218562 03/25/2013 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: $3,550.00
INDIANAPOLIS IN 46220 CHECK NUMBER: 218562
CHECK DATE: 3/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 R4467099 25537 13030642 3 , 550 . 00 EQUIPMENT
13 U
ALARM
NELSON ALARM COMPANY
2602 East 55th Street
Indianapolis, IN 46220 Invoice Number 13030642
Phone:317-255-2125 Sale Date 3/7/2013
Fax:317-253-8802 Due Date 3/27/2013
www.nelsonalarm.com
Carmel Police Dept.
Teresa Anderson
Police Department
3 Civic Square
Carmel, IN 46032
> Description - -- - -- Qty Price Net Tax Total -<
VIDEO SYSTEM INSTALLATION 1 $3,550.00 $3,550.00 $0.00 $3,550.00
Sale and installation of the video system equipment and TOTALS $3,550.00 $0.00 $3,550.00
components per the Nelson Alarm Commercial Equipment Sales
Agreement dated 11/14/12.
CARMEL PO#25537
INDIANA RETAIL TAX EXEMPT PAGE
City ® I' Carmel CERTIFICATE NO.003120155 002 0 1i PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 2553
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
110JQW2
; UAL,k� ic t Nalson A1am Company 1.
VENDOR SHIP :
r: s
2 East 65th Street TO
Indianapolis, IN 46M #= w
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 440.99
1 Each Vn plug table top plug in box $925.00 $925.00
1 Each 80 Boor retrofit box configuration $1,130.00 $9,1301.00
1 Each 50'extension cables . .. $495.00 $495.00
1 Each miscellaneous connecting parts/
$150.00 $150.00
equipment
1 Each labor for installation and testin�1 I, � ` . .w �`; �- � $$50.00 $850.00
_ Sub Total: $3,550.00
Send Invoice To: ` '•.•� .r: '(' ';
f ( J
Carmol Police Department
Attn: Toresa Andargoen
3 CIvle Square
Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. PAYMENT $3,550.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• '
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY .5
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. Chl6 Rolle
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
,� ( CLERK-TREASURER
DOCUMENT CONTROL NO. A.P. . COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO._- _-..-WARRANT
ALLOWED 20
IN THE SUM OF$
t..
ON ACCOUNT OF APPROPRIATION FOR
Board Members
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
.......---_.-_---_.__...-__------____--____�______-_---.__ -.-..._......-_........--_.__...- r:
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
$3,550.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
Encumbered I hereby certify that the attached invoice(s), or
25537 I 13030642 I 44-670.99 I $3,550.00_
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, March 20, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I
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))
03/07/13 13030642 installation of video equipment $3,550.00
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