HomeMy WebLinkAbout202744 10/11/2011 CITY OF CARMEL, INDIANA VENDOR: 363645 Page 1 of 1
ONE CIVIC SQUARE RIMAGE CORPORATION
CARMEL, INDIANA 46032 Nw5255 CHECK AMOUNT: $2,947.95
PO BOX 1450
CHECK NUMBER: 202744
MINNEAPOLIS MN 55485 -5255
CHECK DATE: 10/11/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4230200 27914 90089165 2,947.95 BLU -RAY MEDIA KIT
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Phone: 1-800-445-8288 08/10/2011 22:03:17
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fax: 952'844'7808
Internet: www.,rimage.uom
Invoice vo
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CITY OF CARMEL POLICE DEPT. Invoice Nurnber/Date 90089165 09/16/2011
3 CIVIC SQUARE Delivery Number/Date 80129880 09/16/2011
CARMEL IN 46032 Sales Order Number/Date 10049230 09/14/2011
PO Number 27914
PO Date 09/14/2011
Customer No. 120998
Invoice Amt 2,947-95 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 40.000 LB
Carrier UPS Parcel Tracking
Bill of Lading 1 Z5W1 9X80310309795
Customer Contact: TERESA ANDERSON
Item Material/Description Quan ity Unit Price Value
10 3001510, 1 EA 2,947.95 2,947.95
Media Kit E 500 BD-SL(W) CMY
Subtotal 2,
Drop Ship 0.00
Freight 0.00
Tax 0.00
Total Invoice Amount 2,947.95
Wells Fargo Bank, N.A.
P lease Remit Pqym�!1t
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'
'OUNS#l5'177'2G30
GSA Contract GS-35F-0537P Thank you for your business
All sales mnma«o products are subject tv the terms v, the */Mxus SALES TERMS AND CONDITIONS which may uo found m
www.nmuoeznmlsuwu«o,nu.mm/. By purchasing the Rimage product(s). specified in this document, you accept and agree to the RIMAGE
SALES TERMS AND CONDITIONS. p"v/uhtcxa,eoo/no/uuotu°vo.00u*xonx»,ok*meomwo",mxxam^m,"m"uoulemmow"om=ramm,n.
Himage reserves the right to send a supplemental invoice for additional freight expenses incurred after the actual ship date.
0 INDIANA RETAIL TAX EXEMPT PAGE
C1 t lL'�•
®f rme l CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 27994
35- 50000972
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 -x1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
3 URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
Rlm2gjs Corpbrglon Cumol Police DQp@ftment
VENDOR SHIP 3 CIVIC squm
7M MBhlngtun Avonua South TO C2rmQI, IN 48M
minnoapalls, MN SUN (317) 679 =2
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Acco 42-2.00
9 Each Rim age E600 Diu -my media ldl 500 courd 3009590 $2,847.95 $2.047.95
Sub Total: $2,947.95
Send Invoice To:
Cool Polito Dopwtment
Attn: Toresa Andoroon
3 Civic Squm
Cmmol, IN a. PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Poli Dept. PAYMENT $2,947.95
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 APPROPRI ON 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. IQi '�Q polleo
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE r
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. 27 914 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
T 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.
Rimage Corporation ALLOWED 20
A �w 5a!�5 ?6 6 X t t r� IN SUM OF
as In go
Minneapolis, MN 56431 S� f�5 —S,2sS
$2,947.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
27914 90089165 I 42- 302.00 $2,947.95 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
Wednesday, October 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))
09/16/11 90089165 payment for blu -rays $2,947.95
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