172017 04/29/2009 a CITY OF CARMEL, INDIANA VENDOR: 00351661 Page 1 of 1
ONE CIVIC SQUARE ROBERT'S DISTRIBUTORS NORTH INC
CARMEL, INDIANA 46032 12225 N MERIDIAN ST CHECK AMOUNT: $767.46
s4' -ra. CARMEL IN 46032
CHECK NUMBER: 172017
CHECK DATE: 4/29/2009
DEPARTMENT ACCOU P O NUM INVOI NUMBER A D ESCRIP TION
102 4467099 1125236 767.46 OTHER EQUIPMENT
q
s e
&er O
INVOICE
Date printed: 4/13/09
ROBERTS' DISTRIBUTORS, LP Ticket 5- 1125236
12225 N. MERIDIAN ST.
CARMEL, IN 46032 Ticket- td 09
Station: 5
317 818 -9800 Fax 317 818 -1400 FE-# 32- 0000112
Orig ord 5- 1-1
125236
Sold to: CARMEL FIRE DEPT Ship to:
2 CIVIL SQUARE
CARMEL, IN 46032
571 -2600
Customer CAFD Ship date: Purchase Order Ship -via code:
Sls rep: 55 Location: 5 Terms: NET 10 DAYS
Quantity Item Description Price .Unit flaq Ext prc
M
4 t
x
6 CAN- 00286Y9 CAN -PS A590 IS 109.97 EACH 659.82
218122411457
218122411551
218122411552
218122411558
218122411559
218122411560
6 KIN- 00005A KIN -SD 2GB 4.97 EACH 29.82
2 TAM-00111L TAM -3807 GRAY 15.97 EACH 31.94
2 TAM- 00251V TAM -5688 STEEL GRAY 6.97 EACH 13.94
0 TAM- 00252A TAM -5688 BLUE N 6.97 EACH 0.00
2 TAM- 00111M TAM -3807 BLUE 15.97 EACH 31.94
n DUE
Payments
ACCTS REC 767.46
Total Charges: 767.46
Drawer: 503 User: 15 Total line items on ticket: 6 Sale subtotal: 767.46
Tax: 0.00
Authorized Signature:
PLEASE PAY FROM THIS INVOICE
We Appreciate Your Business
I PIease REMIT to: 255 S. Meridian St., Indianapolis, IN 462 25 TOTAL AMOUNT DUE ,76.7-.4.6
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))
1125236 Cameras Ambs. $767.46
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.
ALLOWED 20
Roberts Distributors
IN SUM OF
12225 North Meridian Street
Carmel, IN 46032
$76 7.4 6
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 1125236 102 670.99 $767.46 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
which charge is made were ordered and
received except
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund