241584 01/27/15 CITY OF CARMEL, INDIANA VENDOR: 363645
ONE CIVIC SQUARE RIMAGE CORPORATION CHECK AMOUNT: $*******351.09*
r ?Q; CARMEL, INDIANA 46032 NW5255 CHECK NUMBER: 241584
PO BOX 1450 CHECK DATE: 01/27/15
on°° MINNEAPOLIS MN 55485-5255
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4230200 32284 90144886 351.09 MEDIA KITS
Page 1 of 1
RIMAGE° Phone. 1-800-445-8288 01/15/2015 22:01:00
Fax. 952-400-0939
inteinet.www.rimage.com
Invoice
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CITY OF CARMEL POLICE DEPT. Invoice Number/Date 90144886 01/15/2015
3 CIVIC SQUARE Delivery Number/Date 80208825 01/15/2015
CARMEL IN 46032 Sales Order Number/Date 10086038 01/15/2015
PO Number 32284
PO Date 01/15/2015
Customer No. 120998
...�1. ........<.....!�5!..... nvoice Amt 351.09 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 22.000 LB
Carrier UPS Parcel Tracking
Bill of Lading 1 Z5W1 9X80352991684
Rimage Contact Tracey Dietsch
Customer Contact: PAT YOUNG
tiuckoski@carmel.in.gov 317-571-2590
Item Material/Description Quantity Unit Price Value
10 3001895 1 EA 351.09 351.09
Media Kit E400/E600, 500 DVD(W) CMY
Contains everything you need to produce 500 full color DVDs.Includes
one 500 print CMY ribbon,one 5D0 print retransfer roll,one cleaning
wand and 500 DVD-Rs. Media bums at speeds up to 16X and holds up to
4.76B of data. White thermal hub printable discs with a dark purple
record surface for Everest 400 printers.
Subtotal 351.09
Drop Ship 0.00
Freight 0.00
Tax 0.00
Total Invoice Amount--- - - =- - 351.09
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 C�® sanel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT :32
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
Rimago Corporation Carmel Police Department
VENDOR SHIP 3 Citic Square
7125 Washington Avenue South TO Carvnal, IN 46M2
Mlnnilapolls, MN 55439 (347}57 4 2559
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 422.00
1 Each Media KH E400/E600, 500 DVD(VV) CMY 3001895 $351.09 $351.09
Sub Total: $351.09
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Send Invoice To.
Carmel Police Department
Agra: Pat Young
3 Chic square
Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. �. ; � PAYMENT ::*11.
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS 1 HEREBY CERTIFY THAT THERE/IS AN UNOBLIGATED BALANCE IN
•
THIS APPROPRIATIONS FF)CIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED, o
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY �/
SHIPPING LABELS. C11r6 0 l (311�+�y
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO U
CLERK-TREASURER
DOCUMENT CONTROL NO. 2 2 8 4 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT-OF APPROPRIATION FOR
I
Board Members
PO#or INVOICE NO. ACCT#!TITLE AMOUNT J
DEPT.# I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the I
materials or services itemized thereon for
which charge is made were ordered and
received except
l
20
Signature
-- --- Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Rimage Corporation
IN SUM OF$
7725 Washington Avenue South
Minneapolis, MN 56433 -5-5116 —!;Z-S5
$351.09
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
Dept. Board Members
32284 90144886 42-302.00 $351.09 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
Wednesday, January 21, 2015
Chief of Police
Title
Cost distribution ledger classification if
I
claim paid motor vehicle highway fund
I
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))
01/15/15 90144886 Media Kit E400/E600,500 DVD(W)CMY $351.09
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