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Home My WebLink About230103 03/12/14 q n CITY OF CARMEL, INDIANA VENDOR: 368017 ® i'r ONE CIVIC SQUARE QUMU CORPORATION CHECK AMOUNT: S""""321.10' CARMEL, INDIANA 46032 7725 WASHINGTON AVENUE SOUTH CHECK NUMBER: 230103 4 MINNEAPOLIS MN 55439 CHECK DATE: 03/12/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4230200 31515 90132498 321.10 RETRANSFER ROLL Page 1 of 1 Phone: 1-800-445-8288 03/03/201411:01:07 R I M A G F Fax: 952-400-0939 Internet., www.qumu.com Invoice Sold-To-Party Information I' CITY OF CARMEL POLICE DEPT. Invoice Number/Date 90132498 02/28/2014 3 CIVIC SQUARE Delivery Number/Date 80190786 02/28/2014 CARMEL IN 46032 Sales Order Number/Date 10077024 02/28/2014 PO Number 31515 PO Date 02/28/2014 Customer No. 120998 Shlp To-Party Invoice Amt 321.10 USD CITY OF CARMEL POLICE DEPT. Term of Payment Net due in 30 days 3 CIVIC SQUARE Incoterm FOB DESTINATION CARMEL IN 46032 Gross Weight 3.950 LB Carrier FedEx Tracking Bill of Lading 574176943743 Rimage Contact Tracey Dietsch Customer Contact: PAT YOUNG Item Material/Description Quantity Unit Price Value 10 2001469 2 EA 38.88 77.76 Retransfer Roll E600/400 (500 prints) Retransfer rolls are used with color or black print ribbons to complete the print process. 20 2002161 2 EA 121.67 243.34 CMY II Ribbon E600/400 (500 prints) One 500 print CMY ribbon for use in color printing. Requires a retransfer roll to complete the print process. Subtotal 321.10 Drop Ship 0.00 Freight 0.00 Tax 0:00 Total Invoice Amount 321.10 Wells Fargo Bank, N.A. Please Remit Payment to: Minneapolis, MN Account#4100163674 Rimage Corporation ABA Routing # 121000248 S.W.I.F.T. WFBIUS6S NW5255 PO Box 1450 Federal ID #41-1577970 Minneapolis, MN 55485-5255 DUNS# 15-177-2530 GSA Contract#: GS-35F-0537P Thank you for your business. All sales of Rimage products are subject to the terms of the RIMAGE SALES TERMS AND CONDITIONS which may be found at www.qumu.com/legal.By purchasing the Rimage product(s)specified in this document,you accept and agree to the RIMAGE SALES TERMS AND CONDITIONS. Freight Charges include taxes,duties and brokerage fees which are not refundable in the event of a return. Rimage reserves the right to send a supplemental invoice for additional freight expenses incurred after the actual ship date. 0 INDIANA RETAIL TAX EXEMPT PAGE CI-Ey of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 3�PJ`i�J 35-60000972 ONE CIVIC SQUARE 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 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 262112044 Quenu Corporation Camel Poiloo Dopaitmont VENDOR SHIP 3 Civic Sgum 7M Washington Avonuo Routh TO Camel, IN 46032 Minnoapolls, MN SUN (M)571-2674 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42-M2.00 2 Each Rotransbr Roil E600l400 (500 prints) 2001469 $39.88 $77.70 2 Each CLAY II Ribbon E6001400 (500 prints) 2002161 $121.67 $243.34 Seib Total: $321.10 A i •"• 24 ¢ � �•• p a Send Invoice To: - r Camel Polloo Dopartmont Attn: Pat Young 3 Civic Squaw Carmol, IN 48032- PLEASE INVOICE IN DUPLICATE DEPARTMENT , ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Cannel Police Dept. C PAYMENT M1'10 ' A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY HATuTHERE IS AN UNOBLIGATED BALANCE IN THIS APPROP IAT SHIP REPAID. N_gS_UFFICIENT TO PAY FOR THE ABOVE ORDER. • •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY •PURCHASE ORDER NUMBER MUST APPEAR ON ALL /' SHIPPING LABELS. �l�{�i �Q Y Police THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE / AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ' CLERK-TREASURER DOCUMENT CONTROL NO. 31515 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO`_____ ALLOWED 20___ |NTHE SUM OF$ ` 0, ONACCOUNT{}FAPPROPRIATION FOR Board Members PO,pr INVOICE NO. ACCT#/TITLE AMOUNT | hereby certify that the attached invoico(s). or bill(s) is /anu> true and correct and that the materials orservices itemized thereon for which charge iemade were ordered and received except . . ' � ' 20___ . - ' - ' ^ mgnAtuoe ' . Title ' - ' ' � loo distribution ledger classification x ' claim paid motor vehicle highway fund VOUCHER NO. WARRANT NO. Qumu Corporation ALLOWED 20 - 1N SUM OF $ 7725 Washington Avenue South Minneapolis, MN 55439 $321.10 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 31515PI 90132498 I 42-302.00 I $321.10 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Friday, March 07, 2014 �. Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No.201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 03/03/14 90132498 office supplies $321.10 I hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Clerk-Treasurer