169139 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: 00352967 Page 1 of 1
ONE CIVIC SQUARE ROBERTS DISTRIBUTORS, INC. CHECK AMOUNT: $64.80
CARMEL, INDIANA 46032 255 SOUTH MERIDIAN STREET
INDIANAPOLIS IN 46225 CHECK NUMBER: 169139
CHECK DATE: 2/1712009
DEPARTMENT ACCOUNT PO NUMBER 'IN VOICE NUMBER AM OUNT DESCRIP
1110 4341901 5- 1125650 64.80 FILM DEVELOPMENT
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ROBERTS' DISTRIBUTORS, LP
12225 N. MERIDIAN ST.
CARMEL, IN 46032
317 816 -9600
7 I 1ck 4 5- 1125650 User: 15
,t OI ty acrd ti 5- 1125650
12:37 pm Station: 503
Qty Price Total
r n q
t i 11)ldon
W1 -UD001 10 2.49 24,90
L,RH -DEV ONLY C -41 3
CRI+- Oi10i33 10 3.99 39.90
CRM -CD BURN I KIM MEMORY CARD
Subi:ot:a1 64.60
Tax 0.00
Total 64,80
tender
ACTS RP 64.80
Order 112�)HO
Order tcrta i
Older art[. clue
NUmber of items purchased: 20
S �fl esperson: 52
CARMEL POLICE DEPT
3 CIVIC SQUARE
KRMEL, IN 46032
a 17 -a71- 25O0
h 4 Mb C .a; rd ICt may he I c t 1. L:d beyond 14
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I Of iginal packacin!j Ind be returned
1 '1 th blank warranty cards. R es, tc,f
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INVOICE
Date printed: 2/4/09
ROBERTS' DISTRIBUTORS, LP Ticket 5- 1125650
12225 N. MERIDIAN ST. Ticket date: 2/2/09
CARMEL, IN 46032 Station: 503
317 818 -9800 Fax 317 818 -1400 FE-# 32- 0000112
Orig ord 5- 1125650
'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 Pnce Umt,flaq Ext prc
10 CRM -00001 CRM -DEV ONLY C -41 35/ 2.49 EACH 24.90
10 CRM -00003 CRM -CD BURN FROM MEI 3.99 EACH 39.90
Payments
ACCTS REC 64.80
Total Charges: 64.80
Drawer: 503 User: 15 Total line items on ticket: 2 Sale subtotal: 64.80
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 64.80
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.
X2225 N. Meridian St Terms
Carmel, IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
2/2/09 5- 1125650 payment for film development 64.80
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.
ALLOWED 20
Roberts Distributors, LP IN SUM OF
12225,N. Meridian St
Carmel, IN 46032
64.80
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 5- 1125650 419 -01 64.80 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
February 11, 2009
S niat re
(hiep of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund