189975 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 363645 Page 1 of 1
ONE CIVIC SQUARE RIMAGE CORPORATION
CHECK AMOUNT: $1,370.68
CARMEL, INDIANA 46032 NW5255
PO BOX 1450 CHECK NUMBER: 189975
MINNEAPOLIS MN 55485 -5255
CHECK DATE: 9/1412010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4230200 27013 90070098 1,370.68 DVD -S
Page 1 of 1
Phone: 1- 800 -445 -8288 09/02/2010 22:01:08
Fax: 952 944 -7808
R I M A G E TM Internet: www.rimage.com
Invoice
SoId-TO =Party. Information
CITY OF CARMEL POLICE DEPT. Invoice Number /Date 90070098 09/02/2010
3 CIVIC SQUARE Delivery Number /Date 80102198 09/02/2010
CARMEL IN 46032 Sales Order Number /Date 10036357 09/02/2010
USA PO Number 27013
PO Date 09/02/2010
Customer No. 120998
Ship -To -Par #y Invoice Amt 1,370.68 USD
CITY OF CARMEL POLICE DEPT. Term of Payment Net due in 30 days
3 CIVIC SQUARE Incoterm FOB DESTINATION
CARMEL IN 46032 Gross Weight 90.000 LB
USA Carrier UPS Parcel Tracking
Bill of Lading 1 Z5W19X80310079641
Rimage Contact Tracey Dietsch
Customer Contact: TERESA ANDERSON
Item Material /Description Quantity Unit Price Value
10 210843 -003 2 EA 685.34 1,370.68
Media Kit EIII, 1000 White DVD (CMY)
Subtotal 1,370.68
Drop Ship 0.00
Freight 0.00
Tax 0.00
Total Invoice Amount 1,370.68
Wells Fargo Bank, N.A. Please Remit Payment to:
Minneapolis, MN Account 4100163674 Rimage Corporation
ABA Routing 121000248 S.W.I.F.T. WFBIUS6S NW5255 PO Box 1450
Federal ID 41- 1577970 Minneapolis, MN 55485 -5255
DUNS# 15 -177 -2530
Thank you for your business.
Freight Charges include taxes, duties and brokerage fees which are not refundable in the event of a return. Rimage
reserves the right to send a supplemental invoice for additional freight expenses incurred after the actual ship date.
INDIANA RETAIL TAX EXEMPT PAGE
Ci ty O�� sane CERTIFICATE NO.003720755 002 0 PURCHASE ORDER 111LLi ..11ii.. 11�a JJJLLL Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 2 701
CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CAR A L, 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
Augu 26 2010 DVB Y s
VENDOR Rimage Corporation SHIP City'of Carmel Police Department
7725 Washington Evenue South TO 3 Civic Square
Minneapolis, MN 55439 Carmel, IN 46032
ATTN: Brian Kelly ATTN: Greg Miller
CONFIRMATION BLANKET CONTRACT PAYMENT,TERMS FREIGHT
QUANTITY UN6T OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
2 Rimgage MediesKit DVD 210843 -003 685.34 1,370068
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Send Invoice To:
City of Carmdl Polceriai�mei s
ATTN: Teresa Anders
Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT] PROJECT ACCOUNT AMOUNT
1110 302 o ffice 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 1 HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. t
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Ch ief of Po ice
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL No-27013 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. NO.,
ALLOWED 20
IN THE SUM OF $a
a
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify 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 F
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Rimage Corporation
7725 Washington Ave. South, Minneapolis, MN 55439
Ph: 866.587 -5903 Fax:952- 946 -4565
GSA Schedule Contract: GS- 35F -0537P
To: Carmel Police Department Greg Miller 317- 571 -2514
31 Fisrt Ave NW Carmel IN 46032 gmiller(c- carmel.in.gov
From: Brian Kelly 866- 366 -0015 email: gsa @rimage.com
Date: 25 -Aug -10
Extended
Item Description Qty. Price Price
1 Rimage Media Kit DVD 1000 Count (white) 2 685.34 1,370.68
Part Number 210843 -OD3
Kit includes 1000 hub printable 16x DVDs, 2 CMY Ribbons, 1 Retransfer Roll
'Media Kits are covered by the Rimage Media Kit Guarantee*
GSA Schedule Contract: GS- 35F -0537P Sub -Total 1,370.68
Terms: Net 30 Tax
FOB Destination Delivery/Freight
Total 1,370.68
No charge for shipping
*Quote valid for 60 days
Rimage 210843 -003 Everest Color White DVD 1,000 Piece Media Kit Page 1 of 1
Home Duplication Services About Us Contact Us
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Rimage [210843 -003] Everest Color White DVD 1,000 Piece Media Kit
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Part No: 210843 -003 Price: $820.00
Brand: Rimage�
Stock: In Stock
Pack Size: 1
Description
Rimage Everest 16X DVD -R Media Kit for Everest 1000 piece kit
1000 White DVD's
2 CMY Ribbons
1 Transfer Roll
Product stock is always subject to change.
http: w.faithmediastorex rimage- 210843003- everest- color white 1000- piece- media... 8/31/2010
Everest DVD Media Kit I Color 1210843-003 Techware Store Page 1 of 2
HOME I FAQ I CONTACT US 1 ABOUT TEC
Duplication Replication Printing
(Your shopping cart is empty)
CD Printer/ Duplicator Sales
CD DVD Duplicators Printers Everest DVD Media Kit I Color 1 210843 -003
Printer Repair Service EV gam,
Disc Printer &Duplicator Repair MEDIA KIT]
Printable Discs Supplies
Blank CDs DVDs Printer Supplies
3'3 x�Y
Tape Drive Repair
LTO, DLT, SDLT, 8mm, 4rnm
Mo Disks MO Drives
Magneto Optical Disks Drives
Everest CD Media Kit includes:
1 000 Rimage Certified Thermal DVD -r
2 Rimage CMY Ribbons
1 Rimage Transfer Ribbon
Rimage Media kits are an easy, affordable way to restock your RimagE
supplies. Each kit offers the perfect combination of ribbons and medi
ordering the right amount of supplies is effortless. This kit includes R
CD -r ensuring the best performance of your Everest printer.
Product Code: DVD 210843 -003A
705.99
CAEVCEL SELECTI CONFIRM SELECTION
http:// www. techwaredist .com /eShop /lOExpand. asp ?ProductCode =DVD- 210843 -003A 8/31/2010
0' CA City of Carmel
rii u%
I)' of CA �I��i
�1�s� One Civic Square
Carmel, Indiana 46032
317.571.2400
Price Quote Data Form
Date: 8/31/2010 P.O. 27013
Vendor Item Price Quotation
(Name, Address Telephone Number)
Rimage Corporation DVD's $695.341 1000
7725 Washington Ave S
Minnepolis, MN 55439
Techware DVD's $705.991 1000
7720 West 78 Street
Minneapolis, MN 55439
Faith Media Store DVD's $820.00 11000
Buyer: Rimage Corporation
Reason Order Was Placed With Successful Vendor: Lowest Price, current
vendor
Order placed by: Greg Miller
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form Mo. 201 (Fev. 1995)
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.
NW5255 PO Box 1450
Terms
Minneapolis, MN 55485 -5255
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
09/02/10 90070098 payment for Mfdia Kit DVD 1;370.68
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.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Rimag C orp orat i o n
IN SUM OF
NW5255 PO Box 1450
Minneapolis, MN 55485 -5255
1,370.68
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
27013F 90070098 302 1,370.68 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
Sept. 8, 2010
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund