165357 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: 00352213 Page 1 of 1
ONE CIVIC SQUARE NELSON ALARM COMPANY
CARMEL, INDIANA 46032 2602 E 55TH STREET CHECK AMOUNT: $8,350.00
INDIANAPOLIS IN 46220 CHECK NUMBER: 165357
CHECK DATE: 10/29/2008
DEPARTMENT ACCOU PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4467099 8090462 8,350.00 CCTV
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NELSON e O
HELOGN ALARN COMPANY
2602 East 55th Street
Indianapolis, IN 46220 Invoice Number 8090462
Phone: 317 255 -2125 Sale Date 9/12/2008
Fax: 317 253 -8802 Due Date 10/2/2008
www.nelsonalarm.com
Carmel Redevelopment Comm.
Attn: Sue
111 WEST MAIN STREET #140
CARMEL IN, 46032
Description Qty Price Net Tax. Total
CCTV SYSTEM INSTALLATION 1 $8,350.00 $8,350.00 $0.00 $8,350.00
Sale and installation of the new CCTV camera per PO 16251. TOTALS1 $8,350.001 $0.001 $8,350.00
Completed on 9/11/08.
Ci f Carmel CE INDIANA RETAIL TAX EXEM"
RTIFICATE No. 0 0
03 2015 02 PARE
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 1 67
35 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, AP
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.
JRCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
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ONFIFMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT 7 PROJECTACCOUNT AMOUNT
PAYMENT
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 THATTHERE ISAN UNOBUGATED BALANCE IN
SHIP REPAID. THIS APPROPRIATI N S ICIENT T AY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. 1 n
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE D l Q. L 1'pf d c k c
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO.16 2 51 VENDOR ,C
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Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
►A.) q&22o Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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Total g, 3so. 6O
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.
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Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
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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
90 2 �a o q(o 7c> j 8 3- is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
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Signature
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Cost distribution ledger classification if Title
claim paid motor vehicle highway fund