HomeMy WebLinkAbout223176 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 363645 Page 1 of 1
t ONE CIVIC SQUARE RIMAGE CORPORATION CHECK AMOUNT: $208.35
s` `o CARMEL, INDIANA 46032 Nw5255
PO BOX 1450 CHECK NUMBER: 223176
MINNEAPOLIS MN 55485-5255
CHECK DATE: 8/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4230200 25388 90123596 208 .35 DVD R
I
Page 1 of 1
Phone: 1-800-445-8288 08/07/2013 22:01:26
R I M A G E Fax: 952-944-7808
Internet: www.rimage.com
Invoice
S.0144 o-.P.artY. . . : :. nformation .
CITY OF CARMEL POLICE DEPT. Invoice Number/Date 901 23596 08/07/2013
3 CIVIC SQUARE Delivery Number/Date 80178001 08/07/2013
CARMEL IN 46032 Sales Order Number/Date 10070982 08/07/2013
PO Number 25388
PO Date 08/07/2013
Customer No. 120998
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::..:.:....:::.y..:..:....:::..::. ...:::.:::..:..:.. Invoice Amt 208,35 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 20.000 LB
Carrier Fed Ex Tracking
Bill of Lading 573253207237
Rimage Contact Tracey Dietsch
Customer Contact: Todd Luckoski
tiuckoski @carmel.in.gov 317-571-2590
Item Material/Description Quantity Unit Price Value
10 2002472 5 EA 41.67 208.35
DVD-R Everest White (100 pack)
100 count shrink-wrapped stack of white DVDs optimized for Rimage
Everest thermal printers.
Subtotal 208.35
Drop Ship 0.00
Freight 0.00
Tax 0.00
Total Invoice Amount 208.35
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-torms.litml. By purchasing the Rimago 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.
-
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City INDIANA RETAIL TAX EXEMPT PAGE
of I`�°�rme1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
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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. DESCRIPTION
12013
plilfiage catporation C2mol Palk@ Department
VENDOR SHIP 3 Civic Squaw
TO
7-5 Washington Avenue South Carmol, IN 462
Minneapolis, MN 55439 (317)5712
CONFIRMATION I BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 422.000
5 Each DVD-R Everest White 2002472 $41.07 $208.35
Sub Total: $208.35
1"
3
id Invoice To:
Carmel Police DGpartmont
Attn: Tomsa Andemon
3 Civic Squam
Carmol, IN 45132- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
i Police Dept. - �-� PAYMENT $209M
\� 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 HAh THE PROPER SWORN�FFJDAVITATTACHED.
SHIPPING INSTRUCTIONS I HEREBY hERTIFY THAT THERE UNOBLIGATED BALANCE IN
THIS OPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
REPAID.
).SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
,HASE ORDER NUMBER MUST APPEAR ON ALL
PING LABELS.
ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITtE Chle?of Pr lice
\CTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. V
d� q CLERK-TREASURER
0• �J e� pp (,ppy -SIGN AND RETURN TO CLERK'S OFFICE
, k, r .
it UP
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))
08/07/13 90123596 DVD-R $208.35
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
$208.35
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
25388 I 90123596 I 42-302.00 I $208.35 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
Friday, August 09, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund