252771 12/15/15 CITY OF CARMEL, INDIANA VENDOR: 363645
® l ONE CIVIC SQUARE RIMAGE CORPORATION CHECK AMOUNT: g«««""2,314.97*
�. CARMEL, INDIANA 46032 NW5255 CHECK NUMBER: 252771
PO BOX 1450 CHECK DATE: 12/15/15
MINNEAPOLIS MN 55485-5255
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4230200 33244 90156080 2,314.97 DVD, ETC
Page 1 of 2
Phone: 1-800-445-8288 12/03/2015 22:00:49
R- I M A G E® Fax: 952-400-0939
Internet: www.rimage.com
Invoice
Sold-To=Party Information
CITY OF CARMEL POLICE DEPT. Invoice Number/Date 901 56080 12/03/2015
3 CIVIC SQUARE Delivery Number/Date 80225584 12/03/2015
CARMEL IN 46032 Sales Order Number/Date 10094432 12/02/2015
PO Number 33244
PO Date 12/02/2015
Customer No. 120998
Ship-To-Party Invoice Amt 2,314.97 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 1 27.1 00 LB
Carrier UPS Parcel Tracking
Bill of Lading 1 ZV 190550340.488254
_ Rimage Contact Tracey Dietsch
Customer Contact: TODD LUCKOSKI
Item Material/Description Quantity Unit Price Value
10 2002161 1 EA 121 .67 121 .67
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.
20 3002732 6 EA 137.42 824.52
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 2001636 6 EA 221.65 1,329.90
BD-R DL Everest White (25 pack)
25 count stack of 50GB Blu-rayTM recordable optical discs optimized for
Rimage Everest thermal printers.
50 2001469 1 EA 38.88 38.88
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 12/03/2015 22:00:49
Rl I M A G E® Fax: 952-400-0939
Internet: www.rimage.com
Invoice
So1d-To-Party - Information...
CITY OF CARMEL POLICE DEPT. Invoice Number 901 56080
3 CIVIC SQUARE Invoice Date 12/03/2015
CARMEL IN 46032 PO Number 33244
PO Date 12/02/2015
Subtotal 2,314.97
Drop Ship 0.00
Freight 0.00
Tax __ _ 0.00
Total Invoice Amount 2,314.97
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.
' Carmel
INDIANA RETAIL TAX EXEMPT PAGE
City ®f 1C°,�} mel CERTIFICATE NO.003120155 002 0\\\\��////lvsli li PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 3M44
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.
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
99P3��+D98 '
Rimago CorwAlon Camel Poilco Depwtmont
VENDOR SHIP 3 CIVIC NUM
7725 lfkshlnEton AvGnuo South TO Comol, IN 46M
minno2polls, LIN 65M (317)879
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITYUNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42-2.00
9 Each CMY U Ribbon E600/400(500 prints) 2002961 $929.67 $929.67
6 Each DVD-R Everest White,Gloss (500) 3002732 $937.42 $824.52
8 Each ED-R DL Everest While(25 pack) 2001836 $221.85 $9,320.00
1 Each Retransfer Reil E600/400 (500 prints 2d11� $38.88 $38.88
Sub Total: $2,314.97
CQ
1
xx
-4 m ,
aT , cc�4j /
Send Invoice To: t 1
Cwnol PolicG Dap2rtmont
Attn: Pat Young
3 Civic Squm
Camol, IN 46=- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Camel Police Delft. S PAYMENT $2'394.67
• 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 TVERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID.
THIS APPRlO SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL �/�P
SHIPPING LABELS. (°��Q� �yQli�.�
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE t
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
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))
12/03/15 90156080 office supplies $2,314.97
1 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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Rimage Corporation
IN SUM OF $
7725 Washington Avenue South
Minneapolis, MN 55439
$2,314.97
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
33244 I 90156080 I 42-302.00 I $2,314.97 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
Thursday, December 10, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund