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26253 Nelson Alarm I HN n J\ X1� IN DIANA RETAIL TAX EXEMPT 1 PAGE f i 11 I y I 1 I Y t V Of Carmel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER 1 FEDERAL EXCISE TAX EXEMPT I 35- 60000972 ONE CIVIC SQUARE THIS NUMBER MUST INVOICES, NP CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVE M 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 12/12/2011 VENDOR Nelson Alarm To P Street Department 3400 W. 131st Street 2602 E. 55th Street Carmel, IN 46074 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS •EIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION r Account 2201 631.00 1 Each upgrade DSX f $1,125.00 $1,125.00 /((j Sub Total: $1,125.00 0 t c f v C Q T M ••Go p y y Send Invoice To: 1- 0 Street Department 3400 W. 131st Street PLEASE INVOICE IN DUPLICATE DEPARTMENT Cal n nel,fN 46074 A 000UNT PROJECT PROJECT ACCOUNT AMOUNT PAYMENT NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. Street NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND $1,125.U0 Carmel Street Department VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. SHIP REPAID C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ,�y,0�6 1 V N PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY I�A11l�I liU-� SHIPPING LABELS. THIS ORDER. ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Lpt d L%/j{/]w 64 (i(1t AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 1 I �I 2 6 2 5 3 CLERK TREASURER v V DOCUMENT CONTROL NO. OFFICE COPY