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Home My WebLink About188033 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 /n��e� wwwd��uum l M /1 Invoice vo' ce .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