HomeMy WebLinkAbout205589 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 273975 Page 1 of 1
ONE CIVIC SQUARE ROBERT'S DISTRIBUTORS, INC
CARMEL, INDIANA 46032 255 S. MERIDIAN ST CHECK AMOUNT: $469.98
INDIANAPOLIS IN 46225 CHECK NUMBER: 205589
CHECK DATE: 1/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239011 5- 1213623 469.98 SPECIAL DEPT SUPPLIES
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Invoice
Page: 1
ROBERTS DISTRIBUTORS, LP Ticket 5- 1213623
12761 OLD MERIDIAN ST
CARMEL, IN 46032 Ticket date: 1/5/12
317 -818 -9800 Fax 317 818 -1400 FE-# 32- 0000112 Station: 502
Orig ord 5- 1213623
Sold to: CARMEL FIRE DEPT Ship to:
2 CIVIL SQUARE
CARMEL, IN 46032
571 -2600
DENISE
Customer CAFD Ship date: Purchase Order Ship -via coder
Sls rep: 59 Location: 5 Terms: NET 10 DAYS
Quantity Item Description Manuf Part-# Price Unit flag Ext prc
1 CAN -13120 CAN- SPEEDLITE 430EX II 28056002 269.99 EACH 269.99
1 CAN -12230 CAN -EF 75 -300 4 -5.6 III 6473AO03 199.99 EACH 199.99
Payments Amou
rit
ACCTS REG
x X469 98'
Charges 469' 98'
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s
Drawer: 502 User: 53 Total line items: 2 Sub Total: 469.98
Tax: 0.00
Total: 469.98
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: 469.98
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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))
5- 1213623 $469.98
k
r>
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
i
VOUCHER NO. WARRANT NO.
ALLOWED 20
Roberts Distributors
IN SUM OF
12225 North Meridian Stree
Carmel, IN 46032
$469.98
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members,
1120 I 5- 1213623 I 42- 390.11 I $46.98 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 r> i
which charge is made were ordered and
w
received except
JAN 13 2012
r
y K
tea,
GJ (j
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Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund: