201396 09/13/2011 CITY OF CARMEL, INDIANA VENDOR: 273975 Page 1 of 1
ONE CIVIC SQUARE ROBERT'S DISTRIBUTORS, INC
INDIANA 46032 255 S. MERIDIAN ST CHECK AMOUNT: $12.92
CARMEL
INDIANAPOLIS IN 46225
CHECK NUMBER: 201396
CHECK DATE: 9/1312011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4341901 5- 1202110 12.92 FILM DEVELOPMENT
„r b
Invoice
ROBERTS DISTRIBUTORS, LP Ticket 5- 1202110
12761 OLD MERIDIAN ST
CARMEL, IN 46032 Ticket date: 8/29111
317 818 -9800 Fax 317 818 -1400 FE-# 32- 0000112 Station: 501
Orig ord 5- 1202110
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: 70 Location: 5 Terms: NET 30 DAYS
Quantity item Description Manuf Part Price Unit flap Ext prc
2 LAB -04010 LAB- DEVELOP ONLY 35MN 2.49 EACH 4.98
2 LAB -06126 LAB-CD WRITE AT TIME FROM ORIGINAL ROLL ONLY 3.97 EACH 7.94
Payments Amount
ACCTS REC 12.92
Total Charges: 12.92
Drawer: 501 User: 15 Total line items: 2• Sub Total: 12.92
Tax: 0.00
Total: 12.92
Tax: 0.00
y
Authorized Signature:
PLEASE PAY R THIS INVOICE
We Appreciate ur Business
Please REMIT to: 255 S. Meridian St., Indianapolis, IN 46225 TOTAL AMOUNT DUE: 12.92
3
INVOICE
Date printed: 9/1111
ROBERTS DISTRIBUTORS, LP Ticket 5-1202110
12761 OLD MERIDIAN ST
Ticket date: 8129f11
CARMEL, IN 46032 Station: 501
317- 818 -9800 Fax 317 -818 -1400 FE-# 32- 0000112
Orig ord 5- 1202110
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: 70 Location: 5 Terms: NET 30 DAYS
xQ'uant� Item #,;n RDescrs tion d a z t f Price;.Un�ttla` Ext rc
c jp `au q
i�a.�<:�«��an:'?a'�ir
2 LAB -04010 LAB- DEVELOP ONLY 35M 2.49 EACH 4.98
2 LAB -06126 LAB -CD WRITE AT TIME 3.97 EACH 7.94
Payments
e ACCTS REC' 5 n
12:9
2
Charges 12 92
yy S
9'
Drawer: 501 User: 15 Total line items on tickets 2 Sale subtotal: 12.92
Tax: 0.00
Authorized Signature:
PLEASE PAY FROM THIS INVOICE
We Appreciate Your Business
Please REMIT to: 255 S. Meridian St., Indianapolis, IN 46225 FOTAL AMOUNT DUE 12.92
berts
Invoice
ROBERTS DISTRIBUTORS, LP Ticket 5-1202110
12761 OLD MERIDIAN ST
CARMEL, IN 46032 Ticket date: 8129/11
317 -818 -9800 Fax 317- 818 -1400 FE 32- 0000112 Station: 501
Orig ord 5- 1202110
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: 70 Location: 5 Terms: NET 30 DAYS
Quantity Item Description Manuf Part-# Price Unit flaq Ext prc
2 LAB -04010 LAB- DEVELOP ONLY 35MN 2.49 EACH 4.98
2 LAB -06126 LAB -CD WRITE AT TIME FROM ORIGINAL ROLL ONLY 3.97 EACH 7.94
Payments; Amount
ACCTS REC 12.92
Total Charges 12
Drawer: 501 User: 15 Total line items: 2• Sub Total 12,92
Tax: 0.00
Total- 12.92
Tax: 0.00
Authorized Signature:
PLEASE PAY R THIS INVOICE
We Appreciate ur Business
Please REMIT to: 255 S. Meridian St., Indianapolis, IN 462 2 TOTAL AMOUNT DUE: 12.92
VOUCHER NO. WARRANT NO.
ALLOWED 20
Roberts' Distributors LP
IN SUM OF
255 S. Meridian Street
Indianapolis, IN 46225
$12.92
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #frITLE AMOUNT Board Members
1110 5- 1202110 I 43- 419.01 I 312.92 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
Monday, September 12, 2011
r V
Chief of Police
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))
08/29/11 5- 1202110 payment for film development $12.92
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