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32028 Nelson Alarm 0 INDIANA RETAIL TAX EXEMPT PAGE C1 QQQQ....,,,,,,,,,,...,,,,,,,,� Of Carmel CERTIFICATE NO.0031201550020 . - PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 35-60000972 32028 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP 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 511212014 Video Amplifier • NELSON ALARM COMPANY Carmel Communication Center VENDOR SHIP 311stAveNW TO 2602 E.55th Street Carmel, IN 46032 Indpis., IN 46220 • (317)571-2576 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43-500.00 GE -120A 4175 4/7-5. s-° 1 Each FM-Video Amplifier-Ground-loop Blocker 4 L349:80 4.33&6O Sub Total: 89ifis0 LOYS&H"''... ' ...••••qcv .7.4.--.. --------,- : . t* � *W o . • • O . tfQ ©w..••�° y�y� Send Invoice To: 1ff� j( t - ��11jj) Carmel Communication Center 31 1st Ave NW • Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE • DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1115 Communications PAYMENT i -Watt • 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 THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. C-739,41-2.-56 //,y//�, �/ ,( •GO.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY ({LL---t_A�( •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ///JJJ �,/�/,/ SHIPPING LABELS. /I/1/"""( •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE jpi--- =- re v/•`F- AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. v ` DOCUMENT CONTROL NO. 32028 CLERK-TREASURER . OFFICE COPY ,