HomeMy WebLinkAbout202289 09/27/2011 a CITY OF CARMEL, INDIANA VENDOR: 273975 Page 1 of 1
4 ONE CIVIC SQUARE ROBERT'S DISTRIBUTORS, INC
CARMEL, INDIANA 46032 255 S. MERIDIAN ST CHECK AMOUNT: $345.78
+4troN r INDIANAPOLIS IN 46225 CHECK NUMBER: 202289
CHECK DATE: 9/27/2011
DEPARTMENT ACCOUNT PO NUMBE IN VOICE NUMBER AMOUNT DESCRIPTION
1110 4467099 27918 5- 1203324 -50.00 CAMCORDER /VIDEO TRIPO
1110 4341901 51203139 25.84 FILM DEVELOPMENT
1110 4467099 27918 512303315 369.94 CAMCORDER /VIDEO TRIPO
o l
INVOICE
Date printed: 9/14111
ROBERTS DISTRIBUTORS, LP Ticket 5- 1203139
12761 OLD MERIDIAN ST
CARMEL, IN 46032 Ticket date: 9113111
Station: 501
317 818 -9800 Fax 317- 818 -1400 FE-# 32- 0000112 Orig ord 5- 1203139
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:
Sts rep: 42 Location: 5 Terms: NET 30 DAYS
Quantity `Item i Description Price Umt flag �,`"Ext pia,
q-i�g8 04030 LOP 01 2-43 EACH
4 LAB -06126 LAB -CD WRITE AT TIME 3.97 EACH 15.88
Payments,
ACCT S. REG 25'.84
Total Charges: 25:84
Drawer: 501 User: 53 Total line items on ticket: 2 Sale subtotal: 25.84
Tax: 0.00
Authorized Signature:
PLEASE PAY FROM THIS INVOICE
We Appreciate Your Business
I PIease REMIT to: 255 S. Meridian St., Indianapolis, IN 46225 TOTAL AMOUNT DUE 25.84
e
INVOICE
Date printed: 9119111
ROBERTS DISTRIBUTORS, LP Ticket 5- 1203324
12761 OLD MERIDIAN ST Ticket date: 9116111
CARMEL, IN 46032 Station: 502
317- 818 -9800 Fax 317 818 -1400 FE-#32-0000112
Orig ord 5- 1203324
Sold to: CITY OF CARMEL Ship to:
ACCOUNTS PAYABLE
1 CIVIC SQUARE
CARMEL, IN 46032
571 -2414
Customer CICA Ship date: Purchase Order Ship -via code:
SIs rep: 40 Location: 5 Terms: NET 30 DAYS
Quantitlf l3em i9 1 DeSGPIptIOn q s e ��r Price UT1 tlad �Xt prc'
6 r I
,_".P.
s
-1 CUL- 00010 CUL =2200 UNIVERSAL TRI 89:97 EACH -89.97
1 SLI -01180 SLI -F630 39.97 EACH 39.97
Payments:'
(Change)AGCTS REC 50:00
oa t
Charges 50:00
Drawer: 502 User: 15 Total line items on ticket: 2 Sale subtotal: -50.00
Tax: 0.00
Authorized Signature:
PLEASE PAY FROM THIS INVOICE
We Appreciate Your Business
Please REMIT to: 255 S. Meridian St., Indianapolis, IN 462 25 TOTAL AMOUNT DUE -50.00
o bert
O D O O
INVOICE
Date printed: 9119111
ROBERTS DISTRIBUTORS, LP Ticket 5- 1203315
12761 OLD MERIDIAN ST
Ticket date: 9116!11
CARMEL, IN 46032
Station: 5
317 -818 -9800 Fax 317 818 -1400 FE-# 32- 0000112 -1
Orig ord 5-1203315
Sold to: CITY OF CARMEL Ship to:
ACCOUNTS PAYABLE
1 CIVIC SQUARE
CARMEL, IN 46032
571 -2414
Customer CICA Ship date: Purchase Order 27918 Ship -via code:
Sls rep: 40 Location: 5 Terms: NET 30 DAYS
QUarltlty Item as Descrrptlon F a Rrl�e Unit flap EXt prC_
w
a w
1 SON -30248 -DCR SX85 SILVER 279.97 EACH 279.97
S0111326559
1 CUL -00010 CUL -2200 UNIVERSAL TRI 89.97 EACH 89.97
Payments
i ACCTS REC 369,94
Total Charges 36994
Drawer: 502 User: 15 Total line items on ticket: 2 Sale subtotal: 369.94
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 369.94
Ci INDIANA RETAIL TAX EXEMPT PAGE
CERTIFICATE N0. 003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT M
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, NP
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1�936�49
Roberts' Distributors LP Carmel Polico Department
VENDOR SHIP 3 CIVIC squm
8. ModdIm SIFeot TO Camol, IN 46032
Indl�n2polls, IN 4622 (3w) 677
CoNFl,annanoN BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 44-670.
4 Each SonyDCR SX85 Camcorder DCRSX85/S $279.99 $270.09
9 Each Cullmarrrr Univers 2200 Video Tripod CU 2200 $40.0 $40.00
Scab Total: $3 19.99
X
m
I i a
Send Invoice To: a r
CQl
Attu: Toms@ Anderson
3 Civic Squm
Cumol, IN 46032~ PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECTACCOUNT AMOUNT
Carmel Police Dept. PAYMENT mig.99
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY T AT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIXIFI FFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL f J
SHIPPING LABELS. m[,(
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE 'a�Y A
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK -TREASURER
DOCUMENT CONTROL NO. 2 7 9 1 8
A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO._
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I 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
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Roberts' Distributors LP
IN SUM OF
255 S. Meridian Street
Indianapolis, IN 46225
$345.78
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# 1 Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1110 51203139 43- 419.01 $25.84 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
27918 512303315 44- 670.99 $369.94
materials or services itemized thereon for
27918 5- 1203324 44- 670.99 ($50.00) which charge is made were ordered and
received except
Friday, September 23, 2011
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))
09113/11 51203139 payment for film development $25.84
09/16/11 512303315 payment for camcorder and tripod $369.94
09/16/11 5- 1203324 credit ($50.00)
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