203154 10/25/2011 CITY OF CARMEL, INDIANA VENDOR: 273975 Page 1 of 1
it ONE CIVIC SQUARE ROBERT'S DISTRIBUTORS, INC
a io CARMEL, INDIANA 46032 255 S. MERIDIAN ST CHECK AMOUNT: $89.22
INDIANAPOLIS IN 46225 CHECK NUMBER: 203154
CHECK DATE: 1012512011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4341901 5- 1204690 45.18 FILM DEVELOPMENT
1110 4341901 5- 1204691 5.81 FILM DEVELOPMENT
1110 4341901 5- 1205185 10.35 FILM DEVELOPMENT
1110 4341901 5- 1205280 27.88 FILM DEVELOPMENT
oil
INVOICE
Date printed: 10/7111
ROBERTS DISTRIBUTORS, LP Ticket 5- 1204691
12761 OLD MERIDIAN ST Ticket date: 10/6/11
CARMEL, IN 46032 Station: 502
317 -818 -9800 Fax 317- 818 -1400 FE4 32- 0000112 Orig ord 5- 1204691
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: 66 Location: 5 Terms: NET 30 DAYS
Quantity Item Description Pr,ce •Umt:flaq Ext prc
1 LAB 04010 LAB- DEVELOP ONLY 35M 2.24 EACH 2.24
1 LAB -06126 LAB -CD WRITE AT TIME 3.57 EACH 3.57
Payments
ACCTS REG 5.81
Total Charges:. 5.81
Drawer: 502 User: 53 Total line items on ticket: 2 Sale subtotal: 5.81
Tax: 0.00
Authorized Signature:
PLEASE PAY FROM THIS INVOICE
We Appreciate Your Business
I Please REMIT to: 255 S. Meridian St., Indianapolis, IN 46225 TOTAL AMOUNT DUE 5.81
I R bergs
o
O o O
INVOICE
Date printed: 10114/11
ROBERTS DISTRIBUTORS, LP Ticket 5- 1205185
12761 OLD MERIDIAN ST
Ticket date: 10/13!11
CARMEL, IN 46032
Station: 5
317 -818 -9800 Fax 317- 818 -1400 FE-#32-0000112
Orig ord 5- 1-1
205185
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: 42 Location: 5 Terms: NET 30 DAYS
Quantity Item �t Description' Pnce_ Unit flap Ext prc
15 LAB -01052 LAB -IJ 5x7 PRINT 0.69 EACH 10.35
Payments
ACCTS.REC.
10.35
Total Charges:: 10:35
Drawer: 501 User: 65 Total line items on ticket: 1 Sale subtotal: 10.35
Tax: 0.00
Authorized Signature:
PLEASE PAY FROM THIS INVOICE
We Appreciate Your Business
I Please REMIT to: 255 S. Meridian St., Indianapolis, IN 46225 TOTAL AMOUNT DUE 10.35
a 15% restocking fee will apply to any returned lens over $2000
A R berts
o
Invoice
ROBERTS DISTRIBUTORS, LP Ticket 5- 1205280
12761 OLD MERIDIAN ST
Ticket date: 10/14/11
CARMEL, IN 46032
317 -818 -9840 Fax 317 818 -1400 FE 32- 0000112 Station: 502
Orig ord 5- 1205280
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: 42 Location: 5 Terms: NET 30 DAYS
Quantity Item Description Manuf Part-# Price Unit flag Ext prc
4 ADA -00010 ADA -SD 2GB CLASS 4 ASD2GZ -R 6.97 EACH 27.88
Payments Amount
<A
CCTS °REC 27.88
Total Charges 27
Drawer: 502 User: 53 Total line items: 1 Sub Total: 27.88
Tax: 0.00
Total: 27,88
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: 27.88
INVOICE
Date printed: 10/7111
ROBERTS DISTRIBUTORS, LP Ticket 5- 1204690
12761 OLD MERIDIAN ST Ticket date: 1016/11
CARMEL, IN 46032
Station: 5
317 818 -9800 Fax 317 818 -1400 FE 32- 0000112
Orig ord 5- 1-1
204690
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:
Sis rep: 15 Location: 5 Terms: NET 30 DAYS
Quantity Item Description Price Unit flag Ext prc
6 KOD- 00641A KOD -GB 135 -24C m 200 _�yyvv. 4.04 EACH 24.24
2 KOD -00653 KOD -GC 135 -24 400 4.43 EACH 8.86
1 FUJ -00097 FUJ -CZ 135 -36 PP -1 800 N 4.59 EACH 4.59
1 FUJ- 00360A FUJ -PRO 80OZ 135 -36 7.49
EACH 7.49
Payments'
ACCTS REC,. 45.18
Total Charges: 45.18
Drawer: 502 User: 53 Total line items on ticket: 4 Sale subtotal: 45.18
Tax: 0.00
Authorized Signature:
PLEASE PAY FROM THIS INVOICE
We Appreciate Your Business
I Please REMIT to: 255 S. Meridian St., Indianapolis, IN 46225 TOTAL AMOUNT DUE 45.18
VOUCHER NO. WARR NO.
Roberts' Distributors LP ALLOWED 20
IN SUM OF
255 S. Meridian Street
Indianapolis, IN 46225
$89.22
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1110 5- 1204691 43- 419.01 $5.81 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1110 5- 1204690 43- 419.01 $45.18
materials or services itemized thereon for
1110 5- 1205185 43- 419.01 $10.35 which charge is made were ordered and
1110 5- 1205280 43- 419.01 $27.88 received except
Thursday, October 20, 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))
10/06/11 5- 1204691 film development $5.81
10/06/11 5- 1204690 film development $45.18
10/13/11 5- 1205185 film development $10.35
10/14/11 5- 1205280 film development $27 -88
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