HomeMy WebLinkAbout238921 11/05/2014 0'.
CITY OF CARMEL, INDIANA VENDOR: 363645ONE CIVIC SQUARE RIMAGE CORPORATIONCHECKAMOUNT: $*****1,773.20*
CARMEL, INDIANA 46032 NW5255 CHECK NUMBER: 238921
PO BOX 1450 CHECK DATE: 11/05/14
MINNEAPOLIS MN 55485-5255
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4230200 32490 90142017 1,773.20 BD-R DL EVEREST WHITE
Page 1 of 1
Phone: 1-800-445-8288 10/22/2014 22:01:07
R I M 'A G F Fax. 952-400-0939
Internet. www.rimage.com
Invoice
$old $ Party. lnf9rmatron: .<.
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CITY OF CARMEL POLICE DEPT. Invoice Number/Date 90142017 10/22/2014
3 CIVIC SQUARE Delivery Number/Date 80204554 10/22/2014
CARMEL IN 46032 Sales Order Number/Date 10083843 10/22/2014
PO Number 32490
PO Date 10/22/2014
Customer No. 120998
Ship To:Party _. Invoice Amt 1,773.20 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 11.850 LB
Carrier FedEx Tracking
Bill of Lading 606134635165
Rimage Contact Tracey Dietsch
Customer Contact: PAT YOUNG
tluckoski@carmel.in.gov 317-571-2590
Item Material/Description Quantity Unit Price Value
10 2001636 8 EA 221.65 1,773.20
BD-R DL Everest White (25 pack)
25 count stack of 50GB Blu-rayTM recordable optical discs optimized for
Rimage Everest thermal printers.
Subtotal 1,773.20
Drop Ship 0.00
Freight 0.00
Tax 0.00
Total Invoice Amount 1,773.20
Wells Fargo Bank, N.A. Please Remit Payment to:
Minneapolis, MN Account#4126235555 Rimage Corporation
ABA Routing # 121000248 S.W.I.F.T. WFBIUS6S NW5255 PO Box 1450
Federal ID#30-0828918 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.rimage.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.
INDIANA RETAIL TAX EXEMPT PAGE
City o ...Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 32494
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
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
I1 214
Rimag@ Corporation Cammel Pollce Department
VENDOR SHIP 3 Civic sgUam
'1725 Washington Avenue South TO Cannel, IN 46 032
Minnt-apolls, MN 6643 (317)571 2559
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42.302.00
8 Each BD-R DL Everest White (25 Pack) 2001636 $221.65 $1,773.20
Sub Total: $1,773.20
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Send Invoice To: r
Carmel Police Department
Attn: Pat Young
3 CIVIC s quare
Carrel, IN 49032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
Carmel Police Dept. \c °` 7 PAYMENT $1,773.20
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE/PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERT) ?THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPgI.TION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. 7/1J/1(//llJ
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY d
SHIPPING LABELS. hief of Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE I
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 2 4 9 0 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO. `
I
ALLOWED 20
IN THE SUM OF$
1
ON ACCOUNT OF APPROPRIATION FOR
J
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I 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___._`
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
R--imII age Corporation
!�(J SoZ ss FD 6'0)0'L5b IN SUM OF$
Minneapolis, MN 654W
$1,773.20 1
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#IrITLE AMOUNT Board Members
I hereby certify that the attached invoice(s), or
32490 90142017 42-302.00 $1,773.20
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
Tuesday, October 28, 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))
10/22/14 90142017 Lab Supplies $1,773.20
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