101669 NELSON ALARM COMPANY it ,r
INDIANA RETAIL TAX EXEMPT Page 1 of 1
Iof Iairrnie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101669
ONE CIVIC SQUARE 35-6000972 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
5/17/2018 00352213
NELSON ALARM COMPANY Cannel Police Department
VENDOR 2602 E 55TH STREET SHIP 3 Civic Square
TO Carmel, IN 46032-
INDIANAPOLIS, IN 46220- Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
25978
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 43-501.00
1 Each Access Control Equiptment Lobby $3,103.00 $3,103.00
Sub Total $3,103.00
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Send Invoice To: � Fu „y _�,
Carmel Police Department °y
Accounts Payable ��• ,
3 Civic Square ,c, ./"'
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT J AMOUNT
PAYMENT $3,103.00
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.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL / /
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 SAW /Yscr7-i.¢/L—
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Jeffrey Homer
TITLE Deputy Chief ,
CONTROL NO. 101669 CLERK-TREASURER �+