HomeMy WebLinkAbout199174 07/06/2011 CITY OF CARMEL, INDIANA VENDOR: 363645 Page 1 of 1
ONE CIVIC SQUARE RIMAGE CORPORATION CHECK AMOUNT: $595.80
CARMEL, INDIANA 46032 NW5255
s4�s� PO BOX 1450
CHECK NUMBER: 199174
MINNEAPOLIS MN 55485 -5255
CHECK DATE: 7/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4230200 25779 90084940 595.80 BLU -RAY MEDIA
Page 1 of
Phone: 1'800'445-8288 00/24/2011 22:00:52
Fax: 852'944'7808
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M Z� Invoice
CITY OF CARMEL POLICE DEPT. Invoice Number/Date 90084940 06/24/2011
3 CIVIC SQUARE Delivery Number/Date 80123849 06/24/2011
CARMEL IN 46032 Sales Order NumberlDate 10046655 06/24/2011
PO Number 25779
PO Date 06/24/2011
Customer No. 120998
To..Pa Invoice Amt 595.80 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 6.000 LB
Carrier UPS Parcel Tracking
Bill of Lading 1Z5W19X80310255094
Customer Contact: TERESA ANDERSON
Item Material/Description Quantity Unit Price Value
10 2001635 4 EA 148.95 595.80
BD-R SL Everest White (25 pack)
Subtotal 1595.80
Drop Ship 0.00-
Freight 0.00
Tax 0.00
Total Invoice Amount 595.80
Wells Fargo Bank, N.A. Please RemkPayn1unt
K8imnmapn|ko, MN Account# 4100163674 Rimmge Corporation
ABA Routing 121080248 S.VV.|.F.T. VVFB|U8G8 NVV5255 PO Bon 1450
pwdarm| h0 41'1577870 Minneapolis, MN 55485'5255
0UNS# 15'177-2530
GSA Contract GS'35F~0537P Thank you for your business.
All sales nvn/muno products are subject to the terms o, the */Mxus SALES TERMS AND CONDITIONS which may bo found at
www.,/maoo.00m/uo/ou'm,mn.mm/. By purchasing the Rimage product(s) specified in this document, you accept and agree to the RIMAGE
SALES TERMS AND CONDITIONS. Freight Charges include taxes, duties and brokerage fees which are not refundable m the event o,ureturn.
mmano reserves the right to send a supplemental invoice for additional freight expenses incurred after the actual ship date.
City ®f Carmel CE INDIANA TAX
RTIFICA E 003 2015 2 0 PAGE
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 26
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
X91 F__
Rifmp comol Palico Dopa141n� nt
VENDOR SHIP 3 Civic squam
Vfthington Avonuo Bouth TO cumol, IN 4
Hinnopollo, ON 66432 X 95` 579
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42-M2.0
4 Each Blur yMediz 210843 -003 $148.95 $595.80
Sub Total: $595.80
J_
Send Invoice To:'_
camol Polics 00paAmont
Attn: Tema Anderson
3 Civic squ@m
CarmI, IN 4111> PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
1 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 APPROP I TI16 4 SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY fogy
SHIPPING LABELS. h10 g o ,q Pollco
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL No.-25-779 A.P.V. COPY SIGN AND RETURN TO CLERIC'S OFFICE
1
VOUCHER NO. WARRANT NO._____
ALLOWED 20
IN THE SUM OF
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
Title
Cost distribution ledger classification it
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO,
ALLOWED 20
Rirnage Corporation
IN SUM OF
7725 Washington Avenue South
Minneapolis, MN 55439
$595.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
25779 I 90084940 I 42- 302.00 $595.80 1 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, June 30, 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))
06/24/11 90084940 payment for Blu -ray $595.80
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