180901 12/30/2009 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: $8,875.00
INDIANAPOLIS IN 46220 CHECK NUMBER: 180901
CHECK DATE: 12130/2009
DEPARTMENT ACCOUNT PO NUMBER IN NUMBER AMOUNT DESCRIPTION
900 4359016 21261 9120526 8,875.00 EXACQVISION SERVER /ST
r"
Invoice Number 9120526
Sale Date 12/18/2009
Due Date 1/7/2010
Terms NET: 20 Days
Carmel Communications Center
Janet Arnone
31 1 st Avenue N W
Carmel IN, 46032
Description Qty Price Net Tax Total
CCTV SYSTEM PARTS INSTALLATION 1 $8,875.00 $8,875.00 $0.00 $8,875.00
Sale and installation of the ExacgVision NVR and Axis 4 channel TOTALS $8,875.00 $0.001 $8,875.00
encoder per PO #21261 dated 11/21/09.
INDIANA RETAIL TAX EXEMPT PAGE C i t y o C rme CERTIFICATE NO.003120155 002 0 1 li lVL J111 PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT 21261
35- 60000972
3;OI CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM 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
November 12 2009 server /storage /endoder
VENDOR Nelson Alarm Company SHIP Cit§ie&fC{CaymR &mpuiicatbepar&mlier
2602 Eatt 55th Street TO 31sitsZZ Avenue NE
Indianapolis, IN,� Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS I FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1 ExacgVision 1608 -48- 1000 -R2 NVR 2U server 7,300.00
1 Optional storage 975.00
1 Axis 4- channel Encoder 600.00
j a i
d
City of Carmel Po l ar
Send Invoice To: ATTN: Teresa Anderso
3 Civic Square
Cammiel, IN 46032
PLEASE INVOICE IN DUPLICATE 8,875.00
DEPARTMENT ACCOUNT I PROJECT PROJECTACCOUNT AMOUNT
900 590 -16 secure our schools 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 THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. A
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY �.nf�.; tom. 'Yi CIe.'•?
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99 ACTS 1945 TITLE ChMEf of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
—DOCUMENT CONTROL NO.
A §I COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO:__.... WARRANT NO
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
t
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
Nelson Alarit Inc. Purchase Order No. 21261F
2602 East 55th Street Terms
Indianapolis, IN 46220 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/18/09 9120526 payment for server/storage/encoder 8.875.00-.
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Nelson Alarm, Inc. IN SUM OF
2602 East 55th Street
Indianapolis, IN 46220
8,875.00
ON ACCOUNT OF APPROPRIATION FOR
police grant fund
Board Members
Po# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
21261F 9120526 590 -16 8,875. o 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
December 18 20 09
Signature
Assistant Chief of Poli
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund