220327 05/21/2013 "Mf CITY OF CARMEL, INDIANA VENDOR: 363645 Page 1 of 1
ONE CIVIC SQUARE RIMAGE CORPORATION CHECK AMOUNT: $2,189.90
CARMEL, INDIANA 46032 Nw5255
PO BOX 1450 CHECK NUMBER: 220327
MINNEAPOLIS MN 55485-5255
CHECK DATE: 5/21/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4230200 25718 90119751 2, 189. 90 MEDIA KITS
Page 1 of 1
Phone: 1-800-445-8288 05/03/2013 22:01:13
R I M A G E® Fax: 952-944-7808
Internet: www.rimage.com
Invoice
Sold-To-..Party: Information
CITY OF CARMEL POLICE DEPT. Invoice Number/Date 90119751 05/03/2013
3 CIVIC SQUARE Delivery Number/Date 80172299 05/03/2013
CARMEL IN 46032 Sales Order Number/Date 10068125 05/03/2013
PO Number 25718
PO Date 05/03/2013
Customer No. 120998
Ship=To=Party` Invoice Amt 2,189.90 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 76.800 LB
Carrier Fed Ex Tracking
Bill of Lading 055552767223098
-- — Rimage-Contact Tracey Uietsch
Customer Contact: TERESA ANDERSON
Item Material/Description Quantity Unit Price Value
10 3001899 1 EA 1,844.13 1,844.13
Media Kit E400, 500 BD-R 25GB (CMY)
Contains everything you need to produce 500 full color Blu-raytf discs.
Includes one 500 print CMY ribbon,one 500 print retransfer roll, one
cleaning wand and 500 BD-Rs. Blu-ray media burns at speeds up to 6X and
holds up to 25GB of data.White thermal hub printable discs for Everest
400 printers.
20 3001895 1 EA 345.77 345.77
Media Kit E400, 500 DVD(W) CMY
Contains everything you need to produce 500 full color DVDs. Includes
one 500 print CMY ribbon, one 500 print retransfer roll,one cleaning
wand and 500 DVD-Rs. Media burns at speeds up to 16X and holds up to
4.7GB of data. White thermal hub printable discs with a dark purple
record surface for Everest 400 printers.
Subtotal 2,189.90
Drop Ship 0.00
Freight 0.00
Tax 0.00
Total Invoice Amount 2,189.90
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.htm1. 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.
INDIANA RETAIL TAX EXEMPT PAGE
co
� ®f C CERTIFICATE NO.003120155 002 0� JJJIIII 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,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. J DESCRIPTION
4r%M13
Rimage Corporation Camel Police Department
VENDOR TOIP 3 Civic Squam
7726 Washington Avenue South Camnel, IN 4603
Minneapolis, MFG 69 (W)579
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
II
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42-302.00
1 Each Media Itit E400, 500 BD-R 25GB(CMY) 3001899 $1,8 4.13 $1,8".13
1 Each Media KK E400, 500 DVD{" CMY 3001895 $345.77 $345.77
" Sub Total. $2,189.90
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Send Invoice To: / d
Cannel Police Department
Attn. ` emsa Anderson
3 Civic Square
Cartel, IN 46n PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept• .� PAYMENT $2,189.90
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
�. VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THATHERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPR � FICIENT TO PAY FOR THE ABOVE ORDER.
• FFII/.O_"/
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE if`ka # S 15^11A�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. Wa✓y• �• • y••y
2 57
�. CLERK TREASURER
..
DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. _.WARRANT NO..-_---.._........_
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or, INVOICE NO. ACCT#!TITLE AMOUNT
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
20
.................................................__.._..--.......-.-. _...
Signature
_...........................................................................................................--------------------
Title
i
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))
05/03/13 90119751 DVD/Blue Ray $2,189.90
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Rimage Corporation
IN SUM OF $
7725 Washington Avenue South
Minneapolis, MN 55439
$2,189.90
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#(TITLE AMOUNT Board Members
25718 I 90119751 I 42-302.00 I $2,189.90 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, May 15,2013
ZZChief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund