HomeMy WebLinkAbout208026 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 273975 Page 1 of 1
0 ONE CIVIC SQUARE ROBERT'S DISTRIBUTORS, INC CHECK AMOUNT: $438.97
CARMEL, INDIANA 46032 255 S. MERIDIAN ST
INDIANAPOLIS IN 46225 CHECK NUMBER: 208026
CHECK DATE: 4/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4467099 1218815 438.97 OTHER EQUIPMENT
Invoice
ROBERTS CARMEL Ticket 5- 1218815
12761 OLD MERIDIAN ST Ticket date: 3/27/12
CARMEL, IN 46032 Station: 502
317 818 -9800 Fax 317 818 -1400 FE 32- 0000112
Orig ord 5- 1218815
Sold to: CARMEL FIRE DEPT Ship to:
2 CIVIL SQUARE
CARMEL, IN 46032
571 -2600
DENISE
Customer CAFD Ship date: Purchase Order Ship -via code:
Sls rep: 58 Location: 5 Terms: NET 10 DAYS
Quantity Item Description Manuf Part Price Unit flaq Ext prc
1 SIG -00030 SIG -10 -20 4 -5.6 CANON 201101 EX DC HSM 479.00 EACH 479.00
Serial
11999556
1 IR SIGMA INSTANT REBATE SIGMA -50.00 EACH -50.00
1 HOO -00420 HOO -HLC12 LENS CLEANSE NATURAL CLEANIN 9.97 EACH 9.97
1 NOTE NOTE Bruce Knott 0.00 EACH 0.00
Payments Amount
ACCTS REC 438.97
Total Charges: 438.97
Drawer: 502 User: 53 Total line items: 4 Sub Total: 438.97
Tax: 0.00
Total: 438.97
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: 438.97
VOUCHER NO. WARRANT NO.
ALLOWED 20
Roberts Distributors
IN SUM OF
255 S. Meridian Street
Indianapolis, IN 46225
$438.97
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1120 I 1218815 1 102 670.99 I $438.97 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
L
a
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
121 8815 $438.97
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