176915 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 273975 Page 1 of 1
ONE CIVIC SQUARE ROBERT'S DISTRIBUTORS, INC CHECK AMOUNT: $23.32
CARMEL, INDIANA 46032 255 S. MERIDIAN ST
INDIANAPOLIS IN 46225 CHECK NUMBER: 176915
CHECK DATE: 9/2/2009
DEPA ACCOUNT PO NUMBER INV OICE NUMBER AMOUNT DESCRIPTION
1110 4341901 51141406 23.32 FILM DEVELOPMENT
P
S�
ROBERTS' DISTRIBUTOR
12225 N. MERIDIAN Si
CARNEL. IN 46032
317-818-9800
Tli*et 9 5114 1405 5
Orig ord A r --1141406
08/21/2008 2:07 pm Station: 505
Item 9 01 y 1 ric8 TOtOl
D8sc/ipiiLm
CRH-m"'/! 4 2.24 8.86
CRh-1jry ONLY C-41 1
CRH+k)io 3,59 14.36
CRM CARD
23.32
|u^ 0.00
Totul 23.32
Tender:
ACCTS RH 23.32
5-\\4}406
b.
U|dt; °ie
Number of items pu/Jmuod: 8
Sdl83p8[80l: 82
CARNB POLICE DEP[
3 CT« 'IARE
46032
No u,mliS8 may be returned beyond 14
days (/um doL8 of pU|chdsa. All
merc must be in new COnd1\iDx
have original packaging and be [eturAuU
with blank warra"|v cards. Restock iDQ
f8o may an,
INVOICE
Date printed: 8/24/09
ROBERTS' DISTRIBUTORS, LP Ticket 5- 1141406
12225 N. MERIDIAN ST. Ticket date: 8/21/09
CARMEL, IN 46032 Station: 503
317 818 -9800 Fax 317 818 -1400 FE 32- 0000112 Orig ord 5- 1141406
t 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 yY Price Unit flap Ext prc
r
4 CRM -00001 CRM -DEV ONLY C -41 35,, 2.24 EAC9 8.96
4 CRM -00003 CRM -CD BURN FROM MEI 3.59 EACH 14.36
Payments
ACCTS REC 23.32
Total Charges: 23.32
Drawer: 503 User: 15 Total line items on ticket: 2 Sale subtotal: 23.32
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 23.32
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
Roberts' Distributors LP Purchase Order No.
255 S. Meridian Street Terms
In dianapolis, IN 46225 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
8/21/09 51141406 payment for film development 23.32
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.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
r
ALLOWED 20
Roberts' Distributors LP IN SUM OF
255 S. Meridian Street
Indianapolis, IN 46225
23.32
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
.DEPT. 1 hereby certify that the attached invoice(s), or
1110 51141406 419 -01 23.32 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
August 28 20 09
D
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund