215721 12/18/2012 ^�f 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: $165.00
INDIANAPOLIS IN 46220 CHECK NUMBER: 215721
CHECK DATE: 12/1812012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4467099 25534 12120630 165 . 00 CAMERA
ALARM J
NELSON ALARM COMPANY
2602 East 55th Street
Indianapolis,IN 46220 Invoice Number 12120630
Phone:317-255-2125 Sale Date 12/7/2012
Fax:317-253-8802 Due Date 12/27/2012
www.nelsonalarm.com
Carmel Police Dept.
Teresa Anderson
Police Department
3 Civic Square
Carmel, IN 46032-
> Description city -- Price—
CAMERA SYSTEM PARTS 1 $165.00 $165.00 $0.00 $165.00
Direct sale of one cctv camera per PO #25534 dayed 11/27/12 TOTALS $165.00 $0.00 $165.00
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INDIANA RETAIL TAX EXEMPT PAGE
City o ' Carmel CERTIFICATE NO.003120155 002 0 1� PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 26
35-60000972
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
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
11127
Nelson Alarm Company C };� �cid � ����
SHIP I
VENDOR
TO
2602 East 55th Stmet
Indianapolis, IN 46220
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE 'EXTENSION
Account 440.
i Each Motion Detector stye color camera with 3.6mm Ions. $985.00 $905.00
Sub Total: $165.00
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Send Invoice To: f s^ •, !` j.
-.. .'
Cats of Pollco Dopartment
Attn: 'Teresa Andemon
3 Civic Square
Carmel, IN 4 - PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Camel Police Dept• r $
PAYMENT 165.00
• 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 HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY TH
SHIP REPAID. AT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. 1"< �//
•
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY =f�, f�l�Y"
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Chief
of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
D' 5 3 4 CLERK-TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO.------ WARRANT
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
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 East 55th Street
Indianapolis, IN 46220
$165.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
25534 I 12120630 I 44-670.99 I $165.00 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, December 12, 2012
Chief of Police
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))
12/07/12 12120630 cctv camera $165.00
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