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32029 Nelson Alarm O ®f Carmel INDIANA RETAIL TAX EXEMPT 155 00 pAGE 1JJ�t111 CERTIFICATE TAI TAX 155 002 0 PURCHASE ORDER NUMBER J' FEDERAL EXCISE TAX EXEMPT 32029 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 5113/2014 Video Amplifier 1 NELSON ALARM COMPANY • Carmel Communication Center VENDOR SHIP 31 1st Ave NW TO 2602 E. 55th Street Carmel, IN 46032 . Indpls., IN 46220 (317)571-2576 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43-500.00 1 Each FM-Video Amplifier-Ground-loop Blocker GB-60/D _ $475.00 $475.00 1 Each shipping $10.00 $10.00 Sub Total: $485.00 • 4 i' * .■.. ° a) gt. :4 : , . r x Send Invoice To: H ©o Carmel Communication Center �j�j 31 1st Ave NW Carmel, IN 46032- . PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1115 Communications PAYMENT $485.00 • NP 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 HAPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. • Cl.; all)C-4! PURR CHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. /-1,, /� �- •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE // !/.t . AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 32029 . CLERK-TREASURER DOCUMENT CONTROL NO. OFFICE COPY