177832 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 273975 Page 1 of 1
ONE CIVIC SQUARE ROBERT'S DISTRIBUTORS, INC CHECK AMOUNT: $29.05
CARMEL, INDIANA 46032 255 S. MERIDIAN ST
c »4� INDIANAPOLIS IN 46225 CHECK NUMBER: 177832
CHECK DATE: 9/29/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4341901 251142982 29.05 FILM DEVELOPMENT
'i
ROBERTS' DISTRIBUTORS, LP
12225 N. MERIDIAN 3l.
CARMEL, IN 46032
317-818-98OO
T LA 5-1142982 UG8C 15
Oi Ord 0 5-1142882
O8/||/2008 11 :15 d0 Station: 503
Item Qty Price Total
Description
LAB-04010 5 2.24 11.20
LAB-DEVELOP ONLY 351 APS
LAB-08128 5 3.57 17.85
LAD-CD WRITE FROM MEMORY CARD
Subtotal 29.05
Tax 0.00
Tota l 29.85
Tender:
ACCTS R[C 28.05
Order A 5-1142882
Order total
Order dint clue
Number of items pu/chaaad� 10
SOleO0e[GOD: 62
CARNEL POLICE 0EPl
3 CIVIC SQUARE
CARNEL, IN 46032
317-571-2500
No Merchandise may be returned beyond N
days from date of purchase. All
merchandise must be in now co|ld1ti00.
have original packaging and be returned
with blank warranty cords. Restocking
foe may apply.
ipb
C
INVOICE
Date printed: 9/14/09
ROBERTS' DISTRIBUTORS, LP Ticket 5- 1142982
12225 N. MERIDIAN ST. Ticket date: 9/11/09
CARMEL, IN 46032 Station: 503
317 818 -9800 Fax 317 818 -1400 FE 32- 0000112 Orig ord 5- 1142982
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: 62 Location: 5 Terms: NET 30 DAYS
Quantity Item Description PrIice, `Unit flap f `Ext prc
5 LAB -04010 LAB- DEVELOP ONLY 35M 2.24 EACH 11.20
5 LAB -06128 LAB -CD WRITE FROM ME 3.57 EACH 17.85
Payments
ACCTS REC 29.05
Total Charges: 29.05
Drawer: 503 User: 15 Total line items on ticket: 2 Sale subtotal: 29.05
Tax: 0.00
Authorized Signature:
PLEASE PAY FROM THIS INVOICE
We Appreciate Your Business
I Please REMIT to: 255 S. Meridian St., Indianapolis, IN 462 25 TOTAL AMOUNT DUE 29.05
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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))
9/11/09 51142 82 payinnent for film development
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. o
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Roberts' Distributors LP IN SUM OF
255 S. Meridian Street
Indianapolis, IN 46225
29.05
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 51142982 419 -01 29.05 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
September 25 20 09
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund