204326 12/06/2011 CITY OF CARMEL, INDIANA VENDOR: 00352213 Page 1 of 1
s. ONE CIVIC SQUARE NELSON ALARM COMPANY
CARMEL, INDIANA 46032 2602 E 55TH STREET CHECK AMOUNT: $25,360.00
INDIANAPOLIS IN 46220 CHECK NUMBER: 204326
CHECK DATE: 12/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4351501 11110655 560.00 EQUIPMENT MAINT CONTR
1115 4350000 27677 11110738 24,800.00 EXACQVISION SERVER
�n
2602 East 55th Street
Indianapolis IN 46220 Invoice Number 11110738
Phone: 317 255 -2125 Safe Date 11/29/2011
Fax: 317 253 -8802 Due Date 12/19/2011
www.nelsonalarm.com
1
i
Carmel Communications Center
I Janet Arnone
31 1 st Ave NW
Carmel, IN 46032
Description Qty Price Net Tax Total
CAMERA SYSTEM PARTS 1 $24,800.00 $24,800.00 $0.00 $24,800.00
Direct sale of one ExacgVision video server per PO 27677 dated TOTALS $24,800.00 $0.00 $24,800.00
11/14/11.
I
Return Stub Below-
Please return this portion of your invoice with your payment. Thank you!
Customer: Carmel Communications Center
Invoice Number 11110738
Bill Payer ID: 3724
Due This Inv. $24,80040 Amount Remitted ES
Payment Check Fl" Check Number Date Remitted
Method W
Char e*
f
g�0.' C_ ldNumber- _...Billing- Zipcode
Name On Card Exp Date
Signature Card ID
`Please Note If paying by charge card,. we can only accept payment by Discover, Mastercard, Visa
i Please remit to Nelson Alarm, Inc 2602 E. 55th Street, Indianapolis, In 46220 Inv No. 11110738
@SARGUAAD, LIrHOUSA O2111 L05SF012491M
INDIANA RETAIL TAX EXEMPT PAGE
Ci�y o f C armel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 2767'
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1919412019
NELSON ALARM COMPANY Carmel Communication Center
VENDOR SHIP 311st Ave NW
TO
2602 E. 55th Street Carmel, IN 46032
Indpls., IN 46220 (317) 579 -2586
CONFIRMATION =UNIT PAYMENT TERMS FREIGHT
QUANTITY DESCRIPTION UNIT PRICE EXTENSION
Account 43 -500.00
1 Each ExacgVision Video Server IP2- 40TB -R$ -RAID NVR $24,800.00 $24,800.00
Sub Total: $24,500.00
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Send Invoice To: f
Carmel Communication Center
311 st Ave NW
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT 11 PROJECTACCOUNT AMOUNT
Communications PAYMENT 824,100.00
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 HArHE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY C TIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. THIS APPR Pf#�Ij1T O; .SUFFICIENT TO PAS/ FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. Y
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE IDIrector
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
DOCUMENT CONTROL No- 27677 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO, WARRANT NO.
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
NELSON ALARM COMPANY
IN SUM OF
2602 E. 55th Street
Indpls., IN 46220
$24,800.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO#! Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
27677 I 11110738 I 43- 500.00 I $24,800.00 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
Wednesday, November 30, 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))
11/29/11 11110738 $24,800.00
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
S
�0000 WO o
N ELSON
ARM J
ALARM
Z. o
NELSON ALARM COMPAMY
2602 East 55th Street
Indianapolis, IN 46220 Invoice Number 11110655
Phone: 317-255-2125 Sale Date 11/16/2011
Fax: 317 253 -8802 Due Date 121612011
www.nelsonalarm.com
i
Carmel City Hall
Jeff Barnes
1 Civic Square
Carmel, IN 46Q32
Description Qty Price Net Tax Totail
VIDEO SYSTEM LICENSES 4 $140.00 $560.00 $0.00 $560.00
Added four (4) additional IP camera licenses to NVR mac address TOTALS1 $560.001 $0.00 $560.00
00-IC-CO-CC-35-3D.
E DEC 5 2011
Return Stub Below
VOUCHER NO. WARRANT NO.
ALLOWED 20
Nelson Alarm Inc.
IN SUM OF
2602 E. 55th Street
Indianapolis, IN 46220
$560.00
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1205 11110655 43- 515.01 $560.00 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
Monday, December 05, 2011
,7
Director, Administration
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))
11/16/11 11110655 $560.00
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