102040 NELSON ALARM COMPANY City
INDIANA RETAIL TAX EXEMPT Page 1 of 1
of cIariririie� CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
JL FEDERAL EXCISE TAX EXEMPT 102040
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
10/25/2018 00352213 DSX LAN Modules
NELSON ALARM COMPANY ICS
VENDOR 2602,E 55TH STREET SHIP 31 1st Avenue N.W. .
TO Carmel, IN 46032-
INDIANAPOLIS, IN 46220- Timothy Renick (3:17)571-2576
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
30418
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 Fund: 101 General Fund
Account: 44-670.99
1 Each ' DSX LAN Modules $3,694.00 . $3,694.00
Sub Total $3,694.00
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Send Invoice To: . . ...�f., <,..,, --,.,, , Q
' ICSQuote dated 7/25/18
Timothy Renick
31 1st Avenue N.W. ''''' e '''''''7, f'
Carmel, IN 46032- ` :
(317)571-2576 PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $3,694.00
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 //i�yrl
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Timothy Renick !y-\
4,<
TITLE Director \°, 1 , �1
CONTROL NO. 102040 CLERK-TREASURER