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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 /n��etwww.�m�e.omnx 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