191340 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 273975 Page 1 of 1
ONE CIVIC SQUARE ROBERT'S DISTRIBUTORS, INC
CARMEL, INDIANA 46032 255 S. MERIDIAN ST CHECK AMOUNT: $63.14
INDIANAPOLIS IN 46225 CHECK NUMBER: 191340
CHECK DATE: 10/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4341901 51169583 35.35 FILM DEVELOPMENT
1110 4341901 51169924 27.79 FILM DEVELOPMENT
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R mb
INVOICE
Date printed: 10/21110
Ticket e: 5- 1189583
ROBERTS DISTRIBUTORS, LP
Tic
12761 OLD MERIDIAN ST Ticket date: Station. 501
CARMEL, IN 46032 5 501
317 -818 -9800 Fax 317.81 &1400 FE4 32- 0004112 Orlg ord 9* 5- 1169583
Sold to: CARMEL POLICE DEPT Ship to:
3 CIVIC SQUARE
CARMEL, IN 46032
317.571 -2500
Cuatomer M CAPU Ship date: Purchase Order Ship via code:
Sis rep:
67 Location: 5 Terms: NET 30 DAYS
Quantity Item a Description; Prlae tJptltdteq Ext prc
i KNK -01440 KNK -67MM UV HAZE 15.97 EACH 15.97
3 LAB -04010 LAB- DEVELOP ONLY 35M 2.49 EACH 7.47
3 LAB -02410 LAB -WEB BURN IMAGES' 3.97 EACH 11.91
Payments
ACCTS REC 35,35
Total Charges: 35.35
Drawer: 501 User 15 Total line items on ticket: 3 Sale subtotal: 35.35
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 TOTAL AMOUNT DUE 35.35
INVOICE
pate printed: 10 /21 /10
ROBERTS DISTRIBUTORS, LP Ticket M 5- 1169924
12761 OLD MERIDIAN ST Ticket date: 816110
CARMEL, IN 46032 Station: 503
317 818 -9800 Fax 317 -818 -1400 FE-#32-0000112 Orig ord M. 5. 1169924
Sold to: CARMEL POLICE DEPT Ship to:
3 CIVIC SQUARE
CARMEL, IN 46032
317- 571 -2500
Customer p: CAPD Ship date: Purchase Order Ship -via code:
Sls rep: 77 Location: 5 Terms: NET 30 DAYS
Quantity Name Description Price i!rdi ap Ext prc
7 LAB -06125 LAB-CD WRITE AT TIME 3.97 EACH 27.79
P
ACCTS REC 27.79
Total Charges: 27.79
Drawer: 503 User: 15 Total line items on ticket: 1 Sale subtotal: 27.79
Tax: 0.00
Authorized Signature:
PLEASE PAY FROM THIS INVOICE
We Appreciate Your Business
IPleas REMIT to: 255 S. Meridian St., Indianapolis, IN 46225 TOTAL AMOUNT DUE 27.79
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))
8/2/10 51169583 payment for film development 35.35
8/6/10 51169924 payment for film development 27.79
Total 63.14
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
Ro&erts' Distributors IN SUM OF
255 S. Meridian Street
Indianapolis, IN 46225
63.14
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
Pop or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 51169924 419 -01 27.79 bill(s) is (are) true and correct and that the
1110 51169583 4- 1 -01 35.35 materials or services itemized thereon for
which charge is made were ordered and
received except
October 21 20 10
Signature
Assistant Chief of Poli
Cost distribution ledger classification it Title
claim paid motor vehicle highway fund