HomeMy WebLinkAbout252625 12/15/15 +p,CAq�
J�/ �� CITY OF CARMEL, INDIANA VENDOR: 353981
jg ONE CIVIC SQUARE GALLS INC.-CHICAGO CHECK AMOUNT: $*******242.76*
r. ,?� CARMEL, INDIANA 46032 PO BOX 71628 CHECK NUMBER: 252625
y�fj�/tUN G�` CHICAGO IL 60694-1628 CHECK DATE: 12/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4342100 4503784 15.00 POSTAGE
1110 4239099 33249 4503784 227.76 MOUTHPIECE
INVOICE BILLING INQUIRIES (866)286-1358
ACCOUNT NUMBER 4876134
PO Box 54430 TERMS NET 30
Lexington,KY 40555-4430 INVOICE NUMBER 004503784
INVOICE DATE 12/02/2015
DUE DATE 01/01/2016
SHIP VIA UPS Ground
PO# 33249
Billing Questions:AR@Galls.com
SALES ORDER 5131006
F.O.B.Shipping Point Page 1 of 1
790 1 MB 0.439 E0305X 10486 D1556291327 P2988546 0001:0002
�I'1111'�III�'I'I'i'll��l"II�11'III�1111111111'1111111'Jill 11111 SHIP TO: BLAINE MALLABER
CARMEL POLICE DEPT CARMEL POLICE DEPT
3 CIVIC SQ 3 CIVIC SQUARE
CARMEL IN 46032-2584 CARMEL IN 46032
ITEM ITEM DESCRIPTION WHSQTY PRICE TOTAL
LE907 250 PC ALCO SENSOR FST MOUTHPIECE LEX 4 56.94 227.76
SUBTOTAL: 227.76
tz4109B50314215193 SHIPPING: 15.00
TAX: 0.00
CREDITS/PREPAYMENTS: 0.00
TOTAL CHARGES CURRENT SHIPMENT: $242.76
CREDIT TERMS:
Any extension of credit is based upon all amounts payable on or before the due date on any written,
quoted, or agreed terms will be paid in accordance with such terms and if not paid on or before such
due date, are then delinquent. It is understood that Galls, LLC may impose and charge a finance
charge which is the lesser of one and one-half percent (1 1/2%) per month or the highest rate allowed
by law on any amount which becomes past due and delinquent. Additionally, the Debtor shall be
responsible for all collection costs, court costs and reasonable attorney's fees (where allowed by law)
in connection with the recovery of any delinquent amount. The Debtor agrees to provide Creditor,
upon request, with an updated application as a condition to the continued extension of credit. The
Debtor agrees to provide updated financial information upon request. The Debtor acknowledges and
agrees that Creditor may utilize outside credit reporting services/financial institutions to obtain
information on the Debtor as a condition to the continued extension of credit. Should credit availability
be granted by the Creditor, all decisions with respect to the extension or continuation of credit shall be
at the sole discretion of the Creditor. Creditor may terminate any credit availability within its sole
discretion. The Debtor understands that-ttie continued-solvency of-the-Debtor is-a-precondition to any --- -
sale made by the Creditor. Upon request from time to time, the Debtor adrees to provide Creditor a
statement representing that the Debtor is and remains solvent.
TERMS AND CONDITIONS OF SALE:
The Debtor agrees to pay for all purchases according to the terms of Creditor. All sales are made
subject to Creditor's terms and conditions of sale and Creditor objects to any different or additional
terms or conditions contained in the Debtor's purchase order or any other document submitted by the
Debtor. No terms or conditions different from or in addition to the terms of Creditor will become part of
any sales agreement, purchase order, or other document unless specifically approved in writing by
Creditor. Creditor and Debtor agree that Creditor does not have authorization to charge the Debtor's
account until such time as ordered merchandise is delivered. Conditions for freight shall be F.O.B.
shipping point with the risk of loss or damage shifting to the Debtor upon Creditor's delivery to the
Debtor or common carrier. Items returned without prior approval may not be accepted and all returns
maybe subject to a restocking charge at the sole discretion of the Creditor. Payments may be applied
against open balances at the sole discretion of the Creditor. Returned checks maybe assessed a $25
service fee. Open-cash credit balances of$25 or less must be used for future purchases. Credit memo's
are non refundable. Credit memos may be applied to open invoices at the Creditor's sole discretion. All
accounts shall be due and payable in the bank lockbox designated by the Creditor. Creditor reserves
the right to cease extension of credit without notice or to change terms of payment pursuant to any
disclosure by Debtor according to Section 409 of the Sarbanes-Oxley Act. In event of litigation, sole
City
® (�° Carmel
INDIANA RETAIL TAX EXEMPT PAGE
,Jlr CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 33249
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
i FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
Galls, LLC Carmel Police Department
VENDOR SHIP 3 Civic SquaP'c
2142FS Notes Irl- Place TO Caftvitl, IN] 46032
Chicago, iL 60673=1242- (317)571 2559
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 4 3W.t
4 Each Intoximeters FST Morrlhpiecie LE907 $56.94 $227.70
Sub Taal: $227.70
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Send Invoice To: x/ 1
Carmel Police Department
Aare: Pat Young
3 Civic Square
Caravel, IN 460324 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECTACCOUNT AMOUNT
Cannel Police Dept. PAYMENT X7.76
t�A • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
-- NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
•
THIS APPROPRIATION,�FFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
/ %r �-
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY �����!
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL i e�
SHIPPING LABELS. eglef'o6t 9 Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE V
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 33249 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
i..r4 b
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/rITLE 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
i
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Galls, LLC
�O
aox -7I� , �- IN SUM OF$
/ I
Chicago, IL 60673-1242
1
$242.76
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 4503784 43-421.00 $15.00 I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
33249 4503784 42-390.99 $227.76
materials or services itemized thereon for
which charge is made were ordered and
received except
1
Thursday, December 10, 2015
i
Chief of Police
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))
12/02/15 4503784 shipping charges $15.00
12/02/15 4503784 intoximeter mouthpieces $227.76
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