170556 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 00352967 Page 1 of 1
0 ONE CIVIC SQUARE ROBERTS DISTRIBUTORS, INC. CHECK AMOUNT: $234.94
CARMEL, INDIANA 46032 255 SOUTH MERIDIAN STREET
gory INDIANAPOLIS IN 46225 CHECK NUMBER: 170556
CHECK DATE: 4/1/2009
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER J AMOUNT DESCRIPTION
1192 4230200 51128608 234.94 OFFICE SUPPLIES
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Romhom
ROBERTS' DISTRIBUTORS, LP
12225 N. MERIDIAN ST.
CARMEL, IN 46032
317- 818 -9800
Ticket# 5- 1128608 User: 15
Orig ord 5- 1128608
03/18/2009 11:16 am Station: 502
Item Qty Price Total
Description
NIK- 00456XK 1 229.97 229.97
NIK- COOLPIX 5610 BLACK NLA
Serial# 33526950
KIN- 00005A 1 4.97 4.97
KIN -SD 2GB
Subtotal 234.94
Tax 0.00
Total 234.94
Tender:
ACCTS REC 234.94
Order 5- 1128608
Order total
Order amt due
Number of items purchased: 2
Salesperson: 40
CITY OF CARMEL DEPT OF COMMUNITY SERVICE
one civic sgUare
Carmel, IN 46032
317 571 2418
No Merchandise may be returned beyond 14
days from date of purchase. All
merchandise must be in new condition,
[lave original packaging and be returned
with blank warranty cards. Restocking
fee may apply.
C6- 1 e ra- 5 2- 2-
r
Sr.)
ROBERTS' DISTRIBUTORS, LP
12225 N. MERIDIAN ST.
CARMEL, IN 46032
317- 818 -9800
Ticket# 5- 1128608 User: 15
Orig ord 5- 1128608
03/18/2009 11:16 am Station: 502
Item Qty Price Total
Description
NIK- 00456XK 1 229.97 229.97
t ja01#== OLPIX 0 AC 33526 950 K NLA
KIN- 00005A 1 4.97 4.97
KIN -SD 2GB
Subtotal 234.94
Tax 0.00
Total 234.94
Tender:
ACCTS REC =234.94
Order 5- 1128608
Order total
Order amt due
Number of items purchased: 2
Salesperson: 40
CITY OF CARMEL DEPT OF COMMUNITY SERVICE
one civic square
carmel, IN 46032
317 571 2418
No Merchandise may be returned beyond 14
days from date of purchase. All
merchandise must be in new condition,
have original packaging and be returned
with blank warranty cards. Restocking O
fee may apply.
Prescribed by State Board of Accounts City Form No. 201 (Re-, 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))
03/18/09 51128608 Camera and memory card $234.94
1 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
Rcoerts Distributors, LP
IN SUM OF
255 S. Meridian Street
Indianapolis, IN 46225
$234.94
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1192 51128608 42- 302.00 $234.94 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
Thursday, March 26, 2009
Director OCS
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund