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IIit)rcif Iinrinriie1 CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100539
ONE CIVIC SQUARE 35-6000972 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
6/29/2017 363645 e _
1
RIMAGE CORPORATION I Carmel Police Department
'VENDOR NW5255 SHIP 3 Civic Square
PO BOX 1450 TO Carmel, IN 46032-
MINNEAPOLIS, MN 55485--5255 Blaine Mallaber
PURCHASE ID BLANKET
CONTRACT j PAYMENT TERMS FREIGHT
16696
QUANTITY T UNIT OF
MEASURE 1 DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 42-302.00
5 Each 2001636 Media,Everest 25 BD-R-DL(W,T1) $212.80 $1,064.00
Sub Total $1,064.00
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Carmel Police Department '• 'k /' ;
Accounts Payable ^a ` I� /
3 Civic Square vR .`"""`" t tx /
Carmel, IN 46032- f�1\1 - ' /
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT j AMOUNT
PAYMENT $1,064.00 V
SHIPPING INSTRUCTIONS "AQP 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. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
*PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABE A
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194 �}J�`•'#" '
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Jim Barlow
TITLE Chief
CONTROL NO. 1 00539 CLERK-TREASURER