HomeMy WebLinkAbout217339 02/13/2013 CITY OF CARMEL, INDIANA VENDOR: 273975 Page 1 of 1
ONE CIVIC SQUARE ROBERT'S DISTRIBUTORS, INC
' CARMEL, INDIANA 46032 CHECK AMOUNT: $5,357.90
i�.. 255 S.MERIDIAN ST
INDIANAPOLIS IN 46225 CHECK NUMBER: 217339
CHECK DATE: 2/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4467001 25621 5, 000 . 00 CAMERA & ACCESSORIES
1110 4467001 25621 51241988 357 . 90 CAMERA & ACCESSORIES
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Invoice
ROBERTS CARMEL
Page: 1
12761 OLD MERIDIAN ST Ticket#: 5-1241988
CARMEL, IN 46032 Ticket date: 1/30/13
317-818-9800 Fax 317-818-1400 FE-#32-0000112 Station: 502
Orig ord#: 5-1241988
Sold to: CARMEL POLICE DEPT
3 CIVIC SQUARE Ship to:
CARMEL, IN 46032
317-571-2500
Customer#: CAPD Ship date: Purchase Order-#: 25621
Ship-via code:
Sis rep: 70 Location: 5 Terms: NET 30 DAYS
Quantity Item# Description Manuf Part-#
Price UniYflag Ext prc
2 PRO-27140 PRO-VECTRA SD 2GB CL4 3812
5.97 EACH 1194
1 PEL-00035 PEL-1520 BLACK 1520 CASE WITH FOAM
117.97 EACH 117.97
1 NOTE 1520 DELIVER TO CARMEL
0.00 EACH 0.00
1 NOTE P/U 2-1-13
0.00 EACH 0.00
1 CAN-12330 CAN-EF 2X III EXTENDER 441013002
429.99 EACH 429 gg
Serial#
91441 OB00292AA21944000
1 CAN-12218 CAN-EF 70-200 2.8L IS II US 27518002
2,099.00 EACH 2,099.00
Serial#
912751 B00292AA21889000
1 CAN-10322 CAN-EOS 6D W/24-105 80356009
Serial# 2,699.00 EACH 2,699.00
21032024009926
1 NOTE ATTN: LUCKIE CAREY
0.00 EACH 0.00
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Payments
Amount
ACCTS REP
5,357.90
Total Charges 5,357.90
Drawer: 502 User: 15 Total line items: 8
Sub Total. 5,357.90
Tax: 0.00
Total: 5,357.90
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: 5,357.90
c0 INDIANA RETAIL TAX EXEMPT PAGE
ily o Cqrmel CERTIFICATE NO.003120155 002 0 JL PURCHA SE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT �7
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
10013
Roberts`Distributors LP Carmel Police Department
VENDOR SHIP
TO squam
255 S. Meridian Street Carmel, IN 49032
Indianaoolls. IN 40225
CONFIRMATION BLANKET I CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 440.01
9 Each Can-EOS 913 W/24-105 CAN-10322 $2,099.00 $2,599.00
1 Each CA I-EF 2X III Extender CAN-12330 $429.99 $429.99
1 Each CAM-EP 70-200 2.8L IS II $2,099.00 $2,099.00
1 Each PEL-1520 Black $117.97 $117.97
2 Each Pro Vacua' SD 2138 CL4 I 4 /o $5.97 $11.94
g Saab Total: $5,357.00
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Send Invoice To:
Carmel Polio Department
Attn: 'Terosa Anderson
3 Chic 3gaaar°o
Carmel, IN 46=- PLEASE INVOICE IN DUPLICATE �
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. `t. PAYMENT $5,357.90
• 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
SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY I 1 _
♦ I 7 v
SHIPPING LABELS. I
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE xhl@f a Pollen
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
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CLERK-TREASURER
DOCUMENT CONTROL NO.
6g.1. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF $
ON ACCOUNT OF APPROPRIATION FOR
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Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
it materials or services itemized thereon for
which charge is made were ordered and
received except
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20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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I 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.
j Terms
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Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
01/30/13 5-1241988 camera/accessories $357.90
01/30/13 5-1241988 camera/accessories $5,000.00
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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 $
255 S. Meridian Street
Indianapolis, IN 46225
$5,357.90
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
25621 5-1241988 44-670.99 $357.90 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
—1662-24-- 5-1241988 44-670.01 $5,000.00
materials or services itemized thereon for
o251°L�
which charge is made were ordered and
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received except
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Thursday, February 07, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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