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City of Carmel CERTIFICATE N0.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100733
ONE CIVIC SQUARE 35-6000972
THIS NUMBER MUST APPEAR ON INVOICES,NP
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
9/18/2017 363645
RIMAGE CORPORATION 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 PAYMENT TERMS FREIGHT
19119
QUANTITY J UNIT OF MEASURE i DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 42-302.00
1 Each 3002848 DVDR White,k Rimage TY Everest $199.60 $199.60
Sub Total $199.60
Send Invoice To:
Carmel Police Department QUOTE#22923
Accounts Payable
3 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT F PROJECT ACCOUNT AMOUNT
PAYMENT $199.60
`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 L!'',•,�"
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY 1
Jim Barlow
TITLE ChiefN ,<1\
CONTROL NO. 100733 CLERK-TREASURER