102063 NELSON ALARM COMPANY INDIANA RETAIL TAX EXEMPT Page 1 of 1
Cityof Carme CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 1 02063
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
11/5/2018 00352213
NELSON ALARM COMPANY Redevelopment Department
VENDOR 2602 E 55TH STREET SHIP 30 W Main Street,Suite 220
TO Carmel,IN 46032-
INDIANAPOLIS, IN 46220- Michael Lee (317)571-2788
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
30650
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1801 Fund: 101 General Fund
Account: 43-509.00
4 Each Horn Strobes P2RL $57.00 $228.00
4 Each NOT-BGI2LX addressable pull stations $133.00 $532.00
1 Each Notifier Annunciator FDU80 $632.00 $632.00
2 Each Strobes SRC $45.00 $90.00
Sub Total $1,482.00
Send Invoice To: ` ' '7
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Redevelopment Department `,
Michael Lee
30 W Main Street,Suite 220
Carmel, IN 46032- ,
(317)571-2788 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT O PROJECT PROJECT ACCOUNT 1 AMOUNT
PAYMENT $1,482.00
'NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS
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& --"—
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Henry Mestetsky
TITLE \/\
CONTROL NO. 102063 CLERK-TREASURER