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Home My WebLink About215163 12/04/2012 - CITY OF CARMEL, INDIANA VENDOR: 273975 Page 1 of 1 �f ONE CIVIC SQUARE ROBERT'S DISTRIBUTORS,INC CARMEL, INDIANA 46032 255 S.MERIDIAN ST CHECK AMOUNT: $1,447.86 INDIANAPOLIS IN 46225 CHECK NUMBER: 215163 CHECK DATE: 12/4/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4467099 25522 5-1236058 1, 447 . 86 CAMERAS R, ipbergs INVOICE Date printed: 11/28/12 ROBERTS CARMEL Ticket#: 5-1236058 12761 OLD MERIDIAN ST Ticket date: 11/26/12 CARMEL, IN 46032 Station: 501 317-818-9800 Fax 317-818-1400 FE-#32-0000112 Orig ord#: 5-1236058 Sold to: CARMEL POLICE DEPT Ship to: 3 CIVIC SQUARE CARMEL, IN 46032 317-571-2500 Customer#: CAPD Ship date: Purchase Order-#: 2522 Ship-via code: SIs rep: 40 Location: 5 Terms: NET 30 DAYS Quantity, Item"`# Description Price Unit flaq Ext prc 2 CAN-10114 CAN-EOS REBEL T3 W/1 449.97 EACH 899.94 Serial# 21232073025611 21232073025613 2 PTR-01114 PTR-SDHC 16GB LX CLAS 18.97 EACH 37.94 2 CAN-13120 CAN-SPEEDLITE 430EX II 254.99 EACH 509.98 1 NOTE 430 EX FLASHES ON ORC 0.00 EACH 0.00 1 NOTE PRE PAID 0.00 EACH 0.00 Payments ACCTS REC 1,447.86 Total Charges: 1,447.86 Drawer: 501 User: 15 Total line items on ticket: 5 Sale subtotal: 1,447.86 Tax: 0.00 Authorized Signature: PLEASE PAY FROM THIS INVOICE We Appreciate Your Business IPlease REMIT to: 255 S. Meridian St., Indianapolis, IN 46225 DOTAL AMOUNT DUE 1,447.86 14 DAY RETURN. MUST BE IN"AS PURCHASED CONDITION", HAVE ALL ORIGINAL PACKAGING AND UNUSED FOR FULL REFUND OR EXCHANGE. MAY BE SUBJECT TO A 20%RESTOCKING FEE. MUST HAVE RECEIPT FOR ALL RETURNS OR EXCHANGES. ***VIDEO CAMERAS AND LENSES OVER$1000 WILL INCUR A 20%RESTOCKING FEE DURING THE 14 DAY RETURN PERIOD.*** C4 INDIANA RETAIL TAX EXEMPT PAGE of ; Q°,�rme l CERTIFICATE NO.003120155 002 0 l{. V �./C�JS J11� PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 2%22 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, - SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 11116092 Roberto' Dist4bul:ets LP Carmel Police Department VENDOR SHIP Civic Square S. Maddlan Stroet TO Camel, IN 4603 �4 Indianapolis, IN 48226 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS 1 Jul FREIGHT f tf QUANTITY �gUNIITT(OF MEASURE DESCRIPTION � UNIT PRICE EXTENSION Account r^�7 0.99 2 Each Can-EOS rebel T3 CAN-10114 $449.97 $899.94 2 Each Can-Speedlite 430EX It CAN-13120 $254.99 $509.98 2 Each PTR-a€3HC 10GB Lit Class 1 . $18.97 $37,,94 Saab Total: 9,4 7.80 YY4 p�9 1 Send Invoice To: J: Carmel Police Depwtment Attu: Terisa A ndamon 3 Civic gaaro Camel, IN 46M2- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT Cartel Police Dept, 6 PAYMENT $1,"7.9$ • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. ` NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY •PURCHASE ORDER NUMBER MUST APPEAR ON ALL - SHIPPING LABELS. lief Qg E Police •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. Y 255 CLERK-TREASURER DOCUMENT CONTROL NO. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO.:_-.--__._.---_._WARRANT NO.--_........--............ ALLOWED 20 IN THE SUM OF$ ON ACCOUNT OF APPROPRIATION FOR i �Y Board Members PO#or INVOICE NO. ACCT#ITITLE AMOUNT DEPT.# I 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,-__--_-_ 20 Signature I _......................-..-.......-... -.........--.........-.....-......._.......................................-...................._............... .-..__.....__..._._...........-. Title Cost distribution ledger classification if claim paid motor vehicle highway fund VOUCHER NO. WARRANT NO. ALLOWED 20 Roberts' Distributors LP IN SUM OF $ 255 S. Meridian Street Indianapolis, IN 46225 $1,447.86 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 25522 I 5-1236058 I 44-670.99 I $1,447.86 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 Friday, November 30, 2012 Chief of Police 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)) 11/26/12 5-1236058 cameras/accessories $1,447.86 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