101213 NELSON ALARM COMPANY INDIANA RETAIL TAX EXEMPT Page 1 of 1
Ii itCity of iIairrriie1E ORDER NUMBER _____.
CERTIFICATEFEDERAL EXCISE TAX EXEMPTO PURCHASEIoORDEIR�UMBER
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEARGARON 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
12/28/2017 00352213 Access System Installation(Admin,Bldg.A,Bldg.B
NELSON ALARM COMPANY Street Department
VENDOR 2602 E 55TH STREET SHIP 3400 W. 131st Street
TO Carmel, IN 46074-
INDIANAPOLIS, IN 46220- (317)733-2001
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
22104 - - - - -
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 2201 Fund: 2201 Motor Vehicle Highway FND
Account: 43-509.00
1 Each Repairs $23,551.00 $23,551.00
Sub Total $23,551.00
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Send Invoice To: ��
Street Department .
ra
3400 W. 131st Street
Carmel, IN 46074-
(317)733-2001 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $23,551.00
SHIPPING INSTRUCTIONS '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
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
*C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASEIS SSUE IN BER MUST WITH HOALLSHIPPING
99, G LABEL
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 6--41
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY \�
Dave Huffman James Crider
TITLE Director Administration co.
CONTROL NO. 101213 CLERK-TREASURER