HomeMy WebLinkAbout100378 RIMAGE CORPORATION INDIANA RETAIL TAX EXEMPT Page 1 of 1
Chit of Inriiriie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100378
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
1 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 1
4/19/2017 363645
RIMAGE CORPORATION Cannel Police Department
VENDOR NW5255 SHIP 3 Civic Square
PO BOX 1450 TO Cannel, IN 46032-
MINNEAPOLIS, MN 55485--5255 Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS
FREIGHT
14703
rQUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 42-302.00
1 Each 2001636 Media, Everest 25 BD-R-DL(W,T1) $425.60 $425.60
Sub Total $425.60
Send Invoice To:
Police Department
Accounts Payable
3 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT 1 PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $425.60
'NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS 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. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL ��/
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 -
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY -
Tim GreenN\11
TITLE Chief of Police . 1 1.
CONTROL NO. 100378 CLERK-TREASURER _ _