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193866 01/19/2011
a- CITY OF CARMEL, INDIANA VENDOR: 00352213 Page 1 of 1 g 0 ONE CIVIC SQUARE NELSON ALARM COMPANY CARMEL, INDIANA 46032 2602 E 55TH STREET CHECK AMOUNT: $4,294.35 INDIANAPOLIS IN 46220 CHECK NUMBER: 193866 CHECK DATE: 1/19/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 R4467099 27545 11012521 4,294.35 CAMERA W /POLL MOUNT i MEN ALARM NELSON ALARM COMPANY 2 East 55th Street Invoice Number 1101252'1 Indianapolis, IN 46220 Phone: 317- 255 -2125 Sale Date 1!3/2011 Fax: 317 253 -8802 Due Date 1/23/2011 www.nelsonalarm.com ss Carmel Communications Center' Janet Arnon`e E 5 31 1st °Ave NW Carmel, INr,4i6032 Description Qty Price Net Tax Total CAMERA SYSTEM PARTS 1 $4,294.35 $4,294.35 $0.00 $4,294.35 Direct sale of the video system part s per PO 27545 dated TOTALS1 $4 ,294.35 $0.001 $4 ,294.35 12114110. 3 q 9 Y .A.�Re 1rn Stuh Relovu •s Please return this portion of;0ur invoice with your payment :Thank your" Customer Cannel Communications Center 3„ n Invoice umber 1'101;2521 1 r A, I IDS 3 2 a f BI Foyer 7 4. i Due This nv $4,294 35 Amount Remitted Z} a x Payment D M Check ET Check Number Datet'ReAtted 1 Method s Char .Q e AN g. m0 Card Number Bills o ng =Zipc de.µ Name On Card Exp Date Signature Card ID Is 'Please Note If paying by charge card, we can'only accept.payment by :Mastercard, Visa Please remitto Nelson Alarm Inc 2602E 55th Street Indianapolis;' In 46220 ��g Inv No X11012521 r q" L Page T a @SAT-EGUAAD u,n,- 95110 L055F012491M Carmel INDIANA RETAIL TAX EXEMPT PAGE C it y CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 35- 60000972 27545 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 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 12114/2010 NELSON ALARM COMPANY Carmel Communication Cane VENDOR SHIP 31 1stAve NW TO 2602 E. 55th St reet Ca IN 46032 indpis., IN 46220 (317) 571-2586 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 44- 670.99 3 Each Axis P3344 -VE HD Camera w /poll mount $1,431.45 $4,294.35 Sub Total: $4,294.35 !I T 'IJ 4 b f Q Send invoice Toro Carmel Communication Center 31 1st Ave NW Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Communications PAYMENT $4,294.35 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 APPROPRI d`ION S SENT TO AY R THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY s�✓�"'•• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. r THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK- TREASURER DOCUMENT CONTROL No-27545 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWE=D 20 IN THE SUM OF r, r ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NQ. 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 2© Signature Title Cost distribution ledger classification if claim. paid motor vehicle highway fund VOUCHER NO. WARRANT NO. ALLOWED 20 NELSON ALARM COMPANY IN SUM OF 2602 E. 55th Street Indpls., IN 46220 $4,294.35 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO Dept. INVOICE NO. I ACCT /TITLE AMOUNT Board Members Encumbered I hereby certify that the attached invoice(s), or 27545 11012521 44- 670.99 $4,294.35 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, January 13, 2011 Director 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)) 01/03/11 11012521 $4,294.35 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