102204 NELSON ALARM COMPANY INDIANA RETAIL TAX EXEMPT Page 1 of 1
Cityo- Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102204
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
12/5/2018 00352213 Midtown North Garage IDF Door
NELSON ALARM COMPANY ICS
VENDOR 2602 E 55TH STREET SHIP:. 31 1st Avenue N.W.
TO Carmel, IN 46032-
INDIANAPOLIS, IN 46220- Timothy Renick (317)571-2576
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
31642
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 Fund: 101 General Fund
Account: 43404:00 ;
1 Each Labor $600.00 $600.00
Sub Total $600.00
Account: 6301
1 Each 1042PKGNV DSX 2 door package $1,700.00 $1,700.00
1 Each DSX Lan Module " $300.00 $300.00
1 Each DSX Lock Power supply $300.00 $300.00
1 Each Electric door strike $140.00 $140.00
1 Each LOT composite cable, conduit/boxes, batteries and contact $100.00 $100.00
switch
1 Each Prox keypad w/Essex Back box $516.00 $516.00
.. _
Sub Total
$3,056.00.
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Send Invoice To: „ i
ICS Quote dated 11/21/18 ,
Timothy Renick
31 1st Avenue N.W. ^'
Carmel, IN 46032 � ,�r
(317)571-2576 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $3,656.00
SHIPPING INSTRUCTIONS *MP 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
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'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 �— — 'J `
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Timothy Renick
TITLE Director \
CONTROL NO. 102204 CLERK-TREASURER