12761 OLD MERIDIAN ST Ticket date: 1015!10 CARMEL, IN 46032 Station: 501 317 818 -9800 Fax 317- 818 -1400 FE-# 32- 0000112 Orig ord 5- 1174662 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: 47 Location: 5 Terms: NET 30 DAYS Quantity- Etem`# a Description, 1 Pace Unrt fla4 Ext prd i 9 i A ff 41 1 1 CAN 20290 CAN -CAP LENS E -58U 7.97 EACH 7.97 Payments ACCTS REC; 7,97 Tota6Charges: 7.97 Drawer: 501 User: 15 Total line items on ticket: i Sale subtotal: 7.97 Tax: 0.00 Authorized Signature: PLEASE PAY FROM THIS INVOICE We Appreciate Your Business Please REMIT to: 255 S. Meridian St., Indianapolis, IN 462 255 rOTAL AMOUNT DUE 7.97 Robe r INVOICE Date printed: 10/6/10 ROBERTS DISTRIBUTORS, LP Ticket 5- 1174660 12761 OLD MERIDIAN ST Ticket date: 10/5110 CARMEL, IN 46032 Station: 501 317 -818 -9800 Fax 317 818 -1400 FE-# 32- 0000112 Orig ord 5- 1174660 Sold to: CARMEL POLfCE 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 Q Item tY P a Pnce Unit flag uantl Ext prc 1 LAB -04010 LAB- DEVELOP ONLY 35M 2.24 EACH 2.24 1 LAB 0612fi LAB CD WRITE AT TIME 3.57 EACH 3.57 Payments ACCTS REC 5,81 .Total Charges 581 Drawer: 501 User: 15 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 462 25 TOTAL AMOUNT DUE 5.81 Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 261 (Rev. 1995) CITY OF CARMEL An invoice or bill to be property 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)) 10/5/10 51174662 payment for lens cap 7.97 10/5/10 51174660 Davment for film development 5.81 Total 13.78 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 13.78 ON ACCOUNT OF APPROPRIATION FOR police genera lfund Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1110 51174662 390 -99 7.97 bill(s) is (are) true and correct and that the 1110 51174660 419 -01 5.81 materials or services itemized thereon for which charge is made were ordered and received except October 11 20 10 Signature J�S7 Chief of Pdlice Cost distribution ledger classification if Title claim paid motor vehicle highway fund