HomeMy WebLinkAbout188033 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 363645 Page 1 of 1
ONE CIVIC SQUARE RIMAGE CORPORATION
0 t i CHECK AMOUNT: $1,807.72
CARMEL, INDIANA 46032 NW5255
vsow is PO BOX 1450 CHECK NUMBER: 188033
MINNEAPOLIS MN 55485 -5255
CHECK DATE: 7/2112014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4230200 26935 90066935 1,807.72 OFFICE SUPPLIES
Page 1 of
Phone: 1'800-445'8288 06/28/2010 22:02:37
Fax: 952'944'7808
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Invoice vo'
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.CITY OF CARMEL POLICE DEPT. Invoice Number/Date 90066935 06/28/2010
3 CIVIC SQUARE Delivery -Number/Date 80097582 06/28/2010
CARMEL IN 46032 Sales Order Number/Date 10034200 06/28/2010
USA PO Number 26935
PO Date 06/28/2010
Customer No. 120998
CITY OF CARMEL POLICE DEPT. term of Payment Net due in 30 days
3 CIVIC SQUARE Incoterm FOB DESTINATION
CARMEL IN 46032 Gross Weight 55.000 LB
USA Carrier UPS Parcel Tracking
I Bill of Lading 1 Z5WI 9X80310045927
Rimage Contact Tracey Dietsch
Customer Contact: GREG MILLER
Item Material/DeSGription Quantity Unit Price Value
10 210843-003 1 EA 685.34 685.34
Media Kit EIII, 1000 White DVD (CMY)
CMY Ribbon E111, (500 prints)
30 203384-001' 1 EA 71.08 71.08
Retransf6r Roll EIII, (1000 prints)
40 3001252 2 EA 18.39 36.78
CLEANING KIT, EVEREST
50 2001635 4 EA 198.23 79292
BD-R 25GB white Everest Qty 25
Subtotal 1,807.72
Drop Ship 0.00
Freight -0.00
Tax 0.00
Total Invoice Amount 1,807,72
Wells Fargo Bank.x.y\. Please Remit Payment tn:.'�
Minneapolis, K8N Account #41D0163674 RimagoConooration
�ABA Routing #'Y21O0O24�S.0VJLFT NVV5255 POBox.145U
.Federal |D#41'Y57797D Minneapolis, K0N55485'52551'.
DUNS#15'177'253O
Thank you for your business
Freight Charges include taxes, duties and brokerage fees which are not refundable inthe event nfnreturn. Rinoaqo
reserves the right to send a supplemental invoice for additional freight expenses incurred after the actual ship date.
iot /r� INDIANA RETAIL TAX EXEMPT PAGE
Cf C( e CERTIFICATE NO. 003124155 002 0 o
PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972
CIVIC SQUARE 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
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
Jimpr 23, 2010 office Oupp es
VENDOR Rimage Corporation SHIP City of Carmel Police Department
7725 Washington Avenue South TO 3 Civic Square
Minneapolis, MN 55439 Carmel, IN 46032
ATTN: Brian Kelly ATTN: Greg Miller
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1 200843 -003 Rimage Media Kit DVD 689534
2 203638 -001 Rimage Everest III Off ribbon 110.80 221,60
1 203384 001 Rimage Everest III transdar robl 71.08
2 210725 -001 Rimage Everest III Printhead cleaning kit 18.39 36,78
4 2001635 Blu -ray media meddA on Everst compatible 198.23 792.92
e
I'I
City of Carmel Pol'ic iii, legart en ii
Send Invoice To:
ATTN: Teresa Anderson,,'
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE 1,007.72
DEPARTMENT ACCOUNT P OJECT I PROJECT ACCOUNT AMOUNT
1110 302 office supplies PAYMENT
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 THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APP OPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
DOCUMENT CONTROL No- A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
r ALLOWED 20
1
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certi 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_
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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
Rimage Corporation Purchase Order No 26935F
NW5255 P.o. Box 1450 Terms
Minneapolis, MN 55485 -5255 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6/28/10 90066935 Pavment for office supplies 1,807.72
Total
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.
2Q
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
RiYiage Corporation IN SUM OF
NW5255 P.O. Box 1450
Minneapolis, MN 55485 -5255
1,807.72
ON ACCOUNT OF APPROPRIATION FOR
police general fund_
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
26935F 90066935 302 1,807.72 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
July 13 20 10
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund