214645 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 353981 Page 1 of 1
ONE CIVIC SQUARE GALLS INC.-CHICAGO
CARMEL, INDIANA 46032 24296 NETWORK PLACE CHECK AMOUNT: $110.00
CHICAGO IL 60673-1224 CHECK NUMBER: 214645
CHECK DATE: 11/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
911 4467001 000141782 110 . 00 TASK FORCE EQUIPMENT
INVOICE BILSTOING INQUIRIES (866)286-1360
UMER SERVICE (800)477-7766
� n�amkse,r r.�e ACCOUNT NUMBER 5107272
PO Box 54430 TERMS NET 30
Lexington, KY 40555-4430 INVOICE NUMBER 000141782
INVOICE DATE 10/30/2012
DUE DATE 11/29/2012
SHIP VIA UPS Ground
PO# FROST/ADAPTERS
Visit us at www.galls.com STORE/LOC# Galls, LLC
Billing Questions:collections @galls.com SALES ORDER 98588
F.O.B.Shipping Point Page 1 of 1
249 1 MB 0.404 E0237X 10287 D574010019 P1231631 0001:0001
�Ill�ll�l�lll'll'llln����nln�liI Jill 111111lll1111111llnl'll11 SHIP TO:
�+ t HAMILTON CO DRUG TASK FORCE 3 CIVIC SQ
3 CIVIC SQ CARMEL IN 46032-2584
CARMEL IN 46032-2584
ITEM ITEM DESCRIPTION WHS QTY PRICE TOTAL
TP374 BLK MOLLE FORK ADAPTER MLS15 LEX 8 13.75 110.00
EXPORT RESTRICTIONS: SUBTOTAL: 110.00
This transaction may contain commodiues restricted in the United states International Trade Regulations.If at a later
data you,your business or agency,decide these commodities will be exported from the United States please reference SHIPPING: 0.00
the United States Department of Commerce Bureau of Industry and Security Export Administration Regulations(15
CFR 730-774),the United States Department of State International Traffic in Arms Regulations(22 CFR 120-130)as' TAX: 0.00
well as any other applicable laws.These laws apply to private,commercial and government agency export transactions. CREDITS/PREPAYMENTS: 0.00
As an exporter,you,your business or agency,will be responsible for compliance with all U.S.laws relating to the
export of these items. TOTAL CHARGES CURRENT SHIPMENT: $110.00
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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 (1 112%) 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
C-red«or=rnay=utilize=ouiside-credit-r epor dirig-services/financia l_institations=to_obtair�-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 the continued solvency of the Debtor
is a precondition to any sale made by the Creditor. Upon request from time to time, the
Debtor agrees 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
4.._ _:_1, _r I___ __ _L_:ri:_- a_ it-- rte_[-a_- ..___ r%-_ra__I_ r_I:.._-_ ._ •l-- r�_�i__ _-
VOUCHER NO. WARRANT NO.
ALLOWED 20
Galls
IN SUM OF $
24296 Network Place
Chicago, IL 60673-1242
$110.00
ON ACCOUNT OF APPROPRIATION FOR
Project 2012-911 Task 2012-2
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
911 I 000141782 I 44-670.01 I $110.00 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, November 15, 2012
a'C4"
Major
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))
10/30/12 000141782 $110.00
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