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HomeMy WebLinkAbout197366 05/11/2011 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: 197366 MINNEAPOLIS MN 55485 -5255 CHECK DATE: 5/11/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4230200 27777 90081599 1,370.68 MEDIA KIT Page 1 of 1 Phone: 1- 800 -445 -8288 04/21/2011 22:02:07 Fax: 952 -944 -7808 R I M A G E T" Internet: www.rimage.com Invoice Sold .To Party InforMatlon CITY OF CARMEL POLICE DEPT. Invoice Number /Date 90081 599 04/21/2011 3 CIVIC SQUARE Delivery Number /Date 801 19308 04/21/2011 CARMEL IN 46032 Sales Order Number /Date 10044606 04121/2011 USA PO Number 27777 PO Date 04/21/2011 Customer No. 120998 Ship -To Party 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 I Z5W1 9X80310214128 Rimage Contact Tracey Dietsch Customer Contact: GREG MILLER 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 >f' ;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 C ity of Carmel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 35- 60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 411 W20i i Glimago Corporation CwmoI Police DoWwont VENDOR SHIP 3 Civic 9quam 7M Waohington Avonua Sm Ah TO Carmol, IN 46M Hinnompolls, IAN 56M (317) 671 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42 -M2.0 2 Each Rimage Mediae Kit DIVED $685.34 $9.3 70.68 Sub Total: al: I,310.68 tp r d Z a g?y Send Invoice To: Carmcai Police Department Attn: Toms& Anderson 3 Civic squ Carmol, IN PLEASE INVOICE IN DUPLICATE DEPARTMENT A COUN PROJECT PROJECT ACCOUNT AMOUNT Carmel Policy Dept. asp, PAYMENT A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE P�//RR�p ET RE AFFIDAVIT ATTACHED. A SHIPPING INSTRUCTIONS HEREBY CERTIFY FTA HERE IS AN UNOBL!G T,ED�BALANGE IN SHIP REPAID. THIS APPROPRI ON U iCIENT TOP FOR THE ABOVE ORDER. C -O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY ��ay y� SHIPPING LABELS. Ch of Pollc THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE V AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK- TREASURER t DOCUMENT CONTROL No. 277 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO- WARRANT NO. ALLOWED 20 IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #(TITLE AMOUNT D EPT. I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except_ 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund VOUCHER NO. WARRANT NO. Rimage Corporation ALLOWED 20 NV '?o 6x &S -C' IN SUM OF Minneapolis, MN ii439 5 4,Y5 S�$S $1,3 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO, ACCT #ITITLE AMOUNT Board Members 27777 90081599 42 302.00 $1,370.68 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 Thursday a 05, 2011 Chief of Police 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 Purchase Order No, Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 04/21/11 90081599 payment for DVD's $1,370.68 1 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