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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: .<. _... . _. 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 i jf d t ti f 1r, IIJoL 18209 '.^l t`,� .'7 , _,. o I_ I,t ,f f�`i3�y✓ 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