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31884 Nelson AlarmCity of .Iarmme1 ONE CIVIC SQUARE CARMEL, INDIANA 46032 -2584 FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997 INDIANA RETAIL TAX EXEMPT CEkTIFlO`ATE`NO. 003120155 002 0 FEDERAL EXCISE TAX EXEMPT 35-60000972 PAGE PURCHASE ORDER NUMBER THIS NUMBER MUST APPEAR ON INVOICES, AP VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 10/29/2014 VENDOR Nelson Alarm 2602 E. 55th Street Indianapolis, IN 46220- SHIP TO Street Department 3400 W. 131st Street Carmel, IN 46074- (317) 733 -2001 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 1 Each 136th St. / Keystone Pkwy. Camera Send Invoice To: Street Department 3400 W. 131st Street Carmel, IN 46074- PLEASE INVOICE IN DUPLICATE $6,025.00 $6,025,00 DEPARTMENT Carmel Street Dept. ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 43- 509.00 PAYMENT $6,025.00 SHIPPING INSTRUCTIONS • SHIP REPAID. • COD. SHIPMENTS CANNOT BE ACCEPTED. • PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. • THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO, ORDERED BY TITLE • AP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS JHE PROPER SWORN AFFIDAVIT ATTACHED. • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROf'RIATI(SN SUFFICIENT TO PAY OR THE ABOVE ORDER. q CLERK- TREASURER DOCUMENT CONTROL NO. 31884 A.P.V. COPY - SIGN AND RETURN TO CLERK'S OFFICE