102039 NELSON ALARM COMPANY o INDIANA RETAIL TAX EXEMPT 0 PURCHASE ORDER NUMBER
Page 1 of 1
I � ®fCar e1 CERTIFICATE NO.003120155002Jj FEDERAL EXCISE TAX EXEMPT 102039
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
10/25/2018 00352213
NELSON ALARM COMPANY Dept of Community Service
VENDOR 2602.E 55TH STREET SHIP 1 Civic Square
TO
Carmel, IN 46032-
INDIANAPOLIS, IN 46220-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
30416
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1192 Fund: 101 General Fund
Account: 44-631.00
1 Each Security Equipment $1,115.00 $1,115.00
Sub Total $1,115.00
e
.z
1::.' 141( .'',.,.pig,Ny,,,,v,-:::''...., ...,i-,,,,„,,,:,,,,,,--. 1, ''''
Send Invoice To: � ::, a
Dept of Community Service `
1 Civic Square
Carmel,IN 46032- �
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $1,115.00
SHIPPING INSTRUCTIONS 'A/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 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 x
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY � �
Mike Hollibaugh \C '
TITLE Director
CONTROL NO. 102039 CLERK-TREASURER