The URL can be used to link to this page

Home My WebLink About225956 11/05/2013 CITY OF CARMEL, INDIANA VENDOR: 363645 Page 1 of 1 ONE CIVIC SQUARE RIMAGE CORPORATION CHECK AMOUNT: $416.70 9 =a CARMEL, INDIANA 46032 NW5255 PO BOX 1450 CHECK NUMBER: 225956 MINNEAPOLIS MN 55485-5255 CHECK DATE: 11/5/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4230200 25438 90126883 416 . 70 DVD EVEREST WHITE Page 1 of 1 Phone: 1-800-445-8288 10/15/2013 22:00:37 R I M A G E° Fax: 952-400-0939 Internet: www.quma.com Invoice Sold To:party Info . rrnation CITY OF CARMEL POLICE DEPT. Invoice Number/Date 901 26883 10/15/2013 3 CIVIC SQUARE Delivery Number/Date 80182723 10/15/2013 CARMEL IN 46032 Sales Order Number/Date 10073037 10/15/2013 PO Number 25438 PO Date 10/15/2013 Customer No. 120998 ....1p To.;Party Invoice Amt 416.70 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 FedEx Tracking Bill of Lading 574176904529 Rimage Contact Tracey Dietsch Customer Contact: Todd Luckoski tiuckoski @carmel.in.gov 317-571-2590 Item Material/Description Quantity Unit Price Value 10 2002472 10 EA 41.67 416.70 DVD-R Everest White (100 pack) 100 count shrink-wrapped stack of white DVDs optimized for Rimage Everest thermal printers. Subtotal 416.70 Drop Ship 0.00 Freight 0.00 Tax 0.00 Total Invoice Amount 416.70 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.qumu.com/legal.By purchasing the Rimage productis)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. C0 INDIANA RETAIL TAX EXEMPT PAGE ity o Carmel CERTIFICATE NO.003120155 002 0 11 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. DESCRIPTION 1013 Mr ag@ Corporation Camel Police Department VENDOR TOIP 3 Civic Square 7725 Washington Avenue South Camel, IN 46032 Minnoapolls, MN 5543' (317)q7i 'i9 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42-M2.01 10 Each DVD-R Everest Mile 2002472 $441.67 $416.70 8'ub Total: $416.70 6 g F �• N1111q Send Invoice To: Camel Police Depatrtmont Attn:Teresa Anderson 3 Civic Satre Corbel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT Carmel Police Dept. . A PAYMENT $416.70 '\ A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THEREIS AN UNOBLIGATED BALANCE IN THIS APP OPAIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ' •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. /� r •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE ( Chief of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. V I'�j 4 3 CLERK-TREASURER DOCUMENT CONTROL NO. A.P. • COPY-SIGN AND RETURN TO CLERIC'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF$ ON ACCOUNT OF APPROPRIATION FOR - a 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 if claim paid motor vehicle highway fund VOUCHER NO. WARRANT NO. ALLOWED 20 Rimage Corporation IN SUM OF $ 7725 Washington Avenue South Minneapolis, MN 55439 $416.70 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 25438 I 90126883 I 42-302.00 I $416.70 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, October 31, 2013 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)) 10/15/13 90126883 DVD's $416.70 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