167997 01/21/2009 a CITY OF CARMEL, INDIANA VENDOR: 353981 Page 1 of 1
1J ONE CIVIC SQUARE GALLS INC. CHECK AMOUNT: $2,038.00
CARMEL, INDIANA 46032 DEPT 8069
CAROL STREAM IL 60122 -8069 CHECK NUMBER: 167997
CHECK DATE: 1/21/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 R4238000 18996 59694328 538.00 BACKPACK KIT
852 R5023990 18996 59694328 1,500.00 BACKPACK KIT
Billing /Account Inquiries PLEASE REMIT TO:
Call: 800- 504 -0328 GALLS
ANARAMAR COMPANY Fax: 859- 422 -1760
134; Russell Cave Road, Lexington, KY 40505 E -Mail: DEPARTMENT 8069
Customer Service aucacollections @uniform.aramark.com CAROL STREAM, IL 60122 -8069
1- 800 477 -7766 859- 266 -7227
www.galls.com ORIGINAL
SHIP TO (1F OTHER THAN "SOLD TO
o o e e
0000811679
SOLD
TO: 66
CARMEL POLICE DEPT
3 CIVIC SQUARE
CARMEL, IN 46032 -2584
18996 12122108
s o e
Payment Due by 02108109
5969432800010 01/09/09 FEDEX GROUND 01/08/09
e•e e e e e
4 4 TE449 DE -TBK BACKPACK KIT 497.00 1,988.00
ATTN LT. DWIGHT FROST
PAGE
CERTIFICATE INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
C1 of E' pt r LJ e1 PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 1 AQQF
3 QiVE;CIVIC SQUARE FTHISNUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 2584 R, DELIVERY MEMO, PACKING SLIPS,
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
December 18. 2()08 entry tools
VENDOR Galls SHIP City of Carmel Police Department
Department 8069 TO 3 Civic Square
Carol Stream, IL 60122-8069 Carmel, IN 46032
A.TTN: Lt. Dwight Frost
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
4 TE449 DH -TBK Backpack Kit Entry Tools 497.00 1,988.00
shipping 50.00
r•
380 m 538.00
852 $1,500.00`'
Send Invoice To:
City of Carmel PoltP".
ATTN: Teresa Anders
3 Civic gquare
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE 2 038.00
DEPARTMENT ACCOUNT 7 PROJECT T PROJECT ACCOUNT AMOUNT
1110 3890- small tools and minor egditp e PAYMENT
852 852 police gift f 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 1 HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY f 0 -f I.!L.l.?�' r /_S t`
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
1 8 9 P CLERK- TREASURER
DOCUMENT CONTROL NO A.P. COPY SIGN AND RETURN TO CLERIC'S OFFICE
ti
VOI.,ICHER 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 itemi2ed thereon for
which charge is made were ordered and
received except
20
Signature
Title
I
i
Cost distribution ledger classification if
claim paid rnotor vehicle highway fund
i
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
Galls Purchase Order No. 18996RF
Department 8069 Terms
Carol STream, IL 60122 -8069 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1/9/09 59694328 paymetn for entry to6ls 2,038.00
Total
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
G alls
IN SUM OF
Department 8069
Carcil Stream, IL 60122 -8069
2,038.00
ON ACCOUNT OF APPROPRIATION FOR
policegenernl fund pnli Ri ft fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
18996RF 59694328 380 538.00 bill(s) is (are) true and correct and that the
18996RF 59694328 852 1,500.00 materials or services itemized thereon for
which charge is made were ordered and
received except
January 13 2009
-A!4�4�
Signature
Chiaf of Pn1irP
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund