232867 05/21/14 CITY OF CARMEL, INDIANA VENDOR: 00352213
® ONE CIVIC SQUARE NELSON ALARM COMPANY CHECK AMOUNT: $ ..."195.00*
CARMEL, INDIANA 46032 2602 E 55TH STREET CHECK NUMBER: 232867
�, oN INDIANAPOLIS IN 46220 CHECK DATE: 05/21/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350100 31822 14050775 195.00 MONITOR TOWER SITE
I
NELSON
CR LJ LI WOO U
LARM
NELSON ALARM COMPANY
2602 East 55th Street
Indianapolis,IN 46220 Invoice Number 14050775
Phone:317-255-2125 Sale Date 5/6/2014
Fax:317-253-8802 Due Date 5/26/2014
www.nelsonalarm.com
Purchase Order# 31822
Carmel Communications Center
Janet Arnone
31 1 st Ave NW
Carmel, IN 46032
I
> Description Qty Price Net Tax Total <
ACCESS SYSTEM SERVICE CALL& LABOR 1 $195.00 $195.00 $0.00 $195.00
Sale and installation of the "power fail" relay connected to the DSX TOTALS $195.00 $0.00 $195.00
access control system equipment. Installed and tested on 5/1/14
per PO # 31822
1
- ---------------------- --------------------------------------------- ........ ._._.................----..........................-•----------------------...--•--••-
INDIANA RETAIL TAX EXEMPT PAGE
City ®f Carmel
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 31t322
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.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
412512014 TOvdOr Site Power Alarm input
NELSON ALARM COMPANY Carmel Communication Center
VENDOR SHIP 31 1st Ave NW
TO
2602 E.SM Street Carmel, IN 46032
indpis., IN 46220 (317)571-2586
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-501.00
1 Each 120vac relay to monitor power at Tonder Site $195.00 $195.00
Suis Total: $195.00
�0 r y \may
tit„
Ys n�
41
a.M
Send Invoice To: - f
Carmel Communication Center
31 1 st Ave NW
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1113 Communications PAYMENT M5.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO'PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL -
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. y �!
CLERK-TREASURER
DOCUMENT CONTROL NO. 3.1822 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER WARRANT
ALLOWED 20—
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
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
materials or services itemized thereon for
which charge is made were ordered and
received except-...----------- —----------------
-------------------- .......................................................... .............
20'.
........................................................... --------
Signature
.............................. .................................................................. ............. ...........................
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))
05/06/14 I 14050775 I $195.00
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
NELSON ALARM COMPANY
IN SUM OF $
2602 E. 55th Street
Indpls., IN 46220
$195.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
31822 I 14050775 I 43-501.00 I $195.00 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, May 15, 2014
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund