HomeMy WebLinkAbout259171 05/31/16 CITY OF CARMEL, INDIANA VENDOR: 363645
ONE CIVIC SQUARE RIMAGE CORPORATION CHECK AMOUNT: $*****1,063.95*
CARMEL, INDIANA 46032 NW5255 CHECK NUMBER: 259171
y,TON° PO BOX 1450 CHECK DATE: 05/31/16
MINNEAPOLIS MN 55485-5255
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4230200 33840 90160774 1,063.95 DUAL LAYER BLU-RAY
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
RIMAGE CORPORATION ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
NW5255 IN SUM OF$ CITY OF CARMEL
PO BOX 1450 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
MINNEAPOLIS, MN 55485-5255 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$1,063.95 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Carmel Police Terms
Date Due
ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
338 0 F IV 90160774 42-302.00 $1,063.95 5/6/16 90160774 Blu-ray discs $1,063.95
i �--- I hereby certify that the attached invoice(s),or
1110 101 1110 101
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
Monday, May 16,2016
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Page 1 of 1
R I M A G E® Phone: 1-800-445-8288 05/06/2016 22:00:56
Fax: 952-400-0939
Internet: www.rimage.com
Invoice
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CITY OF CARMEL POLICE DEPT. Invoice Number/Date 90160774 05/06/2016
3 CIVIC SQUARE Delivery Number/Date 80232864 05/06/2016
CARMEL IN 46032 Sales Order Number/Date 100981 12 05/06/2016
PO Number 33840
PO Date 05/06/2016
Customer No. 120998
::: ::.::::.::. Invoice Amt 1,063.95 USD
CITY OF CARMEL POLICE DEPT. Term of Payment Net due in 30 days
3 CIVIC SQUARE Incoterm DAP DESTINATION
CARMEL IN 46032 Gross Weight 9.000 LB
Bill of Lading 1 ZV 190550342067633
----— - — Rimage-Contact Tracey-Dietsch - -
Customer Contact: DEPT. 11 10
Item Material/Description Quantity Unit Price Value
10 2001636 5 EA 212.79 1,063.95
BD-R DL Everest White, Tier 1 (25 pack)
25 count stack of 50GB Blu-rayTM recordable optical discs optimized for
Rimage Everest thermal printers.
Subtotal 1,063.95
Drop Ship 0.00
Freight 0.00
Tax 0.00
Total Invoice Amount 1,063.95
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.
City
INDIANA RETAIL TAX EXEMPT Page 1 of 1
ofCarmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 33840.
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUSTAPPEAR ON INVOICES,AIP
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
5/3/2016 363645
RIMAGE CORPORATION Police Department
VENDOR NW5255 SHIP 3 Civic Square
PO BOX 1450 TO Carmel, IN 46032-
MINNEAPOLIS, MN 55485--5255
PURCHASE ID BLANKET CONTRACT PAYMENTTERMS FREIGHT
4516
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Account. 42-302.00 Fund: 101 General Fund
5 Each 2001636 Dual Layer Blu-ray(50GB)25 pk $212.79 $1,063.95
Sub Total $1,063.95
GA
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Send Invoice To: ' ry v ,
Police Department
3 Civic Square
Carmel,IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $1,063.95
SHIPPING INSTRUCTIONS '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
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
'C.O.D.SHIPMENT CANNOT BE ACCEPTED. THI:APPROPRIATION SUFFICIENT T PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABE
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
TITLE
CONTROL NO. 33840 CLERK-TREASURER