250831 10/21/15 i Coq-
�% '''• CITY OF CARMEL, INDIANA VENDOR: 363645
® '1
ONE CIVIC SQUARE RIMAGE CORPORATION CHECK AMOUNT: $'*****'901.82*
CARMEL, INDIANA 46032 NW5255 CHECK NUMBER: 250831
MroN�, PO BOX 1450 CHECK DATE: 10/21/15
MINNEAPOLIS MN 55485-5255
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4230200 33161 90153654 635.84 SUPPLIES
1110 4230200 33173 90153991 443.30 EVEREST WHITE
1110 4230200 33161 90154266 -177.32 SUPPLIES
Page 1 of 1
Phone: 1-800-445-8288 10/12/2015 13:20:19
R I M A G E® Fax: 952-400-0939
Internet. www.rimage.com
Credit memo
Sold-To-Pa Information r.
CITY OF CARMEL POLICE DEPT. Invoice Number/Date 90154266 10/05/2015
3 CIVIC SQUARE Sales Order Number/Date 40028197 09/28/2015
CARMEL IN 46032 PO Number 33131
PO Date 09/28/2015
Info Reference Order No./Date 10092545 09/18/2015
Customer No. 120998
Ship-To-Party_ —__ Invoice Amt 177.32 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 3.600 LB
Rimage Contact Tracey Dietsch
Item Material/Description Quantity Unit Price Value
10 2001635 2 EA 88.66 177.32
BD-R SL Everest White (25 pack)
25 count stack of 25GB Blu-rayTM recordable optical discs optimized for
Rimage Everest thermal printers.
Order number 10092545 from 09/18/2015
Subtotal 177.32
Drop Ship 0.00
Freight 0.00
Tax 0.00
Total Invoice Amount 177.32
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.
Page 1 of 1
Phone: 1-800-445-8288 10/02/201510:05:38
R I M A G E® Fax. 952-400-0939
Internet.• www.rimage.com
Invoice
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CITY OF CARMEL POLICE DEPT. Invoice Number/Date 90153991 09/29/2015
3 CIVIC SQUARE Delivery Number/Date 80222425 09/29/2015
CARMEL IN 46032 Sales Order Number/Date 10092803 09/29/2015
PO Number 33173
PO Date 09/29/2015
Customer No. 120998
.................................
....... ................. Invoice Amt 443.30 USD
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CITY OF CARMEL POLICE DEPT. Term of Payment Net due in 30 days
3 CIVIC SQUARE Incoterm FOB DESTINATION
CARMEL IN 46032 Gross Weight 3.000 LB
Carrier UPS Parcel Tracking
Bill of Lading 1Z5W19X80372'959511
Rimage Contact Tracey Dietsch
Customer Contact: PAT YOUNG
Item Material/Description Quantity Unit Price Value
10 2001636 2 EA 221.65 443.30
BD-R DL Everest White (25 pack)
25 count stack of 50GB BIu-rayTM recordable optical discs optimized for
Rimage Everest thermal printers.
Subtotal 443.30
Drop Ship 0.00
Freight 0.00
Tax 0.00
Total Invoice Amount 443.30
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.
is Page 1 of 2
Phone: 1-800-445-8288 09/18/2015 22:00:22
R I M A G E® Fax. 952-400-0939
Internet. www.rimage.com
Invoice
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CITY OF CARMEL POLICE DEPT. Invoice Number/Date 90153654 09/18/2015
3 CIVIC SQUARE Delivery Number/Date 80221897 09/18/2015
CARMEL IN 46032 Sales Order Number/Date 10092545 09/18/2015
PO Number 33131
PO Date 09/18/2015
Customer No. 120998
........ ........ ........
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.Sf . . ................... Invoice Amt 635.84 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 26.600 LB
Carrier UPS Parcel Tracking
Bill of Lading 1 Z6W1 9X80371715642
Rimage Contact Tracey Dietsdh
Customer Contact: Todd Luckoski
tiuckoski@carmel.in.gov (317)710-6145
Item Material/Description Quantity Unit Price Value
10 2001635 2 EA 88.66 177.32
BD-R SL Everest White (25 pack)
25 count stack of 25GB BIu-rayTM recordable optical discs optimized for
Rimage Everest thermal printers.
20 3002732 1 EA 137.42 137.42
DVD-R Everest White,Gloss (qty 500)
500 count box of 4.5GB recordable optical discs optimized for Everest
thermal printers with a white printable surface.Official Rimage
Certified Media.
40 2002161 2 EA 121.67 243.34
CMY 11 Ribbon E600/400 (500 prints)
One 500 print CMY ribbon for use in color printing.Requires a
retransfer roll to complete the print process.
50 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.
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.
Page 2 of 2
Phone: 1-800-445-8288 09/18/2015 22:00:22
R I M A G F Fax: 952-400-0939
Internet. www.rimage.com
Invoice
.........................
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CITY OF CARMEL POLICE DEPT. Invoice Number 90153654
3 CIVIC SQUARE Invoice Date 09/18/2015
CARMEL IN 46032 PO Number 33131
PO Date 09/18/2015
Subtotal 635.84
Drop Ship 0.00
Freight 0.00
Tax 0.00
Total-Invoice Arno-Wit --6-35-.84-
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
Cityo Carmel
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
yl
FEDERAL EXCISE TAX EXEMPT33131
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
Rimape Cofpamtlon Carmel Police Department
VENDOR SHIP 3 CIVIC Squar@
7725 Was-hington Avenue South TO Carmel, IN 45032
Minneapolis, MN 654SS (317)571-2559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42-302.00
2 Each BD_R SL Everest'Albite (25 pack) 2001635 $88.66 $177.32
2 Each Retransfer Roll E600/400 (500 prints) 2001460 $30.88 $77.75
2 Each CMY 11 Ribbon E600.1400 (500 prints) 2002161 $121.67 $243.34
1 Eadi DVD-R Everest White, Glass (500) . lilq 300 732 _ r r;` 1.. $137.42 $137.46
'Sub Total: $635.84
It Alit `c 2i �•> y� ��
Il r ,
Quote 18394
Send Invoice To: r - t
r 7 7
Carmel Police Department
Attn: Pat Young
3 Clvlc squam
Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT I,ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Crept. PAYMENT $635.84
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
J NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
ti VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT}TFIERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATIONS F IEIENT TO'PAY FOR THE ABOVE ORDER.
•SHIP REPAID. J�
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
ORDERED BY /
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL s�
SHIPPING LABELS. C I f of Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE /
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. V
CLERK-TREASURER
DOCUMENT CONTROL No. 33161 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#!TITLE AMOUNT
SEPT.# I hereby certify that the attached invoices), 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
INDIANA RETAIL TAX EXEMPT PAGE
ci
C
ArmelCERTIFICATE NO.003120155 002 0ty of Armel PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 33173
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. F VENDOR NO. DESCRIPTION
912arAI5
Rintage Corporation Carmel Police Department
VENDOR
SHIP 3 Clvi, Square
7725 Washington Avenue South TO Camiel, IN 46032
Minneapolis, MN SU39 (317)571.2%9
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42-302.00
2 Each BD-R DL Everest Mite (25 pack) 2001530 $221.05 X443.30
Sub Total: $443.30
Send Invoice To:
Carmel Police Department
Attu: Pat Young
3 Civic Square
Carmel, IN 460 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMJ_OUNT
Carmel Ponce Uepi. PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
\� NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT�THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIA_T.ION"SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. A yr� ��r---
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY (i!/VX/
SHIPPING LABELS. C�eI of P®Ilre
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE V
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO- 33173 A.P.V. COPY-SIGN AND RETURN TO CLERIC'S OFFICE
VOUCHER NO. WARRANT NO.__
ALLOWED 20
IN THE SUM OF$
• 's
ON ACCOUNT OF APPROPRIATION FOR
C
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_
f
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Rimage Corporation
IN SUM OF$
7725 Washington Avenue South
Minneapolis, MN 55439
$901.82
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
33161 90153654 42-302.00 $635.84 I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
33173 90153991 42-302.00 $443.30
materials or services itemized thereon for
33161 90154266 42-302.00 ($177.32) which charge is made were ordered and
received except
Thursday, O tober 15, 2015
4 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))
09/18/15 90153654 DVD's $635.84
09/29/15 90153991 DVD's $443.30
10/05/15 90154266 credit for return ($177.32)
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