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Cit ®f cIairrrie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
100562
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AiP
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
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7/12/2017 00352213 CID/SID Surge protectors
NELSON ALARM COMPANY Communications
VENDOR 2602 E 55TH STREET SHIP 31 1st Avenue N.W.
TO Carmel, IN 46032-
INDIANAPOLIS, IN 46220- (317)571-2576
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
17088 1
QUANTITY 1 UNIT OF MEASURE .1 DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 Fund: 101 General Fund
Account: 44-670.99
2 Each P#HGLN-CAT5-2 Base-T CAT5 lightning surge protector $62.00 $124.00
2 Each P#AL-CAT5-JW Base-T CAT5 Lightning surge protector $75.00 $150.00
1 Each Labor $475.00 $475.00
Sub Total $749.00
Send Invoice To:
Communications Quote dated 7/12/17
31 1st Avenue N.W.
Carmel, IN 46032-
(317)571-2576 PLEASE INVOICE IN DUPLICATE
ATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT j AMOUNT
PAYMENT $749.00
SHIPPING INSTRUCTIONS *NP 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
*Si iP PREP,IC; AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
D SM?\•LENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE A ,R ER NUMBER MUST APPEAR ON ALL SHIPPING LABEL /�
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*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 !
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AND ACTS EMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Timothy Renick
TITLE Director
CONTROL NO. 1 00562 CLERK-TREASURER