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Home My WebLink About216485 01/15/2013 CITY OF CARMEL, INDIANA VENDOR: 363645 Page 1 of 1 ONE CIVIC SQUARE RIMAGE CORPORATION CHECK AMOUNT: $1,932.09 CARMEL, INDIANA 46032 NW5255 PO BOX 1450 CHECK NUMBER: 216485 MINNEAPOLIS MN 55485-5255 CHECK DATE: 1/15/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 R4239099 25564 90114331 1, 932 . 09 MISC SUPPLIES Page 1 of 1 Phone: 1-800-445-8288 12/20/2012 22:00:53 R I M A G E6 Fax: 952-944-7808 Internet: www.rimage.com Invoice Sold To-Party Information CITY OF CARMEL POLICE DEPT. Invoice Number/Date 90114331 12/20/2012 3 CIVIC SQUARE Delivery Number/Date 801 6,1091 12/20/2012 CARMEL IN 46032 Sales Order Nurrt )er/Date 10064218 12/20/2012 PO Number 25564 PO Date 12/20/2012 Customer No. 120998 Ship-To-Party. Invoice Amt 1,932.09 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 34.000 LB Carrier UPS Parcel Tracking Bill of Lading 1Z5W19X80310615276 --- -- -- niiiaycl.uiiia�r IidCey-Uieial,ll Customer Contact: TERESA ANDERSON Item Material/Description Quantity Unit Price Value 10 2002161 1 EA 120.42 120.42 CMY II Ribbon E600/400 (500 prints) One 500 print CMY ribbon for use in color printing. Requires a retranster roll to complete the print process. 20 2001635 20 EA 88.66 1,773.20 BD-R SL Everest White (25 pack) 25 count stack of 25GB Btu-rayTM recordable optical discs optimized for Rimage Everest thermal printers. 30 2001469 1 EA 38.47 38.47 Retransfer Roll E600/400 (500 prints) Retransfer rolls are used with color or black print ribbons to complete the print process. Subtotal 1,932.09 Drop Ship 0.00 Freight 0.00 Tax 0.00 Total Invoice Amount 1,932.09 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 GSA Contract#: GS-35F-0537P Thank you for your business. All sales of Rimage products are subject to the terms of the RIMAGE SALES TERMS AND CONDITIONS which may be found at www.rimage.com/sales-terms.htmi. 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 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. C 'tY ®lr Carmel INDIANA RETAIL TAX EXEMPT PAGE 1l CERTIFICATE NO.0031201 55 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT ONE CIVIC SQUARE 35-60000972 2 CARMEL, INDIANA 46032-2584 THIS NUMBER MUST AP C LFORMAPPROVED BY STATE PEAR ON INVOICES,A/P BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. 9211 '12 DESCRIPTION i �IR��gG Cat�er�tlon VENDOR CafffIGI Pollco Dopartment SHIP 3 Civic squa 7725 WiRahington Avenue South TO mInneapalia, AFIN 5 C,&m8l, g IN 46�� 2 j CONFIRMATION BLANKET CONTRACT (3'1'7)571.2&% PAYMENT TERMS IFREIGHT f QUANTITY UNIT OF MEASURE DESCRIPTION Account 429-M.99 UNIT PRICE EXTENSION 1 Each C MY 11 Ribbon E600/400 (500 prints) 200216 � 1 20 Each E D-R SL Everest Mite(25 pack) 2001635 $120,42 $120.42 1 Each Retransfer Roll E60 $88.66 0!400 (500 prints) $1,773.20 $38.47 $38.47 Sub Total: $1,932.09 °Iry C off• .... � � I Send Invoice To: Camel Police DepanmGnt �U Attn: Tom$&Anderson I 3 Civic Square Camel, IN 46932= PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I9nel Police ®dpi• PROJECT ACCOUNT AMOUNT ,* PAY_ $9,932.09 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND SHIPPING INSTRUCTIONS VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. •SHIP REPAID. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. THIS APP ROP/RIIAATIIIONSUFFICIENTTTTO•PAY FOR THE ABOVE ORDER. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY i/ A �„,,,jjj✓✓✓/J THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 /q' AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE ledllof of Pollco OCUMENT CONTROL NO. 25564 I V. COPY-SIGN CLERK-TREASURER AND RETURN TO CLERK'S OFFICE VOUCHER NO._ WARRANT NO. i ALLOWED 20 i IN THE SUM OF$ i I j J f i I ' ON ACCOUNT OF APPROPRIATION FOR I I � I I i I Board Members PO#or INVOICE NO. ACCT#R1TLE 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 j which charge is made were ordered and I received except I , i I 1 I I . . I i I I i I i I I I . 20 Signature Title { Cost distribution ledger classification it 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)) 12/20/12 90114331 blu-ray discs/ribbons $1,932.09 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Rimage Corporation IN SUM OF $ 7725 Washington Avenue South Minneapolis, MN 55439 $1,932.09 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members Prior Year Encumbered I hereby certify that the attached invoice(s), or 25564 I 90114331 42-390.99 I $1,932.09 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, January 10, 2013 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund