101978 RIMAGE CORPORATION INDIANA RETAIL TAX EXEMPT Page 1 of 1
Cityof IIa.]rrr1e1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101978
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
(---� SHIPPING LABELS AND ANY CORRESPONDENCE
)RM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
9/28/2018 363645
RIMAGE CORPORATION Carmel Police Department
VENDOR P.O.BOX 860585 SHIP 3 Civic Square
TO Carmel, IN 46032-
MINNEAPOLIS,MN 55486--0585 Blaine Mallaber
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
29646
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 101 General Fund
Account: 42-302.00 ,
1 Each 3001896 Media Kit E400/E600, 1000 DVD(W,TY)CMY $672.97 $672.97
4 Each 2001636 Media, Everest 25 BD-R-DL(W,T1) $212.80 $851.20
Sub Total $1,524.17
SCANNED
F - Zone
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Send Invoice To: ,.,._,� G .. . .. ,
yi 'b..e,i
Carmel Police Department
Accounts Payable `
3 Civic Square "
Carmel, IN 46032- `
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $1,524.17
*NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'-4JRCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL A
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 `�J{C,r•`,'
eidIJ•40%%3 Dc)
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY `
Jim Barlow
TITLE Chief
CONTROL NO. 1 01 978 CLERK-TREASURER ``�