164412 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: 00352967 Page 1 of 1
t ONE CIVIC SQUARE ROBERTS DISTRIBUTORS, INC.
CARMEL, INDIANA 46032 255 SOUTH MERIDIAN STREET CHECK AMOUNT: $34.98
INDIANAPOLIS IN 46225 CHECK NUMBER: 164412
CHECK DATE: 9/30/2008
DEPARTMENT ACCOUNT PO N I NUMBER AMOU DESCRIPTION
1110 4341901 51113279 34.98 FILM DEVELOPMENT
e e. o o
INVOICE
Date printed: 9/24/08
ROBERTS' DISTRIBUTORS, LP Ticket 5- 1113279
12225 N. MERIDIAN ST.
Ticket date: 9/23/08
CARMEL, IN 46032
Station: 5
317 818 -9800 Fax 317 818 -1400 FE-# 32- 0000112
Orig ord 5- 1-1
113279
Sold to: CARMEL POLICE DEPT Ship to:
3 CIVIC SQUARE
CARMEL, IN 46032
317 571 -2500
Customer M CAPD Ship date: Purchase Order Ship -via code:
Sls rep: 42 Location: 5 Terms: NET 30 DAYS
Quantity Item Descnption Price Unit flaq Extprc
6 CRM= 00001 CRM -DEV ONLY C-41 2.24 EACH 13.44
6 CRM -00051 CRM -CD STANDARD, 1ST 3.59 EACH 21.54
Payments:
ACCTS.REC
34.98
Total Charges:. 34.98
Drawer: 503 User: 55 Total line items on ticket: 2 Sale subtotal: 34.98
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 34.98
Prc-fil ed by State Board of Accounts City Form No. 201 (Rev. 1995)
1 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))
9/23/08 51113279 payment for film development 34.98
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.
P
i ALLOWED 20
Roberts Distributors LP IN SUM OF
255 S. Meridian Street
Indianapolis, IN 46225
34.98
ON ACCOUNT OF APPROPRIATION FOR
polic gene fund
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 51113279 419 01 34.98 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
S eptember 26 20 08
Signature
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund