HomeMy WebLinkAbout191822 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 273975 Page 1 of 1
0 `'=i• ONE CIVIC SQUARE ROBERTS DISTRIBUTORS, INC CHECK AMOUNT: $21.35
CARMEL, INDIANA 46032 255 S. MERIDIAN ST
INDIANAPOLIS IN 46225 CHECK NUMBER: 191822
CHECK DATE: 11/10/2010
DEPARTMENT ACCOUNT PO NUMBER INV OICE NUMBER AMOUNT DESCRIPTION
1120 4341901 1.95 FILM DEVELOPMENT
1110 4341901 5- 1176190 19.40 FILM DEVELOPMENT
Ro berts
0 o a s
INVOICE
Date printed: 10/27/10
ROBERTS DISTRIBUTORS, LP Ticket 5- 1176190
12761 OLD MERIDIAN ST Ticket date: 10/25/10
CARMEL, IN 46032 Station: 501
317 818 -9800 Fax 317 818 -1400 FE-# 32- 0000112 Orig ord M 5- 1176190
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: 77 Location: 5 Terms: NET 30 DAYS
Quantity Item Description Price Unit flagExt;prc
4 LAB -04010 µw LAB-DEVELOP ONLY 35M 1.87 EACH 7.48_
4 LAB -06126 LAB -CD WRITE AT TIME 2.98 EACH 11.92
Payments
ACCTS REC 19.40
.Total Charges: 19.40
Drawer: 501 User: 53 Total line items on ticket: 2 Sale subtotal: 19.40
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 19.40
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
R oberts Distributors, LP Purchase Order No.
12761 01d Meridian St
Terms
Carmel, IN 46032
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/25/10 5- 1176190 payment for film development 19.40
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, LP IN SUM OF
1 2761 Old MP r di an S4-
Carmel, IN 46032
19.40
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 5- 1176190 419 -01 19.40 bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
November 3, 2010
poli e
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
R
Invoice
Page: i
ROBERTS DISTRIBUTORS, LP Ticket 5- 1176703
12761 OLD MERIDIAN ST Ticket date: 11/2/10
CARMEL, IN 46032
317 818 -9800 Fax 317 -818 -1400 FE 32- 0000112 Station: 502
Orig ord 5- 1176703
Sold to: CARMEL FIRE DEPT Ship to:
2 CIVIL SQUARE
CARMEL, IN 46032
571 -2600
DENISE
Customer CAFD Ship date: Purchase Order Ship -via code:
Sls rep: 62 Location: 5 Terms: NET 10 DAYS
Quantity Item Description Manuf Price Unit flag Ext prc
13 LAB -02104 LAB -WEB 4x6 PRINT 0.15 EACH 1.95
Pments I3 ��z Iii S 'Amount
ay
E ti na`i i r sk"
ACCrsREe �°�a Eh 1 95':
I Ea 3•� .f``G 6 r v eiari
m
Total Charges
a
Drawer: 502 User: 15 Total line items: 1 Sub Total 1.95
Tax: 0.00
Total: 1.95
Tax: 0.00
Authorized Signature:
PLEASE PAY FROM THIS INVOICE
We Appreciate Your Business
Please REMIT to: 265 S. Meridian St Indianapolis, IN 46225 TOTAL AMOUNT DUE: 1.95
VOUCHER NO. WARRANT NO.
ALLOWED 20
Roberts Distributors
IN SUM OF
12225 North Meridian Street
Carmel, IN 46032
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 1176703 43- 419.01 $1 -95 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
NOV 8 2010
C f! Pa
o Fire Chief
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))
1176703 $1.95
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