164909 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: 00352967 Page 1 of 1
ONE CIVIC SQUARE ROBERTS DISTRIBUTORS, INC.
CARMEL, INDIANA 46032 255 SOUTH MERIDIAN STREET CHECK AMOUNT: $16.41
INDIANAPOLIS IN 46225
CHECK NUMBER: 164909
CHECK DATE: 10/16/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A MOUNT DESCRIPTION
1110 4341901 51113684 16.41 FILM DEVELOPMENT
I�
t ±AM 2107 iLVW9W87a
INVOICE
Date printed: 10!1!08
ROBERTS' DISTRIBUTORS, LP Ticket 5-1113684
12225 N. MERIDIAN ST. Ticket date: 9129/08
CARMEL, IN 46032
Station: 5
317 -818 -9800 Fax 317 -818 -1400 FE-# 32- 0000112
Orig ord 5- 1-1
113684
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: 15 Location: 5 Terms: NET 30 DAYS
_y
E Item Description fi Price' Unit fiaq Ext prc
3 CRM -00001 CRM -DEV ONLY C -41 35h 2.24 EACH s 6.72
3 CRM -00003 CRM -CD BURN FROM MEI 3.23 EACH 9.69
Payments
ACCTS.REC 16.41
t,
Total
Charges: :16.41
Drawer: 503 User: 15 Total line items on ticket: 2 Sale subtotal: 16.41
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 16.41
PrescOtbed 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
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))
9/29/08 51113684 pa ent for film development 16.41
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
V00CHER NO. WARRANT NO.
ALLOWED 20
Roberts' Distributors LP IN SUM OF
255 S. Meridian Street
Indianapolis, IN 46225
16.41
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 51113684 419 --01 16.41 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
October 10 20 08
D
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund